• 제목/요약/키워드: the characteristics of unit care

검색결과 370건 처리시간 0.033초

Kangaroo mother care practices for low birthweight newborns in a district hospital in Indonesia

  • Choirunisa, Septyana;Adisasmita, Asri;Izati, Yulia Nur;Pratomo, Hadi;Iriani, Dewi
    • Child Health Nursing Research
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    • 제27권4호
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    • pp.354-364
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    • 2021
  • Purpose: Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital. Methods: Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted. Results: This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC. Conclusion: Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.

내과계 중환자의 비계획적 기관내관 발관과 계획적 기관내관 발관의 관련 특성 비교 (Comparison of Related Characteristics between Unplanned and Planned Extubation of Patients in Medical Intensive Unit)

  • 조효임;이영휘;김화순;심보윤
    • 성인간호학회지
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    • 제24권5호
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    • pp.509-519
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    • 2012
  • Purpose: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients. Methods: Data were collected from medical records of patients who received intubation in a medical intensive care unit. One hundred eighteen patient charts were selected for the study. The Patient Severity Classification Scale and unplanned extubation risk factors were examined. Data were analyzed with descriptive statistics, $x^2$-test, Fisher's exact test and Mann-Whitney U test. Results: The incidence of unplanned extubation was 11 (9.32%) out of 118 patients who had undergone intubation. There were statistically significant differences between the unplanned extubation and work shift ($x^2$=61.52, p=.001), ventilation mode (p=.001), number of days of ventilator application (U=366.00, p=.038) and administration of sedatives (p=.025). Conclusion: Unplanned extubation is affected by the following variables: a) whether a nurse is in night shift, b) whether ventilation is mandatory, c) duration of ventilation use and d) administration of sedatives.

수술전 간호정보 제공이 복부수술환자의 자가간호 수행에 미치는 영향 (A Study on the Effect of Preoperative Nursing Informations on the Self-Care in Abdominal Surgery Patients.)

  • 박덕순;권영숙;박청자
    • 기본간호학회지
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    • 제6권3호
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    • pp.583-596
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    • 1999
  • The purpose of this study was to examine the effect of self-care of abdominal surgery patients in surgical intensive care unit after offering preoperative nursing information. This study worked out nonequivalant control group post test only design as suspected experimental study. This subjects of the study were 45 patients, 23 in experimental group and 22 in control group. This study was carried at a university hospital in Taegu between January 12, 1999 and March 13, 1999. The experimental group was supplied with preoperative nursing information and the control group received routine care in ICU. The measuring tools of this study were assessment of the self-care role behavior. The data were analyzed by SPSS computer program, $x^2-test$ and t-test and ANOVA were utilized for testing the difference between the experimental and the control group. The hypothesis was examined by t-test. The result of this study are summarized as follows ; 1) The hypothesis, 'The experimental group will show a higher level of self-care than the control group' was accepted(t=-8.958, p=.000). 2) We could not find any meaningful relation about general characteristics and disease associated characteristics between the experimental and the control group. 3) The self-care behavior scores according to the general characteristics and disease associated characteristics show significant statistical difference by economics status (p=.033). 4) The rate of self-care behavior scores of each questionnaire are below average in the questions that request active activity to prevent postoperative complications From the result of this study, the self-care of the experimental group was higher than those of the control group, and the nursing information can be regarded as an effective nursing intervention for preoperative patients.

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중환자실 간호대상자의 설사발생 및 관련요인에 관한 연구 (Factors Related to Diarrhea in Intensive Care Unit Patients)

  • 정효지;권시내;김진숙;차은지;강윤희
    • 임상간호연구
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    • 제18권1호
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    • pp.149-158
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    • 2012
  • Purpose: The purpose of this study was to investigate incidence and factors related to diarrhea in an intensive care unit (ICU). Methods: Retrospective correlational design was used. Data were collected from reviewing medical records of 210 patients stayed at an ICU in one university hospital, Seoul. Patients were included in the study if they 1) had no gastrointestinal disorders or fecal incontinence before coming to the ICU, 2) stayed longer than 5 days at the ICU, 3) were not on stool softners, 4) were without abdominal surgery, and 5) were 20-year-old or older. Results: The incidence of diarrhea was 27.1%. Durations of ICU stay, antibiotics administration, and enteral feeding were found to be statistically significant factors correlated with diarrhea. The enteral feeding was the significant predictors of the diarrhea in ICU. Conclusion: Since characteristics of diarrhea in ICU patients is shown to be multifactorial, nursing strategies for evaluating and managing related factors are recommended.

