• 제목/요약/키워드: nursing intervention

검색결과 4,706건 처리시간 0.032초

의학진단과 연계된 간호진단 및 중재 프로그램 개발 (Development of Computerized Program for Nursing diagnosis and Intervention linked to Medical Diagnosis)

  • 박성애;이혜자;박성희
    • 간호행정학회지
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    • 제8권2호
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    • pp.239-248
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    • 2002
  • Purpose: The actual nursing processes have been performed by individual nurses' judgment without any supporting programs in Korea. It is not easy for novice nurses to make accurate diagnoses and provide proper nursing interventions to patients. Therefore, we propose a computerized program for nursing diagnosis and intervention linked to medical diagnosis. Method: For the program, we have linked standardized nursing diagnosis and intervention classifications with medical diagnosis. It is premised that the program is connected to order communication system(OCS) in hospitals. Result: We provide a nursing information system with standardized database for nursing diagnosis and interventions so that nurses can make more accurate diagnosis and perform more adequate interventions. Conclusion: It is expected that the program will help the nurses perform their nursing processes more efficiently. And we expect the system can be used in many hospitals efficiently in the future after pilot operations are completed in some hospitals.

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보건소 간호사의 간호중재 분석 - 간호중재분류[NIC]의 적용 - (Analysis of the Nursing Interventions Performed by Public Health Nurses in Health Centers Using the NIC)

  • 김숙영;진영란;오복창;박은준;윤순녕;이인숙
    • 대한간호학회지
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    • 제36권2호
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    • pp.217-226
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    • 2006
  • Purpose: The purpose of this study was to identify nursing interventions performed by public health nurses in health centers. Method: Data was collected by the taxonomy of Nursing Intervention Classification(NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics. Result: As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was 'activity and exercise management', followed by 'physical comfort promotion', 'community health promotion', 'life span care', 'coping assistance', 'Self care facilitation', 'information management', 'nutrition support', 'community risk management' and 'patient education'. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain. Conclusion: In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.

영화기반 간호중재 프로그램이 뇌졸중 환자의 재활동기와 우울에 미치는 효과 (The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients)

  • 권혜경;이숙자
    • 대한간호학회지
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    • 제47권3호
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    • pp.345-356
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    • 2017
  • Purpose: The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. Methods: The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. Results: After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001. Conclusion: The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.

뇌졸중 환자의 가정간호중재 프로토콜 개발 (Study on the Development of Home Care Nursing Intervention Protocol for Stroke Patients)

  • 유지수
    • 기본간호학회지
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    • 제7권1호
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    • pp.122-136
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    • 2000
  • Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

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인지적 중재가 자궁적출술을 받는 여성의 자궁에 대한 통념(myths)과 불안에 미치는 효과 (Effects of Cognitive Intervention on Myths about Uterus and Anxiety in Women Undergoing a Hysterectomy)

  • 오진아
    • 여성건강간호학회지
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    • 제13권1호
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    • pp.5-12
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of cognitive intervention on myths about the uterus and anxiety in women undergoing a hysterectomy. Method: Subjects were admitted to G hospital in Busan for a hysterectomy. Of the subjects, 37 were in the experimental group and 36 were in the control group. Data was collected from December 1st, 2005 to February 28th, 2006. A hand-out, including knowledge about the uterus and the healing process, was used in the cognitive intervention. The tool for myths about the uterus had 10 questions developed by a researcher from previous research. In addition, the levels of anxiety(STAI) were measured. The data was analyzed by $x^2$-test, t-test, paired t-test, and pearson correlation coefficient with the SPSS 12.0/pc program. Results: After providing cognitive intervention, the level of belief in the myths about the uterus of the experimental group decreased significantly more than the control group. In addition, the level of anxiety of the experimental group decreased significantly more than the control group. There is a significant correlation between the myth about the uterus and anxiety. Conclusion: Cognitive intervention is a useful nursing intervention that decreases anxiety in women undergoing a hysterectomy. It is recommended to further use the appropriate cognitive intervention in nursing practice.

