A study of the knowledge and practices of nurses regarding management of pain in patients undergoing cardio thoracic surgery in selected hospitals in Mumbai

Sangeeta Sunil Bhujbal

Abstract


The purpose of the study was to assess the knowledge and practices of nurses regarding management of pain in patients undergoing cardio thoracic surgery.  The analysis of data related to knowledge of nurses with regard to pain and its management in the patients in cardio thoracic surgery units. The mean of the knowledge score was calculated and based on the mean, the obtained scores were grouped into three categories i.e. above average, average and below average. It was found that though pain is one of the commonest symptoms seen and the nurses are the one who have to manage pain, they did not possess adequate knowledge about pain management. The measures taken by the nurses in the management of pain showed that though giving injection and medicine was a dependent action it was quite often practiced by the nurses. In independent measures taken, commonest measures which were practiced were positioning the patient 40 percent of times, followed by Psychological support - 30 percent of times and providing comfort devices - 23 percent of times.  The least measures taken were giving hot and cold application and use of diversion therapy.  Occasionally measures such as gentle stroking at the site of pain, encouragement for deep breathing exercise, foot and back massage were used. The correlation between the knowledge and practices of nurses in management of pain showed that a Nurse who scored high in knowledge did not show high level of performance during the practices of pain management this showed that knowledge and practices were independent.

Keywords


Nursing; pain management; cardio thoracic surgery

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