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加纳部分地区医院护士术后疼痛管理的影响因素

Factors influencing postoperative pain management among nurses in selected district hospitals in Ghana.

作者信息

Menlah Awube, OseiAppiah Evans, Garti Isabella, Frempomaa Agyare Dorcas

机构信息

School of Nursing and Midwifery, Valley View University, Accra, Ghana.

Department of Adult Health Nursing, School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.

出版信息

J Perioper Pract. 2023 Jul-Aug;33(7-8):223-232. doi: 10.1177/17504589211064039. Epub 2021 Dec 29.

Abstract

BACKGROUND

Poorly managed postoperative pain is linked to numerous postoperative complications worldwide and in Ghana. This is due to the myriad of physical and psychological problems, such as lifelong chronic pain syndromes, impaired functionality and death.

PURPOSE

The aim of this study was to assess the barriers and factors influencing postoperative pain management by Ghanaian nurses working in four hospitals.

METHODS

A quantitative descriptive cross-sectional design was employed for this study. Participants were recruited using a multistage sampling technique by which 146 returned their questionnaires out of 194 participants. The statistical analysis of data was done with the Statistical Package of Social Sciences (SPSS) 20.0 version.

RESULTS

Findings revealed that some verbal and non-verbal cues from patients such as facial grimacing, restlessness, irritability and distress, lack of concentration and moaning or crying (verbalisation) influenced how nurses controlled postoperative pain with analgesia. The participants also identified several barriers to influence postoperative pain management by nurses.

CONCLUSION

In conclusion, postoperative pain control by nurses is influenced by several factors, and hence, nurses need to manage patients' pain effectively in Ghana and abroad using multiple approaches.

摘要

背景

在全球范围内以及加纳,术后疼痛管理不善与众多术后并发症相关。这是由于一系列身体和心理问题,如终身慢性疼痛综合征、功能受损以及死亡。

目的

本研究的目的是评估在四家医院工作的加纳护士在术后疼痛管理方面的障碍和影响因素。

方法

本研究采用定量描述性横断面设计。通过多阶段抽样技术招募参与者,在194名参与者中,有146人返回了问卷。使用社会科学统计软件包(SPSS)20.0版对数据进行统计分析。

结果

研究结果显示,患者的一些言语和非言语线索,如面部 grimacing、烦躁不安、易怒和痛苦、注意力不集中以及呻吟或哭泣(言语表达),影响了护士如何使用镇痛药物控制术后疼痛。参与者还确定了影响护士术后疼痛管理的几个障碍。

结论

总之,护士对术后疼痛的控制受到多种因素的影响,因此,在加纳和国外,护士需要采用多种方法有效地管理患者的疼痛。

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