Çocuk Yoğun Bakım Ünitesinde Çalışan Hemşirelerin Ağrıya Yönelik Bilgi ve Tutumları ile Ağrı Yönetimini Engelleyen Faktörlerin Belirlenmesi

Yıl 2025, Cilt: 8 Sayı: 1, 116 - 124

Tufan Aslı Sezer , Figen Işık Esenay

https://doi.org/10.38108/ouhcd.1371172

Öz

Amaç: Bu çalışmada çocuk yoğun bakım ünitesinde (ÇYBÜ) çalışan hemşirelerin ağrı yönetimine ilişkin bilgi ve tutumları ile ağrı yönetimini engelleyen durumların belirlenmesi amaçlanmıştır.
Yöntem: Araştırma tanımlayıcı, kesitsel tipte olup, Ocak-Haziran 2022 tarihleri arasında Ankara ili merkezinde yer alan iki kamu, iki üniversite hastanesinin çocuk yoğun bakım ünitelerinde çalışan hemşireler (n:86) örneklemini oluşturmuştur. Verilerin toplanmasında “Sosyodemografik Bilgi Formu” ve “Pediatrik Ağrı Bilgi ve Tutum Ölçeği” kullanıldı. Verilerin analizinde, tanımlayıcı istatistiklerden frekans, yüzde, ortalama, standart sapma, değişkenlerin ölçek puanları ile karşılaştırılmasında Student‘s T test ve ANOVA testleri kullanıldı.
Bulgular: Çalışmaya katılan hemşirelerin %51.2’si 25-30 yaş grubunda, %60.5’inin beş yıl ve altında mesleki deneyimine sahip olduğu belirlendi. Çocuk yoğun bakım hemşirelerinin ağrıya yönelik bilgi ve tutumlarının yüksek (68.65±7.83) olduğu ve mesleki deneyim, eğitim ve cinsiyet değişkenlerine göre anlamlı farklılık gösterdiği belirledi. Hemşireler en fazla sırasıyla iş yükünün fazla olması, çocuğun işbirliği yapmaması, çalışan hemşire sayısının az olması, ağrıyı tanılama, değerlendirme ve yönetiminde bilgi eksikliğinin olması, nonfarmakolojik yöntem kullanımına izin verilmemesi ve kliniklerinde ağrı yönetimine öncelik verilmemesi gibi nedenleri ağrı yönetimindeki engeller olarak belirtmiştir.
Sonuç: Bu çalışma sonucunda ÇYBÜ’nde çalışan hemşirelerin ağrıya yönelik bilgi ve tutumunun iyi düzeyde olduğunu ancak ağrı yönetimi konusunda hem sağlık sisteminden hem de bireysel kaynaklı olabilecek birçok engel ya da güçlük tanımladıkları belirlenmiştir.

Anahtar Kelimeler

Çocuk hemşiresi, çocuk yoğun bakım, ağrı, engeller

Determining the Knowledge and Attitudes Towards Pain of Nurses Working in Pediatric Intensive Care Clinics and the Factors Barriers Pain Management

Öz

Objective: This study aimed to determine the knowledge and attitudes of pediatric intensive care nurses regarding pain management and the situations that prevent it.
Methods: The research was descriptive and cross-sectional and consisted of nurses (n:86) working in the intensive care units of children's hospitals in the center of Ankara between January and June 2022. “Sociodemographic Information Form” and “Pediatric Pain Knowledge and Attitude Scale” were used to collect data. In the analysis of the data were used descriptive statistics such as frequency, percentage, mean, and standard deviation. Student's t test and ANOVA tests were used to compare between variables and scale.
Results: It was determined that 51.2% of the nurses participating in the study were in the 25-30 age group, and 60.5% had five years or less of professional experience. Pediatric intensive care nurses' knowledge and attitudes towards pain were high (68.65±7.83), and it was found that this showed a significant difference between years of professional experience, education and gender variables. Nurses listed the following reasons as the barriers in pain management high workload, child's lack of cooperation, low number of working nurses, lack of knowledge in diagnosing, evaluating and managing pain, not allowing the use of non-pharmacological methods, and not giving priority to pain management in their clinics.
Conclusion: This study revealed that nurses working in intensive pediatric clinics have a good level of knowledge and attitude towards pain, but they identified many barriers or difficulties in pain management that may be caused by both the healthcare system and the individual.

Anahtar Kelimeler

Pediatric nurse, pediatric intensive care, pain, barriers

Kaynakça

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