융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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만성 심폐질환을 가진 말기 노인환자의 연명의료결정 전후 완화간호의 제공

Palliative Care Provided for Older Patients with Terminal Stage of Cardiopulmonary Disease Before and After Life-Sustaining Treatment Decisions

  • 최정자 (경북대학교 간호대학) ;
  • 김수현 (경북대학교 간호대학, 간호과학연구소)
  • Choi, Jung-Ja (College of Nursing, Kyungpook National University) ;
  • Kim, Su Hyun (College of Nursing, Research Institute of Nursing Science, Kyungpook National University)
  • 투고 : 2020.11.04
  • 심사 : 2021.01.20
  • 발행 : 2021.01.28
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초록

본 연구는 만성 심폐질환을 가진 말기 노인환자를 대상으로 연명의료결정 전후에 제공된 완화간호의 빈도와 변화를 파악하기 위한 후향적 조사 연구이다. 일개 대학병원 내과계 병동에 입원한 말기 심폐질환 노인환자 124명의 전자 의무기록을 조사한 결과, 연명의료결정 이후에 경구진통제 투여, 통증 경감을 위한 냉온요법과 마사지요법, 요로감염 시 약물투여와 소변 배양검사, 구강간호, 세발간호, 부분목욕의 제공은 유의하게 감소한 것으로 나타났다. 통증 경감을 위한 기도 및 이완요법, 호흡곤란 시 구·비강간호, 정서적 간호 제공은 연명의료결정 전후에 유의한 차이가 없었으며, 영적 간호는 전체적으로 가장 적게 제공된 것으로 나타났다. 따라서 심폐질환을 가진 말기 노인환자를 대상으로 연명의료결정 이후에 비약물적 통증관리와 안위간호의 개선이 필요하겠다.

This study was a retrospective descriptive study to identify frequency and change of palliative care provided for older patients with terminal stage of cardiopulmonary disease before and after life-sustaining treatment (LST) decision making. As a result of chart review of 124 older patients in a university hospital, oral analgesics medication, cold and hot therapy for pain management, antibiotics medication and urine culture for urinary infection, oral care, hair wash, and partial bath were provided significantly less after LST decision making. Provision of praying and relaxation therapy for pain control, oral and nasal care, and emotional care were not changed before and after LST decision making. Spiritual care was the least provided care. Therefore, non-pharmacological pain management, emotional care, and spiritual care need to be improved for older patients with terminal cardiopulmonary disease at the end of life.

키워드

참고문헌

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