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Correlation of Dyspnea Management and Knowledge, Skills, and Attitudes of Nurses Working in Palliative Care Unit Ayumi Sugimura 1 , Shoko Ando 2 1Nursing Course, School of Medicine, Gifu University 2Department of Nursing, Graduate School of Medicine, Nagoya University Keyword: 呼吸困難 , がん , 緩和ケア病棟 , 看護師 , 症状マネジメント , dyspnea , cancer , palliative care unit , nurse , symptom management pp.52-60
Published Date 2013/5/25
  • Abstract
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Abstract

 The purpose of this study was to clarify the relationship between dyspnea management in palliative care units and nurses' knowledge, skills, and attitudes. A questionnaire survey was conducted with 276 nurses working in palliative care units in the Tokai and Hokuriku regions of Japan. The questionnaire included items on nurses' backgrounds and their basic knowledge, skills, attitudes, and implementation of care in dyspnea management. The response rate to the questionnaire was 89.1 %. Basic knowledge of dyspnea was high on questions related to the nature of dyspnea and the effects of morphine, with a correct response rate of more than 90 %, but low with regard to the effect of additional medical narcotics on dyspnea, with a correct response rate of around 50 %. It is conjectured that nurses with knowledge of assessment scales in dyspnea management conduct assessments based on that knowledge, and that this may be linked to better patient care. The correct response rate for questions on dyspnea care related to adjusting body position and relieving anxiety was high at more than 90 %. Sixty percent of respondents understood the squeezing technique and 40 % could perform it. The results of multiple regression analysis suggest that training for knowledge and skills where understanding is insufficient promoted the practice of physical care, since basic knowledge, physical care skills, and attitude toward dyspnea affects the implementation of physical care. The implementation of psychological- emotional care is affected by psychological-emotional care skills, attitude toward dyspnea, and attitude toward communication, suggesting that in addition to cultivating a proper attitude toward dyspnea, acquiring communication skills is necessary.


Copyright © 2013, Japanese Society of Cancer Nursing All rights reserved.

基本情報

電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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