• Title, Summary, Keyword: 중환자실

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Patient Severity Classification in a Medical ICU using APACHE Ⅲ and Patient Severity Classification Tool (APACHE Ⅲ를 이용한 중환자 분류도구의 타당도 검증)

  • Lee, Gyeong-Ok;Sin, Hyeon-Ju;Park, Hyeon-Ae;Jeong, Hyeon-Myeong;Lee, Mi-Hye;Choe, Eun-Ha;Lee, Jeong-Mi;Kim, Yu-Ja;Sim, Yun-Gyeong;Park, Gwi-Ju
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1243-1253
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    • 2000
  • The purpose of this study was to verify the validity of the Patient Severity Classification Tool by examining the correlations between the APACHE Ⅲ and the Patient Severity Classification Tool and to propose admission criteria to the ICU. The instruments used for this study were the APACHE Ⅲ developed by Knaus and the Patient Severity Classification Tool developed by Korean Clinical Nurses Association. Data was collected from the 156 Medical ICU patients during their first 24 hours of admission at the Seoul National University Hospital by three trained Medical ICU nurses from April 20 to August 31 1999. Data were analyzed using the frequency, $x^2$, Wilcoxon rank sum test, and Spearman rho. There was statistically significant correlations between the scores of the APACHE III and the Patient Severity Classification Tool. Mortality rate was increased as patients classification of severity in both the APACHE III and the Patient Severity Classification Tool scored higher. The Patient Severity Classification Tool was proved to be a valid and reliable tool, and a useful tool as one of the severity predicting factors, ICU admission criteria, information sharing between ICUs, quality evaluations of ICUs, and ICU nurse staffing.

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

  • Chung, Hyo Ji;Kwon, Shi Nae;Kim, Jin Sook;Cha, Eun Ji;Kang, Youn Hee
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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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.

Knowledge, Confidence, and Learning Needs Regarding Advance Directives among Hospital Nurses (상급종합병원 간호사의 사전연명의료의향서에 대한 지식, 자신감 및 교육요구도)

  • Jang, Nan-Soon;Park, Hae-Sook;Kim, Mi-Ra;Lee, Joo-Yeon;Cho, Yeo-Won;Kim, Kyoung-Mi;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.35-45
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    • 2018
  • Purpose : Nurses' knowledge regarding advance directives may affect their administration of and confidence towards end of life care. This study aimed to describe the relationships of knowledge, confidence, and learning needs with advance directives among hospital nurses. Method : This cross-sectional study was performed at a tertiary university hospital in Seoul between September 25 and October 14, 2017. Convenience sampling was used to recruit nurses who provided bedside care and had at least 1 year of clinical experience. We used a validated self-report questionnaire. Results : The mean score of knowledge, confidence and learning needs were $5.00{\pm}1.73$, $29.81{\pm}7.52$, and $64.54{\pm}8.48$ respectively. Hospital nurses' knowledge, confidence and learning needs were significantly different according to age, job position, educational level and perceived advance directives. Knowledge regarding advance directives was significantly associated with confidence (r = .27, p < .001) and learning needs (r = .16, p = .005). Conclusion : Knowledge regarding advance directives was relatively low compared to the findings of previous studies. Therefore, nurses should be knowledgeable and encouraged to initiate advance directives. It is necessary to develop a standardized educational program regarding advance directives based on Korean cultures.

Comparison of Oral Hygiene Effects between 0.1% Chlorhexidine and Normal Saline on the Incidence of Oral Pathogens (0.1% 클로르헥시딘을 이용한 구강간호와 생리식염수를 이용한 구강간호의 구강내 병원균 발생빈도 비교)

  • Lee, Eun-Nam;Park, Hee-Sook;Kim, Soo-Mi;Park, Mi-Ja;Lee, Young-Jin;Jang, Mi-Ra;An, Hyang-Nam;Ju, Hyeon-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.351-358
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    • 2006
  • Purpose: The purpose of this study was to compare the effects of oral hygiene with 0.1% chlorhexidine or with normal saline on the incidence of pathogens in the oral cavity of patients in Intensive Care Units (ICU). Method: A quasi experimental design with non-equivalent control group and non-synchronized design was used. For the study 46 patients were recruited from a university hospital (24 for the experimental group, 22 for the control group). patients in the experimental group received mouth care with 0.1% chlorhexidine gluconate and those in the control group received mouth care with normal saline twice a day for 7 days in a row. Oral samples were taken for bacterial cultures on admission day, the 4th day and the 7th day for both groups. Results: The incidence of oral pathogens decreased in the experimental group, and increased in the control group. There was no significant difference in the incidence of oral pathogens between the two groups. However oral hygiene using 0.1% chlorhexidine gluconate decreased the incidence of oral pathogens significantly for patients who already had pathogenic bacteria in their mouths on the admission day. Conclusion: The results suggest that mouth care with 0.1% chlorhexidine is effective for decreasing the incidence of oral infection for ICU patients who have oral infections.

