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印度农村三级教学医院护理人员对儿童疼痛的认识和看法。

Pain in children: knowledge and perceptions of the nursing staff at a rural tertiary care teaching hospital in India.

机构信息

Neonatal Unit, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat 388325, India.

出版信息

Indian J Pediatr. 2013 Jun;80(6):470-5. doi: 10.1007/s12098-012-0848-z. Epub 2012 Jul 31.

DOI:10.1007/s12098-012-0848-z
PMID:22847658
Abstract

OBJECTIVES

To assess the knowledge and perception regarding pain amongst nursing staff and to determine whether varying clinical exposure to painful procedures in children had any association with their perception of pain.

METHODS

A consensually validated questionnaire containing combination of questions from basic (must know) and advanced (nice to know) areas of knowledge about nursing pediatric patients and questions related to nurses' perception about pain in pediatric patients was administered to the eligible nursing staff at a Rural Tertiary Care Hospital in Western India. The responses to the questionnaire were analyzed using descriptive statistics and the comparisons were made by applying chi-square test.

RESULTS

Three Hundred and Fifty one usable questionnaires (83.37 %) out of 421 were returned. The knowledge of the nurses in general regarding pain was observed to be poor. Only 60 % of all the nurses had complete knowledge of all the basic questions asked. Only 3.1 % had answered all of the five advanced questions correctly, while 96.9 % of the nurses had answered one or more questions incorrectly.

CONCLUSIONS

The deficit in knowledge and shortcomings in perception of nursing staff needs to be addressed and steps need to be taken to improve the nurse's knowledge and modify beliefs and attitude of the nursing staff towards the pain of the pediatric patients.

摘要

目的

评估护理人员对疼痛的知识和认知,并确定他们对疼痛的感知是否与在儿童中进行各种疼痛操作的临床经验有关。

方法

在印度西部的一家农村三级保健医院,向符合条件的护理人员发放了一份经过共识验证的问卷,其中包含了有关护理儿科患者的基本知识(必须知道)和高级知识(了解一下)领域的问题,以及与护士对儿科患者疼痛的感知相关的问题。使用描述性统计分析对问卷的回答进行了分析,并通过应用卡方检验进行了比较。

结果

在 421 份问卷中,有 351 份(83.37%)是可用的。总的来说,护士对疼痛的知识普遍较差。只有 60%的护士完全了解所有基本问题。只有 3.1%的护士正确回答了所有 5 个高级问题,而 96.9%的护士回答了一个或多个问题错误。

结论

护理人员知识的不足和对疼痛感知的不足需要得到解决,需要采取措施来提高护士的知识水平,并改变护理人员对儿科患者疼痛的信念和态度。

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