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Determinants of Nurse Professional Behavior: A cross-Sectional Study of Nurses at Public Health Centers in Indonesia 护士职业行为的决定因素:印度尼西亚公共卫生中心护士的横断面研究
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41212
Dodi Wijaya, Nurfika Asmaningrum, Kholid Rosyidi Muhammad Nur, Murni Herawaty Sitanggang, Yennike Tri Herawati
The provision of health services to the community based on the professional attitudes and behavior of nurses will increase public trust and reduce negative perceptions such as inappropriate actions, lack of skills, lack of communication with patients and lack of speed in responding to patient complaints. The study aimed to determinants that influence the professional behavior of nurses in health centers in Indonesia. An analytic observational study with a cross sectional research design, it was conducted for two months, from August to October 2022. We involved 227 nurses working in 50 puskesmas in Jember Regency, East Java, Indonesia. There are 3 new findings in this study, the following is an explanation of the research findings (1) the professional behavior of nurses is influenced by sociodemographic factors, individual factors, and psychological factors, (2) the determinants that have a major influence on nurses' professional behavior are individual factors, ( 3) Individual factors are reflected by indicators of competence and ability of nurses, (4) The better the competence and ability of nurses, the better the professional behavior of nurses.  The professional behavior of nurses is influenced by sociodemographic factors, individual factors, and psychological factors.
以护士的专业态度和行为为基础向社区提供保健服务,将增加公众的信任,减少诸如行为不当、缺乏技能、缺乏与患者的沟通以及对患者投诉反应迟钝等负面看法。本研究旨在探讨影响印尼卫生中心护士职业行为的决定因素。该研究是一项采用横断面研究设计的分析性观察研究,于2022年8月至10月进行了两个月。我们调查了在印度尼西亚东爪哇省Jember Regency的50个医院工作的227名护士。本研究有3个新发现,对研究结果的解释如下:(1)护士的专业行为受社会人口学因素、个体因素和心理因素的影响;(2)对护士专业行为产生主要影响的决定因素是个体因素;(3)个体因素通过护士胜任力和能力指标反映;护士的职业行为越好。护士职业行为受社会人口学因素、个体因素和心理因素的影响。
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引用次数: 0
Mask Wearing Behavior to Prevent Acute Respiratory Tract Infections During the COVID-19 Pandemic Among Students in Jakarta 雅加达学生在COVID-19大流行期间佩戴口罩预防急性呼吸道感染的行为
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41145
Apriana Rahmawati, U. Rohmah, Shenda Maulina Wulandari, Harizza Pertiwi
Introduction: The incidence of acute respiratory infections (ARI) tends to be higher in urban areas, especially in Jakarta, the centre of activity in Indonesia. However, the COVID-19 pandemic forced people to wear masks in both urban and rural areas to prevent the virus from entering the respiratory tract. The purpose of this study was to identify the relationship between mask-wearing behaviour and outbreaks of acute respiratory infections during the COVID-19 pandemic among students in Jakarta. Methods: The design of this study was cross-sectional. The consecutive sampling technique was used to select 328 students as the respondents. The independent variable was mask-wearing behaviour (knowledge, attitude, practice). The dependent variable was ARI. The data were collected using a Google Forms questionnaire and then analysed by using the Chi-square test and multiple logistic regression test with a significance level of p < 0.05. Results: The result showed that respondents had good knowledge (57%), positive attitude (56.7%), good practice (50.6%), and did not have a history of ISPA (64.3%). The predictive factors affecting ARI showed significant results in the attitude domain (p <0.05; OR 1.907). Conclusion: This study found a connection between mask-wearing behaviour and knowledge, attitude, and practice to prevent ARI. We propose normalizing the use of masks even though the number of COVID-19 infections is gradually decreasing to prevent respiratory infections caused by the high rate of air pollution in urban areas.
