• Title/Summary/Keyword: 통증간호

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Relationships among the Pain Belief, Pain Coping, and Pain Disability of Patients with Chronic Musculoskeletal Pain (근골격계 만성통증 환자의 통증신념과 통증정도, 대처양상 및 통증생활방해정도와의 관계)

  • Choi, Sung-Nam;Kim, Jeong-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.1
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    • pp.30-38
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    • 2012
  • Purpose: The purpose of this study was to understand the degree of pain belief in musculoskeletal patients, and to identify the correlation with chronic pain, pain coping and pain disability. Methods: A total of 203 inpatients or outpatients with chronic pain in orthopedics agreed voluntarily to participate in this study and answer a questionnaire. Data were analyzed using SPSS/WIN 17.0 program with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and simple linear regression. Results: The degree of pain belief in this study showed statistically significant differences depending on their age, education, job, health status, and pain duration. Among the variables correlating with pain belief in this study, there were positive correlations between pain and pain disability, pain and passive coping, pain belief and passive coping, pain belief and pain, pain belief and pain disability. The strongest correlation was passive coping and pain disability. Conclusion: From the results of this study, we concluded that it is necessary to develop the nursing intervention which can help reducing negative pain belief in patients with chronic musculoskeletal pain. Also we need to enhance the ways of coping to active or chronic pains for controlling them effectively.

Pain Nursing Intervention Supporting Method using Collaborative Filtering in Health Industry (보건산업에서 협력적 필터링을 이용한 통증 간호중재 지원 방법)

  • Yoo, Hyun;Jo, Sun-Moon;Chung, Kyung-Yong
    • The Journal of the Korea Contents Association
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    • v.11 no.7
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    • pp.1-8
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    • 2011
  • In modern society, the amount of information has been significantly increased according to the development of Internet and IT convergence technology and that leads to develop information obtaining and searching technologies from lots of data. Although the system integration for medicare has been largely established and that accumulates large amounts of information, there is a lack of providing and supporting information for nursing activities using such established database. In particular, the judgement for the intervention of pains depends on the experience of individual nurses and that leads to make subjective decisions in usual. In this paper, a pain nursing supporting method that uses the existing medical data and performs collaborative filtering is proposed. The proposed collaborative filtering is a method that extracts some items, which represent a high relativeness level, based on similar preferences. A preference estimation method using a user based collaborative filtering method calculates user similarities through Pearson correlation coefficients in which a neighbor selection method is used based on the user preference.

The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery (국소마취 환자의 수술시 손잡아주기, 내관지압이 불안과 통증에 미치는 효과)

  • Park, Sun Hee;Jang, Hee Jung
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.378-388
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    • 2014
  • This research is to figure out the influence of hand holding and Nea-Guan acupressure to anxiety and pain that local anesthesia patients feel in out patient operation room. Non equivalent control group pretest-posttest time series design was adopted and the data had been collected from Jul. to Oct. 2013. Total 78 local anesthesia patients of out patient operation room in the H Hospital were allotted by control group, experimental group 1( hand holding) and experimental group 2(Nea-Guan acupressure) which consisted of 26 patients each. Hand holding and Nea-Guan acupressure in this research was validated to relieve the anxiety and the pain of the local anesthesia patients in operation and can be adopted as an efficacious nursing interventions.

Knowledge of Pain Management and Hospice Awareness of Nursing Students in Cancer Ward (암병동 간호학생의 통증관리 지식과 호스피스 인식에 관한 연구)

  • Choi, Kyung-Sook;Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1116-1122
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    • 2013
  • This study was to investigate the knowledge of cancer pain management and hospice awareness of nursing students in cancer ward. A total of 237 nursing students working at the cancer ward in Seoul and Gyeonggi Province from December 1st to 14th, 2012. The survey instrument used the 45-item scale for evaluating nursing students about knowledge of pain management and 23-item scale for evaluating hospice awareness. Data was statistically analyzed by SPSS Win 17.0 program, with descriptive analysis, t-test, pearson's correlation coefficient and ANOVA. The knowledge of pain management and hospice awareness showed statistically significant difference in the grade, religion, practice period of subjects. There was a significant difference between knowledge of pain management and hospice awareness. In order to understand cancer patient's pain, is required hospice education for forming a consensus. in addition, There is a need to increase the duration of the practice in order to have enough experience. that way, it is necessary to seek for expanding and promoting ways in order to hospice awareness.

Analysis of Pain Records Using Electronic Nursing Records of Hospitalized Patients in Medical Units at a University Hospital (일개 대학병원 내과 병동 입원환자의 전자의무기록에 사용된 통증간호 기록 분석)

  • Park, Ihn Sook;Jang, Mi;Rew, Soon Ae;Kim, Hee Jin;Oh, Phil Joo;Jung, Hee Jung
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.123-132
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    • 2010
  • Purpose: This study was done to analyse nursing records to identify the nature of pain and actual conditions of pain management in patients hospitalized in one university hospital. Methods: The participants in this study were 783 patients with a length of stay of 3 to 30 days who were discharged from medical wards between June 1 and June 30, 2009. Data on nursing records related to pain management from these patients were reviewed using the Electronic Nursing Records (ENRs) system. Results: Over 30 percent of 10,702 nursing records related to pain assessment had no record on region, severity, nature or frequency of pain. About 30 percent of 13,638 nursing records related to pain intervention showed non-drug pain management techniques. Conclusion: Accurate and complete records on pain assessment including region, severity, nature and frequency of pain are essential to effectively manage patients' pain. Improvement in ENRs system for better assessment and management of pain is required as well as education programs on a standardized measuring tool for both nurses and patients.

