Study of Pain Management Outcome and Related Factors in Emergency Patients With Pain

• Main Authors: CHANG,YU-PING, 張育萍
• Other Authors: Lee, Weillie
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/pz664r

碩士 === 弘光科技大學 === 護理研究所 === 107 === This study investigated the influencing factors of pain management results of emergency patients. It adopted cross-sectional research design. In detail, purposive sampling was employed to select the patients in the emergency room of a teaching hospital in a northern region in Taiwan. The selected patients pain was the main reason for seeking treatment; and their pain index was≧4 points. Physicians and nurses were full-time staff serving the emergency room. 150 patients and 20 physicians and nurses were selected as study objects, and the data recovery rate was 100%. The research tools were including: Chinese Version of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), Basic Data of Physicians and Nurses, and Knowledge and Attitudes Survey Regarding Pain(KASRP).Data analysis included:Descriptive statistics,Mann-Whitney U test, Independent t test, Paired Sample t test, Kruskal-Wallis test, Pearson’s correlation coefficient and Multiple Linear Regression. The study results are as follows: (1)When the emergency patients in pain were seeing a doctor, their pain and pain interference was medium-level. Just before they left hospital, if the pain was relieved by 64.6% and pain interference was relieved by 54%, the effect was medium-level; if the pain treatment satisfaction was 8.31 points, the effect was high-level. (2)The higher the pain intensity at the time of admission, the higher the pain relief of male and medical patients and those who received "drug therapy". (3)The higher the pain intensity and interference at the time of admission, the higher the correct rate of KASRP of the nurses, the higher the level of patients’ pain relief. (4)The higher the pain treatmentsatisfaction of patients with Grade 3 triage and medical patients and those who received "drug therapy". The more elderly the patients, the lower the pain treatment satisfaction. (5)The longer the waiting time for pain treatment and the longer the grading time of the effect after waiting for pain treatment, the lower the patients’ pain relief and pain treatment satisfaction. (6)The waiting time for pain treatment and the grading time of the effect after waiting for pain treatment could be used to predict the pain relief level, and the waiting time for pain treatment could also be used to predict the pain interference relief level. The physicians’ working experience and the waiting time for pain treatment and other factors could be used to predict the pain treatment satisfaction. The above study presented recommendations for nursing practice, nursing administration and education as reference for improving the quality of clinical care for emergency patients and the education and training of medical staff.