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노인요양시설에서의 치매환자 통증관리를 위한 컴퓨터 의사결정지원시스템 개발

 Development of a Decision Support Computer Program for Pain Management in Institutionalized Patients with Dementia

기본간호학회지 2011년 18권 1호 p.116 ~ 129
KMID : 0388320110180010116
장성옥 ( Chang Sung-Ok ) - 고려대학교 간호대학

임세현 ( Lim Se-Hyun ) - 극동대학교
이수정 ( Lee Su-Jung ) - 한국보건의료연구원
김미소 ( Kim Mi-So ) - 고려대학교 간호대학

Abstract

Purpose:The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes.

Methods:To formulate the protocol for the management of patients’ pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete.

Results:The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management.

Conclusions:The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.
KeyWords
통증, 치매
Pain, Dementia
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학술진흥재단(KCI) KoreaMed