• 제목/요약/키워드: 환자행위

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응급실 간호사의 환자 의료 정보 보호행위에 대한 인식 및 실천 정도 (Perception and Performance of Emergency-room Nurse's Protection Behavior for the Consumer Health Information)

  • 정선영;주현옥
    • 간호행정학회지
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    • 제15권3호
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    • pp.403-414
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    • 2009
  • Purpose: The purpose of this study was to investigate the emergency-room nurse's perception and performance about the protection behavior of the consumer health information. Method: The participants were 191 emergency-room nurses in secondary, tertiary medical center nationally. The data were analyzed by SPSS 12.0 program. Result: First, the total average scores of the degree of the perception and performance by emergencyroom nurses on protection behavior of the consumer health information were $4.24{\pm}0.30$ and $3.51{\pm}0.26$. Second, the degree of the perception and performance on protection behavior of the consumer health information was heavily dependent on the following general characteristics of the participants: age, nurse position, career, and education experience on protection behavior of the consumer health information. Third, there was a positive correlation between the degree of perception and performance about the protection behavior of the consumer health information. Conclusions: The results showed the statistically significant partial correlation between the degree of perception and performance. Therefore, it is suggested to apply the concrete education program to enhance the perception in order to improve the performance.

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암환자를 돌보는 가족원의 건강증진행위와 자기효능감 및 역할 스트레스 (Health Promotion Behavior, Self-Efficacy and the Role Stress of Family Caregivers Who Care for Hospitalized Cancer Patients)

  • 장혜숙;이정란;이명실;윤연선;김영희
    • 대한간호학회지
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    • 제30권2호
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    • pp.402-412
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    • 2000
  • The purpose of this study is to identify health promotion behavior, self-efficacy and role stress of family caregivers who care for hospitalized cancer patient, The results would be used to provide the necessary basic data for promoting healthy behavior of the family caregivers to the cancer patient. The results were as follow : 1) The level of health promotion behavior was significantly different depending on the existence of care givers religion and type of help from family members. There was a positive relationship between the performance level of health promotion behavior and perceived health status or age. There was a negative correlation between the performance level of health promotion behavior and time cared for. 2) The level of self-efficacy was significantly different depending on gender and if the subject was employed. There was a positive relationship between perceived health status and intimacy with patient. 3) The level of role stress was significantly different in genders and relationships with patients. 4) There was a positive relationship between health promotion behavior and self-efficacy.

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의료행위와 환자의 자기결정권에 관한 고찰 - 대법원 2014. 6.26. 선고 2009도14407 판결을 중심으로 - (A Study of the Medical Practice and the Right of Patients to Self-determination - Focusing on Supreme Court Decision 2009DO14407 Delivered on June 24, 2014 -)

  • 김영태
    • 의료법학
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    • 제15권2호
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    • pp.3-29
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    • 2014
  • The Supreme Court made a decision that the doctor cannot be punished for not taking a blood transfusion to the patient, depending on the patient's will to refuse the blood transfusion on June 24, 2014. The reason is that, in a special situation of conflict between the right of patients to self-determination and the duty of care, and when it was impossible to compare whether which has the superior value, if the doctor made a medical practice to respect either of those two values according to the professional sense, he cannot be punished. In principle, the doctor should make medical practices according to the patient's will. However, if the patient's life was at stake, I think, the doctor is obliged to try his best to save the life of patient. Yet to entrust the patient's life to the doctors professional sense, is to give up the obligation of the country to protect lives. In this regard, I think that the Supreme Court Decision should be reviewed, and that an ongoing research is needed.

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암환자의 증상 자각 후 병원방문까지의 치료추구행위에 관한 연구 (A Study on Treatment-seeking Behavior of Cancer Patients from Detecting Symptoms to Visiting a Doctor)

  • 오효숙;박현애
    • 종양간호연구
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    • 제4권1호
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    • pp.26-37
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    • 2004
  • The purpose of this study was to determine and test treatment-seeking behavior type and decisional factors of the cancer patients after first detecting symptoms. This study used the methodological triangulation. In the first, treatment-seeking behavior type and decisional factor were described based on qualitative data collected from in-depth interviews with 29 cancer patients. Next, they were tested using quantitative data collected from a structured questionnaire involving 165 cancer patients with statistical method. As a result, treatment-seeking behavior from detecting symptoms to visiting a doctor categorized into immediate visit and delayed visit. The decisional factors on time interval between detecting symptoms and visiting a doctor was influenced by the perceived seriousness of symptoms, the experiences of visiting a doctor previously with similar symptoms, social-group influences on visiting a doctor, barriers to visiting a doctor, and health concerns. There were significant relationship between treatment-seeking time and these factors, however, there was no statistically significant relationship between treatment-seeking time and the demographic characteristics. It is expected that results of this study can be used for nursing education data of cancer patients for early diagnosis after detecting symptoms

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항암화학요법을 받는 암환자의 감염예방 행위와 장애요인의 관계 (The Relationship between Infection Prevention Behaviors and Barriers among Cancer Patients Undergoing Chemotherapy)

  • 이영란;권인수
    • 종양간호연구
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    • 제7권2호
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    • pp.150-161
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    • 2007
  • Purpose: This study was to assess the degree of infection prevention behaviors at home, and a relationship between those behaviors and barrier factors among cancer patients undergoing chemotherapy. Method: The data were collected from 92 cancer patients who were undergoing chemotherapy with more than two kinds of immunosuppressive agents at G university hospital in J city from February 17 to April 4, 2003. The instruments were the infection prevention behavior scale developed by researchers and the barrier factor scale by Gu et al. (2003). The data were analysed using mean, standard deviation, t-test, ANOVA, and Pearson's correlation coefficient by SPSS program. Results: The mean score of the behaviors for infection prevention was 2.61 of 4. The highest score was on the subscale 'rest and exercise', and the lowest score was on the subscale 'monitoring sign and symptom of infection'. And a negative correlation(r= -.208, p= .023) was found between infection prevention behaviors and barrier factors. The barriers correlated to infection prevention behaviors were mainly 'no habits' and 'no interest'. Conclusion: It seems that the degree of the behaviors for infection prevention was not performed enough to prevent infection among cancer patients. And there was negative relationship between infection prevention behaviors and barriers. We suggest to develop a nursing intervention program to enhance infection prevention behaviors through reducing the barrier factors.

