응급의료센터에 내원한 복부통증 노인 환자에 대한 간호기록 분석
Analysis of Nursing Records for Elderly Patients with Abdominal Pain in the Emergency Medical Center
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Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing recordsfor the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptivestudy based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominalpain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysisof nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits(58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of theelderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; theaverage pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). Therewas no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed thatimproving knowledge and nursing practice for pain management is much of necessity. In particular, development of thenon-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluaterecord systems for pain management that can be used in the emergency room.
Abstract
Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing recordsfor the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptivestudy based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominalpain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysisof nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits(58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of theelderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; theaverage pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). Therewas no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed thatimproving knowledge and nursing practice for pain management is much of necessity. In particular, development of thenon-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluaterecord systems for pain management that can be used in the emergency room.
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