新生儿护士对早产儿视网膜病变检查中疼痛管理的认识和感受:一项定性研究。

Özlem Metreş, Burcu Aykanat-Girgin, Duygu Gözen
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引用次数: 1

摘要

目的:本研究的目的是了解新生儿重症监护护士在早产儿视网膜病变检查时的感受、疼痛相关知识和疼痛管理相关做法。方法:采用描述性定性研究设计。本研究采用半结构化开放式问题访谈表对护士进行个人深度访谈。使用MAXQDA12对数据进行评估。结果:根据主题分析,形成了“新生儿疼痛”和“早产儿视网膜病变”两个主题。在研究中,确定护士能够有限地识别新生儿的疼痛引起的生理和行为症状,无法评估疼痛的症状和水平,使用已被证明有效度和可靠性的疼痛量表。结果表明,护理人员在疼痛管理中基于观察而非循证知识提供护理。结论:应通过循证培训项目对护士进行培训,并支持护士将所学知识转化为实践。结果强调,应将疼痛及疼痛管理纳入护理教育课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What do Neonatal Nurses Know and Feel About Pain Management During Retinopathy of Prematurity Examination: A Qualitative Research.

Aim: The purpose of this study was to determine feelings, pain-related knowledge, and pain management-related practices of neonatal intensive care nurses during the retinopathy of prematurity examination.

Method: The descriptive qualitative research design was used. In the study, the individual in-depth interviews were conducted with nurses by using the interview form with semi-structured open-ended questions. The data were evaluated by using the MAXQDA12.

Results: Two main themes were formed as "neonatal pain" and "retinopathy of prematurity examination" in line with the thematic analysis. In the study, it was determined that the nurses were able to limitedly identify the pain-induced physiological and behavioral symptoms in newborns, could not evaluate the symptoms and levels of pain by using pain scales with proven validity and reliability. The results indicated that the nurses provided the care based on their observations rather than evidence-based knowledge in the pain management.

Conclusion: Nurses should be informed through evidence-based training programs and supported to transfer the acquired knowledge into practice. And the results emphasizes that the subject of pain and pain management should be inserted in nursing education cirruculum.

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