• 제목/요약/키워드: 욕창예방

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임상간호사의 욕창예방행위 구조모형 (A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses)

  • 이숙자;박옥경;박미연
    • 대한간호학회지
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    • 제46권4호
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    • pp.572-582
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    • 2016
  • Purpose: The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study. Methods: A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses. Results: The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action. Conclusion: The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.

욕창예방 돌봄로봇의 사용성 평가 및 개선사항 도출 (Usability Evaluation and Derivation of Improvement for Care Robots to Prevent Pressure Injury)

  • 김민정;신용순
    • 로봇학회논문지
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    • 제18권4호
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    • pp.409-418
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    • 2023
  • The purpose of this study is to evaluate the usability of the care robots to prevent pressure injury and to present directions for improvement. Thirty-two caregivers of severely disabled people and older adults with mobility difficulties participated in this study. They used the care robot in a real care environment for 2 weeks and conducted pre and post-care interviews. Based on the interview results, improvements were derived through the technical modeling method of care robots. Considering the circumstances in which caregivers take care of a large number of patients in nursing homes and hospitals, it is necessary to ensure the convenience and safety of remote control and side rail operation of the care robots to prevent pressure injury. We expect that the results of this study will be used as basic data for development of care robots to prevent pressure injury.

지혜 깊어지는 건강 - 활기찬 실버 세대 - 골절 예방하면 빙판길도 두렵지 않다

  • 손주석
    • 건강소식
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    • 제35권12호
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    • pp.24-25
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    • 2011
  • 겨울철에는 낙상사고가 다른 계절보다 3배 이상 높게 나타난다. 추운 날씨 주머니에 손을 넣고 걷다 빙판길에서 미끄러지는 일이 빈번하다. 문제는 노인들의 골절이다. 손목, 척추, 고관절(엉덩이뼈) 골절을 입은 환자는 독립적 보행이 불가능해지며 일상생활에 큰 어려움을 겪게 된다. 특히 고관절(엉덩이뼈) 골절의 경우 1년 내에 사망할 확률이 무려 20%다. 고령 환자의 경우 고관절 골절을 입고 병상에 누워 지내는 기간이 길어지면 심폐 및 방광기능이 저하될 수 있으며, 욕창이나 혈전증 등이 발생할 수 있다. 골절이 노인에게 치명적인 이유다.

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임상간호사의 욕창예방간호에 대한 태도와 수행도에 영향을 미치는 요인 (Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses)

  • 박승미;양남영;최정실
    • 근관절건강학회지
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    • 제20권1호
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    • pp.43-51
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    • 2013
  • Purpose: The purpose of this study was to investigate attitudes and preventive practice of pressure ulcer among hospital nurses and identify factors affecting their preventive practice of pressure ulcer. Methods: Data were collected at April, 2011 in a university hospital in Korea. A total of 140 hospital nurses completed a questionnaire including attitudes and preventive practice of pressure ulcer. Data were analyzed with descriptive statistics, Spearmans rho, and stepwise multiple regression via SPSS/WIN 20.0. Results: Levels of attitudes and preventive practice of pressure ulcer were average 3.65 out of 5 and 2.19 out of 3 respectively. There was significant difference in preventive practice of pressure ulcer by area of practice ($x^2$= 43.35, p<.001), frequency of pressure ulcer care ($x^2$=10.72, p=.013), and experience of wound care education (Ζ=4.73, p=.030). The attitudes toward pressure ulcer prevention were positive correlated to preventive practice among nurses (rho=.190, p=.049). Area of practice, attitude toward pressure ulcer prevention and experience of wound care education explained 48% of variance in preventive practice of pressure ulcer. Conclusion: For improving quality of care, it is important to provide educations to change nurses attitudes toward preventive practice of pressure ulcer.

중환자실의 욕창 예방 중재 프로그램의 효과 : 메타 분석 (Effectiveness of the Intervention Programs for Pressure Ulcer Prevention in Intensive Care Units : A Meta-analysis)

  • 강현욱;고지운
    • 중환자간호학회지
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    • 제11권1호
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    • pp.67-78
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    • 2018
  • Purpose : A meta-analysis was conducted to identify the effectiveness of strategies designed to prevent the incidence and prevalence of pressure ulcers in intensive care units (ICUs). Method : The search strategy was designed to retrieve studies both published and unpublished between 2007 and 2017 including studies in English across PubMed and CINAHL, as well as in Korean across RISS, DBPia, NDSL, KISS, and NAL. All adult ICU participants were 18 years or over. Inclusion criteria were randomized controlled trials, quasi-experimental and comparative studies. Two independent reviewers conducted quality assessments of the included studies by Scottish Intercollegiate Guidelines Network. A Review Manager 5 was used to analyze effect sizes and to identify possible sources of heterogeneity among the studies. Results : The odds ratio (OR) effect sizes were all statistically significant. The OR of total effect size was 0.30(95% CI: 0.19, 0.47), care bundle was 0.37(95% CI: 0.24, 0.57), position change was 0.45(95% CI: 0.10, 2.08), and a silicone border foam dressing was 0.14 (95% CI: 0.07, 0.29). Conclusion : The preventive interventions for patients in the ICUs have positive impacts on reducing the incidence of pressure ulcers.