简介:急性呼吸道感染(ARI)的发病率在城市地区往往较高,特别是在印度尼西亚的活动中心雅加达。然而,COVID-19大流行迫使城市和农村地区的人们戴上口罩,以防止病毒进入呼吸道。本研究的目的是确定雅加达学生在COVID-19大流行期间佩戴口罩行为与急性呼吸道感染爆发之间的关系。方法:本研究采用横断面设计。采用连续抽样的方法,选取328名学生作为调查对象。自变量为戴口罩行为(知识、态度、实践)。因变量为ARI。采用Google Forms问卷收集数据,采用卡方检验和多元logistic回归检验进行分析,显著性水平p < 0.05。结果:被调查者对ISPA的认知良好(57%),态度积极(56.7%),行为良好(50.6%),无ISPA病史(64.3%)。影响ARI的预测因素在姿态域有显著性差异(p <0.05;或1.907)。结论:本研究发现戴口罩行为与预防ARI的知识、态度和实践之间存在联系。我们建议在新冠肺炎感染人数逐渐减少的情况下,实现口罩使用常态化,防止城市空气污染严重导致的呼吸道感染。
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引用次数: 0
Prenatal and Postpartum Care Experiences During COVID-19 Pandemic Among Mothers in Denpasar 登巴萨市母亲在COVID-19大流行期间的产前和产后护理经验
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41146
Ika Widi Astuti, I Gede Ngurah Harry Wijaya Surya
Pregnant women generally report hesitation and reluctance in visiting health care providers to acquire prenatal care due to fear of SAR-Cov2 infection. The habit and culture of prenatal care among pregnant women influence the final pregnancy outcome. This study aimed to explore experiences of pregnancy, postpartum, and newborn care among the mothers, and also to provide basics in developing nursing care programs for pregnant women, postpartum care, and newborn care, responding to the new normal era adequately. This was a qualitative study with a phenomenology design. In-depth interview sessions involving 12 participants with a history of pregnancy and childbirth from March 2020 to March 2021 were conducted in Denpasar City. Collaizi model enrolled for the data analysis. Three themes surfaced during the data analysis: mothers’ feelings toward their pregnancy experience during the pandemic, health care services expected from the health professionals, and social supports during the pregnancy and postpartum period. These findings may present contributions to the organization of health information and maternity care service: pregnancy, postpartum, and newborn care, with more convenient access and delivered during the visitation of the health care providers.
孕妇普遍报告说,由于担心感染sars - cov2,她们在去卫生保健提供者那里获得产前护理时犹豫不决。孕妇产前护理的习惯和文化影响最终的妊娠结局。本研究旨在探讨母亲在孕期、产后、新生儿护理方面的经验,为制定孕期、产后、新生儿护理方案提供基础,以充分应对新常态。这是一项具有现象学设计的定性研究。在登巴萨市进行了深度访谈,涉及12名在2020年3月至2021年3月期间有怀孕和分娩史的参与者。采用Collaizi模型进行数据分析。数据分析期间出现了三个主题:母亲对大流行期间怀孕经历的感受、对卫生专业人员的医疗保健服务的期望,以及怀孕和产后期间的社会支持。这些发现可能会对健康信息和产科护理服务的组织做出贡献:怀孕、产后和新生儿护理,在卫生保健提供者访问期间更方便地获取和交付。
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引用次数: 0
The Effect of Simulation Puzzle Games on Increasing Mother's Knowledge about Stunting Prevention and Feeding Patterns In Children aged 0-24 Months 模拟益智游戏对提高0-24月龄儿童母亲预防发育迟缓知识和喂养方式的影响
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41204
Apriani Susmita Sari, Nurrannisa Fitria Aprianti
Background: Stunting is a condition where a person's height is shorter than the height of other people in general (of the same age). Factors that influence the incidence of stunting are the mother's knowledge about stunting prevention and feeding patterns. Knowledge results from knowing after people have sensed a particular object. The feeding pattern is the mother's way of giving food to children aged 0-24 months. Objectives: This study aims to determine the effect of the simulation games puzzle on increasing mothers' knowledge about stunting prevention and feeding patterns in children aged 0-24 months. Methods: The research design was quasi-experimental with a non-equivalent (pretest and post-test) control group design. Results: There was a significant difference in mother's knowledge about stunting prevention in the simulation game puzzle and booklet group after education (p=0.032), and there was a significant difference in feeding patterns for children aged 0-24 months in the simulation game puzzle and booklet group after education (0.043). Conclusion: Simulation puzzle games and booklets can effectively be used as educational media in increasing mothers' knowledge about stunting prevention and feeding patterns in children aged 0-24 months.
