Ylinen Eeva-Riitta, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija
Department of Nursing Science, University of Kuopio, Kuopio, Finland.
J Clin Nurs. 2007 Jun;16(6):1125-33. doi: 10.1111/j.1365-2702.2007.01668.x.
This study aimed to describe the knowledge and skills of nurses in managing pain during colonoscopy procedures.
Colonoscopy is a procedure to diagnose diseases of the intestine, and patients consider it even painful. However, few studies have described patients' pain management during the colonoscopy procedure.
A quantitative survey design was used. The data were collected from colonoscopy nurses with a self-completed semi-structured questionnaire developed for the study.
The hospitals performing colonoscopies in Finland, with the exception of the ones where the questionnaire was pilot-tested, were included in the study (n = 12). The optional sample was drawn by mailing questionnaires (n = 147) to endoscopy units to be filled in by three colonoscopy nurses during 2002. The response rate was 79% (n = 116).
The majority of nurses used versatile non-pharmacological methods of managing pain and had practice-based knowledge of pain management during the colonoscopy procedure, but pain education and the acquisition of new professional knowledge were rarely reported. Pain scales were not in use and ethical conversation was lacking among the endoscopy staff in most (95%) hospitals.
The study showed that colonoscopy nurses used numerous non-pharmacological methods, but only rarely acquired professional knowledge. There was a lack of pain scales and ethical conversation in the participating endoscopy units.
The results can be used to improve the treatment of pain during colonoscopy procedures and endoscopy nurses' education. Nurses should be motivated by education and ethical conversation. Future studies should aim to analyse patients' own evaluation of pain during the colonoscopy procedure. The applicability of the existing pain scales and non-pharmacological methods should be tested in practice.
本研究旨在描述护士在结肠镜检查过程中管理疼痛的知识和技能。
结肠镜检查是一种用于诊断肠道疾病的检查方法，患者认为该检查很痛苦。然而，很少有研究描述结肠镜检查过程中对患者疼痛的管理。
采用定量调查设计。数据通过为该研究开发的自填式半结构化问卷从结肠镜检查护士处收集。
芬兰进行结肠镜检查的医院（问卷预测试所在医院除外）被纳入研究（n = 12）。2002年，通过向各内镜科室邮寄问卷（n = 147）抽取任意样本，由三名结肠镜检查护士填写。回复率为79%（n = 116）。
大多数护士采用多种非药物方法管理疼痛，并且在结肠镜检查过程中有基于实践的疼痛管理知识，但很少有关于疼痛教育和获取新专业知识的报告。大多数（95%）医院的内镜科室未使用疼痛量表，且缺乏伦理讨论。
研究表明，结肠镜检查护士使用了多种非药物方法，但很少获取专业知识。参与研究的内镜科室缺乏疼痛量表和伦理讨论。
研究结果可用于改善结肠镜检查过程中的疼痛治疗以及内镜护士的教育。应通过教育和伦理讨论激发护士的积极性。未来的研究应旨在分析患者在结肠镜检查过程中对疼痛的自身评估。应在实践中测试现有疼痛量表和非药物方法的适用性。
