【作者】 王欣格； 张猛； 罗艳艳；

【Author】 Xing Wang;Meng Zhang;Yanyan Luo;Xinxiang Medical University, School of Nursing;Xinxiang Medical University, Pychology Department;

【机构】 新乡医学院护理学院； 新乡医学院心理系院；

【摘要】 目的:探讨轮班护士在不同疲劳程度下的疼痛感知特点。方法:招募大四护理专业临床实习生143名,其中72名为白天连续工作8h的实习护生,71名为休班的护生,实验开始前,先完成疲劳自评量表(共9分,1分为毫无疲劳感,5分为中度疲劳,9分为极度疲劳)。疲劳得分大于≥5分者分入疲劳组(n=33);疲劳得分5分以下者分入非疲劳组(n=30)。采用2 (组别:疲劳组,非疲劳组)×3针头类型(无针头无血迹,有针头无血迹,有针头有血迹)的混合设计,本研究的采用图片刺激范式,比较两组被试在不同疲劳状态下对目标注射器针头的疼痛反应(0分为无痛,1分为轻度疼痛,2分为中度疼痛,3分为重度疼痛)以及按键反应时的标准分数的差异。结果:疲劳组和非疲劳组在对注射器的疼痛反应[(1.58±1.07,0.89±0.51,1.49±0.48)ms vs (1.67±1.03,0.98±0.48,1.60±0.49)ms,P>0.01],疲劳组在对有血迹的针头的反应程度高于非疲劳组,而在反应时[(296.37±170.51,358.42±191.08,379.25±165.44)msvs(494.33±161.53,498.52±164.39,479.51±155.65)ms,P<0.01]疲劳组对带针头(有血和无血的针头)反应时均长于非疲劳组的反应时。结论:与非疲劳组护士相比,疲劳作为中介因素使护生对疼痛感知能力产生影响,疼痛得分升高,反应时增长,其具体认知资源的分配将在后续试验中呈现。更多还原

【Abstract】 Objective: To explore the pain perception characteristics of shift nursing internship under different fatigue levels. Methods: A total of 143 clinical nursing intern were recruited. Among them, 72 were controlled nurses who worked continuously for 8 hours during the day and 71 were nursing students who were on off day. The fatigue self-rating scale was completed before the experiment(1 is regarded as no fatigue, 5 means moderate fatigue, 9 represents extreme fatigue). Fatigue score greater than ≥ 5 points were distributed to fatigue group(n =72); fatigue score less than 5 points were divided into non-fatigue group(n = 71). The two groups(group: fatigue group, non fatigue group) × 3 needle type(no needle no blood, bloodless with needle, needle with blood) mixed design, the picture stimulation paradigm was used in the study.The pain response to the target syringe needle in different fatigue conditions(0 for painlessness, 1 for mild pain, 2 for moderate pain, 3 for severe pain), and for standard deviation of the key reaction. Results: The pain response of the fatigue group and the non fatigue group in the syringe [(1.58 ± 1.07, 0.89 ± 0.51,1.49 ± 0.48) ms vs(1.67 ± 1.03, 0.98 ± 0.48,1.60 ± 0.49) ms,(296.37 ± 170.51,358.42 ± 191.08,379.25 ± 165.44) ms vs(494.33 ± 161.53,498.52 ± 164.39,479.51 ± 155.65) in the response group, and the response of the fatigue group was higher than that of the non-fatigue group Ms, P<0.01] The fatigue group responded to the reaction with the needles(blood and bloodless needles) longer than those in the non fatigue group. CONCLUSIONS: Compared with non-fatigue group nurses, fatigue as an intermediary factor has an effect on the perception of pain in nursing intern.更多还原