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肿瘤科室护士对癌症疼痛管理的知识与态度

Knowledge and Attitudes Toward Cancer Pain Management Among Nurses at Oncology Units.

作者信息

Alnajar Malek Khalel, Darawad Muhammad W, Alshahwan Sandi Sami, Samarkandi Osama A

机构信息

School of Nursing, The University of Jordan, Amman, 11942, Jordan.

Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Cancer Educ. 2019 Feb;34(1):186-193. doi: 10.1007/s13187-017-1285-5.

Abstract

Nurses have major responsibilities to treat cancer pain in an optimal way. Their knowledge and attitudes are the key to success cancer pain management (CPM) process and impact the outcomes of pain treatment. This study aimed to evaluate the knowledge and attitudes toward CPM among Jordanian nurses working at oncology units. A cross-sectional descriptive design was used to collect data from 135 nurses who were working at four oncology units using Knowledge and Attitudes Survey Regarding Pain. The percentage of correct answers was 51.5% indicating that participants had fair knowledge and attitudes toward CPM. Nurses appeared knowledgeable about CPM guidelines but were unfamiliar regarding pharmacological management and had negative attitudes toward opioids addiction and pain assessment. Significantly, knowledge and attitudes were higher among nurses who had previous education programs (P < .001) and worked in a pain team (P < .001). Therefore, including CPM topics in nursing curricula and postgraduate educational programs is needed. Additionally, initiating pain management teams and using CPM guidelines will contribute to effective treatment of cancer pain.

摘要

护士肩负着以最佳方式治疗癌症疼痛的主要责任。他们的知识和态度是癌症疼痛管理(CPM)过程取得成功的关键,并影响疼痛治疗的结果。本研究旨在评估约旦肿瘤科室护士对CPM的知识和态度。采用横断面描述性设计,使用疼痛知识与态度调查问卷,从四个肿瘤科室的135名护士中收集数据。正确答案的百分比为51.5%,表明参与者对CPM有一定的知识和态度。护士们似乎对CPM指南有所了解,但对药物管理不熟悉,并且对阿片类药物成瘾和疼痛评估持消极态度。值得注意的是,接受过先前教育项目的护士(P <.001)以及在疼痛治疗团队工作的护士(P <.001),其知识和态度水平更高。因此,需要将CPM主题纳入护理课程和研究生教育项目。此外,组建疼痛管理团队并使用CPM指南将有助于有效治疗癌症疼痛。

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