한국간호교육학회지 (The Journal of Korean Academic Society of Nursing Education)

  • 제16권2호
  • /
  • Pages.312-320
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  • 2010
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  • 1225-9578(pISSN)
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  • 2093-7814(eISSN)
한국간호교육학회 (The Korean Academic Society of Nursing Education)
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요양병원과 종합병원 간호사들의 섬망에 대한 인식과 간호지식정도

Comprehension and Knowledge about Delirium in Nurses Working at Long-Term Care Hospitals or General Hospitals

  • 양영희 (단국대학교 의과대학 간호학과)
  • 투고 : 2010.10.05
  • 심사 : 2010.12.04
  • 발행 : 2010.12.31
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초록

Purpose: This study was done to compare the comprehension and knowledge about delirium in nurses working at long-term care hospitals (NLH) with nurses working at a general hospital (NGH). Method: The participants were 191 nurses from a general hospital and 7 long-term care hospitals in Chungnam. The tool for comprehension consisted of the needs and importance of delirium education and the confidence of management for early detection, caring and prevention of delirium. The tool for knowledge of delirium developed by the author consisted of causing factors, symptoms, caring and prevention of delirium. Result: The comprehension of need and importance of delirium education was higher than the confidence for delirium management in participants. NLH nurses had a higher level in comprehension of the need and importance of delirium education and a lower level in confidence of delirium management than NGH nurses. The mean for delirium knowledge was 75.32% for all participants. The knowledge of NLH nurses was significantly lower than those of NGH nurses. All nurses showed low scores in confidence and knowledge of delirium prevention. Conclusion: A systematic educational program for nurses to enhance the ability for assessment, early detection and prevention of delirium for institutionalized elderly patients needs to be developed.