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중환자실 간호사의 환자-가족 중심 간호에 대한 인식이 돌봄 행위 수행에 미치는 영향 (The Effect of Perceived Patient- and Family-Centered Care on Nurses' Caring Behavior in Intensive Care Units)

  • 김나연;최혜란
    • Journal of Korean Biological Nursing Science
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    • 제23권3호
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    • pp.208-216
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    • 2021
  • Purpose: The purpose of this study was to identify the factors influencing nurses' caring behavior. Methods: The descriptive study included 178 intensive care unit (ICU) nurses who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation and multiple regression analysis using the IBM SPSS/WIN 23.0 program. Results: Significant correlation existed between perception of Patient- and Family-Centered Care (PFCC) and nurses' caring behaviors (r=.36, p<.001). Multiple regression analysis showed that perception of support (β=.36, p<.001), total career length (β=.33, p<.001), and familiarity with PFCC (β=.15, p=.018) affected the caring behavior of ICU nurses. These variables explained 30.0% of the variance in caring behavior. Conclusion: Effective strategies are needed to improve perceptions of support as well as to promote PFCC for increasig the frequency of caring behavior among ICU nurses.

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

  • 강경자;송미순
    • 임상간호연구
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    • 제16권2호
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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.

보건진료원들의 요실금 관련 간호행위에 영향을 미치는 요인 (Predictors of Community Health Practitioners' Practice Regarding Urinary Incontinence)

  • 김은영;김진선
    • 한국노년학
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    • 제25권2호
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    • pp.53-71
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    • 2005
  • 본 연구는 보건진료원들의 요실금 관련 지식, 태도 및 요실금 관련 간호행위 정도를 조사하고, 요실금 관련 간호행위에 영향을 미치는 요인을 파악하여, 향후 보건진료원들의 요실금 관련 간호행위를 증진시키기 위한 중재 프로그램 개발의 기초자료로서 사용하고자 실시된 서술적 상관관계 연구이다. 연구대상자는 일 지역의 보건진료원 330명 전수였으며, 자료수집은 구조화된 설문지를 이용한 자기기입식으로 우편설문을 통해 이루어졌다. 설문에 응한 170명(응답률: 51.5%)의 보건진료원 자료가 본 연구를 위한 분석에 사용되었다. 보건진료원들이 정규교육 또는 보수교육에서 요실금에 대해 받은 교육은 부족하였으며, 요실금 관련 지식 설문지의 정답률은 68.96%였다. 보건진료원들의 요실금 환자를 돌보는 것에 대한 태도는 긍정적이었지만, 요실금 관련 간호행위에는 소극적으로 참여하고 있었다. 기대했던 것과는 다르게 요실금 관련 지식은 요실금 관련 간호행위의 예측요인이 아니었다. 요실금 관련 태도와 요실금 관련 교육필요성 여부가 보건진료원들의 요실금 관련 간호행위의 예측요인이었으며, 이들 두 변수가 보건진료원의 요실금 관련 간호행위 변이의 9%를 설명했다. 보건진료원들의 요실금 관리 능력 및 실무를 향상시키기 위한 보수교육 프로그램의 개발, 적용 및 평가가 요구된다. 보건진료원들의 요실금 관련 간호행위를 증진시키기 위한 교육 프로그램은 단순한 지식향상에 중점을 두지 말고 태도변화를 가져올 수 있는 프로그램이 되어야 할 것이다.

일 종합병원 간호사의 간호행위에 대한 환자 만족도 조사연구 (A Study on the patient satisfaction for nursing care in a general hospital.)

  • 강익화
    • 간호행정학회지
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    • 제3권2호
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    • pp.137-150
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    • 1997
  • This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

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요양병원 간호 인력의 간호행위 수행 실태 (A Survey of the Nursing Activities Performed by Nursing Staffs in Long-term care Hospitals)

  • 김명희;정추영
    • 한국산학기술학회논문지
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    • 제15권2호
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    • pp.940-951
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    • 2014
  • 본 연구는 요양병원의 간호 인력의 간호행위 수행 실태를 파악한 조사연구이다. 연구 자료는 설문지를 이용하여 15곳의 요양병원에 근무하는 131명의 간호사를 대상으로 2013년 3월 7일부터 6월 30일까지 수집하였다. 자료 분석은 SPSS 17.0프로그램을 이용하여 기술통계 및 t-test, ANOVA를 시행하였다. '간호진단하기', '간호목표 설정하기', '환자평가표 작성'을 제외한 88항목의 간호행위를 다양한 범위 내에서 간호사와 간호조무사가 함께 수행하고 있는 것으로 나타났으며 기관의 총 환자 수와 간호사 수에 따라 간호조무사의 간호업무 수행정도는 유의한 차이가 나타났다(p<.001). 따라서 요양병원의 간호업무 중 위임할 수 있는 업무와 위임할 수 없는 업무를 분류하고, 위임에 대한 알고리즘 개발이 필요하며, 위임에 대한 법적, 제도적 규정을 마련할 필요가 있다.