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> 병원간호사회 > 임상간호연구 > 18권 3호

통원 수술환자의 안전한 귀가 결정을 위한 퇴실기준에 관한 연구

A Study about Discharge Criteria to Determine Patients` Readiness for Safe Return to Home after Ambulatory Surgery

윤계숙 ( Ke Sook Yoon ) , 김은경 ( Eun Gyeong Kim ) , 정소현 ( So Hyun Jung ) , 이승주 ( Seung Ju Lee ) , 정미경 ( Mi Kyoung Jung ) , 이영미 ( Young Mee Lee )

- 발행기관 : 병원간호사회

- 발행년도 : 2012

- 간행물 : 임상간호연구, 18권 3호

- 페이지 : pp.435-446 ( 총 12 페이지 )


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5,200
논문제목
초록(외국어)
Purpose: This study was conducted to compare three discharge criteria; 1) discharge criteria of S Hospital determined by nurses, 2) discharge readiness determined by patients, and 3) the Modified Post-Anesthetic Discharge Scoring System (MPADSS). The usefulness of MPADSS as a discharge criteria for the patients`safe return to home after ambulatory surgery was also evaluated. Methods: A total of 370 day surgery cases were investigated. The MPADSS was employed in every 30 min. in parallel with discharge readiness assessment by nurses and patients. The percentage of the patients who were categorized as being ready to discharge were compared according to three discharge criteria. Results: The percentage of patients scored to be as MPADSS > 9 in 30 min, 60 min, 90 min were 96.5%, 99.5%, 100% respectively. Whereas 11.1%, 44.3%, 71.1% of patients rated themselves as being ready to discharge and 2.7%, 23.5%, 54.3% of patients actually discharged by nurses according to discharge criteria of S Hospital. Conclusion: Nurses tend to keep patients longer in the hospital when compared to the patient`s own assessment about their readiness to home and to that of MPADSS. Faster discharge in the evening than day time suggests patient discharge can be influenced by nursing factors. This brings out the importance of scoring system to determine the safe discharge. The MPADSS could be a useful tool in evaluating patients for safe discharge.

논문정보
  • - 주제 : 의약학분야 > 간호학
  • - 발행기관 : 병원간호사회
  • - 간행물 : 임상간호연구, 18권 3호
  • - 발행년도 : 2012
  • - 페이지 : pp.435-446 ( 총 12 페이지 )
  • - UCI(KEPA) : I410-ECN-0102-2013-510-002330378
저널정보
  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기 : 연3회
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 1598-9186
  • - 수록범위 : 1995–2022
  • - 수록 논문수 : 802