• Title/Summary/Keyword: 수술간호

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Surgical Intensive Care Unit Patients' Risk Factors for Postoperative Pulmonary Complications after Abdominal Surgery (외과중환자실에 입실한 복부수술 환자의 수술 후 폐합병증 발생 위험요인에 대한 연구)

  • Joo, Soon Yeo;Kim, Hee-Seung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.1
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    • pp.32-41
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    • 2019
  • Purpose: The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery. Methods: Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals. Results: Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; $kg/m^2$), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation. Conclusion: These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.

The Effects of Structured Preoperative Instruction on Anxiety and Self-care Compliance in Patients with Cataract Surgery (구조화된 수술 전 교육이 백내장 수술 환자의 불안과 자가간호 수행에 미치는 효과)

  • Choi, Mi Jung;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.473-482
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    • 2013
  • Purpose: The purpose of this study was to investigate the effects of a structured preoperative instruction upon anxiety and postoperative self-care compliance. Methods: A randomized control group pre-post design was used. Sixty subjects undergoing cataract surgery were randomly assigned to one of two groups. The instruction consisted of cataract surgery procedure, sensory information, deep breathing, use of eye drop, and post op self-care regimen and was provided to the experimental group with control group receiving an usual treatment. State anxiety NRS, pulse, BP, and self-care compliance scale developed by Cho & Rho were used. Data were collected at two time periods: on the day of surgery in the clinic and prior to anesthesia in the operating room. The postoperative self-care compliance scores were measured at their second visits to the hospital after surgery. Data were analyzed using Kolmogorov Smirnov test, t-test, and Mann-Whitney U test. Results: There were significant differences between the two groups in the postoperative state anxiety (t=-3.57, p=.001) and the postoperative self-care compliance score (t=3.92, p<.001). There were no significant difference between the two groups in the postoperative blood pressure and pulse rate. Conclusion: The results of this study suggest that the structured preoperative instruction could be a nursing intervention for cataract surgery patients.

A Study on the Subjective Musculoskeletal Symptoms Associated with Tasks of Operating Room Nurses (수술실 간호사의 간호업무에 따른 근골격계 자각증상에 관한 연구)

  • Park, Hyeon-Hee;Yi, Ggod-Me
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.351-359
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    • 2005
  • Purpose: To find the factors of subjective musculoskeletal symptoms associated with the general characteristics and tasks of operating room nurses (OR nurses) and then to use the factors as basic information for preventing and managing musculoskeletal symptoms in OR nurses. Method: This study was an exploratory research. Data were collected using a self-report questionnaire from OR nurses working at 8 polyclinics in Korea during the period from July 26 2004 to August 19 2004. The questionnaire contains 7 questions on general characteristics and 18 questions on tasks in the operating room. Result: 187 (75.1%) nurses said they 'had' subjective musculoskeletal symptoms. Statistically significant differences were observed according to clinical career, career as an OR nurse, skillfulness, satisfaction with tasks in the operating room, perception on suitable treatment, care of symptoms by the hospital. weight of hospital linen and weight of a basic operation set (p<.05). Conclusion: Musculoskeletal symptoms complained of by OR nurses were significant. This may cause difficulties in nursing tasks in the operating room. Thus, various arrangements should be made for OR nurse with subjective musculoskeletal symptoms at the early stage.

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Development and Validation of an Instrument to Measure the Job Satisfaction of Perioperative Nurses (수술실 간호사의 직무 만족도 측정 도구 개발 연구)

  • Yoon, Ke Sook;Park, Sung Ae
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.93-106
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    • 2009
  • Purpose: The purpose of this study was to develop a valid and reliable instrument to explore and measure job satisfaction as perceived by perioperative nurses, specifically from the perspective of contemporary perioperative nursing in Korea. Method: Items (69) were developed from the responses to two open-ended questions by 168 perioperative nurses in one teaching hospital; (a) reasons that make work enjoyable, (b) reasons that make work unpleasant. Finally 55 items were selected, excluding items with lower correlation with the total scale. The instrument was completed by 885 perioperative nurses from 89 different hospitals nationwide who were attending the annual conference of the Korean Association Operating Room Nurses (KAORN), yielding a response rate of 95.6%. Results: Ten factors were extracted by factor analysis, which explained 60.0% of the total variance; Reliability and internal consistency were established (Cronbach's alpha=.95). A smaller sample of 39 perioperative nurses completed the instrument on two occasions, with a 2-week interval between. Mean scores were computed and two sets of scores were analyzed by Weighted Kappa (W-Kappa=0.680, p=.029). Conclusion: This instrument is a concise, highly practical and flexible tool, which can be used for the perioperative nurse in a wide range of hospital settings.