儿科外科病房护士对疼痛管理的知识与态度：一项教育干预研究。

Nurses' Knowledge and Attitudes About Pain Management in Pediatric Surgical Wards: An Educational Intervention Study.

作者信息

Seipajærvi Anne-Lise, Simonsen Guro Reyes, Börner Frank, Smeland Anja Hetland

机构信息

Children's Surgical Department, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Children's Surgical Ward 4, Nydalen, Oslo, Norway; Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Olavs Plass, Oslo, Norway.

Children's Surgical Department, Division of Head, Neck and Reconstructive Surgery, Oslo University Hospital, Children's Surgical Ward 4, Nydalen, Oslo, Norway.

出版信息

Pain Manag Nurs. 2025 Feb;26(1):e42-e49. doi: 10.1016/j.pmn.2024.08.013. Epub 2024 Oct 7.

DOI:10.1016/j.pmn.2024.08.013

PMID:39379207

Abstract

BACKGROUND

Pediatric pain management is a constantly developing field. Despite extensive research, several studies have concluded that children's pain is still underestimated and undertreated. Nurses working with children have an important professional and ethical responsibility to possess up-to-date knowledge of pediatric pain management.

PURPOSE

The purpose of this study was to identify nurses' knowledge and attitudes regarding pain management in pediatric surgical wards and to investigate the short- and long-term effects of a tailored educational intervention.

METHODS

This study has a quasi-experimental design without a control group and uses a previously validated questionnaire, the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain-Norwegian version (PNKAS-N). Nurses in four pediatric surgical wards in one university hospital in Norway answered the survey once before and three times after a tailored educational intervention.

RESULTS

Eighty-three nurses answered the PNKAS-N at baseline (response rate of 75%). The nurse's total PNKAS-N mean score was 27.8 (77.3%) at baseline. We identified knowledge and attitude deficits regarding items related to opioid doses, the risk of drug addiction, the risk of respiratory depression, and the choice of pain medication for children. The total PNKAS-N mean score was statistically significantly increased after the intervention, at T2 (85.2%), as compared to baseline, and this improvement was sustained at T3 (83.8%) and T4 (81.4%).

CONCLUSION

The tailored educational intervention had a significant effect on nurses' knowledge and attitudes about pediatric pain management.

摘要

背景

儿科疼痛管理是一个不断发展的领域。尽管进行了广泛研究，但多项研究得出结论，儿童疼痛仍被低估且治疗不足。护理儿童的护士有重要的专业和道德责任掌握最新的儿科疼痛管理知识。

目的

本研究的目的是确定护士对儿科外科病房疼痛管理的知识和态度，并调查针对性教育干预的短期和长期效果。

方法

本研究采用无对照组的准实验设计，并使用先前验证过的问卷，即《儿科护士关于疼痛的知识和态度调查问卷 - 挪威版》（PNKAS - N）。挪威一所大学医院四个儿科外科病房的护士在针对性教育干预前回答一次调查问卷，干预后回答三次。

结果

83名护士在基线时回答了PNKAS - N（回复率为75%）。护士PNKAS - N的总平均分在基线时为27.8（77.3%）。我们发现护士在与阿片类药物剂量、药物成瘾风险、呼吸抑制风险以及儿童疼痛药物选择相关的项目上存在知识和态度缺陷。与基线相比，干预后T2时PNKAS - N的总平均分在统计学上显著提高（85.2%），且在T3（83.8%）和T4（81.4%）时这种改善得以维持。