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Triage tool을 이용한 응급의료센터 내원환자의 중증도 분류 타당성 및 체류시간 결정요인에 관한 연구
심숙희,노진숙,홍선주,김순봉 병원간호사회 2001 임상간호연구 Vol.7 No.2
This study is a descriptive correlation study to investigate the triage and stay time of patients who are visited to emergency medical center(EMC) using emergency triage method(ETM). Also this study aims to examine the degree of ETM and to improve crowding in EMC. The patients were classified three groups by ETM(emergent, urgent, non-emergent). We reviewed prospectively the medical records of EMC from June 1, 2000, to June 19, 2000 and collect above 15-year-old patients using random non biased method. The SAS package was used for statistical analysis. The result of this study are following: 1) The percentages of each group according to the ETM were as follows : emergent group, 8.3%; urgent group, 20.0% ; non-emergent group, 71.7%. 2) According to the criteria of emergency medical administration charge, the emergent group was 52.8% and non-emergent group was 47.2%. 3) The mean time for laboratory and radiologic study according to ETM were as follows : emergent group, 92 minutes ; urgent group, 83 minutes; non-emergent group, 61 minutes. 4) The mean time for doctor visit according to ETM were as follows: emergent group, 13 minutes; urgent group, 27 minutes ; non-emergent group. 17 minutes. 5) The mean time for decision of admission or discharge according to ETM were as follows : emergent group, 2 hours and 58 minutes ; urgent group, 2 hours and 43 minutes;non-emergent group. 1 hour and 50 minutes. 6) The mean time for diagnosis and treatment according to ETM were as follows : emergent group, 4 hours and 43 minutes ; urgent group, 4 hours and 37 minutes ; non-emergent group. 3 hours and 43 minutes. 7) The mean time for stay in EMC was 3 hours and 48 minutes. 8) The time for decision of admission or discharge according to stay time was as follows : 0-3 hours stay in EMC, 56 minutes ; 3-6 hours stay in EMC, 2 hours and 36 minutes ; over 6 hours stay in EMC. 4 hours and 28 minutes. 9) The criterias of emergency medical administration charge according to stay time were as follows : 0-3 hours stay in EMC, emergent group was 36.4%, non-emergent group was 63.6% ; 3-6 hours stay in EMC, emergent group was 54.4%, non-emergent group was 54.6% ; over 6 hours stay in EMC, emergent group was 63.3%, non-emergent group was 36.7%. In summary, there was significant differences of time to treat and stay among three groups in EMC. Therefore this study suggests that activation of emergency triage method will be help to decrease of crowding in EMC because of shortening of treatment and stay time in non-emergent cases.
박은미,조가원,심숙희,최정민,이은진,Park, Eun-Mee,Jo, Ga-Won,Sim, Sug-Hee,Choi, Jong-Min,Lee, Eun-Jin 경희대학교 동서간호학연구소 2022 동서간호학연구지 Vol.28 No.2
Purpose: The aim of the study was to examine the effect of auricular acupressure on low back pain and headaches in nurses. Methods: A open-label randomized controlled trial was used. Thirty-nine nurses with low back pain for more than 3 months participated in this study. Auricular acupressure stickers were applied to the participants's waist, head and Shen men in the experimental group for 2 weeks. The Numeric Rating Scale (NRS), the Visual Analog Scale (VAS), and the Headache Impact Test-6 (HIT-6) were administered to measure participants' pain. Results: The mean differences of the VAS and the HIT-6 were significant in the experimental group at the pre and post-tests. A repeated-measures ANOVA revealed that low back pain and headache measured using NRS in the experimental group decreased significantly compared to the control group at the pre and post-tests over 2 weeks. Conclusion: The results of this study indicated that auricular acupressure could be used as a useful intervention for self-care for nurses with low back pain and headache.