Abstract:
Introduction: Non-pharmacological interventions are therapies that do not involve
taking medicines or any other active substance. Though non-pharmacological pain
management techniques are regarded well as a complementary and alternative to the drug
therapy, little is known about its scope of application, the practice, contributory, and
hindrance factors.
Objective: To assess Non-pharmacological pain management practice and associated
Factors among nurses working in public hospitals of Harari region and Dire Dawa city
administration, Eastern Ethiopia, 2018.
Methods and materials: Health institution based cross sectional study was done among
390 nurses. Simple random sampling was used to select the study participant. The data
were collected using self-administered questionnaire. After checking completeness the
collected data were entered into Epi-data 3.1 and exported to SPSS 22 for analysis.
Bivariate and multivariate logistic regression model were used to identify factors
associated with practice of non-pharmacological pain management
Result: Out of 390 participants 350(89.7%) of the respondent practiced at least one of the
listed non-pharmacological pain management methods, of which 55% of them had good
practice. Multivariate logistic regression result showed that adequate knowledge (AOR
2.664; 95% CI: 1.59-4.44), ten and more years of work experience (AOR 2.36; 95% CI:
1.14– 4.87), having available equipment (AOR 1.86; 95% CI: 1.09-3.16) and positive
attitude towards non-pharmacological pain management practice (AOR 4.02; 95% CI:
2.38-6.79) were significantly associated with practice of non-pharmacological pain
management.
Conclusion and recommendation: More than half of nurses had good nonpharmacological
pain management practice. Having positive attitude, being
knowledgeable, having available equipment and ten and more years of work experience
were main independent associated factors for good practice among nurses. Continuing
education and training should be considered for nurses to enhance their nonpharmacological
pain management practice
