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Background:Pain is widely prevalent regardless settingsand is thought to be one of themainreasons why patients seek medical care. Pain is consideredas the "fifth vital sign" and there is a need forit to be assessedand recordedregularly,as with other vital signs. Barriers to appropriate pain management includehealth worker's insufficient knowledge on pain assessment toolsandthe general attitude towards patient's pain management. Objective: To assess knowledge, attitude, and practice of childhood pain assessment and the management among pediatrics and pediatric surgical residents in Tikur Anbessa Specialized Hospital.Methodology: A descriptive cross-sectional study was conductedto assess the knowledge, attitude, and practice of pediatric and pediatric surgical residents in TASHbasedon pediatric pain assessment and management. The data was collected by a standardized pretested questionnaire. Data were analyzed using SPSS computer software version 25.Results:The mean total score of the residents was 14.56 (SD=3.16) from a total of 27 questions consisting of 15 T/F and 12 MCQ questions. The maximum and minimum scores were 25 and 7 respectively. Most of the study groups (86.2%) were not using pain assessment tools. Final-year residents had 5.5(95% CI=1.38-21.85) more than "average and above" scores than the other year residents. Conclusion and recommendation :Knowledge deficit, poor attitude, and poor practice on pediatric pain assessment and management werediscovered from this study.The findings of the present study emphasize the need to improve the Knowledge, attitude, and practices of residents on assessment and management of pain in children.
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Pain Measurement , Health Knowledge, Attitudes, Practice , Pediatrics , Surgical Procedures, OperativeABSTRACT
Objective To explore the application value of sensitive index of nursing quality in nursing management of patients with cancer pain.Methods One hundred and eight patients with cancer pain in the First Affiliated Hospital of Xinxiang Medical University from February 2014 to March 2015 were selected as the control group;one hundred and eight patients with cancer pain in the First Affiliated Hospital of Xinxiang Medical University from April 2015 to June 2016 were selected as the study group.The traditional cancer pain nursing quality evaluation criterion was taken in the control group,and the improved cancer pain nursing quality evaluation criterion was taken in the study group to evaluate the nursing quality.The accuracy of pain assessment,awareness rate of cancer pain knowledge,degree of satisfaction to the nursing work were compared between the two groups.Results The accuracy of pain assessment of patients in the study group (90.7％,98/108)was significandy higher than that in the control group (45.4％,49/108) (x2 =51.16,P ＜ 0.05);the awareness rate of cancer pain knowledge of patients (98.1％,106/108) in the study group was significantly higher than that in the control group (72.2％,78/108) (x2 =28.83,P ＜ 0.05);the satisfaction rate of the patients in the study group (100.0％,108/108) was significantly higher than that in the control group (85.2％,92/108) (x2 =17.38,P ＜ 0.05).Conclusion The overall quality of cancer pain care can be improved by strengthening the quality evaluation of the pain assessment accuracy and the awareness rate of cancer pain knowledge in patients with cancer pain.
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Objective To know the influence of pain-related education program on nurses'attitude, knowledge and assessment practices of pains.Methods The effects of pain education program (PEP) were measured by a quasi-experimental design, 196 nurses were divided into the experimental group(106 cases)and the control group(90 cases)randomly.Pain education program was used only in the experimental group.Compared level of pain- related knowledge, attitude and assessement paractiees between the two groups.Results Nurses in the experimental group who received the PEP had a significant improvement in their pain knowledge and attitudes.Their scores on the NKAS increased from 15.67 at T1 to 26.13 at T2 and 35.14 at T3.The scores of nurses in the control group were unchanged (from 15.20 at T1 to 14.29 at T2 and 14.93 at T3).In addition, the percentage of experimental group nurses who correctly used the Changhai Pain Scale to assess patients' pain intensity increased significantly after the PEP, and the in-creased usage of the assessment tool between experimental and control groups also shows a statistical differ-ence in trend.Conclusions The PEP does impact on nurses' knowledge levels and clinical behavior.It can be concluded that PEP is effective in improving nurses' pain knowledge, attitude and assessment prac-tice.
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PURPOSE: A survey was done on knowledge of pain and pain interventions by clinical nurses in Deagu city and Kyoungbuk province. METHOD: The participants in this study were 209 nurses who worked in Daegu city, and 190 nurses who worked in Kyoungbuk province. The data were collected from August 5, to September 15, 2002. The data were analyzed with SPSS WIN 10.0 program using numbers, percentages, averages and standard deviation with t-test and ANOVA. RESULT: Out of a total of 30 points on general knowledge of pain, the clinical nurses had a high score of 28, and a low of 10. The average was 18.6 (SD=3.14). Of the participants, 57.9% reported not having had any pain education and 67.9% agreed that education is a necessity. Of pharmacological interventions, Tylenol had the highest score at 3.44 out of a possible 4 points. The most frequent route for giving medication was intramuscular injection (42.6%) and for 62.7%, there was a decision by the physician for routine medication or prn. On reactions after medication, moderate relief had the highest frequency (41.9%), and for side effects after the medication, feeling of nausea was most frequent (70.4%). Of the nonpharmacological approaches to pain relief, ice bag had the highest score with 2.95 out of a possible 4. Judgement to give medication was made by the nurse for 50.1% of the participants and 64.7% reported a little relief from pain. CONCLUSION: Based upon the results, continuing education and developing a better education programs (including pain mechanism, pain assessment, pharmacological interventions and nonpharmacological interventions) are needed for systematic pain management. Nurses need a high level of knowledge of pain, to be active in pharmacological interventions and nonpharmacological interventions.