儿科医护人员对儿童疼痛认知和管理现状的调查  

Investigation on Cognitive and Management Status of Children′s Pain in Medical Staff of Department of Pediatrics

作　　者：钱丽冰[1,2] 陈梦莹[1] 陈银花[1] 程锐[3] 李晓南[1] 

机构地区：[1]南京医科大学附属南京儿童医院儿童保健科,南京210008 [2]江苏建康职业学院,南京210036 [3]南京医科大学附属南京儿童医院新生儿中心,南京210008

出　　处：《实用儿科临床杂志》2012年第18期1426-1428,共3页Journal of Applied Clinical Pediatrics

基　　金：江苏省自然科学基金(BK2008075);南京医科大学科技发展基金(2011NJMU127)

摘　　要：目的了解儿科医护人员对儿童疼痛认知及临床疼痛管理的现状。方法对南京地区部分三级甲等医院118名儿科医师和158名儿科护士进行儿童疼痛认知及临床疼痛管理现状调查,调查表参考McCaffery M"疼痛知识与态度调查表"和RenneManworren"儿科护士疼痛知识和态度调查表"制定。应用SPSS 17.0和Epicalc 2000进行统计学分析。结果医师和护士有关儿童疼痛知识正确率分别为(57.00±2.95)%和(56.19±3.01)%,对新生儿能否用吗啡止痛及止痛剂能否真正控制疼痛等问题,医护人员的正确率均<36.00%,最低达14.56%。接受疼痛相关知识培训的医师对儿童疼痛认识得分显著高于未接受培训者(P<0.05)。儿童专科医院医师对儿童疼痛认识的得分显著高于综合性医院儿科医师(P<0.05)。认为新生儿较年长儿生理反应不明显的医师较多认为新生儿不能用吗啡止痛(P<0.05)。结论医护人员对儿童疼痛认识不足,尤其是对儿童疼痛治疗的认识。亟需加强对医护人员有关儿童疼痛知识的专项培训,这将有助于积极推进临床儿童疼痛管理。Objective To understand the present cognitive situation of medical staff of pediatric department towards children＇s pain and clinical pain management status. Methods To investigate cognitive states and clinical pain management on 118 pediatricians and 158 pediatric nurses among part of the third - grade class - a hospitals of Nanjing area. Questionnaires were designed according to McCaffery M＇s ＂Pain Knowledge and Attitude Survey＂ and Renne Manworren＇s ＂Pediatric nurses＇ Pain Knowledge and Attitude Survey＂. SPSS 17.0 and Epicalc 2000 software were used to analyze all data. Results Pediatricians＇ and pediatric nurses＇ average accuracy rate of children＇s pain knowledge were （57.00 ± 2.95 ）%, （56.19 ± 3.01 ）% respectively. Pediatricians＇ and nurses＇ accuracy rate about＂ Whether the newborn are able to receive morphine therapy to relieve pain＂ and ＂Whether analgesics can really control pain＂were less than 36.00% , minimum up to 14.56%. The accuracy rate of the pediatricians who came from children＇s hospital were higher than that of those who came from general hospital（P 〈 0.05 ） , so as the pediatricians who had accepted pain knowledge training were higher than that of those who hadn＇t accepted it（ P 〈 0.05 ）. Pediatricians who believed the newborn＇s physiological responses compared to older children was not obvious more those who believed that newborns could not use morphine analgesic（ P 〈 0.05 ）. Conclusions Pediatricians and nurses were lack of knowledge of children＇s pain, especially the knowledge of children＇s pain treatment. It was urgent to strengthen the professionals＇s health care training about children＇s pain knowledge, which will promote clinical pediatric pain management.

关 键 词：疼痛 认知 儿科医师 护士 儿童 

分 类 号：R473.72[医药卫生—护理学]