Medical Sciences Journal of Islamic Azad University
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران
MEDICAL SCIENCES
Medical Sciences
http://tmuj.iautmu.ac.ir
1
admin
1023-5922
2008-3386
000
10.61882/iau
000
1023-5922
000
fa
jalali
1403
3
1
gregorian
2024
6
1
34
2
online
1
fulltext
fa
بررسی دانش و نگرش پرستاران پرستاران در رابطه با مدیریت درد به روش نردبانی: یک مطالعه توصیفی- همبستگی
Evaluation of nurses' knowledge and attitude about pain management ladder method: a descriptive-correlational study
پرستاري
Nursing
تحليلي/مقطعي/توصيفي
Survey/Cross Sectional/Descriptive
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">سابقه و هدف</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:Nazanin"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">درد احساس ناخوشایندی در ارتباط با آسیب بافت­ها است و پرستاران به واسطه ارتباط نزدیک با بیماران نقش کلیدی را در مدیریت درد، به عنوان یکی از مهم­ترین اصول مراقبت، ایفا مینمایند. این مطالعه با هدف بررسی دانش و نگرش پرستاران در رابطه با مدیریت درد به روش نردبانی در سال 1399 انجام شد</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">. </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal"></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt">روش بررسی</span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">:</span></span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">در این مطالعه توصیفی همبستگی 215 پرستار بیمارستان پیامبر اعظم(ص) کرمان به روش روش تصادفی ساده انتخاب شدند. </span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">داده­ها با استفاده</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> از پرسشنامه سنجش دانش و نگرش پرستاران در رابطه با مدیریت درد به روش نردبانی جمع آوری و با استفاده از نرمافزار </span></span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">SPSS<sub>23</sub> </span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal"> تحلیل شدند</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">یافته</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">ها:</span></span></span> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">نتایج حاصل از تحلیل دادهها نشان داد که میانگین نمره دانش و نگرش پرستاران در رابطه با مدیریت درد به روش نردبانی به ترتیب 75/4</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">08/17 و 88/6</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">07/71 و در سطح متوسط قرار دارد. یافته­ها حاکی از این بود که بین نمرات دانش و نگرش پرستاران در رابطه با مدیریت درد نیز ارتباط مثبت و معنی­داری وجود دارد (335/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">r=</span></span></span></i><i> </i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">،001/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">p=</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). از میان متغیرهای جمعیت شناختی بین میانگین نمرات دانش و سن، سابقه کار و بخش محل خدمت ارتباط معنیدار بود (</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">05/0></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">p</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">)</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">. بین میانگین نمرات نگرش پرستاران با متغیرهای جمعیت شناختی ارتباط معنی داری مشاهده نشد</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">­</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">گیری</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">:</span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> بر اساس یافته­های مطالعه حاضر، </span></span></span></span><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">سطح متوسط دانش و نگرش پرستاران برای مدیریت درد کافی نیست و وجود ارتباطات مثبت بین این دو متغیر و برخی از مشخصات جمعیت شناختی، به توجه بیشتر جهت برنامه ریزی دوره های آموزشی نیازمند است</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Koodak""><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: Pain is an unfortunate sentiment associated with damage to the body tissue. Nurses play a crucial role in pain management as one of the care principles. Hence, this study was conducted to determine nurses' knowledge and attitude about the pain management ladder method in 2020. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Materials and methods</span></b><span style="font-size:11.0pt">: In this descriptive correlational study, 215 nurses from Kerman Payambar Azam Hospital were recruited using convenience sampling. Data were collected via a questionnaire that assessed the knowledge and attitudes toward the pain management ladder method, and analysis was performed using SPSS23. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: The results of data analysis showed that the participants' knowledge and attitude mean scores regarding the pain management ladder method were 17.08 ± 4.75 and 71.7 ± 6.88, respectively, at the moderate level. The results indicated a positive and significant correlation between knowledge and attitude toward pain management (r= 0.335, p= 0.001). Among the demographic variables, there was a significant correlation between the knowledge mean score and age, work experience, and workplace (p<0.05). However, there was no significant correlation between the attitude mean score and demographic variables.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Conclusion</span></b><span style="font-size:11.0pt">: Regarding our findings, the moderate level of nurses’ knowledge and attitude mean scores were inadequate to manage pain, and the presence of positive correlations between these two variables and some demographic characteristics need more attention for planning training courses.</span></span></span></span></span></span><br>
دانش, نگرش, پرستاران, مدیریت درد, روش نردبانی
Knowledge, Attitude, Nurses, Pain management, Laddering technique.
185
194
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-1714-1&slc_lang=fa&sid=1
Zahra
Hajebrahimi
زهرا
حاج ابراهیمی
Z.Hajebrahimi @ iauk.ac.ir
100319475328460012324
100319475328460012324
No
MSc in Medical –Surgical Nursing, Department of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran
کارشناس ارشد پرستاری داخلی – جراحی، گروه پرستاری و مامایی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران
Maryam
Khandan
مریم
خاندان
mkhandan@iauk.ac.ir
100319475328460012325
100319475328460012325
Yes
PhD in Nursing, Assistant Professor, Department of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran
دکتری تخصصی پرستاری، استادیار، گروه پرستاری و مامایی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران