Hemşirelerin Multimodal Analjeziye İlişkin Bilgi ve Uygulamalarının Belirlenmesi
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2021-02-26
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info:eu-repo/semantics/openAccess
Özet
Tanımlayıcı tipteki araştırmanın amacı cerrahi hemşirelerin multimodal analjeziye ilişkin bilgi ve uygulamalarını belirlemektir. Bolu ilinde yer alan bir eğitim ve araştırma hastanesinin cerrahi kliniklerinde çalışan 150 hemşire çalışma kapsamına alındı. Çalışmanın verileri araştırmacılar tarafından oluşturulan hemşirelerin sosyodemografik özellikleri ile multimodal ağrı uygulamalarını belirleyen ‘Kişisel Veri Formu” ile hemşirelerin ağrı, analjezik ajan ve multimodal ağrıya yönelik bilgilerini değerlendiren “Bilgi Formu” ile toplandı. Veriler, Mann Whitney U, Kruskal Wallis Varyans analizi, Ki-Kare ve Fisher’s Exact testleri kullanılarak analiz edildi. Çalışmada hemşirelerin %75’inin multimodal analjeziyi duymadıkları, duyan hemşirelerin çoğunluğunun medya ve internetten bilgi edindikleri ve %75’inin ise multimodal analjeziye yönelik eğitim almak istedikleri belirlendi. Hemşirelerin ağrı, analjezik ajanlar ve multimodal analjeziye verdikleri doğru puan ortalamaları sırasıyla 68,86±15,46, 52,93±22,90 ve 46,19±27,11 olarak bulundu. Hemşirelerin en az doğru yanıt ortalaması multimodal analjeziye yönelikti. Çalışma kapsamına alınan hemşirelerden multimodal kavramını duyanların ağrı puan ortalaması [AOR 7,82 (95% CI (1,78-13,86))], eğitim düzeyi yüksek olan ve multimodal kavramını duyan hemşirelerin analjezik ajanlar puan ortalaması [AOR 4,72 (95% CI (0,20-9,23))]; [AOR 13,96 (95% CI (5,42-22,49))], yoğun bakımda çalışanların ise multimodal analjezi puan ortalaması [AOR 22,09 (95% CI (12,15-32,03))] istatistiksel olarak daha yüksekti (p<0,05). Sonuç olarak; cerrahi hemşirelerin multimodal analjezi kavramına yönelik bilgileri yetersizdi. Bu doğrultuda cerrahi hemşirelerine ağrı, analjezik ajanlar ve multimodal ağrı yaklaşımına yönelik hizmet içi eğitimlerinin verilmesi ve bu eğitimlerin düzenli aralıklarla tekrarlanması gerektiği söylenebilir.
The aim of this descriptive study is to determine the knowledge and practices of surgical nurses on multimodal analgesia. 150 nurses who work in the clinic of surgery in a training and research hospital in Bolu were involved in the research. The data were collected by using the “Personal Data Form” which determines the sociodemographic characteristics of the nurses and their multimodal pain practices, and the “Information Form” that evaluates the nurses' knowledge about pain, analgesic agent and multimodal pain. The data were analyzed using Mann Whitney U, Kruskal Wallis Variance analysis, Chi-Square and Fisher's Exacttests. In the study, it was determined that %75 of the nurses did not hear about multimodal analgesia, most of the nurses who heard it obtainedin formation from the media and the internet, and %75 of them wanted to receive training for multimodal analgesia. The correct scorerates given by the nurses to pain, analgesic agents and multimodal analgesia were 68.86 ± 15.46, 52.93 ±22.90 and 46.19 ± 27.11, respectively. The least correct response of the nurses was multimodal analgesia. Pain score of nurses who heard the concept of multimodal from nurses included in the study [AOR 7.82 (95% CI (1.78-13.86))], analgesic agents score of nurses with a high education level and who heard the concept of multimodal [AOR 4.72 (95% CI (0.20- 9.23))]; [AOR 13.96 (95% CI (5.42-22.49))], intensive care workers multimodal analgesia score [AOR 22.09 (95%CI (12.15-32.03))] was statistically higher (p<0.05). As a result, the knowledge of the surgical nurses about the concept of multimodal analgesia was insufficient. Accordingly, it can be said that in-service training should be given to surgical nurses on pain, analgesic agents and multimodal pain approach and these trainings should be repeated regularly."
The aim of this descriptive study is to determine the knowledge and practices of surgical nurses on multimodal analgesia. 150 nurses who work in the clinic of surgery in a training and research hospital in Bolu were involved in the research. The data were collected by using the “Personal Data Form” which determines the sociodemographic characteristics of the nurses and their multimodal pain practices, and the “Information Form” that evaluates the nurses' knowledge about pain, analgesic agent and multimodal pain. The data were analyzed using Mann Whitney U, Kruskal Wallis Variance analysis, Chi-Square and Fisher's Exacttests. In the study, it was determined that %75 of the nurses did not hear about multimodal analgesia, most of the nurses who heard it obtainedin formation from the media and the internet, and %75 of them wanted to receive training for multimodal analgesia. The correct scorerates given by the nurses to pain, analgesic agents and multimodal analgesia were 68.86 ± 15.46, 52.93 ±22.90 and 46.19 ± 27.11, respectively. The least correct response of the nurses was multimodal analgesia. Pain score of nurses who heard the concept of multimodal from nurses included in the study [AOR 7.82 (95% CI (1.78-13.86))], analgesic agents score of nurses with a high education level and who heard the concept of multimodal [AOR 4.72 (95% CI (0.20- 9.23))]; [AOR 13.96 (95% CI (5.42-22.49))], intensive care workers multimodal analgesia score [AOR 22.09 (95%CI (12.15-32.03))] was statistically higher (p<0.05). As a result, the knowledge of the surgical nurses about the concept of multimodal analgesia was insufficient. Accordingly, it can be said that in-service training should be given to surgical nurses on pain, analgesic agents and multimodal pain approach and these trainings should be repeated regularly."
Açıklama
Anahtar Kelimeler
Ağrı, Analjezik Ajan, Bilgi, Cerrahi Hemşiresi, Multimodal Analjezi., Analgesic Agent, Knowledge, Multimodal Analgesia, Pain, Surgical Nurse.
