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논문검색은 역시 페이퍼서치

임상간호연구검색

Journal of Korean clinical nursing research


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 연3회
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 1598-9186
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 22권 1호 (2016)

구강관리 프로토콜 적용이 항암화학요법을 받는 혈액암 환자의 구내염에 미치는 영향

박수진 ( Soo Jin Park ) , 차경숙 ( Gyeong Suk Cha ) , 김형선 ( Hyeung Sun Kim ) , 박은영 ( Eun Young Park )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 1-9 ( 총 9 pages)
4,500
초록보기
Purpose: This study was done to identify effects of oral care protocol on oralmucositis and oral care performance in hematologic malignancy patients receiving chemotherapy. Methods: The design of this study was a nonequivalent control group pretest-posttest design. Both groups were patients diagnosed with hematologic malignancies who were receiving chemotherapy-each group had 20 patients. In the experimental group, patients were given intensive education on oral care based on the oral care protocol, whereas in the controlled group, each patient was given an educational brochure. Before chemotherapy, and 3 days, 7 days, and 14 days after chemotherapy, oral mucositis status of two groups were assessed using the guide to physical assessment of the oral cavity. Oral care performance was examined before chemotherapy and 14 days later. Results: The experimental group with the oral care protocol showed a significant difference (F=18.15, p<.001) in the oral mucositis status, and also in oral care performance (t=-10.33, p<.001). Conclusion: Findings indicate that the application of the oral care protocol is an effective tool for lowering the occurrence of oral mucositis and enhancing oral care performance in hematologic malignancy patients receiving chemotherapy.

낙상예방프로그램이 노인의 근력, 균형 및 낙상두려움에 미치는 효과

신정순 ( Jung Soon Shin ) , 김영경 ( Yeong Kyeong Kim ) , 강미애 ( Mi Ae Kang ) , 여형남 ( Hyung Nam Yeo )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 10-19 ( 총 10 pages)
4,500
초록보기
Purpose: This study was to develop a fall prevention program and test the effects of the program on the muscle strength, postural balance and fear of falling for elderly. Methods: This study was conducted using a nonequivalent control group pretest-posttest design. There were 21 participants in the experimental group and 22 in the control group. Data were collected from July to September 2015. Questionnaires were completed three times (at pretest and after 8 and 10 weeks). Data were analyzed using x2 test, Fisher`s exact test, t-test, and repeated measure ANOVA. Results: Lower extremity muscle strength and postural balance scores were significantly improved in the experimental group compared to the control group. However, fear of falling was not significantly different between the experimental and control groups. Conclusion: The study results indicate that fall prevention programs for the elderly can be useful to improve muscle strength and postural balance.

내과 환자의 섭취량/배설량 측정법 비교 연구

함경희 ( Kyung Hee Hahm ) , 윤혜영 ( Hye Young Yun ) , 박소영 ( So Young Park ) , 김은성 ( Eun Sung Kim ) , 박근애 ( Keun Ae Park ) , 조세현 ( Se Hyun Cho ) , 김민지 ( Min Ji Kim ) , 추성혜 ( Sung Hye Choo ) , 김정연 ( Jung Yeon Kim ) , 이재길 ( Jae Gil Lee ) , 이향규 ( Hyang Kyu Lee )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 20-27 ( 총 8 pages)
4,500
초록보기
Purpose: The purpose of this study was to compare the fluid intake and output (I&O) measurement methods in order to figure out more effective and easier method for medical patients Methods: 71 hospitalized patients participated in the study. In "liquid only (LO)" method, all amount of water was summed up including any liquid types of food and IV fluids. In "whole food(WF) intake," all liquid and solid food intake and IV fluids were added up. Results: The average amount of fluid intake was 2105.29ml for LO method and 2523.54ml for WF method. The average amount of fluid output was 2148.98 ml. The intra-class correlations (ICC) between the intake and output measures by the two different methods was 0.803 and 0.826, respectively. The correlation between the differences of intake/output and body weight change in two different methods was r=.347 (p=.003), and r=.376 (p=.001), respectively. Conclusion: The results of this study indicate that both LO and WF method may be useful in monitoring patients` fluid balance. Given the comparability of using LOoverWF, it is suggested that measuring just liquid only intake as the indicator of patient`s intake is applicable in clinical setting.

