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성인 수술환자에서 새롭게 개발된 경구용 고탄수화물음료의 수술 전 복용으로 인한 효과 및 안전성에 대한 예비연구
장원배 ( Won-bae Chang ),정규환 ( Kyuwhan Jung ),안상훈 ( Sang-hoon Ahn ),오흥권 ( Heung-gwon Oh ),윤미옥 ( Mi-ok Yoon ) 한국정맥경장영양학회 2016 한국정맥경장영양학회지 Vol.8 No.1
Purpose: In surgical procedures under general anesthesia, 6 to 8 hours of a nulla per os (NPO; nothing by mouth) has been regarded as essential for prevention of respiratory complication such as aspiration. However, recent studies have reported that oral intake of water and other clear fluids up to 2 hours before induction of anesthesia does not increase respiratory problems. The purpose of this pilot study is to investigate the safety and efficacy of a newly developed carbohydrate-rich solution in elective hernia repair surgery patients.Methods: A group of 30 adult patients scheduled for elective surgeries under general anesthesia were enrolled. The enrolled study group of patients was permitted to drink a carbohydrate-rich solution until two hours before the operation without volume limitation. Respiratory complication was investigated in the patients using the carbohydrate-rich solution until two hours before induction of general anesthesia. The feelings of thirst, hunger sense were measured pre- and post-operatively. In addition, hoarseness of voice, nausea and vomiting were investigated post-operatively. Satisfaction regarding the short time of fasting was measured. Visual analogue scale (VAS) was used for measurement of these six variables.Results: No patients showed serious respiratory complication such as dyspnea, desaturation. Eight of 30 study group patients complained of mild hoarseness. Most symptoms of hoarseness were mild, with VAS score less than 3 out of 10. Two patients complained 5 out of 10. Six patients felt nausea and 1 patient had vomiting. Pre/post-operative hunger sense and thirst feeling were 1.63/1.60 and 1.90/5.76, respectively. The satisfaction score was 3.00 out of 4. Conclusion: Allowing the administration of an oral carbohydrate-rich solution in elective surgery patients requiring general anesthesia is safe without serious respiratory complications and effective in providing satisfaction.
박영희,나후자,정하란,이신숙,박묘윤,이남형,윤미옥,민효숙,신동순,문원희,황관옥,심희숙,오경옥 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1
The purpose of this study was to evaluate the change of the satisfaction degrees before and after repositioning strategies between the consumers and nurses about nursing services. The subjects of this study were composed of 666 consumers and 215 nurses. Data were collected from December 2002 to August 2003. The tool used for this study was modified SERVQUAL model and the data were analyzed using SPSS/PC ver. 10.0. The result of the study were as follows: 1. The satisfaction degrees of consumers about nursing services were showed statistically significant difference in all items (before repositioning: 73.67±12.27, after 1st repositioning: 74.5±10.62, after 2nd repositioning: 79.76±11.65) The influencing factor of nursing service was marital status according to the result of multiple regression analysis. 2. There was statistically significant difference in all 5 factors which were tangibility, reliability, responsiveness, assurance, empathy (P<0.001), in the satisfaction degrees of consumers about nursing service. 3. There was statistically significant difference in 3 factors which were tangibles, assurance, empathy (P<0.000) in the nurses' satisfaction degrees about nursing service. 4. There was statistically significant difference in all 5 factors in satisfaction degrees about nursing service between the consumers and nurses (P<0.001). In conclusion, We know that this study contribute to consumers' satisfaction improvements, it was shown positive change between the consumers' and nurses' satisfaction degrees about nursing service through the performance of repositioning strategies. If continuous investigation and feed back were accomplished for the consumers' satisfaction improvements, we thought they brought us the goal of improved hospital image as well as rehospitalization, for increasing income.