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肿瘤患者疼痛评估量表绘制临床应用研究 被引量:12
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作者 贾晓燕 蓆艳荣 黄鹤鑫 《现代中西医结合杂志》 CAS 2009年第18期2158-2159,共2页
目的探讨疼痛评估量化记录的科学方法。方法疼痛评估采用数字分级法(NRS),量表绘制设计以体温单绘制法为框架结合临床实际,设计疼痛评估量表并绘制成曲线图。建立责任护士、护士长、科主任临床三级控网络,对276例肿瘤患者住院期间... 目的探讨疼痛评估量化记录的科学方法。方法疼痛评估采用数字分级法(NRS),量表绘制设计以体温单绘制法为框架结合临床实际,设计疼痛评估量表并绘制成曲线图。建立责任护士、护士长、科主任临床三级控网络,对276例肿瘤患者住院期间存在的中、重度疼痛进行了临床监控。结果在疼痛评估量表上获得了准确、系统的量化曲线图,完全缓解142例;量化得分〈3分87例,3~4分16例,〉4分29例(含死亡5例、爆发痛13例)。结论将疼痛量化绘制成曲线图直观明了,能动态地反映患者疼痛变化过程及止痛干预效果,对疼痛的治疗和护理具有很好的指导作用。 展开更多
关键词 肿瘤疼痛评估 量表绘制 护理研究
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Current situation and influencing factors of palliative care practice ability among oncology nurses:A multicenter cross-sectional study
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作者 Xiaofei Nie Fanfan Lv +1 位作者 Longti Li Jia Jia 《International Journal of Nursing Sciences》 2025年第1期35-41,I0002,共8页
Objectives:The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses.Methods:A multicenter cross-sectional study was conducted... Objectives:The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses.Methods:A multicenter cross-sectional study was conducted using stratified random sampling to select 26 tertiary hospitals’oncology departments in Hubei Province,China.A total of 1,198 nurses were included and finished the questionnaire consisting of social demographic characteristics,Palliative Care Self-Report Practice Scale(PCPS),End-of-life Professional Caregiver Survey(EPCS),and Self-Perceived Pain Assessment Knowledge and Confidence Scale(Self-PAC)through the online platform.Data were analyzed using t-test,one-way ANOVA,Pearson correlation analysis,and multiple linear regression analysis in SPSS 26.0.Results:The total score for PCPS was 67.17±12.57,the three dimensions’scores were:physical symptom care(32.50±6.10),spiritual and psychological care(23.35±4.97),communication(11.58±2.48).There are significant positive correlations between the palliative care practice ability and core competence(r=0.77,P<0.01),as well as pain assessment ability(r=0.56,P<0.01).Multiple regression analysis identified female,with high education background(bachelor’s degree and master’s degree or above),interest in palliative care,pain assessment ability,and core competence were positive predictors of palliative care practice ability(Adjusted R^(2)=0.668,P<0.05).Conclusions:The overall ability of the oncology nurses to practice palliative care was relatively high,but the palliative nurses reported suboptimal performance in the communication dimension of palliative nursing practice ability.To comprehensively improve oncology nurses’palliative care practice ability,managers must consider the gender structure,educational background,enthusiasm for palliative care work,core competence,and pain assessment ability. 展开更多
关键词 ONCOLOGY Palliative care Core competence Pain assessment Influencing factors
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