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논문KCI 등재

전실스트레스 증후군(Relocation Stress Syndrome: RSS) 측정도구 개발- 중환자실에서 일반 병실로 전실되는 환자를 대상으로 -

Development of Relocation Stress Syndrome(RSS) Scale for Patients Transfered from Intensive Care Unit to General Ward

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참고문헌

키워드

주제분류간호학

초록

Abstract

Purpose: The aim of this study was to develop instrument measuring the relocation stress syndrome for patients transferred from intensive care unit to general ward in Korea. Method: For item construction, components were drawn from an extensive review of the literature, existing instruments and the result of qualitative approach. A total 48 items were selected for the first draft. Ten experts evaluated this instrument for content validity and the number of items was reduced to 29. To refine and test reliability and validity of the instrument, data were collected from the 594 patients following transfer from intensive care unit. Results: Preliminarily twenty-nine items were generated through content validity and a pilot study. Using corrected items to total correlation coefficient, this instrument was further shortened to a 25 item scale. Factor analysis extracted a total of 23 items with a 5-point Likert-type scale. Relocation Stress Syndrome (RSS) included three subscales; physical factors (12 items), Patient's recognition to health care providers (8 items), and emotional factors (3 items). The RSS established content validity, construct validity, and reliability. Conclusion: This instrument demonstrates good reliability and validity, and therefore it is an appropriate measurement of assessing relocation stress syndrome in ICU to ward transition period.

참고문헌 (30)

  1. 김미옥, "내과계 중환자들의 예후 판정에있어서 제 7병일 APACHE Ⅲ 점수의 임상적 유용성", 결핵 및 호흡기 질환, 50(2), pp.236~244 (2001)
  2. 성혜연, "중환자 가족의 환경적 스트레스와 불안에 관한 연구", 중앙간호논문집, 7(2), pp.1~10 (2003)
  3. 오순학, "중환자 가족의 부담감과 스트레스에 관한 연구", 석사, pp.2003
  4. 장연수, "중환자실의 입실과 퇴실 기준 개발", 석사, pp.2000
  5. 한경신, "중환자실 환자의 입원시 불안정도와 영향요인", 석사, pp.2002
  6. 한동우, "중환자실 재입실 환자의 임상적 고찰 및 예후", 대한마취과학회지, 44, pp.78~83 (2003)
  7. Carpenito,L.J., "Nursing diagnosis. application to clinical practice (8th ed.)" (2000), Lippincott
  8. Chaboyer,W., "The intensive care unit liasion nurse: towards a clear role desciption", Intensive Crit Care Nurs, 20, pp.77~86 (2004)
  9. Chaboyer,W., "Transitional care after the intensive care unit", Critical Care Nurse, 25(3), pp.16~29 (2005)
  10. Cochran,J., "A comparison of nurses' and patients' perceptions of intensive care unit stressors", J Adv Nurs, 14, pp.1038~1043 (1989)
  11. Comrey,A.L., "Factor analytic methods of scale development in personality and clinical psychology", J Consult Clin Psychol, 56, pp.754~761 (1988)
  12. Coyle,M.A., "Transfer anxiety: preparing to leave intensive care", Intensive Crit Care Nurs, 17, pp.138~143 (2001)
  13. Cutler,L., "Reducing relocation stress after discharge from the intensive therapy unit", Intensive Crit Care Nurs, 11, pp.333~335 (1995)
  14. Devellis,R.F., "Scale development (2nd ed.)" (2003), Sage publicaion
  15. Lazarus,R.S., "Stress, Appraisal and Coping" (1984), Springer
  16. Leith,B.A., "Anxiety in patients and family members after transfer from intensive care", 석사, pp.1999
  17. Lynn,M.R., "Determination and quantification of content validity", Nurs Res, 35(6), pp.382~385 (1986)
  18. Manion,P.S., "Relocation stress syndrome: A comprehensive plan for long-term care admissions", Geriatr Nurs, 16, pp.108~112 (1995)
  19. McKinney,A.A., "Leaving the intensive care unit: a phenomenological study of the patient's experience", Intensive Crit Care Nurs, 18, pp.320~331 (2002)
  20. McKinney,A.A., "Relocation stress in critical care: a review of the literature", J Clin Nurs, 11, pp.149~157 (2002)
  21. McKinley,S., "Development and testing of a faces scale for the assessment of anxiety in critically ill patients", J Adv Nurs, 41(1), pp.73~79 (2003)
  22. Meleis,A.I., "Experiencing transitions: An emerging middle-range theory", ANS Adv Nurs Sci, 23(1), pp.12~28 (2000)
  23. North American Nursing Diagnosis Association, "Nursing diagnosies: definitions and classification", NANDA, ~ (1992)
  24. Nunnally,J.C., "Psychometric theory (3rd ed.)" (1994), McGraw-Hill, Inc.
  25. Odell,M., "The patients' thoughts and feelings about their transfer from intensive care to the general ward", J Adv Nurs, 31(2), pp.322~329 (2000)
  26. Spielberger,C.D., "Professional manual for the State­Trait Anger Expression Inventory(STAXI, Research ed.)", Psychological Assessment Resources, Inc., ~ (1988)
  27. Ssarmann,L., "Transfer out of critical care: freedom or fear?", Crit Care Nurs Q, 16, pp.78~85 (1993)
  28. Strahan,E.H., "A qualitative study of the experiences of patients following transfer from intensive care unit", Intensive Crit Care Nurs, 21, pp.160~171 (2005)
  29. Watts,R., "Factors that enhance or impede critical care nurses' discharge planning practices", Intensive Crit Care Nurs, 25, pp.1~12 (2005)
  30. Whittaker,J., "Discharge from intensive care: a view from the ward", Intensive Crit Care Nurs, 16, pp.135~143 (2000)

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