일 상급종합병원 병동간호사의 수술 후 섬망 사례를 이용한 섬망 선별과 섬망 지식 및 섬망 간호
Delirium Screening, Delirium Knowledge, and Delirium Care among Hospital Nurses at a Tertiary Hospital based on Postoperative Delirium Cases
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 본 연구는 일 상급종합병원 병동간호사의 수술 후 섬망 사례를 이용한 섬망 선별, 섬망 지식 및 섬망 간호를 확인하고 이들의 관계를 파악하기 위해 시행하였다. 방법: 설문지를 이용한 조사연구로 일 상급종합병원에서 6개월이상 외과계 병동에서 근무한 간호사 235명이 참여하였다. 수술 후 섬망을 진단받은 사례를 토대로 5개의 섬망 아형별 사례를 개발하였다. 자료수집기간은 2021년 4월1일부터 5월1일까지 였다. 결과: 대상자의 섬망 선별은 5점 만점 중 4.20±1.17점이었고, 섬망 지식은 47점 만점 중 34.35±4.57점이었으며, 섬망 간호는 92점 만점 중 67.61±9.26점 이었다. 섬망 선별과 섬망 지식은 양적 상관관계가 있었으며(r=.18, p=.005), 섬망 지식은 섬망 간호와 양적 상관관계가 있는 것으로 나타났다(r=.25, p<.001). 결론: 본 연구를 토대로 병동간호사의 섬망환자 사정 증진 및 섬망 간호 향상을 위해 섬망 선별을 경험할 수 있는 섬망 아형별 사례 개발과 다차원적 섬망 교육 프로그램을 활용한 지속적인 섬망 교육이 필요함을 시사한다.
Abstract
Purpose: The purpose of this study was to investigate hospital nurses’ delirium screening for postoperative delirium, delirium knowledge, and delirium care using case scenarios at a tertiary hospital in Seoul. Methods: A total of 235 nurses working at surgical units participated in this questionnaire-based study. Five cases scenarios were developed based on diagnosed postoperative delirium cases. Data were collected from April 1 to May 1, 2021. Results: The delirium screening score was 4.20±1.17 out of 5. The delirium knowledge score was 34.35±4.57 out of 47. The delirium care score was 67.61±9.26 out of 92. The correlation between the delirium screening and delirium knowledge was statistically significant(r=.18, p=.005). The correlation between the delirium knowledge and delirium care was statistically significant(r=.25, p<.001). Conclusion: The findings showed that the continuing educations of delirium for hospital nurses and the development of a delirium education programs were important to improve delirium screening and care.
참고문헌 (27)
- Vlisides PE, "Recent advances in preventing and managing postoperative delirium", F1000Research, 8(F1000 Faculty Rev), pp.607~ (2019)[DOI]
- Inouye SK, "Delirium in elderly people", The Lancet, 383, pp.911~922 (2014)[DOI]
- Nazemi AK, "Prevention and management of postoperative delirium in elderly patients following elective spinal surgery", Clinical Spine Surgery, 30(3), pp.112~119 (2017)[DOI]
- Oosterhouse KJ, "Intensive care unit nurses' beliefs about delirium assessment and management", AACN Advanced Critical Care, 27(4), pp.379~393 (2016)[DOI]
- Marcantonio ER, "Delirium in hospitalized older adults", New England Journal of Medicine, 377(15), pp.1456~1466 (2017)[DOI]
- Oh ES, "Delirium in older persons : Advances in diagnosis and treatment", JAMA, 318(12), pp.1161~1174 (2017)[DOI]
- Flaherty JH, "Dissecting delirium : Phenotypes, consequences, screening, diagnosis, prevention, treatment, and program implementation", Clinics in Geriatric Medicine, 33(3), pp.393~413 (2017)[DOI]
- Lemiengre J, "Detection of delirium by bedside nurses using the confusion assessment method", Journal of the American Geriatrics Society, 54(4), pp.685~689 (2006)[DOI]
- 이영민, "섬망 아형의 임상적 의의", 신경정신의학, 48(3), pp.123~129 (2009), 대한신경정신의학회
- 안태현, "섬망 환자에서 아형과 심각도의 임상적 관련 요인", 신경정신의학, 54(4), pp.489~494 (2015), 대한신경정신의학회[DOI]
- van Velthuijsen EL, "Detection and management of hyperactive and hypoactive delirium in older patients during hospitalization : A retrospective cohort study evaluating daily practice", International Journal of Geriatric Psychiatry, 33(11), pp.1521~1529 (2018)[DOI]
- 최은정, "간호사의 섬망사정능력", 노인간호학회지, 13(3), pp.233~241 (2011), 한국노인간호학회
- 박향미, "간호사의 섬망관련 지식, 간호 자신감과 섬망 간호 수행과의 관계", 보건정보통계학회지, 41(4), pp.359~368 (2016), 한국보건정보통계학회[DOI]
- Gaudreau JD, "Fast, systematic, and continuous delirium assessment in hospitalized patients : The nursing delirium screening scale", Journal of Pain and Symptom Management, 29(4), pp.368~375 (2005)[DOI]
- "Diagnostic and statistical manual of mental disorders. 5th ed. (DSM-5®)" (2013)[URL]
- Mulkey MA, "Choosing the right delirium assessment tool", Journal of Neuroscience Nursing, 50(6), pp.343~348 (2018)[DOI]
- Wong CL, "Does this patient have delirium? : Value of bedside instruments", JAMA, 304(7), pp.779~786 (2010)[DOI]
- Bergeron N, "Intensive care delirium screening checklist : Evaluation of a new screening tool", Intensive Care Medicine, 27(5), pp.859~864 (2001)[DOI]
- van Velthuijsen EL, "Psychometric properties and feasibility of instruments for the detection of delirium in older hospitalized patients : A systematic review", International Journal of Geriatric Psychiatry, 31(9), pp.974~989 (2016)[DOI]
- Neelon VJ, "The NEECHAM Confusion Scale : Construction, validation, and clinical testing", Nursing Research, 45(6), pp.324~330 (1996)[DOI]
- Marcantonio ER, "Postoperative delirium : A 76-year-old woman with delirium following surgery", JAMA, 308(1), pp.73~81 (2012)[DOI]
- 김경남, "한국어판 간호 섬망 선별 도구 개발 및 검증", Journal of Korean Academy of Nursing, 42(3), pp.414~423 (2012), 한국간호과학회
- Park YS, "The development and effects of evidence-based nursing practice guideline for cancer patients with delirium", Evidence and Nursing, 1(1), pp.4~15 (2013)[DOI]
- Faul F, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41, pp.1149~1160 (2009)[DOI]
- Cho GL, "ICU Nurses' knowledge and nursing performance of intensive care unit syndrome", master, pp.2001
- 서희정, "중환자실 간호사의 섬망 관련 지식, 간호수행도 및 스트레스", 성인간호학회지, 19(1), pp.55~65 (2007), 한국성인간호학회
- 오인숙, "간호사의 비판적 사고성향과 간호업무환경이 임상적 의사결정 능력에 미치는 영향", 한국간호교육학회지, 22(3), pp.304~315 (2016), 한국간호교육학회[DOI]