Zhang Hao, Meng Ya, Xu Xiaoxia, Li Yanwei, Li Xue, Hu Hongtao, Zheng Lin, Hu Xiaochun
Department of Interventional Radiology, The Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou, People's Republic of China.
Department of Nursing, Zhengzhou Health Vocational College, Zhengzhou, People's Republic of China.
J Pain Res. 2025 Mar 14;18:1291-1303. doi: 10.2147/JPR.S478935. eCollection 2025.
To critically evaluate the present status of perioperative pain management among nurses in interventional departments as well as to delineate the factors influencing the self-efficacy of pain management to provide a foundation for enhancing perioperative pain management practices.
This was a descriptive cross-sectional study on 941 nurses from 24 Chinese provinces and municipalities. A questionnaire was conducted to examine the current pain management practices. Independent sample -test and analysis of variance were used for inter-group comparison. Multiple linear regression analysis was done to analyze the influencing factors of pain management self-efficacy.
About 76.5% of the nurses in the interventional departments had undergone pain management training; however, more than one-third (37.6%) had not in the past two years. Merely 4.9% of nurses expressed confidence that their knowledge in pain management was sufficient to meet the demands the clinical practice. The foremost three areas of pain management information desired by the nurses in the intervention department were pain psychology (79.6%), pharmacological pain treatment (78.1%), and non-pharmacological pain interventions (77.4%). A majority (57.6%) of the nurses failed to assess the patients' comprehension and perspectives of analgesia, elements contributing to pain exacerbation or alleviation, and the outcomes of analgesic measures. The cumulative score for the pain self-efficacy questionnaire among nurses in the intervention department was 63.95±21.83. Multiple linear regression analysis revealed that variables such as the acquisition of pain knowledge, the frequency of pain training in the past two years, the ratio of evaluation tools employed for assessment, the prevalent utilization of multi-dimensional evaluation instruments, and professional course studies in academia were determinants influencing pain management self-efficacy.
Perioperative pain management by interventional department nurses in China is unstandardized and lacks continuous education. Nursing administrators should create targeted training to boost pain assessment, prevention and treatment abilities.
批判性地评估介入科室护士围手术期疼痛管理的现状，并确定影响疼痛管理自我效能的因素，为加强围手术期疼痛管理实践提供依据。
这是一项对来自中国24个省直辖市的941名护士进行的描述性横断面研究。通过问卷调查来检查当前的疼痛管理实践情况。采用独立样本t检验和方差分析进行组间比较。进行多元线性回归分析以分析疼痛管理自我效能的影响因素。
介入科室约76.5%的护士接受过疼痛管理培训；然而，超过三分之一（37.6%）的护士在过去两年中未接受过培训。只有4.9%的护士表示相信自己的疼痛管理知识足以满足临床实践的需求。介入科室护士最希望获得的三个疼痛管理信息领域是疼痛心理学（79.6%）、药物性疼痛治疗（78.1%）和非药物性疼痛干预（77.4%）。大多数（57.6%）护士未能评估患者对镇痛的理解和看法、导致疼痛加重或缓解的因素以及镇痛措施的效果。介入科室护士疼痛自我效能量表的累积得分为63.95±21.83。多元线性回归分析显示，疼痛知识的获取、过去两年疼痛培训的频率、评估所用工具的比例、多维度评估工具的普遍使用以及学术专业课程学习等变量是影响疼痛管理自我效能的决定因素。
中国介入科室护士的围手术期疼痛管理不规范且缺乏持续教育。护理管理者应开展针对性培训，以提高疼痛评估、预防和治疗能力。
