本文關(guān)鍵詞：兒科醫(yī)護(hù)人員對兒童疼痛認(rèn)知和管理現(xiàn)狀的調(diào)查，由筆耕文化傳播整理發(fā)布。

兒科醫(yī)護(hù)人員對兒童疼痛認(rèn)知和管理現(xiàn)狀的調(diào)查

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

[1] [2] [3] [4] [5]

QIAN Li - bing, CHEN Meng - ying , CHEN Yin - hua, CHENG Rui ,LI Xiao - nan （ 1. Department of Child Health Care, Nanjing Children＇s Hospital Affiliated to Nanjing Medi

[1]南京醫(yī)科大學(xué)附屬南京兒童醫(yī)院兒童保健科,南京210008; [2]江蘇建康職業(yè)學(xué)院,南京210036; [3]南京醫(yī)科大學(xué)附屬南京兒童醫(yī)院新生兒中心,南京210008

文章摘要：目的了解兒科醫(yī)護(hù)人員對兒童疼痛認(rèn)知及臨床疼痛管理的現(xiàn)狀。方法對南京地區(qū)部分三級甲等醫(yī)院118名兒科醫(yī)師和158名兒科護(hù)士進(jìn)行兒童疼痛認(rèn)知及臨床疼痛管理現(xiàn)狀調(diào)查，調(diào)查表參考McCafferyM“疼痛知識與態(tài)度調(diào)查表”和Renne Manworren“兒科護(hù)士疼痛知識和態(tài)度調(diào)查表”制定。應(yīng)用SPSS17．0和Epicalc2000進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果醫(yī)師和護(hù)士有關(guān)兒童疼痛知識正確率分別為（57．00±2．95）％和（56．19±3．01）％，對新生兒能否用嗎啡止痛及止痛劑能否真正控制疼痛等問題，醫(yī)護(hù)人員的正確率均〈36．00％，最低達(dá)14．56％。接受疼痛相關(guān)知識培訓(xùn)的醫(yī)師對兒童疼痛認(rèn)識得分顯著高于未接受培訓(xùn)者（P〈0．05）。兒童�？漆t(yī)院醫(yī)師對兒童疼痛認(rèn)識的得分顯著高于綜合性醫(yī)院兒科醫(yī)師（P〈0．05）。認(rèn)為新生兒較年長兒生理反應(yīng)不明顯的醫(yī)師較多認(rèn)為新生兒不能用嗎啡止痛（P〈0．05）。結(jié)論醫(yī)護(hù)人員對兒童疼痛認(rèn)識不足，尤其是對兒童疼痛治療的認(rèn)識。亟需加強(qiáng)對醫(yī)護(hù)人員有關(guān)兒童疼痛知識的專項(xiàng)培訓(xùn)，這將有助于積極推進(jìn)臨床兒童疼痛管理。

Abstr：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.

文章關(guān)鍵詞：

Keyword：:pain cognitive pediatrician nurse child

課題項(xiàng)目：江蘇省自然科學(xué)基金（BK2008075）;南京醫(yī)科大學(xué)科技發(fā)展基金（2011NJMU127）

  本文關(guān)鍵詞：兒科醫(yī)護(hù)人員對兒童疼痛認(rèn)知和管理現(xiàn)狀的調(diào)查，由筆耕文化傳播整理發(fā)布。