Κατεύθυνση Επείγουσα Θεραπεία Παίδων
Library of the School of Health Sciences

2024-04-10

2024

Plantzopoulou Athanasia

Ευάγγελος Δούσης, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Αικατερίνη Μελεμενή, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Ιωάννης Κουτελέκος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ

Διαχείριση του πόνου στη Μονάδα Εντατικής Θεραπείας Παίδων

Greek

Pain Management in the Pediatric Intensive Care Unit

Pain Management in the Pediatric Intensive Care Unit
Introduction: Patients admitted to the Pediatric Intensive Care Unit (PICU) undergo painful and stressful interventions. Nurses' knowledge, attitudes and perceptions about pain management significantly influence the effectiveness of its management.
The aim of the study was to investigate knowledge, attitudes and perceptions of nurses on pain management in the PICU.
Methodology: A cross-sectional comparative study in a convenience sample was conducted from February 2020 to February 2021. A Formed (online) questionnaire including demographic information as well as the “Nurses' attitudes to pain in children scale” was used. Data analysis was performed with the statistical package SPSS v.23.0 at a statistical significance level of 0.05, x2 test and t-test were used for the analysis. Results: A significant percentage of nurses (30-50%) consider their knowledge to be at a high level regarding pain management and only 9.7-18.6% describe their knowledge as poor or quite poor. Nurses to a high degree (81.5-92%) recognize the importance of eliminating pain in all painful procedures. The exception regards infants care, for whom a significant percentage of nurses report that they do not know (27.4-31%) whether analgesia or sedation should be administered in specific painful procedures, and 54.9– 60.2% who disagree with the administration of analgesia and sedation in specific painful interventions in infants <1 month of age. The length of service was related to the reported level of knowledge regarding children's physical development (x2=9.766, df=4, p=0.045), psychological development (x2=10.527, df=4, p=0.032) and neurological development (x2=10.274, df=4, p=0.036), with those with less working experience (<10 years) reporting a lower level of knowledge. Men believe that personality influences their pain experience more than women (x2=9.919, df=4, p=0.042) and that changes in behavior are a good way to assess pain in children (x2=10.584, df= 4, p=0.032).
Conclusions: The majority of nurses working in PICUs self-assess their knowledge of effective pain management as adequate. However, their attitudes and perceptions differ significantly and their knowledge is practically lower than what they self-assess, which is also related to their limited continuous training in specialized pediatric pain management.

Health Sciences

Knowledge, Attitudes, Perceptions, Practice, Pain management, Pediatric intensive care units

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Yes

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File access is restricted until 2024-10-10.

https://pergamos.lib.uoa.gr/uoa/dl/object/3396017