四肢骨折患儿术后疼痛管理父母认知与态度调查研究

Study on parents'knowledge and attitude toward postoperative pain management of children with limb fracture

目的了解父母对四肢骨折患儿术后疼痛管理的认知与态度并分析其影响因素。方法采用目的抽样法,于2019年6—12月,便利选取苏州大学附属儿童医院骨科因四肢骨折行择期手术并住院的6~16岁患儿父母170例,发放一般资料调查表、父母疼痛管理认知与态度调查问卷进行调查。结果167例父母认知、一般态度和对止痛药的消极态度得分分别为15.0(3.00)、24.0(4.00)和17.0(3.00)分,χ^2检验显示不同文化程度的父母认知、不同年龄段父母的一般态度得分差异有统计学意义(χ^2值为11.599、7.053,P=0.021、0.029)。Spearman相关显示父母认知与一般态度呈正相关关系(r=0.394,P<0.01)。结论大多数父母对骨科患儿术后疼痛管理的认知、一般态度和对止痛药的消极态度处于中至高水平,护理人员应重点关注父母对疼痛测量工具以及所使用止痛药的认知缺陷和消极态度,制订针对性的健康教育干预方案,从而促进其参与。

Objective To investigate parents'knowledge and attitude toward post-operative pain management in pediatric orthopedics and analyze influencing factors.Methods A total of 170 parents of 6 to 16 years old children who underwent selective surgeries and were hospitalized because of limb fracture were conveniently selected in Children's Hospital of Soochow University from April to December in 2019,They were investigated using the general data questionnaire,Pain Management Knowledge and Attitudes Questionnaire.Results There were 167 parents completed questionnaires in our study.The mean score of parents'knowledge,general attitude and negative attitude to pain medication were 15.0(3.00),24.0(4.00)and 17.0(3.00)respectively.There were statistical differences between different educational levels of parents'knowledge(χ^2 value was 11.599,P=0.021),as well as different age of parent's general attitude(χ^2 value was 7.053,P=0.029).Spearman-related results showed that parents'cognition was positively correlated with general attitudes(r value was 0.394,P<0.01).Conclusions The majority of parents are at moderate to high level of knowledge,general attitude and negative attitude to pain medication.Pediatric nurses should pay more attention to parents'knowledge deficit of and negative attitude toward pain assessment tools and pain-drugs to develop targeted educational intervention programs for promoting parental involvement.