Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.
Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.
Nurse Educ Pract. 2024 Aug;79:104043. doi: 10.1016/j.nepr.2024.104043. Epub 2024 Jul 2.
This study has been conducted to determine nursing students' pain management self-efficacy and attitudes towards patients with chronic pain.
Pain is a significant phenomenon that often leads individuals to seek medical attention, influenced by various factors and commonly encountered by healthcare professionals. Adequate knowledge and positive attitudes among nurses play a crucial role in the thorough assessment and effective management of pain, resulting in favorable outcomes for hospitalized individuals.
This study used a descriptive cross-sectional design.
The research was conducted with 322 undergraduate students who were continuing their education in the autumn semester of the 2023-2024 academic year at Aksaray University, Faculty of Health Sciences, Department of Nursing. Data have been collected by using Student Information Form, Pain Management Self-Efficacy Questionnaire (PMSEQ) and the Attitude of Healthcare Professionals towards Patients with Chronic Pain Scale. Mann-Whitney U, Kruskal-Wallis significance test and Spearman Correlation analysis have been used to evaluate the data.
The mean total score of the PMSEQ was 62.91 (SD 15.58) and the mean total score of the Attitude of Healthcare Professionals Towards Patients with Chronic Pain Scale was 3.94 (SD.52). Those students who willingly opted for the nursing profession, perceived themselves as proficient in managing chronic pain, administered care to patients experiencing pain during clinical placements, believed they received sufficient education in pain management throughout their studies and rated their overall health status as "very poor" demonstrated higher levels of self-efficacy in pain management (p<0.05). As a result of the analysis performed according to the mean scores of the Attitude of Healthcare Professionals Towards Chronic Pain Patients Scale and its sub-dimensions of the students participating in the study, a statistically significant difference has been found according to their gender, academic year and self-sufficiency in pain management (p<0.05). It has been determined that there is a weak positive correlation between the total mean scores of the participants' PMSEQ and the Attitude of Healthcare Professionals Towards Patients with Chronic Pain scale (r=.260; p<0.01).
In this study, as nursing students' self-confidence in pain management self-efficacy increased, their attitudes towards patients with pain also increased positively. In the nursing curriculum, there is a necessity for integrating pain management education and fostering awareness to adequately equip nursing students in addressing the pain requirements of patients.
本研究旨在确定护理学生的疼痛管理自我效能感和对慢性疼痛患者的态度。
疼痛是一种重要的现象，常常导致个体寻求医疗关注，受多种因素影响，并且经常被医疗保健专业人员遇到。护士具备充分的知识和积极的态度对于彻底评估和有效管理疼痛至关重要，从而为住院患者带来有利的结果。
本研究采用描述性横断面设计。
该研究在 2023-2024 学年秋季学期，在阿克萨赖大学健康科学学院护理系继续学业的 322 名本科学生中进行。使用学生信息表、疼痛管理自我效能感问卷（PMSEQ）和医疗保健专业人员对慢性疼痛患者的态度量表收集数据。采用曼-惠特尼 U 检验、克鲁斯卡尔-沃利斯显著性检验和斯皮尔曼相关分析对数据进行评估。
PMSEQ 的总分平均为 62.91（SD 15.58），医疗保健专业人员对慢性疼痛患者的态度量表的总分平均为 3.94（SD.52）。那些自愿选择护理职业的学生、认为自己在管理慢性疼痛方面熟练、在临床实习中为疼痛患者提供护理、认为他们在整个学习过程中接受了足够的疼痛管理教育并将自己的整体健康状况评为“非常差”的学生，表现出更高水平的疼痛管理自我效能感（p<0.05）。根据研究参与者的医疗保健专业人员对慢性疼痛患者态度量表的平均得分及其子维度进行分析，根据他们的性别、学年和疼痛管理的自我效能，发现存在统计学显著差异（p<0.05）。研究参与者的 PMSEQ 总分与医疗保健专业人员对慢性疼痛患者态度量表之间存在弱正相关（r=.260；p<0.01）。
在这项研究中，随着护理学生对疼痛管理自我效能感的信心增强，他们对疼痛患者的态度也呈积极正向变化。在护理课程中，需要整合疼痛管理教育并培养意识，以使护理学生充分具备满足患者疼痛需求的能力。
