• 근관절건강학회지
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• 제26권3호
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• pp.270-280
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• 2019

Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

• 동서간호학연구지
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• 제10권1호
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• pp.95-105
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• 2004

This study was conducted to confirm the degree of self care and problems in patients with ostomy. The subjects were 80 patients with ostomy who were visiting to OPD in K University Medical Center and were members in the Ostomy Association of Korea. Data were collected from August, 2004 to September. The research tools were a self care measure for ostomy patient developed by Park (1996) and a problem measure for ostomy patient developed by Lee (1996). Data were analyzed by t-test, ANOVA, and Pearson's correlation. The results were as following: 1. Male (65.8%) and female (34.2%) had the ostomy in the most. Age was the most 61 years old and over. 68.5% of the subjects had managed the ostomy by themselves. 2. The mean score of self care in ostomy was 3.57 score. Hygiene of skin care around ostomy in the behavior of self care was the highest as mean 4.47 score. 3. The problems were as following: 1) expense 2) a decline on Activity of Daily Living 3) discomfort in travel 4) worry about ostomy 5) trouble of workplace 4. In the relationship between self care and religion there was significant difference in religion(t= 2.727, P=.008). 5. The relationship between self care and problem with ostomy was found to have statistically significant negative correlation(r= -.237, P=.041).

• 대한의료기공학회지
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• 제13권1호
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• pp.1-18
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• 2013

Objective : The objective of this study is to report the effectiveness of conservative treatment on simple pelvic fracture with ostomy. Methods : A female patient 65 years old with ostomy, who were diagnosed as simple pelvic fracture by X-ray, were treated with conservative treatment by herbal medication with acupuncture and physical therapy. We evaluated the effectiveness by checking X-ray, Digital Infrared Thermal Imaging(D.I.T.I.). Results : The symptoms of the patient got improved and X-ray showed the fracture were healing. Conclusions : Conservative korean medical treatment can be effectively used for a patient with simple pelvic fracture and ostomy.

• 종양간호연구
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• 제11권1호
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• pp.9-19
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• 2011

Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff's content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were "do not have any freedom to eat whatever I wish to eat", "uncontrolled defecation"tomy", "can not live with comfort", "easily take a pessimistic view", and "see how the wind blows in daily family life". Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.

• 가정간호학회지
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• 제10권2호
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• pp.141-147
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• 2003

The purpose of this study was to develop and apply a Web-based Nursing Education & Instruction Program to help the clinical nurses improving their knowledge and skills of ostomy care. This program was developed in three different steps: analysis. design. and development. The results of the study were as follows: The analysis step was designed to select the study contents for effective and easy educationthrough the analyses of specialized books. This surveyed and analyzed study contents were categorized into five different sections. Introduction. ostomy classification. ostomy management. elimination management. and life style. After that each section describes necessary information of each category. In the design step. the image files used in this program were created using Adobe Photoshop 6.0. and HTML files were designed and developed using Namo Editor 5.0. In the development step. the developed program was published into Web using FTP (File Transfer Protocol) and then finalized after trial operation for testing of real users. In addition. this Web-based Nursing Education & Instruction Program will be used as excellentand effective tool for continuous and lifelong education in nursingfield. In this study. computer-aided education program was developed for ostomy management and managed at the Web-Server (http://hshong.knu.ac.kr/ostomy) in order to help nurses real-time education in clinical field by this program.

• 한국보건간호학회지
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• 제21권1호
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• 임상간호연구
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• 제26권2호
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• pp.154-163
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• 2020

Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

• 한국간호교육학회지
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• 제18권3호
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• pp.533-541
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• 2012

Purpose: The purpose of this study was to identify variables influencing task performance of wound ostomy continence nurses (WOCN). Methods: Data were collected from 80 WOCN in Korea from September to October 2011 using a self-reported questionnaire. Variables consisted of task performance, empowerment, professional autonomy, job satisfaction and job-related variables. Data were analyzed by frequencies, t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: Professional autonomy was a major predictor of task performance of WOCN (F=37.37, p=<.001). Empowerment(F=33.10, p=.001) and completion of the professional education course for wound ostomy continence nursing WOCN(F=7.46, p=.008) were the other significant predictors of task performance. The regression model explained 45.3% of task performance. Conclusion: Professional autonomy, empowerment and completion of the professional education course contribute to task performance of WOCN. These findings have important implications for organizations hoping to achieve the maximum potential of WOCN's professional role. Therefore, strategies for reinforcement of professional autonomy, empowerment, and completion of professional education course are necessary for WOCN working in South Korea.

• 재활복지공학회논문지
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• 제10권1호
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• pp.19-27
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• 2016

피부장벽은 장루 용품의 중요한 구성 요소로, 장루 주머니를 지지하고 장루 주변의 피부를 보호한다. 피부장벽은 분비물 및 배출물로부터 주변 피부를 보호하고 땀을 흡수하거나 투과시켜 피부의 생리학적인 건강을 유지시켜준다. 피부장벽에 관한 용어는 ISO 24214에 의해 표준화 되어 있으나, 국내에는 이와 관련된 표준화가 이루어지 않은 상태이다. 본 논문에서는 장루용품에 관한 학술자료 및 상용화된 제품의 자료를 조사하고, 사용경험이 있는 간호사와 간호학과 교수들에게 설문 조사를 실시하였다. 본 논문에서는 ISO 24214:2006에 사용되는 용어들에 대한 한글 표준 용어를 제안하고자 한다.

• 대한간호학회지
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• 제41권6호
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• pp.814-820
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• 2011

Purpose: This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols. Methods: A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group. Results: In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group. Conclusion: SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.