以质量求发展，以服务铸品牌

Journal of Nursing ›› 2018, Vol. 25 ›› Issue (23): 5-9.doi: 10.16460/j.issn1008-9969.2018.23.005

Previous Articles     Next Articles

Effects of Pain Management Behavior Intervention Based on Theory of Planned Behavior for Surgical Nurses

HE Yu-hua, YANG Jie, JIANG Li-li   

  1. Dept. of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2018-08-10 Online:2020-07-09 Published:2020-07-09

PDF (PC)

200

Like

Abstract: Objective To explore the effects of pain management behavior intervention based on the Theory of Planned Behavior (TPB) on nurses' knowledge and behavior of and attitude toward pain management behavior. Methods Thirty-four nurses in surgical wards received TPB-based pain management behavior intervention and they were investigated by the Knowledge and Attitudes Survey Regarding Pain questionnaire before the implementation of the scheme (early January 2018) and after the implementation (late April 2018). The qualification rate of the pain nursing records was also evaluated by the electronic medical record system. At the same time, 120 patients discharged from the hospital in the same period were investigated by the Houston Pain Outcome Instrument. Results After the implementation of pain management behavior intervention, the scores of nurses' knowledge of and attitudes toward pain management behavior were significantly higher than before(P<0.01) and qualification rate of the pain nursing records was improved significantly (P<0.05). Patients' satisfaction with pain relief, pain treatment, nurses' response speed and all the nursing service provided when suffering pain was significantly improved (P<0.01). Conclusion TPB-based pain management behavior intervention can improve nurses' pain knowledge of and attitude toward pain, improve their pain management behavior thus relieve patients' pain.

Key words: theory of planned behavior, general surgery department, nurse, pain management

CLC Number: 

