西安市医护人员疼痛管理知识、态度和行为调查

Investigation on knowledge,attitude and behavior of pain management among medical staff in Xi’an

目的对西安市医护人员疼痛管理知识、态度和行为进行调查,并分析其影响因素,为医护人员疼痛管理的持续改进提供科学依据。方法采用自制的医护人员疼痛管理知识、态度和行为调查问卷对西安市4家三甲医院医护人员进行调查,采用描述流行病学分析方法对医护人员疼痛管理知识、态度和行为情况进行分析,并采用单、多因素分析方法对疼痛管理知识、态度和行为的影响因素进行分析。结果 1 018名医护人员对疼痛管理知识、态度和行为的答题得分率分别为45.80%、40.73%和46.09%。多重回归分析结果显示,工作年限(β’=0.116)、职称(β’=0.089)、疼痛科/肿瘤科相关科室工作经历(β’=0.249)、接受疼痛知识教育或培训(β’=0.357)是医护人员疼痛管理知识得分的影响因素;工作年限(β’=0.227)、疼痛科/肿瘤科相关科室工作经历(β’=0.416)、接受疼痛知识教育或培训(β’=0.269)、知识得分(β’=0.263)是医护人员疼痛管理态度得分的影响因素;工作年限(β’=0.176)、疼痛科/肿瘤科相关科室工作经历(β’=0.263)、接受疼痛知识教育或培训(β’=0.242)、知识得分(β’=0.203)、态度得分(β’=0.237)是医护人员疼痛管理行为得分的影响因素。结论医护人员疼痛管理知识、态度和行为水平均处于较低水平,亟待进一步提高,对医护人员的疼痛管理继续教育应予以重视。

Objective To investigate the knowledge,attitude and behavior of pain management among medical staff in Xi‘an,and analyze its influencing factors,so as to provide reference for continuous improvement of pain management among medical staff.Methods A self-designed questionnaire on knowledge,attitude and behavior of pain management was used to investigate the medical staff in 4 tertiary hospitals in Xi’an. Descriptive epidemiological analysis method was used to analyze the knowledge,attitude and behavior of pain management among medical staff,and univariate and multivariate analysis methods were used to analyze its influencing factors.Results The scores of 1 018 medical staff on knowledge,attitude and behavior of pain management were 45.80%,40.73% and 46.09%,respectively. Multivariate regression analysis showed that working age(β’=0.116),professional title(β’=0.089),work experience in pain department,oncology department and other related departments(β’=0.249),and receiving education or training on pain knowledge(β’=0.357)were influencing factors of the score on knowledge of pain management among medical staff. Working age(β’=0.227),work experience in pain department,oncology department and other related departments(β’=0.416),receiving education or training on pain knowledge(β’=0.269),and score of knowledge(β’=0.263)were influencing factors of the score on attitude of pain management among medical staff. Working age(β’=0.176),work experience in pain department,oncology department and other related departments(β’=0.263),receiving education or training on pain knowledge(β’=0.242),score of knowledge(β’=0.203),and score of attitude(β’=0.237)were influencing factors of the score on behavior of pain management among medical staff.Conclusion The knowledge,attitude and behavior of pain management among medical staff is at a low level,which needs to be further improved. Attention should be paid to the continuous education of pain management among medical staff.