疼痛规范强化培训对改善护士的癌痛相关知识和态度的影响

Impact of intensified training of pain management on improving the knowledge and attitudes of nurse practitioners

目的 探讨疼痛规范化强化培训对护士癌痛知识和态度的影响.方法 该院所有护士纳入培训及调查人群.入组对象在1年内接受以医院、科室或片区为单位的癌痛规范化培训,内容包括癌痛知识、用药规范、不良反应处理、患者教育等.采用疼痛相关知识及态度量表（Knowledge and Attitudes Survey Regarding Pain）作为调查工具,在培训前后收集调查量表.从调查样本中随机选取各50例进行统计分析比较.结果 共168例研究对象纳入培训人群,培训前后分别发放量表各168份,分别有效回收141份和132份,随机各抽取50份.与培训前比较,培训后癌痛知识和态度的合格率由50%提高至86%（χ2=14.89,P〈0.001）,癌痛药物的正确使用方法掌握度由10%提高至62%（χ2=29.34,P〈0.001）,常见不良反应的观察和处理则无明显变化（88%∶76%,χ2=2.43,P=0.118）,26%的护士可应用癌痛相关量表对患者进行教育和评估（26%∶6%,χ2=7.44,P=0.006）.结论 疼痛规范化培训可改善护士的癌痛相关知识和态度.

Objective To explore the effect of intensified training of pain management on knowledge and attitudes of nurse practitioners.Methods All enrolled nurse practitioners were included in the training and investigation.All subjects received profession training organized by hospital,department or zone,and the training contained knowledge and attitude about cancer pain,prescription guidelines,management of adverse events,and patient education.Scale of Knowledge and Attitudes Survey Regarding Pain was applied and collected before and after training.Each 50 samples were extracted for statistical analysis and comparision.Results A total of 168 subjects were included in the training.And 168 scales were released respectivel before and after the training,141 and 132 valid pieces were collected before and after the training for further analysis respectively.And each 50 pieces were randomly chosen.The pass rate of knowledge and attitude towards cancer painafter training was increased from 50% to 86%（χ2=14.89,P〈0.001）.The mastery rate of acccurate application of cancer medicines was enhanced from 10% to 62%（χ2=29.34,P〈0.001）.No difference was found in management of adverse effects.More subjects were able to utilize a specific scale to evaluate their patients（88%∶76%,χ2=2.43,P=0.118）.26% of nurses can apply cancer-pain-related scales to educate and evaluate patients（26%∶6%,χ2=7.44,P=0.006）.Conclusion Intensified training of pain management can improve the knowledge and attitudes of nurse.