중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제14권3호
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  • Pages.128-140
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  • 2021
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  • 2005-212X(pISSN)
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  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지
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일개 상급종합병원 응급중환자실 내 심정지 후 저체온요법을 적용한 환자의 말초 청색증 발생 현황

Incidence of Peripheral Cyanosis in Patients with Therapeutic Hypothermia after Cardiac Arrest in the Acute Care Unit of a Tertiary General Hospital

  • Bang, Soo Youn (Asan Medical Center) ;
  • Yi, Young Hee (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2021.09.07
  • 심사 : 2021.10.15
  • 발행 : 2021.10.31
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초록

Purpose : This study aimed to identify the incidence of peripheral cyanosis and the characteristics and clinical results of patients with therapeutic hypothermia after a cardiac arrest. Methods : Data were collected from April to June 2021 via the electrical medical records of 95 patients with therapeutic hypothermia for 72 hours after a cardiac arrest admitted to an acute care unit at a tertiary hospital between January 1, 2016, and December 31, 2019. The data were analyzed using descriptive statistics and a t-test, Mann-Whitney U test, Chi-squared test, Fisher's exact test, and logistic regression using SPSS/WIN. Results : The incidence of peripheral cyanosis was 20%. In the peripheral cyanosis group, peripheral vascular disease, fibrinogen, vasopressor, infection, disseminated intravascular coagulation, acute physiology, chronic health evaluation II score on the second hospital day, nursing intervention, and mortality on the seventh hospital day were higher. The level of fibrinogen and use of vasopressors affected the occurrence of peripheral cyanosis. Conclusion : Considering the influencing variables, careful observation is necessary for patients with high fibrinogen levels and vasopressor use. These results provide basic data to recognize the need for nursing intervention for peripheral cyanosis and encourage nurses to deliver them during therapeutic hypothermia.

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참고문헌

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