  • R473.6
[1] 中华医学会麻醉学分会.成人手术后疼痛处理专家共识[J].临床麻醉学杂志,2017,33(9):911-917.
[2] Mccaffery M, Robinson E S.Your Patient Is in Pain-here's How You Respond[J]. Nursing, 2002, 32(10):36-45.
[3] 赵继军,崔静.护士在疼痛管理中的作用[J].中华护理杂志,2009,44(4):383-384.
[4] Schoenwald A V.Two Hundred Days of Nurse Practitioner Prescribing and Role Development: A Case Study Report from A Hospital-based Acute Pain Management Team[J]. Aust Health Rev, 2011, 35(4):444-447. DOI:10.1071/AH10946.
[5] 刘雪莲,李漓.临床护士疼痛管理核心能力知识水平现状分析[J].护理学报,2018,25(9):12-16.DOI:10.16460/j.issn1008-9969.2018.09.012.
[6] 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[J].护理与康复, 2010,9(9):747-749. DOI:10.3969/j.issn.1671-9875.2010.09.004.
[7] 陈晓燕,成守珍,高明榕,等.8家三级医院ICU护士疼痛管理知识和态度调查分析[J].中国护理管理,2013,13(10):87-89. DOI:10.3969/j.issn.1672-1756.2013.010.031.
[8] 李伦兰,倪秀梅,甘玉云,等.227名骨科护理人员疼痛管理知识和态度调查分析[J]. 护理学报,2014,21(19):44-48. DOI:10.16460/j.issn1008-9969.2014.19.014.
[9] 易智慧. 疼痛知识培训对改善外科护士的疼痛管理知识和态度的效果[J].中国实用医药,2009,4(36):254-255. DOI:10.3969/j.issn.1673-7555.2009.36.205.
[10] 韩玉,彭杨灵,曲波,等.计划行为理论及其在医学中的研究应用[J].实用预防医学,2015,22(6):763-765. DOI:10.3969/j.issn.1006-3110.2015.06.043.
[11] Gaston G, Ariane B G, Martin E, et al.Healthcare Professionals' Intentions and Behaviours: A Systematic Review of Studies Based on Social Cognitive Theories[J]. Implement Sci, 2008, 3(36):1-12. DOI:10.1186/1748-5908-3-36.
[12] Welsh D, Lennie T A, Marcinek R, et al.Low-Sodium Diet Self-management Intervention in Heart Failure: Pilot Study Results[J]. Eur J Cardiovasc Nurs, 2013, 12(1):87-95. DOI:10.1177/1474515111435604.
[13] 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[J]. 中国实用护理杂志,2010,26(11): 66-68. DOI:10.3760/cma.j.issn.1672-7088.2010.04.056.
[14] Palos G, Rodriguez T, Disnard G, et al.Design Strategies in Pain Management Research with Hispanics[J]. Hispanic Health Care Int, 2003, 2(2):73-80.
[15] 丁燕. 外科护士对术后疼痛知识、态度和行为的认知情况调查[J]. 中医药管理杂志, 2016, 24(10):12-13. DOI:10.16690/j.cnki.1007-9203.2016.10.006.
[16] 应秋平,童苏琴,陈金娟,等.强化知识培训提高基层医院护士对患者疼痛的管理能力[J].中华护理杂志, 2011,46(4):375-377. DOI:10.3761/j.issn.0254-1769.2011.04.023.
[17] Morris B N, Henshaw D S, Royster R L.Survey of Pain Management in Thoracoscopic Surgery[J]. J Cardiothorac Vasc Anesth, 2018,32(4):1756-1758. DOI:10.1053/j.jvca.2018.02.013.
[1] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(12): 46-49.
[2] CHEN Juan-hui, CHEN Yan-ping, MENG Yu-fei, LIN Shao-ying, TAO Yan-ling. Construction of Evaluation Index System for Community Nurses' Knowledge, Attitude and Behavior of Home Visit to Elderly People [J]. Journal of Nursing, 2020, 27(12): 73-78.
[3] LIU Wei-quan, XIONG Jie, XIAO Qi, JIANG Yan, LIU Jun-ya. PBL Combined with Medical Simulation Teaching Method in Cultivating Clinical Ability of ICU Specialist Nurses [J]. Journal of Nursing, 2019, 26(4): 10-13.
[4] DU Li, MAO Hong-bo. Status Quo of Compensation Justice of 1 423 Clinical Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(4): 43-48.
[5] WU Fan, SHENG Yu, ZHANG Yu-jun, ZHU Ling-ling, LIU Xiu-hua. Qualitative Study on Rescue Experience of Nurses in Disaster Response: A Meta Synthesis [J]. Journal of Nursing, 2019, 26(3): 28-33.
[6] MI Yuan-yuan, DONG Jiang, LIU Huan. Qualitative Research on Job Burnout in Nurses: A Meta Synthesis [J]. Journal of Nursing, 2019, 26(3): 34-39.
[7] JI Jia-mei, LUO Cai-feng, XU Jian-ou. Development of Nurse Affective Domain Ability Scale and Its Reliability and Validity [J]. Journal of Nursing, 2019, 26(15): 46-50.
[8] LIU Yuan-yuan, SHI Fu-yan, CUI Juan, NIU Jie, YIN Chong-gao. Status Quo of Nursing Work Environment Perception in Newly Enrolled Nurses with Standardized Training and Its Influencing Factors [J]. Journal of Nursing, 2019, 26(14): 1-4.
[9] WANG Jin-bo, SUN Hui-min, HUANG Rong-rong, ZHANG Xiu-xiu, CHEN Gui-ru. Current Status of Professional Identity of Newly-graduated Male Nurses in Guizhou Province [J]. Journal of Nursing, 2019, 26(12): 6-9.
[10] GUO Yi-li, CHEN Yu, CHEN Wei-chen. Current Status of Perceived Professional Benefits and Its Influence Factors in Nurses from One Municipal TCM Hospital [J]. Journal of Nursing, 2019, 26(12): 10-14.
[11] HE Yue-yue, Huang Xiu-mei, YIN An-chun, LIU Si-yu. Attitudes Toward Hospice Care of ICU Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(11): 5-8.
[12] MA Dan-ting,LI Wen-yuan,ZHOU Chun-lan,LIU Ying,WANG Yan. Occupational Commitment of CIinical Nurses and Its Influence Factors [J]. Journal of Nursing, 2018, 25(9): 8-12.
[13] LIU Xue-lian,LI Li. Clinical Nurses' Knowledge of Core Competencies of Pain Management [J]. Journal of Nursing, 2018, 25(9): 12-16.
[14] WANG Zhao-bei,ZHANG Jing-ping. Application and Effect Assessment of Three Scoring Systems in Allocation of Patients Responsible by ICU Nurses [J]. Journal of Nursing, 2018, 25(9): 17-21.
[15] YI Jing,DONG Jian-li,SHA Li-yan,LI Li. Qualitative Research on Work Experience of Nurses Trained by the Mode of Balint Groups [J]. Journal of Nursing, 2018, 25(9): 71-74.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!