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KMID : 0388320100170040508
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Journal of Korean Academy of Fundamental Nursing
2010 Volume.17 No. 4 p.508 ~ p.519
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A Study on the Types of Pain Identification by Nurses for Nursing Home Patients with Dementia
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Lee Su-Jung
Chang Sung-Ok
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Abstract
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Purpose: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes.
Method: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program.
Results: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one".
Conclusions: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.
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KEYWORD
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Nursing Homes, Dementia, Pain
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