Frequency and type of chronic pain care approaches used for elderly residents in Japan and the factors influencing these approaches
Article first published online: 26 NOV 2009
© 2009 The Authors. Journal compilation © 2009 Japan Academy of Nursing Science
Japan Journal of Nursing Science
Volume 6, Issue 2, pages 111–122, December 2009
How to Cite
TAKAI, Y. and UCHIDA, Y. (2009), Frequency and type of chronic pain care approaches used for elderly residents in Japan and the factors influencing these approaches. Japan Journal of Nursing Science, 6: 111–122. doi: 10.1111/j.1742-7924.2009.00129.x
- Issue published online: 26 NOV 2009
- Article first published online: 26 NOV 2009
- Received 2 February 2009; accepted 6 September 2009.
- aged care;
- chronic pain;
- nursing home;
- pain management;
- pain management barriers
Aim: To assess the frequency at which various chronic pain care (CPC) approaches were used while managing older residents of the Health Service Facilities for the Elderly Requiring Care (HSFERC) in Japan and to assess the factors related to nurses and care workers that influence this care.
Methods: A descriptive study design was used. The population comprised 31 nurses, 92 care workers, and 18 residents with chronic pain in eight HSFERC centers located in three provincial cities in Japan. A questionnaire was formulated by using the data collected by a literature review to assess the frequencies at which various CPC approaches were applied and the factors that might influence this care.
Results: The most frequently preferred CPC approaches were gentle handling and support while providing daily care, listening attentively, and providing a recreational activity. The factors that affected the provision of CPC were the qualifications, years of experience of aged care, and experience of studying about chronic pain. The nurses tended to have a misconception regarding the manner in which the residents complained of pain and their pain sensitivity. Furthermore, organizational strategies for pain management were not reported by the nurses and care workers.
Conclusions: In order to provide effective and active CPC, ongoing education about pain and cooperation between nurses and care workers to manage residents' pain are highly recommended.