目的：观察人工膝关节置换围手术期实施疼痛管理前后护理人员对疼痛的认知及态度的影响。方法：选择25名参与人工膝关节置换护理工作的护士作为研究对象，在围手术期实施疼痛管理，评价实施前后护理人员疼痛知识的掌握及对疼痛的态度。结果：本组64%骨科护理人员在实施疼痛管理前学习过疼痛知识，但不全面；64%和32%的骨科护理人员认为有必要和很有必要学习，只有8%经常从学术期刊上获取疼痛相关知识。实施疼痛管理后，护士对于疼痛认知程度测评得分为（16.08±4.12）分，明显高于实施疼痛管理前的（9.68±3.87）分，差异有统计学意义（P<0.01）。实施疼痛管理后，护理人员对于疼痛的认知情况，对超前镇痛与定时给药问题的理解以及对患者镇痛药物依赖性的认识均明显优于实施疼痛管理前，差异均有统计学意义（P<0.05）。结论：实施人工膝关节置换围手术期疼痛管理，可有效提高护理人员对疼痛的认知，确保疼痛控制的质量，值得推广及应用。%Objective:To observe the effects of implementation of pain management on pain control knowledge and attitude for nursing staff in total knee arthroplasty preoperative period.Method:25 nurses who participated in total knee arthroplasty nursing were selected as research objects.Pain management procedure was performed during preoperative period,the pain knowledge and attitude regarding pain of the nurse were evaluated and analyzed.Result:Before the implementation of pain management,the totally 64% of the orthopedic nurses had learned about knowledge of pain but not systematically,64% and 32% of nurses in Department of orthopedics thought it necessary and very necessary to study.Only 8% of the nurses obtained knowledge of pain from academic journals before the pain management.The score of knowledge regarding pain of the nurses after the pain management was (16.08±4.12)scores,which was significantly higher than (9.68±3.87)scores of before the pain management,the difference was statistically significant(P<0.01).After the implementation of pain management, the cognitive situation of nursing staff for pain,understanding of the problems of preemptive analgesia and timed administration,understanding of drug dependence on patients with analgesic drugs in the nursing staff were significantly better than before implementation of pain management,the differences were statistically significant (P<0.05).Conclusion:The pain management in total knee arthroplasty preoperative period can improve the nurses’ knowledge regarding pain,ensure the quality of pain control and this procedure worth popularizing and using.
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