主管:国家卫生健康委员会
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• 特别策划·儿科护理研究进展 • 上一篇    下一篇

我院疼痛专科护士对院内持续皮下泵入吗啡镇痛患者的管理实践

刘丽华 姚果 彭晶晶 杜宁莉   

  1. 绵阳市中心医院肿瘤科
  • 出版日期:2016-08-25 发布日期:2016-08-25

The practice of pain nurse specialist in the management of the continuous subcutaneous injection of morphine for patients in the hospital

  • Online:2016-08-25 Published:2016-08-25

摘要: 目的:探讨我院疼痛专科护士对院内持续皮下泵入吗啡镇痛患者的管理方法。方法:对40 例院内晚期重度癌痛患者,由疼痛专科护士查看评估患者、参与镇痛方案制定、填写“持续皮下泵入吗啡方案医师审核表”、执行皮下注射操作及镇痛管理等。结果:所有患者实行持续皮下泵入吗啡镇痛3 ~ 5 天后,静息痛和运动痛评分均一直保持在3 分以下,疼痛缓解率达100% ;40 例患者无一例发生差错事故及纠纷投诉;患者、医生、护士的满意度均达96% 以上。结论:我院疼痛专科护士对院内持续皮下泵入吗啡镇痛患者的管理,能保障镇痛效果及医疗安全,减轻医生工作量,提高医护患满意度。

Abstract: Objective: To explore the way that pain nurse specialists manage the continuous subcutaneous injection of morphine for patients in hospitals. Methods: The pain nurse specialists assessed 40 advanced cancer patients with severe pain, participated in the development of pain management plans, filled in assessment tables, administered subcutaneous injections and delivered pain manage. Results: Three to 5 days after the continuous subcutaneous injection of morphine, the rest pain and motion pain scores were both below 3 for all patients. The pain remission rate was 100%. No nursing errors occurred. The satisfaction rates of patients, physicians and nurses were all above 96%. Conclusion: The involvement of pain nurse specialists in the continuous subcutaneous injection of morphine for patients in hospital was effective and safe. It could reduce physicians' workload, and increase physicians' and nurses' satisfaction rate.