Abstract
Background: Pain is one of the most common symptoms of hospitalized patients. Currently, the hospital-wide incidence of pain ranges from 37.7% to 84%, and the severity of pain during hospitalization is closely related to the prognosis and the quality of hospital care. Effective and accurate monitoring of pain occurrence and intervention is an indispensable step to improve overall performance and patient satisfaction. Currently, the pain management system in the nursing field has not been integrated with the information system, and there are too many indicators, different grading standards, and clinical generalization is not strong. The existing indicators lack specificity and sensitivity, lack of pain management for hospitalized patients related indicators, prone to the problem of imbalance in pain care management.
Objective: To construct high-sensitivity, concise, scientific, and easy-to-implement pain management core indicators for hospitalized patients, providing a reference basis for standardizing pain management during hospitalization.
Methods: First, based on the literature review and hospital evaluation criteria, the core indexes of pain management were collected, screened, and determined, and the framework of the index system was established to form the draft of the core indexes of pain management. Then, core indicators of inpatient pain management were determined by Delphi expert correspondence.
Results: Two rounds of expert consultation were issued 16 questionnaires, all recovered, with a questionnaire response rate of 100%. The results show that the experts are highly motivated. In addition, the average authority coefficient (CR) of 16 experts was 0.972, indicating consistency between expert opinions used and determined. The concordance of the two rounds of expert correspondence was 0.170~0.279 (p < 0.05), and the range of the coefficient of variation (CV) was 0~0.3, which indicated that the concordance among the members of the expert group was excellent and the results were reliable. After 2 rounds of Delphi expert letters, the final determination of 6 in-patient pain management core indicators, included pain screening rate within 8hours of admission, incidence of Pain, Incidence of moderate to severe pain, intervention rate for moderate to severe pain, reassessment rate of moderate to severe pain, and patient satisfaction with pain management.
Conclusion: This study Delphi method to identify six key indicators of pain management in hospitalized patients. The indicators were specific, scientific, concise, and useful for clinical practice, the indexes were extracted and monitored automatically, which provided the basis for improving the quality of pain nursing.