护士主导培训对外科护士疼痛评估和管理知识的影响,尼日利亚西南部

Adeyeni A.B., Wennie J., Asonye C.C., Akintunde F.E., Sodimu J., K. N.D.
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摘要

在包括外科手术在内的大多数侵入性手术中,疼痛是不可避免的。经历疼痛的病人希望他们的照顾者,尤其是护士能减轻疼痛。然而,这些期望往往得不到满足。本研究的目的是确定疼痛评估和管理培训计划对Ile-Ife Obafemi Awolowo大学教学医院外科护士疼痛知识的影响。材料与方法:本研究采用单组准实验前后设计。从248名外科护士中选取108名受访者,使用一般公式确定样本量。采用自我报告问卷(SRQ)和疼痛知识与管理文本文件(TPKMP)评估手术护士在干预前后对疼痛和管理的知识。采用描述性统计和推理统计(t检验)进行数据呈现,并通过SPSS version 20进行分析,显著性水平为0.05。结果:研究发现,干预前后患者对疼痛评估知识(p= 0.007)、对非药物管理知识(p= 0.00)和对疼痛药物管理知识(p= 0.00)的差异均有统计学意义。结论:护士关心病人的主观感受,有道德义务照顾痛苦的病人。因此,该研究建议为护士组织关于疼痛评估和管理的定期培训和研讨会,以提供确保舒适和最佳健康结果的服务。
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The Effect of a Nurse-Led Training on Knowledge of Pain Assessment and Management Among Surgical Nurses, South-West, Nigeria
Introduction: Pain is inevitable in most invasive procedures, which include surgery. Patients experiencing pains expect to have it relieved by their caregivers, most especially nurses. However, these expectations are not often met. The objective of the study was to determine the effect of pain assessment and management training programs on surgical nurses’ knowledge about pain in Obafemi Awolowo University Teaching Hospital, Ile-Ife. Material and Methods: The study utilized a one-group quasi-experimental pre and post-test design. The general formula was used to determine the sample size of 108 respondents out of a total population of 248 surgical nurses. A Self-Report Questionnaire (SRQ) and a Text Paper on Knowledge and Management of Pain (TPKMP) were used to assess the surgical nurses’ knowledge of pain and management pre and post-intervention. Descriptive and inferential statistics (t-test) were used for data presentation and analysis via SPSS version 20 at a 0.05 level of significance. Results: Research findings revealed significant differences between pre and post-intervention knowledge on pain assessment (p = 0.007), knowledge on non-pharmacological management (p= 0.00) and knowledge of pharmacological management of pain (p = 0.00), respectively. Conclusion: Nurses are concerned with assessing the patients´ subjective experiences and have a moral obligation to care for the patients in pain. Therefore, the study recommended that regular training and seminars on pain assessment and management should be organized for nurses to render services that ensure comfort and optimal health outcomes.
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