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家长对小儿术后疼痛的认知与态度:逐步线性回归分析

Parental knowledge and attitude of postoperative paediatric pain: stepwise linear regression analysis.

作者信息

Desalegn Mitiku, Shitemaw Tewoderos, Getahun Genanew Kassie, Lemma Lire

机构信息

Department of Anesthesia, College of Medicine and Health Science, Wachemo University, Hossana, Ethiopia.

Menelik II Medical and Health Science College, Addis Ababa, Ethiopia.

出版信息

Front Pain Res (Lausanne). 2024 Mar 19;5:1340375. doi: 10.3389/fpain.2024.1340375. eCollection 2024.

Abstract

BACKGROUND

Despite the fact that mothers care for their children's pain in most cases, it has been noted that mothers have limited knowledge and attitude about paediatric pain. This study aims to assess parental knowledge and attitude of postoperative paediatric pain (POPP).

METHOD

This is institutional based cross sectional study conducted with 102 parents at Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital (NEMMCSH). A convenience sampling technique was used to select parents. This study has used a questionnaire (Parental Pain Expression Perception (PPEM), examine parents' attitudes and knowledge about how their children exhibit their pain and Medication Attitude Questioner (MAQs), focuses on how parents feel about giving their child analgesic medication to alleviate post-operative pain). Descriptive statistics were utilized to analyse the parent's response and presented with frequency and percentage. Factor analysis to analyze factor structure and stepwise linear regression analysis to examine the impact of socio-demographic factors in predicting parental knowledge and attitude about POPP were done. The statistical tests were performed at 95% confidence interval and 5% significance level.

RESULT

A total of 102 parents fulfilling the inclusion criteria were included. About 78% of parents agreed that children always express pain by crying or whining. The majority of parents (75.6%) believe children who are playing are not in pain. Regarding parental attitudes about pain medications, majority of parents (61%) believe that children should be given pain medication as little as possible because of its side effects. According to about 26.8% of parents, giving children pain medication for pain might teach them to use drugs for other issues. On the other hand, 63.4% of parents say that giving children pain medication as little as possible is the most effective way to manage their pain. Parents of younger children and parents from rural area are more likely to score higher in attention seeking sub-score of PPEP while parents from urban residence and those parents who are employed are more likely to perceive about the side effects of pain medications (Side effects factors).

CONCLUSION

The overall knowledge and attitude of parents about postoperative pain and pain medications were poor.

摘要

背景

尽管在大多数情况下母亲会关心孩子的疼痛,但有研究指出,母亲对小儿疼痛的了解和态度有限。本研究旨在评估家长对小儿术后疼痛(POPP)的了解和态度。

方法

这是一项在尼吉斯特·埃莱尼·穆罕默德纪念综合专科医院(NEMMCSH)对102名家长进行的基于机构的横断面研究。采用便利抽样技术选取家长。本研究使用了一份问卷(家长疼痛表达认知问卷(PPEM),用于考察家长对孩子如何表达疼痛的态度和认知;以及药物态度问卷(MAQs),重点关注家长对给孩子使用止痛药物缓解术后疼痛的看法)。采用描述性统计分析家长的回答,并以频率和百分比呈现。进行因子分析以分析因子结构,并进行逐步线性回归分析以检验社会人口学因素对预测家长对POPP的了解和态度的影响。统计检验在95%置信区间和5%显著性水平下进行。

结果

共有102名符合纳入标准的家长参与了研究。约78%的家长认为孩子总是通过哭闹或 whining 来表达疼痛。大多数家长(75.6%)认为玩耍的孩子没有疼痛。关于家长对止痛药物的态度,大多数家长(61%)认为由于副作用,应尽量少给孩子使用止痛药物。约26.8%的家长认为,给孩子使用止痛药物可能会让他们学会将药物用于其他问题。另一方面,63.4%的家长表示尽量少给孩子使用止痛药物是管理他们疼痛的最有效方法。年龄较小孩子的家长和农村地区的家长在PPEM的寻求关注子评分中得分更高,而城市居民家长和有工作的家长更有可能认识到止痛药物的副作用(副作用因素)。

结论

家长对术后疼痛和止痛药物的总体了解和态度较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5608/10993867/3ea35594787d/fpain-05-1340375-g001.jpg

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