Dong Ting, Ma Lingcao, Song Xiaolin, Wang Sisi, Dai Hanqing, Hou Kunhua
Department of Otolaryngology Head and Neck Surgery, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Neurology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Front Med (Lausanne). 2025 Aug 22;12:1594859. doi: 10.3389/fmed.2025.1594859. eCollection 2025.
Effective cancer pain management remains a critical global healthcare priority, however, significant disparities in nursing competence persist across healthcare systems. Although previous research has identified deficiencies in pain management practices, comprehensive evaluations of nurses' competence specifically in cancer pain management and their associated training needs are limited. This study contributes to the existing body of knowledge by assessing nurses' competency levels, identifying key modifiable factors that influence performance, and examining both the current status of training and unmet educational needs.
This cross-sectional study included a sample of 202 nurses. Cancer pain management competence was assessed using the Nurses' Cancer Pain Management Competency Scale. Group comparisons were conducted using test and analysis of variance. Associated factors were analyzed through Pearson's correlation analysis and multivariate linear regression.
Nurses demonstrated a moderate level of competence on the Nurses' Cancer Pain Management Competency Scale. Multiple linear regression analysis revealed that age, pain or cancer pain training, frequency of cancer pain care, and emotional intelligence were significant predictors of cancer pain management competence, collectively explaining 50.1% of the variance in scores ( = 23.455, < 0.01). While 89.6% of nurses reported a need for cancer pain management training, only 47.53% have received such training in the past 3 months. E-learning was the most preferred educational format, followed by lectures, hands-on practical training, and simulation-based learning.
This study highlights that nurses' competence in cancer pain management is significantly influenced by age, pain or cancer pain training, frequency of cancer pain care, and emotional intelligence. Despite a high demand for education, recent participation in training remains suboptimal. The preference for e-learning indicates a growing inclination toward flexible and accessible training approaches. Addressing these gaps in competence and training is crucial for improving the quality of cancer pain management in clinical practice.
有效的癌症疼痛管理仍然是全球医疗保健的关键优先事项，然而，不同医疗系统中护士能力存在显著差异。尽管先前的研究已经发现疼痛管理实践中的不足，但对护士在癌症疼痛管理方面的能力及其相关培训需求的全面评估仍然有限。本研究通过评估护士的能力水平、确定影响绩效的关键可改变因素以及审查培训现状和未满足的教育需求，为现有知识体系做出了贡献。
这项横断面研究纳入了202名护士样本。使用护士癌症疼痛管理能力量表评估癌症疼痛管理能力。采用t检验和方差分析进行组间比较。通过Pearson相关分析和多元线性回归分析相关因素。
护士在护士癌症疼痛管理能力量表上表现出中等水平的能力。多元线性回归分析显示，年龄、疼痛或癌症疼痛培训、癌症疼痛护理频率和情商是癌症疼痛管理能力的显著预测因素，共同解释了得分方差的50.1%（F = 23.455，P < 0.01）。虽然89.6%的护士报告需要癌症疼痛管理培训，但在过去3个月中只有47.53%的护士接受过此类培训。电子学习是最受欢迎的教育形式，其次是讲座、实践操作培训和基于模拟的学习。
本研究强调，护士在癌症疼痛管理方面的能力受到年龄、疼痛或癌症疼痛培训、癌症疼痛护理频率和情商的显著影响。尽管对教育的需求很高，但近期参与培训的情况仍不理想。对电子学习的偏好表明对灵活且易于获取的培训方法的倾向日益增加。解决这些能力和培训方面的差距对于提高临床实践中癌症疼痛管理的质量至关重要。
