在職教育提升外科護理人員術後疼痛評估能力之成效

本研究目的係探討疼痛評估教育對提昇護理人員疼痛評估知識與技巧之效果。採前、後、後後測實驗與控制之實驗設計，收案實驗組42人、控制組37人，及實驗組護理人員照顧之病人97位。實驗組接受教育訓練，控制組未接受訓練。結果顯示：(1)護理人員平均年齡實驗組28.9±5.4歲，控制組28.7±5.2歲。平均工作年資實驗組69.0±52.7月，控制組61.2±49.0月，兩組間人口學基本資料無顯著統計差異。(2)實驗組護理人員疼痛評估知識與技巧經在職教育後，有顯著提昇(F=17.95, p=.000)，控制組前後測則無顯著差異(F=3.68, p=.075)；兩組護理人員其對病人麻醉性止痛藥成癮知識具顯著差異(F=5.981, p=.017)。(3)實驗組護理人員前測時低估病人術後第一天最劇烈疼痛程度(6.19 vs. 7.36, p=.031)和最輕疼痛程度(2.56 vs.3.48, p=.042)，後測時高估術後第一天現在疼痛程度(4.00 vs. 2.77, p=.048)，而後後測時則高估術後第一天最輕疼痛程度(3.12 vs. 2.09, p=.025)，此差異均具統計意義。根據研究結果建議定期舉辦疼痛評估在職教育，以提昇護理人員疼痛評估能力。

The purpose of the study was to compare the effects of an educational programon pain assessment knowledge and skill. Seventy-nine surgical nurses were randomly assigned into two groups. The experimental group received an educational program, and there was no education for the control group. Ninety-seven patients cared for by experimental group were also recruited. The results were as follows: The mean age of the experimental group was 28.9±5.4, and 28.7±5.2 for the control group. The mean working year of the experimental group was 69.0±52.7 months, and 61.2±49.0 months for the control group. There were no significant differences between the two groups in demographic variables. The pain assessment knowledge for the experimental group was increased after education (F=17.95, p= .000), the scores were 57.63, 60.86, and 63.12 separately. In pretest, the nurses of the experimental group underestimated the patient's worst pain level (6.19 vs. 7.36, p=.031) and the slightest pain level (2.56 vs. 3.48, p=.042). In post test the nurses overestimated the current pain level (4.00 vs. 2.77, p=.048). In post-post test, the nurses overestimated the light pain level (3.12 vs. 2.09, p=.025), it showed a significant difference. According to the findings, pain assessment in-service education programs can be held regularly to enhance nurse's pain assessment ability.