教育改变了墨西哥护士对小儿疼痛的认知和态度。
Education changes Mexican nurses' knowledge and attitudes regarding pediatric pain.
作者信息
Huth Myra Martz, Gregg Theresa L, Lin Li
机构信息
Center for Professional Excellence-Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.
出版信息
Pain Manag Nurs. 2010 Dec;11(4):201-8. doi: 10.1016/j.pmn.2009.11.001.
This study explored the effectiveness of a pain education intervention on Mexican nurses' knowledge and attitudes toward pediatric pain. A convenience sample of 106 registered nurses from three hospitals in Mexico City was recruited. A Pediatric Pain Education Program (PPEP) was developed, implemented, and evaluated by a nurse researcher, clinical nurse specialist, and a child life specialist. The 4-hour program, which was translated into Spanish, consisted of pain assessment, physiology, and management, including pharmacology and nonpharmacology. The effects of PPEP were measured in a one-group pretest-posttest design using a translated Spanish version of the Pediatric Nurses' Knowledge and Attitudes Survey (PNKAS). A total of 79 nurses completed both tests. A paired t test indicated significant differences between pre- and posttest results (p < .0001) on the PNKAS. The hospital site and years of nursing experience were significantly related to nurses' pre- and post-PNKAS scores. One test item on children's ability to reliably report their pain had a significantly lower score after the intervention (p = .016). The intervention was effective in improving Mexican pediatric nurses' knowledge and attitudes. However, it is not known how long this effect was maintained. Health care professionals can share a common vision for pain management by increasing international collaborative efforts and by advancing pediatric pain knowledge.
本研究探讨了疼痛教育干预对墨西哥护士关于小儿疼痛的知识及态度的有效性。招募了来自墨西哥城三家医院的106名注册护士作为便利样本。由一名护士研究员、临床护理专家和一名儿童生活专家开发、实施并评估了一项小儿疼痛教育计划(PPEP)。这个4小时的计划被翻译成西班牙语,内容包括疼痛评估、生理学以及管理,涵盖药理学和非药理学。使用西班牙语翻译版的《儿科护士知识与态度调查》(PNKAS),采用单组前后测设计来衡量PPEP的效果。共有79名护士完成了两项测试。配对t检验表明,PNKAS前后测结果之间存在显著差异(p <.0001)。医院地点和护理年限与护士PNKAS前后测得分显著相关。干预后,关于儿童可靠报告自身疼痛能力的一项测试项目得分显著降低(p = .016)。该干预在提高墨西哥儿科护士的知识和态度方面是有效的。然而,尚不清楚这种效果能维持多久。医疗保健专业人员可以通过加强国际合作努力和推进小儿疼痛知识,来分享疼痛管理的共同愿景。