背景:发育迟缓是指一个人的身高低于(同龄)其他人的身高。影响发育迟缓发生率的因素是母亲预防发育迟缓的知识和喂养方式。知识是在人们感知到一个特定的物体之后产生的。喂养方式是母亲给0-24个月大的孩子喂食的方式。目的:本研究旨在确定益智模拟游戏对提高0-24月龄儿童母亲预防发育迟缓知识和喂养方式的影响。方法:采用准实验设计,采用非等效(前测和后测)对照组设计。结果:教育后模拟游戏益智组和小册子组母亲预防发育迟缓知识知晓程度差异有统计学意义(p=0.032),教育后模拟游戏益智组和小册子组0 ~ 24月龄儿童喂养方式差异有统计学意义(p= 0.043)。结论:模拟益智游戏和小册子可以有效地作为教育媒介,提高母亲对0-24月龄儿童发育迟缓预防和喂养方式的认识。
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引用次数: 0
Improving Diabetes-Mellitus Self-Care Practice Using Educational Video in Preventing Covid-19 (EPIC-19) during the Pandemic 大流行期间利用教育视频预防Covid-19 (EPIC-19)改善糖尿病自我保健实践
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41202
Sri Dewi Megayanti Mega, Inge Ruth Suantika
Introduction: Diabetes is one of the comorbidities that are susceptible to infection due to chronic hyperglycemia that affects immune dysfunction, where which could be prevented by increasing self-care. Self-care is increased by providing adequate education regarding the prevention of diabetes transmission, video education is believed to help facilitate the provision of information. This study aims to determine the effect of providing educational video innovations for the prevention of covid 19 infection (EPIC-19) on the self-care of diabetic patients during the pandemic. Methods: The design of this research is a quasi-experimental design with a one-group pretest-posttest design. The population in this study were all the Diabetes with ulcers  in East of Denpasar District, Denpasar Regency and number of samples was 36  respondents using a consecutive sampling according to the inclusion criteria. Collecting data using a summary diabetes self care activities (SDSCA) questionnaire modified with several statements adapted to the behavior of preventing Covid-19 infection. The Questionnaire has been validity by  the face validity method from two experts in the field of endocrine academic and clinical.Data analysis using Wilcoxon test with an alpha of 0.05 Results: The results showed  there was an effect of giving EPIC-19 video on respondents' self-care regarding the behavior of preventing covid 19 infection, with a p-value of 0.0001 (p <0.05). Conclusion: Video is one of the media that can be used to provide health education during a pandemic. In addition to its attractive shape, video media makes it easier for patients to understand the information needed.