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간호분야와 비간호분야의 운동관련 연구동향 분석 (An Analysis of Trends in Exercise-Related Studies in Nursing and Non-Nursing Fields in Korea)

  • 유지수;박지원;함옥경;강세원;최은진
    • 기본간호학회지
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    • 제12권3호
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    • pp.325-336
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    • 2005
  • Purpose: This study was done to analyze the trends in excercise-related research in nursing and non nursing research studies published in Korea. Method: Two hundred and ten research studies published in Korea between January, 1990 and December, 2002 were analyzed according to the criteria of methological characteristics, pattern of excercise-related program, and measurement index of exercise effect. Results: There were twice many papers from nursing compared to other fields, and many experimental studies in nursing were done with more variety than in non nursing fields. Aspects of exercise pattern, such as excercise type. duration, and frequency, exercise-intervention pattern, and applying theory were especially included. When patterns of excercise therapy and index of exercise effect were analyzed, each researcher used their own unique excercise contents and intervention patterns(excercise time per week, exercise duration at each time period, excercise, intervention time, and etc). Conclusion: For the importance of exercise therapy to health improvement and the proper suggestion of exercise therapy on the basis of this research, meta-analysis of exercise effect are needed, and with this analysis, intervention patterns of exercise, development of standard exercise therapy, and identification of exercise effects are required.

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전인적 지지간호중재가 두경부암 수술환자의 절망감, 자아존중감 및 자아개념에 미치는 효과 (Effect of Supportive Nursing Intervention on Hopelessness, Self-Esteem, Self-Concept of Operative Patient with Head and Neck Cancer)

  • 석정희;강은실;최화숙
    • Journal of Hospice and Palliative Care
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    • 제7권2호
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    • pp.189-199
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    • 2004
  • 목적: 본 연구는 전인적 지지간호중재가 수술한 두경부암 환자의 절망감, 자아존중감, 자아개념에 미치는 효과를 규명하기 위한 비동등성 대조군 전 후 시차 유사실험 설계연구이다. 방법: 연구대상은 P시에 소재한 K 대학교 부속 병원에서 두경부암으로 진단 후 수술을 받은 입원환자로써 대조군 20명, 실험군 20명으로 총 40명이었다. 자료수집 기간은 대조군이 1999년 12월 1일부터 2000년 2월 19일까지였고, 실험군은 2000년 2월 17일부터 4월 11일까지였다. 연구도구는 실험도구로서 전인적 지지간호중재 protocol은 연구자가 문헌고찰을 중심으로 전문가의 도움을 받아 제작한 것으로 신체적, 정서적, 정보적, 영적중재로 구성되어 있다. 측정도구는 절망감을 측정하기 위해 Beck(1974)의 절망감 측정도구를[15]이 번역한 척도를 사용하였다. 자아존중감에 대한 측정도구는 [29]가 개발하고 [41]가 번역한 도구를, 자아개념에 대한 측정도구는 [20] 등이 사용한 것을 [21]이 수정보완한 도구를 사용하였다. 자료처리는 SPSS/PC 9.0 프로그램을 이용하여 실수, 백분율, 평균, 평균평점, 표준편차, $x^2-test$, t-test로 분석하였다. 결과: 본 연구의 결과는 아래와 같았다. 1. 제 1가설 '전인적 지지간호중재를 받은 실험군은 받지 않은 대조군보다 절망감 정도가 낮을 것이다' 는 지지되었다(t=4.550, P=.000). 2. 제 2가설 '전인적 지지간호중재를 받은 실험군은 받지 않은 대조군보다 자아존중감 정도가 높을 것이다' 는 지지되었다(t=-6.442, P=.000). 3. 제 3가설 '전인적 지지간호중재를 받은 실험군은 받지 않은 대조군보다 자아개념 정도가 높을 것이다'는 지지되었다(t=-6.065, P=.000) 결론: 전인적 지지간호중재는 두경부암 수술환자의 절망감 감소와 자아존중감, 자아개념의 증진시키는데 효과가 있으므로, 두경부암 환자의 삶의 질을 위해 임상실무에 전인적 지지간호중재 프로토콜을 적용할 필요가 있으리라 사료된다.

