응급의료센터에 내원한 복부통증 노인 환자에 대한 간호기록 분석 = Analysis of Nursing Records for Elderly Patients with Abdominal Pain in the Emergency Medical Center

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 이병옥, "일 권역응급의료센터에 내원한 노인환자의 중증도" 한국노인간호학회 10 (10): 164-172, 2008

2 이승재, "응급실에 내원한 통증 환자에서 신속한 진통제 투여가 적절한 통증 완화에 미치는 영향" 대한응급의학회 26 (26): 68-75, 2015

3 김영아, "응급실 입원환자에게 적용된 간호진단분석 - NANDA 간호진단 분류 이용 -" 기본간호학회 22 (22): 16-24, 2015

4 김혜경, "암 환자와 간호사의 통증관리 관련 요인" 기본간호학회 13 (13): 68-75, 2006

5 류한승, "복통의 진단적 접근" 대한내과학회 83 (83): 553-561, 2012

6 김은경, "병원 간호사의 근거중심 노인통증관리 지침에 대한 인지도와 수행도" 한국성인간호학회 24 (24): 20-30, 2012

7 김진구, "노인의 의료이용과 영향요인 분석" 한국노인복지학회 (39) : 271-300, 2008

8 임영숙, "내․외과계 중환자의 통증간호기록 분석" 대한근관절건강학회 19 (19): 173-183, 2012

9 엄현돈, "급성 복통을 주소로 응급실에 내원한 노인환자에 대한 임상적 고찰" 대한노인병학회 13 (13): 89-94, 2009

10 유수정, "권역응급의료센터에 내원한 노인의 제 특성에 따른 내원과정 비교" 보건의료산업학회 8 (8): 27-39, 2014

11 Ula Hwang, "The Quality of Emergency Department Pain Care for Older Adult Patients" Wiley 58 (58): 2122-2128, 2010

12 Ula Hwang, "The Effect of Emergency Department Crowding on the Management of Pain in Older Adults with Hip Fracture" Wiley 54 (54): 270-275, 2006

13 Kim, J. S., "Problems of elderly patients in emergency room" The Korean Academy of Clinical Geriatrics 25-31, 2009

14 An, Y. H., "Perception of nursing performance for cancer patients at the emergency room" Hanyang University 2015

15 Pain nursing practical guide, "Pain nursing practical guide" Hospital Nurses Association

16 Timothy Rupp, "Inadequate analgesia in emergency medicine" Elsevier BV 43 (43): 494-503, 2004

17 Korean Statistical Information Service (KOSIS), "Future population estimation"

18 Korean statistical information Service (KOSIS), "Emergency medical statistics"

19 Min, Y. H., "Development of detailed clinical models for pain assessment" 8 (8): 113-120, 2011