지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제21권3호
  • /
  • Pages.311-320
  • /
  • 2010
  • /
  • 1225-9594(pISSN)
  • /
  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지

맞춤형 방문간호사의 재가노인 만성 근골격계 통증 사정 및 관리에 대한 실태조사

A Survey on the Customized Visiting Nurse's Assessment and Management of Chronic Musculoskeletal Pain in Older Adults

  • 투고 : 2010.06.07
  • 심사 : 2010.09.16
  • 발행 : 2010.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of this study was to investigate the status of visiting nurses assessment and management of chronic musculoskeletal pain in older adults. Methods: The subjects of this study were 285 visiting nurses working at 24 public health centers located in Seoul, Gyeonggi-do, and Gangwon-do. Data were collected using a structured questionnaire from June to July, 2008. The SPSS/WIN 13.0 program was used for data analysis. Results: Of the visiting nurses, 195 (77.4%) reported lack of pain education for nurses. The education of exercise (83.3%) was used most frequently by nurses as a pain intervention. Barriers to effective pain management were inadequate pain management guidelines and lack of pain education for nurses. Conclusion: It is necessary to develop evidence-based nursing interventions for pain management and to develop systematic educational programs for visiting nurses management of chronic musculoskeletal pain.

키워드

참고문헌

  1. American Geriatrics Society Panel on Exercise and Osteoarthritis (2001). Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations. Journal of the American Geriatrics Society, 49 (6), 808-823. https://doi.org/10.1046/j.1532-5415.2001.00496.x
  2. Chang, S. O. (2007). Development and effect of pain management protocol for nursing home patients with dementia. Journal of Korean Academy of Fundamental Nursing, 14 (1), 29-43.
  3. Choi, S. O., & Kim, S. N. (2004). The effect of cervical kyongrak massage on shoulder pain, shoulder exercise range and mood in the elderly. Journal of Korean Academy of Adult Nursing, 16 (4), 658-667.
  4. Ebersole, P., & Hess, P. (1998). Toward healthy aging human needs and nursing response (15th ed.). St. Louis: Mosby.
  5. Gagliese, L., & Melzack, R. (1997). Chronic pain in elderly people. Pain, 70 , 3-14. https://doi.org/10.1016/S0304-3959(96)03266-6
  6. Gong, S. W., Bang, J. Y., Seo, M. S., Hyun, S. S., Kim, H. J., Lee, M. A., et al. (2004). Knowledge and attitudes of oncology nurses toward cancer pain managements. Journal of Korean Academy of Adult Nursing, 16 (1), 5-16.
  7. Horgas, A. L., & Dunn, K. S. (2004). Religions and non-religious coping in older adults experiencing chronic pain. Pain Management Nursing, 5 (1), 19-28. https://doi.org/10.1016/S1524-9042(03)00070-5
  8. Hyun, J., & Park, K. S. (2000). Clinical nurses' knowledge and attitudes on pain management. Journal of Korean Academy of Adult Nursing, 12 (3), 369-383.
  9. International Association for the Study of Pain (1980). Subcommittee on taxonomy of pain term: A list with definitions and notes on usage. Pain, 6, 249-252.
  10. Kamel, H. K., Phlavan, M., Melekgoudarzi, B., Gogel, P., & Morely, J. E. (2001). Utilising pain assessment scales increses the frequency of diagnosing pain among elderly nursing home residents. Journal of Pain and Symptom Management, 21 (6), 450-455. https://doi.org/10.1016/S0885-3924(01)00287-1
  11. Kwekkeboom, K. L., Bumpus, M., Wanta, B., & Serlin, R. C. (2008). Oncology nurses' use of nondrug pain interventions in practice. Journal of Pain and Symptom Management, 35 (1), 83-94. https://doi.org/10.1016/j.jpainsymman.2007.02.037
  12. Kim, E. J. (2004). Reliability of validity of the short-form McGill pain questionnaire (SF-MPQ) Korean version for measuring the old adult's pain. Clinical Nursing Research, 10 (1), 20-27.
  13. Kim, S. J., Ryoo, E. N., & Park, K. S. (2007). A Study on pain, physical function, cognitive function, depression and agitation in elderly women with dementia. Journal of Korean Academy of Adult Nursing, 19 (3), 401-412.
  14. Lee, J. K. (2007). Evaluation of pain assessment education program for nurses. Journal of Korean Academy of Adult Nursing, 19 (1), 66-77.
  15. Management Center for Health Promotion (2010). Guideline of customized home visiting health service (Summaary) - Focusing on the change. Seoul: Management Center for Health Promotion.
  16. Ministry for Health, Welfare, and Family Affairs (2008). Case management focusing on the joint pain. Seoul: Ministry for Health, Welfare and Family Affairs.
  17. Ministry of Health and Welfare (2010a). Manual for intensive health management of customized home visiting health service - Joint pain. Seoul: Ministry of Health and Welfare.
  18. Ministry of Health and Welfare (2010b). Teaching materials for public service personnel of customized home visiting health service. Seoul: Ministry of Health and Welfare.
  19. Paik, N. J. (2009). More than half of old people complain of a pain. Retrieved April, 20, 2010, from http://health.chosun.com/site/data/html_dir/2009/12/28/2009122800668.html
  20. Park, J. E., Kim, M. A., & Oh, D. H. (2008). The effect of aromatherapy combined with heat application on the pain, range of motion of lower limb joint, and discomfort of activities of daily living among patients with rheumatoid arthritis. Journal of Korean Academy of Adult Nursing, 20 (6), 839-851.
  21. Park, J. S., Kwon, S. J., & Kwon, Y. S. (2006). The effects of Dogbi (ST35) & Sulan moxibustion on knee joint pain, range of motion and discomfort during ADL in the aged. Journal of Korean Academy of Nursing, 36 (1), 189-196. https://doi.org/10.4040/jkan.2006.36.1.189
  22. Park, K. S., Ryoo, E. N., & Choi, M. H. (2005). The effect of balance taping therapy on pain of the lower back pain patient. Journal of Korean Academy of Adult Nursing, 17(1), 77-87.
  23. Park, M. H., Baek, S. H., Kim, N. C., & Song, H. H. (2002). Cancer pain express pattern of terminal cancer patient admitted to the hospice unit. Clinical Nursing Research, 8 (1), 147-161.
  24. Park, M. H., Ha, J. C., Shin, I. H., Kim, H. G., Lee, S. Y., Cho, J. H., et al. (2009). 2008 Living profiles and welfare services needs of older persons in Korea. Seoul: Korea Institute for Health and Social Affairs Publishing.
  25. Podichetty, V. K., Mazanec, D. J., & Biscup, R. S. (2008). Chronic non-malignant musculoskeletal pain in older adults. Postgraduate Medical Journal, 79 (937), 627-633.
  26. Ryoo, E. N., & Park, K. S. (2002). Study on suffering influence by nurses' pain experience. Journal of Korean Academy of Adult Nursing, 14 (2), 174-183.
  27. Shin, H. S., & Kim, D. H. (2003). Nurses' knowledge and attitude to pain management in children. Journal of Korean Academy of Child Health Nursing, 9 (2), 140-148.
  28. Suk, M. H., Yoon, Y. M., Oh, W. O., & Park, E. S. (1999). A status of assessment and management about children in pain. Journal of Korean Academy of Child Health Nursing, 5 (3), 262-280.
  29. Yang, S. O., Ahn, S. Y., Yim, E. S., & Kwon, M. S. (2008). The effects of customized home visiting health service in Gangwon-do. Journal of Korean Academy of Community Health Nursing, 19 (1), 88-100.