重庆市耳鼻咽喉科护士疼痛管理知识及态度的调查分析

Investigation and analysis of otolaryngology nurses＇ knowledge and attitudes toward pain management in Chongqing

目的调查分析重庆市耳鼻喉科护士疼痛管理知识水平、态度现状，为护士疼痛知识培训及改进疼痛管理质量提供依据。方法采用（2008）中文版疼痛知识和态度调查（KASRP）问卷，对参加2014年重庆市耳鼻喉头颈外科学术研讨会的102名护士进行一般情况、疼痛管理现状和态度调查。结果耳鼻喉科护士对KASRP（2008）中文版问卷的平均答对率中位数（四分位间距）为45．9％（38．9％，51．O％）。（1）通过对不同特征护士答题得分及答对率比较，护士的疼痛知识水平主要与工作后的疼痛继续教育有关，关联程度具有统计学意义，P〈0．05，而与年龄、工作年限、学历、职称、学校教育、临床应用疼痛评估工具等方面均无显著相关性，关联程度具有统计学意义，P〉0．05。（2）护理工作接受疼痛知识教育的比例为69．6％（71／102），有74．5％（76／102）的护士在日常工作中应用疼痛评估工具对患者进行疼痛评估。（3）护士最想获得疼痛评估的信息，其次为疼痛的药物治疗，镇痛泵的操作知识和非药物疼痛干预措施。结论护士整体疼痛管理知识不足，通过继续教育和从学术期刊上获取疼痛知识可提高护士的知识水平，为疼痛规范化培训及改进疼痛管理质量提供依据。

Objective To explore otolaryngology nurses＇ knowledge of pain and attitude toward pain management and to provide reference for pain management. Methods A total of 102 otolaryngology nurses who participated in 2014 in Chongqing of Otolaryngology Head and Neck Surgery Symposium were surveyed by the nurses＇ general condition and current management situation and attitude survey regarding Chinese Knowledge and Attitude Survey Regarding Pain（KASRP）. Results Average correct response rate on the KASRP from otolaryngoiogy nurses was 45.9%,the interquartile range was 38.9%-51.0%,nurses＇ knowledge was relate to continuing education, P〈0.05, while irrelevant to age, work experience, education, job title, school education, clinical application of pain assessment tools, etc, P〉0.05. The proportion of nurses who accept the education of pain knowledge was 69.6% （71/102）, there was 74.5% （76/102） nurses assess the patient by pain assessment tools in their daily work. Nurses first want to get the information of pain assessment, followed by pain medication, operational knowledge of analgesia pump and non-drug interventions for pain. Conclusions Nurses lack knowledge of pain, need to strengthen pain management training by continuing education and get knowledge of pain from academic journals, to provide reference for pain management.