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基于格林模式提高疼痛评估护理质量的实践

Using Precede-Proceed Model to promote nursing quality of pain assessment

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【作者】 陈肖敏付丽萍叶美珍朱薇裘丹英冯霞

【Author】 CHEN Xiaomin;FU Liping;YE Meizhen;ZHU Wei;QIU Danying;FENG Xia;Zhejiang Provincial People’s Hospital (People’s Hospital of Hangzhou Medical College);

【机构】 浙江省人民医院(杭州医学院附属人民医院)护理部浙江省人民医院(杭州医学院附属人民医院)浙江省人民医院(杭州医学院附属人民医院)5-8病区浙江省人民医院(杭州医学院附属人民医院)1-14病区

【摘要】 目的 :促进医院疼痛评估护理质量的提高,以提升疼痛管理质量。方法 :以格林模式为指导,分析影响疼痛评估护理质量的倾向因素、促成因素和强化因素,并采取针对性的措施促进各因素的形成。结果 :新入院患者的疼痛评估记录规范率提高;疼痛≥4分患者的干预率及再评估规范率提高;疼痛≥4分患者的疼痛评估符合率提高,差异均有统计学意义(P<0.05)。结论 :以格林模式为指导有助于促进疼痛评估护理质量的提高,促进了疼痛管理质量的提升。

【Abstract】 Objective:To promote the nursing quality of pain assessment,and to improve the quality of pain management in hospital.Methods:Guided by the Precede-Proceed Model,we analyzed the predisposing factors,enabling factors and reinforcing factors that affected the nursing quality of pain assessment,and took measures to promote the development of various factors.Results:Guided by the Precede-Proceed Model,the pain assessment rate for new in-patients was increased significantly; the intervention rate and reassessment rate for patients with pain scores greater than or equal to four points were increased significantly; the pain assessment coincidence rate for patients with pain scores greater than or equal to four points were increased significantly(P<0.05).Conclusion:The Precede-Proceed Model is helpful to improve the nursing quality of pain assessment,and improve the quality of pain management in hospital.

【基金】 浙江省人民医院护理部科研基金资助项目(2014-HLB-013)
  • 【文献出处】 中国护理管理 ,Chinese Nursing Management , 编辑部邮箱 ,2018年02期
  • 【分类号】R47
  • 【被引频次】25
  • 【下载频次】1019
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