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The Effects of Aroma Inhalation Therapy on Stress, Anxiety and Depression in Coronary Care Unit Patients (아로마 흡입요법이 심장내과 중환자실 환자의 스트레스, 불안 및 우울에 미치는 효과)

  • Lim, Su Young;Park, Hyojung
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.1-10
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    • 2016
  • The purpose of this study was to examine the effect of aroma inhalation on stress, anxiety and depression in coronary care unit patients. The study was a nonequivalent control group non-synchronized design. Participants were thirty patients for the experimental group, and thirty-three patients for the control group. The instruments were VAS, the equipment, developed by Spielberger(1972) and adapted by Kim & Shin(1978), Beck Depression Inventory-II(BDI-II). Data were collected from 25 February, 2015 to 8 May, 2015. The data were analyzed number and percentage, $x^2$-test, t-test, paired t-test. There were no statistically significant effects of aroma inhalation treatment for patients in coronary care unit on the stress, anxiety, and depression. Therefore, it is required follow-up studies that it is tried in a variety of ways for reducing the stress, anxiety, and depression in coronary care unit patients,

Burden and Needs of the Family Members of the Intensive Care Unit Patients (중환자실 입원환자 가족의 부담감과 요구도)

  • Lee, Ji-Won;Lim, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.421-429
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    • 2014
  • This study set out to investigate the burden and needs of family members of ICU(Intensive Care Unit) patients facing a crisis situation of a family member being hospitalized in ICU and check their connections. Data were collected from May to October 2013. The subjects include 93 main family caregivers of patients hospitalized in ICU at four general hospitals in the B area for three days or longer. Collected data were put to t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficient analysis with the SPSS WIN 20.0 program. As a result, the family members of ICU patients scored mean 3.56 points(out of five) on burden and mean 3.58 points(out of four) on needs, recording a moderate or higher level in both the areas. There was significant difference(F=3.463, p=.036) in burden according to the general characteristics with the number of days in the hospital. There was significant positive correlation(r=.332, p<.001) between their burden and needs. Those findings indicate that an active nursing intervention to reduce the burden of the families of ICU patients in a crisis situation and check their needs will be able to mitigate the family crisis and further have positive influences on the recovery of ICU patients.

Factors Influencing on Burden of Family Members of Intensive Care Patients : Planned Transfer to General Ward after Intensive Care (일반병동 전실예정의 중환자실 환자 가족의 부담감 영향 요인)

  • Lee, Hea-Suk;You, Mi-Ae;Lee, Soo-Kyoung;Son, Youn-Jung
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.211-223
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    • 2014
  • The aim of this study was to identify the levels of family members' burden and to describe factors influencing on famiCX*//8ly caregiver's burden when they are planned to transfer to general ward from the intensive care units (ICU). A descriptive survey was used with a convenience sampling of 101 family members of ICU patients at S university hospital in C city, Korea from August to November, 2010. The data were analyzed with SPSS 18.0 program. The level of object burden in family members had statistically significant differences with level of consciousness, number of patients' monitoring devices, and tracheostomy tube. The level of subject burden had statistically significant differences according to patients' gender, patients' education level, and relationship with patients. Transfer anxiety was showed statistically positive correlation with objective and subjective burden. We found transfer anxiety was statistically significant predictor of family caregiver's objective burden with explanatory power 12.7%. Family members' subjective burden were statistically influenced by patients' gender and transfer anxiety. These factors explained 23.8% out of total variance of family members' objective burden. The structured individualized method of transfer is recommended with further research of ICU families to further examine the dimension of transfer anxiety and how it affects family members' burden and patient outcomes.

ICU Nurses' Work Experience for Attempted Suicide Patient by Drug Ingestion: A Focus Group Study (일 대학병원 중환자실 간호사의 음독자살시도 환자 간호 경험: 포커스 그룹 연구)

  • Kim, Mi Ok;Cho, Heung Don;Bong, Eun Kyung;Son, Youn-Jung;Park, Young-Su
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.11-20
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    • 2013
  • Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.

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Experience of Patients and Families about Flexible Visiting (중환자실 환자와 가족의 자율면회 경험)

  • Dan, So-Young;Park, Sook-Hyun;Lee, Seul;Park, Hye-Yeon;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.10 no.1
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    • pp.51-62
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    • 2017
  • Purpose: This study aimed to understand the essence of experiences of patients and family members during flexible visiting in an intensive care unit (ICU). Methods: This is a qualitative study using interviews with open ended questions. We used Colaizzi's method of phenomenological interpretation. Results: Flexible visiting in the ICU impacted the patients and their families in various ways. The following categories were extracted from the patients' experiences with flexible visiting: 1) the opportunity to feel the presence of the family and 2) the burden of unrestricted visiting. The following categories were extracted from the families' experiences with flexible visiting: 1) psychological comfort by convenience 2) being aware of health care professionals and critical care nursing in the intensive care unit, and 3) double trouble. Conclusions: These results showed that flexible visiting in the ICU affected the patients and their families positively and negatively. Therefore, nursing staff need to design psychological and social interventions that address the needs of patients and their families.

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Development of evidence-based protocol to maintain high humidity of incubator in Extremely Low Birth Weight Infant (초극소 저출생체중아의 고농도 가습환경 유지를 위한 근거중심 프로토콜 개발)

  • Yu, Mi;Choi, Yun-Jin;Han, Li-La;Yun, Young-Mi;Bae, Geun-Ha;Lee, Ji-Eun;Park, Ji-Seon;Park, Ui
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.5-17
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    • 2009
  • Purpose: The purpose of this study was to investigate the current humidification state of incubator, the factors disturbing high humidification and to establish the evidence-based nursing protocol to maintain it. Methods: The subjects were 15 infants who were born with extremely low birth weight (ELBW) from May to October, 2007, and data were collected during the first 3 days and analyzed with SPSS WIN program. Results: The goal of humidity level in incubator was 95%, but mean humidity levels were 89.7%(1st day), 91.9%(2nd day), and 91.8%(3rd day)(p<0.001). The disturbing factors were opening frequency and duration of incubator door and window by caregivers. The handling of infants by nurses and doctors happened more frequently during the first day. Especially, nurses handled them more often than others, but the duration of opening during the invasive procedures by doctors was longer than others. The opening frequency had negative correlation with duration(r=-.779, p<.01). Conclusion: So the evidence-based protocol for maintaining high humidity in incubator for ELBW infants during the first 3 days and next 2 days was made. Furthermore we need to educate NICU nurses and doctors about minimal handling.

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