• Title, Summary, Keyword: 중환자실

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The Relationship among Moral Sensitivity, Self-leadership, Fatigue and Compliance with Standard Precautions of Intensive Care Nurses (중환자실 간호사의 도덕적 민감성, 셀프리더십, 피로도와 표준주의지침 수행과의 관계)

  • Park, Ju Young;Woo, Chung Hee
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.229-237
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    • 2020
  • The study was done to identify relations among moral sensitivity, self-leadership, fatigue and compliance with standard precautions and to identify the influencing factors on compliance with standard precautions for intensive care nurses. Data were collected from 153 intensive care nurses in March 2019 and were analyzed using Descriptive statistics, Pearson correlation coefficients, and Stepwise multiple regression with SPSS/WIN 24.0 version. The compliance with standard precautions has positive correlation with their self-leadership (r=.17, p=.042). The self-leadership (β=.17, p=.042) was a significant predictor of the compliance with standard precautions. It was statistically significant (R2=.03, F=4.21, p=.042). Based on the findings of this study, each institution needs to make efforts to strengthen the capacity of nurses for self-leadership.

Emotional Response of ICU Patients' Family toward Physical Restraints (중환자실 환자의 억제대 적용에 대한 가족의 정서적 반응)

  • Kang, Jiyeon;Lee, Eun-Nam;Park, Eun Young;Lee, Youngock;Lee, Mi Mi
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.148-156
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    • 2013
  • Purpose: The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). Methods: The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". Results: The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. Conclusion: Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.

Survey of ICU Nurses' Knowledge of the Specific Moments of Hand Hygiene (일 대학병원 중환자실 간호사의 손 위생 수행 시점에 대한 지식 조사)

  • Jung, Eunha;Ha, Yikyung;Park, Namjeong;Kim, Hyun Hee
    • Journal of Korean Critical Care Nursing
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    • v.10 no.2
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    • pp.56-70
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    • 2017
  • Purpose: This study was conducted to identify ICU nurses' knowledge of the five moments of hand hygiene and the ambiguity of these moments when demonstrating hand hygiene. Methods: The subjects were 200 intensive care unit nurses at a university hospital. Data was collected using self-report questionnaires, translated according to the instructions of training films developed by WHO, and analyzed using descriptive statistics and ranking tests. Results: The highest number of correct answers was regarding the moment before contact with a patient and the lowest was regarding the moment after contact with a patient. The rate of providing wrong answers regarding required moments of hand hygiene was high. Conclusion: The study identified ICU nurses' knowledge of specific moments of hand hygiene; they had difficulty differentiating between the moments that happened simultaneously, i.e. after touching a patient, and that patient's surroundings, and there was ambiguity concerning patient areas and medical treatment areas. It was concluded that it is necessary to educate nurses regarding both required and unrequired moments of hand hygiene and to ensure that they can distinguish between these moments.

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Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach (중환자실 간호사의 연명치료환자 간호 경험: 현상학적 접근)

  • Lee, Su Jeong;Kim, Hye Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.2
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    • pp.172-183
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    • 2016
  • Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi's method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.

Intensive Care Unit Nurse's Knowledge and Nursing Performance on Intensive Care Unit Syndrome (중환자실 간호사의 중환자실 증후군에 대한 지식과 간호수행도)

  • Yang, Ya-Ki
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.240-249
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    • 2010
  • Purpose: This study was to investigate intensive care unit (ICU) nurse's knowledge and nursing performance on the intensive care unit syndrome. Method: A survey questionnaire was administered to a convenience sample of 123 nurses in a university hospital. Data were collected from August 1st to August 25th, 2009. Data were analyzed using SPSS/WIN 12.0. Results: The mean score for knowledge and nursing performance were66.96 and 74.97 respectively. According to the general characteristics, there were significant differences in knowledge depending on marital status, education level and career length and in nursing performance depending on their age, education level and career length. The correlation between knowledge and nursing performance was a significant positive one. Conclusion: Comprehensive educational programs are needed to decrease accident rates related to ICU syndrome and to improve the health of ICU patients.

