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사고로 소아응급실을 내원한 아동에 대한 실태 고찰

Characteristics of Children Admitted to a Pediatric Emergency Department Following an Accident

강혜숙|윤오복
병원간호사회 (Hospital Nurses Association)|2009.04|임상간호연구 (Journal of Korean Clinical Nursing Research)|제15권 제1호|pp. 79-91

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참고문헌

키워드

Children아동사고Accident소아응급실Pediatric emergency department
주제분류간호학

초록

Purpose: The purpose of this study was to describe the characteristics of children who visited the pediatric emergency department (PED) following an accident. Method: Data were obtained from the medical records of 4,010 children who visited the PED from January 1, 2004 through December 31, 2006. Data were analyzed using SPSS WIN 13.0 version. Results: The percentage of children who visited the PED for treatment following an accident was 14.9%. There were more boys (63.5%) than girls. The largest age group for children visiting the PED was preschool aged children. Slip downs were the most frequent accident (37.1%). The face was the most frequently injured area of the body (26.0%). Most (93.3%) of the children who visited the PED were classified as non-emergency, 6.5% as emergency and 0.2% as urgent. About 70.0% of children were examined and 50% of children were medicated. Fifty percent stayed in the PED department for less than 2 hours, and 88.0% of children were discharged to home. Nine percent were admitted, and 2.2% were transferred to other hospitals. Conclusion: The results of this study suggest the need for accident prevention education for parents, and the need to develop effective education for clinical nurses working in PED.

Abstract

Purpose: The purpose of this study was to describe the characteristics of children who visited the pediatric emergency department (PED) following an accident. Method: Data were obtained from the medical records of 4,010 children who visited the PED from January 1, 2004 through December 31, 2006. Data were analyzed using SPSS WIN 13.0 version. Results: The percentage of children who visited the PED for treatment following an accident was 14.9%. There were more boys (63.5%) than girls. The largest age group for children visiting the PED was preschool aged children. Slip downs were the most frequent accident (37.1%). The face was the most frequently injured area of the body (26.0%). Most (93.3%) of the children who visited the PED were classified as non-emergency, 6.5% as emergency and 0.2% as urgent. About 70.0% of children were examined and 50% of children were medicated. Fifty percent stayed in the PED department for less than 2 hours, and 88.0% of children were discharged to home. Nine percent were admitted, and 2.2% were transferred to other hospitals. Conclusion: The results of this study suggest the need for accident prevention education for parents, and the need to develop effective education for clinical nurses working in PED.

참고문헌 (39)

