Ohaeri Beatrice, Owolabi Gbonjubola, Ingwu Justin
Department of Nursing, University of Ibadan, Ibadan, Nigeria.
Oyo State College of Nursing and Midwifery, Ibadan, Nigeria.
Eur J Midwifery. 2019 Feb 7;3:3. doi: 10.18332/ejm/99544. eCollection 2019.
Skilled health attendants occupy an important position in the management of women's pain during labour. Their professional goal is to ensure safety and minimum pain in labour. It has been revealed that nurse-midwives are deficient in knowledge and practice of pain management during labour. Hence, this study examined skilled health attendants' knowledge and practice of pain management in health care facilities in Ibadan, Nigeria.
A cross-sectional design was used to collect data from 227 skilled health attendants, in the maternity units of the three purposively selected hospitals for 12 weeks. A structured questionnaire and observational check lists were used for data collection. Data were analyzed using descriptive statistics and significants level was set with p<0.05.
Results on respondents' level of knowledge revealed that 6% had low knowledge, 40.5% moderate, and 56.8% had a high level. The majority, 79.7%, were registered nurse-midwives (RN/RM) and 90.1% employed reassurance for pain relief. No significant associations were found between respondents' level of education and reassurance, exercise, allay of fear, use of drugs, and TENS (p>0.05). However, there were significant associations between respondents' educational level and rubbing of back/massage, position change, cold/warm bath, relaxation, and social support (p<0.05).
It is recommended that seminars and workshops should be organized regularly and assessment tools should be supplied, to enhance effective pain assessment as this will provide adequate and holistic labour-pain management by nurse-midwives.
熟练的医护人员在分娩期间女性疼痛管理中占据重要地位。他们的专业目标是确保分娩安全并将疼痛降至最低。据揭示，助产士在分娩疼痛管理的知识和实践方面存在不足。因此，本研究调查了尼日利亚伊巴丹医疗机构中熟练医护人员在疼痛管理方面的知识和实践情况。
采用横断面设计，在12周内从三家经过目的性选择的医院产科病房的227名熟练医护人员中收集数据。使用结构化问卷和观察检查表进行数据收集。数据分析采用描述性统计方法，显著性水平设定为p<0.05。
关于受访者知识水平的结果显示，6%的人知识水平低，40.5%的人中等，56.8%的人知识水平高。大多数人（79.7%）是注册助产士（RN/RM），90.1%的人采用安慰法缓解疼痛。在受访者的教育水平与安慰、运动、减轻恐惧、药物使用和经皮电刺激神经疗法（TENS）之间未发现显著关联（p>0.05）。然而，受访者的教育水平与背部摩擦/按摩、体位改变、冷/温水浴、放松和社会支持之间存在显著关联（p<0.05）。
建议定期组织研讨会和讲习班，并提供评估工具，以加强有效的疼痛评估，因为这将使助产士能够提供充分且全面的分娩疼痛管理。
