过渡性护理的跨专业疼痛日记:一个可行性项目。

IF 0.2 Q4 NURSING
Desirri L Arneson, Darla C Coss, Lisa P Rovick, Patricia Finch Guthrie
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引用次数: 1

摘要

背景:了解老年人的疼痛感知对疼痛管理很重要。一个跨专业团队进行了一项可行性项目,以检验为过渡护理病房的老年人设计的疼痛日记是否能更全面地描述疼痛体验。目的:该项目旨在:(a)开发疼痛日记,(b)检查患者的可用性,(c)确定日记在工作流程中的可行性,(d)检查日记条目和满意度调查的结果。方法:三个快速变化周期辅助日记的制定和实施。结果:5例患者在实施过程中随访32天,对疼痛进行了简单的叙述和评分(M = 2-5.3)。叙事反应的主题是药物缓解和替代方法,在运动和活动之间找到平衡,痛苦的情感负担,以及得到医疗团队支持的重要性。患者和工作人员完成了满意度问卷,表明沟通得到了加强。结论:日记对患者和工作人员使用是可行的,有潜力成为一种有效的跨专业疼痛管理工具。对护理的启示:疼痛日记提供了一个跨专业团队了解病人经验和提供整体护理的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Interprofessional Pain Diary in Transitional Care: A Feasibility Project.

Background: Understanding pain perceptions in older adults is important for pain management. An interprofessional team conducted a feasibility project to examine whether a pain diary designed for older adults in a transitional care unit offered a more holistic description of the pain experience.

Objectives: The project was designed to: (a) Develop a pain diary, (b) Examine patient usability, (c) Determine feasibility of the diary in workflow, and (d) Examine outcomes of diary entries and satisfaction surveys.

Methods: Three rapid change cycles assisted in developing and implementing the diary.

Results: Five patients followed for 32 days during implementation wrote simple narratives and rated their pain (M = 2-5.3) on 11-point pain rating scales. Themes from narrative responses were medicated relief and alternative methods, finding a balance between motion and activity, emotional burden of pain, and the importance of feeling supported by the health-care team. Patients and staff completed satisfaction questionnaires indicating enhanced communication.

Conclusions: The diary was feasible for patients and staff to use and has potential as an effective interprofessional tool for pain management.

Implications for nursing: The pain diary provides the interprofessional team an opportunity to understand the patient experience and provide holistic care.

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