@article{oai:tenshi.repo.nii.ac.jp:00000149,
 author = {小島, 悦子 and コジマ, エツコ and KOJIMA, Etsuko},
 journal = {天使大学紀要, Bulletin of Tenshi College},
 month = {Jun},
 note = {P(論文), 看護師のがん疼痛マネジメントに関する知識と困難に関する認識を明らかにすることを目的に、A市内でがん患者と関わる機会のある病院に所属する930名の看護師に対し、自記式質問紙調査を行った。381人(有効回答率40.9%)の回答を分析した結果、一般病棟は緩和ケア病棟に比べ、1項目を除く36の知識項目で「よく知っている」と回答した割合が少なく、痛みの特徴や鎮痛薬を含めた23項目で有意差が見られた(p<0.05)。特に、一般病棟で5年未満の看護師は、鎮痛薬の作用や副作用、モルヒネの中毒症状、プラセボの使用に関して「よく知っている」と回答した割合が5年以上の看護師より少なく、有意差が見られた(p<0.05)。また、一般病棟の看護師の61.0%はがん疼痛マネジメントに関する研修の受講経験がなく、全ての知識項目で受講経験がある看護師より「よく知っている」と回答した割合が少なく、有意差が見られた(p<0.05)。がん疼痛マネジメントに関して看護師全体の61.3%が困難を「よく感じる」と回答し、「少し感じる」の回答を併せると98.1%が困難を感じていた。困難に関する内容で多かったのは、「患者が痛みを表現できない」「複雑な痛みのある患者に対応すること」であった。以上から、特に一般病棟で看護師経験が5年未満の看護師やがん疼痛マネジメントに関する研修の受講経験がない看護師に対し、がん疼痛マネジメントに関する知識を獲得できる方法を検討する必要があることが示唆された。, The purpose of this study was to identify nurses' perceptions of knowledge and difficulties in cancer pain management. Data were collected from nurses (N=381) who provided care to cancer patients at hospitals in city A. The findings of this study were as follows: (1) Nurses who worked in non palliative care units had lesserknowledge about cancer pain management than nurses who worked in palliative care units; (2) Nurses who worked in non palliative care units, and had less than five years experience as a nurse, had lesser knowledge about cancer pain management than nurses who had more than five years experience as a nurse ; (3) Nurses who worked in non palliative care units, about 60%, never were educated in cancer pain management, hence, these nurses had less knowledge about the characteristics of cancer pain and the use of analgesics; and (4) Of the total sample, about 98% of nurses reported some difficulties in cancer pain management, and these nurses had difficulties in caring for patients who could not express their pain, or those who had complicated pain. The conclusion of the study is that nurses who worked in non palliative care units, especially those nurses with less than five years experience, and who were never educated about cancer pain management, demonstrated the need to improve their knowledge of cancer pain management.},
 pages = {43--55},
 title = {がん疼痛マネジメントに関する知識と困難についての看護師の認識},
 volume = {9},
 year = {2009},
 yomi = {コジマ, エツコ}
}