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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 3호 (2016)

Dexmedetomidine 감시마취관리 환자의 회복 시 적용한 하지거상 및 말초운동의 효과

이희진 ( Lee Hee Jin ) , 이인숙 ( Lee In Suk ) , 정여진 ( Jung Yeo Jin ) , 이은진 ( Lee Eun Jin ) , 박정온 ( Park Jeong On )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 249-256 ( 총 8 pages)
4,500
초록보기
Purpose: The purpose of this study was to examine the effect of leg raising and peripheral excercise on recovery of the patients who were applied with dexmedetomidine for their dental surgery. Methods: There were two groups, the experimental group (n=35) and control group (n=35), in this study. We checked blood pressure, pulse rate, oxygen saturation, sedation level and symptoms such as dizziness and somnolence every 30 minutes. These parameters were assessed throughout the participants` recovery room stay. Leg raising and peripheral excercise were conducted in the experimental group in the recovery room. We have conducted chi-square test, Fisher`s exact test, t-test, ANOVA, and ANCOVA to compare the measured parameters in both groups. Results: The experimental group showed a significant elevation of mean arterial blood pressure, and mitigation of somnolence, sedation and dizziness compared to the control group. Conclusion: Leg raising and peripheral exercise is effective to expedite recovery in the patients who were applied with dexmedetomidine for their dental surgery.

개별식이교육 프로그램이 혈액투석 환자의 식이요법에 대한 지식과 식이자가간호 이행에 미치는 효과

김침은 ( Kim Chim Eun ) , 한지영 ( Han Ji Young )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 257-264 ( 총 8 pages)
4,500
초록보기
Purpose: The purpose of this study was to explore the effect of individualized diet education program on dietary knowledge and self-care compliance among hemodialysis patients. Methods: The design of the study was quasi-experimental nonequivalent control group pre-post test design. Fifty patients were assigned to an experimental group and fifty patients were assigned to a control group. Individualized diet education program was applied to the experimental group once every two weeks for twelve weeks. Results: Dietary knowledge increased significantly in the experimental group when compared to the control group. Dietary self-care compliance improved significantly in the post-test of the experimental group, however, the difference was not significant. Conclusion: The individualized dietary education program was effective in improving dietary knowledge. The individualized diet education program needs to be incorporated as an important nursing intervention. Nurses should provide individualized diet education program for hemodialysis patients.

성인 뇌 손상 발열 중환자를 위한 체온 중재 지침 개발

이정민 ( Lee Jungmin ) , 조용애 ( Cho Yong Ae ) , 윤지현 ( Yoon Ji Hyun ) , 최혜옥 ( Choi Hye Ok ) , 김남초 ( Kim Nam Cho )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 265-275 ( 총 11 pages)
5,100
초록보기
Purpose: The purpose of this study was to develop an evidence-based guideline for fever management for critically ill adult patients after a brain injury. Methods: Development of the guideline process was done according to the De Novo development Korean Medical Guideline Information Center (KoMGI) and consists of 12 steps. Results: This developed guideline included 3 domains and 19 recommendations. The number of recommendations for each domain was 7 on measuring temperature, 9 on managing fever, and 3 on managing shivering. The level of evidence was as follows: 58% were at level I, and 42% at level II. Of the recommendations, 58% were graded as A, 37% as B, and 5% as C. Conclusion: These findings indicate that this guideline can be used as a guide for nursing in critically ill adult patients with brain injury. This guideline can also contribute to improvements in the quality of nursing care for critically ill adult patients with brain injury.

수술실 간호사의 혈액매개감염 관련 지식, 위험지각과 감염예방행위

김남이 ( Kim Nam Yi ) , 정선영 ( Jeong Sun Young )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 276-284 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was to identify the factors related to blood-borne infection prevention behaviors based on the risk perception of the health belief model among operating roomnurses. Risk perception factors included perceived susceptibility, barriers, benefits, and perceived severity. Methods: Data were collected from 121 operating room nurses working in four different hospitals in Daejeon and Seoul from June 30 to May 11, 2016. Results: The mean age was 31.2 years, and the average years of clinical experience in operating room was 7.9 years. The mean score of knowledge was 13.15. The mean score of perceived susceptibility, barrier, benefit, and perceived severity were 3.76, 3.70, 3.95, and 4.64, respectively. Blood- -borne infection prevention behaviors had positive correlation with perceived benefits (p=.010), but negative correlation with sensitivity (p=.009) and barrier (p=.012). The hierarchical regression model on infection prevention behavior was statistically significant (F=4.85, p<.001). The sixteen percent of variance in behavior was explained by age (β=.18, p=.038), perceived benefit (β=.20, p=.030), perceived susceptibility (β=-.25, p=.005), and perceived barrier (β=-.18, p=.042). Conclusion: In order to increase infection prevention behaviors among operating roomnurses, there is a need for developing specific education programfocusing on appropriate management of equipment, instruments, and environment in operating room. In addition, support from the hospital organization level need to be provided as well.

수용개작방법을 활용한 간헐도뇨 간호실무지침 개발

정인숙 ( Jeong Ihn Sook ) , 정재심 ( Jeong Jae Sim ) , 서현주 ( Seo Hyun Ju ) , 홍은영 ( Hong Eun-young ) , 박경희 ( Park Kyung Hee ) , 정영선 ( Jung Young Sun ) , 최은경 ( Choi Eun Kyoung ) , 권경민 ( Kwon Kyoung Min ) , 유양숙 ( Yu Yang Sook ) , 이연희 ( Lee Yeon Hee )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 285-293 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was aimed to develop evidence-based nursing practice guideline for preventing intermittent urinary catheterization (IUC) related complications using guideline remake process. Methods: Guideline remake process was conducted according to guideline adaptation manual developed by Gu et al (2012) which consisted of threemain phases and 9modules including a total of 24 steps. Results: Newly developed IUC guideline consists of introduction, overview of intermittent catheterization, summary of recommendations, recommendations, references, and appendices. There were 50 recommendations in 5 sections including assessment, equipments, catheterization, complications management, and education/consult. Three recommendations (6%) were graded A, and five (10%) and 41 recommendations(82%) were B and C, respectively. Conclusion: The IUC remade-guideline was developed based on evidence-based nursing and therefore, this guideline is recommended to be disseminated and utilized by nurses nationwide to improve the quality of care for IUC and to decrease the IUC related complications.

