Park Chan Sook, Park Eun Jun
Department of Nursing, Konkuk University Glocal Campus, Chungju, Korea.
J Korean Acad Nurs. 2019 Oct;49(5):538-549. doi: 10.4040/jkan.2019.49.5.538.
This study aimed to explore and compare the knowledge structure of pain management nursing research, between Korea and other countries, applying a text network analysis.
321 Korean and 6,685 international study abstracts of pain management, published from 2004 to 2017, were collected. Keywords and meaningful morphemes from the abstracts were analyzed and refined, and their co-occurrence matrix was generated. Two networks of 140 and 424 keywords, respectively, of domestic and international studies were analyzed using NetMiner 4.3 software for degree centrality, closeness centrality, betweenness centrality, and eigenvector community analysis.
In both Korean and international studies, the most important, core-keywords were "pain," "patient," "pain management," "registered nurses," "care," "cancer," "need," "analgesia," "assessment," and "surgery." While some keywords like "education," "knowledge," and "patient-controlled analgesia" found to be important in Korean studies; "treatment," "hospice palliative care," and "children" were critical keywords in international studies. Three common sub-topic groups found in Korean and international studies were "pain and accompanying symptoms," "target groups of pain management," and "RNs' performance of pain management." It is only in recent years (2016~17), that keywords such as "performance," "attitude," "depression," and "sleep" have become more important in Korean studies than, while keywords such as "assessment," "intervention," "analgesia," and "chronic pain" have become important in international studies.
It is suggested that Korean pain-management researchers should expand their concerns to children and adolescents, the elderly, patients with chronic pain, patients in diverse healthcare settings, and patients' use of opioid analgesia. Moreover, researchers need to approach pain-management with a quality of life perspective rather than a mere focus on individual symptoms.
本研究旨在运用文本网络分析法，探索并比较韩国与其他国家疼痛管理护理研究的知识结构。
收集了2004年至2017年发表的321篇韩国疼痛管理研究摘要和6685篇国际疼痛管理研究摘要。对摘要中的关键词和有意义的词素进行分析和提炼，并生成它们的共现矩阵。分别使用NetMiner 4.3软件对国内和国际研究的两个由140个和424个关键词组成的网络进行度中心性、接近中心性、中介中心性和特征向量社区分析。
在韩国和国际研究中，最重要的核心关键词都是“疼痛”“患者”“疼痛管理”“注册护士”“护理”“癌症”“需求”“镇痛”“评估”和“手术”。虽然“教育”“知识”和“患者自控镇痛”等一些关键词在韩国研究中很重要；“治疗”“临终关怀与姑息治疗”和“儿童”是国际研究中的关键关键词。在韩国和国际研究中发现的三个共同子主题组是“疼痛及伴随症状”“疼痛管理的目标群体”和“注册护士的疼痛管理表现”。只是在最近几年（2016 - 17年），“表现”“态度”“抑郁”和“睡眠”等关键词在韩国研究中变得比……更重要，而“评估”“干预”“镇痛”和“慢性疼痛”等关键词在国际研究中变得重要。
建议韩国疼痛管理研究人员应将关注范围扩大到儿童和青少年、老年人、慢性疼痛患者、不同医疗环境中的患者以及患者对阿片类镇痛药的使用。此外，研究人员需要从生活质量的角度来研究疼痛管理，而不仅仅关注个体症状。
