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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Development and effect of evidence-based nursing practice guidelines for pain management in patients with dementia
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Development and effect of evidence-based nursing practice guidelines for pain management in patients with dementia

机译：痴呆患者疼痛治疗止痛性管理的发展与效果

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? 2019 Korean Society of Adult Nursing. ? 2019 Korean Society of Adult Nursing. 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. 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
机译：还2019年朝鲜成人护理学会。还2019年朝鲜成人护理学会。目的：本研究旨在为痴呆症患者的疼痛管理制定基于证据的护理实践指南，并验证它们的效果。方法：根据临床实践指南调整手册开发了指南。此外，使用该协议（研究指南和评估）工具的同意评估了六种准则的质量。随后，将指南翻译成韩国，建立了初步指南。经过一组专家证实了指南的内容有效性，韩国版用于临床环境4周，以检查其适用性。从4月到2017年8月收集了数据。依赖变量是痴呆症，疼痛评估频率，药理和非药物干预患者疼痛管理的护士知识和态度，以减少疼痛的主观和客观疼痛评分。使用独立的T检验，Mann-Whitney U测试，Wilcoxon签署等级测试分析了数据，以及与SPSS / Win 22.0的协方差分析。结果：实验组的护士具有更高程度的知识和更积极的态度疼痛管理，而且与对照组相比，他们报告了更高的疼痛评估频率。与对照组患者相比，实验组中的那些在实验组中常规治疗镇痛药，并具有更高的镇痛剂剂量以及更频繁地接受物理和放松疗法。两组在主观和客观疼痛评分中没有表现出显着差异。结论：本研究结果表明，本研究中发育的止痛药的基于循证指南有效地帮助护士和痴呆症患者解决他们目前正在寻求治疗的痛苦。目的：本研究旨在为痴呆症患者的疼痛管理制定基于证据的护理实践指南，并验证它们的效果。方法：根据临床实践指南调整手册开发了指南。此外，使用“研究与评估和评估指南”工具的同意评估了六种准则的质量。随后，将指南翻译成韩国，建立了初步指南。经过一组专家证实了指南的内容有效性，韩国版用于临床环境4周，以检查其适用性。从4月到2017年8月收集了数据。依赖变量是痴呆症，疼痛评估频率，药理和非药物干预患者疼痛管理的护士知识和态度，以减少疼痛的主观和客观疼痛评分。使用独立的T检验，Mann-Whitney U测试，Wilcoxon签署等级测试分析了数据，以及与SPSS / Win 22.0的协方差分析。结果：实验组的护士具有更高程度的知识和更积极的态度疼痛管理，而且与对照组相比，他们报告了更高的疼痛评估频率。与对照组患者相比，实验组中的那些在实验组中常规治疗镇痛药，并具有更高的镇痛剂剂量以及更频繁地接受物理和放松疗法。两组在主观和客观疼痛评分中没有表现出显着差异。结论：本研究表明本研究中发育的止痛药的基于循证指南有效地帮助护士和痴呆症，以解决他们目前正在寻求的痛苦

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