• Title/Summary/Keyword: 욕창예방

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

  • Lee, Sook Ja;Park, Ok Kyoung;Park, Mi Yeon
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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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.

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

  • Min-jung Kim;Yong-Soon Shin
    • The Journal of Korea Robotics Society
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    • v.18 no.4
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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

  • Son, Ju-Seok
    • 건강소식
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    • v.35 no.12
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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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Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses (임상간호사의 욕창예방간호에 대한 태도와 수행도에 영향을 미치는 요인)

  • Park, Seungmi;Yang, Nam Young;Choi, Jeong Sil
    • Journal of muscle and joint health
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    • v.20 no.1
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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.

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

  • Kang, Hyunwook;Ko, Ji Woon
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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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.

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

  • Lee, Youngdae;Choi, Moonsoo;Kim, Changyoung;Chang, Changjun;Choi, Young;Eom, Giyeong
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.361-366
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    • 2019
  • Exchanging sheets for patients is one of the worst and one of the factors that makes the nursing environment difficult. Many beds with various functions for the patient have already been developed, but there is no device for automatically changing the sheets. In this study, we developed and tested the first automatic sheet changer for a medical bed and verified its performance. The developed automatic seat changer uses a torque limiter to properly adjust tension and exchange a dirty sheet and a new seat at the same time. The designed automatic sheet changer was experimentally confirmed to be properly operated and installed in a integrated multi-functional bed with bed sores prevention and automatic patient transfer functions.

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

  • Park, Sanghyun;Kim, Jinsul
    • Smart Media Journal
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    • v.4 no.2
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    • pp.17-25
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    • 2015
  • In this paper proposes an idea for using NFC(Near Field Communication) on smalt mobile devices, you can easily control the electric wheelchair system. In this system with previous researches controlled a power wheelchair in a mobile device using Bluetooth communication, the board communicates with the integrated control of the wheelchair. With smart mobile devices, the wheelchair control board integrating the signal generated by checking real time so that the user can easily monitor the state of the wheelchair. Users are using smalt mobile devices, the wheelchair can be controlled easily, and the setting at any time according to the state of the individual and can be used. HEX format control is directly in hardware, allowing analysis was read, the user settings are typically used to match cards which support NFC technology such as bus card for registration, storing the selected information and enable read and were applicable. By applying this system, wheelchairs oriented aids disabled and older people able to access to provide with stability.

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

  • Kang, Myung Ja;Kim, Myoung Soo
    • Journal of Korean Biological Nursing Science
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    • v.20 no.1
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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.