Admass Biruk Adie, Endalew Nigussie Simeneh, Tawuye Hailu Yimer, Mersha Abraham Tarekegn
Department of Anaesthesia, School of Medicine, College of Medicine and Health Science University of Gondar, Gondar, Ethiopia.
Cancer Manag Res. 2020 Sep 25;12:9045-9055. doi: 10.2147/CMAR.S261172. eCollection 2020.
Cancer is becoming a leading cause of death worldwide. Pain is a common and devastating symptom of cancer patients that can significantly affect the patient's quality of life. Optimal cancer pain control requires adequate knowledge and positive attitudes of nurses. Little is known about the knowledge and attitudes of oncology nurses towards cancer pain management in Ethiopia. The current study aimed to assess the knowledge and attitude of nurses and determinants of cancer pain management in all oncology centers in Ethiopia.
A nationwide cross-sectional survey was conducted on 138 nurses in all oncology centers in Ethiopia. Self-completed survey questionnaires were distributed using the 'Knowledge and Attitudes Survey Regarding Pain (KASRP)' tool. Both bivariable and multivariable logistic regression analyses were used. Both crude odds ratio and adjusted odds ratio with the corresponding 95% CI were calculated to show the strength of association. Variables with a p-value of <0.05 were considered as statistically significant.
Only 7.2% (95% CI: 2.9, 11.6) of oncology nurses had good knowledge and attitude about cancer pain management. Among 41 items, the mean number of correctly answered questions was 20.4 (SD = 5.13). Nurses who had a master's degree in nursing were positively associated with good knowledge and attitude about cancer pain management.
In this nationwide study, the overall knowledge and attitude level of oncology nurses towards cancer pain management were poor. Nurses who had a master's degree in nursing were significantly associated with good knowledge and attitude towards cancer pain management. Regular training and revision of the contents of pain management education in the academic curriculum of nursing education are recommended.
癌症正成为全球主要的死亡原因。疼痛是癌症患者常见且极具破坏性的症状，会显著影响患者的生活质量。癌症疼痛的最佳控制需要护士具备足够的知识和积极的态度。在埃塞俄比亚，关于肿瘤护理人员对癌症疼痛管理的知识和态度知之甚少。本研究旨在评估埃塞俄比亚所有肿瘤中心护士对癌症疼痛管理的知识、态度及相关影响因素。
对埃塞俄比亚所有肿瘤中心的138名护士进行了一项全国性横断面调查。使用“疼痛知识与态度调查问卷（KASRP）”工具发放自填式调查问卷。采用双变量和多变量逻辑回归分析。计算粗比值比和调整后的比值比以及相应的95%置信区间，以显示关联强度。p值<0.05的变量被认为具有统计学意义。
只有7.2%（95%置信区间：2.9，11.6）的肿瘤护理人员对癌症疼痛管理有良好的知识和态度。在41个项目中，正确回答问题的平均数量为20.4（标准差=5.13）。拥有护理学硕士学位的护士与对癌症疼痛管理有良好的知识和态度呈正相关。
在这项全国性研究中，肿瘤护理人员对癌症疼痛管理的总体知识和态度水平较差。拥有护理学硕士学位的护士与对癌症疼痛管理有良好的知识和态度显著相关。建议在护理教育的学术课程中定期开展疼痛管理教育内容的培训和修订。
