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題名:急診醫護人員疼痛處理知識與影響因素之探討
書刊名:護理雜誌
作者:吳春滿賴甫誌 引用關係趙從賢童恒新苗迺芳 引用關係
作者(外文):Wu, Chun-manLai, Fu-chihChaou, Chung-hsienTung, Heng-hsinMaio, Nae-fang
出版日期:2016
卷期:63:1
頁次:頁99-109
主題關鍵詞:急診醫護人員疼痛處理知識影響因素Emergency room staffsPain managementKnowledgeInfluential factors
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:6
  • 點閱點閱:16
背景 疼痛是第五生命徵象,也是急診病人常見的醫療問題。雖然研究指出急診醫護人員疼痛處理知識對病人疼痛的照護品質有相當程度的影響,但國內對此疼痛處理知識與影響因素的探討仍屬少見。目的 了解急診醫護人員的疼痛處理知識情形,及探索影響其疼痛處理知識之因素。方法 以橫斷式相關性研究設計,運用自擬之結構式問卷與方便取樣(convenient sampling),對國內北部三家醫院之201位急診室醫護人員進行資料收集。結果 急診醫護人員的疼痛處理知識得分平均為63.28/100分。急診醫護人員的教育程度、身份別以及疼痛教育課程來源會影響其疼痛知識得分。結論/實務應用 研究結果顯示急診醫護人員的疼痛處理知識仍有待充實,而知識的影響因子可提供醫院在疼痛教育課程設計、臨床實務、未來相關研究之參考。
Background: Pain has been integrated as the fifth vital sign that is a common health problem for emergency room patients. Although prior studies have addressed the effects of the pain-management knowledge of emergency room staffs on the quality of pain care, there is a dearth of research on pain management knowledge and on the factors that influence this knowledge. Purpose: To explore the knowledge of emergency room staffs regarding pain management and the factors that influence this knowledge. Method: This cross-sectional study used a self-developed questionnaire to survey a convenience sample of 201 physicians and nurses from three emergency rooms in northern Taiwan. Results: The average score for pain-management knowledge was 63.28 out of 100. Demographic variables including education level, professional specialty, and sources of pain education had significant effects on participants’ pain-management knowledge. Conclusions / Implications for Practice: The knowledge of emergency room staffs regarding pain management must be reinforced further in order to improve care quality. The factors identified that influence this knowledge may be referenced by hospitals in developing / revising pain-related continuing education, in developing pain management guidelines, and in setting the directions for future research on pain management.
期刊論文
1.梁亞文、蔡哲宏、陳文意(20111000)。非緊急急診病人特性及其相關因素探討。臺灣公共衛生雜誌,30(5),505-516。new window  延伸查詢new window
2.顏慧芳、邱麗文(20051200)。急重症醫護人員的疼痛處理知識與態度及其相關因素。實證護理,1(4),292-301。new window  延伸查詢new window
3.Al-Shaer, D.、Hill, P. D.、Anderson, M. A.(2011)。Nurses’ knowledge and attitudes regarding pain assessment and intervention。Medsurg Nursing,20(1),7-11。  new window
4.Berben, S. A. A.、Meijs, T. H. J. M.、van Grunsven, P. M.、Schoonhoven, L.、van Achterberg, T.(2012)。Facilitators and barriers in pain management for trauma patients in the chain of emergency care。Injury: International Journal of the Care of the Injured,43(9),1397-1402。  new window
5.Bergh, I.、Jakobsson, E.、Sjostrom, B.(2008)。Worst experiences of pain and conceptions of worst pain imaginable among nursing students。Journal of Advanced Nursing,61(5),484-491。  new window
6.Bergman, C. L.(2012)。Emergency nurses, perceived barriers to demonstrating caring when managing adult patients’ pain。Journal of Emergency Nursing,38(3),218-225。  new window
7.Daghfous, M.、Jaafar, A.、Dziri, C.、Tramer, M.(2010)。The pain assessment scales in the emergency departments: A meta-analysis and a systematic review 13AP3-4。European Journal of Anaesthesiology,27(47),193。  new window
8.Duignan, M.、Dunn, V.(2008)。Barriers to pain management in emergency departments。Emergency Nurse,15(9),30-34。  new window
9.Heins, A.、Homel, P.、Safdar, B.、Todd, K.(2010)。Physician race/ethnicity predicts successful emergency department analgesia。The Journal of Pain,11(7),692-697。  new window
10.Hwang, U.、Platts-Mills, T. F.(2013)。Acute pain management in older adults in the emergency department。Clinics in Geriatric Medicine,29(1),151-164。  new window
11.Lakens, D.(2013)。Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for tests and ANOVAs。Frontiers in Psychology,4(863)。  new window