노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호

신경민 ( Kyung Min Shin ) , 추상희 ( Sang Hui Chu ) , 장연수 ( Yeon Soo Jang ) , 강석민 ( Seok Min Kang )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 28-37 ( 총 10 pages)
4,500
초록보기
Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age 65 years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients` health literacy needs to be considered.

수술실 간호사의 언어폭력경험, 사회적 지지, 대처양상이 업무 스트레스에 미치는 영향

김정욱 ( Jeongwook Kim ) , 고숙정 ( Suk Jeong Ko ) , 신성희 ( Sung Hee Shin )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 38-45 ( 총 8 pages)
4,500
초록보기
Purpose: The purpose of this study was to understand the effects of verbal violence experience, social support, and coping patterns on job stress among operating room(OR) nurses. Methods: The participants were 214 operating room nurses in general hospitals. Data were collected from April 1st to May 1st in 2013 and were analyzed using a multiple regression. Results: The most influencing factor on job stress for OR nurses was verbal violence experience from doctor(β=.35), and verbal violence experience from nurse (β=.27) followed. Social support from co-workers was a significant factor in decreasing job stress (β=-.22). Those three factors explained 43.0% (F=54.76, p<.001) of OR nurses` job stress. Conclusion: The findings of this study revealed that doctors` and nurses` verbal violence increased job stress of OR nurses and social support from co-workers was found decreasing OR nurses` job stress. The results of the study provides an necessity for developing an effective program for minimizing job stress of OR nurses caused by work place verbal violence.

신경계 간호사의 신경학적 검진 수행정도와 교육요구도에 대한 조사연구

김정희 ( Jeoung Hee Kim ) , 최은미 ( Eun Mee Choi ) , 고영미 ( Young Mi Ko ) , 박희라 ( Hee Ra Park ) , 김윤경 ( Yoon Kyoung Kim ) , 구종모 ( Chong Mo Koo ) , 박주연 ( Ju Yoon Park ) , 성선숙 ( Sun Suk Seong ) , 권미희 ( Mi Hee Kwon ) , 윤연숙 ( Yeoun Sook Yun ) , 박윤례 ( Yun Rye Park )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 46-55 ( 총 10 pages)
4,500
초록보기
Purpose: The purpose of this study was to describe performance and education needs related to neurologic assessment by neurologic ward nurses. Methods: The study was conducted with a cross-sectional descriptive design. Participants, 297 neurologic ward nurses working in tenmajor hospitals in Seoul and Gyeonggi were surveyed from September 7 to October 1, 2015. Results: The mean score for performance of neurologic assessments was 3.04 points. Performances performed with high quality were orientation exam, mental status documentation, and muscle strength of extremities in that order. Performances performed with low quality were assessment of accessory nerves, hypoglossal nerves, and cerebellum function in that order. There were significant differences according to whether there was ward education programs on neurologic assessment and teaching experiences within a year. These variables significantly affected the quality of neurologic assessment performance. The need for neurologic assessment training was 3.14 points. Conclusion: Amount of performance and demand for education on neurologic assessment, which are required in the clinical setting, were significantly high. To perform neurologic assessments with high quality, development of education program for neurologic assessment and continuous education courses are required at either the department or neurological nursing organization level.

아동의 말초정맥주사 관리를 위한 근거기반 간호 프로토콜 개발

최희강 ( Hee Kang Choi ) , 강미정 ( Mi Jung Kang ) , 강현주 ( Hyun Ju Kang ) , 김은혜 ( Eun Hye Kim ) , 방경숙 ( Kyung Sook Bang )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 56-67 ( 총 12 pages)
5,200
초록보기
Purpose: The purpose of this study was to develop an evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. Methods: The preliminary protocol of this study was developed based on domestic and foreign guidelines, research, a survey and an analysis of medical records in a university hospital. It is a methodological research to develop evidence-based nursing protocol of peripheral intravenous catheter management verified by content validity by a group of specialists and users. Results: The specialists` verification of validity in the preparatory protocol had a CVI level of 0.94 and the propriety and conveniency of users had an average of 3.0±0.52. The final evidence-based nursing protocol was composed of 5 areas (education, dressing and fixation, maintenance and replacement, observation and record, and coping to complication) with 46 specific recommendations. Conclusion: Based on domestic and foreign research and guidelines verified by specialists and users, the findings in this study provide a simple, applicable and evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks in managing peripheral intravenous catheter can be performed with more scientific evidence and be standardized.

