Parvizy Soroor, Tarvirdinasab Sakineh, Raznahan Rasool, Aliakbari Mahboobeh
Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Center for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Family Med Prim Care. 2020 Jun 30;9(6):2880-2884. doi: 10.4103/jfmpc.jfmpc_92_20. eCollection 2020 Jun.
Pain is the fifth vital sign, and pediatric nurses plays a key role in the process of pediatric pain management. The present study aimed to determine the effect of pain management training on the knowledge, attitude and self-efficacy of pediatric nurses.
This is a quasi-experimental study including two groups of test and control. The experimental group received a workshop method with a content including (ethical aspect, physiology, assessment tools, and pharmaceutical and non-pharmacological pain management) and was not given in the control group. The PNKAS self-efficacy questionnaires was completed by the participants before and one month after the beginning of the study. The data were analyzed using descriptive statistics and independent T-test, Fisher exact, and Chi-square tests using SPSS version 20 software.
The mean pre-test scores of knowledge and attitude in the control and experimental groups was 50.79-47.14, and after one month was 47.46-53.09, respectively, showed that, training was significantly effective in the knowledge and attitude of the experimental group ( value = 0.01). The mean pre-test score of self-efficacy in the control and experimental groups was (17.01-18.06), and one month later was 20.36-21.03 respectively. Although the self-efficacy score increased in both groups, training significantly increased the self-efficacy of pediatric nurses in the experimental group ( value <0.001).
Pain management training is required due to the poor knowledge of pediatric nurses and the importance of pain management in improving the quality of nursing care and the satisfaction of patients with the In addition, feeling high self-efficacy without sufficient knowledge of pain management can disrupt pediatric pain management.
疼痛是第五大生命体征,儿科护士在儿科疼痛管理过程中发挥着关键作用。本研究旨在确定疼痛管理培训对儿科护士的知识、态度和自我效能的影响。
这是一项准实验研究,包括测试组和对照组两组。实验组采用工作坊方法,内容包括(伦理方面、生理学、评估工具以及药物和非药物疼痛管理),而对照组未接受该培训。参与者在研究开始前和开始后一个月完成儿科护士疼痛评估与知识问卷(PNKAS)自我效能问卷。使用描述性统计以及SPSS 20软件进行独立T检验、Fisher精确检验和卡方检验对数据进行分析。
对照组和实验组知识与态度的平均预测试得分分别为50.79 - 47.14,一个月后分别为47.46 - 53.09,这表明培训对实验组的知识和态度有显著效果(P值 = 0.01)。对照组和实验组自我效能的平均预测试得分分别为(17.01 - 18.06),一个月后分别为20.36 - 21.03。虽然两组的自我效能得分均有所提高,但培训显著提高了实验组儿科护士的自我效能(P值 <0.001)。
由于儿科护士知识水平欠佳,且疼痛管理对于提高护理质量和患者满意度至关重要,因此需要进行疼痛管理培训。此外,在对疼痛管理没有足够了解的情况下却感觉自我效能很高,可能会扰乱儿科疼痛管理。