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目的了解临床护士对疼痛相关知识的认知程度及其疼痛护理能力。方法应用疼痛管理知识和态度的调查问卷(knowledge and attitudes survey regarding pain,KASRP),采取便利抽样法对武汉市5所三级甲等医院1000名护士进行调查,回收930份有效问卷纳入数据分析。结果595人(63.98%)接受过疼痛相关知识教育。285人(30.65%)将疼痛评估排在疼痛知识学习需求的第一位。疼痛基础知识问题中,回答正确率最低为15.81%、最高为71.72%。接受过疼痛相关知识培训者对问卷回答的正确率为60.37%,明显高于未接受培训者(38.34%)(P<0.05)。临床工作中,657人(70.65%)未采用评估工具评估患者的疼痛程度,实际工作中能根据患者的个体反应调整镇痛药物用量的被试者比率较低,最低为15.81%。结论临床护士接受疼痛相关知识教育的比率较低,疼痛相关知识掌握较局限,对疼痛相关知识的认知不足,临床疼痛护理能力亟待提高。
Objective To understand the clinical nurses’ cognition of pain-related knowledge and their pain-care ability. Methods A questionnaire of knowledge and attitudes of Pain Management (KASRP) was applied to investigate 1,000 nurses in five Grade-A hospitals in Wuhan with convenient sampling method. 930 valid questionnaires were collected for data analysis. Results 595 (63.98%) had pain-related knowledge education. 285 (30.65%) ranked pain assessment first in the demand for pain knowledge learning. In the basic problem of pain, the correct answer rate was 15.81% and the highest was 71.72%. The correct rate of answering pain-related knowledge was 60.37%, which was significantly higher than that of non-trainees (38.34%) (P <0.05). Clinical work, 657 (70.65%) did not use the assessment tool to assess the patient’s pain level, the actual work can be adjusted according to individual patient response to the amount of analgesic drugs, the proportion of subjects was low, a minimum of 15.81%. Conclusion Clinical nurses have a lower rate of receiving pain-related knowledge education, limited knowledge of pain-related knowledge, lack of knowledge of pain-related knowledge, and clinical pain care needs to be improved urgently.