医院护士对老年痴呆患者疼痛管理的信念和知识：一项横断面调查研究。

IF 1.6 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2025-07-11 DOI:10.1016/j.pmn.2025.03.008

Beverly Ingelson, Sherry Dahlke, GailHannah M LowO'Rourke, Kathleen F Hunter

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引用次数: 0

摘要

目的：住院的老年痴呆患者（PLWDs）经常经历无法缓解的疼痛。护士的个人知识和信念是疼痛管理实践的有力预测因素。年龄、性别和经验等护士个体因素对plwd疼痛管理实践的影响尚不清楚。本研究旨在探讨护士的年龄、性别、年龄和经验对住院plwd患者疼痛管理知识和信念的影响。设计：一项探索性、描述性、非实验性、横断面研究，采用老年痴呆患者疼痛知识和信念调查，考察注册护士对疼痛管理的信念和知识。这是在其他地方报道的第二项定性研究中，第一项解释混合方法设计和知情数据收集的研究。方法：收集2022年2月至7月在南加州两家医院工作的护士的数据。参与护士样本较多的医院被指定为“护士改善保健系统老年人护理设施”。结果：多变量方差分析显示，与年龄、性别或经验年数相比，护士对疼痛、痴呆和老年人的一般信念和知识没有统计学上的显著差异。然而，方差分析表明，与女性相比，男性对老年人疼痛的看法不那么乐观。对这三个因素的均值和标准差的整体分析表明，有机会改善护士在疼痛管理方面的知识缺陷，以及可能表明老年plwd患者对疼痛的负面刻板印象的信念。结论：研究发现，即使在指定的护理改善卫生系统老年人站点的设施中，也存在知识缺陷和消极的刻板印象，这些观念可能导致住院老年plwd未被充分认识和管理的疼痛。研究结果还表明，女性和男性护士在知识和信念方面可能存在差异，这可能会影响疼痛管理实践。需要进一步的研究来了解这一点和其他潜在的影响护士对这一护理领域的理解。临床意义：©20XX由美国疼痛管理护理学会。

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Hospital Nurses' Beliefs and Knowledge About Pain Management Among Older Persons Living With Dementia: A Cross-Sectional Survey Study.

Purpose: Hospitalized older persons living with dementia (PLWDs) often experience unrelieved pain. Nurses' personal knowledge and beliefs are strong predictors of pain management practices. The impact of individual nurse factors such as age, gender, and experience in their pain management practices with PLWDs is unknown. The purpose of this study was to explore the influence of nurses' age, sex, age, and experience on knowledge and beliefs when managing pain in hospitalized PLWDs.

Design: An exploratory, descriptive, nonexperimental, cross-sectional study using the Knowledge and Beliefs About Pain in Elderly Patients With Dementia survey examined registered nurses' beliefs and knowledge about pain management. This is the first study in an explanatory mixed methods design and informed data collection in the second and qualitative study reported elsewhere.

Methods: Data were collected between February and July 2022 on nurses working in two hospitals in Southern California. The hospital with the larger sample of nurse participants was designated a Nurses Improving Care for Healthsystem Elders facility.

Results: Multivariate analysis of variance revealed no statistically significant differences in nurses' general beliefs and knowledge about pain, dementia, and older persons when compared by age, sex, or years of experience. However, analysis of variance indicated that people who identified as men had less favorable beliefs about pain in older persons than women. Overall analysis of the means and standard deviations for the three factors indicated that there were opportunities to improve nurses' knowledge deficits related to pain management and beliefs that may indicate negative stereotypes about pain in older PLWDs.

Conclusions: The study found that even in a facility designated a Nurses Improving Care for Healthsystem Elders site, there are knowledge deficits and negative stereotypical beliefs that may result in pain that is underrecognized and undermanaged in hospitalized older PLWDs. Study results also suggest that there may be a difference in knowledge between female and male nurses in terms of knowledge and beliefs that may impact pain management practices. Further research is needed to understand this and other potential influences on nurses' understanding of this area of care.

Clinical implications: © 20XX by the American Society for Pain Management Nursing.

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.