• Title/Summary/Keyword: 환자간호의 질

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Safety Education Programs for Patients and Families in Overseas Institutions (국외 환자대상의 환자안전 교육 사례)

  • Kim, Yoon-Sook;Kwak, Mi-Jeong;Kim, Moon-Sook;Kim, Hyun-Ah;Kim, Hyuo-Sun;Chun, Ja-Hae;Hwang, Jee-In
    • Quality Improvement in Health Care
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    • v.25 no.1
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    • pp.2-10
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    • 2019
  • Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

Development and Evaluation of Motivational Enhancement Therapy for Patients with Coronary Artery Disease (관상동맥질환자를 위한 동기증진 교육·상담 프로그램이 건강행위변화에 미치는 효과)

  • Kang, Kyung Ja;Song, Mi Soon
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.2
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    • pp.5-16
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    • 2010
  • Purpose: The purpose of this study was to develop a motivational enhancement therapy (MET) for coronary artery disease (CAD) patients in early stages of health behavior change and evaluate its effects on health motivation, the stages of change, health behaviors, and cardiovascular risk factors. Methods: Using a non-equivalent control pre-post design, the study was conducted on 42 CAD patients who underwent medical treatment or percutaneous coronary interventions in a hospital. The intervention group (n=21) received the MET (MET 1 during admission, MET 2 after discharge via telephone). The control group (n=21) received a standard care. Data were analyzed using descriptive statistics, ${\chi}^2-test$ and t-test with the SPSS 12.0 program. Results: Participants in the intervention group reported significantly increased scores of health motivation (t=-2.093, p=.043), the stages of change (t=-5.682, p<.001), and health behaviors (t=-3.069, p=.004) and significantly decreased scores of cardiovascular risk factors (t=2.131, p=.039) compared to those of the control group. Conclusion: The findings indicate that the MET is an effective intervention in improving health behaviors and decreasing cardiovascular risk factors for CAD patients.

Effects of Psychiatric Nursing Practicum using Simulated Patients on Self-Directed Learning Readiness, Learning Self-Efficacy, Satisfaction of Learning (모의환자를 활용한 정신간호 시뮬레이션 교육이 자기주도적 학습, 학습 자기효능감, 교육만족도에 미치는 효과)

  • Kim, Soon-Ok;Kim, Hyun-Sook
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.396-408
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    • 2014
  • The purpose of this study is to examine the effect of the psychiatric nursing simulation practicum, which was developed for the therapeutic relationship forming and communication, psychiatric nursing assessment training utilizing simulated patients, on self-directed learning, learning self-efficacy and learning satisfaction. As a one group pre-test and post-test design, this test conducted 8 hours of intervention on 119 senior nursing students as study subjects. As a result, self-directed learning and learning self-efficacy were seen to be significantly improved after the program compared to before the program, and these variables displayed a moderate-level static correlation with learning satisfaction. These results can be deemed representative of the fact that, concerning psychiatric nursing practicum, a simulation teaching using simulated patients is effective. The results of this study are expected to contribute to improving field-centered psychiatric nursing practicum and the quality of psychiatric clinical work.

Statistical Analysis Based on ICT for the Satisfaction and Service Evaluation of Patients Admitted to a Nursing Care Integrated Service Ward (간호간병통합서비스 병동 입원 환자의 만족도와 서비스 평가를 위한 ICT 기반 통계분석)

  • Nam, Soon-Yeul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.229-236
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    • 2017
  • The Nursing Care Integrated Service is an inpatient service provided in a ward equipped with all kinds of professional nursing services, nursing environment improvement, and patient safety management through team nursing staff placement through appropriate nursing staff placement. The subjects of the study were 92 patients who agreed to understand and participate in the research purpose as the inpatient ward of a general hospital in Gyeonggi Province, for the study method, frequency, percentage, mean, standard deviation, t-test, ANOVA were applied using SPSS/WIN 21.0 program and the post test was Scheffe test. In addition, the correlation between nursing satisfaction and service evaluation was analyzed by Pearson's correlation. This paper is meaningful in that it reaffirms the importance of satisfaction and presents basic data for improving the quality of service of nursing care integrated service ward inpatients.

Factors Affecting Quality of Sleep in Breast Cancer Patients Receiving Chemotherapy in the Outpatient Settings (외래에서 항암화학요법을 받는 유방암 환자의 수면의 질 영향요인)

  • Choi, Yooun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.562-570
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    • 2019
  • The purpose of this study was to identify the factors influencing the quality of sleep in breast cancer patients receiving chemotherapy in the outpatient settings. The data were collected from 203 patients with breast cancer receiving chemotherapy in the outpatient settings at one tertiary hospital in B City. Stress, fatigue and depression were negatively correlated with quality of sleep (r=-.369, p=.001; r=-.565, p=.001; r=-.526, p=.001, respectively). Fatigue(${\beta}=-.387$, p<.001) was one of the biggest impact factors on quality of sleep which explained 31.6% of the variance of the sleep quality, followed by the experience of sleep disturbances prior to the diagnosis of breast cancer(${\beta}=-.178$, p<.002) and depression(${\beta}=-.231$, p<.004). In total, all of the antecedent variables explained significantly 37.4% of the variance of the sleep quality. Thus, in order to improve the quality of sleep, integrative nursing interventions need to be developed to reduce fatigue and depression among them, including an proactive system to screen out the patients with the experience of sleep disturbances prior to the diagnosis with breast cancer and to provide adequate pharmacological and/or non-pharmacological sleep interventions prior to the chemotherapy.

Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention (관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계)

  • Kim, Hye Ran
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.279-289
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future, sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, and quality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods: A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was $3.45{\pm}1.08$. Sick role behavior of the patients showed a moderate value with a mean of $3.68{\pm}0.79$. The mean score for quality of life was $3.52{\pm}0.64$. Uncertainty in illness and the future was significantly correlated to sick role behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27, p=.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to quality of life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels of uncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

Comparison of Spiritual Well-being and Quality of Life between Hospice Patients and Nonhospice Patients (호스피스 환자와 비호스피스 환자의 영적 안녕과 삶의 질)

  • Lee, Hae-Sook;Doh, Bok-Num
    • Korean Journal of Adult Nursing
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    • v.15 no.3
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    • pp.364-372
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    • 2003
  • Purpose: This study was conducted to find out the effects of hospice care by evaluating the spiritual well-being and quality of life in the hospice and nonhospice patients. Method: The research design was composed of descriptive study. The data were collected using the questionnaire with interview from 30 hospice patients at three hospice institutes and 30 nonhospice patients at two general hospitals. The tools used for this study were 14-item questionnaire regarding general characteristics, a revised Spiritual Well-being Survey(Paloutzion and Ellision, 1982) and 22-item of revised Mcgill Quality of Life questionnaire. Result: The spiritual well-being of the hospice patients was higher than that of nonhospice patients(F=5.52, p=0.023). The global quality of life of the hospice patients was higher than that of nonhospice patients(F=8.84, p=0.004). There was a significant positive correlation between spiritual well-being and quality of life of the hospice patients and non hospice patients. Conclusion: The hospice care effects on spiritual well-being and quality of life of the terminal cancer patients.

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Comparison in Spiritual Well-being and Quality of Life between Hospital and Home Hospice Patients (병동호스피스 환자와 가정호스피스 환자의 영적 안녕과 삶의 질 비교)

  • Kim, Bok Hee;Park, Heeok
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.292-301
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    • 2013
  • Purpose: The purpose of this study was to compare the spiritual well-being and quality of life between hospital and home hospice patients. Methods: A total of 116 patients from 4 hospice hospitals in D city and P city participated in this study from January to April 2012. To measure spiritual well-being, an instrument developed by Paloutzian and Ellison (1982) and revised by Park (2005) was used. To measure quality of life, an instrument developed by Cho (1993) and revised by Sun (2003) was used. The data were analyzed by using descriptive statistics, t-test, $x^2$-test, and ANCOVA. Results: Spiritual well-being and quality of life were higher in home hospice patients than in hospital hospice patients, but they were not statistically significant. Higher education and having religion were significantly related to higher spiritual well-being in both groups. Having religion and pain history for the past one week were significantly related to higher quality of life in both groups. Conclusion: For hospice patients, participation in religious activities needs to be encouraged to improve their spiritual well-being and quality of life. Assessing the hospice patients' pain history with close observation and managing the pain are suggested.

Comparison in Quality of Life, Relationship with Patients and Family Support, between Caregiver of Patients with Cerebro-Vascular Accident(CVA) in Western and Oriental Medicine (양.한방 뇌졸중 환자 주간호자의 삶의 질, 발병 전 환자와의 관계 및 가족지지 비교)

  • Kim, Mi-Sook;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.12 no.1
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    • pp.33-42
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    • 2006
  • Purpose: This study was a descriptive study to compare of quality of life, relationship with CVA patients, and family support between caregiver of patient with CVA in western and oriental medicine. Method: Total 270 caregivers for CVA patients were selected from western medicine department (114) and oriental medicine department (156) at K hospital in Seoul. The instrument tools utilized in this study were quality of life, Family support, Caregiver's relationship with patients, daily activity. Collected data were analyzed by $X^2$-test, t-test using SPSS Windows 12.0 Program. Result: The result are as follows: 1) There was no significant difference in quality of life between caregivers of patients with CVA in western and oriental medicine(t=.26, p=.792). 2) There was significant difference in relationship with patients(t=2.64, p=.009) and family support(t=2.12, p=.035) before onset of disease between caregivers of patients with CVA in western and oriental medicine. Conclusion: As a result, caregivers of oriental medicine with CVA patients showed closer relationship with patients before the onset of disease and higher family support compare to caregivers of western medicine with CVA patients.

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Quantitative Research Trends for Critical Care Survivors' Health related Quality of Life after Intensive Care Unit Discharge (중환자실 생존 환자의 퇴원 후 건강관련 삶의 질에 관한 국내·외 양적연구 동향)

  • Son, Youn-Jung;Song, Hyo-Suk
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.6 no.12
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    • pp.55-67
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    • 2016
  • Purpose: The aims of this were to analyse the quantitative research trends and describe the factors influencing health related to quality of life (HRQoL) and instruments used to HRQoL after Intensive care units (ICU) discharge. Methods: This study were included 84 published papers regarding HRQoL after ICU discharge from initial data to December 2015. Results: The majority of papers were performed abroad. Only 4 papers with regard to HRQoL of ICU survivors were performed by nurses. 36 studies (42.8%) were used to measure HRQoL ICU survivors using the SF-36. 29 studies (34.5%) were used to measure HRQoL at 3~6 months after ICU discharge. Older age, longer length of stay at ICU, severity of illness, anxiety and depression were main risk factors to lower HRQoL in ICU patients. Conclusions: This study provides a better understanding of quality of life follwing critical illness. Therefore, further stduy is needed to develop patient centered intervention considered patients'health status and recovery phase. Additionally, large prospective multicenter cohort studies should be required.