提升某區域醫院內科護理人員對癌症疼痛評估之改善方案

Project for Upgrading Cancer Pain Assessment by Medical Nurses in the Division Hospital

李卿雲(Ching-Yun Lee) ； 翁靜宜(Ching-Yi Weng) ； 林春蘭(Chun-Lan Lin) ； 楊廷芬(Ten-Fang Yang)

《腫瘤護理雜誌》 7卷1期 (2007/06) Pp. 43-53

https://doi.org/10.6880/TJON.200706_7(1).05

摘要

疼痛是癌末病人最常見的症狀之一，然而有九成癌症病人的疼痛可以得到滿意的控制。但在癌末病人日益增多的今日，國內醫療人員癌症疼痛控制的專業知識及經驗普遍不足；經本專案調查發現內科護理人員對癌症疼痛評估知識答對率爲54.96%及評估正確率爲51.61%，因此使得癌症疼痛常沒有得到充分控制，導致病人承受不必要的痛苦。同時，緩和醫療照顧的一大目標，即是讓癌末病人免於疼痛或疼痛得到良好控制，不致於影響日常生活功能及品質；經由實施癌症疼痛教育訓練、制定癌症疼痛評估指引及宣導、提供疼痛評估工具等對策後，內科護理人員癌症疼痛評估知識答對率提升爲85.88%、正確率提升爲93.33%；達成此專案目標。

關鍵字

癌症 ； 疼痛評估 ； 護理專案

並列摘要

Pain is one of the most frequently symptoms in terminal cancer patients; Ninety percent of the pain in cancer patients can be satisfying controlled. However, inadequate professional knowledge and experience among our medical personnel cannot provide enough care in current increasing cases of terminal cancer patients. After investigating the cancer pain knowledge of medical nurses, the rate for accurate knowledge was 54.96% and the rate for accurate assessment was 51.61%. The result reflected the insufficient cancer pain control that causes unnecessary sufferings for the patients. To free or alleviate terminal cancer patients from pain with no hindrance in daily function and living quality is one of the main goals in the hospice care. With assistance of getting advanced education on cancer pain, guidance and propaganda of cancer pain and assessment tools, medical nurses raised the rate for accurate knowledge up to 85.88% and the rate for accurate assessment up to 93.33%. The goal of this project is being achieved.

並列關鍵字

cancer ； pain assessment ； nursing project