安宁疗护护士循证式疼痛管理实践现状及影响因素分析

Evidence-based pain management practice and its influencing factors among hospice nurses

目的了解安宁疗护护士循证式疼痛管理实践水平并探讨其影响因素,为提高安宁疗护护士疼痛管理实践水平提供依据。方法便利抽取湖南省长沙、株洲和益阳地区的276名安宁疗护护士,采用疼痛护理工作现状调查表、中文版卡尔森循证式疼痛管理实践先决条件量表进行调查。结果安宁疗护护士循证式疼痛管理实践总得分为(3.05±0.49)分,既往实践、疼痛需求、创新、社会系统属性4个分量表得分分别为(3.48±0.85)分、(3.20±0.50)分、(2.80±0.75)分、(2.47±0.83)分。工作单位、职称、参加过疼痛护理培训、经常主动观察评估疼痛、在校接受过安宁疗护教育可解释循证式疼痛管理实践水平54.5%的变异(P<0.05,P<0.01)。结论安宁疗护护士的循证式疼痛管理实践水平处于中等水平,需加强安宁疗护护士疼痛教育培训,提高其循证式疼痛管理实践水平,提升安宁疗护质量。

Objective To investigate the status of evidence-based pain management practice among hospice nurses,and to explore its influencing factors,so as to provide reference for improving their practical level of pain management.Methods A total of 276 hospice nurses were selected from Changsha,Zhuzhou and Yiyang region of Hunan Province using convenience sampling method,then they were investigated using the questionnaire of the pain management status and the Chinese version of Carlson′s E-BPMP Prior Conditions Instrument(CPCIs).Results The hospice nurses′total score of CPCIs was 3.05±0.49,and the subscale scores of previous practice,pain problem,innovation and social system attribute were 3.48±0.85,3.20±0.50,2.80±0.75 and 2.47±0.83 respectively.Working institution,professional title,training experience of pain nursing,frequently initiative observation or inquiry of the pain in the dying persons,and education experience of hospice care in school were the major influencing factors of the hospice nurses′CPCIs score,which could explain 54.5%of the total variance(P<0.05,P<0.01).Conclusion The evidence-based pain management practice in hospice nurses is at a medium level.It′s necessary to strengthen pain related training for hospice nurses,improve their evidence-based pain management practice,so as to promote the quality of hospice care.