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[儿童疼痛管理:德国护士了解些什么?]

[Pediatric pain management: what do German nurses know?].

作者信息

von Lützau P, Hechler T, Herzog S, Menke A, Zernikow B

机构信息

Vodafone Stiftungsinstitut u. Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Datteln.

出版信息

Schmerz. 2011 Aug;25(4):423-33. doi: 10.1007/s00482-011-1081-9.

DOI:10.1007/s00482-011-1081-9
PMID:21818720
Abstract

BACKGROUND

In order to provide efficient pain treatment clinicians need to know the latest developments in pain management and to implement this knowledge into clinical practice. The knowledge of pediatric nursing staff with regards to pediatric pain management has not yet been investigated. In this study we therefore investigated nurses' knowledge of pediatric pain management strategies.

METHODS

Nursing staff knowledge was analyzed using the German version of the PNKAS-Sr2002. This questionnaire was distributed to 310 pediatric nurses and the response rate was 51.3% (n=159). Analyses of variance (ANOVA) were conducted to examine whether educational level and work experience had an influence on knowledge. Independent from work experience the educational level of nurses is important for their knowledge in pediatric pain management.

RESULTS

On average nurses obtained a mean individual test score of 69.3%. Nurses with advanced qualification and nurses with 6-10 years work experience obtained the highest scores.

CONCLUSION

Pediatric nurses must be trained more efficiently in pediatric pain management so that an adequate pain management is available for children and adolescents.

摘要

背景

为了提供有效的疼痛治疗,临床医生需要了解疼痛管理的最新进展,并将这些知识应用于临床实践。儿科护理人员在儿科疼痛管理方面的知识尚未得到研究。因此,在本研究中,我们调查了护士对儿科疼痛管理策略的知识。

方法

使用德语版的PNKAS-Sr2002分析护理人员的知识。该问卷分发给310名儿科护士,回复率为51.3%(n = 159)。进行方差分析(ANOVA)以检查教育水平和工作经验是否对知识有影响。独立于工作经验,护士的教育水平对其儿科疼痛管理知识很重要。

结果

护士的平均个人测试成绩为69.3%。具有高级资格的护士和有6至10年工作经验的护士得分最高。

结论

必须对儿科护士进行更有效的儿科疼痛管理培训,以便为儿童和青少年提供充分的疼痛管理。

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引用本文的文献

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[Organization of pediatric pain management: Austrian interdisciplinary recommendations for pediatric perioperative pain management].[儿科疼痛管理的组织:奥地利儿科围手术期疼痛管理跨学科建议]
Schmerz. 2014 Feb;28(1):14-24. doi: 10.1007/s00482-013-1383-1.

本文引用的文献

1
Unresolved pain in children: a relational ethics perspective.儿童未解决的疼痛:关系伦理视角。
Nurs Ethics. 2010 Nov;17(6):695-704. doi: 10.1177/0969733010378932.
2
Education changes Mexican nurses' knowledge and attitudes regarding pediatric pain.教育改变了墨西哥护士对小儿疼痛的认知和态度。
Pain Manag Nurs. 2010 Dec;11(4):201-8. doi: 10.1016/j.pmn.2009.11.001.
3
Nurses' use of non-pharmacological methods in children's postoperative pain management: educational intervention study.护士在儿童术后疼痛管理中非药物方法的应用:教育干预研究。
J Adv Nurs. 2010 Nov;66(11):2398-409. doi: 10.1111/j.1365-2648.2010.05402.x. Epub 2010 Aug 16.
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Managing pain using heat and cold therapy.使用热疗和冷疗来管理疼痛。
Paediatr Nurs. 2009 Jul;21(6):14-8. doi: 10.7748/paed2009.07.21.6.14.c7146.
5
Influences on nurses' scoring of children's post-operative pain.对护士对儿童术后疼痛评分的影响。
J Child Health Care. 2009 Jun;13(2):101-15. doi: 10.1177/1367493509102468.
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Factors influencing pain management in children.影响儿童疼痛管理的因素。
Paediatr Nurs. 2008 Dec;20(10):21-4. doi: 10.7748/paed2008.12.20.10.21.c6901.
7
Does the perceived importance of a pain management task affect the quality of children's nurses' post-operative pain management practices?疼痛管理任务的感知重要性是否会影响儿童护士术后疼痛管理实践的质量?
J Clin Nurs. 2008 Dec;17(23):3205-16. doi: 10.1111/j.1365-2702.2008.02631.x.
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Nurse characteristics and inferences about children's pain.护士的特征以及对儿童疼痛的推断
Pediatr Nurs. 2008 Jul-Aug;34(4):297-305.
9
Pain management: evaluating the effectiveness of an educational programme for surgical nursing staff.疼痛管理:评估一项针对外科护理人员的教育计划的有效性。
J Clin Nurs. 2008 Aug;17(15):2032-41. doi: 10.1111/j.1365-2702.2007.02190.x.
10
Pain management competency evidenced by a survey of pediatric nurses' knowledge and attitudes.通过对儿科护士知识和态度的调查证明疼痛管理能力。
Pediatr Nurs. 2007 Jul-Aug;33(4):307-12.