摘要
目的对江苏省4家三级甲等医院ICU护士进行疼痛管理知识和态度现状调查，初步了解江苏省三级甲等医院ICU护士疼痛管理知识水平、态度方面存在的不足，为今后ICU护士疼痛知识培训提供参考和依据。方法采用疼痛知识和态度调查（KASRP）（2008）中文版问卷对江苏省4家三级甲等医院的109名ICU（包括综合ICU和专科ICU）护士进行调查，其中综合ICU护士64名，专科ICU护士45名；采用描述性分析、频数、百分比、方差分析比较所采集的数据。结果109名ICU护士对疼痛知识和态度调查（2008）中文版问卷答对率在25．00％～62．50％，平均答对率为42．50％，各条目的答对人数比率范围是0．00％-87．16％。答对人数比率排序前10项条目主要涉及以下内容：阿片类药物用药剂量个体化；疼痛的文化背景；儿童的疼痛评估；用药与忍耐疼痛的关系；联合用药的镇痛效果。答对人数比率排序后10项条目主要涉及以下内容：案例分析题；在疼痛评估基础上对患者应用prn术后镇痛医嘱；阿片类药物发生呼吸抑制的概率、生理依赖性、给药途径；安慰剂与疼痛的关系；疼痛与睡眠的关系。结论ICU护士对疼痛管理知识和态度明显不足，迫切需要加强对ICU护士疼痛管理知识的培训及考核。
Objective To survey the pain management knowledge and attitude among nurses from the ICU of four third grade class A hospitals in Jiangsu province, preliminary understand pain management knowledge level of the nurses from the ICU, attitude of ICU nurses pain knowledge training and provide the references for the future and the basis. Methods A total of 109 ICU nurses from four 3-A hospitals in Jiangsu province （including 64 comprehensive ICU nurses and 45 college ICU nurses） were surveyed using the Chinese version of Knowledge and Attitudes Survey Regarding Pain （KASRP） （2008） questionnaire. Collected data were analyzed using descriptive analysis, frequency, percentage, variance analysis. Results Correct ratio of 109 nurses to the questionnaire was from 25.00% to 62.50%. Average correct ratio if the questionnaire was 42.50%. Correct ratio of individual item ranged from 0. 00% to 87. 16%. Top 10 items which answered correctly were listed： individually dosage of opioid agents, cultural background of pain, pain assessment of children, relationship of pain tolerance and drug usage and analgesic effect of drug combination. Lowest ranked 10 items were case analysis question, postoperative analgesia using pin based on pain assessment, ratio of respiratory depression caused by opioid agents, physiological dependence and administration route of opioid agents, relationship between placebo and pain and relationship between pain and sleep. Conclusions Nurses＇ knowledge and attitude to pain management is insufficient and needs to be trained and evaluated in ICU.
出处
《中华现代护理杂志》
2016年第20期2890-2894,共5页
Chinese Journal of Modern Nursing
关键词
疼痛管理
知识
态度
ICU护士
Pain management
Knowledge
Attitude
Nurses of Intensive Care Unit
