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      기관내 삽관 환자를 위한 컴퓨터 활용 의사소통 도구의 적용 효과 = The Effects of Using Computer-Based Communication Methods for Intubated Patients

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      https://www.riss.kr/link?id=A35492818

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      Purpose: In this study we evaluated the efficacy of communication using computer utility for intubated patients. Method: The patients was divided into two groups. For the control group, the traditional communication method was applied, and for the experimental group, both traditional and computer-based methods were applied. The patients of each group were asked of the satisfaction and efficacy of the communication methods. Development of computer-based communication methods was based on the results of survey on both intubated patients and ICU nurses. Results: There was significant difference in satisfaction between control and experimental groups (p=.002). The ease of expression for the uncomfortableness and physiologic demands showed no significant differences. (p=.848) Satisfaction for the ease of anxiety expression were 3.20 for control group and 5.13 for experimental group averagely, and the p-value was 0.000. There was no answers 'very difficult' for both groups, about the communicability. And the answers 'ordinarily difficult' comprised 22.6% of the patients, 'not difficult' was answered in 60.2%, 'very easy' was 16.5%. Conclusion: We concluded that the nursing intervention using computer-based communication methods (SNUBH-CACI) for the intubated patients could improve the efficacy in communication and patient satisfaction.
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      Purpose: In this study we evaluated the efficacy of communication using computer utility for intubated patients. Method: The patients was divided into two groups. For the control group, the traditional communication method was applied, and for the exp...

      Purpose: In this study we evaluated the efficacy of communication using computer utility for intubated patients. Method: The patients was divided into two groups. For the control group, the traditional communication method was applied, and for the experimental group, both traditional and computer-based methods were applied. The patients of each group were asked of the satisfaction and efficacy of the communication methods. Development of computer-based communication methods was based on the results of survey on both intubated patients and ICU nurses. Results: There was significant difference in satisfaction between control and experimental groups (p=.002). The ease of expression for the uncomfortableness and physiologic demands showed no significant differences. (p=.848) Satisfaction for the ease of anxiety expression were 3.20 for control group and 5.13 for experimental group averagely, and the p-value was 0.000. There was no answers 'very difficult' for both groups, about the communicability. And the answers 'ordinarily difficult' comprised 22.6% of the patients, 'not difficult' was answered in 60.2%, 'very easy' was 16.5%. Conclusion: We concluded that the nursing intervention using computer-based communication methods (SNUBH-CACI) for the intubated patients could improve the efficacy in communication and patient satisfaction.

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      참고문헌 (Reference)

      1 장연수, "중환자실의 입실과 퇴실기준 개발" 2000

      2 심연희, "중환자실 환자의 통계적 고찰" 11 (11): 49-55, 1996

      3 남명자, "중환자실 입원 환자의 기관내 삽관 체험" 2004

      4 장효숙, "입원 중환자가 경험하는 스트레스 해소에 관한 실증적 연구" 2002

      5 김영미, "인공호흡기 장착 환자의 경험" 11 (11): 730-732, 1999

      6 김미영, "인공호흡기 장착 환자의 경험" 1999

      7 차배근, "어법과 커뮤니케이션" (8-9) : 249-263, 2004

      8 신지숙, "기도삽관 환자의 의사소통 도구를 이용한 효율성 연구" 3 : 217-241, 2002

      9 진상미, "기관내 삽관 환자의 의사소통을 위한 그림판 적용 효과" 2005

      10 김태희, "기관내 삽관 환자의 의사소통 경험" 2001

      1 장연수, "중환자실의 입실과 퇴실기준 개발" 2000

      2 심연희, "중환자실 환자의 통계적 고찰" 11 (11): 49-55, 1996

      3 남명자, "중환자실 입원 환자의 기관내 삽관 체험" 2004

      4 장효숙, "입원 중환자가 경험하는 스트레스 해소에 관한 실증적 연구" 2002

      5 김영미, "인공호흡기 장착 환자의 경험" 11 (11): 730-732, 1999

      6 김미영, "인공호흡기 장착 환자의 경험" 1999

      7 차배근, "어법과 커뮤니케이션" (8-9) : 249-263, 2004

      8 신지숙, "기도삽관 환자의 의사소통 도구를 이용한 효율성 연구" 3 : 217-241, 2002

      9 진상미, "기관내 삽관 환자의 의사소통을 위한 그림판 적용 효과" 2005

      10 김태희, "기관내 삽관 환자의 의사소통 경험" 2001

      11 김조자, "기계환기기 이탈의 성공과 관련된 생리적 심리적 요인에 관한 조사연구" 30 (30): 995-1005, 2000

      12 오세은, "계획된 의사소통 중재가 기관내 삽관 환자와 간호사의 만족도에 미치는 영향" 29-48, 2002

      13 Adler, D. C, "The Experience and Caring Needs of Critically Ⅲ, Mechanically Ventilated patients" 1997

      14 Lance Patak, "Patients'reports of health care practitioner interventions that are related to communication during mechanical ventilation" 33 (33): 308-320, 2004

      15 Hafsteindottir, T. B, "Patient's experiences of communication during the respirator treatment period" 12 (12): 261-271, 1996

      16 Fowler, S, "Impaired verbal communication during short-term oral intubation" 8 (8): 93-98, 1997

      17 Menzel, L. K, "Factors related to the emotional responses of intubated patients to being unable to speak" 27 (27): 245-252, 1998

      18 Victoria S. Magnus, "Communication interaction in ICU patient and staff experiences and perceptions" 22 (22): 167-180, 2006

      19 Vincent,L, "Communication in the ICU" 23 : 1093-1098, 1997

      20 Grazina Wojnicki-Johansson, "Communication between nurse and patient during ventilator treatment" 17 : 29-39, 2001

      21 Sheila Verity, "Communicating with sedated ventilated patients in intensive care : focusing on the use of touch" 12 : 354-358, 1996

      22 Risser, "An evaluation of its effects on patient perception of care and staff satisfaction. International Journal of nursing studies" 545-551, 1975

      23 Menzel, L. K, "A comparison of patient's communication-related responses during intubation and after extubation" 26 (26): 363-371, 1997

      24 박연옥, ". 심혈관계중환자실 환자의 입원경험. 연세대학교 석사학위논문." 1993

      25 Cronin, ". The computer as a communication device for ventilator and tracheostomy patient in the intensive care unit. Crit Care Nurse" 72-76, 1984

      26 Jablonski,R. S, ". The Experience of being mechanically ventilated. Qualitative Health Research" 4 : 186-207, 1994

      27 Taylor,D. E. M, ". Problems of patients in an ICU. Int. Journal of nursing" 8 : 47-59, 1971

      28 Knebel,A, ". Patient perceptions of the weaning experience fowllowing prolonged mechanical ventilaton. American Thoracic Society" may : 89-, 1989

      29 F, ". Cross-cultural communication in a intensive care unit. Intensive and Critical Care Nursing" 263-283, 1993

      30 A, ". Communication with the patient in intensive care. Nursing Times Supplement" 2-11, 1982

      31 Williams,M, ". An algorithm for selecting a communication technique with intubated patients. DCCN" 11 : 223-233, 1992

      32 Albarran, ". A review of communication with intubated oatients and those with tracheostomies within an intensive care environment. Intensive Care Nursing" 179-186, 1991

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