• 제목/요약/키워드: Patient comfort

검색결과 194건 처리시간 0.021초

간호중재분류체계 (NIC)를 이용한 내외과계 중환자실 간호중재 분석 (Analysis of the Nursing Interventions done by MICU and SICU nurses using NIC)

  • 류은정;최경숙;권영미;주숙남;윤숙례;최화숙;권성복;이정희;김복자
    • 대한간호학회지
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    • 제28권2호
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    • pp.457-467
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    • 1998
  • The purpose of this research was to identify nursing interventions performed by MICU and SICU nurses. For data collection this study used the taxonomy of the Nursing Interventions Classification (NIC : 433 nursing interventions) which was modified by McCloskey and Bulecheck(1996). Each of the 433 interventions were identified as used by MICU and SICU nurses. More than 50% of the ICU nurses performed 280 nursing interventions at least monthly. Rarely used interventions included 26 nursing interventions in the childbearing care class. Overall, both MICU and SICU nurses used interventions in the Physiological : Complex domain most often on a daily basis and the interventions in the Family domain least often. The most frequently reported interventions as being used daily in the MICU were chest physiotherapy, airway suctioning and coughing enhancement and, in the SICU, documentation and airway suctioning. There were significant differences between MICU and SICU nurses in 17 nursing interventions childbearing care, cognitive therapy, communication enhancement, coping assistance, elimination management, lifespan care, health system mediation, immobility management, medication management, neurologic management, patient education, psychological comfort promotion, physical comfort promotion, respiratory management, risk management and information management. The SICU nurses performed there interventions more frequently than the MICU nurses. These findings will help in building of a standardized language for the MICU and SICU and enhance the quality of nursing care.

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사용자 중심의 어린이전문병원 계획을 위한 사용자 평가 - 어린이 환자의 보호자와 간호사를 중심으로 - (User Evaluation for User-Oriented Children's Hospital Design - Focused on the Mothers of Child Inpatients and the Nurses -)

  • 하지민;박수빈
    • 한국실내디자인학회논문집
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    • 제25권1호
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    • pp.192-200
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    • 2016
  • This study aims to design user-oriented children's hospital by examining the user needs, especially the mothers of child inpatients and the nurses. The subjects participated in a questionnaire survey including the user's characteristics, awareness of patient's room, the preference on ward size, demands, satisfaction and hospital environment assessment. The survey was conducted of the mothers of child inpatients and the nurses in A children's hospital, and the data were analyzed by the SPSS WIN 18.0 Version software. A total of 115 copies of the questionnaire were finally analyzed. The results and conclusions are as follows. 1) The mothers' demand on family-centered space and private spaces were higher than the nurses. 2) The mothers preferred 1-bed-room to 4-bed-room due to safety and privacy. 3) The items of hospital environment assessment was categorized into four factors; 'Aesthetics', 'Accessibility', 'Comfort', and 'Lighting'. The most positive factor was 'Aesthetics', whereas 'Comfort' was the negative factor. 4) The mother's satisfaction was lower than the nurse's. The most influential factors on the satisfaction was 'Accessibility'. To improve the satisfaction of the mothers of child inpatients and the nurses, safety, privacy, accessibility should be considered.

Study to the Effect of Involutional Blepharoptosis Surgery Using Objective and Subjective Parameters

  • Asamura, Shinichi;Wada, Yoshitaka;Tanaka, Saiichi;Saika, Shizuya
    • Archives of Plastic Surgery
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    • 제49권4호
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    • pp.473-478
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    • 2022
  • Background We investigate the effect of involutional blepharoptosis (IB) surgery based on dry eye symptoms by analysis using objective and subjective measures. Methods We recorded various parameters from patients that underwent levator advancement surgery for IB, totaling 125 eyes (total 65 patients, 5 unilateral, 60 bilateral). Subjective assessment comprised a questionnaire on dry eye-related quality of life score (DEQS), a summary score calculated from DEQS, and six-grade evaluation, the patient's own measure of eye comfort. Objective assessment comprised marginal-reflex distance-1 (MRD-1), measurement of tear film breakup time, and superficial keratopathy (SPK) existence by slit lamp microscope. Results Subjective assessments showed that IB patients had improvement of dry eye symptoms and eye comfort when surgery increased MRD-1. On the other hand, objective assessments showed that the presence of SPK is suspected when the postoperative MRD-1 level is 3 mm or higher. Conclusion IB surgery must not only increase MRD-1 value, but also to perform maintenance of the appropriate ocular surface condition. From our parameters, we suggest postoperative MRD-1 value should be maintained at < 3 mm to safe and effective of IB surgery.

