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케어비데로봇을 이용한 배설간호가 중환자실 환자의 실금관련피부염, 욕창위험도, 생리학적 지표에 미치는 효과

The Effects of Carebidet Robot during Defecation on Incontinence Associated Dermatitis, Pressure Ulcer Risk, and Biological Markers in Critical Care Patients

  • 신나연 (차의과학대학교 분당차병원) ;
  • 김태곤 (차의과학대학교 신경외과) ;
  • 장진영 (차의과학대학교 신경외과) ;
  • 김미연 (차의과학대학교 분당차병원)
  • Shin, Na Yeon (Department of nursing, CHA Bundang Medical Center) ;
  • Kim, Tae Gon (Department of Neurosurgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Jang, Jin Young (Department of neurosurgery, CHA Bundang Medical Center) ;
  • Kim, Mi Yeon (Department of nursing, CHA Bundang Medical Center)
  • 투고 : 2021.11.21
  • 심사 : 2021.12.20
  • 발행 : 2021.12.28

초록

본 연구의 목적은 중환자실 환자를 대상으로 케어비데로봇을 이용한 배설간호가 실금관련 피부염, 욕창위험도, 생리적 지표(혈청 알부민, 단백질, 헤모글로빈, 림프구 변화)에 미치는 효과를 확인하기 위해 시행되었다. 연구대상은 종합병원 중환자실에 입실한 환자들을 대상으로 케어비데로봇 ((주)큐라코)을 이용하여 실험군에게는 케어비데로봇을 1인당 1대씩 장착하고 실금이 발생 될 시 작동하게 하여 건조 완료하였으며, 대조군에게는 실금이 발생될 시 물티슈로 닦고 자연 건조를 시키는 방법으로 1주간 진행하였다. 수집된 자료는 기술통계, t-test, repeated measured ANONA로 분석하였다. 연구결과 실금 관련 피부염, 욕창 위험도, 알부민, 림프구는 집단간에 통계적으로 유의한 차이가 있었다. 본 연구는 케어비데로봇을 이용한 배설간호가 피부 점막에 미치는 효과를 과학적 근거인 생리적 지표로 검증하였다는 점에서 의의가 있으며, 대상자 확대를 통한 추후 연구가 더욱 필요하다.

The purposes of this study were to examine the effects of carebidet robot during defecation on incontinence associated dermatitis, pressure ulcer risk and biological markers in critical care patients. Data were analyzed using t-test, Chi-square test, Fisher's exact test, Mann-Whitney U-test and Repeated measures ANOVA. There was a significant difference in incontinence associated dermatitis, pressure ulcer risk, and improving biological markers between the two groups, and there were significant changes over time and the group by time interactions. The findings of the study demonstrated that carebidet robot during defecation was more effective than the current usual care in reducing incontinence associated dermatitis, pressure ulcer risk, and improving biological markers in critical care patients.

키워드

과제정보

This research was funded by Gim-Hae Innopolis Specialized Enterprise in year 2020.

참고문헌

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