Open Access, Peer-reviewed
pISSN 2287-2434
eISSN 2287-447X
    Asian Oncol Nurs. 2012 Sep;12(3):230-236. Korean.
    Published online Sep 30, 2012.
    https://doi.org/10.5388/aon.2012.12.3.230
    © 2012 Korean Oncology Nursing Society
    Original Article

    Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room

    Young Hwa Won,1 Yeon Hee Kim,1 and Jeong Yun Park2
      • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
      • 2Department of Clinical Nursing, University of Ulsan, Ulsan, Korea.
    • Address reprint requests to: Kim, Yeon Hee. Department of Clinical Nursing, Asan Medical Center, 86 Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-2080, Fax: +82-2-3010-2080, Email: kimyhee@amc.seoul.kr
    Received August 23, 2012; Accepted September 21, 2012.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room.

    Methods

    This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record.

    Results

    This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly.

    Conclusion

    Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

    Keywords
    Neoplasms; Pain; Practice Guideline; Emergency Hospital Service

    Figures

    Fig. 1
    Data collection.

    CER=Cancer emergency room; NRS=Numeric rating scale; EMR=Electronic medical records.

    Fig. 2
    Kaplan-Meier survival curves comparing "Time to reach treatment goal score" between before and after application of cancer pain management guideline (p<.001 Kaplan-Meier analysis).

    Tables

    Table 1
    Characteristics by Pain Management Guideline Application

    Table 2
    Pain Control by Pain Management Guideline Application

    Table 3
    Compliance Rate of Pain Management by Guideline Application

    Notes

    This article is a revision of the first author's master's thesis from Ulsan University.

    References

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    MeSH Terms
    Analgesics
    Electronic Health Records
    Electronics
    Electrons
    Emergencies
    Emergency Service, Hospital
    Humans
    Methods*
    Pain Management
    Pain Measurement
    Practice Guidelines as Topic
    Retrospective Studies
    Metrics
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