  1. 김대현, "소아 사고의 실태에 관한 고찰", 석사, pp.1991
  2. 김신정, "응급실 방문 환아에 대한 임상적 고찰", 아동간호학회지, 5(1), pp.97~106 (1999)
  3. 김신정, "응급실 방문 환아의 중증도", Journal of Korean Academy of Child Health Nursing, 7(2), pp.191~202 (2001), 아동간호학회
  4. 김신정, "사고 환아에 대한 임상적 고찰", 아동간호학회지, 3(2), pp.131~141 (1997)
  5. 김원섭, "응급실 방문 사고환아에 대한 고찰", 소아과, 33(12), pp.1631~1638 (1990)
  6. 김태형, "응급실 외상 환자에 대한 통계적 고찰", 외상학회지, 43(5), pp.739~745 (1993)
  7. 김화영, "응급실 환아의 통계적 고찰", 대한소아과학회, 27(4), pp.378~383 (1984)
  8. 김효정, "응급실 방문 사고환아의 통계적 고찰", 소아과, 35(5), pp.621~629 (1992)
  9. 박정한, "대구시내 종합병원 응급실에 찾아온 소아사고 환아의 사고원인", 예방의학회지, 21(2), pp.224~237 (1988)
  10. 박철규, "화상을 제외한 소아의 외상환자에 관한 임상연구", 대한성형외과학회지, 16(3), pp.473~484 (1989)
  11. 손기용, "소아응급실 환자", 대한의학협회지, 10(2), pp.21~25 (1969)
  12. 신경식, "응급실 사고 환아에 대한 고찰", 대한소아과학회, 25(8), pp.829~838 (1982)
  13. 신준섭, "응급실에 내원한 소아 환자의 중증도 분류를 통해 응급실과 밀화 해소가 가능한가?", 대한응급의학회, 5(2), pp.347~352 (1994)
  14. 안돈희, "사고환아의 응급실 방문실태", 대한의학협회지, 37(6), pp.690~693 (1994)
  15. 전혜진, "아동의 응급의료서비스 이용실태", Journal of Korean Academy of Child Health Nursing, 14(1), pp.5~13 (2008), 아동간호학회
  16. 정구영, "응급환자의 현황과 응급의료의 실태", 대한응급의학회지, 8(4), pp.441~449 (1997)
  17. 최희강, "응급실 환자 중증도 분류(TRIAGE) 도구 개발에 관한 연구", 간호학논문집, 12(1), pp.53~74 (1998)
  18. 한국소비자원, "분야별 어린이 안전사고 통계" (2005), 한국소비자원
  19. 한국소비자원, "어린이 안전사고 사망률 분석" (2005), 한국소비자원
  20. 홍경자, "아동간호학Ⅰ" (2002), 수문사
  21. Agarn, P. F., "Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age", Pediatrics, 111(6), pp.683~692 (2003)
  22. Burt, C. W., "Injury visits to hospital emergency departments: United states. 1992-95", Vital Health Statstics, 13(131), pp.1~76 (1998)
  23. Gauvin, F., "Hospitalizations for pediatric intoxication in washington state, 1987-1997", Archives of Pediatrics & Adolescent Medicine, 155(10), pp.1105~1110 (2001)
  24. Gifford, M. J., "Emergency physicians’ and patients’ assessments: urgency of need for medical care", Annal of Emergency Medicine, 9(10), pp.502~509 (1980)
  25. G, "Mariam, A.", Patterns of accidents among children visiting jimma university hospital, south west of ethiopia, 2006, pp.44(4), 339~345
  26. Kay, M., "Pediatric foreign bodies and their management", Current Gastroenterol Reports, 7(3), pp.212~218 (2005)
  27. Lawson, G. R., "Changing pattern of poisoning in children in newcastle, 1974-81", British Medical Journal, 287(6384), pp.15~17 (1983)
  28. Ortega, H. W., "Sledding-related injuries among children requiring emergency treatment", Pediatric Emergency Care, 21(12), pp.839~843 (2005)
  29. Peclet, M. H., "Patterns of injury in children", Journal of Pediatric Surgery, 25(1), pp.85~91 (1990)
  30. Pitone, M. L., "Patterns of injury associated with routine childhood falls", Pediatric Emergency Care, 22(7), pp.470~474 (2006)
  31. Reece, R. M., "Childhood head injuries: accidental or inflicted?", Archives of Pediatrics & Adolescent medicine, 154(1), pp.11~15 (2000)
  32. Rivara, F. P., "Extimity injuries in children: preditive value of clinical findings", Pediatrics, 78(5), pp.803~807 (1986)
  33. Roberts, I., "Effect of environmental factors on risk of injury of child pedestrrians by motor vehicles: a case-control study", Clinical Research, 310(6972), pp.91~94 (1995)
  34. Shanon, A., "Nonfetal childhood injuries: a survey at the children's hospital of estern Ontario", Canadian Medical Association Journal, 146(3), pp.361~365 (1992)
  35. Shrestha, S. R., "Burn injuries in pediatric population", Journal of Nepal Medication Association, 45(163), pp.300~305 (2006)
  36. Skarbek-Borowska, S., "Emergency department visits for sledding injuries in children in the united states in 2001", 2002, 2006, pp.13(2), 181~185
  37. Spady, D. W., "Patterns of injury in children: a population-based approach", Pediatrics, 113(3), pp.522~529 (2004)
  38. Umaru, H. A., "Pedestrian injuries resulting from road traffic accidents: the azara experience", Nigerian Journal of Medicine, 16(2), pp.169~172 (2007)
  39. Xin, W., "Characteristics of 1494 pediatric burn patients in shanghai", Journal of the International Society for Burn Injuries, 32(5), pp.613~618 (2006)

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