Ou Meijun, Xu Xianghua, Chen Yongyi, Yan Yunying, Wang Ke, Zhou Lianqing
Nursing Department, Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, P.R. China.
Hospital Administration Office, Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, P.R. China.
Pain Manag Nurs. 2021 Jun;22(3):386-393. doi: 10.1016/j.pmn.2020.06.009. Epub 2020 Jul 23.
Effective pain management is closely related to nurses' knowledge and attitudes toward pain. Limited studies have been performed related to nurses' knowledge and attitudes toward pain in hospitals in low-income areas.
This study surveyed the knowledge and attitudes of nurses toward pain management in county hospitals from low-income areas in Hunan Province, China.
The study included 4,668 registered nurses working in 48 county hospitals in low-income areas in China.
A cross-sectional study examined the knowledge and attitudes of nurses with regard to pain using the Chinese version of the Knowledge and Attitude Survey Regarding Pain (KASRP) via the WeChat application.
The 4,668 registered nurses completed the survey; of these, 43.6% indicated they had never received continuing education for pain. The mean percentage score for KASRP was (40.3 ± 7.95), and none of the respondents achieved a percentage score of >80%. Further, of the 40 items, only two had a correct rate of >80%. Continuing pain education did not significantly affect KASRP. Multiple stepwise linear regression showed that education level, ethnicity, professional title, position, and department were independent influencing factors for KASRP scores.
Almost all nurses in county hospitals of low-income areas had deficiencies in various aspects of pain management knowledge. Better educated nurses with higher professional title or management position, those from the Han ethnicity, and those from the oncology department had higher mean KASRP scores. Current continuing education programs for pain did not improve the pain management capability of the nurse. High-quality and standardized pain educational programs should be implemented to improve pain management.
有效的疼痛管理与护士对疼痛的知识和态度密切相关。关于低收入地区医院护士对疼痛的知识和态度的研究较少。
本研究调查了中国湖南省低收入地区县级医院护士对疼痛管理的知识和态度。
该研究纳入了中国低收入地区48家县级医院的4668名注册护士。
一项横断面研究通过微信应用程序使用中文版疼痛知识与态度调查问卷（KASRP），调查护士对疼痛的知识和态度。
4668名注册护士完成了调查；其中，43.6%表示他们从未接受过疼痛方面的继续教育。KASRP的平均百分比得分为（40.3±7.95），没有受访者的百分比得分超过80%。此外，在40个项目中，只有两个项目的正确率超过80%。持续的疼痛教育对KASRP没有显著影响。多元逐步线性回归显示，教育程度、民族、职称、职位和科室是KASRP得分的独立影响因素。
低收入地区县级医院的几乎所有护士在疼痛管理知识的各个方面都存在不足。受教育程度较高、职称或管理职位较高、汉族以及肿瘤科的护士KASRP平均得分较高。目前的疼痛继续教育项目并未提高护士的疼痛管理能力。应实施高质量和标准化的疼痛教育项目以改善疼痛管理。
