Abstract

• Pain is a subjective and multidemensional concept. Therefore the patient's expression of pain have been referred to the best believable indicator of pain condition but the support data obtained from the patient considered cultural deference is a deficient condition in determined on the precise nursing diagnosis. The purpose of this research was to understand multiple pain reponses in cultural difference and sensitivity, to encourage communication between medical teams, and to provide the foundation data of on data of precise nursing assessment for the patient in pain. The research problem was to grasp pain express pattern of Korean peptic ulcer patients. The subjects were 20 peptic ulcer patients in medical unit or OPD of two university hospitals in Seoul. Data were collected from September 7th to 22nd, 1990 by intensive interviews. Interviews were done by the researcher and all were tape-recorded. The Data analysis was done by Phenomenological method from Van Kaam. Validity assured by confirmation of the internal consistency of the statements and category by nursing college in educational and clinicians in medical care. From the emic data, 96 descriptive statements were organized in 18 theme cluster. The results of study were summarized as follows. 1. Pain Express Pattern cluster of Peptic Ulcer Patients were "pain as clogging", "shallow pain", "pain as pressing", "nauseating pain", "pain as smarting", "pain as pulling", "pain as pricking", "pain as bursting", "wrenching pain", "excising pain", "uncontrollable pain for mind and body", "awakening pain", "pain as hollowing" and the other cluster. As above mentioned, Pain Express Pattern of Peptic Ulcer Patient appeared diversely in verbal and they were propered to Korean culture. Therefore they will provide for the foundation data of precise nursing assessment.

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