일 종합전문요양기관 간호사의 핵심역량 도출 및 근무지 특성별 중요도 인식 비교 (Defining the Core Competencies of the Nurses in A Tertiary Hospital and Comparing Different Units based on Their Respective Characteristics)

  • 성영희;정정희
    • 간호행정학회지
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    • 제12권1호
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    • pp.76-93
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    • 2006
  • Purpose: The purpose of this study was to define the core components required of nurses to provide quality nursing care to patients and analyze the significance of these components in the hospital's various units to maintain a high level of competence among nurses. Method: The study evaluated 3 categories included 35 subcategories with 148 core components that were derived from literature review and interviews of nursing professionals. The nursing professional category included 18 subcategories with 98 components, the organizational culture category included 4 subcategories with 16 components, and the temperament-attitude category included 13 subcategories with 34 components. The study included 335 nurses with more than one year of hospital experience and measured disparities among different hospital units. The data was analyzed with SPSS-Win 10.0, differing perceptions of the importance of general traits among the participants were measured using standard deviation, and differing perceptions of the importance of professional traits among the participants were assessed using ANOVA and subsequently with the Bonferroni Test. The reliability of the aforementioned research tools were evaluated using the Cronbach's ${\alpha}$. Result: The results of the study were as follows: 1. Among the three categories, temperament-attitude category was perceived to be the most important, followed by nursing professional category and organizational culture category. Among the ten most important subcategories within the three categories, safety and infection prevention as well as responsibility were perceived to be the most important, followed by promotion of physiologic adaptation, document management and presentation, self-control, ethics, observance law, coping with emergency, humanity, and medication. 2. The relative importance of category associated with the core competencies within the hospital unit were as follows : 1) The units that rated nursing professional category as being the most significant were: internal medicine, surgical unit, mother-child unit, emergency room, intensive care unit, and operating room, in that order. 2) The units that rated the organizational culture competencies as being the most significant were: mother-child unit, internal medicine, surgical unit, emergency room, operating room, and intensive care unit, in that order. 3) The units that rated temperament-attitude category as being the most significant were: internal medicine, surgical unit, emergency room, mother-child unit, operating room, and intensive care unit, in that order.

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간호인력의 배치에 영향을 미치는 간호사의 간호행위 인지정도에 관한 연구 (A Study on the perception Level of Nursing Activities of Staffing the Nursing Unit)

  • 박청자;이경희
    • 기본간호학회지
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    • 제1권2호
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    • pp.193-205
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    • 1994
  • The Study was carried out for the purpose of investigating the degree of perception in nursing activities. The data of this study were collected by self-reported questionnaire composed of 5 point rating scale measure the ideal level and the performance level of nurses activity. For the analysis of the data, percentage, MANOVA and ANOVA were 231 nurses in 3 general hospitals in Taegu. Data was administrated from October 4 through 14, 1994. The results were as follow : 1. The average mean score for the ideal level was 4.19 with a maximum possible score 5points. The highest mean score was Infection Controll and the lowest mean score was nutrition The average mean score for the performance level was 3.75, the highest mean score was fluid and electrolyte, the lowest mean score was nutrition. In the desirable nursing pergormance, Education was found the highest response above charge nurse, Medication was found the highest response above General nurse, environment was found the highest response above aide. 2. In the analysis of the relationship between the ideal level and th performance level, significant defference was found in age, position, career, marital status, occupation satisfaction, Nursing unit, parent. 3. In the analysis of the relationship between the ideal level and the performance level and the general characteristics, significant difference was found in marital status in the ideal level of direct nursing care, significant difference was found in age, position, marital status, nursing unit in the ideal level of indirect nursing care, significant difference was found in age, position, career, marital status, occupation satisfaction, nursing unit in the performance level of direct nursing care. significant difference was found in age (25-29) and above 30 career(4-7 and 7), occupation satisfaction(good and moderate, good and poor) in scheffe test of the performance level of direct nursing care.

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The Effect of Systematic Approach to Tracheostomy Care in Patients Transferred from the Surgical Intensive Care Unit to General Ward

  • Jung, Yooun-joong;Kim, Younghwan;Kyoung, Kyuhyouck;Keum, Minae;Kim, Taehyun;Ma, Dae seong;Hong, Suk-Kyung
    • Acute and Critical Care
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    • 제33권4호
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    • pp.252-259
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    • 2018
  • Background: The aim of this study was to investigate the effects of using a systematic approach to tracheostomy care by a clinical nurse specialist and surgical intensivists for patients with a tracheostomy who were transferred from the surgical intensive care unit (SICU) to the general ward. Methods: In this retrospective study, subjects were limited to SICU patients with a tracheostomy who were transferred to the general ward. The study period was divided into a preintervention period (January 1, 2007 to December 31, 2010) and a postintervention period (January 1, 2011 to December 31, 2014), and electronic medical records were used to analyze and compare patient characteristics, clinical outcomes, and readmission to the SICU. Results: The analysis included 44 patients in the preintervention group and 96 patients in the postintervention group. Decannulation time ($26.7{\pm}25.1$ vs. $12.1{\pm}16.0days$, P=0.003), length of stay in the general ward ($70.6{\pm}89.1$ vs. $40.5{\pm}42.2days$, P=0.008), length of total hospital stay ($107.5{\pm}95.6$ vs. $74.7{\pm}51.2days$, P=0.009), and readmission rate of SICU decreased due to T-cannula occlusion (58.8% vs. 5.9%, P=0.010). Conclusions: Using a systematic approach to tracheostomy care in the general ward led to reduction in decannulation time through professional management, which resulted in a shorter hospital stay. It also lowered SICU readmission by solving problems related to direct T-cannula.

