護理人員推動無痛醫院的角色

The Role of Nurse to Promote the Pain-free Hospital

疼痛（Pain）是一種主觀的經驗，只要經歷過的人認為有，就是有疼痛的存在。而疼痛往往無法客觀測量，而每個人對疼痛的感受與描述亦具有個別差異；在醫院中不論病人的科別、年齡或疾病診斷，均有可能需要面對「疼痛」的磨難。雖然大部份的疼痛可經由治療減輕其程度，但不論在急性或慢性疼痛治療不足的問題依舊存在。本文在說明台北某醫學中心第一線的護理人員如何將這個被稱為「第五生命徵象」的重要臨床表現，提供正確評估、個別化處置、具實證基礎的疼痛護理措施及適時的評值，達成一套控管模式，有效的將病人的疼痛不適降至最低，達成「無痛醫院」的目標。

Pain is a subjective, emotional, and highly individual experience for people and patients. It is hard to be objectively measured. Different people have different pain perception and description words for their own pain experience. Pain would and had challenged every patient and caregiver in every hospital divisions regarding their age, gender, and disease diagnosis. Although modern medicine try to reduce most of the pain, the problem of insufficient pain relief still exist. This article describes how the nursing staff in one of the medical center in Taipei to deal with this important clinical issue, the fifth vital sign, pain. Correct and instant assessment, specific and evidence-based nursing pain care plan can provide a model which could effectively reduce pain greatly and toward the main goal of pain-free hospital.