護理人員對疼痛的知識處理態度及其相關因素之探討—以南部某醫學中心及區域醫院為例

The Exploration of Nurses’ Knowledge of Pain, Attitude of Management, and its Related Factors.—Examples of One Medical Center and One Regional Hospital in Southern Taiwan

何淑惠(Shwu-Huey Her)

指導教授 ： 鍾國彪

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2021年)

https://doi.org/10.6342/NTU202104011

摘要

背景：癌症照護護理人員在病人癌痛的處理中深具關鍵性，所以其疼痛處理知識及態度更顯重要。
目的：本研究目的在於瞭解癌症照護護理人員疼痛處理知識及態度的現況，與影響其疼痛處理知識及態度與照護行為的因素，有助於改善病人癌痛，減少併發症之發生，促進生活品質。
方法：本研究為橫斷式相關性研究設計，以南部某醫療體系醫學中心及區域醫院之癌症照護護理人員為研究對象，採問卷量表方式收集資料，使用「醫護人員背景特性與疼痛處理知識與態度問卷」及自行研擬疼痛照護行為問卷進行資料收集。
結果：癌症照護護理人員平均答對率為66.25%，最低18.8%、最高97.44%。護理人員疼痛處理知識與態度問卷平均得分為25.18分（佔總分66.26%），只有11.54%的受訪者達到總分80%以上之及格分數，本研究顯示受訪者缺乏疼痛處理知識及其處理態度有待加強，特別是疼痛用藥處置方面需加強。性別、教育程度及醫療層級等項目與疼痛處理知識及態度總分無差異。年齡、護理臨床年資、護理專業層級及有無接受過疼痛處理教育課程等項目與疼痛處理知識及態度總分達統計上顯著差異。又性別、教育程度、年齡、護理臨床年資、護理專業層級、有無接受過疼痛處理教育課程及醫療層級等項目均與疼痛照護行為無差異。
結論：癌症照護護理人員疼痛處理知識及態度與癌症病人疼痛及生活品質之改善息息相關，建議對於癌症照護護理人員年紀較輕者、臨床年資較淺者及專業層級較低者，應給予疼痛相關教育訓練之持續教育課程;並將疼痛相關課程列入大學護理科系之課程中，以提升癌症照護護理人員疼痛處理知識及態度。

關鍵字

癌症 ； 疼痛 ； 護理人員 ； 醫學中心 ； 區域醫院 ； 類鴉片藥品

並列摘要

Background：Oncology nurses play a crucial role in cancer pain management and must be highly informed to ensure their effective practice in the cancer setting.
Purpose：The aim of this study was to determine the baseline level of knowledge and attitudes of oncology nurses regarding cancer pain management.
Methods：A cross-sectional survey research design was employed. The sample comprised the can-cer nurses working in one medical center and one regional hospital in the southern Taiwan. The “Nurses Knowledge and Attitudes Survey Regarding Pain”(NKAS) tool, a demographic form and a self-developed pain care behavior questionnaire were uti-lized to ascertain the knowledge and attitudes of oncology nurses working in oncology settings.
Results：The average correct response rate for oncology nurses was 66.25%, ranging from 18.8% to
97.44%. The nurses mean score on the knowledge and attitudes survey regarding pain management was 25.18%.Results revealed that the mean percentage score overall was 66.26%. Only 11.54% of nurse participants obtained a passing score of 80%. Widespread knowledge deficits and poor attitudes were noted in this study, particularly regard phar-macological management of pain.There was no difference in the total scores of gender, education level and medical level and pain management knowledge and attitude. There are statistically significant differences in the total scores of age, nursing clinical experi-ence, nursing professional level, and pain management continuing education courses and the total scores of pain management knowledge and attitudes. In addition, gender, educa-tion level, age, nursing clinical seniority, nursing professional level, pain management con-tinuing education courses are not different from pain care behaviors.
Conclusions：The knowledge and attitudes of nurses on pain management are closely related to the improvement of pain and quality of life of cancer patients. It is recommended that nurses should be trained with continuing education courses of pain management. And provide the continuing education courses of pain management to the younger nurses, those with younger clinical experience, and those with lower professional levels. It is proposed that the nursing curriculum should include compulsory pain courses.

並列關鍵字

cancer ； pain ； nurses ； medical centers ； regional hospitals ； opioids

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