• Title/Summary/Keyword: 통증 태도

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Pain Management Knowledge, Attitudes, and Performance of Nurses in Long-Term Care Hospitals (요양병원 간호사의 통증관리에 대한 지식, 태도, 수행정도)

  • Cho, Hyeonju;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.322-330
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    • 2016
  • Purpose: This study investigated long-term care hospital nurses' knowledge and practice of pain management and their attitudes towards the job with an ultimate aim to provide fundamental information for development of a pain education program. Methods: A cross-sectional survey was carried out with 120 nurses from four long-term care hospitals. Nurses' knowledge of and attitudes towards pain management was measured using a tool developed by Watt-Watson. To examine their pain management practice, an instrument was developed based on the pain management guidelines used by the long-term care settings. Results: For pain management knowledge, the participants gave an average of 26.2 (${\pm}13.10$) correct answers out of 40 questions. The most frequently missed question was one about subjectivity of pain, "Patients' physiological and behavioral reactions to pain hint at the presence and intensity of pain" (89.2%), and 56.7% of the nurses believed that increasing tolerance for a narcotic analgesic means addiction. Regarding attitudes towards and practice of pain management, 80.2% of the nurses used placebos to patients who complain about pain often. Conclusion: This study revealed poor level of pain management knowledge of and attitude among long-term care hospital nurses. This might negatively affect their pain management practice. From the educational perspective, nurses should be provided with education on pain management education with emphasis on the nature of pain and misuse of placebo drugs.

Analysis of Postoperative Pain Management Knowledge and Attitudes in Nursing Students for Promotion of Life Care (라이프케어 증진을 위한 간호대학생의 수술 후 통증관리의 지식과 태도 분석)

  • Lee, Eun-Hee;Lee, Hye-Jin
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.187-194
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    • 2020
  • This study is a descriptive cross-sectional study to identify the perception of post-operative pain management by nursing college students. The study involved 171 nursing college students with clinical practice experience. The data collection was made using structured questionnaires from March to June 2019. The results showed 65.1 percent general knowledge, 58.0 percent knowledge of analgesics and 81.9 percent attitude toward pain management. Pain knowledge and attitude were higher for pain training and men. The general knowledge score for pain showed a positive correlation between knowledge of analgesics, attitudes to pain management. We hope that the results of this study will be used to develop a postoperative pain management program by showing the need for systematic training programs for nursing college students and continuous training for postoperative pain management.

A University Hospital Nurses' Knowledge and Attitude about Cancer Pain Management (일개 대학병원 간호사의 암성통증관리에 대한 지식과 태도)

  • Kim, Seon-Hwa;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.254-263
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    • 2012
  • This study was performed to investigate a hospital nurses' knowledge and attitude about cancer pain management and to make use of base material for education. The research design was descriptive survey study, and the data were collected from 303 nurses who were working at a university hospital. A instrument study was the inventory consisting 107 questionnaires for cancer pain management. The data were analysed by SPSS WIN 18.0. The study showed that the percentage of correct answers for general knowledge about pain was 79.6%, for knowledge about cancer pain was 82.2%, for knowledge about analgesics use was 55.6%, for attitude about pain management was 65.2%, and the percentage of correct answers for each item was 70.7%. The knowledge about analgesics use was significant difference in age, education level, position, years of nursing practice, present place of working, years of present working place, pain education program experience, the attitude about pain management was significant difference in gender, education level and present place of working. Consequently it needs the persistent educational programs development and the clinical application to improve of nurses` knowledge and attitude about cancer pain management.

