Purpose
This study investigates the effects of thermomechanical stimulation intervention during arteriovenous fistula puncture on hemodialysis patients’ pain, anxiety, and stress. Methods: We used a nonequivalent groups pretest-posttest experimental design. In this study, 44 patients on regular hemodialysis (22 each in experimental and control groups) at a general hospital in South Korea were enrolled from December 2020 to January 2021.Subsequently, thermomechanical stimulation intervention using the Buzzy device was applied to the experimental group during arteriovenous fistula puncture. The outcome measures were the patients’ pain, anxiety, and stress.
Results
After the intervention, the experimental group recorded significantly lower arteriovenous fistula puncture pain compared to the control group (t=2.90, p=.006). However, no significant differences in anxiety and stress were noted before and after the intervention between the groups.
Conclusion
The study indicates that thermomechanical stimulation intervention can be utilized as an easy and effective intervention method to reduce the puncture pain experienced by patients on hemodialysis during arteriovenous fistula puncture.

Citations

• Effects of an intervention combining warm therapy with a digital distraction app on pain, stress, and satisfaction during intravenous catheterization in South Korea: a randomized controlled trial
  Jae-Kyeum Lee, Ki-Yong Kim, Yean-Hee Jeong, Yu-Jin Lee, Min-Ho Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 191.     CrossRef
• Effects of a thermoelectric element tourniquet on venipuncture pain and stress relief in Korea: a randomized controlled trial
  Tae Jung Lee, Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 179.     CrossRef
• Thermoelectric tourniquet–assisted thermotherapy and cryotherapy for pain, regional blood flow, and satisfaction with intravenous injections among hospitalized patients in Korea: a randomized controlled trial
  Seon-Mi Lee, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2024; 26(4): 323.     CrossRef
• Effect of aromatherapy on quality of life in maintenance hemodialysis patients: a systematic review and meta-analysis
  Cong Zhang, Hang Mu, Yong-Fang Yang, Yong Zhang, Wen-Jun Gou
  Renal Failure.2023;[Epub]     CrossRef
• Juan Bi Tang, a traditional Chinese medicine, for alleviating pain related to arteriovenous fistula in maintenance hemodialysis patients: An interventional pilot study with brief review
  Yung-Tang Hsu, Yung-Hsiang Chen, Chung-Ming Fu, Wen-Chin Lee, Ming-Yen Tsai
  Medicine.2023; 102(45): e35974.     CrossRef

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 study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

Citations

• Assessing healthcare professionals’ perceptions of pain concepts and beliefs
  Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim
  NeuroRehabilitation.2024; 55(1): 117.     CrossRef
• Development of a nurse navigation program for cancer pain
  Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
  Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528.     CrossRef
• Managing Postembolization Syndrome Through a Machine Learning–Based Clinical Decision Support System
  Minkyeong Kang, Myoung Soo Kim
  CIN: Computers, Informatics, Nursing.2024; 42(11): 817.     CrossRef
• Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
  Seon Mi Yoon, Jeong Hee Kang
  Asian Oncology Nursing.2023; 23(2): 75.     CrossRef
• Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea
  Mi-Ra Kang, Youn-Ju Kwon
  BMC Nursing.2022;[Epub]     CrossRef
• Factors Affecting Nurses’ Performance of Cancer Pain Management in a Tertiary Hospital
  Minhwa Kang, Minjeong Seo
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 99.     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
• The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study
  Hyekyung Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-Hee Kim, Insook Lee, Yoonjung Shin, Hye-Young Jang
  Asian Oncology Nursing.2021; 21(1): 15.     CrossRef
• Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report
  Nayung Youn
  Asian Oncology Nursing.2021; 21(4): 194.     CrossRef

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.
CONCLUSION
The present findings indicates that the evidence-based guidelines for pain management developed in this study were effective in helping nurses and patients with dementia to resolve their pain for which they were currently seeking treatment.

Citations

• Developing evidence‐based medication therapy management tools for psychiatric nurses: An evaluative qualitative case study
  Melisa Bulut, Çiğdem Yüksel
  Journal of Evaluation in Clinical Practice.2024; 30(8): 1519.     CrossRef
• Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
  Soomi Kim, Chul-Gyu Kim
  Journal of Korean Academy of Nursing.2023; 53(3): 275.     CrossRef
• Self-rated health as a predictor of mortality according to cognitive impairment: findings from the Korean Longitudinal Study of Aging (2006-2016)
  Goun Park, Wankyo Chung
  Epidemiology and Health.2021; 43: e2021021.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
  Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
  Korean Journal of Adult Nursing.2020; 32(3): 283.     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
The purpose of this study was to identify pain intensity according to activities over postoperative days and to identify factors of patient satisfaction with pain management after abdominal surgery.
METHODS
The subjects were 123 patients who were admitted at a general surgical ward and had abdominal surgery from Mar. 2005 to June 2005. The collected data were analyzed using the SPSS 12.0 program.
RESULTS
The average postoperative pain scores were 6.13 at POD 1, 5.46 at POD 2, and 4.22 at POD 3. In stepwise multiple regression analysis a total of 40% of variance in satisfaction with pain management was accounted for by pain intensity on POD 3 at rest (29.4%) and attitude toward using pain medicine (6.6%), and side effects of pain medicine (4.0%).
CONCLUSION
According to the findings of this study, patients had inadequate pain management after abdominal surgery. Therefore, nurses need to provide educational programs focused on changing attitudes toward using pain medicine, to reduce side effects of pain medicine, and to develop nursing intervention for relieving pain.

