Francis Lavonia, Fitzpatrick Joyce J
Mount Sinai Medical Center, New York, New York.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Pain Manag Nurs. 2013 Dec;14(4):351-357. doi: 10.1016/j.pmn.2012.05.002. Epub 2012 Aug 18.
The aim of this study was to determine nurses' knowledge and attitudes regarding postoperative pain and identify postoperative patients' pain intensity experiences. The assessment and management of acute postoperative pain is important in the care of postoperative surgical patients. Inadequate relief of postoperative pain can contribute to postoperative complications such as atelectasis, deep vein thrombosis, and delayed wound healing. A pilot study with an exploratory design was conducted at a large teaching hospital in the eastern United States. The convenience samples included 31 nurses from the gastrointestinal and urologic surgical units and 14 first- and second-day adult postoperative open and laparoscopic gastrointestinal and urologic patients who received patient-controlled analgesia (PCA). The Knowledge and Attitudes Survey Regarding Pain was used to measure nurses' knowledge about pain management. The Short-Form McGill Pain Questionnaire (SF-MPQ) was used to measure patients' pain intensity. The nurses' mean score on the Knowledge and Attitudes Survey Regarding Pain was 69.3%. Patients experienced moderate pain, as indicated by the score on the SF-MPQ. There is a need to increase nurses' knowledge of pain management.
本研究的目的是确定护士对术后疼痛的知识和态度,并识别术后患者的疼痛强度体验。急性术后疼痛的评估和管理在术后外科患者的护理中很重要。术后疼痛缓解不足会导致诸如肺不张、深静脉血栓形成和伤口愈合延迟等术后并发症。在美国东部的一家大型教学医院进行了一项具有探索性设计的试点研究。便利样本包括来自胃肠和泌尿外科手术科室的31名护士,以及14名接受患者自控镇痛(PCA)的成年术后第一天和第二天的开放和腹腔镜胃肠及泌尿外科手术患者。使用疼痛知识和态度调查问卷来衡量护士对疼痛管理的知识。使用简短麦吉尔疼痛问卷(SF-MPQ)来衡量患者的疼痛强度。护士在疼痛知识和态度调查问卷上的平均得分是69.3%。如SF-MPQ得分所示,患者经历了中度疼痛。有必要增加护士对疼痛管理的知识。