본 연구는 간호사의 암성통증관련 지식과 수행도를 융합적으로 조사하기 위한 연구로 M시의 간호사 295명을 대상으로 하였다. 암성통증관련 지식과 수행도는 조은경(2009)의 연구도구를 사용하였다. 수집된 자료는 SPSS 18.0, t-test, ANOVA, Multiple Linear Regression 으로 분석하였다. 대상자의 지식은 30점 만점에 평균 $19.21{\pm}6.16$, 수행도는 4점 만점에 평균 $3.12{\pm}0.41$으로, 같은 도구를 사용한 다른 연구들에 비해 낮은 수준이었다. 권고안을 인지하고 있는 간호사의 지식과 수행도 사이에 유의한 차이가 있었고, 대상자의 지식과 수행도 사이에 정적인 상관관계가(r=.488, p=.001) 있었다. 대상자의 권고안인지도는 38.6%에 불과하였으므로, 간호사의 권고안 인지 및 활용능력 향상 내용을 포함한 암성통증관리관련 교육으로 암성통증관련 지식도를 높여 통증관리 수행도를 높여야 할 필요성이 있다.
본 연구는 간호사의 암성통증관련 지식과 수행도를 융합적으로 조사하기 위한 연구로 M시의 간호사 295명을 대상으로 하였다. 암성통증관련 지식과 수행도는 조은경(2009)의 연구도구를 사용하였다. 수집된 자료는 SPSS 18.0, t-test, ANOVA, Multiple Linear Regression 으로 분석하였다. 대상자의 지식은 30점 만점에 평균 $19.21{\pm}6.16$, 수행도는 4점 만점에 평균 $3.12{\pm}0.41$으로, 같은 도구를 사용한 다른 연구들에 비해 낮은 수준이었다. 권고안을 인지하고 있는 간호사의 지식과 수행도 사이에 유의한 차이가 있었고, 대상자의 지식과 수행도 사이에 정적인 상관관계가(r=.488, p=.001) 있었다. 대상자의 권고안인지도는 38.6%에 불과하였으므로, 간호사의 권고안 인지 및 활용능력 향상 내용을 포함한 암성통증관리관련 교육으로 암성통증관련 지식도를 높여 통증관리 수행도를 높여야 할 필요성이 있다.
The purpose of this converged study is to find nurses' knowledge and performance of cancer pain management targeting 295 nurses in M City. Cancer pain management knowledge and performance scales by Jo(2009) were the research tool used. Using SPSS 18.0, t-test, ANOVA, Multiple Linear Regression were ...
The purpose of this converged study is to find nurses' knowledge and performance of cancer pain management targeting 295 nurses in M City. Cancer pain management knowledge and performance scales by Jo(2009) were the research tool used. Using SPSS 18.0, t-test, ANOVA, Multiple Linear Regression were carried out. The average scores of knowledge and performance were $19.2{\pm}6.16$ out of 30, and $3.12{\pm}0.40$ out of 4 each. There was a significant difference between nurses' knowledge and performance according to Cancer Pain Management Guideline(CPMG). There was a positive correlation between nurses' knowledge and performance(r=.488, p=.001). Explanation rate of the knowledge on the performance was 38.6%. For the purpose of increasing nurses' performance level of cancer pain management, systematic education and elevating awareness of CPMG are needed.
The purpose of this converged study is to find nurses' knowledge and performance of cancer pain management targeting 295 nurses in M City. Cancer pain management knowledge and performance scales by Jo(2009) were the research tool used. Using SPSS 18.0, t-test, ANOVA, Multiple Linear Regression were carried out. The average scores of knowledge and performance were $19.2{\pm}6.16$ out of 30, and $3.12{\pm}0.40$ out of 4 each. There was a significant difference between nurses' knowledge and performance according to Cancer Pain Management Guideline(CPMG). There was a positive correlation between nurses' knowledge and performance(r=.488, p=.001). Explanation rate of the knowledge on the performance was 38.6%. For the purpose of increasing nurses' performance level of cancer pain management, systematic education and elevating awareness of CPMG are needed.