导读:糖尿病是一种容易感染的合并症,因为慢性高血糖会影响免疫功能障碍,这可以通过加强自我保健来预防。通过提供有关预防糖尿病传播的充分教育,提高了自我保健水平,视频教育被认为有助于促进信息的提供。本研究旨在确定提供预防covid -19感染教育视频创新(EPIC-19)对大流行期间糖尿病患者自我保健的影响。方法:本研究采用准实验设计,采用单组前测后测设计。本研究的人群为登巴萨县东登巴萨区所有患有溃疡的糖尿病患者,样本数量为36人,按照纳入标准进行连续抽样。使用糖尿病自我护理活动摘要(SDSCA)问卷收集数据,问卷中修改了一些适合预防Covid-19感染行为的陈述。问卷由两位内分泌学界及临床专家采用面效度法进行效度测试。结果显示,播放EPIC-19视频对被调查者预防covid -19感染行为的自我护理有影响,p值为0.0001 (p <0.05)。结论:视频是大流行期间可用于提供健康教育的媒介之一。除了外形吸引人之外,视频媒体还使患者更容易理解所需的信息。
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引用次数: 0
The Influence of the Drama "My Mother, My Exclusive Breastfeeding Hero" on the Motivation of Exclusive Breastfeeding 电视剧《我的妈妈,我的纯母乳英雄》对纯母乳喂养动机的影响
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41156
Indah Dewi Ridawati, I. Kumalasari
Health education and promotion actions have been carried out at the Simpang Periuk Health Center, Lubuklinggau City by health workers, but in practice the percentage of mothers who do exclusive breastfeeding has not reached 80%. It is necessary to hold health promotion innovations in the form of drama games to touch the hearts of breastfeeding mothers so that awareness arises and strong motivation is formed to pass exclusive breastfeeding. The purpose of this study was to determine the effect of the drama "My Mother, My Exclusive ASI Hero" on the motivation to give exclusive breastfeeding to breastfeeding mothers in the work area of ​​Simpang Periuk Health Center, Lubuklinggau City. The research method used is a quasi-experimental without a control group. The sample used was 33 breastfeeding mothers with the age of the baby not exceeding 6 months by accidental sampling. The results of the Wilcoxon test showed that there was a difference in the mean value of exclusive breastfeeding motivation before and after the drama was given (p=0.000). so it could be concluded that there was a significant increase in the motivation for exclusive breastfeeding before and after the drama was given. Suggestions to the Puskesmas to be able to use the drama "My Mother is My Exclusive ASI Hero" as a method of health promotion
保健工作者在卢布克林高市的Simpang peruk保健中心开展了健康教育和促进行动,但实际上,纯母乳喂养的母亲比例尚未达到80%。有必要以戏剧游戏的形式举办健康促进创新活动,触动母乳喂养母亲的心,提高意识,形成强烈的通过纯母乳喂养的动力。本研究的目的是确定戏剧“我的母亲,我的独家ASI英雄”对在卢巴克灵高市新邦佩鲁克保健中心工作区域内对母乳喂养母亲进行独家母乳喂养的动机的影响。研究方法为准实验,不设对照组。采用随机抽样的方法选取了33名母乳喂养的母亲,她们的婴儿年龄不超过6个月。Wilcoxon检验结果显示,在戏剧播放前后,纯母乳喂养动机的平均值存在差异(p=0.000)。因此,可以得出结论,在戏剧播放前后,纯母乳喂养的动机显著增加。建议Puskesmas能够使用戏剧“我的母亲是我唯一的ASI英雄”作为健康促进的方法
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引用次数: 0
The Effect of Prone Position for Increasing OXygen Saturation of COVID-19 Patients 俯卧位对提高COVID-19患者血氧饱和度的影响
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41159
I. Antara, Ni Wayan Erik Juniantari, I. Ariawan, I. K. Artawan
Coronavirus Disease 2019 (COVID-19) is a disease caused by the SARS-CoV-2 virus that attacks the respiratory system, Oxygen saturation (SpO2) is one of the indicators of the severity of COVID-19 infection. Prone position is given as a nurse's self-intervention in COVID-19 patients which can evidently increase oxygenation in patients characterized by increased oxygen saturation. This study aims to determine the effect of prone position for increasing oxygen saturation of COVID-19 patients. This study used a pre-experimental design with a one-group pre-post test design without a control group. Researchers measure oxygen saturation before (pre-test) and after (post-test) to perform prone position in COVID-19 patients. The study population was all COVID-19 patients treated in the Isolation Room of a hospital in Bali. The sample in the study was 30 people who met the research criteria using purposive sampling techniques. The results of the study were obtained before prone position the average oxygen saturation was 94.90% while after being given the intervention prone position became 98.40%. Based on the Wilcoxon test analysis obtained p-value = 0.001. It concluded that there was a significant effect of prone position for increasing oxygen saturation of COVID-19 patients.  Nurses are expected to provide education about prone position for COVID-19 patients, and the patients is recommended to practice prone position exercise to accelerate healing and reduce mortality