인체의 복곡면과 직물 변형 특성을 이용한 의복압 예측법의 개선 (Prediction of the Clothing Pressure Using the Radii of Double Curvature and Transformation of a Fabric)

  • 이예진;홍경희
    • 한국의류학회지
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    • 제29권8호
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    • pp.1168-1175
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    • 2005
  • Clothing pressure has close relation with clothing comfort and depends on the pattern and properties of textile fabrics. Choosing a suitable clothing pressure is an essential factor for designing functional clothing such as the foundation for reshaping of a body contour or medical items for bum patient, and etc. However, it is hard to measure pressure values at the curved surface of a human body correctly. Recently, an air pack type pressure sensor, which has relatively excellent performance has been used to measure clothing pressure, however, it is still inconvenient to apply because it is a contact- type sensor. Therefore, in this paper, we suggest an indirect method that can measure clothing pressure without touching the subject by improving the equation of Kirk and Ibrahim (1966). However, confusions have been occurred when someone use the equation since the definition of parameters are somewhat vague. Furthermore, the estimated clothing pressure obtained by the previous method are quite different from the real values because this method does not consider the 3D effect of a human body and property changes of a transformed fabric. In this paper, the direction of principal stress and the radius of curvature in the principal direction were searched in the 3D image of the deformed girdle to get more accurate clothing pressure. The estimated clothing pressure was verified by comparing the result of the air pack type pressure sensor. It was found that the accuracy of the pressure estimation was improved by considering the 3D curvature of human body and the directional characteristics of textile fabrics.

일 병원의 환자중심 지능형 병상 지원(Smart Bedside Station) 시스템의 이용현황 및 사용 만족도 (Utilization of and Satisfaction with Smart Bedside Station System as a Patient-centered Healthcare System)

  • 조문숙;박연환
    • 근관절건강학회지
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    • 제24권2호
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    • pp.89-100
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    • 2017
  • Purpose: The aim of this study was to examine the utilization of and satisfaction with the smart bedside station (SBS) system among users in a hospital. Methods: A cross-sectional descriptive design was used. The participants were 190 patients, 186 family caregivers, and 154 nurses in a hospital. Results: Around 78.1% of patients or family caregivers used the SBS system at least once during their hospital stay. The commonly used items on the SBS system menu were "lab findings", "hospital cost", "today's medication", and the "alarm message". Satisfaction with the SBS system of patients and family caregivers were significantly higher than those of nurses (F=39.88, p<.001). Conclusion: A patient-centered SBS system was a useful system that could increase patient satisfaction and comfort. More specific and technical service contents reflecting the current healthcare system should be added.

하악 무치악 환자에서 임플란트 하이브리드형 보철물을 이용한 전악 수복 증례 (Full mouth rehabilitation of mandibular edentulous patient using implant hybrid prosthesis)

  • 김현숙;김소현;오남식
    • 대한치과보철학회지
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    • 제56권1호
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    • pp.25-30
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    • 2018
  • 무치악 환자에서 임플란트 고정성 보철 수복의 장점은 안정성, 편안함을 들 수 있으며, 생물학적 측면으로는 하악골 흡수를 방지할 수 있고 저작기능이 향상된다는 이점이 있다. 그중 하이브리드형 보철 수복은 하악골 이공사이에 4 - 6개의 임플란트를 식립하고 양쪽 원심으로 캔틸레버를 만들어 구치부 치아를 대체하게 된다. 본 증례는 85세 여성 환자로 상하악의 무치악 상태로 본원에 내원하였다. 상악의 가철성 총의치, 하악의 임플란트 하이브리드형 보철물로 최종 치료하여 치료 후 기능적, 심미적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Comparison Study of the Use of Absorbable Materials as Internal Splints with Airway Silicone Splint and Absorbable Materials as Internal Splints Alone

  • Ji, So Young;Kim, Seung Soo;Park, Ki Sung;Baik, Bong Soo
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.202-205
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    • 2016
  • Background: Packing after closed reduction of nasal fracture causes uncomfortable nasal obstruction in patients. We packed the superior meatus with synthetic polyurethane foam (SPF) to support the nasal bone, and packed the middle nasal meatus with a nasal airway splint (NAS) and SPF. The aim of this article is prospectively to compare the subjective patient discomfort of SPF (Nasopore Forte plus) packing alone and SPF with NAS. Methods: We compared the prospectively subjective patient discomfort of SPF packing alone (group A) and SPF with NAS (group B) via visual analog scale (VAS; 0, no symptom; 100, most severe symptom). Results: At first postoperative day group B showed significant lower scores in dry mouth, sleep disturbance, conversation difficulty. However at third postoperative day, VAS scores of each group had no statistically significant differences. Moreover at fifth postoperative day group A had statistically significant lower scores for nasal pain, dry mouth than the group B. Conclusion: Combination method of using NAS and SPF have some advantage on the patient comfort from first postoperative day to third postoperative day.

