急诊科护士对疼痛管理的知识、态度及感知障碍；一项知识、态度与实践（KAP）研究

Knowledge, Attitudes, and Perceived Barriers of Nurses Regarding Pain Management in Emergency Department; a KAP Study.

作者信息

Bozorgi Farzad, Ghorbani Afrachali Morteza, Kumar Mudgal Shiv, Hosseini Marznaki Zohreh, Goli Khatir Iraj, Kalal Nipin, Keshavarzi Fatemeh, Hosseininejad Seyed Mohammad

机构信息

Emergency Medicine Department, Orthopedic research center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Student Research Committee, Mazandaran University of Medical Sciences, Mazandran, Iran.

出版信息

Arch Acad Emerg Med. 2024 Sep 5;12(1):e67. doi: 10.22037/aaem.v12i1.2356. eCollection 2024.

DOI:10.22037/aaem.v12i1.2356

PMID:39290760

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407532/

Abstract

INTRODUCTION

Adequate knowledge and positive attitude among nurses are essential for successful pain management as a fundamental aspect of patients' rights. This study aimed to assess the knowledge, attitude and perceived barriers of nurses regarding acute pain management in emergency department.

METHODS

In this cross-sectional study, participating nurses were selected using a consecutive sampling technique within a medical university. Data were collected using 4 questionnaires, which consisted of demographic information checklist, Pain Management Principles Assessment Tool (PMPAT), Nurses' Attitude Survey (NAS), and Nurses' practice checklist. The correlation between knowledge, attitude, and barriers with each other and with baseline characteristics of participates were studied.

RESULTS

400 nurses with the mean age of 38.26±10.39 years were studied (63% male). The average knowledge score of studied nurses was 7.38 ± 2.16 (range: 1 -14). All 400 (100%) nurses exhibited a low level of knowledge. The mean attitude score of participants was 58.47± 22.08 (range:26-100). 214 (53.5%) cases had low attitude, 44 (11.0 %) average attitude, and 142 (35.5%) cases exhibited a high attitude score. The mean score of barriers about pain management was 36.48 ± 23.52 (range: 0 - 80). 23 (5.8%) participants answered the perceived barriers as never, 113 (28.3%) as seldom, 71 (17.8%) as sometimes, 133 (33.3%) as often, and 60 (15.0%) as routine. There was an reverse relationship between the knowledge score and perceived barriers of pain management (r=-0.164, p<0.001). No significant relationship was found between the average knowledge score and nurses' attitudes (r = 0.092; p > 0.065).

CONCLUSIONS

The findings of this study highlight the need for ongoing training and the organization of workshops for nurses due to their low levels of knowledge and attitude. These training sessions should focus on the concept of pain, assessment methods, pain relief, as well as pharmacology and the physiology of pain.

摘要

引言

护士具备足够的知识和积极的态度对于成功进行疼痛管理至关重要，这是患者权利的一个基本方面。本研究旨在评估急诊科护士在急性疼痛管理方面的知识、态度和感知到的障碍。

方法

在这项横断面研究中，采用连续抽样技术在一所医科大学内选取参与研究的护士。使用4份问卷收集数据，包括人口统计学信息清单、疼痛管理原则评估工具（PMPAT）、护士态度调查（NAS）和护士实践清单。研究了知识、态度和障碍之间以及它们与参与者基线特征之间的相关性。

结果

对400名平均年龄为38.26±10.39岁的护士进行了研究（63%为男性）。所研究护士的平均知识得分为7.38±2.16（范围：1 - 14）。所有400名（100%）护士的知识水平较低。参与者的平均态度得分为58.47±22.08（范围：26 - 100）。214例（53.5%）态度较低，44例（11.0%）态度中等，142例（35.5%）态度得分较高。疼痛管理障碍的平均得分为36.48±23.52（范围：0 - 80）。23名（5.8%）参与者回答感知到的障碍为从不，113名（28.3%）为很少，71名（17.8%）为有时，133名（33.3%）为经常，60名（15.0%）为常规。疼痛管理的知识得分与感知到的障碍之间存在负相关（r = -0.164，p < 0.001）。在平均知识得分与护士态度之间未发现显著关系（r = 0.092；p > 0.065）。