암환자 통증관리에 대한 의료인의 지식에 관한 조사연구

Abstract

Purpose: This study was to evaluate knowledge of nurses and doctors toward cancer pain management in South Korea and to compare nurses’ knowledge with doctors’ and provide basic data for development of pain management education program. Method: The subject of the study was 287 nurses and 111 doctors who were working at six major medical center in South Korea. The instrument used in this study was consisted of 22 items of cancer pain management knowledge. The data were collected between July 1 and 30, 2001 by using self-administered questionnaire. Analysis of data was done by using descriptive statistics, t-test, ANOVA and Scheffe test with SPSS program. Result: The average score of nurses’ cancer pain management knowledge was 13.59 (total score is 22) and doctors’ cancer pain management knowledge was 14.19(p<.021). Range of nurses’ cancer pain knowledge score varied between 6 and 19 and range of doctors’ cancer pain knowledge score varied between 8 and 19. In nurses, among knowledge of pain items, the highest item with rate of the correct answer was ‘Tylenol is opioid or non-opioid.’(99.3%) and the lowest item with correct response rate was When opioids are used for pain relief in the for 3-6 months, what percent of patients are likely to develop opioid addiction?’ (4.2%). In doctors, among knowledge of pain items, the highest item with rate of the correct answer was Meperidine(Demerol) IM is the drug of choice for prolonged pain.’(100.0%) and the lowest item with correct response rate was When opioids are used for pain relief in the for 3-6 months, what percent of patients are likely to develop opioid addiction?’(8.1%). Nurses’ knowledge of pain was significantly different according to city(p .05). Doctors’ knowledge of pain was significantly different according to present work place(p<.01). Conclusion: The above findings indicate that it is necessary to develop a comprehensive pain management education program and require to teach continuously about new pain knowledge for medical team.