Hönl Ann-Kathrin, Jantz Florian, Möckel Luis
HSD Hochschule Döpfer GmbH, University of Applied Sciences, Waidmarkt 3 und 9, 50676, Köln, Deutschland.
Med Klin Intensivmed Notfmed. 2023 Feb;118(1):45-53. doi: 10.1007/s00063-021-00880-7. Epub 2021 Nov 1.
Since nurses in general are frequently affected by pain and depressive episodes, the aim of this study was to analyze the prevalence of pain, frequency of analgesic intake and the mental health of intensive care nurses.
This study was a survey study of German intensive care nurses and the questionnaire comprised self-developed items and the short version of the Depression Anxiety Stress Scale (DASS-21).
A total of 432 intensive care nurses (82.97% female) were included in the analysis. Recurrent pain was reported by 36.81% (95% confidence interval [CI]: 31.31%; 42.99%) of study participants and chronic pain by 18.52% (95% CI: 14.68%; 23.05%). Body weight (adjusted odds ratio (AOR): 1.02 [95% CI: 1.01; 1.03]; p = 0.006) and sex (male AOR: 0.33 [95% CI: 0.14; 0.78]; p = 0.012) were significantly associated with chronic pain, and sex (male AOR: 0.59 [95% CI: 0.31; 1.00]; p = 0.049) and the presence of sleeping problems (AOR: 2.16 [95% CI: 1.41; 3.31]; p ≤ 0.001) with recurrent pain. Analgesics were used by 52.61% of study participants with chronic/recurrent pain (most frequently used substance: ibuprofen [81.67%]). Study participants with chronic and recurrent pain indicated significantly higher depression, anxiety and stress levels compared to those without pain.
This study indicates that a large number of participating intensive care nurses are suffering from chronic and recurrent pain. Pain in this population was associated with a variety of factors.
由于护士群体普遍经常受到疼痛和抑郁发作的影响，本研究旨在分析重症监护护士的疼痛患病率、镇痛药物服用频率以及心理健康状况。
本研究是一项针对德国重症监护护士的调查研究，问卷包括自行设计的项目以及抑郁焦虑压力量表简版（DASS-21）。
共有432名重症监护护士（82.97%为女性）纳入分析。36.81%（95%置信区间[CI]：31.31%；42.99%）的研究参与者报告有复发性疼痛，18.52%（95%CI：14.68%；23.05%）报告有慢性疼痛。体重（调整优势比[AOR]：1.02[95%CI：1.01；1.03]；p = 0.006）和性别（男性AOR：0.33[95%CI：0.14；0.78]；p = 0.012）与慢性疼痛显著相关，性别（男性AOR：0.59[95%CI：0.31；1.00]；p = 0.049）和存在睡眠问题（AOR：2.16[95%CI：1.41；3.31]；p≤0.001）与复发性疼痛相关。52.61%有慢性/复发性疼痛的研究参与者使用了镇痛药（最常用的药物：布洛芬[81.67%]）。与无疼痛的参与者相比，有慢性和复发性疼痛的研究参与者抑郁、焦虑和压力水平显著更高。
本研究表明，大量参与研究的重症监护护士患有慢性和复发性疼痛。该人群的疼痛与多种因素相关。
