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노인요양시설 간호사의 치매환자 통증확인 유형

 A Study on the Types of Pain Identification by Nurses for Nursing Home Patients with Dementia

기본간호학회지 2010년 17권 4호 p.508 ~ 519
KMID : 0388320100170040508
이수정 ( Lee Su-Jung ) - 한국보건의료연구원

장성옥 ( Chang Sung-Ok ) - 고려대학교 간호대학

Abstract

Purpose: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes.

Method: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program.

Results: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one".

Conclusions: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.
KeyWords
노인요양시설, 치매환자, 통증
Nursing Homes, Dementia, Pain
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학술진흥재단(KCI) KoreaMed