The integrity and appropriateness of cancer pain assessment data in a medical center to promote pain-free hospital.

• Main Authors: Yu-Fen Chen, 陳玉紛
• Other Authors: Kwua-Yun Wang
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/67278617764982538647

碩士 === 國防醫學院 === 護理研究所 === 102 === Cancer is a high incidence and high mortality of the disease, and pain is one of the common symptoms of cancer patients. The problem of pain has been attach importance to the World Health Organization (WHO), the International Association for the Study of Pain (IASP) and the American health care institutions joint Commission on Accreditation attention (JCAHO), in addition to the pain regarded as the fifth vital signs, and have set the standard assessment and treatment of pain to be a reference norm in recent years, further advocated the idea pain-free hospital. However, clinical studies have shown that disease suffering from pain often ignored by medical staff, either on paper or using information systems to perform patient pain assessment records. There are not a complete record of the phenomenon, not only that, many articles study also pointed out that there are inadequate pain management patients situations. Thus triggering the researchers to assess cancer pain assessment information integrity and appropriateness of motivation. This study is a descriptive cross-sectional study design, and the cancer pain assessment data in a medical center cross January 1, 2012 to December 31, 2012. This study use Microsoft office Excel 2007 and SPSS PASW Statistic version 18 software for data processing , collection and analysis. In addition to pain scores, drug management, nursing management, the study found integrity rate of remaining variables was 100%. The integrity rate of pain scores is 97.3% to 99.9%. The integrity rate of drug management is 8.2% to 62.3%. The integrity of nursing management is 8.7% to 63%. The while the overall integrity rate is 8% to 61.8%. The appropriateness rate of drug management is 76.2% ,and nursing management is 51.8%, and drug or nursing management is 83.4%. Regardless integrity or appropriateness, word of a hospital individually differences. In accordance with the literature review to investigate the reasons, the medical center need to strengthen the advocacy capacity of pain assessment and disposal process, and continuous monitoring of the regular and continuing education courses held in pain. Patient, patient’s family and medical staff should be teached pain assessment concepts. However, to understand the cause of incomplete and inadequate pain assessment data still need more research to find out the root cause. Pain assessment information to make correct and complete to become a source of information in patients with pain, Thereby allowing the patient to get good pain management, Improve the quality of medical care, Finally reached "painless hospital" goal.