내․외과계 중환자의 통증간호기록 분석Analysis of Nursing Records for Pain Management in Intensive Care Unit Patients
- Other Titles
- Analysis of Nursing Records for Pain Management in Intensive Care Unit Patients
- Authors
- 임영숙; 이여진
- Issue Date
- 2012
- Publisher
- 대한근관절건강학회
- Keywords
- 통증; 간호기록지; Pain; Nursing records
- Citation
- 근관절건강학회지, v.19, no.2, pp.173 - 183
- Journal Title
- 근관절건강학회지
- Volume
- 19
- Number
- 2
- Start Page
- 173
- End Page
- 183
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/16750
- DOI
- 10.5953/JMJH.2012.19.2.173
- ISSN
- 1975-9398
- Abstract
- Purpose: The purpose of this study was to analyze nursing records for pain management in intensive care unit (ICU) patients. Methods: Nursing process for pain management were analyzed retrospectively by 180 ICU patients' nursing records. Instruments consisted of 3 questionnaires (pain assessment, intervention, and evaluation). Results: For assessment, there was different pain intensity between cancer patients (7.95) and non-cancer patients (7.20). Also pain intensity was lower in PCA group (5.08) than in PCA with PRN group (8.27). Common pain site was surgical areas, along with 17 kinds of words expressed for pain, and mean of pain intensity was 7.47 by numeric rating scales (NRS). For intervention, the patients received pharmacologic interventions (99.4%) such as narcotic analgesics (38.3%) intermittently (70.5%) without side effects (94.4%). For evaluation, mean of pain intensity was decreased to 3.14, but a few patients (12.8%) experienced pain over 5 points despite the intervention. Nurses evaluated the degree of pain relief after the intervention in 87.2% of patients. Conclusion: Nurses do assess patients' pain by using objective tool, intervene, and evaluate for effective pain management. Nurses should make an individual approach and record all nursing activities for pain management.
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