Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Importance-Performance Analysis about Early Mobilization after Abdominal Surgery Patients in Surgical Ward Nurses

복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도-수행도 분석

  • Kim, Bo Eun (Department of Nursing, Asan Medical Center) ;
  • Choi, Hye-Ran (Department of Clinical Nursing, University of Ulsan)
  • Received : 2021.09.08
  • Accepted : 2021.12.20
  • Published : 2021.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was aimed to identify surgical ward nurses' importance-performance awareness toward early mobilization after abdominal surgery patients. The date were collected from 162 nurses and the importance and performance of early mobilization were analyzed by the IPA method. The collected data were analyzed using the SPSS/WIN 25.0 by implementing descriptive statistics, independent t-test, paired t-test, and ANOVA. Early mobilization was divided into exercise of pulmonary complications and early ambulation. As a result of the study, the areas requiring concentration were 'check risk of aspiration', and areas requiring improvement were 'oral care', 'check lung sound', 'percussion/vibration', 'suction', and 'reinforcement exercise in bed'. Therefore, each item of early mobilization is recommended to reduce the gap between importance and performance in clinical care.

본 연구는 중요도-수행도 분석을 통해 복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도 인식 및 수행 정도를 확인하기 위함이다. 연구대상은 외과병동에서 근무하는 간호사 162명을 대상으로 자가보고 설문지를 이용하여 2021년 3월 8일부터 22일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0를 이용하여 기술통계, independent t-test, paired t-test, one-way ANOVA로 분석하였으며 중요도와 수행도는 IPA분석 기법을 사용하였다. 조기운동은 폐합병증 예방운동과 조기이상으로 구분하였다. 연구결과, 집중이 필요한 영역은 흡인위험성 확인, 개선이 필요한 영역은 구강간호, 호흡음 청진, 진동/타진, 필요시 흡인, 강화운동 영역이었다. 따라서 임상에서 조기운동의 중요도 및 수행도의 격차를 줄일 수 있는 방안을 마련하여야 하겠다.