Effect of Back-Strengthening Exercise Program in Rural Community-Dwelling Women with Mild Low Back Pain (허리통증이 있는 농촌지역 여성들에 대한 허리 강화 운동 프로그램의 효과)

  • Baek, Sora;Kim, Boram;Kim, Gowun;Park, Hee-won
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.53-66
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    • 2021
  • 목적: 농촌 지역사회 기반의 허리 근력 강화 운동 프로그램이 운동과 허리 건강에 대한 개인의 태도 및 믿음에 미치는 효과를 평가하고자 하였다. 방법: 강원도 지역 네 개의 농촌 마을에서 가벼운 허리 통증이 있는 79명의 여성 자원자(42-76세)들을 운동군(n=40)과 대조군(n=39)으로 마을단위로 배정하였다. 운동군에서는 지역사회 기반의 허리강화 운동 프로그램(주당 3회, 8주간)이 시행되었고 대조군에는 일반적인 건강 관리에 대한 강의가 제공되었다. 등척성 허리 신전 근력과 허리 통증 관련 장애, 운동에 대한 태도, 허리 질환에 대한 위협인지, 운동의 자기 효능감을 중재전과 중재후 1, 2개월째 측정하였다. 결과: 운동군에서 2개월후 허리 신전근력은 뚜렷이 증가하였으며 허리 통증 관련 장애도 유의미하게 감소하였다. 운동에 대한 태도와 허리 질환에 대한 위협 인지는 운동군에서 증가하였으나 대조군에서는 변화가 없었다. 운동의 자기효능감은 양군에서 같이 증가하였으나 운동군에서 그 정도가 더 뚜렷했다. 결론: 농촌 지역 여성들을 대상으로 한 허리 근력 강화 운동 프로그램은 허리 통증으로 인한 장애를 감소시켰고 운동의 효과에 대한 태도와 믿음을 변화시켰다.

The Comparison of Physicians' and Nurses' Knowledge and Attitudes Toward Cancer Pain Management (통증 관리에 대한 의사와 간호사의 지식과 태도 비교)

  • Lee, Eun-Ok;Heo, Dae-Seok;Kim, Soon-Ja;Kim, Yeul-Hong;Yoon, Sung-Soo;Kwon, In-Gak;Cho, Seok-Goo;Park, Myung-Hee;Park, Jung-Yoon
    • Journal of Hospice and Palliative Care
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    • v.2 no.1
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    • pp.7-15
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    • 1999
  • This survey was designed to evaluate knowledge and attitudes of physicians and nurses toward cancer pain management in South Korea and to compare physicians' knowledge and attitudes with nurses' Ninety-nine physicians and 152 nurses working at four major institutions in South Korea were included for the study. With the 30 items of the knowledge with true and false answers about cancer pain such as pain assessment(6 items), pharmacokinetics of opioids(8 items), analgesics classification(11 items), and drug administration(5 items), total score of knowledge answered by physicians was 21.40, which was not significantly higher than 20.87 answered by nurses. Rates of the correct answer were more than 70% in both physicians and nurses. Physicians were more knowledgeable in pharmacokinetics and analgesics classification than nurses, while nurses higher only in pain assessment than physicians. Since physicians and nurses could not effectively manage the cancer pain because of inappropriate knowledge, it is important to provide intensive education to physicians and nurses about cancer pain management.

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Factors affecting nurse's pain management for patients with dementia (요양병원 간호사의 치매환자 통증관리 수행에 영향을 미치는 요인)

  • Ryu, Young-Seun;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.253-264
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    • 2016
  • The aim of this study was to investigate the factors influencing nurses' pain management in patients with dementia. A total of 197 nurses were recruited from 30 long-term care hospitals in B city. Data were collected from June 25 to July 15, 2016. Data analysis was performed using the SPSS 22.0 program, which included a t-test, ANOVA, Scheffe test, Pearson's correlation, and multiple regression analyses. The levels of knowledge were low with a score of 10.73 out of 18. The level of attitudes, self-efficacy, barriers and performance were 2.98, 3.34, 2.90, and 4.09, respectively. In addition, there were significant differences in the level of performance depending on the age (p=.046), long-term care (p=.009), and pain education (p=.004). The level of attitudes (r=.21, p=.006), self-efficacy (r=.51, p<.001) and performance were positively correlated with each other. A significant negative correlation was observed between the barriers and performance (r=-.16, p=.035). The meaningful variables that influence the performance were self-efficacy, long-term care, and pain education. These factors were responsible for 30.1%. Therefore, effective programs will be necessary to enhance pain management by improving the self-efficacy and knowledge of pain in dementia patients.