투석혈관 수술시기 예측을 위한 인공지능 알고리즘 개발 (Developing an Artificial Intelligence Algorithm to Predict the Timing of Dialysis Vascular Surgery)

  • 김도형;김현숙;이선표;오인종;박승범
    • 디지털산업정보학회논문지
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    • 제19권4호
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    • pp.97-115
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    • 2023
  • In South Korea, chronic kidney disease(CKD) impacts around 4.6 million adults, leading to a high reliance on hemodialysis. For effective dialysis, vascular access is crucial, with decisions about vascular surgeries often made during dialysis sessions. Anticipating these needs could improve dialysis quality and patient comfort. This study investigates the use of Artificial Intelligence(AI) to predict the timing of surgeries for dialysis vessels, an area not extensively researched. We've developed an AI algorithm using predictive maintenance methods, transitioning from machine learning to a more advanced deep learning approach with Long Short-Term Memory(LSTM) models. The algorithm processes variables such as venous pressure, blood flow, and patient age, demonstrating high effectiveness with metrics exceeding 0.91. By shortening the data collection intervals, a more refined model can be obtained. Implementing this AI in clinical practice could notably enhance patient experience and the quality of medical services in dialysis, marking a significant advancement in the treatment of CKD.

발열환자의 동.서 간호 비교고찰 (A Comparative Study of Eastern and Western Nursing for Pyrexia Patient)

  • 강현숙;김원옥;이정민
    • 동서간호학연구지
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    • 제1권1호
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    • pp.40-49
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    • 1997
  • This study was done for understanding the desirable direction of eastern and western nursing by comparing the nursing practice for the Pyrexia patient occuring most commonly. Body temperature usually maintains around $37^{\circ}C$ owing to the thermoregulatory center but pyrexia is caused by exogenous pyrogen like infection, cancer or disturbances in body's homeostatic heat balance. Pyrexia is defined that body temperature rise above $37.2^{\circ}C$. It has chill phase, course of the fever, termination accompanied various symptoms. Oriental medicine explains that pyrexia comes from Yang's(陽) abundance and Yin's(陰) lack. Pyrexia mainly happens when body constitution is in bad condition by Six Dirty's(六陰) affection to Wi Area (偉分). It also occurs because of unbalance between Qi (氣) and Yin(陰) caused by the lack in Seven Emotions, labor, food. The Sanghanron(傷寒論), explains that pyrexia is categorized exogenous fever like Poong Han(風寒), Poong Yul(風熱), Sup Yul(濕熱) and endogenous fever due to the Qi and blood deficiency. Explained above, even though pyrexia has different meaning in oriental medicine and western medicine, but this study have compared the oriental and western medicine assuming that pyrexia is rise of body temperature. From this point of view, oriental and western nursing shows the similarity in the field of 1) use of antipyretic to control the body temperature 2) rest and comfort 3) watering 4) nutrition and case study was executed in nursing practice. From the above study, western nursing has superiority in decreasing the patient's risen body temperature using antipyretic and ice bag. But in case of empty heat, oriental nursing which recommends the patient's body keep warm and prevent the use of ice bag as the first step and helps patient's sweating by drinking of hot water was comparatively effective. In conclusion, it is desirable that oriental nursing emphasizing the supportive nursing and western nursing should be harmonized according to the status of pyrexia patient and it is needed to study the nursing method appropriate in our culture.

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간호과 학생의 HIV/AIDS에 대한 지식 및 태도에 대한 조사연구 (A Study on knowledge and attitude of college nursing students to patient with HIV\ AIDS)

  • 한영란;이광옥
    • 한국보건간호학회지
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    • 제12권2호
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    • pp.201-220
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    • 1998
  • Given the gloval impact of the AIDS pandemic. it is necessary to take every measure to prevent an epidemic this disease in Korea. Health care givers. especially nurses, have the primary responsibility of AIDS prevention and providing comfort care of those patient with HIV/AIDS. In spite of this responsibility, many nurses are afraid of AIDS patients and refuse to care the patient with HIV/AIDS because they have a little information of AIDS and a fear of HIV infection from AIDS patient at worksite. The purpose of this descriptive study was (1) to examine nursing students' knowledge and attitude to AIDS patient. (2) to identify demographic variables influencing knowledge and attitude to AIDS patient. and (3) to examine correlation between knowledge and attitude. The subject of this study was 162 nursing students. The findings of this study can be summarized as follows. 1) The mean overall knowledge score was estimated to be 61.33 of 101. especially the mean score of transmission route according to sexual behavior was estimated to be 3.03 of 7. 2) The mean attitude score was estimated to be 32.37 of 45. 3) The total knowledge score of AIDS was influenced by these two factors; the experience of AIDS education class and religion. In the end, the study concludes that it is necessary to develop comprehensive AIDS education programs to improve knowledge about the disease as well as to allay the fears and anxiety of the nurses.

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