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护士在处理动脉穿刺相关疼痛方面的性别差异:一项多中心横断面研究。

Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study.

作者信息

Mateos-Arroyo Julio Alberto, Zaragoza-García Ignacio, Sánchez-Gómez Rubén, Posada-Moreno Paloma, García-Almazán Sara, Ortuño-Soriano Ismael

机构信息

Department of Pneumology, Hospital General Nuestra Señora del Prado, 45600 Talavera de la Reina, Spain.

Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain.

出版信息

Healthcare (Basel). 2024 Feb 23;12(5):531. doi: 10.3390/healthcare12050531.

Abstract

There is evidence that healthcare can be executed differentially depending on the gender of patients, researchers, and clinicians. The aim was to analyze the possible existence of nursing gender differences in pain management produced by arterial puncture for blood gas analysis. A cross-sectional, multicenter study designed was conducted in Castilla-la Mancha (Spain). Variables of interest were collected from nurses in the public health system of a European region through a questionnaire. Data were collected for four months; the primary outcome was the use of any intervention to reduce pain and the explanatory variable was the nurse's gender. Bivariate analysis was carried out to assess associations between gender and pain-reducing interventions and a multivariate model was created with those factors that were relevant using logistic regression. A significantly higher proportion of men reported using some form of intervention (45% vs. 30%) and had more specific training (45.9% vs. 32.4%). The adjusted probability of using pain-reducing interventions by men was 71% higher than women. Thus, we found gender differences in the management of pain caused by arterial punctures performed by nurses as the main healthcare providers.

摘要

有证据表明,医疗保健的实施可能因患者、研究人员和临床医生的性别而有所不同。目的是分析在进行血气分析的动脉穿刺引起的疼痛管理中,护士性别差异的可能存在情况。在西班牙卡斯蒂利亚 - 拉曼恰进行了一项横断面、多中心研究。通过问卷调查从欧洲一个地区公共卫生系统的护士中收集感兴趣的变量。数据收集了四个月;主要结果是使用任何减轻疼痛的干预措施,解释变量是护士的性别。进行了双变量分析以评估性别与减轻疼痛干预措施之间的关联,并使用逻辑回归对那些相关因素建立了多变量模型。报告使用某种形式干预措施的男性比例显著更高(45%对30%),并且接受过更专业培训的比例也更高(45.9%对32.4%)。男性使用减轻疼痛干预措施的调整概率比女性高71%。因此,我们发现作为主要医疗服务提供者的护士在动脉穿刺引起的疼痛管理中存在性别差异。

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