Actual Condition, Knowledge and Attitude of Patient Controlled Analgesics(PCA) in Postoperative Patients (수술 후 환자의 통증자가조절기 사용실태, 지식 및 태도)

  • Park, Jeong-Sook;Lee, Hae-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.18-28
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    • 2007
  • Purpose: This study was to identify knowledge, attitude, use and state of the Patient Controlled Analgesics (PCA) in postoperative patients. Method: The research design was a descriptive research. From December 7, 2005 to January 6, 2006, 102 postoperative patients in a university hospital at Daegu were participated in the study Results: Analgesics with PCA were mainly morphine complex 73.5% and Demerol complex 26.5%. Previous experience of using PCA was only 28.4%, and the main sources of information were other post-op patients and families(43.1%). The most common reason of choice was a recommendation from other post-op patients and families(46.1%). The most common side effects of PCA were nausea and vomiting(20.6%). About 57% of the patients were satisfied with PCA, and pain scores decreased with PCA. Mean score for knowledge about PCA was 2.55 out of a possible 6, and for attitude related to pain medication. 2.31 out of possible 5. Conclusion: To increase the score on knowledge of PCA, a structured preoperative PCA education program should be developed by nursing staff.

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Geriatric Hospital Nurses' Empathy, Attitude and Pain Management for Patients with Dementia (요양병원 간호사의 공감능력과 치매 환자 통증에 대한 태도 및 통증관리 수행도)

  • Lee, Mihyun;Park, Myonghwa
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.388-398
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    • 2016
  • Purpose: The purposes of this study were to identify nurses' empathy, attitude and pain management for patients with dementia and the factors associated with their performance of pain management. Methods: The study design was a cross-sectional survey. The participants in the study were 114 nurses working at 12 geriatric hospitals. This study utilized the Interpersonal Reactivity Index (IRI), which measures four empathy factors. Nurses' attitudes toward pain and performance of pain management, and general and pain related characteristics were measured by self-administered questionnaires. Results: Barriers to pain management for patients with dementia were absence of guidelines, prejudice of pain in dementia, and lack of time and knowledge deficit. There was a significant positive correlation between empathic concern and attitudes, perspective-taking of empathy and pain management. There was also a correlation between empathy and pain management. Stepwise linear regression analysis indicated that the significant factors affecting the performance of pain management included perspective-taking of empathy, use of pain management in dementia guideline and attitudes toward pain. These factors explained 24.0% of variance. Conclusion: The findings from this study suggest that empathy and positive attitude are the important provider attributes which needs to be enhanced by educational programs. It is also necessary to develop and disseminate guidelines for a dementia specific pain management.

Pediatric Nurses' Knowledge and Attitude towards Management of Children's Postoperative Pain (아동병동 간호사의 수술 후 통증 관리에 대한 지식과 태도)

  • Cho, Eun Young;Choi, Hye Ran
    • Perspectives in Nursing Science
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    • v.12 no.2
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    • pp.71-81
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    • 2015
  • Purpose: This study aimed to describe pediatric nurses' knowledge and attitude towards management of children's postoperative pain. Methods: In this cross-sectional descriptive study, the participants were 220 pediatric nurses who worked at a general hospital in Seoul. The survey questionnaires used to assess the nurses' knowledge and attitude regarding children's postoperative pain were developed for this study. Results: The average score for knowledge was 67.7 out of 100. The mean score for attitude was 72.5 out of 100. The factor related to the knowledge level was education for pain management. Moreover, age, working department, position, working experience, education level, and number of children were associated with the attitude. Conclusion: The findings of this study suggested the need for a systematic education program for pain management of children in the postoperative condition.