Ho S E, Ho C C K, Pang Yuen H, Lexshimi R, Choy Y C, Jaafar M Z, Cardosa M, Das S
Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia.
Clin Ter. 2013 May-Jun;164(3):215-9. doi: 10.7417/CT.2013.1551.
Nurses play a pivotal role in pain management. Unrelieved pain significantly interferes with patient's quality of life and is of great concern to nurses. The aim of this study was to determine the knowledge level and attitudes of nurses related to pain management.
This descriptive study was conducted in an urban hospital. A total of 84 registered nurses were recruited using a modified version of questionnaire of Knowledge and Attitudes Survey Regarding Pain.
The findings showed that respondents possessed good knowledge (99.12±14.810) and attitude (66.00 ±10.415) towards pain management. Fifty five respondents (66%) responded as positive to cultural beliefs affecting their pain management and 65 respondents (77%) viewed that their personal experiences had influenced their practice in pain management. Another 45 respondents (54%) reported they have attended pain course. There was no significant difference in pain management between respondents' year of service, cultural belief and personal experiences (p=>0.05). In terms of knowledge towards to pain management, respondents' age groups of more than 40 years were noted to possess better knowledge (p=0.046), unmarried respondents (p=0.018), and attended pain course (p=0.001) were significant. Attitude towards to pain management was not significant (p≤0.05).
Nurses' knowledge and attitudes scores were impressive but there is room for further improvement to pain management. Continuing education organized by the hospital had significant impact on the nurses. However, this education course has to be reinforced from time to time in order to improve patients' pain experiences.
护士在疼痛管理中发挥着关键作用。疼痛未得到缓解会严重干扰患者的生活质量，这是护士极为关注的问题。本研究的目的是确定护士在疼痛管理方面的知识水平和态度。
本描述性研究在一家城市医院进行。采用一份经过修改的《疼痛知识与态度调查问卷》，共招募了84名注册护士。
研究结果表明，受访者在疼痛管理方面具备良好的知识水平（99.12±14.810）和态度（66.00 ±10.415）。55名受访者（66%）表示文化信仰对其疼痛管理有积极影响，65名受访者（77%）认为个人经历影响了他们在疼痛管理方面的实践。另外45名受访者（54%）报告称他们参加过疼痛课程。受访者的工作年限、文化信仰和个人经历在疼痛管理方面没有显著差异（p>0.05）。在疼痛管理知识方面，40岁以上的受访者知识水平更高（p=0.046），未婚受访者（p=0.018）以及参加过疼痛课程的受访者（p=0.001）有显著差异。对疼痛管理的态度无显著差异（p≤0.05）。
护士的知识和态度得分令人印象深刻，但在疼痛管理方面仍有进一步改进的空间。医院组织的继续教育对护士有显著影响。然而，为了改善患者的疼痛体验，这一教育课程必须不断加强。