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Prenatal nursing intervention studies published in Korean nursing journals: a scoping review

  • Kim, Seo Yun;Kim, Hae Won
    • 여성건강간호학회지
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    • 제26권2호
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    • pp.109-119
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    • 2020
  • The purpose of this study was to describe prenatal nursing intervention studies on pregnant women and their families published in Korean nursing journals to identify research trends and to analyze the characteristics of intervention studies. This scoping review was conducted using Arksey and O'Malley's framework. We identified a research question and searched six domestic electronic databases for relevant articles. Forty-five references that met the inclusion and exclusion criteria were finally selected. We extracted the data using an analytic framework, and then collated and summarized the characteristics of the intervention studies. The most frequently used research designs were non-randomized controlled trials (91.1%), and only a few studies applied a specific theoretical framework (24.4%). The participants were mainly pregnant women only (64.4%) during the third trimester (35.6%) of pregnancy. Prenatal education was the most common type of intervention (48.9%), followed by complementary therapy (37.8%) and psychosocial support programs (13.3%). The most commonly used outcome variables were drawn from the psychological domain (44.5%), although distinct types of outcome variables-especially from the psychological and physical domains-were used to measure the effectiveness of different types of prenatal interventions. This review suggests that further prenatal nursing intervention studies in Korea should expand the study participants to include pregnant women's family members, high-risk and vulnerable groups, and women throughout entire pregnancy. Furthermore, it is necessary to develop integrative prenatal nursing interventions that promote family support and participation by facilitating partnerships among women, families, and nurses before, during, and after pregnancy.

Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study

  • Khatun, Fahima;Lee, Tae Wha;Lee, Hye Jung;Park, Jeongok;Song, Ju Eun;Kim, Sue
    • 여성건강간호학회지
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    • 제27권3호
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    • pp.196-208
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    • 2021
  • Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

간호대학생을 위한 휴머니튜드 케어 교육 프로그램 개발 및 효과 (Development and Evaluation of Humanitude Care Education Program for Nursing Students)

  • 정하림;최희정
    • 근관절건강학회지
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    • 제30권1호
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    • pp.1-14
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    • 2023
  • Purpose: This study aimed to develop Humanitude care educational program and validate its effects with a sample of third-year nursing students, thereby providing fundamental data for the application of the program to the education of gerontological nursing. Methods: Humanitude care comprised four strategies and five steps for the elderly. In this study, the Humanitude care educational program for nursing students was developed according to ADDIE process. And then, a non-randomized control group pretest-posttest design was adopted to identify the effects of the Humanitude care educational program. The intervention group with 22 third-year nursing students completed the Humanitude care educational program and then participated in clinical practice for 3 weeks. The 25 third-year nursing students in the comparison group participated in clinical practice without taking educational intervention. Differences between the intervention group and control group on Humanitude care knowledge, attitude toward the elderly, patient-centered communication, and care efficacy were analyzed with t-tests. Results: After completing the Humanitude care education, the intervention group showed significantly high scores in Humanitude care knowledge (t=8.82, p<.001), patient-centered communication (t=2.54, p=.015), and care efficacy (t=2.14, p=.040) than the control group. However, after finishing clinical practice, there were no significant differences in all variables between the intervention and control groups. Conclusion: Humanitude care educational program can be adopted as an effective intervention in Humanitude care knowledge, patient-centered communication, and care efficacy of nursing students. However, to continue the educational effect, instructors should facilitate nursing students applying Humanicide care in clinical practice. Ultimately, it can propose a novel educational direction that can be applied to human-centered care in gerontological nursing practice.