RESUMO
AIMS AND OBJECTIVES: The purpose of this study was to assess the effectiveness of a pain management education programme in improving the nurses' knowledge about, attitude towards and application of relaxation therapy. BACKGROUND: Pain of surgical patients has long been an existing problem of health care. Nursing staff need to be educated continuously to develop the professional ability of pain management. METHODS: A quasi-study design with pre- and posttest and post- and posttest was used. Subjects were chosen from a medical centre in Taipei by convenience sampling. The total sample size of 81 was segregated into a study group of 42 and control group of 39 participants. The study group attended a seven-session pain management programme totalling 15 hours. The control group received no pain management training. Scaled measurements were taken on pain management knowledge and attitude and relaxation therapy practice. RESULTS: (1) Scores for pain management knowledge differed significantly between the two groups (F = 40.636, p = 0.001). (2) Attitudes towards pain management differed between the two groups (F = 8.328, p = 0.005) and remained stable over time (F = 1.603, p = 0.205). (3) Relaxation therapy practice differed significantly between the two groups, with the study group better than the control group (F = 4.006, p = 0.049). (4) Relaxation therapy was applied to nearly all (97.5%) of the patients cared for by study group nurses. All of the instructed patients performed this technique one to three times per day postsurgery. CONCLUSIONS: Continuing education can improve nurses' knowledge about, attitude towards and behaviour of pain management. RELEVANCE TO CLINICAL PRACTICE: Results of this study could be used to guide the development and implementation of continuing education programmes for nursing staff to enhance patients' care knowledge and skills.
Assuntos
Atitude do Pessoal de Saúde , Educação Continuada em Enfermagem/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem Hospitalar , Enfermagem Perioperatória/educação , Terapia de Relaxamento , Adulto , Analgesia/métodos , Analgesia/enfermagem , Análise de Variância , Distribuição de Qui-Quadrado , Competência Clínica/normas , Feminino , Humanos , Imagens, Psicoterapia/educação , Imagens, Psicoterapia/organização & administração , Masculino , Papel do Profissional de Enfermagem/psicologia , Pesquisa em Educação em Enfermagem , Pesquisa Metodológica em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/psicologia , Dor Pós-Operatória/enfermagem , Enfermagem Perioperatória/organização & administração , Avaliação de Programas e Projetos de Saúde , Terapia de Relaxamento/educação , Terapia de Relaxamento/organização & administração , Inquéritos e Questionários , TaiwanAssuntos
Demência/terapia , Imagens, Psicoterapia/organização & administração , Assistência Centrada no Paciente/organização & administração , Terapias Sensoriais através das Artes/organização & administração , Meio Social , Demência/psicologia , Humanos , Imagens, Psicoterapia/métodos , Imagens, Psicoterapia/tendências , Relações Interpessoais , Assistência Centrada no Paciente/métodos , Assistência Centrada no Paciente/tendências , Terapias Sensoriais através das Artes/métodos , Terapias Sensoriais através das Artes/tendências , Apoio SocialRESUMO
This article addresses the why and how of imagery and its relation with holistic theories. The description of clinical applications, program development, and research demonstrates successful interventions in virtually every area of nursing. Case examples show the profound healing that is experienced by the patient and the nurse simultaneously through this work. Imagery is harmless, is time- and cost-effective, and creates a healing partnership between the nurse and patient.