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이순희 ( ) - 청주과학대학
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Abstract
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This study was conducted to identify the effectiveness of a brief course on pain for the 2nd year nursing students by comparing knowledge and attitudes about the pain prior to the pain lecture with those after the pain lecture and to provide basic data for next curriculum on pain education.
The subjects consist of 163 nursing students in college located at Chongju.
Data was collected 2 times by questionnaire, respectively on March 18 and April 15 1999 and prior to and after a brief course on pain.
The instrument for this study consists of 28 items of knowledge on pain and 5 items of attitudes toward pain.
Frequency, mean, standardized error, percentage, t-test, paired t-test and ANOVA were used to analyze the data.
The results of this study are as follows ;
1. Among overall knowledge about pain, 98.2% of the subjects prior to the pain lecture correctly indicated that " how painful they feel is different individually", 98.8% of the respondents after the pain lecture indicated that "how painful they feel is different individually" and that "patients with postoperative pain hardily get to sleep and are tired". Lowest corrective item prior to the pain lecture was "the incidence of narcotic addiction" and 3.7%. But, after the pain lecture, 7.4% of the students reported that in the case of pharmacological pain management, even though patients are sleeping, we must administer analgesics.
2. There was significant difference between subjects´ overall knowledge about pain before and after the pain lecture. Also, there were significant difference between knowledge on pain assessment, medication, pharmacological action, classification of analgesics and the incidence of narcotic addiction before and after a brief course on pain.
3. By pre-course attitudes toward pain, 94.4% of the subjects indicated that " they hesitate to administer it in the case of narcotic analgesics" and 9.4% of the respondents agreed that "they administer PRN angesics promptly when patients complain their pain. But, by post-course attitudes toward pain, 39.3% of the subjects in the former case and 9.5% in the latter case agreed.
4. In pre-course and post-course attitudes derived from the 2 open-ended questions about pain and pain patients, pre-course response to the "people in pain prompt was dominated by themes related to negative mood state (45.4%) and negative characteristics of pain patients (36.8%). Also, post-course response still emphasized themes related to negative characteristics of pain patients(47.5%) and negative mood(32.9%). In pre-course response to the "working with pain pstients will be …" prompt was dominated by themes suggesting that "working with pain patients will be worthwhile and rewarding (43.4%). Post-course response assessment retained a dominance of themes related to worthwhile and warding and was 50.3%.
5. The mean VAS (Visual Analogue Score) for pre-course and post-course assessment score for the clinical difficulty that how difficult it will be to work with patients in pain were 71.42 cm and 70.44 cm. There was significant difference between the mean VAS for clinical dificulty before and after the pain lecture.
6. There was significant difference between cinical difficulty and religion, experience of working at the hospitals and personal experience of pain. The results indicated that respondents´ overall knowledge on pain, in general, had changed by effective pain education, but, subjects´ attitudes toward pain were not influenced by a brief course on pain. Therefore, to have correct knowledge for effective pain management, it is important to develop pain education program and to continue a study to change students´ attitudes toward pain.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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