摘要
目的了解护士疼痛管理现况。方法采用护士疼痛知识和态度调查问卷及自行设计的3项疼痛管理现状调查表对411名护士进行调查。结果护士疼痛知识得分为15.18±3.64,平均回答正确率为38.92%;不同年龄、工龄、学历、职称的护士疼痛知识得分比较,差异无显著性意义(均P>0.05);66.91%护士没有接受过有关疼痛知识的培训,73.97%护士未进行疼痛评估。接受过培训、开展了疼痛评估实践、在放化疗科工作的护士疼痛知识得分显著高于未受过培训、未开展疼痛评估实践、其他科室工作的护士(均P<0.01)。医护缺乏疼痛知识、担心药物不良反应、医疗体系不重视是有效疼痛管理的主要障碍因素。结论护士普遍缺乏疼痛知识,需大力加强疼痛知识的教育和培训,使护士有能力、有信心参与疼痛管理;医疗体系应采取得力措施,促进有效的疼痛管理。
Objective To investigate the current level of nurses＇ knowledge, attitude and clinical practice regarding pain. Methods Four hundred and eleven nurses were surveyed by a questionnaire investigation in nurses＇ knowledge and attitude survey regarding pain （NKAS）. Results The mean score of NKAS was 15.18±3.64, and the average accurate response rate was 38.92%. There were no statistically significant differences in the scores; among nurses in terms of age, years of service, education background, or career position （P〉0.05 for all）. 66.91% of the nurses didn＇t receive pain education; 73.97% of them didn＇t conduct pain assessment. Nurses who had received pain education, implemented pain assessment, worked in the units of radiotherapy and/or chemotherapy had significantly higher mean scores （ P〈0.01 for all）. The major barriers to the effective pain management included me-dical staff＇s lack of pain knowledge, concern of drug-related side-effects and failure to give priority to the pain management by the health care system. Conclusion It is an urgent task to step up pain education in China. And more effective measures should be taken in health eare system to improve the pain management.
关键词
护士
疼痛
知识
态度
数据收集
nurses
pain
knowledge
attitude
data collection
