外科护士术后疼痛知识和态度状况及影响因素的研究

Knowledge and attitude about postoperative pain management a- mong nurses in surgical wards

目的了解外科护士术后疼痛知识和态度状况及影响因素。方法采用“护理人员的疼痛知识和态度问卷”中文修订版，对厦门市3家综合性大医院的297名外科临床护士进行了调查。结果问卷平均答对率为45．98％（21．88％-71．88％），仅8个条目答对率在70％以上。研究对象平均回答正确（14．71±2．65）个题目（7-23题）。不同职称、学历、护龄的护士术后疼痛知识和态度得分差异无统计学意义（P〉0．05）。答对率低的条目表明护士缺乏疼痛评估知识、药物镇痛和非药物控制疼痛知识，过分担心镇痛药物的副反应如呼吸抑制和成瘾性。结论临床外科护士术后疼痛知识十分缺乏，对疼痛控制有不正确的观念。亟待建立统一的术后疼痛控制标准，对于疼痛知识的在校教育和继续培训设定一致要求，加强术后疼痛知识的教育。

Objective To describe the nurses＇knowledge and attitude about postoperative pain management in surgical wards and possible influenced factors. Methods 297 clinical surgical nurses in three hospitals of Xiamen were recruited tO complete a questionnaire, revised Chinese version of Nurse＇s Knowledge and Attitude Survey （NKAS） . Results The average correct responses rate for nurses＇knowledge and attitude was 45.98%, with rates from 21.88% to 71.88% for each survey question. Only 8 of the items got 60 percent correct responses or more. The mean number of correctly answer was 14. 71 ±2. 65, with a range from 7 to 23 items correctly answer. When the knowledge scores were further analyzed by nurses＇background characteristics, no significant difference was found among nurses in terms of position, education, years of experience and units （P 〉 0. 05） . Concluslons The Endings support the concern of inadequate knowledge and attitudes in relation to postoperative pain management. Basic and continuing education programs may improve knowledge level of nursing about postoperative pain management.