国内康复医务人员对脑性瘫痪儿童疼痛认知的多中心调查  

A multicenter survey of rehabilitation staff concerning the thoughts about pain of children with cerebral palsy

作　　者：徐怡 赵晓科[1] 朱洪漫 高夫宁[1] 张玲[1] 徐红 Xu Yi;Zhao Xiaoke;Zhu Hongman;Gao Funing;Zhang Ling;Xu Hong(Rehabilitation Department,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属儿童医院康复医学科,南京210008

出　　处：《中华物理医学与康复杂志》2021年第1期60-63,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金青年基金资助项目(81501946);南京市医学科技发展资金资助项目(YKK18144)。

摘　　要：目的了解目前国内康复医务人员对脑性瘫痪(脑瘫)儿童疼痛的认知水平及临床疼痛管理现状。方法参考儿童疼痛康复相关文献设计调查问卷,采取网络“问卷星”在线调查方式对全国12个省共12家三甲医院856名康复医务人员进行问卷调查,其中包括110名医生、313名治疗师和433名护士。结果本研究受访康复医务人员对问卷中疼痛知识作答的总正确率为(67.89±13.35)%,其中医生、治疗师和护士的正确率分别为(71.09±13.12)%、(70.34±13.57)%和(65.30±12.76)%。不同学历、年龄、工作年限或岗位受访对象其疼痛知识得分间差异均具有统计学意义(P<0.05),不同性别、职称或生育情况受访对象其疼痛知识得分间差异均无统计学意义(P>0.05)。针对疼痛管理现状的调查结果显示有92.99%的医务人员认为很有必要进行疼痛相关知识培训,且95.33%的医务人员很愿意或非常愿意接受培训。结论国内康复医务人员对于脑瘫儿童疼痛相关知识还存在明显不足,亟需加强相关知识的专项培训及临床实践指导。Objective To explore the understanding among medical rehabilitation staff about pain in children with cerebral palsy.Methods A questionnaire was developed by referring to the literature on children′s rehabilitation and pain.It was used to survey 856 rehabilitation personnel including 110 doctors,313 therapists and 433 nurses from 12 hospitals in 10 provinces using an online platform at www.wjx.cn.Results The overall rate of correct responses was(67.89±13.35)%.Doctors and therapists scored about 70% correct and nurses about 65%.There were significant differences in pain knowledge related with educational background,age,work experience and position.Gender,professional title and parent status were not significant predictors.About 93% of those surveyed thought it was necessary to provide pain-related training,and 95% were willing to receive such training.Conclusions There is a lack of knowledge about pain in children with cerebral palsy among rehabilitation medical staff.It is urgent to provide more related training and guidance to those in clinical practice.

关 键 词：医务人员 疼痛 认知 脑性瘫痪 问卷调查 

分 类 号：R473.74[医药卫生—护理学]