• Title/Summary/Keyword: 통증간호

Search Result 533, Processing Time 0.026 seconds

Effects of Wholistic Hospice Nursing Intervention Program on Pain and Anxiety for In-patient of Hospice Palliative Care Unit (전인적 호스피스간호중재 프로그램이 입원한 호스피스환자의 통증과 불안에 미치는 효과)

  • Choi, Sung-Eun;Kang, Eun-Sil;Choe, Wha-Sook
    • Korean Journal of Hospice Care
    • /
    • v.8 no.1
    • /
    • pp.55-67
    • /
    • 2008
  • Purpose: This study was to test the effects of wholistic hospice nursing intervention program on pain and anxiety for in-patient of hospice palliative care unit. This study's design was one-group pre-post test quasi- experimental research. Methods: The subjects of study were 27 patients who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The experimental group subjects participated in holistic hospice nursing program took 120 minutes per session, a total of 1,200 minutes altogether for 10 sessions. The period of data collection was from April 6, 2004 to April 20, 2005. The collected data were analyzed by Paired t-test with SPSS/WIN 12.0 program. A Wholistic Hospice Nursing Intervention Program (named ‘Rainbow Program’) was used as a experimental tool in this study. This was developed by the authors. It was provided by interdisciplinary hospice team (nurses, medical doctors, social worker, pastors, art therapists, and volunteers). In addition, Korean Version of Brief Pain Inventory (BPI-K) by Young-Ho Yun(1998) was used to test degree of pain in physical aspect. And State-Anxiety Inventory was developed by Spielberger(1975) and translated by Kim, Jung-Tack & Shin, Dong-Gyun(1978) was used to test the degree of state-anxiety in emotional aspect. Results: (1) Hypothesis No. 1 "The experimental group which received Wholistic Hospice Nursing Program will have a lower degree of pain than before" was supported (t=-10.585, P= .000). (2) Hypothesis No. 2 "The experimental group which received Wholistic Hospice Nursing Program will have a lower degree of state-anxiety than before" was supported (t=-8.234, P= .000). Conclusion: Our results testified that this Wholistic Hospice Nursing Intervention Program was effective to decrease pain and state-anxiety of the in-patients of hospice palliative care unit. Therefore it can be used and applied actively in practice as a useful model of interdisciplinary team approach by hospice professionals in hospice palliative care unit.

  • PDF

Nursing students관 Knowledge on Pain Management (간호학생의 통증관리에 관한 지식)

  • 신영희;박영숙
    • Journal of Korean Academy of Nursing
    • /
    • v.25 no.1
    • /
    • pp.164-172
    • /
    • 1995
  • Pain management of postoperative patients or patients suffering from terminal cancer became one of the most important task of nurses in recent years. This study analyzed basic knowledge of 175 student nurses in Taegu on the pain assessment and management. The questionnaires included five areas : Assessment, pharmacological actions, medication, classification of opioids, and psychological dependence of analgesics. The results indicated that nursing students, in general, lacked knowledge on pain management : Correct responses on pain assessment varied between 9.7 and 100% , classification of opioids was in ranges of 61.7 to 95.4% ; Pharmacological actions was 16.6 to 80% : and medication was 14.9 to 85.7%. Less than 12.6% of students correctly identified the frequency of psychological dependence. These results suggested that the need of reinforcement on the pain management in formal nursing education.

  • PDF

Factors Affecting Nursing Interventions for Pain among Nurses in Neonatal Intensive Care Unit (신생아중환자실 간호사의 통증간호중재에 영향을 미치는 요인)

  • Kim, Eun-Hee;Choi, Mi-Young
    • Child Health Nursing Research
    • /
    • v.23 no.2
    • /
    • pp.179-189
    • /
    • 2017
  • Purpose: The purpose of this study was to investigate NICU nurses' nursing interventions for pain and factors affecting nursing interventions for pain. Methods: Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program. Results: The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain. Conclusion: The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.

Performance Analysis of Intelligence Pain Nursing Intervention U-health System (지능형 통증 간호중재 유헬스 시스템 성능분석)

  • Jung, Hoill;Hyun, Yoo;Chung, Kyung-Yong;Lee, Young-Ho
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.4
    • /
    • pp.1-7
    • /
    • 2013
  • A personalized recommendation system is a recommendation system that recommends goods to users' taste by using an automated information filtering technology. A collaborative filtering method in this technology is a method that discriminates certain types, which represent similar patterns. Thus, it is possible to estimate the pain strength based on the data of the patients who have the past similar types and extract related conditions according to the similarity in classified patients. A representative method using the Pearson correlation coefficient for extracting the similarity weight may represent inexact results as the sample data is small according to the amount of data. Also, it has a disadvantage that it is not possible to fast draw results due to the increase in calculations as a square scale as the sample data is large. In this paper, the excellency of the intelligence pain nursing intervention u-health system implemented by comparing the scale and similarity group of the sample data for extracting significant data is verified through the evaluation of MAE and Raking scoring. Based on the results of this verification, it is possible to present basic data and guidelines of the pain of patients recognized by nurses and that leads to improve the welfare of patients.

