关于疼痛管理的知识和态度:肿瘤和非肿瘤约旦护士的比较

S. Omran, M. Qadire, Nahla Al Ali, M. Hayek
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引用次数: 29

摘要

最佳疼痛管理是患者护理最重要的方面之一。护士在疼痛管理中起着关键的作用。本研究的目的是探讨和描述肿瘤和非肿瘤约旦护士对疼痛管理的知识和态度。研究样本包括来自约旦三家医院的263名护士。采用护士疼痛知识态度调查(NKASRP)对护士的疼痛管理知识和态度进行测评。参与研究的护士中,年龄在21 ~ 32岁之间的占64%,平均年龄30.9岁(SD 5.7)。共有89%的护士拥有学士学位。平均护理经验为7.3年(SD 5.3)。平均正确率为42.7%,范围为10.5% ~ 75%。在评估的40个疼痛知识问题中,平均正确回答的问题数为17.1 (SD 5.0),范围为4至30。护士特征与疼痛知识之间无显著差异。护士的受教育程度(P = 0.020)、既往癌症相关疼痛教育(P < 0.007)、定期癌症疼痛护理(P = 0.010)、疼痛管理相关知识得分和参加会议(P = 0.002)、疼痛管理相关知识得分和在职培训、模块、方案等相关知识和技能(P = 0.004)、知识得分和护士疼痛体验率(P < 0.001)、与疼痛管理相关的专业培训准备充足(P < 0.001)。目前在约旦的研究提供了关于疼痛管理知识缺陷的重要信息。护理课程中疼痛教育内容和课时分配是否适当,需要进行评估和改革。此外,强烈建议护士在临床环境中定期学习疼痛管理课程。
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Knowledge and Attitudes about Pain Management: A Comparison of Oncology and Non-Oncology Jordanian Nurses
Optimal pain management is one of the most important aspects of patient care. Nurses play a pivotal role effective in pain management. The aim of this study is explore and describe oncology and non-oncology Jordanian nurses' knowledge and attitudes regarding pain management. The study sample consisted of 263 nurses from three hospitals in Jordan. The Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP) was used to measure the nurses' pain management knowledge and attitudes. Of the nurses who participated in the study, 64% were between the ages of 21 and 32 years, with a mean age of 30.9 years (SD 5.7). A total of 89% of the nurses had a baccalaureate degree. The mean years of nursing experience were 7.3 (SD 5.3). The average correct response rate was 42.7%, ranging from 10.5% to 75%. Out of the 40 pain knowledge questions assessed, the mean number of correctly answered questions was 17.1 (SD 5.0), with a range of 4 to 30. No significant differences between nurses' characteristics and pain knowledge were found. Nurses' pain knowledge differed significantly according their educational level (P = 0.020), previous pain education related to cancer (P < 0.007), regular cancer pain care (P = 0.010), knowledge score and attendance of conferences related to pain management (P = 0.002), knowledge score and in-services training, modules, protocols and other knowledge and skills related to pain management (P = 0.004), knowledge score and nurses' rate of their experience with pain (P < 0.001), and adequate professional training preparation in regard to pain management (P < 0.001). The present study in Jordan provides important information about knowledge deficits in pain management. Pain education content and allocated hours in nursing curricula need to be evaluated for their adequacy and reformed accordingly. In addition, regular courses on pain management for nurses within their clinical setting are highly recommended.
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