TY - JOUR
T1 - The effectiveness of an integrated pain management program for older persons and staff in nursing homes
AU - Tse, Mimi Mun Yee
AU - Sin Vong, Sinfia Kuan
AU - Ho, Suki S.K.
N1 - Funding Information:
The authors would like to thank all the study participants. Thanks also go to Professors Robert Kane, Rosaline Kane and Kerry Lam for their tremendous input in the study. Special thanks to CADENZA: A Jockey Club Initiative for Seniors, The Hong Kong Jockey Club Charities Trust , for providing financial support for this study.
PY - 2012/3
Y1 - 2012/3
N2 - This study examined the effects of an 8-week integrated pain management program (IPMP) on enhancing the knowledge and attitude toward pain management among staff; and improving the pain, quality of life, physical and psychosocial functions, and use of non-drug therapies for the elderly in nursing homes. Nursing home staff (N= 147) and residents (N= 535) were recruited from ten nursing homes. Nursing homes were randomly assigned into an experimental group (N= 296) with IPMP or control group (N= 239) without IPMP. The IPMP consisted of pain education for staff and physical exercise and multisensory stimulation art and craft therapy for residents. Data were collected before and after the IPMP. The staff demonstrated a significant improvement in knowledge and attitude to pain management, with the survey score increasing from 8.46 ± 3.74 to 19.43 ± 4.07 (p< 0.001). Among the residents, 74% had experienced pain within the previous 6 months, with pain intensity of 4.10 ± 2.20. Those in the experimental group showed a significantly better reduction in pain scores than the control group, from 4.19 ± 2.25 to 2.67 ± 2.08 (p< 0.001). Group differences were also found in psychological well-being, including happiness, loneliness, life satisfaction and depression (p< 0.05), and the use of non-drug methods (p< 0.05). These results suggested that IPMP is beneficial for staff, and is effective in reducing geriatric pain and negative impacts. Management support and staff involvement in the program are important for its long-term continuation.
AB - This study examined the effects of an 8-week integrated pain management program (IPMP) on enhancing the knowledge and attitude toward pain management among staff; and improving the pain, quality of life, physical and psychosocial functions, and use of non-drug therapies for the elderly in nursing homes. Nursing home staff (N= 147) and residents (N= 535) were recruited from ten nursing homes. Nursing homes were randomly assigned into an experimental group (N= 296) with IPMP or control group (N= 239) without IPMP. The IPMP consisted of pain education for staff and physical exercise and multisensory stimulation art and craft therapy for residents. Data were collected before and after the IPMP. The staff demonstrated a significant improvement in knowledge and attitude to pain management, with the survey score increasing from 8.46 ± 3.74 to 19.43 ± 4.07 (p< 0.001). Among the residents, 74% had experienced pain within the previous 6 months, with pain intensity of 4.10 ± 2.20. Those in the experimental group showed a significantly better reduction in pain scores than the control group, from 4.19 ± 2.25 to 2.67 ± 2.08 (p< 0.001). Group differences were also found in psychological well-being, including happiness, loneliness, life satisfaction and depression (p< 0.05), and the use of non-drug methods (p< 0.05). These results suggested that IPMP is beneficial for staff, and is effective in reducing geriatric pain and negative impacts. Management support and staff involvement in the program are important for its long-term continuation.
KW - Integrated pain management program
KW - Multisensory stimulation
KW - Non-drug therapy
KW - Nursing home resident
KW - Physical exercise
UR - http://www.scopus.com/inward/record.url?scp=84857058438&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2011.04.015
DO - 10.1016/j.archger.2011.04.015
M3 - Article
C2 - 21592596
AN - SCOPUS:84857058438
SN - 0167-4943
VL - 54
SP - e203-e212
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 2
ER -