Effects of Topical Anesthetic Cream on Pain at Venipuncture in Children (정맥 천자 시 국소마취크림 도포가 아동의 통증에 미치는 효과)

  • Kim, Yunsoo;Park, Ho Ran
    • Child Health Nursing Research
    • /
    • v.20 no.3
    • /
    • pp.142-148
    • /
    • 2014
  • Purpose: This study was done to evaluate the effectiveness of EMLA cream on pain related to venipuncture among children. Methods: In this study, 48 children were evaluated using a sequential measurement for level of pain by Skin Conductance Level (SCL) based on Galvanic Skin Response (GSR), heart rate, and the Visual Analogue Scale (VAS) at four times. Results: The maximum and mean of the SCL were each significantly different between the experimental and control groups and furthermore, the two were also significantly different among observed times. In addition there was a significant interaction between group and time. The children's perceived pain using VAS was not significantly different between the experimental and control groups. There was no significant difference in the heart rate between the experimental and control groups; however, the interaction between group and time was significant. Conclusion: In conclusion, applying topical anesthetic cream to the venipuncture site to reduce pain was effective among the children and therefore it is highly recommended that topical anesthetic cream be applied at the venipuncture site as a nursing intervention to reduce pain when a child has to undergo a venipuncture.

Effects of Meridian Massage on Facial Paralysis, Pain, and Anxiety in Bell's Palsy Patients (경락마사지가 안면신경마비환자의 안면마비회복도, 통증 및 불안에 미치는 효과)

  • Lee, Jeong-Soon;Seo, Nam-Sook;Han, Mi-Sook
    • Journal of East-West Nursing Research
    • /
    • v.15 no.2
    • /
    • pp.110-118
    • /
    • 2009
  • Purpose: This study identifies the effects of meridian massage on relieving facial paralysis, pain, and anxiety in Bell's palsy patients. Methods: A nonequivalent control group pre-test/post-test design was used for the study. The subjects were 51 Bell's palsy patients (experimental group=26, control group=25) of D University's oriental medicine hospital. The experimental group received a meridian massage for 20 min three times a week for two weeks. The data were analyzed with the following methods by using the SPSS/WIN 12.0 program: $x^2$-test, Fisher's exact test, and t-test. Results: The facial paralysis scores of the experimental group were significantly higher than those of the control group. The pain and anxiety scores of the experimental group were significantly lower than those of the control group. Conclusions: The results suggest that meridian massage (applied by nurses) has beneficial effects on facial paralysis, pain, and anxiety in patients suffering from Bell's palsy. Thus, meridian massage is recommended as an alternative nursing intervention program for patients with Bell's palsy.

Effects of Laughter Therapy on Mood, Pain, and Stress of Mastectomy Patients (웃음치료가 유방절제술 환자의 기분, 통증 및 스트레스에 미치는 효과)

  • Choi, Jeong Hwa;Kim, Kyung Hee;Cha, Soon Jung;Pyo, Hye Jung;Kim, Yeong Kyeong
    • Journal of Korean Clinical Nursing Research
    • /
    • v.16 no.1
    • /
    • pp.83-93
    • /
    • 2010
  • Purpose: This study identified effects of laughter therapy administered to mastectomy patients as an adaptive coping mechanism. Methods: The study design was a non-synchronized design with a non-equivalent control group. Participants were 40 patients admitted to S hospital in Busan from July 1 to October 10, 2008. The laughter therapy was provided to the experimental group for 20 minutes, four times per week for 2 weeks in each patient's room. Results: The experimental and control groups showed significant differences in Mood (t=-2.314, p=.032), and Stress (t=-2.535 p=.020). Pain and serum cortisol in the experimental and control groups did not show any significant difference. Conclusion: Based on the findings the laughter therapy has significant effects on mastectomy patients' mood and stress.

