Lasch K E, Wilkes G, Lee J, Blanchard R
Health Institute, New England Medical Center, Department of Medicine, Tufts University School of Medicine, Boston, MA 02111, USA.
J Cancer Educ. 2000 Winter;15(4):218-22. doi: 10.1080/08858190009528701.
This study examined the nurse outcomes of a cancer pain education program for nurses of patients from 11 different ethnic groups.
Four hundred ninety six home, hospital, and hospice nurses participated in a one-day workshop or two half-day workshops on cancer pain assessment and management. Of these, 116 were randomized to participate in a bedside-precepted visit with an oncology nurse specialist with pain specialization and a focus group to discuss attitudinal issues. Eighty-six nurses served as controls. Pre-, post- and one-year follow-up tests were administered.
Attitudes, knowledge, and application skills significantly improved for workshop-only and enriched-model nurses relative to controls.
For postgraduate nurses, daylong cancer pain education workshops were, in the group studied, as effective as hands-on experience in improving cancer pain knowledge and changing attitudes. Both the workshop-only and the enriched-model nurses relative to controls had significantly improved knowledge and changed attitudes towards optimal pain management.
本研究调查了针对来自11个不同种族患者的护士开展的癌症疼痛教育项目对护士的影响。
496名家庭、医院和临终关怀机构的护士参加了为期一天的研讨会或两场半天的关于癌症疼痛评估与管理的研讨会。其中，116名护士被随机分配参加由一名具有疼痛专科资质的肿瘤护理专家进行的床边指导访问以及一个讨论态度问题的焦点小组。86名护士作为对照组。进行了干预前、干预后及一年后的随访测试。
相对于对照组，仅参加研讨会的护士和参与强化模式的护士在态度、知识和应用技能方面有显著改善。
对于研究生学历的护士而言，在本研究群体中，为期一天的癌症疼痛教育研讨会在提高癌症疼痛知识和改变态度方面与实践经验同样有效。相对于对照组，仅参加研讨会的护士和参与强化模式的护士在最佳疼痛管理方面的知识显著提高，态度也有所改变。