PURPOSE
The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. METHOD: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990), that was by Kim'(1997). RESULTS: In terms of the nurses knowledge of pain management, the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids, 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016), years of experiences(p=.002), experience of cancer pain education(p=.001). CONCLUSION: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

PURPOSE
This study was conducted to examine the nurses' knowledge about and attitude toward cancer pain management.
METHOD
Study subjects of this retrospective cross-sectional survey study were 343 nurses sampled conveniently in a tertiary teaching hospital in Seoul. Seven measurement tools were used to collect data on demographic data, knowledge about and attitude toward cancer pain management, barrier to cancer pain management, knowledge about and concerns for the opioid use, and professional education of cancer pain management.
RESULT
Nurses showed knowledge deficit when their knowledge on the cancer pain management and the opiod use was evaluated using two case scenarios and the 15-item questionnaire respectively. Ninety-five percent of the nurses believed that cancer pain management is a major problem. However, inadequate staff knowledge of pain management was rated as the single most important barrier to adequate pain management by 20.4% of nurses. Only 10.9% and 23.2% of the nurses replied that nursing school's education and professional education in cancer pain management respectively, were adequate.
CONCLUSION
This study confirms the existence of knowledge deficits and attitudinal barriers among Korean nurses that can impede cancer pain manage- ment. This study suggests a need for professional education for nurses on cancer pain management.

The purpose of this study is to analyze the structural pattern of nurses' pain management with patients who experience pain. As a research method, the Q methodology, which is useful for an objective view of a highly abstract concept, was applied. The data collecting activity of this study was from August, 21st, 2000 to November, 24th 2000. The Q-population, the previous thesis and a literature review were done. Questions about pain management by the nurse on the patients, caregivers, nursing students, doctors, nurses, and others were asked in documentary work and in-depth interviews. In all, 223 units of the Q-population were formed, and the last 35 units of the Q-population were extracted. The data on the P-sample was collected from 41 nurses who worked in the medical and surgical units of a hospital that belonges to C university in Seoul. The research results were constituted in 3 types. Type I was the 'pattern of judging by objectivity'. The statement on which most of the people highly agreed for those patterns was shown by 'If patients said that they are suffering from pain, we sufficiently performed an assessment about the etiology, location, duration and degree'. For type I, the same pain was found in different locations according to the patients, so the etiology of the pain should be identified first place. Since ways of coping are different according to pain etiology, it was thought that it is important to assess sufficiently the pain etiology, location, duration, and degree. Therefore, when patients complain of pain, the pain etiology should be identified and assessed; according to the result, pain management should be performed systematically. Type II was the 'pattern of accepting by subjectivity'. The statement on which most of the people highly agreed for those patterns was shown as 'If patients said that they are suffering from pain, the medical treatment should be performed rapidly and speedily.' For type II, when the patient complains of pain, treatment should be performed quickly in order to prevent the condition getting worse, and it is thought that activity is a reasonable duty. Further, by trying to show empathy after pain is admitted and by understanding and coping rapidly with the pain of patients, an attitude which matched the altruistic morals of nurses is being shown. Type III was the 'pattern of worrying about', and the statement on which most of the people highly agreed for those patterns was shown is 'When there is a pain, to help patients to tolerate the pain to the highest degree.' In type III, the pain is a subjective expression, so there is a difference according to every individual. Therefore, actually if there is no measurement of pain, it could be exaggerated so nurses should help patients to tolerate it to the utmost. Even if there is a way to remove pain without an analgesic drug, nurses were reluctant to perform pain management as they possibly could. Through these research results, pain management of nurses was classified in 3 types, and structural characteristics in each type were discovered. Based upon the characteristics according to the type, an individualized pain management intervention strategy should be established and the follow up work performed.

The purpose of this study was to understand clinical nurses' knowledge and attitudes on pain management. The subject of the study were 254 nurses working at two hospitals affiliated with a university in Seoul. The questionnaires included four areas: general knowledge on pain, knowledge on the use of analgesia, knowledge and implementation on the pain assessment scales and pain interventions and nurses' general characteristics. The data were analyzed with descriptive statistics, analysis of variance, LSD test and t-test using SPSS statistical package. The results were as follows. 1. The mean score of the general pain knowledge was 61.46 and that of knowledge on the use of analgesia was 52.19. 2. Most nurses(74%) answered with hesitation about injecting narcotic analgesia to patients. 3. The pain assessment scale which nurses knew (57.5%) and used(48.0%) extremely was a simple descriptive scale. 4. The pain intervention which nurses knew (94.5%) and implemented(92.1%) extremely was to inject analgesia. 5. The number of nurses who had learned about pain management was 49 of 254(19.3%). 6. Nurses' knowledge on the use of analgesia was of relevance to having learned pain management, but general pain knowledge was not so relevant. According to this research, I suggest the following. 1. It is necessary to develop an education program with actual practice and intervention which nurses can perform for themselves. 2. It is necessary to continuously educate about pain management in clinical wards.