Incidence and Procedure-Related Risk Factors of Delirium in Patients Admitted to an Intensive Care Unit (중환자실 입원 환자의 섬망 발생과 처치 관련 위험인자)

  • Ahn, Jee Seon;Oh, Jooyoung;Park, Jaesub;Kim, Jae-Jin;Park, Jin Young
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.35-41
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    • 2019
  • Objectives : Although delirium is a common complication among patients hospitalized in intensive care units(ICUs), little is known about the roles that diagnostic and therapeutic procedures play in its development. This study investigates the procedure-related risk factors of delirium in ICU patients. Methods : All the consecutive patients admitted to the ICU between June 2016 and May 2017 were routinely evaluated for delirium by psychiatrists. In total, 1156 patients met the inclusion criteria and were retrospectively analyzed. A multiple logistic regression analysis was conducted to investigate independent risk factors of delirium development while adjusting for other characteristics. Results : The age, Acute Physiology and Chronic Health Evaluation (APACHE II) score, proportion of patients who had undergone an operation, and proportion of patients who were foley catheterized, mechanically ventilated, and physically restrained were higher in the delirium group. The multiple logistic regression analysis confirmed that the use of restraint was an independent risk factor of delirium (odds ratio : 10.006 ; 95% confidence interval : 6.120-16.360 ; p<0.001). The patient factors independently associated with delirium were an advanced age and a higher APACHE II score. The incidence of delirium was 15.3%. Conclusions : There is a high prevalence of delirium influenced by potentially harmful procedures in patients in ICU settings. The use of physical restraint had the strongest association with the development of delirium. These findings advocate the need to target procedure-related risk factors such as the use of restraints as preventive intervention measures for ICU delirium.

Bronchoscopic Diagnosis in ICU Patient Accompanying Pneumonia (폐렴이 동반된 중환자실 환자에 대한 기관지내시경적 진단)

  • Chang, Jung Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.1
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    • pp.114-123
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    • 1997
  • Background : To assess the diagnostic role of bronchoscopic lavage for the evaluation of pneumonia in intensive care unit(ICU), the results were compared to blind endobronchial specimen. Method : From September 1993 to August 1996, twenty-eight ICU patients suspected pneumonia on the basis of clinical evidence and performed bronchoscopy under the diagnostic or therapeutic purpose were studied retrospectively for the clinical findings including culture of bronchoscopic and blind endobronchial specimen. Bronchoscopic specimen was got through small amount of bronchoalveolar lavage with 20-40ml saline, one or two times on the suspected site. Results : l. Main reasons of ICU admission were respiratory and impending respiratory failure Nosocomial pneumonia was most common with 16 cases; each for community acquired and immunocompromised type with 6 cases. Diagnostic purpose of bronchoscopy was performed in 20 cases as 71 percent in total, whereas therapeutic removal of secretion in 8 cases. The complication during bronchoscopic evaluation was trivial. 2. The agreement between blind endobronchial and bronchoscopic specimen on microbial culture was only 39.3 percent. However, 2 cases each for aspergillosis and tuberculosis were diagnosed under bronchoscopic evaluation. 3 The application of mechanical ventilation occured significantly frequently in multidrug resistant pneumonia compared with other pneumonia in terms of bronchoscopic specimen. 4. The application of mechanical ventilation was significantly common in nosocomial pneurmonia compared with other types of pneumonia. Conclusion : The selective bronchoalveolar lavage and therapeutic removal of bronchial secretion with bronchoscopy in ICU patient accompanying pneumonia is a very useful tool with safety. The multidrug resistant pneumonia or nosocomial pneumonia could be closely associated with the use of mechanical ventilation.

