中国护士疼痛管理知识和态度的系统评价与荟萃分析

Systematic review and Meta analysis of pain management knowledge and attitudes among nurses in China

目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技期刊数据库,收集有关中国护士疼痛管理知识和态度的横断面研究,检索时间为建库至2023年6月。采用了美国卫生保健研究与质量机构(AHRQ)的质量评价标准对最终纳入文献的质量进行了严格评估,并运用Stata 15.1软件进行全面统计分析。结果本研究最终纳入35篇文献,涉及14146名护士。11篇文献为高质量文献,其余24篇文献质量均处于中等水平。结果显示,中国护士疼痛管理知识和态度问卷答对率为46%(95%CI:0.43~0.50)。亚组分析显示,研究生及以上学历、工作后继续接受疼痛教育、在肿瘤科工作的护士疼痛管理知识和态度问卷答对率越高,分别是56.70%(95%CI:43.80%~69.70%)、58.60%(95%CI:55.00%~62.20%)、58.90%(95%CI:45.20%~72.70%)。结论我国护士在疼痛管理领域的知识和态度普遍存在不足,提示护理管理者亟需认识到疼痛管理在整体护理质量中的重要性,有必要制订持续性的专业培训和教育计划,通过提供定期的疼痛管理知识更新,以提升护士对疼痛管理的认知和应对能力,进而提升护士专业素养,为疼痛患者提供更全面、人性化的治疗和关怀,从而改善疼痛患者的生活质量和治疗效果,进而提高整体护理质量。

Objective To analyze and evaluate the pain management knowledge and attitudes of nurses in China,so as to comprehensively understand and evaluate the current status of pain management research and the limitations in nursing practice.Methods Systematically searched the databases of PubMed,Embase,Cochrane Library,Web of Science,China Knowledge Network,Wanfang Database,and Vip Chinese Science and Technology Journal to collect cross-sectional studies on pain management knowledge and attitudes of Chinese nurses.The screening period was from the establishment of the database to June 2023.The quality of the final literature was rigorously evaluated using the quality evaluation criteria of the American Agency for Healthcare Research and Quality(AHRQ),and a comprehensive statistical analysis was performed using Stata 15.1 software.Results 35 articles involving 14,146 nurses were included in the study.11 of the articles are of high quality,and the remaining 24 were of moderate quality.The results showed that the answer rate of the Chinese nurses'pain management knowledge and attitude questionnaire was 46%(95%CI:0.43~0.50).Subgroup analysis showed that the higher the answer rate of the pain management knowledge and attitude questionnaire for nurses with postgraduate degrees or above,who continued to receive pain education after work,and who worked in oncology,the higher the answer rate was 56.70%(95%CI:43.80%~69.70%),58.60%(95%CI:55.00%~62.20%),and 58.90%(95%CI:45.20%~72.70%)respectively.Conclusion There are general shortcomings in the knowledge and attitude of nurses in the field of pain management in China,suggesting that nursing managers urgently need to recognize the importance of pain management in the overall quality of care.It is necessary to formulate continuous professional training and education plans.By providing regular updates to the knowledge of pain management,nurses could improve their cognition and coping ability with pain management,so as to enhance their professional literacy and provide more comprehensive and humanity treatment and care for pain patients,so as to improve the quality of life and treatment effect of pain patients,and thus improve the overall quality of care.