麻醉科护士对术后急性疼痛自控镇痛护理管理的知信行现状调查及影响因素分析  

Status and Influencing Factors of the Anesthesia Nurses’ Knowledge, Attitude,Practice Towards the Management of Patient Controlled Analgesia in Patients with Postoperative Acute Pain

作　　者：张惠怡 姜茹鑫 王洋洋 李鑫 张红妍 吴苏 陈少如 支慧 ZHANG Huiyi;JIANG Ruxin;WANG Yangyang;LI Xin;ZHANG Hongyan;WU Su;CHEN Shaoru;ZHI Hui(Department of Anesthesiology and Perioperative Medicine,Henan Provincial People’s Hospital,Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou Key Laboratory of Anesthesia and Perioperative Nursing,Zhengzhou University People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院麻醉与围术期医学科,河南省护理医学重点实验室,郑州市麻醉与围术期护理重点实验室,郑州大学人民医院,河南郑州450000

出　　处：《河南医学研究》2024年第23期4367-4371,共5页Henan Medical Research

基　　金：河南省人民医院“23456”护理人才工程;河南省医学科技攻关计划联合共建项目(LHGJ20210026);河南省医学教育研究项目(WJLX2024009)。

摘　　要：目的了解麻醉科护士对术后急性疼痛患者自控镇痛(PCA)护理管理的知信行(KAP)现状并分析其影响因素。方法于2022年9—10月,采用便利抽样法,选取河南省15所二级医院、14所三级医院的麻醉科护士,使用一般资料调查表、麻醉科护士术后急性疼痛PCA护理管理KAP问卷进行调查,分析麻醉科护士术后急性疼痛PCA护理管理现状及影响因素。结果共调查河南省308名麻醉科护士,术后急性疼痛PCA护理管理KAP总分、知识维度、态度维度和行为维度的得分分别为175.00(160.25,190.11)、40.00(36.00,48.00)、68.00(67.00,79.09)、67.00(55.64,69.00)分。多元线性回归分析结果显示,KAP总分的影响因素为培训频率、受教育程度、是否为专科护士以及医院是否有术后急性疼痛小组(P<0.05)。结论河南省麻醉科护士对术后急性疼痛PCA护理管理的信念较强,但知识与行为水平有待提高。Objective To explore the knowledge,attitude and practice(KAP)status and influencing factors of the management of patient controlled analgesia(PCA)in patients with postoperative acute pain among anesthesia nurses.Methods From September to October 2022,convenience sampling was used.Anesthesia nurses from 15 ClassⅡhospitals and 14 ClassⅢhospitals in Henan Province were surveyed by using self-designed general information questionnaire and the self-designed questionnaire to measure the nurses’KAP towards the management of PCA in patients with postoperative acute pain.Results Three hundred and eight anesthesia nurses were surveyed.The scores of overall KAP,knowledge,attitude and practice scores towards PCA management were 175.00(160.25,190.11),40.00(36.00,48.00),68.00(67.00,79.09),67.00(55.64,69.00).The results of multiple linear regression analysis showed that the main influencing factors of the total score of KAP were the frequency of training,education level,whether or not they were specialty nurses,and the presence of acute pain service team(P<0.05).Conclusion Anesthesia nurses have good attitudes towards the management of PCA in patients with postoperative acute pain,but the level of knowledge and practice need to be improved.

关 键 词：麻醉护理 自控镇痛 护士 知识 信念 行为 问卷调查 横断面研究 

分 类 号：R473.6[医药卫生—护理学]