Health Professions Department, AO San Camillo-Forlanini Hospital, Rome, Italy; School of Nursing and Midwifery, Sapienza University of Rome, AO San Camillo-Forlanini Hospital, Rome, Italy.
Health Professions Department, AO San Camillo-Forlanini Hospital, Rome, Italy.
Appl Nurs Res. 2021 Dec;62:151512. doi: 10.1016/j.apnr.2021.151512. Epub 2021 Oct 6.
Pain is multidimensional, and as such it is the chief reason patients require urgent health care services. If inadequately assessed and untreated, pain may negatively impact on the quality of life of the patient. Pain management is an essential part of Nursing. The aim to this study is to examine the level of knowledge and attitudes with regard to pain among Italian nurses who work in clinical settings.
The Ferrell and McCaffery's Knowledge and Attitudes Survey Regarding Pain was distributed to 266 nurses employed in one specialized hospital in Rome, Italy. The staff in the survey work in three different settings: the intensive care unit, the sub-intensive care unit, and an ordinary ward. Descriptive statistics were employed and a logistic regression model was performed to evaluate the factors that may influence the attitude and knowledge of care providers.
49.6% of the sample correctly answered items about attitudes, 47.4% about knowledge, and 36.5% about assessment. The results show that the odds ratio of developing positive attitudes towards pain was 1.76 times higher in nurses employed in the sub-intensive care unit than in other settings. There are no statistically significant associations of knowledge between setting, sex or education.
Our survey revealed a limited overall level of knowledge and attitudes with regards to pain management among nurses. Implementing specific training for health professionals, starting with academic education, is therefore a priority. Further research is needed on a larger sample of Italian nurses.
疼痛是多维的，因此它是患者需要紧急医疗保健服务的主要原因。如果评估和治疗不当，疼痛可能会对患者的生活质量产生负面影响。疼痛管理是护理的重要组成部分。本研究旨在检查在意大利临床环境中工作的护士对疼痛的知识和态度水平。
Ferrell 和 McCaffery 的疼痛知识和态度调查在意大利罗马的一家专门医院的 266 名护士中进行了分发。参与调查的工作人员在三个不同的环境中工作：重症监护病房、亚重症监护病房和普通病房。采用描述性统计方法，并进行逻辑回归模型评估可能影响护理人员态度和知识的因素。
样本中 49.6%的人正确回答了关于态度的项目，47.4%的人正确回答了关于知识的项目，36.5%的人正确回答了关于评估的项目。结果表明，与其他环境相比，在亚重症监护病房工作的护士对疼痛的态度更积极，其可能性是其他环境的 1.76 倍。知识在设置、性别或教育方面没有统计学意义上的关联。
我们的调查显示，护士对疼痛管理的整体知识和态度水平有限。因此，优先为卫生专业人员实施具体的培训，从学术教育开始。需要对更大样本的意大利护士进行进一步研究。