2019冠状病毒病(COVID-19)是由SARS-CoV-2病毒引起的一种侵袭呼吸系统的疾病,血氧饱和度(SpO2)是衡量COVID-19感染严重程度的指标之一。COVID-19患者给予俯卧位作为护士的自我干预,可明显增加血氧饱和度升高患者的氧合。本研究旨在确定俯卧位对提高COVID-19患者血氧饱和度的影响。本研究采用实验前设计,一组前后测试设计,不设对照组。研究人员在COVID-19患者采取俯卧姿势之前(前测)和之后(后测)测量氧饱和度。研究人群为在巴厘岛一家医院隔离室接受治疗的所有COVID-19患者。该研究的样本是30名符合研究标准的人,使用了有目的的抽样技术。研究结果显示,俯卧位前平均血氧饱和度为94.90%,干预后平均血氧饱和度为98.40%。根据Wilcoxon检验分析得到p值= 0.001。结论俯卧位对提高新冠肺炎患者血氧饱和度有显著效果。希望护士对新冠肺炎患者进行俯卧位教育,并建议患者进行俯卧位练习,以加速愈合,降低死亡率
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引用次数: 0
The Effectiveness of Leaflet and Video Educational Media Through Whatsapp toward the Knowledge of Type 2 DM Patients 通过Whatsapp的宣传单和视频教育媒体对2型糖尿病患者知识的有效性
Pub Date : 2023-01-31 DOI: 10.37363/bnr.2023.41140
I. M. Mahardika, Ni Made Ayu Sukma Widyandari
Diabetes Mellitus (DM) is a metabolic disease with characteristics of hyperglycemia that occurs due to abnormalities in the secretion of insulin, the action of insulin or both. Diabetes is known as a silent killer because when it is known that complications have occurred. Complications can be prevented through a good understanding and knowledge of diabetes. Knowledge of DM patients can be improved through the provision of Education. There are various ways of providing education such as the type of media used and how education is given. The purpose of the study was to determine the effectiveness of leaflet education media and video education media through Whatsapp application to the knowledge of Type 2 DM patients. The research design used is quasi experimental design using pre-test and post-test with control group design. The sample consisted of 112 people divided into two groups, 56 people in the control group (leaflet media) and 56 people in the intervention group (video media). Sampling technique by purposive sampling. The results showed that health education provided with leaflets and video media via Whatsapp had an effect on improving the knowledge of Type 2 DM patients (p-value 0.000). The results of Independent T-Test showed the mean value on the leaflet media 12.10 and the mean on the video media 13.28 with a p-value of 0.019. Conclusion: the provision of health education using video media via Whatsapp is more effective in improving knowledge in Type 2 DM patients than using leaflet media via Whatsapp.  
糖尿病(DM)是一种以高血糖为特征的代谢性疾病,是由于胰岛素分泌异常、胰岛素作用异常或两者兼有而发生的。糖尿病被称为无声杀手,因为当它被发现时,并发症已经发生。通过对糖尿病的了解和认识,可以预防并发症的发生。通过提供教育,可以提高对糖尿病患者的认识。提供教育的方式多种多样,例如使用的媒体类型和教育的方式。本研究的目的是确定通过Whatsapp应用的传单教育媒体和视频教育媒体对2型糖尿病患者知识的有效性。研究设计为准实验设计,采用前测和后测,对照组设计。样本由112人组成,分为两组,对照组56人(传单媒体)和干预组56人(视频媒体)。有目的抽样的抽样技术。结果显示,通过Whatsapp提供宣传单和视频媒体的健康教育对提高2型糖尿病患者的知识有效果(p值为0.000)。独立t检验结果显示,单叶介质上的平均值为12.10,视频介质上的平均值为13.28,p值为0.019。结论:在2型糖尿病患者中,使用Whatsapp视频媒体进行健康教育比使用Whatsapp单张媒体进行健康教育更有效。
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引用次数: 0
Factors Affecting the Sleep Quality of Patients in the Intensive Care Unit 影响重症监护病房患者睡眠质量的因素
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33194
Barkah Waladani, Endah Setianingsih, Juni Sofiana
Introduction: The condition of the patient in the intensive room and the environmental conditions that occur in the intensive room can affect the quality of the patient's sleep. The purpose of this study was to determine the factors that influence the quality of sleep of patients in the intensive care unit. Methods: This research is a type of quantitative research using descriptive analytical methods. The time approach used is cross- sectional. The sample in this study amounted to 90 respondents. Results: The results showed that the p value of each factor was physical factor p 0.027, noise p 0.020, lighting p 0.043, and activity p 0.000. The p value of the 4 factors is smaller than <0.05, thus indicating that physical variables, noise, lighting and activity have an influence on sleep quality. The strength of the relationship can be seen from the value of OR (EXP [B]), seen from the largest to the smallest values are activity (OR: 5,686), lighting (OR: 2,781), physical (2,040) and noise (OR: 1,491). Based on these results, the most influencing factor for sleep quality is activity. Conclusion: The conclusion of this study is that the factors that affect sleep quality are physical, noise, lighting, and activity. The most influencing factor for sleep quality is activity. Recommendations that can be done are to suppress or reduce factors that affect sleep quality.
