Van Hulle Vincent Catherine, Wilkie Diana J, Wang Edward
Department of Women, Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612-7350, USA.
West J Nurs Res. 2011 Oct;33(6):825-45. doi: 10.1177/0193945910391681. Epub 2010 Dec 20.
We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses' management of children's pain. RCP is an interactive, content-focused, and Kolb's experiential learning theory-based intervention. Using a one-group, pretest-posttest design, we evaluated feasibility of RCP and pretest-posttest difference in scores for nurses' beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pretest to posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and ketorolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses' beliefs and pain management practices. The 2-hr RCP program is promising and warrants replication with an attention control group and a larger sample.
我们评估了基于互联网的缓解儿童疼痛（RCP）方案在改善护士对儿童疼痛管理方面的可行性。RCP是一种基于科尔布体验式学习理论的、以内容为重点的交互式干预措施。采用单组前后测设计，我们评估了RCP的可行性以及护士信念得分、模拟和实际疼痛管理实践的前后测差异。24名注册护士在完成RCP之前和之后完成了一份基于互联网的疼痛信念与实践问卷（PBPQ，α = 0.83），之后还完成了一份可接受性量表。PBPQ总分均值从预测试到后测试显著提高，模拟实践得分也是如此。在实际医院实践中实施RCP后，护士使用布洛芬和酮咯酸的剂量显著增加，儿童的疼痛强度显著降低。研究结果有力地证明了RCP及研究程序的可行性，以及护士信念和疼痛管理实践的显著改善。这个2小时的RCP方案很有前景，值得在设置注意力控制组和更大样本的情况下进行重复研究。
