Plaisance Louise, Logan Cynthia
Southeastern Louisiana University School of Nursing, Hammond, Louisiana, USA.
Pain Manag Nurs. 2006 Dec;7(4):167-75. doi: 10.1016/j.pmn.2006.09.003.
The presence of pain is one of the main reasons why people seek health care, yet pain is often undertreated. Inadequate treatment has been linked to health care workers' failure to assess pain and to intervene appropriately. It may also result from the limited attention given to pain management in nursing curricula. This descriptive study explored nursing students' knowledge and attitudes about pain management. The Nurses' Knowledge and Attitude Survey Regarding Pain was used to collect data from clinical nursing students. The sample (n = 313) was obtained from approximately one fourth of the baccalaureate of science in nursing and associate degree in nursing programs in Louisiana. Data analysis revealed misconceptions about analgesic administration and duration, along with an exaggerated fear about the incidence of addiction among patients. Knowledge of pharmacology items was lower than that of nonpharmacology items. When faced with a clinical scenario that required an initial assessment of a patient's pain, most students responded appropriately. However, when the situation required reassessment based on the patient's response to the student's chosen intervention, a majority of them responded incorrectly. Overall, students in the baccalaureate degree programs scored significantly higher (65% correct) than students in the associate degree in nursing programs (60.8% correct) (t [311] = -3.321, p = .001). However, the combined mean score for both groups was 64%, indicating inadequate knowledge of pain management. Despite major initiatives by accrediting agencies, statewide Pain Initiatives, and professional organizations, knowledge of pain management is still inadequate. Nursing faculty need to critically review their curricula to determine whether students are being taught in-depth and up-to-date pain management information that incorporates evidence-based research and current standards of care.
疼痛的存在是人们寻求医疗保健的主要原因之一，但疼痛常常未得到充分治疗。治疗不充分与医护人员未能评估疼痛并进行适当干预有关。这也可能是由于护理课程中对疼痛管理的关注有限所致。这项描述性研究探讨了护理专业学生对疼痛管理的知识和态度。使用《护士关于疼痛的知识与态度调查》从临床护理专业学生中收集数据。样本（n = 313）取自路易斯安那州约四分之一的护理学理学学士学位和护理学副学士学位项目。数据分析揭示了对镇痛药物给药和持续时间的误解，以及对患者成瘾发生率的过度恐惧。药理学项目的知识低于非药理学项目。当面对需要对患者疼痛进行初步评估的临床情景时，大多数学生做出了适当反应。然而，当情况需要根据患者对学生所选干预措施的反应进行重新评估时，他们中的大多数人回答错误。总体而言，护理学学士学位项目的学生得分（正确率65%）显著高于护理学副学士学位项目的学生（正确率60.8%）（t [311] = -3.321，p = .001）。然而，两组的综合平均得分是64%，表明对疼痛管理的知识不足。尽管认证机构、全州范围的疼痛倡议组织和专业组织采取了重大举措，但疼痛管理知识仍然不足。护理教师需要严格审查他们的课程，以确定是否向学生传授了深入且最新的疼痛管理信息，这些信息应纳入循证研究和当前的护理标准。
