한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제10권11호
  • /
  • Pages.445-451
  • /
  • 2019
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

암성 통증 치료에 대한 인식 비교 - 간호사와 의과대학생을 중심으로 -

Comparison of Perception on the Treatment of Cancer Pain - Focus on Nurses and Medical Students -

  • Lee, Ju-Hwan (Department of Anesthesia and Pain Medicine, Wonkwang University College of Medicine) ;
  • Kim, Yeon-Dong (Department of Anesthesia and Pain Medicine, Wonkwang University College of Medicine) ;
  • Kim, Ja-Ok (Department of Nursing, Wonkwang Health Science University)
  • 투고 : 2019.10.02
  • 심사 : 2019.11.20
  • 발행 : 2019.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 암성 통증에 대한 간호사와 의과대학 4학년을 대상으로 인식을 규명하고 체계적인 교육 프로그램 개발에 활용하고자 시도하였다. 연구 대상은 간호사 258명, 의과대학 4학년 211명이며, SPSS WIN 18.0을 이용하여 분석한 결과 두 직군 간 "암환자는 진통제를 자주 쓰면 쓸수록 중독되지 않는다.", "암성 통증은 나이와 상관없이 발생할 수 있다.", "암환자가 통증이 있을 때 주사나 신경치료는 일시적이지 않고 장기간으로 볼 때에 효과적이다", "암환자는 다른 환자에 비해 진통제에 쉽게 중독이 되지 않는다." 등의 문항에서 통계적으로 유의한 차이를 보였다. 따라서 두 집단 모두에게 체계적 암성 통증에 대한 이론 및 실무에 대한 교육 방향성을 설정하고 관련 교육 프로그램을 개발의 필요성을 시사한다.

This study was done to identify the perception of cancer pain among nurse and 4th grade medical school and to apply it to the development of systematic educational program. The subjects were 258 nurses and 211 4th grade medical school students. The results of the analysis using the SPSS WIN 18.0 statistical program showed statistically significant differences in the next question between the two groups ; "Cancer patients don't get addicted to painkillers the more often they use them.", "Cancer pain can occur regardless of age.", "Injections or neurotheraphy are not temporary, but effective over a long period of time when cancer patients have pain.", "Cancer patients are not easily addicted to painkillers compared to other patients." Therefore, it is necessary to establish the educational direction and related education programs for the theory and practice of systematic cancer pain in both groups.

키워드

참고문헌

  1. M. H. Levy. (1996). Pharmacologic treatment of cancer pain. N Engl J Med, 335(15), 1124-1132. DOI: 10.1056/NEJM199610103351507
  2. M. H. Van den Beuken-Van et al. (2016). Update on Prevalence of Pain in Patients With Cancer: Systematic Review and Meta-Analysis. J Pain Symptom Manage. 51(6), 1070-1090. DOI: 10.1016/j.jpainsymman.2015.12.340
  3. K. S. Sohn & J. H. Kim. (2012). Recent trends in pharmacologic treatment of cancer pain. J Korean Med Assoc, 55(7), 666-675. DOI: 10.5124/jkma.2012.55.7.666
  4. Ministry of Health & Welfare. Cancer pain management guideline. (2018). 6th ed. Seoul: Ministry of Health & Welfare.
  5. J. M. Park. (2015). Interventional treatments for cancer pain due to bone metastasis. Anesthesia and Pain Medicine, 10(3), 149-164. DOI: 10.17085/apm2015.10.3.149
  6. N. H. Kim & J. H. Kang. (2017). Impacts of Cancer Pain Management Education on Home Care Cancer Patients' Perception and Attitudes. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology , 7, 153-167. DOI : 10.14257/ajmahs.2017.10.04
  7. Y. H. Yun et al. (2005). Knowledge and Attitudes of Family Physician and Oncologist toward Cancer Pain Management in Korea. J Korean Acad Fam Med, 26, 397-403. DOI: 10.1093/jjco/hyr074
  8. K. H. Jang & I. S. Jung. (2016). Converged Study on the Nurses' Knowledge and Performance of Cancer Pain Management in one city. Journal of the Korea Convergence Society, 7(6), 115-124. DOI: 10.15207/JKCS.2016.7.6.115
  9. T. Meuser, C. Pietruck, L. Radbruch, P. Stute & K. A. Lehmann. (2001). Symptoms during cancer pain treatment following WHO-guidelines: a longitudinal follow-up study of symptom prevalence, severity and etiology, Pain, 93(3), 247-257. https://doi.org/10.1016/S0304-3959(01)00324-4
  10. The Korean Pain Society. (2018). Textbook of Pain medicine 5th edition, Koonja, 415.
  11. Y. M. Chun & S. Y. Park. (2013). The Effects of Pain Management Education on Knowledge, Concern, and Attitude about Pain Management in Cancer Patients Receiving Chemotherapy in Outpatient Settings. Asian Oncol Nurs, 13(2), 95-102. DOI: 10.5388/aon.2013.13.2.95
  12. M. H. Jun, K. S. Park, S. H. Gong, S. H. Lee & Y. H. Kim et al. (2006). Knowledge and Attitude toward Cancer Pain Management: Clinical Nurses Versus Doctors. Korean Acad Soc Nurs Edu, 12, 115-123.
  13. K. M. Foley KM. (2004). Treatment of cancer-related pain. J Natl Cancer Inst Monogr, 32, 103-104. DOI: 10.1093/jncimonographs/lgh034
  14. T. J. Smith et al. (2002). Randomized clinical trial of an implantable drug delivery system compared with comprehensive medical management for refractory cancer pain: impact on pain, drug-related toxicity, and survival. J Clin Oncol, 20, 4040-4049. DOI: 10.1200/JCO.2002.02.118
  15. J. Raphael et al. (2010). Cancer pain: part 2: physical, interventional and complimentary therapies; management in the community; acute, treatment-related and complex cancer pain: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners. Pain Med, 11, 872-896. DOI: 10.1111/j.1526-4637.2010.00841.x
  16. S. E. Brogan. (2010). Interventional Pain Therapies. In: Bonica's management of pain. 4th ed. Edited by Fishman SM, Ballantyne JC, Rathmell JP: Philadelphia, Lippincott Williams & Wilkins, 605-617.
  17. H. J. Jho et al. (2014). Knowledge, Practices, and Perceived Barriers Regarding Cancer Pain Management among Physicians and Nurses in Korea: A Nationwide Multicenter Survey. PLoS ONE, 9(8), e105900. DOI: 10.1371/journal.pone.0105900
  18. B. Breuer, S. B. Fleishman, R. A. Cruciani & R. K. Portenoy. (2011). Medical oncologists' attitudes and practice in cancer pain management: A national survey. Journal of Clinical Oncology, 29, 4769-4775. https://doi.org/10.1200/JCO.2011.35.0561