12.Latimer, M. A.、Ritchie, J. A.、Johnston, C. C.(2010)。Individual nurse and organizational context considerations for better knowledge use in pain care。Journal of Pediatric Nursing,25(4),274-281。  new window
13.Le May, S.、Johnston, C. C.、Choiniere, M.、Fortin, C.、Kudirka, D.、Murray, L.、Chalut, D.(2009)。Pain management practices in a pediatric emergency room (PAMPER) study: Intervention with nurses。Pediatric Emergency Care,25(8),498-503。  new window
14.Lee, Wei-che、Lin, Hsing-lin、Kuo, Liang-chi、Chen, Chao-wen、Cheng, Yuan-chia、Lin, Tsung-ying、Soo, Kwan-ming、Chan, Hon-man(20130600)。Early Predictors of Narcotics-dependent Patients in the Emergency Department。The Kaohsiung Journal of Medical Sciences,29(6),319-324。  new window
15.Lembke, L.(2012)。Why doctors prescribe opioids to known opioid abusers。The New England Journal of Medicine,367(17),1580-1581。  new window
16.Moceri, J. T.、Drevdahl, D. J.(2014)。Nurses' knowledge and attitudes toward pain in the emergency department。Journal of Emergency Nursing,41(1),6-12。  new window
17.Mossey, J. M.(2011)。Defining racial and ethnic disparities in pain management。Clinical Orthopaedics and Related Research,469(7),1859-1870。  new window
18.Motov, S. M.、Khan, A. N.(2009)。Problems and barriers of pain management in the emergency department: Are we ever going to get better。Journal of Pain Research,2,5-11。  new window
19.Muntlin, A.、Carlsson, M.、Safwenberg, U.、Gunningberg, L.(2011)。Outcomes of a nurse-initiated intravenous analgesic protocol for abdominal pain in an emergency department: A quasi-experimental study。International Journal of Nursing Studies,48(1),13-23。  new window
20.Nitzan, U.、Lichtenberg, P.(2004)。Questionnaire survey on use of placebo。British Medical Journal,329,944-946。  new window
21.Platts-Mills, T. F.、Esserman, D. A.、Brown, D. L.、Bortsov, A. V.、Sloane, P. D.、McLean, S. A.(2012)。Older US emergency department patients are less likely to receive pain medication than younger patients: Results from a national survey。Annals of Emergency Medicine,60(2),199-206。  new window
22.Proctor, S. L.、Estroff, T. W.、Empting, L. D.、Shearer-Williams, S.、Hoffmann, N. G.(2013)。Prevalence of substance use and psychiatric disorders in a highly select chronic pain population。Journal of Addiction Medicine,7(1),17-24。  new window
23.Razali, S. M.、Khalib, A. Q.(2012)。Pain symptoms in Malay patients with major depression。Asian Journal of Psychiatry,5(4),297-302。  new window
24.Safdar, B.、Heins, A.、Homel, P.、Miner, J.、Neighbor, M.、DeSandre, P.、Todd, K. H.(2009)。Impact of physician and patient gender on pain management in the emergency department- A multicenter study。Pain Medicine,10(2),364-372。  new window
25.Stalnikowicz, R.、Mahamid, R.、Kaspi, S.、Brezis, M.(2005)。Undertreatment of acute pain in the emergency department: A challenge。International Journal for Quality in Health Care,17(2),173-176。  new window
26.Tsai, F. C.、Tsai, Y. F.、Chien, C. C.、Lin, C. C.(2007)。Emergency nurses’ knowledge of perceived barriers in pain management in Taiwan。Journal of Clinical Nursing,16(11),2088-2095。  new window
27.Wang, H. L.、Tsai, Y. F.(2010)。Nurses’ knowledge and barriers regarding pain management in intensive care units。Journal of Clinical Nursing,19(21),3188-3196。  new window
28.Wolfert, M. Z.、Gilson, A. M.、Dahl, J. L.、Cleary, J. F.(2010)。Opioid analgesics for pain control: Wisconsin physicians’ knowledge, beliefs, attitudes, and prescribing practices。Pain Medicine,11(3),425-434。  new window
29.Yee, A. M.、Puntillo, K.、Miaskowski, C.、Neighbor, M. L.(2006)。What patients with abdominal pain expect about pain relief in the emergency department。Journal of Emergency Nursing,32(4),281-287。  new window
30.Yuruktumen, A.、Karaduman, S.、Yesilaras, M.、Guryay, M.(2011)。Pain perception in emergency department patients with and without headache。Hong Kong Journal of Emergency Medicine,18(3),131-135。  new window
學位論文
1.龔美珍(2008)。建立護理人員疼痛處理之模式--以桃園縣某醫院為例(碩士論文)。元智大學。  延伸查詢new window
圖書
1.樓迎統、楊雅晴、鄭惠信、林佩欣、許勤(2011)。老人生理學。台北市:華杏。  延伸查詢new window
 
 
 
 
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