A study of pain management nursing and the quality of nursing for elderly patients with a musculoskeletal disorde

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  • 高齢者の運動器疾患における 慢性疼痛看護の現況と 看護実践の質に関する調査研究
  • コウレイシャ ノ ウンドウキ シッカン ニ オケル マンセイ トウツウ カンゴ ノ ゲンキョウ ト カンゴ ジッセン ノ シツ ニ カンスル チョウサ ケンキュウ

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Abstract

One aim of the current study was to ascertain the status of implementation of pain assessment, methods of pain assessment, the realities of pain management nursing, and satisfaction and difficulties with that nursing. Another aim was to determine the relationship between those factors and the quality of nursing. Two hundred and ninety-four nurses who provided nursing care for patients with musculoskeletal disease at 15 medical facilities with Orthopedics wards or outpatient clinics completed a self-administered questionnaire. Results indicated that pain was assessed out 1-3 times a day, and a faces scale was often used to assess pain. Ninety percent or more of the nurses experienced difficulties in assessing the pain of the elderly and 80% or more of the nurses responded that they lacked confidence in their ability to assess pain. Fifty percent or more of the nurses were not satisfied with pain management nursing. For nurses, confidence and satisfaction were significantly correlated with the quality of nursing. In addition, only around 20% of the nurses had attended training sessions on pain. The above findings suggest that nurses need opportunities to train. That training will take the characteristics of elderly patients into account and allow nurses to acquire knowledge and skills to provide pain management nursing to patients with a musculoskeletal disorder.

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