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허혜경 ( ) - 연대 원주의과대학 간호학과
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Abstract
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Postoperative pain control can be unsatisfactory for a variety of reasons, including the attitude of nurses toward pain treatment itself. To assess nurses´ attitudes to postoperative analgesia, the study subjects were 166 nurses who had given care to postoperative patients.
The results of this study are as follows ;
1. Ninety one percent of the nurses believed that the patients experienced severe pain even though they received routine pain treatment. Over the half of nurses thought that the severe pain did not do the patients harm, but that the level of postoperative pain affected the patients´ psychological state, especially, anxiety, the occurance of complications and the rate of recovery. About 80% of the nurses responded that they approached well patients who complained of severe pain because complaints of severe pain required nurses to give some help.
2. On the assessment of postoperative pain, 91.8% of the nurses considered assessment important and 61.9% nurses felt they could assess postoperative pain accurately. The most frequent response for the best interval for pain assessment was 4 hours.
3. Although 90.6% of the nurses agreed that patients must receive adequate pain relief, the nurses´ attitude concerning the optimum level of pain control did not aim to provide complete pain relief.
4. Nurses thought that most of the patients wanted to receive analgesics for pain control. On the contrary, the nurses responded that they tried routinely to administer less than what the patients could have received because about 70% nurses were overly concerned with the possibility of addiction and adverse responses to analgesics.
5. When the patients complained to the nurses about severe pain and refused to receive analgesics to controll the pain, the nurses exhibited the following attitude in order of priority 1) accept the patients´ opinion, 2) perform other pain relieving nursing measures, 3) continuously ask the patient to consider an injected medication.
6. Factors influencing nurses´ administeration of patient analgesics were patients´ weight, sex, age, physical condition, and some nurses also included the kind of operation and the action time of the analgesics.
7. The kinds of effective and frequently used nursing interventions for pain control were psychological support, deep breathing, hot or cold applications, diversity, changing the patient´s position, patient education, relaxation and touch.
The concept of attitude-behavior relationship is far from new. The assessment of nurses´ attitude toward patients´ pain and its subsequent treatment is important. It has been suggested that attitudes are underlying variables which influence behavior. Nurses should be educated to understand measures to relieve pain and adverse effects of severe pain and should have knowledge concerning the pharmacology of the pain medication. The ability of nursing staff to improve analgesia by actively responding to patients´ fears and expectations regarding postoperative analgesia must be improved.
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KeyWords
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통증관리
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원문 및 링크아웃 정보
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등재저널 정보
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