Keywords

References

  1. Y. I. Kim. (2019). Statistical yearbook of major surgery 2018(ISSN 1976-619X), Wonju: National Health Insurance Service.
  2. E. H. Lawson et al. (2013). Association between occurrence of a postoperative complication and readmission. Annals of Surgery, 258(1), 10-18. https://doi.org/10.1097/sla.0b013e31828e3ac3
  3. B. H. Jeong et al. (2014). Development of a prediction rule for estimating postoperative pulmonary complications. Public Library of Science, 9(12), e113656. DOI : 10.1371/journal.pone.0113656
  4. J. L. Thanavaro, & B. J. Foner. (2013). Postoperative pulmonary complications: reducing risks for noncardiac surgery. The Nurse Practitioner, 38(7), 38-47. https://doi.org/10.1097/01.NPR.0000431179.49311.0b
  5. R. D. Basset, K. M. Vollman, L. Brandwene, & T. Murray. (2012). Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative. Intensive and Critical Care Nursing, 28(2), 88-97. DOI : 10.1016/j.iccn.2011.12.001
  6. D. M. Needham, & R. Korupolu. (2010). Rehabilitation quality improvement in an intensive care unit setting: implementation of a quality improvement model. Topics in Stroke Rehabilitation, 17(4), 271-281. DOI : 10.1310/tsr1704-271
  7. T. H. Lee et al. (2017). Risk factors for postoperative ileus following orthopedic surgery: the role of chronic constipation. Journal of Neurogastroenterology and Motility, 21(1), 121-125. DOI : 10.5056/jnm14077
  8. R. Dubb et al. (2016). Barriers and strategies for early mobilization of patients in intensive care units. Annals of the American Thoracic Society, 13(5), 724-730. DOI : 10.1513/AnnalsATS.201509-586CME
  9. Y. S. Chau et al. (2005). A nurse-led walking exercise program for Hong Kong chinese diabetic patients: implications for facilitating self-efficacy beliefs. Journal of Clinical Nursing, 14(10), 1257-1259. https://doi.org/10.1111/j.1365-2702.2005.01221.x
  10. J. W. Park, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
  11. N. Y. Yang & J. S. Choi. (2011). Nurse's knowledge, attitude and practice of skin disinfection. Korean Journal of Adult Nursing, 23(3), 278-287.
  12. S. H. Byun & D. H. S. Kang. (2019). Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses. Journal of Digital Convergence, 17(9), 231-240. DOI : 10.14400/JDC.2019.17.9.231
  13. Y. H. Chae, W. H, Lee, Y. M. Min, A. M. Shin & H. M. Kim. (2013). Nurse's role performance and perception of the importance of role among nurses practicing in a cancer care facility. Journal of Korean Clinical Nursing Research, 19(3), 407-418. DOI : 10.22650/JKCNR.2013.19.3.407
  14. Y. H. Yang. (1997). The comparison of the perceived needs between patients with cancer, their caregivers, and nurses according to the cancer patient's phases of illness. Journal of Korean Academy of Nursing, 27(4), 787-795.
  15. J. Martilla & J. James. (1977). Importance-performance analysis. Journal of Marketing, 41(1), 77-79. https://doi.org/10.2307/1250495
  16. Y. Chung, K. J. Lee & S. K. Kim. (2014). A study of utilizing IPA of agenda priority for nursing service research and development. Journal of Korean Academy of Nursing Administration, 21(1), 99-110.
  17. Y. K. Jung & E. Y. Yoo. (2020). Analysis of the health care empowerment educational needs of the elderly with hypertension. Journal of Digital Convergence, 18(11), 409-415. DOI : 10.14400/JDC.2020.18.11.409
  18. C. Kim, S. Kim, J. Yang & M. Choi. (2019). Nurses' perceived barriers and educational needs for early mobilization of critical ill patients. Australian Critical Care, 32(6), 451-457. DOI : 10.1016/j.aucc.2018.11.065
  19. J. W. Park, Y. O. Suh, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
  20. F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  21. S. M. Shin & H. R. Choi. (2017). Practice guideline to prevent postoperative pulmonary complications for abdominal surgery. Evidence and Nursing, 5(1), 27-37.
  22. H. S. Park, N. H. Kim & E. S. Kim. (2009). The effects of walking-support program on the pulmonary ventilatory functions of elders following upper-abdominal surgery. Journal of Korean Academy of Fundamentals of Nursing, 16(2), 214-222.
  23. H. Y. Park, Y. J. Kim & S. H. Chu. (2019). Importance-performance analysis(IPA) to improve emergency care for novice nurses. Journal of Korean Academy of Fundamentals of Nursing, 26(3), 155-165. DOI : 10.7739/jkafn.2019.26.3.155
  24. Y. H. Sung, M. S. Song & J. H. Park. (2007). Estimation of nursing costs by a patient classification system(PCS) in ICU. Journal of Korean Academy of Nursing, 37(3), 370-380.
  25. W. Kim. (2018). Rehabilitation in intensive care unit. Journal of Acute Care Surgery, 8(1), 2-6. https://doi.org/10.17479/jacs.2018.8.1.2
  26. C. Lim, H. Cho & S. H. Chang. (1997). The effect of deep breathing exercise and incentive spirometry to prevent postoperative pulmonary complications after abdominal surgery in geriatric patients. Korean Journal of Anesthesiology, 21(1), 13-20. DOI: 10.4097/kjae.1997.33.6.1185
  27. A. C. Lunardi, D. M. Paisani, C. C. Muarques da Silva, D. P. Cano, C. Tanaka & C. R. Carvalho. (2015). Comparison of lung expansion techniques on thoracoabdominal mechanics and incidence of pulmonary complications after upper abdominal surgery: A randomized and controlled trial. Chest, 148(4), 1003-1010. DOI : 10.1378/chest.14-2696
  28. K. Stonecypher. (2010). Ventilator-associated pneumonia: the importance of oral care in intubated adults. Critical Care Nursing Quarterly, 33(4), 339-347. https://doi.org/10.1097/CNQ.0b013e3181f649a6
  29. I. A. Kim & H. J. Lee. (2014). Effects of a progressive walking program on physical activity, exercise tolerance, recovery, and post-operative complications in patients with a lung resection. Journal of Korean Academy of Nursing, 44(4), 381-390. kttp://dx.doi.org/10.4040/jkan.2014.44.4.381