Non-pharmacological Interventions for Chronic Pain in Older Adults in Long-term Care Facilities: A Scoping Review (장기요양시설 노인의 만성통증 관리를 위한 비약물적 중재: 주제범위 문헌고찰)

  • Kyung-Hye Hwang;Hyekyung Kim;Cho, Ok-Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.30 no.3
    • /
    • pp.298-310
    • /
    • 2023
  • Purpose: This study synthesized the literature on non-pharmacological interventions for chronic pain in older adults in long-term care facilities. Methods: Scoping review and thematic analysis methods were combined. On June 1, 2023, searches of primary electronic databases, including PubMed, Embase, PsycINFO, CINAHL DBpia, KMbase, NDSL, and RISS, were performed, restricting the publication date from January 1, 2010 to December 31, 2022. Guidelines from the Joanna Briggs Institute were used as a framework to set and conduct the scoping review. Results: The review identified 1,095 abstracts, from which 14 studies were included in the review. Consequent to the study, there were 10 randomized controlled experimental study designs, and 6 out of 14 studies were conducted in China. The numeric rating scale was widely used for pain assessment. Exercise intervention was provided in 7 studies and physiotherapy was provided in three studies. The outcome variables measured were pain self-efficacy, physical functions, and depression. Conclusion: This comprehensive overview guided nursing staff in long-term care facilities for planning and intervention of effective non-pharmacological interventions for chronic pain in the elderly.

The Effect of Cancer Pain Management Education on the Pain and the Concerns of Pain Management in Cancer Patients (암성 통증관리 교육이 암 환자의 통증과 통증관리 염려에 미치는 효과)

  • Shin, Sun-Bog;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.6 no.1
    • /
    • pp.90-103
    • /
    • 2003
  • Pain management is a major issue in caring of cancer patients. Because pain management cancer patient of does not control effectively, it is important to educate reporting pain and using analgesics for having cancer patient's concerns and anxiety. The purpose of this study was to identify the effect of cancer pain management education on the pain and concerns of pain management in cancer patients. This study was a quasi-experimental as nonequivalent control pretest-post test design. The subjects of this study consisted of 50 (experimental group 25, control group 25) patients hospitalized in K university hospital in Busan. The data were collected from December 1, 2001 to April 12, 2002. The measurement tool for the concerns of pain management had used questionnaires interpretated by Kim(1999) developed by based Ward(1993) and pain nominal scale. The collected data were analyzed frequency, percentage, mean, SD, $X^2$-test, t-test, ANCOVA. The results of this study were as follows: 1. The 1st hypothesis : "The experimental group which had received the cancer pain management education were lower than the control group in the score of pain" was not supported (p>0.05). 2. The 2nd hypothesis : "The experimental group which had received the cancer pain management education were lower than the control group in concerns of pain management" was supported (F=5.285, p<0.01). In conclusion, the cancer pain management education can know what was effective to decrease in the concerns of pain management in cancer patients. Therefore, Pain Management Education must be positively utilized in clinical situation.

  • PDF

Survey on the Knowledge of Pain and the Pain Intervention of Clinical Nurses - focus on Daegu city and Kyoungbuk province - (임상간호사의 통증지식 및 통증중재 실태조사 - 대구.경북 지역을 중심으로 -)

  • Kwon Youn-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.10 no.1
    • /
    • pp.6-13
    • /
    • 2003
  • Purpose: A survey was done on knowledge of pain and pain interventions by clinical nurses in Deagu city and Kyoungbuk province. Method: The participants in this study were 209 nurses who worked in Daegu city, and 190 nurses who worked in Kyoungbuk province. The data were collected from August 5, to September 15, 2002. The data were analyzed with SPSS WIN 10.0 program using numbers, percentages, averages and standard deviation with t-test and ANOVA. Result: Out of a total of 30 points on general knowledge of pain, the clinical nurses had a high score of 28, and a low of 10. The average was 18.6 (SD=3.14). Of the participants, 57.9% reported not having had any pain education and 67.9% agreed that education is a necessity. Of pharmacological interventions, Tylenol had the highest score at 3.44 out of a possible 4 points. The most frequent route for giving medication was intramuscular injection (42.6%) and for 62.7%, there was a decision by the physician for routine medication or prn. On reactions after medication, moderate relief had the highest frequency (41.9%), and for side effects after the medication, feeling of nausea was most frequent (70.4%). Of the nonpharmacological approaches to pain relief, ice bag had the highest score with 2.95 out of a possible 4. Judgement to give medication was made by the nurse for 50.1% of the participants and 647% reported a little relief from pain. Conclusion: Based upon the results, continuing education and developing a better education programs (including pain mechanism, pain assessment, pharmacological interventions and nonpharmacological interventions) are needed for systematic pain management. Nurses need a high level of knowledge of pain, to be active in pharmacological interventions and nonpharmacological interventions.

  • PDF