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Journal of Korean Academy of Fundamentals of Nursing 2011;18(1): 116
노인요양시설에서의 치매환자 통증관리를 위한 컴퓨터 의사결정지원시스템 개발
장성옥1, 임세현2, 이수정3, 김미소4
1고려대학교 간호대학
2극동대학교
3한국보건의료연구원
4고려대학교 간호대학
Development of a Decision Support Computer Program for Pain Management in Institutionalized Patients with Dementia
Sung-Ok Chang1, Se-Hyun Lim2, Su-Jung Lee3, Mi-So Kim4
1College of Nursing, Korea University
2Department of Nursing, FAR EAST University
3National Evidence-based Healthcare Collaborating Agency
4College of Nursing, Korea University
Abstract
Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes.
Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete.
Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management.
Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.
Key words: Pain | Dementia
주요어: 통증 | 치매