护士对急诊科疼痛管理的认识、态度和感知障碍;KAP 研究。

IF 2.9 Q1 EMERGENCY MEDICINE Archives of Academic Emergency Medicine Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI:10.22037/aaem.v12i1.2356
Farzad Bozorgi, Morteza Ghorbani Afrachali, Shiv Kumar Mudgal, Zohreh Hosseini Marznaki, Iraj Goli Khatir, Nipin Kalal, Fatemeh Keshavarzi, Seyed Mohammad Hosseininejad
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引用次数: 0

摘要

导言:作为患者权利的一个基本方面,护士对疼痛管理的充分了解和积极态度对成功进行疼痛管理至关重要。本研究旨在评估急诊科护士在急性疼痛管理方面的知识、态度和感知障碍:在这项横断面研究中,参与研究的护士是在一所医科大学内通过连续抽样技术选出的。使用 4 份问卷收集数据,包括人口统计学信息核对表、疼痛管理原则评估工具(PMPAT)、护士态度调查(NAS)和护士实践核对表。研究了知识、态度和障碍之间的相互关系以及参与者的基线特征:研究对象为 400 名护士,平均年龄为(38.26±10.39)岁(男性占 63%)。被试护士的平均知识得分为(7.38±2.16)分(范围:1-14)。所有 400 名护士(100%)的知识水平均较低。参与者的平均态度得分为 58.47±22.08(范围:26-100)分。214人(53.5%)态度较差,44人(11.0%)态度一般,142人(35.5%)态度较好。疼痛管理障碍的平均得分为 36.48 ± 23.52(范围:0 - 80)分。23(5.8%)名受试者认为从未遇到过障碍,113(28.3%)名受试者认为很少遇到障碍,71(17.8%)名受试者认为有时遇到障碍,133(33.3%)名受试者认为经常遇到障碍,60(15.0%)名受试者认为经常遇到障碍。疼痛管理知识得分与感知障碍之间存在反向关系(r=-0.164,P 0.065):本研究的结果突出表明,由于护士的知识和态度水平较低,有必要对其进行持续培训并组织研讨会。这些培训课程应侧重于疼痛的概念、评估方法、疼痛缓解以及药理学和疼痛生理学。
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Knowledge, Attitudes, and Perceived Barriers of Nurses Regarding Pain Management in Emergency Department; a KAP Study.

Introduction: Adequate knowledge and positive attitude among nurses are essential for successful pain management as a fundamental aspect of patients' rights. This study aimed to assess the knowledge, attitude and perceived barriers of nurses regarding acute pain management in emergency department.

Methods: In this cross-sectional study, participating nurses were selected using a consecutive sampling technique within a medical university. Data were collected using 4 questionnaires, which consisted of demographic information checklist, Pain Management Principles Assessment Tool (PMPAT), Nurses' Attitude Survey (NAS), and Nurses' practice checklist. The correlation between knowledge, attitude, and barriers with each other and with baseline characteristics of participates were studied.

Results: 400 nurses with the mean age of 38.26±10.39 years were studied (63% male). The average knowledge score of studied nurses was 7.38 ± 2.16 (range: 1 -14). All 400 (100%) nurses exhibited a low level of knowledge. The mean attitude score of participants was 58.47± 22.08 (range:26-100). 214 (53.5%) cases had low attitude, 44 (11.0 %) average attitude, and 142 (35.5%) cases exhibited a high attitude score. The mean score of barriers about pain management was 36.48 ± 23.52 (range: 0 - 80). 23 (5.8%) participants answered the perceived barriers as never, 113 (28.3%) as seldom, 71 (17.8%) as sometimes, 133 (33.3%) as often, and 60 (15.0%) as routine. There was an reverse relationship between the knowledge score and perceived barriers of pain management (r=-0.164, p<0.001). No significant relationship was found between the average knowledge score and nurses' attitudes (r = 0.092; p > 0.065).

Conclusions: The findings of this study highlight the need for ongoing training and the organization of workshops for nurses due to their low levels of knowledge and attitude. These training sessions should focus on the concept of pain, assessment methods, pain relief, as well as pharmacology and the physiology of pain.

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Archives of Academic Emergency Medicine
Archives of Academic Emergency Medicine Medicine-Emergency Medicine
CiteScore
8.90
自引率
7.40%
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0
审稿时长
6 weeks
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