急诊科医护人员对疼痛管理的调查分析  

Investigation and analysis of pain management of medical staff in Emergency Department

作　　者：李红[1] 秦俊春[1] 周越[1] 谭青莲 叶磊[1] 

机构地区：[1]四川大学华西医院急诊科,成都610041

出　　处：《华西医学》2017年第11期1766-1769,共4页West China Medical Journal

基　　金：四川省科技厅科技支撑计划项目(2015SZ0177)

摘　　要：目的调查四川大学华西医院急诊科医护人员对疼痛的认知和态度的现状。方法 2015年6月采用童莺歌等翻译修订的疼痛知识和态度问卷(2008)中文版问卷对四川大学华西医院急诊科的医护人员进行调查,问卷内容涉及疼痛评估、疼痛相关知识、镇痛药物知识及综合应用等方面,并比较不同背景下医护人员间的差异。结果共发放调查问卷156份,收回有效问卷130份,有效回收率83.3%。不同学历及不同职称医护人员之间疼痛知识和态度的问卷得分差异无统计学意义(P>0.05);不同年资间护士问卷得分差异有统计学意义(F=3.785,P=0.035),且年资≥10年的护士问卷得分最高[(22.78±7.11)分];不同区域护士问卷得分差异有统计学意义(F=3.043,P=0.033),抢救室护士得分最高[(24.53±7.48)分]。医护答错条目均集中在条目5、17、19。在开放性问卷答案中,97.7%(127/130)认为现有疼痛知识无法满足临床工作需要;100.0%(130/130)认为有必要学习疼痛相关知识;疼痛相关知识获取途径80.0%(104/130)来自临床经验,40.0%(52/130)来自书本,15.4%(20/130)来自网络学习;90.0%(117/130)常使用数字评估法对患者的疼痛程度进行评估,20.0%(26/130)通过面部表情判断患者的疼痛程度。结论急诊科医护人员的疼痛管理知识和态度整体水平低,基础薄弱,对疼痛知识的继续教育学习、处理疼痛的态度、对临床疼痛管理的重视度、疼痛的规范化培训和监管力度均有待加强。Objective To investigate the status quo of knowledge and attitude towards pain among medical staff in West China Hospital of Sichuan University. Methods The medical staff in Emergency Department of West China Hospital of Sichuan University were investigated by the Chinese version of Knowledge and Attitudes Survey Regarding Pain（2008） questionnaire, the contents of which related to pain assessment, pain related knowledge, analgesic related knowledge, and comprehensive application, etc. And the questionnaire scores were compared among medical workers with different background. Results A total of 156 questionnaires were sent out and 130 valid ones were taken back, with an effective recovery rate of 83.3%. There was no statistically significant difference in questionnaire scores among the medical workers with different education background or different professional titles（P〉0.05）. The questionnaire scores were significantly different among nurses with different seniority（F=3.785, P=0.035）, and the mean score of the nurses with more than 10 years of seniority was the highest（22.78±7.11）. The questionnaire scores were significantly different among nurses working in different areas（F=3.043, P=0.033）, and the mean score of the nurses working in rescue room was the highest（24.53±7.84）.The erroneous items were concentrated on item 5, 17, 19. In the answers to the open questions, 97.7%（127/130） thought that the existing pain knowledge could not satisfy the needs of clinical work; 100.0%（130/130） believed that it was necessary to study pain related knowledge; 80.0%（104/130） acquired pain related knowledge from clinical experience, 40.0%（52/130） from books, 15.4%（20/130） from the network; 90%（ 117/130） commonly used numeric rating scale to evaluate the patients＇ pain degree, 20.0%（26/130） evaluated the patients＇ pain degree through facial expressions. Conclusions The overall level of pain management knowledge and attitude in medical staff in Emergency Department is l

关 键 词：疼痛知识 态度 医护人员 急诊 

分 类 号：R47[医药卫生—护理学]