척추마취 노인 수술 환자의 회복실 간호요구
Nursing Needs of Elderly Patients with Spinal Anesthesia in the Recovery Room
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the nursing needs of elderly patients while in the recovery room following spinal anesthesia. Methods: The participants in this study were 120 elderly patients had surgery under spinal anesthesia between from December 12, 2011 and March 31, 2012. The instrument used was a descriptive questionnaire on nursing care needs of patients in the recovery room. For reliability, the instrument had a Cronbach's ⍺ of .882. The data were analyzed using frequencies, percentages, means, t-test, ANOVA, and Cronbach's ⍺ coefficient with the SPSS/WIN 12.0 program. Results: Score for nursing needs of elderly patients with spinal anesthesia who were in the recovery room was 2.47±0.82 of a range 1~5. The scores for individual nursing needs were as follows: educational need (2.99±0.80), physical need (2.62±0.59), spiritual need (2.29±1.12), emotional need (2.08±0.81), and environmental need (1.71±0.83). Conclusion: While taking care of elderly patients in the recovery room after surgery, nurses should provide enough information about the surgery and anesthesia, observe thirst and coldness, and when explaining do it slowly in a loud voice. Spiritual care for elderly patients in recovery room is also important.
Abstract
Purpose: The purpose of this study was to identify the nursing needs of elderly patients while in the recovery room following spinal anesthesia. Methods: The participants in this study were 120 elderly patients had surgery under spinal anesthesia between from December 12, 2011 and March 31, 2012. The instrument used was a descriptive questionnaire on nursing care needs of patients in the recovery room. For reliability, the instrument had a Cronbach's ⍺ of .882. The data were analyzed using frequencies, percentages, means, t-test, ANOVA, and Cronbach's ⍺ coefficient with the SPSS/WIN 12.0 program. Results: Score for nursing needs of elderly patients with spinal anesthesia who were in the recovery room was 2.47±0.82 of a range 1~5. The scores for individual nursing needs were as follows: educational need (2.99±0.80), physical need (2.62±0.59), spiritual need (2.29±1.12), emotional need (2.08±0.81), and environmental need (1.71±0.83). Conclusion: While taking care of elderly patients in the recovery room after surgery, nurses should provide enough information about the surgery and anesthesia, observe thirst and coldness, and when explaining do it slowly in a loud voice. Spiritual care for elderly patients in recovery room is also important.
참고문헌 (29)
- Cho, S. K., "The Effects of Korean hand acupressure on the discomfort, mobility and sensation of lower extremities in patients with spinal anesthesia", 석사, pp.2007
- Choi, W. H., "Preoperative nursing needs of patients with day surgery", 석사, pp.1998
- Choi, J. Y., "Influencing factors on length of stay in the posanesthesia care unit in elderly", 석사, pp.2010
- Clayton, J. L., "Special needs of older adults undergoing surgery", AORN Journal, 87(3), pp.557~570 (2008)
- Eun, Y., "Introduction of geriatric professional nursing", pp.53~109 (2010), Hyunmoon
- Feliciano, T., "A retrospective, descriptive, exploratory study evaluating incidence of postoperative urinary retention after spinal anesthesia and its effect on PACU discharge", Journal of Peri- Anesthesia Nursing, 23(6), pp.394~400 (2008)
- Gil, Y. S., "Postoperative urinary retention in postanesthesia care unit detected by ultrasound scanner", 석사, pp.2005
- Kang, H. S., "Evidence based fundamentals of nursing I", pp.55~56 (2010), Soomoonsa
- Kang, J. M., "The incidence and risk factors of urinary retention following long spinal anesthesia for total knee replacement", 석사, pp.2005
- Kim, E. K., "A study on nursing needs of patients in the recovery room", Journal of Korean Academic of Fundamental Nursing, 9(1), pp.86~100 (2002)
- 김정순, "척추마취 후 침상안정이 두통발생에 미치는 영향", 임상간호연구, 12(1), pp.169~178 (2006), 병원간호사회
- Kim, M. H., "Effects of quincke needle size on post-dural puncture headache (PDPH) and backache in elderly patients", 석사, pp.2007
- 김선미, "노인 수술 환자의 회복실 체류시간에 영향을 미치는 요인", 성인간호학회지, 23(1), pp.87~99 (2011), 성인간호학회
- Ko, D. K., "Comparison of postoperative complications, postoperative pain and satisfaction between spinal anesthesia and monitored anesthetic care under total intravenous anesthesia for arthroscopy", 석사, pp.2001
- Korean Geriatrics Society, "Geriatric medicine", pp.161~177 (2010), Medicine Publishing Company
- Korean Society of Anesthesiologists, "Anesthesia science", pp.1661~1668 (2009), Elsevierkorea
- Ledger, S. D., "The duty of nurses to meet patients' spiritual and", or religious needs, 2005, pp.14(4), 220~225
- Lee, J. Y., "A Study on spiritual needs and spiritual wellbeing for the elderly patients in a general hospital", 석사, pp.2011
- Nam, S. M., "A study on needs of the spinal anesthesia patients", Korean Journal of Adult Nursing, 12(4), pp.666~677 (2000)
- "National Health Insurance Service Data" (2012)[URL]
- Park, J. H., "A study on the level of care needs of older surgical patients at different perioperative stages", 석사, pp.2006
- Park, M. H., "Gerontological nursing", pp.87~258 (2004), Jeongdammidia
- Peskett, M. J., "Clinical indicators and other complications in the recovery room or post-anesthetic care unit", Anesthesia, 54(12), pp.1143~1149 (1999)
- Seo, M. J., "Adult health nursing", pp.496~501 (2004), Soomoonsa
- Shin, H. J., "Analysis of nursing needs and satisfaction with nursing care for patients at ambulatory surgery center", 석사, pp.1999
- Sieber, F. E., "Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair", Mayo Foundation for Medical Education and Research, 85(1), pp.18~26 (2010)
- "Statistics Korea Data" (2010)[URL]
- 유건희, "노인 환자 마취 관리의 문제점", Korean Journal of Anesthesiology, 46(5), pp.501~516 (2004), 대한마취통증의학회
- Yun, H. S., "Patients nursing of operating room", pp.137~141 (1997), Chargoo Cultural