导读:重症病房内患者的情况以及重症病房内发生的环境条件都会影响患者的睡眠质量。本研究的目的是确定影响重症监护病房患者睡眠质量的因素。方法:本研究采用描述性分析方法进行定量研究。所用的时间方法是横断面的。本研究样本共90人。结果:各因素的p值分别为物理因素p = 0.027,噪音p = 0.020,照明p = 0.043,活动p = 0.000。4个因素的p值均小于<0.05,说明物理变量、噪声、光照和活动量对睡眠质量有影响。关系的强度可以从OR (EXP [B])的值看出,从最大到最小的值是活动(OR: 5,686),照明(OR: 2,781),物理(2,040)和噪声(OR: 1,491)。基于这些结果,对睡眠质量影响最大的因素是活动。结论:本研究的结论是,影响睡眠质量的因素是身体、噪音、照明和活动。影响睡眠质量的最大因素是活动。可以做的建议是抑制或减少影响睡眠质量的因素。
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引用次数: 0
Knowledge of Nurses in Using Critical-Care Pain Observation Tools to Assess Pain of Unconscious Patient in Intensive Care Unit 护士使用重症监护疼痛观察工具评估重症监护病房昏迷病人疼痛的知识
Pub Date : 2022-11-30 DOI: 10.37363/bnr.2022.33115
Barkah Waladani, Endah Setianingsih, Margo Sutrisno, Syamsul Bahri
Introduction: In the critical nursing area, many intubated patients are unable to communicate to indicate the level of pain felt. Assessing the characteristics of pain, especially in patients with mechanical ventilation is a major nursing intervention that requires nursing knowledge. The examination of the CPOT pain scale was certainly accompanied by the knowledge that must be possessed by the nurse when going to conduct a pain assessment in patients who were not able to express pain verbally in the ICU, so as to provide appropriate intervention and help assess the patient's pain response non-verbally. The purpose of this study was to determine the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain. Methods: This study used a quantitative descriptive research method, with total sampling. Samples were taken by 72 respondents. Results: The results obtained 14 respondents with good knowledge, 26 respondents with enough knowledge, and 32 respondents with less knowledge. Conclusion: The conclusion is that the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain is poor knowledge. The recommendation for this research is to provide knowledge related to pain assessment using CPOT with education.
在关键护理领域,许多插管患者无法沟通,以表明所感受到的疼痛程度。评估疼痛特征,特别是机械通气患者的疼痛特征是一项主要的护理干预,需要护理知识。在检查CPOT疼痛量表的同时,护士在对ICU中无法用语言表达疼痛的患者进行疼痛评估时必须掌握的知识,以便提供适当的干预,帮助评估患者的非语言疼痛反应。本研究的目的是了解护士使用危重护理疼痛观察工具评估疼痛的知识。方法:本研究采用定量描述性研究方法,全抽样。72名受访者抽取了样本。结果:知识较好的14人,知识较好的26人,知识较差的32人。结论:护理人员在使用危重护理疼痛观察工具评估疼痛方面知识贫乏。本研究的建议是通过教育提供与CPOT疼痛评估相关的知识。
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引用次数: 0
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Babali Nursing Research
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