Analysis of Characteristics of Patients with Abdominal Pain in the Emergency Room and Nursing Interventions using Nursing Interventions Classification (응급실 내원 복통 환자의 특성과 NIC을 활용한 간호중재 분석)

정원숙; Hwang, Sun-Kyung (황선경)

doi:10.35144/ghn.2018.8.1.29

Analysis of Characteristics of Patients with Abdominal Pain in the Emergency Room and Nursing Interventions using Nursing Interventions Classification

Global Health and Nursing
Abbr : Global Health Nurs
2018, 8(1), pp.29-38
DOI : 10.35144/ghn.2018.8.1.29
Publisher : Research Institute of Nursing Science
Research Area : Medicine and Pharmacy > Nursing Science
Published : January 31, 2018

정원숙 ¹, Hwang, Sun-Kyung ²

¹양산부산대학교병원
²부산대학교

Candidate

ABSTRACT

Purpose: This study was conducted to investigate the characteristics and nursing interventions of adults with acute abdominal pain. Methods: A retrospective design was used to examine the medical records of 1,822 adult patients, who presented with a chief complaint of abdominal pain in a university hospital emergency department in 2015. Demographic data, clinical features, and clinical outcomes were reviewed and nursing interventions were classified using Nursing Interventions Classification (NIC). Data were summarized with descriptive statistics. Results: Among subjects, 53.8% were female and their mean age was 51.7 years. Around 8.9% were admitted to the hospital; 13.1% were underwent surgery; and 56.8% were discharged to home. Their pain was located in the whole abdomen (63.7%) and right upper quadrant (12.4%) and 79.5% had diseases of the digestive system, especially in gall bladder, biliary tract, and pancreas (16.3%). Nursing interventions were classified into 6 domains, 24 classes, and 117 interventions. The nursing interventions provided most frequently were pain management, fall prevention, admission care, teaching (individual, prescribed medication), and patient identification. Conclusion: In order to manage acute abdominal pain in the emergency department, standardized guidelines need to be developed based on patients’ characteristics and clinical features of abdominal pain.

KEYWORDS

Abdominal pain, Acute abdomen, Standardized nursing terminology, Nursing interventions, Nursing interventions classification

Citation status

* References for papers published after 2023 are currently being built.

[journal] Flasar MH / 2006 / Acute abdominal pain / Med Clin North Am 90(3) : 481~503

[journal] Chang HY / 2014 / Prevalence and treatment of pain in EDs in the United States, 2000 to 2010 / Am J Emerg Med 32 : 421~431

[book] Tintinalli JE / 2011 / Tintinalli's emergency medicine: a comprehensive study guide / McGraw-Hill : 519~527

[other] Statistics Korea.Korean Medical Record Association / 2010 / Korean standard classification of diseases / Statistics Korea: Korean Medical Record Association

[journal] Cole E / 2006 / Assessment of the patient with acute abdominal pain / Nurs Stand 20(39) : 67~75

[journal] 정진희 / 2005 / The Efficacy of Early Analgesics for Treatment of Acute Abdomen / 대한응급의학회지 / 대한응급의학회 16(5) : 505~510

[thesis] Kim SE / 2009 / Analysis of accuracy in primary diagnosing abdominal pain in emergency department / Kangwon National University

[journal] 조광윤 / 2009 / Analysis of the Influence of Diagnosis Related Variables on the Accuracy of Initial Diagnosis in Patients with Acute Abdominal Pain Seen at the Emergency Center / Annals of geriatric medicine and research / 대한노인병학회 13(4) : 231~237

[journal] Marinsek M / 2007 / Analgesic treatment and predictors of satisfaction with analgesia in patients with acute undifferentiated abdominal pain / Eur J Pain 11(7) : 773~778

[journal] Muntlin A / 2006 / Patients' perceptions of quality of care at an emergency department and identification of areas for quality improvement / J Clin Nurs 15(8) : 1045~1056

[report] National Emergency Medical Center / 2014 / 2013 Emergency medical service statistics annual report (Volume 12) / National Emergency Medical Center : 24~

[thesis] Tseng HC / 2012 / Use of standardized nursing terminologies in electronic health records for oncology care: the impact of NANDA-I, NOC, and NIC / University of Iowa

[thesis] Oh HS / 2006 / Analysis of nursing diagnoses and nursing interventions for patients in ER with abdominal pain / Yonsei University

[journal] 안성준 / 2008 / Emergency Abdominal Ultrasonographyfor Differential Diagnosis of AcuteAbdominal Pain : COUCH (Complaint-orientedUltrasonography with CHecklist)approach / 대한응급의학회지 / 대한응급의학회 19(1) : 114~124

[journal] 황용 / 2010 / The Benefit of Further Tests for Patients Presenting to the Emergency Department with Non-Specific Abdominal Pain / 대한응급의학회지 / 대한응급의학회 21(2) : 184~190

[thesis] Shin WA / 2013 / Development of a clinical guideline for children with abdominal pain in emergency department / Yonsei University

[book] Bulechek GM / 2013 / Nursing interventions classification(NIC) / Elsevier : 1~608

[journal] Hastings RS / 2011 / Abdominal pain in the ED: A 35 year retrospective / Am J Emerg Med 29 : 711~716

[thesis] Ha JH / 2010 / The analysis of children and nursing practice in a regional medical center / Pusan National University

[journal] Chang CC / 2007 / Acute abdominal pain in the elderly / Int J Gerontol 1(2) : 77~82

[journal] 배종면 / 2012 / Regional Differences in the Occurrence of Cancers on Biliary System in Korea: A descriptive epidemiological study / 대한보건연구 / 사단법인 대한보건협회 38(2) : 49~55

[journal] Macaluso CR / 2012 / Evaluation and management of acute abdominal pain in the emergency department / Int J Gen Med 5 : 789~797

[journal] Manterora C / 2011 / Anagesia in patients with acute abdominal pain / Cochrane Database of Systematic Reviews : 1~

[journal] Muntlin A / 2011 / Outcomes of a nurse-initiated intravenous analgesic protocol for abdominal pain in an emergency department: A quasi-experimental study / Int J Nurs Stud 48(1) : 13~23

[journal] Gans SL / 2015 / Guideline for the diagnostic pathway in patients with acute abdominal pain / Dig Surg 32(1) : 23~31

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Global Health and Nursing 2023 KCI Impact Factor : 0.85

Analysis of Characteristics of Patients with Abdominal Pain in the Emergency Room and Nursing Interventions using Nursing Interventions Classification

ABSTRACT

KEYWORDS

Citation status

* References for papers published after 2023 are currently being built.

Global Health and Nursing 2023 KCI Impact Factor : 0.85

Analysis of Characteristics of Patients with Abdominal Pain in the Emergency Room and Nursing Interventions using Nursing Interventions Classification

ABSTRACT

KEYWORDS

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* References for papers published after 2023 are currently being built.