Page G G, Halvorson M
J Pediatr Nurs. 1991 Apr;6(2):99-106.
Pediatric nurses practicing in a children's hospital participated in this exploratory study investigating nurses' attitudes regarding postoperative pain in infants, including recognition of pain cues and strategies for pain management. Three instruments developed by us were used to obtain data: the Pain Questionnaire, a demographic and attitudinal profile; a self-directed videotape; and the Videotape Questionnaire, an interactive tool to obtain participant responses to videotaped vignettes of infants recovering from surgery. Three independent variables yielded significant results: critical care versus noncritical care nurses, agreement versus disagreement to administer pain medication to infants expected to have pain but not exhibiting pain behaviors, and classes on pediatric versus adult/pediatric pain since licensure. Noncritical care nurses, nurses agreeing to administer pain medication, and nurses attending pediatric pain classes recognized a greater number of cues on videotaped vignettes. Nurses attending pediatric pain classes administered more narcotics. Noncritical care nurses rated the pain experienced by the infants in the vignettes to be more severe compared with ratings made by critical care nurses.
在一家儿童医院工作的儿科护士参与了这项探索性研究，该研究调查了护士对婴儿术后疼痛的态度，包括对疼痛线索的识别和疼痛管理策略。我们开发的三种工具用于获取数据：疼痛问卷，一份人口统计学和态度概况；一盘自我指导录像带；以及录像带问卷，这是一种互动工具，用于获取参与者对婴儿术后恢复录像片段的反应。三个自变量产生了显著结果：重症监护护士与非重症监护护士、同意与不同意给预期疼痛但未表现出疼痛行为的婴儿使用止痛药物、自获得执照以来参加儿科疼痛课程与成人/儿科疼痛课程。非重症监护护士、同意使用止痛药物的护士以及参加儿科疼痛课程的护士在录像片段中识别出更多的线索。参加儿科疼痛课程的护士使用了更多的麻醉药品。与重症监护护士的评分相比，非重症监护护士对录像片段中婴儿经历的疼痛评分更高。