외국인 환자 입원병동 간호사의 문화적 역량, 자기효능감, 직무 스트레스 간의 상관관계

고미숙 ( Mi Suk Ko ) , 최은희 ( Eun Hee Choi ) , 최경옥 ( Kyung Ok Choi )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 68-77 ( 총 10 pages)
4,500
초록보기
Purpose: The present study was done to identify the relationship of cultural competence, self efficacy and job stress of nurses working on wards for foreign patients. Methods: The participants were 133 clinical nurses who agreed to participate in the study and were working on wards for foreign patients in three general hospitals in Seoul. A structured questionnaire that covered the three tested constructs was conducted between Dec. 15, 2014 and Jan. 15, 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients with SPSS/WIN 21.0 program. Results: Cultural competence was found to have a significant positive correlation with self efficacy (r=.464, p<.001) and self efficacy had a significant negative correlation with job stress (r=-.397, p<.001). Conclusion: The findings of the study suggest that programs designed to nourish cultural sensitivity and cultural skills need to be developed in order to promote cultural competence. The results also suggest that in these programs to improve self efficacy and reduce job stress should be considered.

장기이식 수혜자의 가족 및 의료인 지지와 희망이 사회 심리적 적응에 미치는 영향

김옥수 ( Ok Soo Kim ) , 최경숙 ( Kyung Sook Choi )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 78-87 ( 총 10 pages)
4,500
초록보기
Purpose: This study was conducted to investigate the factors that influence the psychosocial adjustment of organ transplant recipients. Methods: Participants were 132 organ transplant recipients who received follow-up more than 3 months after the organ transplantation at one general hospital in Seoul. A questionnaire survey was done from November 3 to December 3, 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression. Results: Family support, medical staff support and hope were significantly correlated with psychosocial adjustment. In the hierarchical multiple regression analysis, hope appeared to be the most important factor influencing psychosocial adjustment (β =.39, p<.001). Conclusion: The findings show that hope had an influence on the psychosocial adjustment of organ transplant recipients. Thus, to improve psychosocial adjustment it is important for nurses to develop interventions to increase hope in organ transplant recipients.

직무요구-자원 모델에 기반을 둔 중환자실 간호사의 소진 구조모형

박옥경 ( Ok Kyoung Park ) , 손명희 ( Myeong Hee Son ) , 박미연 ( Mi Youn Park ) , 백은선 ( Eun Sun Baek ) , 김필자 ( Phill Ja Kim )
병원간호사회|임상간호연구  22권 1호, 2016 pp. 88-98 ( 총 11 pages)
5,100
초록보기
Purpose: The purpose of this study was to construct and test a structural equationmodel of burnout of the critical care nurses based on the job demand-resource model. Methods: A structured questionnaire was completed by 414 critical care nurses. The relationships between concepts of job stress, empathic ability, resilience, job satisfaction, compassion fatigue and burnout were analyzed. Using SPSSWIN 22.0 and AMOS 22.0 programs, the direct and indirect effects of factors affecting burnout among critical care nurses were calculated and modelled. Results: The modified model was yielded as follows: Chi-square= 216.59, GFI= .93, AGFI= .89, NFI= .90, CFI= .93, RMSEA= .07, SRMR= .06 and showed good fit indices. Job satisfaction and compassion fatigue had mediation effects between other three exogenous variables and burnout. Conclusion: The major findings of this study indicate that it is important to develop a support program for critical care nurse in order to improve their job satisfaction and ameliorate their compassion fatigue.
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