老年患者疼痛管理：爱尔兰和约旦护士知识、态度与实践之间的关系。

Pain management in the older adult: The relationship between nurses' knowledge, attitudes and nurses' practice in Ireland and Jordan.

机构信息

Alghad International Colleges for Applied Medical Science, Tabuk, Saudi Arabia.

出版信息

Appl Nurs Res. 2021 Feb;57:151388. doi: 10.1016/j.apnr.2020.151388. Epub 2020 Dec 15.

DOI:10.1016/j.apnr.2020.151388

PMID:33549291

Abstract

BACKGROUND

Research studies regarding nurses' knowledge attitudes and practice in the older adult are limited. Furthermore, none of these studies attempted to investigate the relationship between knowledge attitudes and practice. Furthermore, little studies compared nurses' knowledge, attitudes and practice between Eastern and Western countries.

AIM

To describe the factors associated with nurses' acute pain management practice in the context of caring for older adult patients.

METHOD

A quantitative, correlational, comparative and cross-sectional survey approach.

DATA COLLECTION

Data were collected using survey questionnaire.

SAMPLE

A sample of 267 registered nurses from Ireland and Jordan (one private hospital in each country).

RESULTS

A multiple linear regression analysis revealed that nurses' general knowledge and attitude towards pain management was associated with their pain management practice, with a regression coefficient of 0.14 (p = 0.002). However, knowledge of pain in the elderly failed to reach a statistically significant relationship with pain management practice. In regards to country and gender, Irish nurses had an average score that was 2.61 points higher than Jordanian nurses (p < 0.001), female nurses had an average score that was 0.67 points higher than male nurses (p = 0.025). The overall regression model was significant (p < 0.001) with an R value of 43.2%, indicating that 43.2% of the variation in scores was explained by knowledge, attitude and practice.

CONCLUSION

More research studies combining the three concepts (knowledge, attitude and practice) are recommended in the area of pain management.

摘要

背景

针对护士在老年人群体中知识、态度和实践的研究有限。此外，这些研究中没有一项试图调查知识、态度和实践之间的关系。此外，很少有研究比较过东、西方国家护士在知识、态度和实践方面的差异。

目的

描述与护士在照顾老年患者时急性疼痛管理实践相关的因素。

方法

采用定量、相关性、比较和横断面调查方法。

数据收集

使用问卷调查收集数据。

样本

来自爱尔兰和约旦的 267 名注册护士（每个国家一家私立医院）。

结果

多元线性回归分析显示，护士对疼痛管理的一般知识和态度与他们的疼痛管理实践相关，回归系数为 0.14（p=0.002）。然而，对老年人疼痛的了解与疼痛管理实践之间没有达到统计学上的显著关系。关于国家和性别，爱尔兰护士的平均得分比约旦护士高 2.61 分（p<0.001），女性护士的平均得分比男性护士高 0.67 分（p=0.025）。总体回归模型具有统计学意义（p<0.001），R 值为 43.2%，表明知识、态度和实践解释了 43.2%的得分差异。