238名造口治疗师慢性伤口疼痛管理知信行的现状调查  

Current status of knowledge,attitude and practice of 238 enterostomal therapist in chronic wound pain management

作　　者：庄惠人[1] 马丽莉[1] 顾英杰[2] 尤永梅 Zhuang Huiren;Ma Lili;Gu Yingjie;You Yongmei(Nursing Department,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China;Department of Functional Neurology,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China;Gallstone Center,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院护理部,上海200120 [2]同济大学附属东方医院功能神经科,上海200120 [3]同济大学附属东方医院胆石中心,上海200120

出　　处：《中华现代护理杂志》2021年第3期359-364,共6页Chinese Journal of Modern Nursing

基　　金：上海市浦东新区卫生系统重要薄弱学科项目(PWzbr2017-13)。

摘　　要：目的调查造口治疗师(ET)慢性伤口疼痛管理知信行现状,分析其影响因素,为伤口疼痛管理持续改进提供参考和建议。方法采用便利抽样法,对260名ET进行调查,调查工具为自行设计的一般资料调查表,ET对慢性伤口疼痛知识、信念、行为问卷。结果共发放问卷260份,有效问卷238份。ET对慢性伤口疼痛知识问卷得分为(5.90±1.49)分;ET对慢性伤口疼痛信念问卷得分为(25.74±3.57)分;ET对慢性伤口疼痛管理行为问卷得分为(53.28±12.52)分;多重线性回归结果显示,职称、从事伤口护理工作年限、是否有肿瘤科相关科室工作经历是ET慢性伤口疼痛管理知识、信念和行为的影响因素(P<0.05)。结论ET对慢性伤口疼痛知识掌握欠缺,态度尚可,实践行为亟待加强。医院管理者大力发展全职ET,实施多学科协作管理伤口疼痛,在选择ET培养人员时建议中级以上护士为培养对象。对于ET来说,需要不断地进行职称的提升及再学习,并在实践中不断积累经验。对于ET学校来说应该建立基于岗位胜任力的伤口疼痛培训知识体系,并对伤口专科护士开展相应的培训。Objective To investigate the status quo of knowledge,attitude and practice of enterostomal therapists(ET)in chronic wound pain management and analyze its influencing factors,so as to provide references and suggestions for continuous improvement of wound pain management.Methods The convenient sampling method was used to investigate 260 ET objects.The survey tools were a self-designed General Information Questionnaire and questionnaires on knowledge,attitude and practice of ET on chronic wound pain.Results A total of 260 questionnaires were distributed and 238 were valid.The score of ET on chronic wound pain knowledge questionnaire was(5.90±1.49),the score of ET on chronic wound pain attitude questionnaire was(25.74±3.57)and the score of ET on chronic wound pain management practice questionnaire was(53.28±12.52).The results of multiple linear regression showed that professional title,working years in wound care and working experience in relevant departments of oncology were the influencing factors of knowledge,attitude and practice of ET in chronic wound pain management(P<0.05).Conclusions ET lacks knowledge of chronic wound pain and has acceptable attitudes,and his practical behaviors need to be strengthened urgently.Hospital administrators vigorously develop full-time ET and implement multidisciplinary collaboration to manage wound pain.When selecting ET training personnel,it is recommended that nurses at or above the intermediate level be the target of training.For ET,it is necessary to continuously improve professional titles and re-learn,and continuously accumulate experience in practice.For ET schools,a wound pain training knowledge system based on job competence should be established,and corresponding training should be carried out for wound specialist nurses.

关 键 词：疼痛 疼痛管理 造口治疗师 知信行 

分 类 号：R473.6[医药卫生—护理学]