某院85名伤口治疗护士伤口疼痛认知及管理情况分析

Survey on Knowledge and Management about Wound Pain of 85 Wound Treatment Nurses

目的了解伤口治疗护士对伤口疼痛相关知识的掌握程度及目前临床实践中伤口疼痛管理现状,为开展伤口疼痛教学及提高临床伤口疼痛管理水平提供参考依据。方法自行设计调查问卷,采用便利抽样的方法选取四川省某大型三级甲等医院85名参与伤口治疗工作的护士作为研究对象,从其对伤口疼痛的基本认知情况、伤口疼痛评估情况、伤口疼痛的管理措施及接受伤口疼痛相关培训4个方面进行问卷调查,调查数据采用SPSS 17.0软件进行数据处理。结果伤口治疗护士对伤口疼痛相关知识缺乏,41%不了解伤口疼痛的分类,37%认为伤口疼痛不会影响伤口愈合,25%认为伤口疼痛不可避免;伤口管理的现状并不理想,28%未对伤口疼痛进行评估,48%根据临床经验来评估伤口疼痛,选择新型敷料控制伤口疼痛的只有14%;100%认为有必要设置伤口疼痛培训课程。结论伤口治疗护士对伤口疼痛认知情况并不理想,临床实践中伤口疼痛的管理亟待改善,需要不断地增强伤口疼痛管理的培训教育,更新观念,以提高临床伤口治疗水平。

Objective To understand wound treatment nurses＇ knowledge about wound pain, to know the status of wound pain management and to provide basic information for future teaching and management of wound pain. Methods A self-designed questionnaire was used to survey 85 wound treatment nurses in a large hospital in Sichuan province. The questionnaire included four parts： wound treatment nurses＇ knowledge about wound pain; assessment for wound pain; the frequently-used measures in wound pain management and the wound pain training for wound treatment nurses. Results Nurses lacked knowledge about wound pain. Of the total, nurses had no idea of types of wound pain accounted for 41%. Besides, 37% of the nurses believed that wound pain would not affect wound healing. Meanwhile, 25% of them regarded that wound pain is unavoidable and the status of wound pain management wasn＇t optimistic. Those conducted no evaluation on wound pain accounted for 28% and all the nurses thought it was indispensable to develop wound pain training. Conclusion Since the wound treatment nurses＇ knowledge is limited, the education of wound pain should be reinforced as the status of wound pain management needs to be improved.