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Analysis of potential drug-drug interactions in the intensive care unit using healthcare claims database and drug information database (건강보험청구자료와 의약품정보데이터베이스를 이용한 중환자실 약물상호작용 분석)

  • Lee, Jisu;Lee, Jisu;Ohn, Ilsang;Kim, Yongdai
    • Journal of the Korean Data and Information Science Society
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    • v.29 no.6
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    • pp.1543-1553
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    • 2018
  • A drug-drug interaction occurs when two or more drugs interact with each other; this can clinically result in adverse drug events with changes in drug effects. This study aimed to analyze prevalence of polypharmacy and potential drug-drug interactions (pDDI) with opioid analgesics in geriatric patients in the intensive care unit using claims data. We used the aged patients' sample for 2016 and Micromedex as the drug information database in this analysis. Among 1,327,455 patients, we selected 20,050 patients who were prescribed opioids in the intensive care unit. Mean age was 76.4 years and median ICU stay was 3 days. Among the 20,050 patients, prevalence of coprescription was 91.1%; median number of drugs prescribed per patient was 3 (range, 0-25). The prevalence of pDDI between opioids and other drugs was 54.3%. Multiple logistic regression showed that pDDI was related to surgery, number of drugs prescribed, age, and admission through emergency room.

A Study of Intensive Care Unit Nurses' Understanding of the Meaning of Death, Death Anxiety, Death Concern and Respect for Life (중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 관한 연구)

  • Kang, Jeong Hwa;Han, Suk Jung
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.80-89
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    • 2013
  • Purpose: We investigated how intensive care unit (ICU) nurses understand the meaning of death, death anxiety, death concern and respect for life. Methods: From November 2009 through February 2010, a survey was conducted on 230 nurses working at the ICU of 10 general hospitals located in Seoul and Gyeonggi province. Participants were asked to answer a questionnaire consisted of 67 questions under four categories of the meaning of death, death anxiety, death concern and respect for life. Results: Participants scored 4.27 points on their understanding of the meaning of death, 4.43 on death anxiety, 4.12 on death concern and 4.18 on respect for life. Participants' meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' positive meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' negative meaning of death was negatively correlated with death anxiety and death concern and positively with respect for life. Participants' death anxiety was positively correlated with death concern and negatively with respect for life. Participants' death concern was negatively correlated with respect for life. Conclusion: Compared with nurses who served at ICU for a long time, nurses with less ICU experience scored lower on the meaning of death and respect for life, while they presented high anxiety and concern about death. A training course may help nurses develop their view on the meaning of death, which in turn would enhance their performance in caring dying patients.

Pain Reducing Effects of Dextrose-coated Pacifier on Venipuncture in Premature Infants (포도당 코팅 노리개 젖꼭지 제공이 미숙아의 정맥주사 시 통증 반응에 미치는 효과)

  • Seo, Jung-Suk;Kwon, In-Soo;Kim, Hee;Jung, Young-Ran;Jo, Sung-Jin;Hwang, Ju-Young;Kang, Hyun-Sun
    • Korean Parent-Child Health Journal
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    • v.13 no.2
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    • pp.78-85
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    • 2010
  • Purpose: The purpose of this study was to examine the pain reducing effects of the dextrose-coated pacifier on venipuncture in premature infants. Methods: The design of this study is a nonequivalent control group pretest-posttest design and a crossover trial. The analysed cases were 40 premature infants (20 in experimental group and 20 in control group) in neonatal intensive care unit of a University Hospital, Gyeongnam Province, Korea. The data were collected from April to October, 2009. The experimental treatment was carried out nursing 20% dextrose-coated pacifier on venipuncture for IV injection. The instruments were $O_2$ saturation and heart rate on pulse oxymeter monitor to measure physiologic pain responses, and NIPS to measure behavioral pain responses. Collected data were analyzed with $x_2$ test, t-test using SPSS program. Results: The effects of the 20% dextrose-coated pacifier were found in the physiologic (only heart rate) and behavioral pain response on venipuncture. Conclusion: These finding is suggested that the dextrose-coated pacifier could be an effective nursing intervention for reducing pain on venipuncture in premature infants.

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