河南省某肿瘤医院护士癌痛管理态度现状调查及分析

Investigation and analysis of present situation of cancer pain management attitudes in nurses of one cancer hospital

目的：调查河南省某三级甲等肿瘤医院护士癌痛相关知识掌握情况,了解护士是否具有正确的癌痛管理观念。方法通过整群抽样的方法对河南省某三级甲等肿瘤医院580名护士采用自行设计的癌痛相关知识调查表进行调查,了解癌痛知识掌握现状,并分析其相关因素。结果580名护士癌痛相关知识调查得分318人为优秀,占54.8%；207人为及格,占35.7%；55人为不及格,占9.5%。有373名护士（64.34%）了解癌症三阶梯止痛方案。护士的年龄、职称和从事肿瘤护理工作的年限与癌痛相关知识得分呈正相关（r值分别为0.211,0.268,0.207；P〈0.01）。结论现阶段肿瘤医院护士掌握的癌痛相关知识不足,应通过不断学习和更新癌痛管理的理念、知识和实践,提高护士疼痛相关知识,树立正确的止痛观念,提高肿瘤患者的生活质量,适应临床发展的需要。

Objective The investigation was done in one level three class A cancer hospital in Henan province to understand the nurses′master level of cancer pain and whether nurse have the right concept of cancer pain management. Methods Through cluster sampling, self-designed nurses pain knowledge questionnaire was used to investigate 580 nurses for the master level of cancer hospital in a level three class A cancer hospital in Henan province. Results Among 580 nurses, the cancer related knowledge investigation score were 318 nurses acquired excellent （54. 8%）, 27 nurses acquired pass （35. 7%） and 55 nurses obtained fall （9. 5%）. There were 373 nurses （ 64. 34%） understood the cancer three stages pain management plan. The nurse′s ages, occupational titles and work experiences of cancer nursing had positive correlation with the score of cancer related knowledge （r=0. 211, 0. 268, 0. 207;P〈0. 01）. Conclusions At present, the cancer hospital nurse′s master of knowledge related cancer pain is not enough, so we should enhance nurse′s pain related knowledge level, establish the correct concept of pain management, promote cancer patient′s quality of life by the continuous study and updated concept, knowledge and practice, so as to meet the demands of clinical.