Current status and obstacle factors of the application of nursing evidence for wound procedural pain in adult burn patients
10.3760/cma.j.cn115682-20200303-01334
- VernacularTitle:成人烧伤患者创面操作性疼痛护理证据应用的现状及障碍因素分析
- Author:
Xueqin YAN
1
;
Caifeng LUO
;
Zhixin YAN
;
Wei XING
;
Qiaoyan LIU
Author Information
1. 江苏大学附属医院烧伤整形科，镇江 212000；江苏大学医学院护理系，镇江 212013
- Keywords:
Burns;
Pain, procedural;
Audit;
Obstacle analysis;
Evidence-based nursing;
Evidence transformation
- From:
Chinese Journal of Modern Nursing
2020;26(32):4470-4475
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the clinical status of the application of nursing evidence for wound procedural pain in adult burn patients, analyze obstacle factors and formulate countermeasures so as to provide a reference for the application of clinical evidence.Methods:According to the "Evidence Clinical Application Model" of Joanna Briggs Institute (JBI) , 12 best evidences for wound procedural pain in adult burn patients were included, and 14 audit indicators were formulated. From March to May 2019, the status audit and the analysis of obstacle factors were carried out in the Burn and Plastic Surgery Ward of the Affiliated Hospital of Jiangsu University.Results:Among 14 audit results, 9 have a compliance rate < 60%. The compliance rate of pain assessment before, during and after dressing change, Critical Pain Observation Tool (CPOT) for critically ill patients, use of virtual reality (VR) technology, use of music therapy or progressive relaxation training, and psychological assessment for burn patients were all 0. The pass rate of wound procedural pain knowledge in medical and nursing staff was only 30.77% (8/26) . The main obstacle factors were the lack of nurses' awareness of pain assessment, lack of some pain assessment tools, lack of knowledge of wound procedural pain among medical and nursing staff, lack of pain health education system, lack of equipment support and management supervision.Conclusions:There is a gap between the best evidence of wound procedural pain care in adult burn patients and the current clinical nursing practice. Nursing staff should formulate countermeasures against obstacles and ensure the implementation of countermeasures so as to ensure the smooth transformation of evidence.
