研究护士在急诊部门对疼痛管理和控制的知识和态度。
The study of nurses' knowledge and attitudes regarding pain management and control in emergency departments.
机构信息
Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
BMC Emerg Med. 2023 Mar 13;23(1):26. doi: 10.1186/s12873-023-00793-y.
BACKGROUND
Given the importance and pivotal role of nurses in pain management and control, this study was conducted to determine the nurses' knowledge and attitudes toward in emergency departments.
METHODS
This study was designed and conducted as a descriptive-analytical cross-sectional study. Nurses' attitude and knowledge towards pain management and control and relationship between their demographic characteristics have been assessed. Nurse Attitude Survey (NAS) and Pain management and control principles assessment Test (PMPAT) questionnaires were used.
RESULTS
Totally 400 volunteers, including 148 (37.2%) male and 250 (62.8%) female nurses recruited from 23 hospitals in East Azerbaijan, Iran, with a mean age of 30.88 years (± 6.04 SD) and age range between 22 and 53 years old. The crude mean score of participants' knowledge of pain management and control was 12.51 (± 2.77 SD), and standardized mean score was 40.34 (± 8.92 SD), which was low at 84.8% and moderate in 15.3% of the participants. Older nurses and nurses who previously participated in pain retraining courses had significantly less knowledge about pain management and control (r= -0.104, P = 0.038), and (r= -0.148, P = 0.003) respectively. The crude mean score of participants' attitudes toward pain control and management was 15.22 (± 2.56 SD), and standardized mean score was 60.87 (± 10.26 SD). Nurses' attitudes have become more negative with the increase of their work experience (r = -0.168, P = 0.001), and previously participation in pain retraining courses (r =-0.207, P < 0.001). Older nurses and highly educated nurses had significantly more negative attitudes towards pain control and management (r = -0.153, P = 0.002), and (r= -0.126, P = 0.005), respectively.
CONCLUSIONS
The current study revealed that pain management and control knowledge in most emergency nurses was low, and most of them had a moderate attitude. We need more scientific and comprehensive pain management and control training courses to improve knowledge and attitude among health workers and nurses.
背景
鉴于护士在疼痛管理和控制方面的重要性和关键作用，本研究旨在确定护士在急诊部门的知识和态度。
方法
本研究设计为描述性分析性横断面研究。评估了护士对疼痛管理和控制的态度和知识，以及他们的人口统计学特征之间的关系。使用护士态度调查（NAS）和疼痛管理和控制原则评估测试（PMPAT）问卷。
结果
共有 400 名志愿者参加，其中包括 148 名（37.2%）男性和 250 名（62.8%）女性护士，来自伊朗东阿塞拜疆的 23 家医院，平均年龄为 30.88 岁（±6.04 SD），年龄在 22 至 53 岁之间。参与者疼痛管理和控制知识的粗平均得分为 12.51（±2.77 SD），标准化平均得分为 40.34（±8.92 SD），其中 84.8%得分较低，15.3%得分中等。年龄较大的护士和以前参加过疼痛再培训课程的护士对疼痛管理和控制的知识明显较少（r=-0.104，P=0.038）和（r=-0.148，P=0.003）。参与者对疼痛控制和管理态度的粗平均得分为 15.22（±2.56 SD），标准化平均得分为 60.87（±10.26 SD）。随着工作经验的增加，护士的态度变得更加消极（r=-0.168，P=0.001），并且以前参加过疼痛再培训课程（r=-0.207，P<0.001）。年龄较大的护士和受过高等教育的护士对疼痛控制和管理的态度明显更为消极（r=-0.153，P=0.002）和（r=-0.126，P=0.005）。
结论
本研究表明，大多数急诊护士的疼痛管理和控制知识水平较低，大多数护士的态度处于中等水平。我们需要更多科学和全面的疼痛管理和控制培训课程，以提高卫生工作者和护士的知识和态度。
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