Determination of Surgical Nurse’s Knowledge and Predictors Towards Multimodal Analgesia for Controlling Postoperative Pain

Abstract

Objective: Aim of the study was to determine the surgical nurses’ knowledge regarding multimodal analgesia (MA) and to identify predictors.

Materials and Methods: The universe of this prospective, cross-sectional study consisted of 150 nurses who work in surgical clinics and intensive care units, the sample consisted of 140 nurses willing to participate. The data were collected by using the “Personal Data Form” and the “Information Form” to evaluate the nurses' knowledge of acute pain, analgesic agent, and multimodal analgesia between 1 February to 30 June 2020. The data were analyzed using logistic regression and descriptive statistics.

Results: 24.3% of the nurses had heard of the concept of multimodal analgesia, and the majority of the nurses (58.8%) who heard it were on the internet. The correct score rates of nurses about pain, analgesic agents and MA were 68.86±15.46, 52.93±22.90, and 46.19 ± 27.11, respectively. The least correct response of the nurses was MA. To hear the MA was a predictor for pain (OR,7.820; CI,1.780-13.861; p=0.012), education (OR, 4.720; CI, 0.206-9.234; p= 0.041) and heard the MA (OR, 13.960; CI, 5.424-22.497; p=0.002) were predictors for analgesic agents’, working clinic (OR, 11.827; CI,3.052–20.603; p=0.009) and heard the MA (OR, 22.091; CI,12.150-32.032; p=0.000) were predictors for MA knowledge.

Conclusion: The knowledge of the surgical nurses about MA was undesirable. In-service training should be given to surgical nurses and this training should be repeated regularly. 

Keywords

• Analgesic agent
• multimodal analgesia
• surgical nurse
• pain

Cerrahi Hemşirelerin Ameliyat Sonrası Ağrı Kontrolünde Multimodal Analjeziye Yönelik Bilgileri ile Yordayıcı Faktörlerin Belirlenmesi

Öz

Amaç: Çalışmanın amacı, cerrahi hemşirelerinin ağrı, analjezik ajanlar, multimodal analjeziye ilişkin bilgilerini ve bilgi durumlarının yordayıcılarını belirlemektir.

Materyal ve Metot: Prospektif ve kesitsel olan çalışmanın evrenini cerrahi klinikler ile yoğun bakımda çalışan 150 hemşire, örneklemini ise katılıma istekli 140 hemşire oluşturdu. Veriler, hemşirelerin sosyodemografik özelliklerini belirleyen “Kişisel Veri Formu” ve akut ağrı, analjezik ajan ve multimodal analjezi bilgilerini değerlendiren “Bilgi Formu” kullanılarak 1 Şubat -30 Haziran 2020 tarihleri arasında toplandı. Verilerin analizinde tanımlayıcı istatistikler ve lojistik regresyon kullanıldı.

Bulgular: Hemşirelerin %24,3’ü multimodal analjezi kavramını duymuştu, duyan hemşirelerin %58,8 ise bilgi kaynağı internetti. Hemşirelerin ağrı, analjezik ajanlar ve multimodal analjeziye verdikleri doğru yanıt puan ortalamalarının sırasıyla 68,86±15,46; 52,93±22,90; 46,19±27,11olduğu saptandı. En az doğru yanıt oranı multimodal analjeziye yönelikti. Multimodal analjeziyi duyma (OR,7,820; CI,1,780-13,861; p=0,012) ağrı, eğitim (OR, 4,720; CI, 0,206-9.234; p=0.041) ve yine daha önceden multimodal analjeziyi duyma (OR, 13,960; CI,5,424-22,497; p=0,002) analjezik ajan, çalışılan klinik (OR, 11,827; CI,3,052–20,603; p=0,009), multimodal analjeziyi duyma (OR, 22,091; CI,12,150-32,032; p=0,000) ise multimodal analjezi bilgisinin yordayıcılarıydı.

Sonuç: Cerrahi hemşirelerinin multimodal analjezi kavramı hakkında bilgi düzeylerinin düşük olduğu belirlendi. Buna göre cerrahi hemşirelere ağrı, analjezik ajanlar ve multimodal ağrı yaklaşımı konusunda hizmet içi eğitim verilmesi ve eğitimlerin düzenli tekrarlanması söylenebilir. 

Anahtar Kelimeler

• Ağrı
• analjezik ajan
• cerrahi hemşire
• multimodal analjezi

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