Quality Improvement in Health Care (한국의료질향상학회지)
- Volume 7 Issue 1
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- Pages.6-17
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- 2000
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- 1225-7613(pISSN)
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- 2288-078X(eISSN)
A Study of Perceived Discomfort of The Patients Under Local Anesthesia - Centering Around the Development of Measures -
국소마취 수술환자의 불편감에 관한 연구 - 도구개발을 중심으로 -
- Lee, Gyeong Sug (Operation Room, Masan Samsung General Hospital) ;
- Kim, Mi Ja (Operation Room, Masan Samsung General Hospital) ;
- Park, Sun Mi (Operation Room, Masan Samsung General Hospital) ;
- Paek, Sun Young (Operation Room, Masan Samsung General Hospital) ;
- Lee, Yang Sug (Operation Room, Masan Samsung General Hospital) ;
- Bae, Sang Do (College of Medicine, Sungkyunkwan University) ;
- Choi, Jung Hoon (College of Medicine, Sungkyunkwan University)
- 김경숙 (마산삼성병원 수술실) ;
- 김미자 (마산삼성병원 수술실) ;
- 박순미 (마산삼성병원 수술실) ;
- 백순영 (마산삼성병원 수술실) ;
- 이양숙 (마산삼성병원 수술실) ;
- 배상도 (성균관대학교 의과대학) ;
- 최정훈 (성균관대학교 의과대학)
- Published : 2000.05.31
Abstract
Background : This study was attempted to provide a basic information necessary for the development of measures evaluating perceived discomfort of the patients under local anesthesia and the developments of nursing intervention and nursing standard. Method : The study subjects were a convenience sample of 100 surgical patients under local anesthesia. The researcher visited the patients directly and explained the purpose of the study to them. Then they were asked to fill out questionnaires which were developed and structured by the researcher, under their prior permission. Out patient's data were collected at recovery room after operation. Results : Factor analysis on measures evaluating the patients under local anesthesia showed that the measures consisted of eight factors including "explanation", "humane treatment", "motion limitation", "pain", "no togetherness", "waiting", "the environment of operating room", and "unkindness". When analyzing each of the factors regarding their degree of contribution to perceived discomfort, it was found that "waiting" was highest in terms of the degree. According to general chara-cteristics of the sampled patients, the factor of "explanation" contributed to perceived discomfort more in male patients than female ones. Regarding parts of medical examination, the patients of otorhinolaryngology felt perceived discomfort most because of the factor of "pain". Conclusion : To relieve perceived discomfort the patients under local anesthesia require providing individually systematized nursing services which can reduce perceived discomfort according to each of the factors. In doing so, an unlimited attention and much effort should be given to realize CQI reaching the dimension of increase in comfort as well as decrease perceived discomfort.