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加纳部分地区医院护士术后疼痛管理的知识、态度和实践

Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana.

作者信息

Menlah Awube, Garti Isabella, Amoo Sarah Ama, Atakro Confidence Alorse, Amponsah Caleb, Agyare Dorcas Frempomaa

机构信息

Department of Nursing, Valley View University, Adenta, Ghana.

Intensive Care Unit, Cape Coast Teaching Hospital, Ghana.

出版信息

SAGE Open Nurs. 2018 Nov 9;4:2377960818790383. doi: 10.1177/2377960818790383. eCollection 2018 Jan-Dec.

Abstract

INTRODUCTION

There is documented evidence pointing to the fact that there are numerous challenges with postoperative pain (POP) management globally. However, these challenges with POP management are more profound in developing countries.

PURPOSE

The purpose of this study is to examine the knowledge, attitude, and practices of nurses concerning POP management in four selected district hospitals in Ghana.

METHODOLOGY

A descriptive, cross-sectional survey was employed to evaluate nurse's knowledge, attitude, and practices pertaining to POP management. Multistaged sampling was used to draw the respondents. An adapted version of the Nurses Knowledge and Attitudes Survey Regarding Pain instrument was used to test the knowledge, attitude, and practices of nurses and midwives. Descriptive statistics were used to analyze the data in order to present quantitative descriptions of variables in this study.

RESULTS

This study showed that nurses in the four district hospitals had knowledge deficits regarding POP management. Eighty-one representing 48% of nurses had low knowledge on POP management. An overwhelming majority of nurses (97.6%) relied on routinely rendered basic nursing skills to relieve POP and a few used pharmacological interventions. However, nurses had good attitudes toward POP management.

CONCLUSIONS

POP is ineffectively managed by nurses in district hospitals in Ghana. Nurses and midwives in Ghana need to adhere to best practices in POP management by increasing their theoretical and practical knowledge, so that there will be tangible positive change in POP management in Ghana.

RECOMMENDATIONS

Nurses must be empowered through continuous development programs to keep abreast with changing trends that pertain to POP management.

摘要

引言

有文献证据表明,全球术后疼痛(POP)管理存在诸多挑战。然而,这些POP管理挑战在发展中国家更为严峻。

目的

本研究旨在调查加纳四家选定地区医院护士对POP管理的知识、态度和实践情况。

方法

采用描述性横断面调查来评估护士对POP管理的知识、态度和实践。采用多阶段抽样选取受访者。使用一份改编版的护士疼痛知识与态度调查问卷来测试护士和助产士的知识、态度和实践。使用描述性统计分析数据,以便对本研究中的变量进行定量描述。

结果

本研究表明,四家地区医院的护士在POP管理方面存在知识欠缺。81名护士(占48%)对POP管理的知识水平较低。绝大多数护士(97.6%)依靠常规的基本护理技能来缓解POP,少数人使用药物干预措施。然而,护士对POP管理态度良好。

结论

加纳地区医院的护士对POP管理不力。加纳的护士和助产士需要通过增加理论和实践知识来坚持POP管理的最佳实践,以便加纳的POP管理能有切实的积极改变。

建议

必须通过持续发展项目增强护士能力,使其跟上与POP管理相关的不断变化的趋势。

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