HEMŞİRELERİN ÇOCUKLARDA AĞRI VE AĞRI KONTROLÜNE İLİŞKİN BİLGİ VE UYGULAMALARI NURSES' KNOWLEDGE AND PRACTICES ABOUT PAIN AND PAIN CONTROL IN CHILDREN

Amac: Calisma hemsirelerin cocuklarda agri ve agri kontrolune iliskin bilgi ve uygulamalarinin belirlenmesi amaciyla yapilmistir. Gerec ve Yontem: Tanimlayici ozellikteki bu arastirmanin evrenini, Orta Anadolu’da bir Il Merkezinde bulunan alti Aile Sagligi Merkezi ve bir Toplum Sagligi Merkezi’nde gorevli toplam 26 hemsire ile Devlet Hastanesi cocuk servisinde gorevli 19 hemsire olusturmustur. Veriler; hemsirelerin sosyo-demografik ozelliklerini ve cocuklarda agri ve agri kontrolune iliskin bilgi ve uygulamalarini belirlemeye yonelik hazirlanmis soru formu ile toplanmistir. Veriler, yuzdelik ve ki-kare onemlilik testleri kullanilarak degerlendirilmistir. Bulgular: Hemsirelerin buyuk cogunlugunun cocuklarda agrinin degerlendirilmesinde buyuk oranda davranissal gostergelerden yararlandiklari belirlenmistir. Hemsireler tarafindan en sik ifade edilen ilk uc agri belirtisi aglama (%97.5), huzursuzluk (%97.5) ve yuz ifadesi (%90)’dir. Hemsirelerin %95’i agri degerlendirilmesinde kullanilan olcekler hakkinda bilgi sahibi olmamakla birlikte tamami hem bireysel hem de calistiklari birimlerde herhangi bir agri degerlendirme olcegi kullanmamaktadir. Cocuklarda agrinin giderilmesi/azaltilmasi konusunda hemsirelerin %65’inin rutin analjezik uyguladigi ve bagimsiz olarak uygulayabilecekleri yontemleri yeteri kadar uygulamadiklari belirlenmistir. Sonuc: Hemsirelerin cocukta agri ve agri kontrolu konusunda bilgi eksiklikleri oldugu ve bagimsiz olarak uygulayabilecekleri agri kontrol yontemlerini yeteri kadar uygulamadiklari saptanmistir. Anahtar Kelimeler: Agri, agri kontrolu, cocuk hasta, hemsire. Aim: This study was conducted with the aim of determining nurses' knowledge and practices related to pain and pain control in children. Material-Methods: The population of this descriptive study comprised 26 nurses working in six Family Health Centers and one Community Health Center, and 19 nurses working in the pediatric clinic of a State Hospital located in the city center of a province in Central Anatolia. The data was collected using a questionnaire developed to determine nurses' socio-demographic characteristics and their knowledge and practices about pain and pain control in children. Data was analysed via percentage and chi-square tests. Results: It was determined that the majority of the nurses utilized behavioral indicators to assess pain in children. The leading three of the most frequently reported pain symptoms by the nurses were crying (97.5%), restlessness (97.5%) and facial expression (90%). Although 95% of the nurses had no idea about the scales used to assess pain, they weren’t using pain assessment scales individually or in the units they worked a t. In respect of relieving/alleviating pain, it was determined that 65% of the nurses administered routine analgesics, and that they did not adequately carry out the methods they could perform independently. Conclusion: It was determined that the nurses had lack of knowledge about pain and pain control in children and they did not carry out the pain control methods they can perform independently . Keywords: Pain, pain control, pediatric patient, nurse.