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문제 정의
This descriptive research was to identify the knowledge and the performance of nurses on cancer pain management in one area. It targeted 295 nurses, who experienced in caring cancer patients.
This research is a descriptive correlation study to identify the degree of knowledge and performance regarding the cancer pain management of nurses.
제안 방법
Data was gahtered at seven hospitals between Oct 1 and (to) Oct 20, 2014, after explaining the objectives of the study to their nursing departments and asking for cooperation. After distributing the questionnaire, the researcher explained the objectives and the methods of the study, confidentiality policy of person information, and risk-free condition and received written agreements from nurses. 326 were collected out of 330 distributed questionnaires, but 295 questionnaires were analyzed after excluding 21 untrustworthy questionnaires and 10 unexperienced cancer patient nursing questionnaires.
On the other hand, the Ministry of Health and Welfare has made many efforts in creating and delivering cancer pain management guideline recommendations(hereafter, CPMG)[18]. This study was conducted to evaluate the awareness of clinical nurses on the CPMG, identify the relationship between the knowledge of cancer pain management and the performance of it, and to prepare the basis of a program, which is easy to apply to the clinical practice based on the results.
To calculate the explanatory rate of each variable about the performance of subjects, the age, working area, religion, experience of receiving pain management education, number of years caring cancer patients, experience of caring cancer patient in terminal stage, and the awareness of CPMG of subjects and the level of knowledge were selected as possible explanatory variables. They were treated as dummy and analyzed with a multiple regression analysis.
대상 데이터
This descriptive research was to identify the knowledge and the performance of nurses on cancer pain management in one area. It targeted 295 nurses, who experienced in caring cancer patients. 54.
데이터처리
2) The performance of cancer pain management in accordance with awareness of CPMG was calculated by mean, standard deviation, and t-test.
4) The explanatory rate of variables on the performance of cancer pain management was estimated by a multiple linear regression analysis.
1) General characteristics of subjects were analyzed in frequency and percentage. The knowledge and the performance of cancer pain management were analyzed by using mean, standard deviation, t-test, and ANOVA.
To calculate the explanatory rate of each variable about the performance of subjects, the age, working area, religion, experience of receiving pain management education, number of years caring cancer patients, experience of caring cancer patient in terminal stage, and the awareness of CPMG of subjects and the level of knowledge were selected as possible explanatory variables. They were treated as dummy and analyzed with a multiple regression analysis.
성능/효과
This result is partially consistent with who has the more influence on performance of cancer pain management according to working area, receiving education on cancer pain management, marriage state and religion[19]. Eventually the results indicated that nurses with a higher level of cancer pain management knowledge, working in internal medicine ward, having cancer pain management education, and having an experience of caring patients with terminal cancer had higher performance in cancer pain management.
It was similar of previous studies[14,16]. In this study, even the performance level of subjects on cancer pain management was poor, these results suggested that the performance level of pain assessment was similar regardless of the level of knowledge related to cancer pain. Therefore, it is needed to study by increasing the number of subjects and expanding the regions.
In this study, knowledge of subjects related to nonpharmacological therapy was 65%(mean score, 2.60). It was lower than the results of other studies 86.
This study showed that the degree of knowledge, working area, the experience of pain management education, and the experience of caring patients with terminal cancer were explanatory variables of cancer pain management performance of subjects. Their explanatory rate was 34.
The literature review showed that subjects had different levels of knowledge depending on the ward. This study showed that the level of knowledge was significantly different between nurses working in internal medicine wards and those working in general wards. The difference in knowledge about pharmacotherapy and non-pharmaco logical therapy between oncologic ward nurses and general ward nurses, and the difference in level of knowledge between hospice ward nurses and general ward nurses, can be seen as a result of the context similar to this study[15].
후속연구
Based on the results of this study, it is necessary to conduct repeated study by expanding number of subjects and area, develop an education program for caring cancer patients, compare nurses before and after educating the CPMG, and educate nurses repeatedly since nurses have insufficient knowledge on cancer pain management.
참고문헌 (23)
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