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요양병원 간호사의 치매 환자 통증 사정과 통증 중재 수행에 영향을 미치는 요인

Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses

성인간호학회지 2020년 32권 3호 p.283 ~ 291
전미선, 송치은, 문설화, 김원경,
소속 상세정보
전미선 ( Jeon Mi-Seon ) - Nambu University Graduate School Department of Nursing
송치은 ( Song Chi-Eun ) - Nambu University Department of Nursing
문설화 ( Moon Seol-Hwa ) - Nambu University Department of Nursing
김원경 ( Kim Weon-Gyeong ) - Nambu University Department of Nursing

Abstract


Purpose: This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses.

Methods: In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires.

Results: The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models.

Conclusion: The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

키워드

치매; 장기요양; 간호사정; 통증 관리; 간호사
Dementia; Long-term care; Nursing assessment; Pain management; Nurses

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