CAJ | 학술논문

目的：探讨骨科护理人员疼痛管理知识和态度，为骨科护士规范化培训及创伤病人疼痛管理提供科学依据。方法采用自行设计一般调查问卷、护理人员疼痛知识和态度调查表，对某省5所三级甲等医院227名骨科护理人员进行调查。结果本组65.6%骨科护理人员学习过疼痛知识，但不全面；62.6%和33.0%的骨科护理人员认为有必要和很有必要学习，而且非常希望通过医院开展的继续教育项目、临床教学查房形式学习，5.7%经常从学术期刊上获取疼痛相关知识；只有18.1%总是使用疼痛评估工具进行评估；疼痛评估、非药物疼痛干预措施、疼痛的药物治疗是最想获得的前3位疼痛相关知识；疼痛知识和态度问卷平均答对率为44.8%，得分为（20.02±4.27）分，“系统学习过疼痛相关知识”、“经常从学术期刊上获取疼痛相关知识”的骨科护理人员问卷得分较高。结论目前骨科护理人员疼痛知识掌握程度不够，疼痛管理能力较低，认为学习疼痛管理知识非常必要，因此应加强疼痛知识的培训，尤其是疼痛管理综合应用及疼痛评估和非药物干预措施。
목적：탐토골과호리인원동통관리지식화태도，위골과호사규범화배훈급창상병인동통관리제공과학의거。방법채용자행설계일반조사문권、호리인원동통지식화태도조사표，대모성5소삼급갑등의원227명골과호리인원진행조사。결과본조65.6%골과호리인원학습과동통지식，단불전면；62.6%화33.0%적골과호리인원인위유필요화흔유필요학습，이차비상희망통과의원개전적계속교육항목、림상교학사방형식학습，5.7%경상종학술기간상획취동통상관지식；지유18.1%총시사용동통평고공구진행평고；동통평고、비약물동통간예조시、동통적약물치료시최상획득적전3위동통상관지식；동통지식화태도문권평균답대솔위44.8%，득분위（20.02±4.27）분，“계통학습과동통상관지식”、“경상종학술기간상획취동통상관지식”적골과호리인원문권득분교고。결론목전골과호리인원동통지식장악정도불구，동통관리능력교저，인위학습동통관리지식비상필요，인차응가강동통지식적배훈，우기시동통관리종합응용급동통평고화비약물간예조시。
Objective To explore orthopedic nurses’ knowledge of and attitude toward pain management and to provide reference for pain management. Methods A total of 277 orthopedic nurses from five Class Ⅲ Grade Ⅰ hospitals were surveyed by the nurses ’ knowledge and attitude survey regarding pain and general information questionnaire. Results Totally 65.6%of the orthopedic nurses had learned about knowledge of pain but not systematically and 95.6% thought it was indispensible to acquire pain knowledge especially about pain assessment, pain related psychology and drug therapy. Only 5.7%of the nurses obtained knowledge of pain from academic journals and only 18.1% of them always employed pain assessment tool. The mean rate of correct answer to knowledge of pain and attitude was 44.8%and the mean score was 20.02±4.27. Conclusion Orthopedic nurses lack knowledge of pain and have negative attitudes toward pain management but they have strong desire to acquire knowledge of pain, especially about pain assessment, pain related psychology and drug therapy.