护理接受全膝关节置换术老年人的护士对疼痛管理教育的需求

Chayada Piyakhachornrot , Phichpraorn Youngcharoen
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引用次数: 0

摘要

引言有效的术后疼痛管理对于改善接受全膝关节置换术(TKR)的老年人的治疗效果非常必要。本研究旨在确定为护理接受全膝关节置换术(TKR)的老年人的注册护士开展疼痛管理教育所需的信息。研究采用了定性描述设计。本研究采用定性描述设计,在泰国曼谷的一家三级甲等医院与 22 名具有护理接受 TKR 的老年人经验的护士进行了三次焦点小组讨论;与医院护理疼痛管理委员会的五名成员进行了一次焦点小组讨论。结果与疼痛评估教育相关的两个主题是疼痛评估和疼痛管理。疼痛评估的次主题包括认知受损的老年人面临的挑战、知识不足和误解以及重新评估疼痛。疼痛管理的三个次主题包括止痛药物知识、药物止痛和止痛设备的新趋势以及使用冷敷的非药物止痛方法。研究结果可用于疼痛管理教育,以更新护士的疼痛管理知识。
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Pain management education needs for nurses caring for older adults undergoing total knee replacement

Introduction

Effective postoperative pain management is necessary to improve the outcomes of older adults undergoing total knee replacement (TKR). Discovering what registered nurses (RNs) need to know about pain management may be beneficial to improving the quality of care.

Aim

The study aimed to identify the information needed to develop pain management education for RNs caring for older adults undergoing TKR.

Methods

A qualitative descriptive design was used in this study. Three focus groups were conducted with 22 staff RNs with experience caring for older adults undergoing TKR at a supra-tertiary care hospital in Bangkok, Thailand; one focus group was conducted with five members of the hospital's nursing pain management committee. Data were analyzed using content analysis.

Results

Two themes relevant to pain assessment education were pain assessment and pain management. Subthemes of pain assessment included challenges in cognitively impaired older adults, inadequate knowledge and misconceptions, and re-assessing pain. Three subthemes of pain management were created, including knowledge of pain medication, new trends in pharmacological pain management and devices, and non-pharmacological pain management using cold compression.

Conclusions

RNs require current information about pain management to provide effective postoperative care for older adults undergoing TKR. The findings may be used in pain management education to update RNs’ knowledge of pain management.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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