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중환자실 환자의 욕창 발생 시기에 따른 관련요인의 차이
이미정,서은정,김미옥,박정옥,이선미,신현경,윤일심,조미나,조영자,강보미,서현미,이미순,이시라,장혜주,정현숙,안정아,Lee, Mijung,Seo, Eunjeoung,Kim, Miok,Park, Jeongok,Lee, Seonmi,Shin, Hyunkyung,Yun, Ilsim,Cho, Mina,Cho, Youngcha,Kang, Bomi,Seo, Hyunmi 한국중환자간호학회 2021 중환자간호학회지 Vol.14 No.3
Purpose : This study aimed to present the incidence of pressure ulcers and identify different associated factors according to the time of occurrence of pressure ulcers in intensive care unit (ICU) patients. Methods : The participants were 313 patients who reported pressure ulcers among 2,908 patients in ICUs at a large tertiary hospital in Gyeonggi-do. Among them, 220 patients (70.3%) had a pressure ulcer before admission, and 93 patients (29.7%) reported newly developed pressure ulcers after admission to the ICU. Data were collected between August 2018 and April 2019. Along with the time of occurrence and characteristics of pressure ulcers, diverse associated factors were gathered through electronic medical records. Data were analyzed using descriptive statistics, independent t-tests, and 𝑥<sup>2</sup>-tests. Results : Different risk factors associated with pressure ulcers in ICU patients according to the time of occurrence were main diagnosis, score of acute physiology and chronic health evaluation, score of Richmond agitation sedation scale, level of consciousness, administered sedatives, use of a ventilator, insertion of a feeding tube, and the duration of fasting period. Conclusion : Based on the results of this study, healthcare providers, especially ICU nurses, should try to detect early signs and symptoms of pressure ulcers, taking into account the derived factors associated with pressure ulcers in ICU patients. Practical intervention programs and strategies considering the factors associated with pressure ulcers must be developed to prevent and alleviate such ulcers in ICU patients in the future.
임상간호사의 전문직 자아개념, 대인관계 능력이 간호 역량에 미치는 영향
서미숙 ( Misuk Seo ),박정순 ( Jungsoon Park ),김옥경 ( Okkyoung Kim ),허문희 ( Munhee Heo ),박정옥 ( Jeongok Park ),박미미 ( Mimi Park ) 한국병원경영학회 2017 병원경영학회지 Vol.22 No.2
The purpose of this study was to investigate the influence of professional self-concept and interpersonal relations on nursing competence of clinical nurses. This study was conducted as a descriptive cross sectional survey with 182 nurses who work at a tertiary hospital which has over 1,000 beds, located in Gyeounggi - do. The data was collected from October 11th, 2016 to October 28th, 2016. The main findings of this study were as follows. The mean score for professional self-concept was 2.65±0.29 points in the range of 1 point to 4 points. And interpersonal relations was an average of 3.55±0.35 points in the range of 1 point to 5 points. Nursing competence was an average of 2.65±0.39 points in the range of 1 point to 4 points. Professional self-concept and interpersonal relations were positively correlated with nursing competence. Nursing competence was differed from clinical career(F=10.518, p<.001), working unit(F=4.139, p=.018), educational background(F=6.542, p=.002), and satisfaction on nursing(F=6.326, p<.001). The regression model with clinical career, working unit, educational background, satisfaction on nursing, 3 sub domain of professional self-concept(professional practice, satisfaction, communication), and interpersonal relation was statistically significant (F=31.94, p<.001). And this model could explain 51.5% of nursing competency(Adj R2=.515). Especially, professional practice(β=.532, p<.001) of professional self-concept, interpersonal relations(β=.223, p<.001), clinical career(β=.169, p<.001), working unit: ICU (β=.169, p<.05) were identified the factors influencing on nursing competence. Therefore, improving clinical nurses` nursing competence can be achieved with broad approach that includes improvements in professional self-concept and interpersonal relations. And also, working unit, and clinical career should be considered to develop the actual program for nursing competence, too.
유치도뇨관 삽입 전 요도구 세정방법에 대한 근거기반간호 사례
조은혜(Eunhye Cho),김민지(Minjee Kim),김민지(Minji Kim),김희준(Heejun Kim),이선혜(Seonhye Lee),이화음(Hwaum Lee),최고나(Gona Choe),장미근(Migeun Jang),박정옥(Jeongok Park),이미정(Mijeong Lee),이현진(Hyunjin Lee),하지연(Jiyeon Ha) 한국근거기반간호학회 2023 근거와 간호 Vol.11 No.1
Purpose: This systematic review was conducted to determine whether a difference exists in the incidence of urinary tract infections be-tween disinfectant, normal saline, and sterile water when periurethral cleaning before the insertion of the indwelling urinary catheter. Methods: Published studies of patients of all ages in medical institutions from January 2000 to December 2023 were searched in PubMed, CINAHL, Cochrane, RISS, KISS, and KoreaMed online databases in January 2024. Guidelines were evaluated as Appraisal of Guidelines for Research and Evaluation II (AGREE II). Randomized studies were assessed using Risk of Bias 2. Scottish Intercollegiate Guidelines Network (SIGN) was used to determine the level of evidence based on the quality evaluation results. Results: Five research works (three studies and two guidelines) were included according to the selection criteria. In three randomized controlled trials, no statis-tically significant difference was found in urinary tract infection rates between disinfectant, normal saline, and sterile water. Two guidelines suggested that disinfectant and normal saline could be washing solutions before catheter insertion. Conclusion: Using normal saline or sterile water for periurethral cleaning is expected to increase patient satisfaction by relieving skin irritation and reducing hospital costs.
신기능 저하 환자의 조영제 신독성 예방에 관한 근거기반간호 사례
조영진(Young Jin Cho),조윤주(Yoon Joo Cho),신소라(So Ra Shin),권지혜(Ji Hye Kwon),김선경(Sun Kyung Kim),박정옥(Jeongok Park),이미정(Mijeong Lee),이현진(Hyun Jin Lee),안정아(Jeong-Ah Ahn) 한국근거기반간호학회 2023 근거와 간호 Vol.11 No.1
Purpose: This study aimed to determine the impact of oral or intravenous fluid therapy to prevent contrast-induced nephrotoxicity in patients with renal insufficiency undergoing contrast-enhanced computed tomography (CT). Methods: We searched five electronic databases and reviewed prior studies according to the criteria. Finally, three randomized controlled trials (RCTs) and one non-random-ized study of intervention (NRSI) were selected. Results: According to the Scottish Intercollegiate Guidelines Network, the quality eval-uation was checked, and the results were 1++ for one RCT, 1+ for two RCTs, and 2+ for one NRSI. There was an insufficient benefi-cial evidence of pretreatment with intravenous fluid therapy to prevent contrast-induced nephrotoxicity in patients with reduced renal function undergoing contrast-enhanced CT. Conclusion: We recommend that patients with renal insufficiency with an estimated glo-merular filtration rate (eGFR) of 45~59 mL/min/1.73 m² can undergo contrast-enhanced CT without oral or intravenous fluid therapy as a pretreatment agent, and those with eGFR of 30~44 mL/min/1.73 m² can be treated with oral hydration treatment to prevent con-trast-induced nephrotoxicity. However, for patients with high risks, the decision to administer pretreatment should be considered ac-cording to the individual patient’s clinical condition and the clinical expertise of healthcare providers.