急診醫護人員對疼痛的知識、處理態度及其相關因素之探討

The Exploration of Emergency Medical Staffs’Knowledge of Pain, Attitude of Management,and its Related Factors.

吳春滿(CHUN-MAN WU)

指導教授 ： 賴甫誌

臺北醫學大學/護理學院/護理學研究所/碩士(2015年)

https://doi.org/10.6831/TMU.2015.00034

摘要

本研究目的是為了解急診醫護人員的疼痛知識程度、疼痛處理態度現況、影響疼痛知識與疼痛處理態度之相關因素、疼痛知識程度與疼痛處理態度障礙因素之相關性等。本研究為橫斷式相關性研究設計，研究工具採自擬之結構式問卷量表，以立意取樣對國內北部三家醫院之201位急診室醫護人員進行資料收集。運用Statistical Product and Service Solution( SPSS) 20版本之統計軟體進行資料分析，以95%之信賴區間，α-level將定為.05做為顯著性差異，並以描述性與推論性統計進行結果分析。
本研究結果發現疼痛知識得分平均為63.28分(滿分是100分)，答對率平均是63.1%，表示急診醫護人員的疼痛知識仍顯不足。急診醫護人員的教育程度、身分別、疼痛教育課程來源等與疼痛知識得分有顯著相關，然而未發現與疼痛處理態度障礙因素有直接相關性。疼痛知識得分與疼痛態度障礙因素得分呈負相關，達統計上意義，以統計回歸分析疼痛知識程度與疼痛態度障礙因素程度之間的預測力，結果也達統計上意義；所以急診醫護人員的疼痛知識得分愈高，則疼痛態度障礙因素得分會愈低，有較高的疼痛知識程度則會有較少的疼痛態度障礙。
本研究結果將可提供醫院在疼痛教育課程設計、臨床實務、醫護研究及相關政策建立等之參考依據及指引。

關鍵字

急診醫護人員 ； 疼痛處理 ； 知識 ； 態度 ； 障礙因素

並列摘要

The purpose of this study was to explore emergency room staffs’ knowledge and attitude toward pain management along with relevant factors that influence those knowledge and attitudes. This cross-sectional study utilized a self-developed questionnaire. Participans of 201 ER physicians and nurses were purposively sampled from three emergency rooms in northern Taiwan.The Statistical Product and Service Solution( SPSS) version 20 along with was used for data analysis with 95% confidence interval and p <.05 is set as significant level. Descriptive and interential statistics were used for depicting study results.
The average score 63.28 of 100 suggested the insufficient knowledge toward pain mangement of emergency room staffs. Demographics of education degree, profession speciality, sources of pain education have significant effecrts on their knowledge toward pain management. No significant correlation was found between attutide toward pain management and attitude obstacle factors.Scores of knowedge toward pain and pain attitude obstacle factor scores were significant negatively correlated. Linear regression analysis revealed significant relationship between the degree of pain knowledge and pain obstacle barrier factors. Staffs with greater pain knowledge scores have lower attitude obstacle factor scores.
Study results can provide insights for the hospital providing continuous pain education and the development of pain management practice guideline. Moreover, future research should be directed to ethical, barrieral, personal, and environmental dimenions that all have influence on health care providers’ knwoledge and attitude toward management.

並列關鍵字

emergency medical staffs ； pain management ； knowledge ； attitude ； obstacle factors

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