Investigation and analysis of pain management of medical staff in Emergency Department_West China Medical Journal

Authors：

LI Hong , QIN Junchun , ZHOU Yue , TAN Qinglian ,  YE Lei

Emergency Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YE Lei, Email: yelei1117@126.com

Keywords：

Pain knowledge; Attitude; Medical staff; Emergency

DOI：

10.7507/1002-0179.201611046

Video：

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Objective To investigate the status quo of knowledge and attitude towards pain among medical staff in West China Hospital of Sichuan University. Methods The medical staff in Emergency Department of West China Hospital of Sichuan University were investigated by the Chinese version of Knowledge and Attitudes Survey Regarding Pain (2008) questionnaire, the contents of which related to pain assessment, pain related knowledge, analgesic related knowledge, and comprehensive application, etc. And the questionnaire scores were compared among medical workers with different background. Results A total of 156 questionnaires were sent out and 130 valid ones were taken back, with an effective recovery rate of 83.3%. There was no statistically significant difference in questionnaire scores among the medical workers with different education background or different professional titles (P>0.05). The questionnaire scores were significantly different among nurses with different seniority (F=3.785, P=0.035), and the mean score of the nurses with more than 10 years of seniority was the highest (22.78±7.11). The questionnaire scores were significantly different among nurses working in different areas (F=3.043, P=0.033), and the mean score of the nurses working in rescue room was the highest (24.53±7.84).The erroneous items were concentrated on item 5, 17, 19. In the answers to the open questions, 97.7% (127/130) thought that the existing pain knowledge could not satisfy the needs of clinical work; 100.0% (130/130) believed that it was necessary to study pain related knowledge; 80.0% (104/130) acquired pain related knowledge from clinical experience, 40.0% (52/130) from books, 15.4% (20/130) from the network; 90% ( 117/130) commonly used numeric rating scale to evaluate the patients’ pain degree, 20.0% (26/130) evaluated the patients’ pain degree through facial expressions. Conclusions The overall level of pain management knowledge and attitude in medical staff in Emergency Department is low. The continuing education on pain knowledge should be strengthened, the attitude towards pain treatment and the importance of pain management should be paid more attention, and the standardized training and supervision should be enhanced.

Citation： LI Hong, QIN Junchun, ZHOU Yue, TAN Qinglian, YE Lei. Investigation and analysis of pain management of medical staff in Emergency Department. West China Medical Journal, 2017, 32(11): 1766-1769. doi: 10.7507/1002-0179.201611046 Copy

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8.	Voshall B, Dunn KS, Shelestak D. Knowledge and attitudes of pain management among nursing faculty. Pain Manag Nurs, 2013, 14(4): e226-e235.
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13.	卢苇, 林润, 金爽, 等. 福建省三级甲等医院临床护士疼痛知识与态度调查分析. 中国护理管理, 2014, 11(11): 1137-1139.
14.	桑翠, 柏艳. 护士疼痛知识学习效果分析. 护理管理杂志, 2007, 7(1): 31-32.
15.	周立松, 张宏美, 陈英霞, 等. 1 455 名深圳市护士疼痛知识和态度情况的调查. 徐州医学院学报, 2009, 29(10): 695-698.

1. 梁志, 霍青平. 疼痛的评估与管理. 护理研究, 2006, 20(6): 1608-1609.
2. 童莺歌, 叶志弘. 浙江省 4 家三级医院护士疼痛管理知识和态度的调查与分析. 护理与康复, 2010, 9(9): 747-749, 752.
3. 童莺歌, 叶志弘. 《疼痛管理知识和态度的调查》问卷的汉化及应用测试研究. 中国实用护理杂志, 2010, 26(11): 66-68.
4. Moceri JT, Drevdahl DJ. Nurses’ knowledge and attitudes toward pain in the emergency department. J Emerg Nurs, 2014, 40(1): 6-12.
5. Erkes EB, Parker VG, Carr RL, et al. An examinationof critical care nurses’ knowledge and attitudes regarding pain management in hospitalized patients. Pain Manag Nurs, 2001, 2(2): 47-53.
6. Plaisance L, Logan C. Nursing students’ knowledge and attitudes regarding pain. Pain Manag Nurs, 2006, 7(4): 167-175.
7. Matthews E, Malcolm C. Nurses’ knowledge and attitudes in pain management practice. Br J Nurs, 2007, 16(3): 174-179.
8. Voshall B, Dunn KS, Shelestak D. Knowledge and attitudes of pain management among nursing faculty. Pain Manag Nurs, 2013, 14(4): e226-e235.
9. Van Niekerk LM, Martin F. Tasmanian Nurses’ knowledge of pain management. Int J Nurs Stud, 2001, 38(2): 141-152.
10. Bernardi M, Catania G, Lambert A, et al. Knowledge and attitudes about cancer pain management: a national survey of Italian oncology nurses. Eur J Oncol Nurs, 2007, 11(3): 272-279.
11. Mccaffery M, Robinson ES. Your patient is in pain--here’s how you respond. Nursing, 2002, 32(10): 36-45; quiz 45-47.
12. Mccaffery M, Ferrell BR. Nurses’ knowledge of pain assessment and management: how much progress have we made? J Pain Symptom Manage, 1997, 14(3): 175-188.
13. 卢苇, 林润, 金爽, 等. 福建省三级甲等医院临床护士疼痛知识与态度调查分析. 中国护理管理, 2014, 11(11): 1137-1139.
14. 桑翠, 柏艳. 护士疼痛知识学习效果分析. 护理管理杂志, 2007, 7(1): 31-32.
15. 周立松, 张宏美, 陈英霞, 等. 1 455 名深圳市护士疼痛知识和态度情况的调查. 徐州医学院学报, 2009, 29(10): 695-698.

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