The effects of elastic compression stockings on lower leg pain and edema in ward nurses (탄력압박스타킹 적용이 병동간호사의 하지통증과 하지부종에 미치는 효과)

  • Cho, Yu Ri;Kim, Hye Sook
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.3
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    • pp.275-285
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    • 2018
  • The purpose of this study was to examine the effect of the application of elastic compression stocking during the stand for a long hours of works on edema and pain of lower extremities in ward nurses. Methods: The experimental group was subjected to elastic pressure tights for 5 days from the beginning to the end, and lower extremity edema and ankle and calf circumference were measured. Results: "There are significant differences in lower extremity pain the experimental group of elastic compression stocking and control group" was supported(p<.001). "There are significant differences in lower extremity edema the experimental group of elastic compression stocking and control group" was supported (p<.001). Conclusion: Applying elastic pressure stocking as a method of management of lower extremity pain and lower extremity edema in ward nurses, relieving symptoms related to lower extremity pain and lower extremity edema during work. This is an effective way to prevent problems and improve the health of nurses and provide quality nursing care.

Palliative Care Provided for Older Patients with Terminal Stage of Cardiopulmonary Disease Before and After Life-Sustaining Treatment Decisions (만성 심폐질환을 가진 말기 노인환자의 연명의료결정 전후 완화간호의 제공)

  • Choi, Jung-Ja;Kim, Su Hyun
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.45-53
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    • 2021
  • This study was a retrospective descriptive study to identify frequency and change of palliative care provided for older patients with terminal stage of cardiopulmonary disease before and after life-sustaining treatment (LST) decision making. As a result of chart review of 124 older patients in a university hospital, oral analgesics medication, cold and hot therapy for pain management, antibiotics medication and urine culture for urinary infection, oral care, hair wash, and partial bath were provided significantly less after LST decision making. Provision of praying and relaxation therapy for pain control, oral and nasal care, and emotional care were not changed before and after LST decision making. Spiritual care was the least provided care. Therefore, non-pharmacological pain management, emotional care, and spiritual care need to be improved for older patients with terminal cardiopulmonary disease at the end of life.

The Study on the Effects of Hospice Care on the Pain Management of the Terminal Cancer Patients (호스피스간호가 말기암환자의 통증에 미치는 효과에 관한 연구)

  • Yoon, Mae-Ok
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.34-44
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    • 2003
  • Purpose : The purpose of this study was to elucidate the effects of hospice care on pain management of the terminal cancer patients. Method : The subjects of the study were 37 terminal cancer patients hospitalized in the general hospital in JeonJu with the hospice care nit. The data were collected using the questionaire with interviews from July to Nov. in 2000. The severity and interference of pain were examined with the self reported survey based on the Korean version of Brief Pain Inventory (BPI-K). The data were analyzed with the mean, SDs, paired t-test. The hospice care to provide for three weeks. Results : 1) The mean scores of the worst pain for the last 24-hours measured with the pain severity of BPI-K were pre-intervention (6.35) and post (4.76). The pain interference of BPI-K in pre-intervention was enjoy (8.22), work (7.46), walk (7.08) and activity (7.08), while post was of enjoy (6.62), work (6.43), walk (6.11) and activity (5.78), respectively. 2) In pain severity, significant difference was found between the pre-intervention and post in all of followings. - worst pain for last 24 hours (t=4.085, P=.000) - least pain for last 24 hours (t=4.020, P=.000) - average pain for last 24 hours (t=4.254, P=.000) - pain right now (t=4.017, P=.000) 3) In pain interference, significant difference was found between the pre- intervention and the post in all of followings. - activity (t=3.137, P=.003) - mood (t=6.713, P=.000) - walk (t=2.027, P=.050) - work (t=2.132, P=.040) - relate (t=4.143, P=.000) - sleep (t=4.071, P=.000) - enjoy (t=3.881, P=.000) Conclusion : The terminal cancer patients who were offered hospice care had significantly lower hospice care pain and pain interference than those without hospice care. According to these results, hospice care can be regarded as an effective modality in relief of pain in the terminal ill-patients.

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Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process (간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발)

  • Eun, Young;Yu, Mi;Gu, Mee Ok;Cho, Yong Ae;Kim, Kyung Sook;Kim, Tae Hee;Lee, Hyun Hee;Jeon, Mi Jin
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.1-14
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    • 2019
  • Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발)

  • Kim, Keum Soon;Kim, Jin A;Kim, Moon Sook;Kim, Yu Jeong;Kim, Eul Soon;Park, Kwang Ok;Song, Mal Soon;Yi, Young Hee;Lee, In Ok;Jung, Yoen Yi;Choi, Yun Kyoung
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.133-147
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    • 2009
  • Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.