Application of Managing Sensitive Indicators in Clinical Pain Assessment

Background & Aims

The nurse is the main performer of pain assessment and is responsible for observing, recording and reporting patients’ pain conditions. The study showed that the complete rate of pain assessment performed by nurses was 30% to 50%. The International Pain Society (In ternational Association for the Study of Pain, IASP) proposes that pain management can be improved by establishing pain assessment management indicators quality improvement (quality improvement, QI) to improve the completion rate of pain assessment performed by nurses. Thus the key to the quality of pain management is to have a clear evaluation index, but currently for the establishment of pain assessment management sensitive index domestic lack of standardized standard, the quality of pain management is relatively dependent on the importance of managers, so this study discusses the establishment of pain assessment management index improve nurses perform pain assessment rate of clinical application effect.

Methods

Select pain department establish pain assessment management index before 500 inpatients as a control group, select establish pain assessment management index after pain department 500 hospitalized patients as a test group, the hospital departments different levels nurse circulating pain assessment management training, the nurses perform complete rate of pain assessment, pain intensity assessment accuracy, average hospital stay and patient satisfaction results are analyzed and compared.

Results

After the establishment of pain assessment management indicators, the nurse’s complete rate of pain assessment and the accuracy of pain intensity assessment were higher than that before implementation, and patient satisfaction improved (P < 0.01); the average hospital stay of patients was decreased (the difference was not statistically significant).

Conclusions

The establishment of pain assessment management index can effectively improve nurses’ awareness of participating in pain assessment management and correctly understand the importance of pain evaluation standardization for patients’ pain management. It can significantly improve the integrity rate of pain evaluation and the accuracy of pain intensity assessment, standardize clinical pain assessment, improve the quality of pain care, reduce patients’ pain, and improve patients’ satisfaction and quality of life.

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