Munie Melesse Abiye, Taye Amsalu Baylie, Tilahun Befkad Derese, Alamaw Addis Wondmagegn, Abebe Gebremeskel Kibret, Tiruye Migbaru Endawoke, Abate Biruk Beletew
Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Department of Emergency and Critical Care Nursing, School of Nursing, College of Medicine and Health Science, Woldia University, Woldia, Ethiopia.
PLoS One. 2025 Jan 6;20(1):e0312499. doi: 10.1371/journal.pone.0312499. eCollection 2025.
Pain management is a crucial component of patient care that promotes relaxation, lowers complications, improves quality of life, and shortens hospital stays. Several studies assessed the nurses' pain management practices in Ethiopia. However, the findings of these studies are highly variable and inconsistent. Therefore, the study aims to determine the overall prevalence of pain management practice and associated factors among nurses working in Ethiopia.
The study included all observational quantitative research articles conducted among nurses in Ethiopia. We used Google Scholar, PubMed, Cochrane Library, and Scopus searching databases. The Newcastle-Ottawa Scale was used to check the study quality. Then I2 statistics and Cochran's Q test were used to evaluate heterogeneity. The Funnel, Egger's test, and non-parametric trim and fill effect tests were used to check publication bias by using a random effect model. Finally, we conducted subgroup analysis and sensitivity tests to evaluate statistical heterogeneity and the presence or absence of any influential study.
In the final analysis, we included eighteen studies, and 4,213 nurses participated. The overall pooled prevalence of nurses with good pain management practice was 43.79% (95% CI: 38.52, 49.06%). In-service training AOR; 95% CI 3.21 (1.87, 4.54), good knowledge AOR; 95% CI 2.44 (1.78, 3.09), positive attitudes AOR; 95% CI 2.84 (1.24, 4.44), and pain management guidelines in health facilities AOR; 95% CI 3.46 (1.48, 5.44) were the significant associated factors with pain management practice among nurses in Ethiopia.
This study found that over half of Ethiopian nurses had poor pain management practices. Knowledge, attitude, training, and pain management guidelines in health facilities were significant factors. Therefore, health managers and stakeholders should prioritize pain management awareness, attitudes, availability of guidelines, and in-service training to improve patient care and outcomes.
疼痛管理是患者护理的关键组成部分，可促进放松、降低并发症、提高生活质量并缩短住院时间。多项研究评估了埃塞俄比亚护士的疼痛管理实践。然而，这些研究的结果差异很大且不一致。因此，本研究旨在确定埃塞俄比亚护士疼痛管理实践的总体患病率及相关因素。
该研究纳入了所有在埃塞俄比亚护士中进行的观察性定量研究文章。我们使用谷歌学术、PubMed、Cochrane图书馆和Scopus搜索数据库。采用纽卡斯尔-渥太华量表检查研究质量。然后使用I2统计量和 Cochr an Q检验评估异质性。使用漏斗图、Egger检验和非参数修剪和填充效应检验，采用随机效应模型检查发表偏倚。最后，我们进行了亚组分析和敏感性检验，以评估统计异质性以及是否存在任何有影响力的研究。
在最终分析中，我们纳入了18项研究，共有4213名护士参与。疼痛管理实践良好的护士总体合并患病率为43.79%（95%置信区间：38.52，49.06%）。在职培训调整后比值比；95%置信区间3.21（1.87，4.54），良好知识调整后比值比；95%置信区间2.44（1.78，3.09），积极态度调整后比值比；95%置信区间2.84（1.24，4.44），以及医疗机构的疼痛管理指南调整后比值比；95%置信区间3.46（1.48，5.44）是埃塞俄比亚护士疼痛管理实践的显著相关因素。
本研究发现，超过一半的埃塞俄比亚护士疼痛管理实践较差。知识、态度、培训和医疗机构的疼痛管理指南是重要因素。因此，卫生管理人员和利益相关者应优先考虑疼痛管理意识、态度、指南的可用性和在职培训，以改善患者护理和治疗结果。
