Yaakup Hayati, Eng Tan Chai, Shah Shamsul Azhar
Palliative Care Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia E-mail :
Asian Pac J Cancer Prev. 2014;15(12):4885-91. doi: 10.7314/apjcp.2014.15.12.4885.
Successful implementation of pain management procedures and guidelines in an institution depends very much on the acceptance of many levels of healthcare providers.
The main purpose of this study was to determine the level of knowledge and attitudes regarding pain among nurses working in tertiary care in a local setting and the factors that may be associated with this.
This cross-sectional research study used a modified version of the Nurses' Knowledge and Attitudes Survey (NKAS) regarding pain. Basic demographic data were obtained for further correlation with the level of pain knowledge.
A total of 566 nurses, 34 male and 532 female, volunteered to participate in this study. The response rate (RR) was 76%, with an overall mean percentage score of 42.7±10.9 (range: 5-92.5). The majority of participants were younger nurses below 40 years of age and more than 70% had worked for less than 10 years (6.6±4.45). Up to 92% had never had any formal education in pain management in general. The total mean score of correct answers was 58.6±9.58, with oncology nursing staff scoring a higher percentage when compared with nurses from other general and critical care wards (63.52±9.27, p<0.045). Only 2.5% out of all participants obtained a score of 80% or greater. The majority of the oncology nurses achieved the expected competency level (p<0.03).
The present findings give further support for the universal concern about poor knowledge and attitudes among nurses related to the optimal management of pain. The results indicated that neither number of years working nor age influenced the level of knowledge or attitudes of the practising nurses. Oncology nursing staff consistently scored better than the rest of the cohort. This reflects that clinical experience helps to improve attitudes and knowledge concerning better pain management.
在一个机构中成功实施疼痛管理程序和指南在很大程度上取决于各级医疗保健提供者的接受程度。
本研究的主要目的是确定当地三级护理机构中护士对疼痛的知识水平和态度，以及可能与此相关的因素。
本横断面研究使用了一份关于疼痛的护士知识与态度调查问卷（NKAS）的修改版。获取基本人口统计学数据以进一步与疼痛知识水平进行相关性分析。
共有566名护士自愿参与本研究，其中34名男性，532名女性。应答率（RR）为76%，总体平均百分比得分为42.7±10.9（范围：5 - 92.5）。大多数参与者是40岁以下的年轻护士，超过70%的人工作年限少于10年（6.6±4.45）。高达92%的人总体上从未接受过任何关于疼痛管理的正规教育。正确答案的总平均得分为58.6±9.58，与其他普通和重症监护病房的护士相比，肿瘤护理人员的得分百分比更高（63.52±9.27，p<0.045）。所有参与者中只有2.5%的人得分达到80%或更高。大多数肿瘤护士达到了预期的能力水平（p<0.03）。
目前的研究结果进一步支持了对护士在疼痛最佳管理方面知识和态度不佳这一普遍关注的问题。结果表明，工作年限和年龄均未影响执业护士的知识水平或态度。肿瘤护理人员的得分始终高于其他群体。这反映出临床经验有助于改善对更好疼痛管理的态度和知识。
