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Factors affecting nurse's pain management for patients with dementia

요양병원 간호사의 치매환자 통증관리 수행에 영향을 미치는 요인

  • Received : 2016.08.05
  • Accepted : 2016.09.09
  • Published : 2016.09.30

Abstract

The aim of this study was to investigate the factors influencing nurses' pain management in patients with dementia. A total of 197 nurses were recruited from 30 long-term care hospitals in B city. Data were collected from June 25 to July 15, 2016. Data analysis was performed using the SPSS 22.0 program, which included a t-test, ANOVA, Scheffe test, Pearson's correlation, and multiple regression analyses. The levels of knowledge were low with a score of 10.73 out of 18. The level of attitudes, self-efficacy, barriers and performance were 2.98, 3.34, 2.90, and 4.09, respectively. In addition, there were significant differences in the level of performance depending on the age (p=.046), long-term care (p=.009), and pain education (p=.004). The level of attitudes (r=.21, p=.006), self-efficacy (r=.51, p<.001) and performance were positively correlated with each other. A significant negative correlation was observed between the barriers and performance (r=-.16, p=.035). The meaningful variables that influence the performance were self-efficacy, long-term care, and pain education. These factors were responsible for 30.1%. Therefore, effective programs will be necessary to enhance pain management by improving the self-efficacy and knowledge of pain in dementia patients.

본 연구는 요양병원 간호사의 치매환자 통증관리수행에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 대상자는 B시 소재 30개 요양병원의 간호사 168명이며, 자료 수집기간은 2016년 6월 25일에서 7월 15일까지였다. 수집된 자료는 SPSS/WIN 22.0 통계 프로그램을 이용하여, 빈도와 백분율, t-test, ANOVA, Scheff's test, Pearson 상관계수, 다중회귀분석을 시행하였다. 연구 결과 대상자의 치매환자 통증에 대한 지식은 18점 만점에 10.73점으로 낮았으며, 통증관리태도는 평균 $2.98{\pm}0.27$점, 자기효능감은 평균 $3.34{\pm}0.61$점으로 중간보다 높았다, 장애요인은 평균 $2.90{\pm}0.51$점으로 중간 정도였으며, 통증관리수행은 평균 $4.09{\pm}0.52$점으로 높은 수준이었다. 대상자의 특성에 따른 통증관리수행 정도는 연령(p=.046), 요양병원경력(p=.009), 통증교육(p=.004)에 따라 유의한 차이가 있었다. 대상자의 통증지식, 태도, 자기효능감, 장애요인과 통증관리수행의 상관관계를 분석한 결과 태도(r=.21, p=.006), 자기효능감(r=.51, p<.001)과는 양의 상관, 장애요인(r=-.16, p=.035)과는 음의 상관관계를 보였다. 통증관리수행에 영향을 미치는 요인은 자기효능감, 요양병원경력, 통증교육 순이었고 전체 설명력은 30.1%이었다. 따라서 요양병원 간호사의 치매환자 통증관리수행을 높이기 위해서 정확한 통증지식과 자기효능감을 높일 수 있는 프로그램을 개발할 필요가 있다.

Keywords

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