姜颖,徐俐,蒋明瑾,姚淑贞,马毓敏.外科护士疼痛认知与实践能力多因素调查分析[J].上海护理,2020,20(7):
外科护士疼痛认知与实践能力多因素调查分析
Multivariate investigation and analysis of the cognitive and practical abilities for pain in surgical nurses
DOI:
中文关键词:  外科护士  术后疼痛  管理  实践
英文关键词:
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作者单位E-mail
姜颖 上海市中医医院 0741@szy.sh.cn 
徐俐* 上海市中医医院 xuli1230298@163.com 
蒋明瑾 上海中医药大学  
姚淑贞 上海中医药大学  
马毓敏 上海中医药大学  
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中文摘要:
      摘要:目的 调查某中医医院外科护士疼痛知识与态度,以及术后患者疼痛控制护理质量现状,分析影响因素以制定相应对策。方法:采用《护理人员的疼痛知识和态度问卷》对某中医医院81名外科护士进行疼痛评估、疼痛一般知识、药物镇痛知识、综合应用知识调查,以及静脉自控镇痛知识掌握能力、临床术后患者疼痛控制护理质量现状调查,分析其对术后疼痛知识的掌握及应用情况。结果: 81名外科护士疼痛管理知识与态度总体处于较低水平(47.03±9.74),不同学历、职称、护龄对护理人员疼痛知识与态度得分无相关性(P>0.05)。外科护士药物镇痛知识、静脉自控镇痛知识缺乏,并影响术后患者疼痛管理护理质量,同时术后患者普遍存在忍痛现象。结论:全面及深入地开展疼痛知识继续教育,改变护士疼痛管理行为,对术后患者进行多形式疼痛健康教育,探讨以护士为主体的术后疼痛管理模式及有中医特色的疼痛护理。
英文摘要:
      Abstract: Objective To investigate the pain cognition of surgical nurses and the current nursing control quality situation of postoperative pain in a traditional Chinese Medicine hospital, analyze the influencing factors and explore effective management strategies. Methods A questionnaire investigation of“Pain Knowledge and Attitude Questionnaire for Nursing Staff” was performed on 81 surgical nurses from a Third-grade class-A hospital. The aim was to conduct a multi-dimensional survey of pain assessment, pain cognition, knowledge of drug analgesia, comprehensive application and the ability to master the knowledge of intravenous analgesia, the current situation of the nursing quality of postoperative patients' pain control. Finally, we analyzed the application of postoperative pain knowledge of them. Results The pain cognition and attitude of 81 surgical nurses surveyed were generally at a low level(47.03±9.74),with no correlation between academic qualifications, professional titles, nursing age and pain knowledge and attitude scores in tnursing staff (P>0.05). Furthermore the lack of knowledge about drug analgesia and intravenous analgesia in surgical nurses affects the quality of nursing care for patients with postoperative pain management. Conclusion Comprehensive and in-depth continuing education of pain pain cognition should be taken to improve pain management behavior of surgical nurses and the postoperative patients should be receive multiple forms of pain health education to explore the postoperative pain management model with nurses as the main body and pain nursing with Chinese characteristics.
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