Desai Geetha, Chaturvedi Santosh K
Department of Psychiatry, National Institute of Mental Helath and NeuroSciences (NIMHANS), Hosur Road, Bangalore, India.
Indian J Palliat Care. 2012 Sep;18(3):162-4. doi: 10.4103/0973-1075.105685.
Nurses are called upon to assess chronic pain in health settings and their perceptions about chronic pain are likely to influence the pain assessment and pain relief.
This survey as a part of chronic pain education workshop was conducted at National Institute of Mental Health and Neurosciences, Bangalore, India, by pain education group. Here we present the observations collected during the workshop on chronic pain held for nurses.
A semiqualitative method was used to survey the perceptions about chronic pain among nurses. The survey form consisted of 28 statements about chronic pain with options of agree and disagree to be marked prepared by the pain education group.
The data were computed and frequency distribution of different statements was derived.
The total number of participants was 44. Two-thirds of the nurses had good knowledge about pain behaviors. About 70% of the nurses reported that severity of pain to be assessed by observing patient's behavior and felt that if a house wife complains of pain it is to avoid work. Only 11% of the nurses provided correct responses related to discussion on pain being psychological; 90% had poor knowledge about pain communication on pain to be treated only for the underlying cause.
These observations highlight the fact that inadequacies in knowledge about chronic pain exist among nurses; the main areas include pain communication and pain treatments. It is important to include proper pain curriculum and training for chronic pain assessment and management.
在医疗机构中,护士需要对慢性疼痛进行评估,而他们对慢性疼痛的认知可能会影响疼痛评估和疼痛缓解。
作为慢性疼痛教育工作坊的一部分,本次调查由疼痛教育小组在印度班加罗尔的国家心理健康和神经科学研究所开展。在此,我们展示在为护士举办的慢性疼痛工作坊期间收集到的观察结果。
采用半定性方法调查护士对慢性疼痛的认知。调查问卷由疼痛教育小组准备,包含28条关于慢性疼痛的陈述,设有“同意”和“不同意”两个选项供勾选。
对数据进行计算,并得出不同陈述的频率分布。
参与者总数为44人。三分之二的护士对疼痛行为有较好的了解。约70%的护士表示,通过观察患者行为来评估疼痛的严重程度,并认为家庭主妇抱怨疼痛是为了逃避工作。只有11%的护士对有关疼痛具有心理层面的讨论给出了正确回答;90%的护士对疼痛沟通了解不足,认为疼痛只需针对潜在病因进行治疗。
这些观察结果凸显了一个事实,即护士对慢性疼痛的知识存在欠缺;主要领域包括疼痛沟通和疼痛治疗。纳入适当的疼痛课程以及针对慢性疼痛评估和管理的培训非常重要。