Purpose
This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses.
Methods
In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires.
Results
The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models.
Conclusion
The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

Citations

• The Status and Challenges of Pain Assessment in Hospitalized Patients: A Cross-Sectional Study
  Xiaofeng Xu, Hongxiu Chen, Jing Xu, Yue'er Zhang, Renrong Gong, Xiuying Hu
  Pain Management Nursing.2025; 26(2): e124.     CrossRef
• Development of the Korean Version of the Pain Assessment Tool in Impaired Cognition (KPAIC-15) for Patients with Dementia: A Scale Development
  Sun Young Lim, Su Jung Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2022; 24(2): 218.     CrossRef

PURPOSE
The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD).
METHODS
Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial treatment and 54 were selected because there was a relapse. Data were analyzed using χ² test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression.
RESULTS
Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence.
CONCLUSION
Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.

Citations

• Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial
  In Ae Uhm, Seon Young Hwang
  BMC Nursing.2023;[Epub]     CrossRef
• Comparison of Coronary Risk Factor and Nutrient Intake Status of Patients with Chronic Kidney Disease and Normal Subjects : Data Obtained from the 2015-2019 Korea National Health and Nutrition Examination Survey
  Hyun Kyung Oh, Ho Kyung Ryu
  The Korean Journal of Community Living Science.2022; 33(2): 189.     CrossRef
• Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study
  Hye Won Jeong, Chi Eun Song, Minjeong An, Lucy E. Selman
  PLOS ONE.2021; 16(6): e0248947.     CrossRef
• The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
  In Ae Uhm, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef
• Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention
  Lee, Kyung Sim, Kyung Mi Sung
  The Korean Journal of Rehabilitation Nursing.2019; 22(2): 87.     CrossRef
• Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015)
  Hyekyung Jin, Minju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 134.     CrossRef

PURPOSE
This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines.
METHODS
Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0.
RESULTS
The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one.
CONCLUSION
Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.

Citations

• Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective
  Mouza Al Ameri, Nandan M Shanbhag
  Cureus.2023;[Epub]     CrossRef
• Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients
  Hoi Sook Seo, Eun Young Park, Se Jin Park, Bo Ra Han, Myung Jin Jang
  Asian Oncology Nursing.2021; 21(4): 213.     CrossRef
• Identification of Knowledge Structure of Pain Management Nursing Research Applying Text Network Analysis
  Chan Sook Park, Eun-Jun Park
  Journal of Korean Academy of Nursing.2019; 49(5): 538.     CrossRef

PURPOSE
This study was aimed to identify the incidence and severity of chemotherapy-induced peripheral neuropathy (CIPN) among patients with hematologic malignancies and to examine the relationship between the quality of life (QOL) and CIPN.
METHODS
A total of 66 patients with CIPN-related symptoms participated in this study. Data were collected through self-reported questionnaires consisted of the European Organization for Research and Treatment of Cancer QLQ-C30 version 3.0 and the 16-item QLQ-CIPN20. Data were analyzed with SPSS/WIN20 for descriptive statistics using the Mann-Whitney and Kruskal-Wallis tests, and Spearman's rho.
RESULTS
The mean lower and upper extremity scale scores were 31.95 and 23.16 respectively for the 16-item QLQ-CIPN20. The mean QLQ-C30 subcategory scores were 46.84 for global health status, 58.72 for functional scales, and 34.85 for symptom scales. The CIPN-related lower extremity scale symptoms correlated negatively with the QOL subscales. There was no correlation between CIPN-related upper extremity symptoms and health-related QOL.
CONCLUSION
Patients with hematologic malignancies treated with neurotoxic chemotherapeutic agents had CIPN-related symptoms in the lower extremities mainly, and their QOL functional subscale scores were relatively lower than those of other cancer patients. Interventions need to be developed for patients with hematologic malignancies to alleviate CIPN and enhance their QOL.

Citations

• Taxane-induced peripheral neuropathy and quality of life in breast cancer patients
  Ebrahim Salehifar, Ghasem Janbabaei, Abbas Alipour, Nasim Tabrizi, Razieh Avan
  Journal of Oncology Pharmacy Practice.2020; 26(6): 1421.     CrossRef
• Oxaliplatin-Induced Peripheral Neuropathy and Quality of Life in Patients with Digestive System Cancer
  Hye Young Kim
  Korean Journal of Adult Nursing.2016; 28(3): 343.     CrossRef