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고혈압 자가관리 이행증진프로그램이 본태성 고혈압 환자의 신체생리지수, 지식 및 자가관리 이행도에 미치는 영향
정복선,강희경,곽미열,김은숙,김현영,박은숙,송계용,신향숙,윤복희,이은경,임정순,피순옥,정은영,최상주,전미양 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.4
Effects of Biophysical Index, Knowledge, and Self Management Compliance of Patients with Primary Hypertension by a Self Management Compliance Promotion Program Jeong, Bok Seon1)․Gang, Hui Gyeong1)․Gwak, Mi Yeol1)․Kim, Eun Suk1)․Kim, Hyeon Yeong1) Bak, Eun Suk1)․Song, Gye Yong1)․Sin, Hyang Su1)․Yun, Bok Hui1)․Lee, Eun Gyeong1) Im, Jeong Sun1)․Pi, Sun Ok1)․Jeong, Eun Yeong1)․Choe, Sang Ju1)․Jeon, Mi Yang2) 1) Chungbuk Community Health Practitioner Research Team 2) Keukdong College Purpose: This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities. Method: The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do. Result: Systolic blood pressure, total cholesterol, low- density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased. Conclusion: A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.
환자감시가 간호사의 말초혈관 카테터 관리지침 이행에 미치는 영향
정복선,이해정 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2
Purpose: The purpose of this study was to examine the effect of patient surveillance on nurses' adherence to the guidelines on peripheral vascular catheter management. Method: A one group time series design was used. Seventy six nurses participated in the study. The data were collected from October 1 to November 4, 2008. Result: The effects of patient surveillance were significant on nurses' average adherence rates to the guidelines estimated by observers and by themselves, and the levels of nurses self recognition on the importance of the guidelines. In addition, overall occurrence rates of phlebitis tend to decrease after patients surveillance. Even though 33 nurses didn't follow the guidelines perfectly, most patients did not provide feedbacks to the nurses' non-adherence. Among the nurse participants, 36.8% answered that patient surveillance was acceptable. Conclusion: This study found that patients with peripheral catheters could positively influence nurses' adherence to the catheter management guidelines. Therefore, inviting patients in nursing activities could benefit to the quality of patients care. However, it seems essential to create an environment fostering nurses’ acceptance of the patients' surveillance. Further research warrants the potential benefits of the patient's participations in nursing activities.