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      • 육창환자에 관한 임상적 고찰

        유덕순 中央醫學社 1974 中央醫學 Vol.26 No.5

        The purpose of this study is to observe the decubitus ulcer statistically. The necessary data for this study were obtained from the bed patients who had been admitted to the Intensive care unit of Hanyang University Hospital from June, 1973 to February, 1974. The results obtained are as follows; 1) There was no significant relationship between the patients with decubitus and without decubitus in the nutritional state. 2) There was a significant relationship between the patients with decubitus and without decubitus in the level of conscious state. 3) There was . a significant relationship between the patients with decubitus and without decubitus in the state of paralysis. 4) There was a significant relationship between the patients with decubitus and without decubitus in the state of mobility. 5) There was a significant relationship between the patients with decubitus and w, bout decubitus in the state of skin color. 6) here was no significant relationship between the patients with decubitus and without decubitus in the infectious state. 7) In the patients with decubitus, number of decubitus occured, was one most of all. 8) Incidence region of decubitus was mostly over sacrum and coccyx as a rate of 28%. The following order is; hip, over scapular, over femoral trochanter, heel, occipital scalp, over illiac crest, shoulder, elbow, over malleolus, overlower rib,., lateral aspect of foot. 9) The area of decubitus was mostly 80~ 160cm2, but the distribution of it from little to great was from 0-10cm2' to 1f0cm2 above. 10) The depth of decubitus was mostly 4 degrees as a rate of 70%.

      • 看護問題 把握을 위한 體系的인 患者 査定道具

        兪德順 한양대학교 의과대학 간호학과 1974 한양간호학회지 Vol.- No.1

        Modern clinical nursing care lays stress on the comprehensive nursing care. The professional nurse takes care of the patient as person with foolings and needs, treating with her skill, knowledege, and independent judgement upon which nurse will make decisions for the purpose of performing the patient-centered nursing care. The organized assessment tool could be utilized to identify the patients' nursing problems and needs caused from their disease and surroundings. The purpose of this study is to discuse the importance of the assessment and utilization of the assessment tool. The conclusion of this study was as follows. (1) This assessment tool was prepared to identify the patient's functional abilities, to understand the patient's reactions to illness, hospitalization, and care, and to systematically collect the information about the physiological, psychological, and social behavior of the patient. (2) The data collected by means of such assessment tool provided the rationale for determining the patient's nursing needs and served as the basis for making nursing diagnosis, for planning and evaluating the nursing therapy, and for writing the various nursing orders. (3) It takes about half an hour to make initial assessment. During the assessment process better nurse-patient relationship could be formed, so that the the-rapeutic effect in giving patient-centered nursing care and the patient's assurance could be obtained. (4) It was pointed out that with the recognition of patient's patterns of behavior and normal functioning, his present status can be identified and tentative goals can be set up for his future level of function so that be able to change the living-pattern he may himself.

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