疼痛教育项目对护士疼痛知识、态度及评估实践的效果研究

目的 探讨实施疼痛教育项目对护士疼痛知识、态度和评估实践的影响.方法 应用类实验研究设计评价疼痛教育项目对护士疼痛知识、态度及评估实践的影响.疼痛教育项目包括对护士进行疼痛相关知识培训和指导护士应用"长海痛尺"开展疼痛评估2部分内容.疼痛教育干预为期5周,由群体教育、小组活动和个别指导组成.根据入选条件确定2所三级甲等教学医院的研究对象196名护士,分为实验组106名和对照组90名,行基线调查后对实验组护士实施干预(疼痛教育项目).在干预后的1个月和3个月收集资料,评价2组护士的疼痛知识、态度,并评估实践行为.结果 接受疼痛教育项目后,实验组护士"疼痛知识和态度调查问卷"(NKAS)的平均得分从干预前的15.67分增加为26.13分(干预后1个月)和35.14分(干预后3个月),其干预后的得分与基线和对照组护士相比均有显著差异;而且实验组护士正确应用"长海痛尺"评估患者疼痛强度的比较显著提高,与基线和对照组相比差异显著.结论 疼痛教育项目可显著提高护士疼痛知识及态度,改善疼痛评估实践,是一种促进疼痛管理的有效措施,应被推广使用.

Research about the effect of pain-related education program on nurses' attitude, knowledge and as-sessment practices of pains

Objective To know the influence of pain-related education program on nurses'attitude, knowledge and assessment practices of pains.Methods The effects of pain education program (PEP) were measured by a quasi-experimental design, 196 nurses were divided into the experimental group(106 cases)and the control group(90 cases)randomly.Pain education program was used only in the experimental group.Compared level of pain- related knowledge, attitude and assessement paractiees between the two groups.Results Nurses in the experimental group who received the PEP had a significant improvement in their pain knowledge and attitudes.Their scores on the NKAS increased from 15.67 at T1 to 26.13 at T2 and 35.14 at T3.The scores of nurses in the control group were unchanged (from 15.20 at T1 to 14.29 at T2 and 14.93 at T3).In addition, the percentage of experimental group nurses who correctly used the Changhai Pain Scale to assess patients' pain intensity increased significantly after the PEP, and the in-creased usage of the assessment tool between experimental and control groups also shows a statistical differ-ence in trend.Conclusions The PEP does impact on nurses' knowledge levels and clinical behavior.It can be concluded that PEP is effective in improving nurses' pain knowledge, attitude and assessment prac-tice.