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引文資料
題名:
在職教育提升外科護理人員術後疼痛評估能力之成效
書刊名:
榮總護理
作者:
林碧珠
/
張菁鏸
/
許秀珠
/
林梅絹
/
羅悅禎
/
蘇淑娟
作者(外文):
Lin, Pi-chu
/
Chang, Hsien-hui
/
Hsu, Hsiu-chu
/
Lin, Mei-chuan
/
Luo, Yue-zhen
/
Su, Shu-juan
出版日期:
2009
卷期:
26:2
頁次:
頁136-144
主題關鍵詞:
手術後疼痛
;
疼痛評估
;
在職教育
;
Postoperative pain
;
Pain assessment
;
In-service education
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
5
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:
19
點閱:12
本研究目的係探討疼痛評估教育對提昇護理人員疼痛評估知識與技巧之效果。採前、後、後後測實驗與控制之實驗設計,收案實驗組42人、控制組37人,及實驗組護理人員照顧之病人97位。實驗組接受教育訓練,控制組未接受訓練。結果顯示:(1)護理人員平均年齡實驗組28.9±5.4歲,控制組28.7±5.2歲。平均工作年資實驗組69.0±52.7月,控制組61.2±49.0月,兩組間人口學基本資料無顯著統計差異。(2)實驗組護理人員疼痛評估知識與技巧經在職教育後,有顯著提昇(F=17.95, p=.000),控制組前後測則無顯著差異(F=3.68, p=.075);兩組護理人員其對病人麻醉性止痛藥成癮知識具顯著差異(F=5.981, p=.017)。(3)實驗組護理人員前測時低估病人術後第一天最劇烈疼痛程度(6.19 vs. 7.36, p=.031)和最輕疼痛程度(2.56 vs.3.48, p=.042),後測時高估術後第一天現在疼痛程度(4.00 vs. 2.77, p=.048),而後後測時則高估術後第一天最輕疼痛程度(3.12 vs. 2.09, p=.025),此差異均具統計意義。根據研究結果建議定期舉辦疼痛評估在職教育,以提昇護理人員疼痛評估能力。
以文找文
The purpose of the study was to compare the effects of an educational programon pain assessment knowledge and skill. Seventy-nine surgical nurses were randomly assigned into two groups. The experimental group received an educational program, and there was no education for the control group. Ninety-seven patients cared for by experimental group were also recruited. The results were as follows: The mean age of the experimental group was 28.9±5.4, and 28.7±5.2 for the control group. The mean working year of the experimental group was 69.0±52.7 months, and 61.2±49.0 months for the control group. There were no significant differences between the two groups in demographic variables. The pain assessment knowledge for the experimental group was increased after education (F=17.95, p= .000), the scores were 57.63, 60.86, and 63.12 separately. In pretest, the nurses of the experimental group underestimated the patient's worst pain level (6.19 vs. 7.36, p=.031) and the slightest pain level (2.56 vs. 3.48, p=.042). In post test the nurses overestimated the current pain level (4.00 vs. 2.77, p=.048). In post-post test, the nurses overestimated the light pain level (3.12 vs. 2.09, p=.025), it showed a significant difference. According to the findings, pain assessment in-service education programs can be held regularly to enhance nurse's pain assessment ability.
以文找文
期刊論文
1.
Walid, M. S.、Donahue, S. N.、Darmohray, D. M.、Hyer, L. A.、Robinson, J. S.(2008)。The fifth vital sign--what does it mean?。Pain Practice,8(6),417-422。
2.
Levett-Jones, T. L.(2005)。Continuing education for nurses: A necessity or a nicety。Continuing Education for Nurses,36(5),229-233。
3.
Chung, J. W. Y.、Lui, J. C. Z.(2003)。Postoperative pain management: Study of patients' level of pain and satisfaction with health care providers' responsiveness to their reports of pain。Nursing and Health Sciences,5(1),13-21。
4.
徐麗琴、林佳靜、賴裕和、陳美伶(20020800)。腫瘤護理人員對癌痛之評估及處置與相關因素探討。新臺北護理期刊,4(2),29-38。
延伸查詢
5.