일반병동, 포괄간호서비스병동, 안심병동 간호사의 직무만족도, 업무스트레스, 이직의도 비교연구 (Comparative Study for the Clinical Nurses' Work Satisfaction, Job Stress and Turnover Intention - in General ward, Comprehensive nursing care service ward, and Anshim unit)

  • 이남숙;고명숙
    • 한국산학기술학회논문지
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    • 제16권1호
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    • pp.516-526
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    • 2015
  • 본 연구는 시범사업중에 있는 포괄간호서비스병동, 안심병동 간호사의 직무만족도, 업무스트레스, 이직의도를 파악하고 이를 일반병동간호사와 비교하여 이 제도의 향후 방안을 모색하는 정책에 기초자료를 제공하고자 시도되었다. 연구대상은 2013년도 위의 병동을 시범운영하고 있는 서울의 병원 2곳과 경기지역 병원 1곳의 간호사였다. 연구결과는 다음과 같다. 직무만족도, 업무스트레스 및 이직의도는 일반병동, 포괄간호서비스병동, 안심병동 간호사 간의 유의한 차이는 없었다. 일반적 특성에 따른 직무만족도의 차이는 포괄간호서비스병동의 연령에서, 최종학력은 일반병동에서, 현 부서근무기간은 안심병동에서만 차이가 있었다. 현재근무병동만족도는 세 유형 모두 유의한 차이를 보였다. 업무스트레스는 일반병동에서 최종학력이 차이가 있었고 이직의도의 경우 일반병동에서 연령군 및 현직위에 따른 차이를 보였다. 총근무기간과 현재 근무병동만족도에 따른 차이에서는 세 병동 모두에서 유의한 차이가 있었다.

가족 구성에 따른 호스피스 완화의료 말기암환자의 특성 (The Characteristics of Terminally Ill Cancer Patients in Hospice and Palliative Care according to Family Composition)

  • 박상미;황선욱;한경도
    • Journal of Hospice and Palliative Care
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    • 제21권4호
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    • pp.137-143
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    • 2018
  • 목적: 가족구성의 특성이 건강에 미치는 영향에 관한 다양한 실증 연구들이 꾸준히 보고되어 왔다. 우리나라에 말기암환자의 가족구성의 특성에 대한 연구가 부족하여 이에 본 연구에서는 호스피스 병동에 입원하고, 사망한 말기암환자의 가족구성의 특징을 파악하고 호스피스 완화의료 이용과의 연관성에 대해 알아보고자 하였다. 방법: 2009년 1월부터 2014년 3월까지 일개 호스피스 병동에 입원 후 48시간 후 사망한 말기암환자의 134명의 의무기록을 후향적으로 분석하였다. 환자들의 인구사회학적 및 임상적인 특성을 확인하여 동거배우자 유무에 따른 차이를 살펴보았으며, 암 진단 후 호스피스 입원까지 기간(개월) 및 입원 후 사망까지의 생존기간(일)을 산출하여 가족구성과의 연관성을 알아보았다. 결과: 암 진단 후 호스피스 입원까지 기간의 중앙값 13개월을 기준으로 나눈 Group B(13개월 이후)에서 배우자 동거군의 비율이 통계적으로 유의하게 높았다(P<0.01). 주의사결정권자는 Group A에서는 자녀인 경우가 59.0%, B에서는 배우자가 52.9%로 많았다(P=0.04). 호스피스 입원 후 사망까지 기간의 중앙값 20일을 기준으로 Group 1(20일 미만)과 Group 2(20일 이상)로 나누어 살펴보았을 때 두 군 간의 가족구성의 특징은 통계적으로 유의한 차이가 없었다. 결론: 가족구성의 특성 중 배우자의 유무가 말기암환자의 호스피스 완화의료 이용 시기에 영향을 미치는 요인으로 나타났으며, 말기암 환자와 가족의 보다 더 효율적이고 적절한 호스피스 완화의료 이용을 위해 가족 구성의 특성을 파악하는 것이 도움이 될 수 있다.

중환자실 조기 재입실 관련 위험요인 (The Risk Factors Related to Early Readmission to the Intensive Care Unit.)

  • 장진녕;이윤미;박효진;이현주
    • 중환자간호학회지
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    • 제12권1호
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    • pp.36-45
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    • 2019
  • Purpose : The purpose of this study was to identify status and characteristics of patients who have been readmitted to ICU, and to analyze risk factors associated with the readmission to ICU within 48hours. Method: Data were collected from patient's electronic medical reports from one hospital in B city. Participants were 2,937 patients aged 18 years old or older admitted to the ICU. Data were analyzed using odd ratios (ORs) from multivariate logistic regressions. Results: 2.2% of the 2,937 patients were early readmitted to ICU. Risk factors for early readmission to ICU were existence of respiratory disease, use of mechanical ventilator, and duration of hospitalization (longer). Conclusion: The assessment on the respiratory system of the patient who will be discharged from the ICU was identified as an important nursing activity. Therefore, the respiratory system management and education should be actively conducted. In addition, early ICU readmission may be prevented and decreased if a link was built to share the information on patient condition between the ICU and general wards.