J Korean Acad Community Health Nurs.  2010 Sep;21(3):311-320. 10.12799/jkachn.2010.21.3.311.

A Survey on the Customized Visiting Nurse's Assessment and Management of Chronic Musculoskeletal Pain in Older Adults

• Yang SO
• Lee SH

• KMID: 2292888
• DOI: http://doi.org/10.12799/jkachn.2010.21.3.311

Abstract

PURPOSE
The aim of this study was to investigate the status of visiting nurse's assessment and management of chronic musculoskeletal pain in older adults.
METHODS
The subjects of this study were 285 visiting nurses working at 24 public health centers located in Seoul, Gyeonggi-do, and Gangwon-do. Data were collected using a structured questionnaire from June to July, 2008. The SPSS/WIN 13.0 program was used for data analysis.
RESULTS
Of the visiting nurses, 195 (77.4%) reported lack of pain education for nurses. The education of exercise (83.3%) was used most frequently by nurses as a pain intervention. Barriers to effective pain management were inadequate pain management guidelines and lack of pain education for nurses.
CONCLUSION
It is necessary to develop evidence-based nursing interventions for pain management and to develop systematic educational programs for visiting nurses management of chronic musculoskeletal pain.

Keyword

Nurses; Aged; Pain measurement; Nursing care

MeSH Terms

Adult*
Education
Evidence-Based Nursing
Gangwon-do
Gyeonggi-do
Humans
Musculoskeletal Pain*
Nurses, Community Health
Nursing Care
Pain Management
Pain Measurement
Public Health
Seoul
Statistics as Topic
Surveys and Questionnaires

Reference

1. American Geriatrics Society Panel on Exercise and Osteoarthritis. Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations. J Am Geriatr Soc. 2001; 49(6):808–823.

2. Chang SO. Development and effect of pain management protocol for nursing home patients with dementia. J Korean Acad Fundam Nurs. 2007; 14(1):29–43.

3. Choi SO, Kim SN. The effect of cervical kyongrak massage on shoulder pain, shoulder exercise range and mood in the elderly. J Korean Acad Adult Nurs. 2004; 16(4):658–667.

4. Ebersole P, Hess P. Toward healthy aging human needs and nursing response. 15th ed. St. Louis: Mosby;1998.

5. Gagliese L, Melzack R. Chronic pain in elderly people. Pain. 1997; 70:3–14.

6. Gong SW, Bang JY, Seo MS, Hyun SS, Kim HJ, Lee MA, et al. Knowledge and attitudes of oncology nurses toward cancer pain managements. J Korean Acad Adult Nurs. 2004; 16(1):5–16.

7. Horgas AL, Dunn KS. Religions and non-religious coping in older adults experiencing chronic pain. Pain Manag Nurs. 2004; 5(1):19–28.

8. Hyun J, Park KS. Clinical nurses' knowledge and attitudes on pain management. J Korean Acad Adult Nurs. 2000; 12(3):369–383.

9. International Association for the Study of Pain. Subcommittee on taxonomy of pain term: A list with definitions and notes on usage. Pain. 1979; 6:249–252.

10. Kamel HK, Phlavan M, Melekgoudarzi B, Gogel P, Morely JE. Utilising pain assessment scales increses the frequency of diagnosing pain among elderly nursing home residents. J Pain Symptom Manage. 2001; 21(6):450–455.

11. Kwekkeboom KL, Bumpus M, Wanta B, Serlin RC. Oncology nurses' use of nondrug pain interventions in practice. J Pain Symptom Manage. 2008; 35(1):83–94.

12. Kim EJ. Reliability of validity of the short-form McGill pain questionnaire (SF-MPQ) Korean version for measuring the old adult's pain. Clin Nurs Res. 2004; 10(1):20–27.

13. Kim SJ, Ryoo EN, Park KS. A Study on pain, physical function, cognitive function, depression and agitation in elderly women with dementia. J Korean Acad Adult Nurs. 2007; 19(3):401–412.

14. Lee JK. Evaluation of pain assessment education program for nurses. J Korean Acad Adult Nurs. 2007; 19(1):66–77.

15. Management Center for Health Promotion. Guideline of customized home visiting health service (Summaary) - Focusing on the change. Seoul: Management Center for Health Promotion;2010.

16. Ministry for Health, Welfare, and Family Affairs. Case management focusing on the joint pain. Seoul: Ministry for Health, Welfare and Family Affairs;2008.

17. Ministry of Health and Welfare. Manual for intensive health management of customized home visiting health service - Joint pain. Seoul: Ministry of Health and Welfare;2010a.

18. Ministry of Health and Welfare. Teaching materials for public service personnel of customized home visiting health service. Seoul: Ministry of Health and Welfare;2010b.

19. Paik NJ. More than half of old people complain of a pain. 2009. Retrieved April, 20, 2010. from http://health.chosun.com/site/data/html_dir/2009/12/28/2009122800668.html.

20. Park JE, Kim MA, Oh DH. The effect of aroma-therapy combined with heat application on the pain, range of motion of lower limb joint, and discomfort of activities of daily living among patients with rheumatoid arthritis. J Korean Acad Adult Nurs. 2008; 20(6):839–851.

21. Park JS, Kwon SJ, Kwon YS. The effects of Dogbi (ST35) & Sulan moxibustion on knee joint pain, range of motion and discomfort during ADL in the aged. J Korean Acad Nurs. 2006; 36(1):189–196.

22. Park KS, Ryoo EN, Choi MH. The effect of balance taping therapy on pain of the lower back pain patient. J Korean Acad Adult Nurs. 2005; 17(1):77–87.

23. Park MH, Baek SH, Kim NC, Song HH. Cancer pain express pattern of terminal cancer patient admitted to the hospice unit. Clin Nurs Res. 2002; 8(1):147–161.

24. Park MH, Ha JC, Shin IH, Kim HG, Lee SY, Cho JH, et al. 2008 Living profiles and welfare services needs of older persons in Korea. Seoul: Korea Institute for Health and Social Affairs Publishing;2009.

25. Podichetty VK, Mazanec DJ, Biscup RS. Chronic non-malignant musculoskeletal pain in older adults. Postgrad Med J. 2008; 79(937):627–633.

26. Ryoo EN, Park KS. Study on suffering influence by nurses' pain experience. J Korean Acad Adult Nurs. 2002; 14(2):174–183.

27. Shin HS, Kim DH. Nurses' knowledge and attitude to pain management in children. Korean J Child Health Nurs. 2003; 9(2):140–148.

28. Suk MH, Yoon YM, Oh WO, Park ES. A status of assessment and management about children in pain. Korean J Child Health Nurs. 1999; 5(3):262–280.

29. Yang SO, Ahn SY, Yim ES, Kwon MS. The effects of customized home visiting health service in Gangwon-do. J Korean Acad Community Health Nurs. 2008; 19(1):88–100.