賴裕和(20030200)。以實證為基礎的疼痛處置。護理雜誌,50(1),29-33。
延伸查詢
6.
陳淑如、林佳靜、鄭綺、何善臺(19981200)。探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素。護理研究,6(6),475-488。
延伸查詢
7.
Clarke, E. B.、French, B.、Bilodean, M. L.、Capasso, V. C.、Edwards, A.、Empoliti, J.(1996)。Pain management knowledge, attitudes and clinical practice: The impact of nurses' characteristics and education。Journal of Pain and Symptom Management,11(1),18-31。
8.
Owen, H.、McMillan, V. M.、Rogowski, D.(1990)。Postoperative pain therapy: A survey of patients' expectations and their experiences。Pain,41(3),303-307。
9.
Carr, E. C. J.、Thomas, V. J.(1997)。Anticipating and experiencing post-operative pain: The patient's perspective。Journal Clinical Nursing,6(3),191-201。
10.
Paice, J. A.、Mobon, S. M.、Faut-Callahan, M.(1991)。Factors associated with adequate pain control in hospitalized postsurgical patient diagnosed with cancer。Cancer Nursing,14(6),298-305。
11.
林瓊珠、姚吟蓮、廖素滿、莊淑娟、林金燕、林碧珠(20020300)。探討不同給藥方式對脊椎手術病患疼痛控制之成效。榮總護理,19(1),21-34。
延伸查詢
12.
許玲女、張遠萍、陳淑卿、賴裕和(20010900)。護理人員對癌症疼痛及麻醉性止痛藥之信念及其相關因素探討。長庚護理,12(3)=35,200-207。
延伸查詢
13.
Bell, L.、Duffy, A.(2009)。Pain assessment and management in surgical nursing: A literature review。British Journal of Nursing,18(3),153-156。
14.
Bines, A.、Paice, J. A.(2005)。Are your pain management skills up-to-date?。Nursing,35(1),36-37。
15.
Cutson, T. M.(1998)。Management of cancer pain。Primary Care: Clinics in Office Practice,25(2),407-421。
16.
Dalton, J. A.、Blau, W.、Carlson, J.、Mann, J. D.、Bernard, S.、Toomey, T.(1996)。Changing the relationship among nurses' knowledge, Self-reported behavior and documented behavior in pain management:Does education make a difference。Journal of Pain and Symptom Management,12(5),308-319。
17.
Horbury, C.、Henderson, A.、Bromley, B.(2005)。Influences of patient behavior on clinical nurses' pain assessment: Implication for continuing education。Journal of Continuing Education in Nursing,36(1),18-24+46-47。
18.
Klopper, H.、Andersson, H.、Minkkinen, M.、Ohlsson, C.、Sjöström, B.(2006)。Strategies in assessing postoperative pain--A South African study。Intensive and Critical Care Nursing,22(1),12-21。
19.
Lome, B.(2005)。Acute pain and the critically ill trauma patient。Critical Care Nursing Quarterly,28(2),200-207。
20.
Mac Lellan, K.(2004)。Postoperative pain: Strategy for improving patient experiences。Journal of Advanced Nursing,46(2),179-185。
21.
Ravaud, P.、Keita, H.、Porcher, R.、Durand-Stocco, C.、Desmonts, J. M.、Mantz, J.(2004)。Randomized clinical trial to assess the effect of an educational programme designed to improve nurses' assessment and recording of postoperative pain。British Journal of Surgery,91(6),692-698。
22.
Watt-Watson, J.、Stevens, B.、Garfinkel, P.、Streiner, D.、Gallop, R.(2001)。Relationship between nurses' pain knowledge and pain management outcomes for their postoperative cardiac patients。Journal of Advanced Nursing,36(4),535-545。
23.
Zhang, C. H.、Hsu, L.、Zou, B. R.、Li, J. F.、Wang, H. Y.、Huang, J.(2008)。Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China。Journal of Pain and Symptom Management,36(6),616-627。
學位論文
1.
張靜瑛(2002)。在職教育對護理人員的癌症疼痛評估觀念及技巧之改變(碩士論文)。義守大學。
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