의료용 침대를 위한 자동 시트 교환 장치 연구 (A Study on the Automatic Sheet Exchanger for a Hospital Bed)

  • 이영대;최문수;김창영;장창준;최영;엄기영
    • 문화기술의 융합
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    • 제5권4호
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    • pp.361-366
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    • 2019
  • 환자를 위해 시트를 교환하는 일은 궂은일에 속하며 간호환경을 힘들게 하는 요인 중에 하나이다. 환자를 위한 다양한 기능들을 갖는 많은 침대들이 이미 개발되어 있으나 시트를 자동으로 교환하는 장치는 아직 없다. 본 연구에서는 의료용 침대를 위한 시트 자동 교환 장치를 최초로 개발하고 시험하여 성능을 검증하였다. 개발된 시트 자동 교환 장치는 토크 리미터를 사용하여 장력을 적절히 조절하며 오염된 시트와 새로운 시트를 동시에 교환한다. 설계된 시트 자동 교환 장치는 기 개발된 욕창 예방, 환자 자동 이송 기능을 갖는 다기능 통합 침대에 장착되어 적절히 동작하는 것을 실험을 통해 확인하였다

모바일 디바이스 환경 기반의 NFC를 이용한 사용자 맞춤형 전동 휠체어 제어 시스템 연구 (Research of Customized Electric Wheelchair Control System using NFC on Mobile Device Environment)

  • 박상현;김진술
    • 스마트미디어저널
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    • 제4권2호
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    • pp.17-25
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    • 2015
  • 본 논문에서는 스마트 모바일 장치 및 NFC(Near Field Communication)를 이용하여 전동 휠체어를 쉽게 제어할 수 있는 시스템을 제안하고자 한다. 이 시스템은 기존 연구에서 진행하고 있는 전동 휠체어를 제어하기 위해 모바일 디바이스에 있는 Bluetooth통신 이용하여 휠체어 제어용 통합보드와 통신한다. 스마트 모바일 장치는 휠체어 제어용 통합보드에서 발생하는 신호를 실시간으로 체크하여 사용자가 휠체어의 상태를 쉽게 모니터링 할 수 있도록 한다. 사용자는 스마트 모바일 장치를 이용하여 휠체어를 쉽게 제어할 수 있으며, 개인의 상태에 맞게 언제든지 설정하여 사용할 수 있다. 제어는 HEX형식으로 하드웨어에서 신호를 바로 읽고 분석할 수 있도록 제작되었으며, 사용자에 맞춘 설정내용은 일반적으로 사용하는 버스카드(NFC)를 이용하여 등록, 저장과 설정한 내용을 읽어서 시스템에 적용할 수 있도록 하였다. 이 시스템을 적용함으로써 휠체어 중심의 보조기구가 아닌 사람중심의 보조기구로 장애인 및 노인들에게 편의와 안정성을 제공해 줄 수 있을 것이다.

한국어판 욕창예방지식도구의 고전검사이론과 문항반응이론을 적용한 문항분석, 타당도와 신뢰도 (Item Analysis using Classical Test Theory and Item Response Theory, Validity and Reliability of the Korean version of a Pressure Ulcer Prevention Knowledge)

  • 강명자;김명수
    • Journal of Korean Biological Nursing Science
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    • 제20권1호
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    • pp.11-19
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    • 2018
  • Purpose: The purposes of this study were to perform items analysis using the classical test theory (CTT) and the item response theory (IRT), and to establish the validity and reliability of the Korean version of pressure ulcer prevention knowledge. Methods: The 26-item pressure ulcer prevention knowledge instrument was translated into Korean, and the item analysis of the 22 items having an adequate content validity index (CVI), was conducted. A total of 240 registered nurses in 2 university hospitals completed the questionnaire. Each item was analyzed applying CTT and IRT according to 2-parameter logistic model. Response alternatives quality, item difficulty and item discrimination were evaluated. For testing validity and reliability, Pearson correlation coefficient and Kuder Richardson-20 (KR-20) were used. Results: Scale CVI was .90 (Item-CVI range= .75-1.00). The total correct answer rate for this study population was relatively low as 52.5%. The quality of response alternatives was found to be relatively good (range= .02-.83). The item difficulty of the questions ranged form .10 to .86 according to CTT and -12.19 to 29.92 according to the IRT. This instrument had 12-low, 2-medium and 8-high item difficulty applying IRT. The values for the item discrimination ranged .04-.57 applying CTT and .00-1.47 applying IRT. And overall internal consistency (KR-20) was .62 and stability (test-retest) was .82. Conclusion: The instrument had relatively weak construct validity, item discrimination according to the IRT. Therefore, the cautious usage of a Korean version of this instrument would be recommended for discrimination because there are so many attractive response alternatives and low internal consistency.