Samuel Bereket, Ye Man
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Xiangya Nursing School of Central South University, Changsha, Hunan, China.
Pain Res Manag. 2025 Aug 1;2025:6653069. doi: 10.1155/prm/6653069. eCollection 2025.
Nurses play a crucial role in pain management through adherence to protocols, accurate pain assessment, and personalized pain relief strategies. However, a gap exists between nurses' ability to perceive pain and patients' actual needs. In Ethiopia, postoperative pain management practices are inadequate, and there is limited research on nurses' pain cognition. To evaluate the knowledge, attitudes, practices, and associated factors regarding postoperative pain management among nurses at Wolaita Sodo Comprehensive Specialized Hospital in Ethiopia. A cross-sectional study design involving 124 nurses was utilized. Data were collected using the Knowledge Attitude Survey regarding pain and the Nurses Carrying Behaviors Checklist. Statistical analysis was conducted using SPSS Version 28, employing descriptive statistics, one-way ANOVA, independent sample -tests, and Pearson correlation coefficients. Multiple linear regressions were used to identify factors associated with pain management practices, with statistical significance set at a value below 0.05. The mean knowledge, attitude, and practice scores were 49.51 ± 9.51, 43.04 ± 14.72, and 71.05 ± 10.53, respectively. Positive correlations were found between knowledge and practices ( = 0.348, < 0.001) and between attitudes and practices ( = 0.247, =0.006). Training on pain, pain experience, work experience, and marital status were independent influencing factors for practice toward postoperative pain management. The study highlights critical gaps in nurses' knowledge and practices regarding postoperative pain management, particularly in opioid safety, dose conversion, and withdrawal symptoms. Over half of the nurses had inadequate knowledge, and most exhibited poor practices. Although negative attitudes were prevalent, training, experience, and personal pain exposure contributed to improved practices. Enhancing structured education, clinical mentoring, and institutional support is essential to improve postoperative pain care.
护士在疼痛管理中发挥着关键作用，通过遵循协议、准确的疼痛评估和个性化的疼痛缓解策略。然而，护士对疼痛的认知能力与患者的实际需求之间存在差距。在埃塞俄比亚，术后疼痛管理实践不足，关于护士疼痛认知的研究有限。为了评估埃塞俄比亚沃莱塔索多综合专科医院护士对术后疼痛管理的知识、态度、实践及相关因素。采用了一项涉及124名护士的横断面研究设计。使用关于疼痛的知识态度调查问卷和护士行为清单收集数据。使用SPSS 28版进行统计分析，采用描述性统计、单因素方差分析、独立样本t检验和Pearson相关系数。多元线性回归用于确定与疼痛管理实践相关的因素，统计学显著性设定为p值低于0.05。知识、态度和实践的平均得分分别为49.51±9.51、43.04±14.72和71.05±10.53。知识与实践之间（r = 0.348，p < 0.001）以及态度与实践之间（r = 0.247，p = 0.006）存在正相关。疼痛培训、疼痛经历、工作经验和婚姻状况是术后疼痛管理实践的独立影响因素。该研究突出了护士在术后疼痛管理知识和实践方面的关键差距，特别是在阿片类药物安全性、剂量转换和戒断症状方面。超过一半的护士知识不足，大多数表现出不良实践。尽管普遍存在消极态度，但培训、经验和个人疼痛经历有助于改善实践。加强结构化教育、临床指导和机构支持对于改善术后疼痛护理至关重要。
