암환자에게 제공된 다빈도 간호중재 분석 - 5개 종합병원을 중심으로 -
Analysis of Nursing Interventions Frequently Used with Cancer Patients
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify nursing interventions frequently used with cancer patients. Nursing records from 5 general hospitals for patients with stomach, liver, lung or colon cancer were analyzed. Method: A descriptive study methodology was used and nursing records for 15 patients in each disease category at each hospital, who were admitted and discharged during June 2007 were analyzed. Results: Five domains of NIC were found and the physiological(basic) domain was most frequent (31.52%). Twenty two classes of NIC were identified with risk management for safety being most frequent (22.49%). For the 119 nursing interventions identified, the most frequent was pain management with 7,827 (12.31%), followed by prevention of falls (11.76%), surveillance (6.79%) and wound care (5.12%). Nursing activities of pain management and prevention of falls were comparable to activities listed in literature on guidelines for evidence based and best practices in nursing care. Eight of the 17 nursing activities for pain management, and 9 of 14 for fall prevention were consistent with these guidelines. Conclusion: In this study, nursing interventions were found to be focused on physical care, monitoring patients' condition and education. We have to develop diverse nursing interventions and a convenient recording process.
Abstract
Purpose: The purpose of this study was to identify nursing interventions frequently used with cancer patients. Nursing records from 5 general hospitals for patients with stomach, liver, lung or colon cancer were analyzed. Method: A descriptive study methodology was used and nursing records for 15 patients in each disease category at each hospital, who were admitted and discharged during June 2007 were analyzed. Results: Five domains of NIC were found and the physiological(basic) domain was most frequent (31.52%). Twenty two classes of NIC were identified with risk management for safety being most frequent (22.49%). For the 119 nursing interventions identified, the most frequent was pain management with 7,827 (12.31%), followed by prevention of falls (11.76%), surveillance (6.79%) and wound care (5.12%). Nursing activities of pain management and prevention of falls were comparable to activities listed in literature on guidelines for evidence based and best practices in nursing care. Eight of the 17 nursing activities for pain management, and 9 of 14 for fall prevention were consistent with these guidelines. Conclusion: In this study, nursing interventions were found to be focused on physical care, monitoring patients' condition and education. We have to develop diverse nursing interventions and a convenient recording process.
참고문헌 (30)
- 김조자, "간호진단과 간호중재의 분류", 연세교육과학, 45, pp.95~114 (1997)
- 김혜숙, "정형외과 입원환자를 위한 간호과정 전산프로그램 개발 및 적용-간호진단, 간호결과, 간호중재 연계", 박사, pp.2004
- 노유자, "호스피스 병동과 일반병동의 말기암환자의 간호중재 비교", 성인간호학회지, 14(4), pp.543~553 (2002), 성인간호학회
- 류동희, "국제간호실무분류체계(ICNP)를 이용한 간호기록 분석 - 심장내과 간호기록을 중심으로 -", 성인간호학회지, 14(2), pp.165~172 (2002), 성인간호학회
- 류은정, "간호중재분류체계(NIC)을 이용한 내외과계 중환자실 간호중재 분석", 대한간호학회지, 28(2), pp.457~467 (1998)
- 명희재, "국제 간호실무분류체계(ICNP)를 이용한 간호기록 분석", 석사, pp.2003
- 박성애, "의학진단과 연계된 간호진단 및 중재 프로그램 개발", 간호행정학회지, 8(2), pp.239~248 (2002)
- 박정호, "한국 표준 간호행위 분류", 대한간호학회지, 30(6), pp.1411~1425 (2000)
- 박현애, "간호진단, 간호중재 및 환자결과에 대한 분류체계의 비교 분석", 간호학 논문집, 10(2), pp.123~147 (1998)
- 박현애, "간호진단, 중재, 결과 분류체계" (2000), 서울대학교출판부
- 서문자, "국내 간호중재 연구의 최근 경향", 서울대 간호대학 90주년 기념 국제학술대회 발표자료집, pp.70~81 (1997)
- 성영희*·신희연, "내·외과계 입원단위 핵심 간호중재 분석", 성인간호학회지, 18(4), pp.631~640 (2006), 성인간호학회
- 손행미, "간호중재분류체계(NIC)에 의한 임상간호사의 간호중재 수행정도에 관한 조사연구", 간호학논문집, 12(1) (1998)
- 양진향, "암환자의 생활세계 경험", Journal of Korean Academy of Nursing, 38(1), pp.140~151 (2008), 한국간호과학회
- 염영희, "간호중재분류(NIC)에 근거한 간호중재수행분석", 대한간호학회지, 29(2), pp.346~360 (1999)
- 이은주, "일반외과 입원환자에 적용되는 간호진단-간호결과-간호중재 연계(NANDA-NOC-NIC Linkage)의 확인", 석사, pp.2005
- 이진희, "일병원 외과계 간호단위 간호중재 수행정도분석 -간호중재분류체계(NIC)를 중심으로-", 임상간호연구, 7(1), pp.149~170 (2000)
- 최자윤, "간호일지 상의 간호중재와 지각된 간호중재의 수행빈도 비교 - 말기 암환자를 중심으로 -", Journal of Korean Academy of Nursing, 35(4), pp.441~450 (2005), 한국간호과학회
- 한금선, "암환자 가족 간호자가 인지하는 가족기능수행과 삶의 질", Journal of Korean Academy of Nursing, 36(6), pp.983~991 (2006), 한국간호과학회
- 현수경, "통합간호용어체계 구축을 위한 ICNP와 NANDA, HHCC, Omaha, NIC의 교차분석", 석사, pp.2000
- Ackley, B. J., "Evidence-based nursing care guidelines" (2008), Mosby Elsevier
- Coenen, A., "Mapping nursing interventions from a hospital information system to the nursing intervention classification(NIC)", Nursing Diagnosis, 8(4), pp.145~151 (1997)
- Eisenhauer, L. A., "Q typology of nursing therapeutics", Image, 26, pp.261~264 (1994)
- Iowa Intervention Project, "The NIC taxonomy structure. image", Journal of Nursing Scholarship, 25(3), pp.187~192 (1993)
- Korean National Statistical Office, "Statistical database" (2006), Korean National Statistical Office
- Kowalak, "Best practices: a guide to excellence in nursing care" (2003), Lippincott Williams and Wilkins
- McCloskey, J. C., "Nursing Intervention Classification(NIC) (2nd ed.)" (1996), Mosby Year Book
- McCloskey, J. C., "Nursing Intervention Classification(NIC) (3nd ed.)" (2000), Mosby Year Book
- Robbins, B. T., "Application of nursing interventions classification(NIC) in cardiovascular critical care unit", The Journal of Continuing Education in Nursing, 28(2), pp.78~82 (1997)
- Titler, M. G., "Use of the nursing intervention classification by critical care nurses", Critical Care Nurses, 16(4), pp.38~54 (1996)