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화상환자의 소양증 특성 조사

Pruritus in Burn Survivors

  • 김경자 (한림대학교 한강성심병원 간호부, 이화여자대학교 간호과학과) ;
  • 원미화 (이화여자대학교 대학원 간호과학과)
  • Kim, Kyung Ja (Department of Nursing, Hangang Sacred Heart Hospital, Hallym University, Graduate School, College of Nursing, Ewha womans University) ;
  • Won, Mi Hwa (Graduate School, College of Nursing, Ewha Womams Universuty)
  • 투고 : 2015.11.11
  • 심사 : 2016.01.05
  • 발행 : 2016.01.31

초록

본 연구 목적은 화상환자의 소양증 특성을 파악하기 위한 서술적 조사 연구로 화상환자 소양증 기초자료 제공을 위함이다. 심부 2도 이상 화상으로 입원 중인 급성기 화상환자 95명을 대상으로 자기보고식 설문지를 이용하여 화상관련 특성과 소양증 관련 특성을 측정하였다. 연구결과 대상자의 화상범위는 평균 $18.95{\pm}17.10%$였으며, 소양증 중증도 평균 $48.83{\pm}23.96$점, 증상고통 평균 $46.42{\pm}25.80$점으로 나타났다. 소양증 빈도에 따른 결과는 '항상' 경험할 때 그렇지 않은 경우보다 잠들기 어려움(F=4.817, p=.004), 기분 나빠짐(F=5.955, p<.001), 집중력 저하(F=6.483, p<.001)에서 유의한 차이를 보였고, 지속시간에 따른 소양증 결과는 30분 이상 지속 시 30분 이내보다, 잠들기 어려움(F=7.452, p<.001), 기분 나빠짐(F=3.655, p=.015), 집중력 저하(F=12.564, p<.001)에서 통계적으로 유의한 차이가 있었다. 화상환자의 소양증 빈도는 지속시간(r=.29, p=.004), 중증도(r=.45, p<.001), 증상고통(r=.44, p<.001) 및 소양증 결과(r=.29, p=.004)와 양의 상관관계를 보였다. 본 연구 결과는 소양증을 경험하는 화상환자의 간호중재를 위한 근거자료로 활용 될 수 있을 것이다.

This study examined pruritus to provide the data based on burn patient pruritus. A self-report questionnaire survey was conducted among ninety five burn survivors, who were over 18 years of age with admission periods longer than two weeks. The results indicated that the average burn range was $18.95{\pm}17.10%$, severity was $48.83{\pm}23.96$, and distress was $46.42{\pm}25.80$. A significant difference in pruritus consequences was observed according to frequency. The patients consistently experienced pruritus, even if it happened less often, difficulty in falling asleep (F=4.817, p=.004), poor mood (F= 5.955, p=.015)), and loss of concentration (F=6.483, p<.000). A significant difference in the pruritus consequences according to duration was observed, lasting for 30 minutes for all groups, more than the population and less than 30 minutes, difficulty in falling asleep (F=7.452, p<.000), poor mood (F=3.655, p<.015), and loss of concentration (F=12.564, p<.000). The frequency, duration (r=.29, p=.004), severity (r=.45, p<.000), distress (r=.44, p<.000), and consequences of pruritus in burn patients (r=.29, p=.004) showed a positive correlation. The results of this study could be used as a base material for the care of burn patients experiencing pruritus.

키워드

참고문헌

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