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未来护士对疼痛的信念与恐惧评估:一项描述性和相关性研究。

Evaluation of Future Nurses' Beliefs and Fears About Pain: A Descriptive and Correlational Study.

作者信息

Kırca Kamile, Özveren Hüsna, Karabey Tuba

机构信息

Nursing Department, Faculty of Health Sciences, Kırıkkale University, Kırıkkale, Turkey.

Department of Emergency Aid and Disaster Management, Faculty of Health Sciences, Tokat Gaziosmanpaşa University, Tokat, Turkey.

出版信息

J Eval Clin Pract. 2025 Jun;31(4):e70058. doi: 10.1111/jep.70058.

Abstract

BACKGROUND

How nurses manage pain and their decisions to treat it depend on their attitudes, beliefs, and misconceptions about pain. Therefore, the first step to promoting positive behaviour change in nurses is to determine their attitudes, beliefs, fears, knowledge, and behaviour towards pain management. Nurses with negative or false beliefs about pain are likely to provide inadequate pain management and care. Nursing students are the nurses of tomorrow who will play a key role in pain management and treatment. This study aimed to evaluate nursing students' beliefs and fears about pain.

METHODS

This descriptive and correlational study was carried out on 342 nursing students of a university in Türkiye. Data were collected using an individual information form, the Fear of Pain Questionnaire-III (FPQ-III), and the Pain Beliefs Questionnaire (PBQ).

RESULTS

The mean scores of the participants from FPQ-III, Severe Pain, Minor Pain, Medical Pain subscales were 83.71 ± 19.14, 32.54 ± 7.97, 24.48 ± 6.89 and 26.68 ± 7.92, respectively. The participants' mean scores on the Organic Beliefs and Psychological Beliefs subscales were 3.50 ± 0.72 and 4.60 ± 0.96, respectively. There was a positive correlation between FPQ-III and PBQ scores. The psychological belief subscale explained only 2.1% of the total change in the fear of pain score (R = 0.021, p < 0.05).

CONCLUSION

Participants had high 'psychological beliefs' and 'severe pain' scores. It may be recommended to use interactive education methods such as case-based teaching for students to learn effective methods of coping with pain and realise their own beliefs and attitudes. Establishing simulation laboratories where students can experience all pain-related processes is also important in gaining knowledge and skills on pain management.

摘要

背景

护士如何处理疼痛以及他们对疼痛治疗的决策取决于他们对疼痛的态度、信念和误解。因此,促进护士积极行为改变的第一步是确定他们对疼痛管理的态度、信念、恐惧、知识和行为。对疼痛持有消极或错误信念的护士可能会提供不充分的疼痛管理和护理。护理专业学生是未来的护士,他们将在疼痛管理和治疗中发挥关键作用。本研究旨在评估护理专业学生对疼痛的信念和恐惧。

方法

本描述性相关性研究对土耳其一所大学的342名护理专业学生进行。使用个人信息表、疼痛恐惧问卷-III(FPQ-III)和疼痛信念问卷(PBQ)收集数据。

结果

参与者在FPQ-III、重度疼痛、轻度疼痛、医学疼痛分量表上的平均得分分别为83.71±19.14、32.54±7.97、24.48±6.89和26.68±7.92。参与者在器质性信念和心理信念分量表上的平均得分分别为3.50±0.72和4.60±0.96。FPQ-III得分与PBQ得分之间存在正相关。心理信念分量表仅解释了疼痛恐惧得分总变化的2.1%(R = 0.021,p < 0.05)。

结论

参与者的“心理信念”和“重度疼痛”得分较高。建议采用基于案例教学等互动式教育方法,让学生学习应对疼痛的有效方法,并认识到自己的信念和态度。建立模拟实验室,让学生能够体验所有与疼痛相关的过程,对于获得疼痛管理的知识和技能也很重要。

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本文引用的文献

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The legitimacy of pain according to sufferers.根据患者的说法,疼痛的合法性。
PLoS One. 2023 Nov 15;18(11):e0291112. doi: 10.1371/journal.pone.0291112. eCollection 2023.
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Psychological Interventions for the Treatment of Chronic Pain in Adults.成人慢性疼痛的心理干预治疗。
Psychol Sci Public Interest. 2021 Sep;22(2):52-95. doi: 10.1177/15291006211008157.
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Evaluation of Pain as A Fifth Vital Sign: Nurses' Opinions and Beliefs.将疼痛评估作为第五大生命体征:护士的观点与信念。
Asia Pac J Oncol Nurs. 2019 Oct 4;7(1):88-94. doi: 10.4103/apjon.apjon_39_19. eCollection 2020 Jan-Mar.

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