수용개작을 통한 뇌실외배액 간호 실무지침 개발

정원경 ( Jung Won Kyung ) , 이영희 ( Yi Young Hee )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 294-304 ( 총 11 pages)
5,100
초록보기
Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications. Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study. Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)`s clinical practice guideline which is `Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.` There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2, and 65% were level 3. Conclusion: The standardized practice guideline can improve nurses` performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.

시청각매체를 이용한 정보제공 프로그램이 백내장 수술 환자의 불안과 교육만족도에 미치는 효과

오윤희 ( Oh Yun Hee ) , 최은정 ( Choi Eun Joung )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 305-313 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this research was to identify the effects of providing an information service program by media on preoperative anxiety and postoperative educational satisfaction in patients with cataract surgery. Methods: For this study 52 patients who visited the ophthalmology clinic at P Hospital in B metropolitan city and who were scheduled to undergo one-day cataract surgery under local anesthesia were recruited. The 52 patients were assigned to the experimental group (25) or the control group (27). This study was conducted from August 27, 2015 to May 29, 2016. Results: Following the provision of cataract surgery related information service by media, the experimental group had a lower mean score for anxiety and higher mean score for educational satisfaction compared to the control group of patients. Conclusion: Results indicate that information service program by media 『Goodbye Cataract』is useful educational materials for cataract patients in outpatient department and outpatient operating rooms.

임상간호사의 감정노동 경험

염영희 ( Yom Young-hee ) , 이현숙 ( Lee Hyunsook Zin ) , 손희숙 ( Son Heesook )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 314-326 ( 총 13 pages)
5,300
초록보기
Purpose: The purpose of this study was to understand the experience of emotional labor of clinical nurses in medical institutes. Methods: A total of 26 nurses from11 hospitals participated in the study. Six focus groups were organized and 4 to 5 nurses took part in each group. The compositional factors of groups included clinical experience, age, gender, work place and position. Data collection was conducted through focus group interview and it was proceeded by the time of data saturation. In this qualitative study, content analysis was conducted. Results: Five themes, 14 categories, and 33 subcategories, were emerged. The themes were `Restrain themselves`, `Communion to the patients`, `Working environment provoking emotional tension`, `Respond to emotional events`, `Recovery of emotional energy`. Conclusion: Results indicated that surface acting of emotional labor such as, repression of personal desire and presenting the emotions that the organization ask nurse to express was related to psychosomatic symptoms, depression, burnout, poor job performance, increased mistakes, and low job satisfaction which eventually leads to nurses` turnover. In order to reduce negative influence of emotional labor, it is necessary to build positive organizational culture, to provide support from managers and co-workers. It is also important to improve work environment in order to do more deep acting since sharing emotions with patients can reduce the negative influence of emotional labor.

임상간호사의 고위험 병원체 감염 환자 간호의도 영향요인

김현지 ( Kim Hyun Ji ) , 최연희 ( Choi Yeon Hee )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 327-335 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was to determine factors related to clinical nurses` nursing intention for high risk pathogen infected patient. Methods: The participants were 230 clinical nurses from four university hospitals which located in B and D metropolitan cities. Data were collected from September 14 to 25 in 2015 and were analyzed using a hierarchical regression. Results: The mean of nursing intention score for high risk pathogen infected patient for the participants was 110.62±12.68 (range 36~180). The most influential factor for nursing intention was professional self concept of nurses (β=.321), and organizational group culture (β=.166) was the next influential factor. The level of education and working department were also statistically significant contributors. Conclusion: It is necessary to increase clinical nurses` nursing intention for high risk pathogen infected patient to improve professional self concept of nurses and organizational group culture.

척추마취수술 환자의 수술 후 일상활동이 경막천자 후 두통 발생에 미치는 효과

박지은 ( Park Jee Eun ) , 정현주 ( Jung Hyun Joo ) , 김정화 ( Kim Jung Hwa ) , 한복희 ( Han Bok Hee ) , 신주희 ( Sin Joo Hee ) , 유가경 ( Yu Ga Kyung ) , 최현진 ( Choi Hyun Jin ) , 강화자 ( Kang Hwa Ja )
병원간호사회|임상간호연구  22권 3호, 2016 pp. 336-344 ( 총 9 pages)
4,500
초록보기
Purpose: The purpose of this study was to compare and analyze differences in effects of postoperative daily activity on headaches in patients who underwent surgery under spinal anesthesia. Methods: The study was conducted with 219 adults, 20 years or older. Official approval (Approval number: KMC IRB 1434-01) was received from K university hospital clinical trials review board. The research design was a nonequivalent control group non-synchronized design with a daily activities group and the bed rest group. Data was collected after receiving written consent from the participants. Results: There were no participants in either group who experienced headaches. Changes in a physiological index were also not significantly different between the daily activities group and the bed rest group. Conclusion: The results indicate that allowing daily activities in the ward, rather than maintaining bed rest for 6 hours, the existing method of nursing care for the prevention of postoperative headaches, in spinal anesthesia patients, is not detrimental to these patients post operatively.
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