Jira Lemessa, Weyessa Nigatu, Mulatu Sileshi, Alemayehu Agaje
Department of Nursing, Pawie Health Science College, Pawie, Ethiopia.
Department of Pediatrics and Child Health, Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir-Dar, Ethiopia.
J Pain Res. 2020 Nov 16;13:2917-2927. doi: 10.2147/JPR.S265544. eCollection 2020.
Millions of people worldwide are suffering from pain. Non-pharmacological therapy has an important role in the treatment of pain and is recognized as a valuable, simple help to lower the dosage of analgesic drugs needed, decreasing the side effects, reducing drug dependency and reducing health care costs; however, knowledge and attitude of nurses greatly affect the use of non-pharmacological pain management methods.
The study aimed to assess knowledge and attitude towards non-pharmacological pain management and associated factors among nurses working in Benishangul Gumuz Regional State Hospitals, western Ethiopia, 2018.
Institution-based cross-sectional study was conducted from April 1st to May 1st, 2017. Two hundred sixteen nurses were selected by using simple random sampling. Data were collected by using a pretested self-administered structured questionnaire. Collected data were checked, coded and entered to Epi-Info version 7 and exported to SPSS version 20 for further analysis. Bivariable and multivariable logistic regression was used.
A total of 209 professional nurses participated in the study, a 96.7% response rate. This study shows that 51.2% (95% CI: 51.1-51.3) of nurses had adequate knowledge and 47% (95% CI: 46.9-47.06) of nurses had a favorable attitude towards non-pharmacological pain management. The findings reveal that level of qualification (AOR=12.2 (3.05, 48.4)), taking educational courses (AOR=7.5 (2.7, 21.24)), nurse to patient ratio (AOR=4.9 (1.64, 14.55)) and work experience were factors significantly associated with knowledge. Findings also show that nurse to patient ratio (AOR=10.36 (2.8, 38.4)), training (AOR=4.6 (1.4, 15.4)) and knowledge of non-pharmacological pain management (AOR=4.3 (1.74, 10.56)) were significantly associated with nurses' attitude to non-pharmacological pain management.
Nurses in Benishangul Gumuz regional state hospitals have unfavorable attitude, but they have relatively adequate knowledge about non-pharmacological pain management. Work experience, level of education, nurse to patient ratio and taking educational courses were associated with nurses' knowledge, and nurse to patient ratio, training, and knowledge of non-pharmacological pain management were associated with nurses' attitude. Therefore, efforts should focus on innovative educational strategies for nurses, training and achieving a 1:6 nurse to patient ratio.
全球数以百万计的人饱受疼痛折磨。非药物疗法在疼痛治疗中发挥着重要作用，被视为一种有价值且简单易行的方法，有助于降低所需镇痛药的剂量，减少副作用，降低药物依赖性并降低医疗成本；然而，护士的知识和态度极大地影响着非药物疼痛管理方法的使用。
本研究旨在评估2018年在埃塞俄比亚西部贝尼尚古尔-古穆兹州立医院工作的护士对非药物疼痛管理的知识、态度及相关因素。
2017年4月1日至5月1日进行了一项基于机构的横断面研究。采用简单随机抽样选取了216名护士。通过使用预先测试的自填式结构化问卷收集数据。收集到的数据进行检查、编码并录入Epi-Info 7版本，然后导出到SPSS 20版本进行进一步分析。使用了双变量和多变量逻辑回归分析。
共有209名专业护士参与了研究，应答率为96.7%。本研究表明，51.2%（95%置信区间：51.1 - 51.3）的护士具备足够的知识，47%（95%置信区间：46.9 - 47.06）的护士对非药物疼痛管理持积极态度。研究结果显示，资质水平（调整后比值比[AOR]=12.2（3.05，48.4））、参加教育课程（AOR=7.5（2.7，21.24））、护士与患者的比例（AOR=4.9（1.64，14.55））和工作经验是与知识显著相关的因素。研究结果还表明，护士与患者的比例（AOR=10.36（2.8，38.4））、培训（AOR=4.6（1.4，15.4））和非药物疼痛管理知识（AOR=4.3（1.74，10.56））与护士对非药物疼痛管理 的态度显著相关。
贝尼尚古尔-古穆兹州立医院的护士态度不佳，但他们对非药物疼痛管理有相对足够的知识。工作经验、教育水平、护士与患者的比例以及参加教育课程与护士的知识相关，而护士与患者的比例、培训以及非药物疼痛管理知识与护士的态度相关。因此，应努力为护士制定创新的教育策略、进行培训并实现1:6的护士与患者比例。