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참고문헌

  1. 강현철, 한상태, 이은수 (2002). 마케팅 리서치를 위한 SPSS 데이터 분석과 활용(pp. 225-228). 서울 : 자유아카데미.
  2. 건강보험심사평가원 (2010a, August). 건강보험요양기관 10년 동안 2만여개 증가. Retrieved August 17, 2010, from Health Insurance Review & Assessment Service Web site: http://www.hira.or.kr/common/dummy.jsp?pgmid=HIRAA0602 00000000
  3. 건강보험심사평가원 (2010b, September). 10년 상반기 진료비 통계분석결과. Retrieved September 16, 2010, from Health Insurance Review & Assessment Service Web site: http:// www.hira.or.kr/common/dummy.jsp?pgmid=HIRAA06020000 0000
  4. 고효진, 김재현 (1997). 한 종합병원 내과에 입원한 노인환자의 치매와 섬망에 대한연구. 신경정신의학, 36(1), 85-91.
  5. 박영숙, 김금순, 송경자, 강지연 (2006). 일 종합병원 간호사들의 섬망에 대한 인식 및 교육요구에 관한 기초조사. 대한간호학회지, 36(7), 1183-1192
  6. 박은아 (2004). 입원환자의 급성 혼돈 관리를 위한 간호사교육안 개발 및 효과분석. 계명대학교 대학원 박사학위 논문, 대구.
  7. 박진 (2009) 섬망 교육이 중환자실 간호사의 섬망지식, 간호중재 중요도 및 수행에 미치는 영향. 아주대학교 대학원 석사학위 논문, 수원.
  8. 서희정 (2006). 중환자실 간호사의 섬망관련 지식, 간호수행도 및 스트레스. 가톨릭대학교 대학원 석사학위논문, 서울.
  9. 양영애 (2006). 중환자실 간호사의 섬망 관련 지식과 간호수행 정도에 관한 연구. 가톨릭대학교, 보건대학원 석사학위 논문, 서울.
  10. 양영희 (2010). 요양병원과 종합병원 노인 입원환자의 섬망유병율과 유발요인. 기본간호학회지, 17(1), 26-34.
  11. 이영휘, 김춘길, 공은숙, 김귀분, 김남초, 김희경, 송미순, 안수연, 이경자, 장성옥, 전시자, 조남옥, 조명옥, 최경숙(2007). 간호사의 섬망 지식수준 및 섬망 사정에 대한 연구, 성인간호학회지, 19(1), 35-44.
  12. 조귀래 (2001). 중환자실 간호사의 중환자실 증후군에 대한 지식과 간호수행 정도. 이화여자대학교 대학원 석사학위 논문, 서울.
  13. 황주연 (2005). 급성 혼돈 환자관리를 위한 근거중심간호실무 가이드라인 개발. 계명대학교 대학원 석사학위 논문, 대구.
  14. 황혜정 (2009). 급성혼돈 노인환자를 위한 간호중재 프로토콜의 효과. 계명대학교 대학원 석사학위 논문, 대구.
  15. Boyle, D. A. (2006). Delirium in older adults with cancer : implications for practice and research. Oncol Nurs Forum, 33(1), 61-78. https://doi.org/10.1188/06.ONF.61-78
  16. Culp, K. (2003). Acute confusion. in Carrieri-Kohlman, V., Lindsey, A. M., & West, C. M. Pathophysiological phenomena in nursing(3rd Ed.)(pp. 155-171). St. Louis: Saunders.
  17. Ely, E. W., Gautam, S., Margolin, R., Francis, J., May, L., Speroff, T., Truman, B., Dittus, R., Bernard, G. R., & Inouye, S. K. (2001). The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Med, 27, 1892-1900. https://doi.org/10.1007/s00134-001-1132-2
  18. Farley, A., & McLafferty, E. (2007). Delirium part one: clinical features, risk factors and assessment. Nurs Stand, 21(29), 35-40. https://doi.org/10.1007/BF03079502
  19. Hanley, C. (2004). Delirium in the acute care setting. Medsurg Nursing, 13(4), 217-225.
  20. Hare, M., Wynaden, D., McGowan, S., Landsborough, I., & Speed, G. (2008). A questionnaire to determine nurses' knowledge of delirium and its risk factors. Contemp Nurse, 29(1), 23-31. https://doi.org/10.5172/conu.673.29.1.23
  21. Inouye, S. K., Foreman, M. D., Mion, L. C., Katz, K. H., & Cooney, L. M.. Jr. (2001). Nurses' recognition of delirium and its symptoms : comparison of nurse and researcher ratings. Arch Intern Med, 161(20); 2467-73. https://doi.org/10.1001/archinte.161.20.2467
  22. Inouye, S. K., Schlesinger, M. J., & Lydon, T. J. (1999). Delirium: A symptom of how hospital care is failing older persons and a window to improve quality of hospital care. Acad Med, 106(5), 565-573.
  23. Kaplan, N. M., Palmer, B. F., & Roche, V. (2003). Etiology and management of delirium. Am J Med Sci, 325(1), 20-30. https://doi.org/10.1097/00000441-200301000-00005
  24. Milisen, K., Steeman, E., & Foreman, M. D. (2004). Early detection and prevention of delirium in older patients with cancer. Eur J Cancer Care (Engl), 13, 494-500. https://doi.org/10.1111/j.1365-2354.2004.00545.x
  25. Olofsson, B., Lundstrom, M., Borssen, B., Nyberg, L., & Gustafson, Y. (2005). Delirium is associated with poor rehabilitation outcome in elderly patients treated for femoral neck fractures. Scand J Caring Sci, 19(2); 119-127. https://doi.org/10.1111/j.1471-6712.2005.00324.x
  26. Souder, E., & O'Sullivan, P. S. (2000). Nursing documentation versus standardized assessment of cognitive status in hospitalized medical patients. Appl Nurs Res, 13(1), 29-36. https://doi.org/10.1016/S0897-1897(00)80016-6
  27. Steis, M. R., & Fick, D. M. (2008). Are nurses recognizing delirium? A systematic review. J Gerontol Nurs, 34(9), 40-8. https://doi.org/10.3928/00989134-20080901-12
  28. Tabet, N., Hudson, S., Sweeney, V., Sauer, J., Bryant, C., Macdonald, A., & Howard, R. (2005). An educational intervention can prevent delirium on acute medical wards. Age Ageing, 34(2), 152-156. https://doi.org/10.1093/ageing/afi031

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  2. Knowledge, Performance and Stress about Care for Delirium in Orthopedic Hospital Nurses vol.20, pp.1, 2013, https://doi.org/10.5953/JMJH.2013.20.1.72
  3. Development of Korean Intensive Care Delirium Screening Tool (KICDST) vol.46, pp.1, 2016, https://doi.org/10.4040/jkan.2016.46.1.149
  4. Development and validation of the Korean Nursing Delirium Scale vol.42, pp.3, 2012, https://doi.org/10.4040/jkan.2012.42.3.414
  5. Automatic delirium prediction system in a Korean surgical intensive care unit vol.19, pp.6, 2014, https://doi.org/10.1111/nicc.12048
  6. Perception and Practice of Hospital Infection Control of Nursing Staff depending on the Supplementation of Nurses in Long-term Care Hospitals vol.21, pp.3, 2012, https://doi.org/10.5807/kjohn.2012.21.3.308
  7. Factors Influencing Performance of Delirium Care for Postoperative Delirium of Elderly Patients among Recovery Room Nurses vol.22, pp.3, 2016, https://doi.org/10.5977/jkasne.2016.22.3.387
  8. Nursing intervention versus usual care to improve delirium among home-dwelling older adults receiving homecare after hospitalization: feasibility and acceptability of a Randomized Controlled Trail vol.15, pp.1, 2016, https://doi.org/10.1186/s12912-016-0140-z
  9. Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium vol.21, pp.2, 2018, https://doi.org/10.14475/kjhpc.2018.21.2.65