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수술 전 통증자가조절기 교육 프로그램이 수술 후 통증에 미치는 효과 : 일 군병원 환자를 대상으로1
맹순주 ( Maeng Soon-ju ),정은영 ( Jung Eun Young ),권은하 ( Kwon Eun Ha ),정주희 ( Jung Ju Hee ),변지훈 ( Byun Ji Hoon ),송지연 ( Song Ji Yeon ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.2
Purpose: The goal of this study was to examine the effects of a preoperative education program in patients receiving Patient-Controlled Analgesia (PCA) in a Korean military hospital. Methods: This study is nonequivalent control group, non-synchronized design quasi-experimental research. Patients were assigned to either the experimental (n=39) or the control group (n=34). The experimental group was provided with both an intensive preoperative education and a standard postoperative education about PCA while the control group received a standard postoperative education only. Knowledge of pain, knowledge of PCA, attitude to pain and analgesic, and postoperative pain scores at 8, 24, 48 hours were measured through questionnaires. The collected data was analyzed with χ<sup>2</sup>-test, t-test, ANCOVA and Generalized Estimating Equations. Results: Knowledge of pain significantly increased in the experimental group(F=4.47, p=.038) more than it did in the control group. Although knowledge of PCA increased and attitude of pain and analgesic improved in both groups. the gap between the two groups was not statistically significant. Postoperative pain at 8, 24, 48 hours improved in both groups, but the degree was not statistically significant. Conclusion: Intensive preoperative PCA education was effective in increasing knowledge of pain, but did not significantly improve knowledge of PCA, attitude of pain and analgesic, postoperative 8, 24, 48 hours pain score. A further study controlling various factors(e.g. type of anesthesia) and comprehensive pain management program may be needed to improve the attitude of pain and analgesic.
윤원숙 ( Won Sook Yoon ),이희경 ( Hee Kyeong Lee ),맹순주 ( Soon Ju Maeng ),송주희 ( Ju Hee Song ) 국군간호사관학교 군진간호연구소 2012 군진간호연구 Vol.30 No.1
Purpose : The aim of this study is to identify the key performance index(KPI) to be used in the nursing departments of the military hospitals using the Balanced Scorecard(BSC) by Kaplan and Norton(1992). Methods : Four questionnaires were developed and used. A convenience sample of 56 nursing officers with more than 12 years of working experience were selected from the military hospitals across the country. They were requested to complete the four questionnaires over a period of 4 months. Results : The mission and vision for the nursing departments were created. Twenty one practical strategies and 50 KPIs were identified, and the 50 KPIs which were classified into the 4 perspectives of the BSC, 6 into the financial part, 18 into the customer part, 14 into the internal business process part and 12 into the studying and growth part, respectively. Conclusion : The results of this study are expected to serve as indicators of nursing practical outcomes in the nursing departments, and to contribute to developing the vision and mission of the military hospitals.