227名骨科护理人员疼痛管理知识和态度调查分析

Knowledge and Attitude Toward Pain Management of 277 Orthopedics Nurses

目的探讨骨科护理人员疼痛管理知识和态度,为骨科护士规范化培训及创伤病人疼痛管理提供科学依据。方法采用自行设计一般调查问卷、护理人员疼痛知识和态度调查表,对某省5所三级甲等医院227名骨科护理人员进行调查。结果本组65.6%骨科护理人员学习过疼痛知识,但不全面;62.6%和33.0%的骨科护理人员认为有必要和很有必要学习,而且非常希望通过医院开展的继续教育项目、临床教学查房形式学习,5.7%经常从学术期刊上获取疼痛相关知识;只有18.1%总是使用疼痛评估工具进行评估;疼痛评估、非药物疼痛干预措施、疼痛的药物治疗是最想获得的前3位疼痛相关知识;疼痛知识和态度问卷平均答对率为44.8%,得分为(20.02±4.27)分,"系统学习过疼痛相关知识"、"经常从学术期刊上获取疼痛相关知识"的骨科护理人员问卷得分较高。结论目前骨科护理人员疼痛知识掌握程度不够,疼痛管理能力较低,认为学习疼痛管理知识非常必要,因此应加强疼痛知识的培训,尤其是疼痛管理综合应用及疼痛评估和非药物干预措施。

Objective To explore orthopedic nurses’ knowledge of and attitude toward pain management and to provide reference for pain management. Methods A total of 277 orthopedic nurses from five Class Ⅲ Grade Ⅰ hospitals were surveyed by the nurses ’ knowledge and attitude survey regarding pain and general information questionnaire. Results Totally 65.6%of the orthopedic nurses had learned about knowledge of pain but not systematically and 95.6% thought it was indispensible to acquire pain knowledge especially about pain assessment, pain related psychology and drug therapy. Only 5.7%of the nurses obtained knowledge of pain from academic journals and only 18.1% of them always employed pain assessment tool. The mean rate of correct answer to knowledge of pain and attitude was 44.8%and the mean score was 20.02±4.27. Conclusion Orthopedic nurses lack knowledge of pain and have negative attitudes toward pain management but they have strong desire to acquire knowledge of pain, especially about pain assessment, pain related psychology and drug therapy.