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Young Seun Ryu1
, Jeong Sook Park2
, Jeong Sook Park2
Abstract
Purpose
This study aimed to develop evidence-based nursing practice guidelines for pain management in patients with dementia and to verify their effects.
Methods
Guidelines were developed according to the Clinical Practice Guideline Adaptation Manual. Additionally the quality of six guidelines was evaluated using the AGREE (Appraisal of Guidelines for Research & Evaluation) tool. Subsequently, the guidelines were translated into Korean and a preliminary set of guidelines was established. After a group of experts confirmed the content validity of the guidelines, the Korean version was applied to clinical settings for 4 weeks, to examine their applicability. Data was collected from April to August 2017. The dependent variables were nurses' knowledge and attitudes about pain management in patients with dementia, pain assessment frequency, use of pharmacological and nonpharmacological intervention to reduce pain, and subjective and objective pain scores of patients with dementia. Data were analyzed using an independent t-test, Mann-Whitney U test, Wilcoxon Signed Ranks test, and analysis of covariance with SPSS/WIN 22.0.
Results
Nurses in the experimental group had a higher degree of knowledge and more positive attitudes regarding pain management, and they reported a higher frequency of pain assessment as compared to those in the control group. As compared to patients in the control group, those in the experimental group had more days of regular treatment with analgesics and were provided with a higher analgesics dose as well as more frequently received physical and relaxation therapies. The two groups did not show significant differences in subjective and objective pain scores.
Figures and Tables
Table 1
List of Evidence-based Nursing Practice Guidelines for Pain Management of Patients with Dementia
Table 2
Homogeneity Test of General Characteristics and Dependent Variables between Experimental and Control Group in Nurses (N=57)
Table 3
Homogeneity Test of General Characteristics and Dependent Variables between Experimental and Control Group in Patients (N=57)
ACKNOWLEDGEMENT
This article is a condensed form of the first author's doctoral dissertation from Keimyung University.
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