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노인요양시설 간호제공자를 위한 웹기반 억제대 사용 감소 교육 프로그램 개발과 평가

Development and Evaluation of a Web-based Education Program to Reduce Restraint Use for Nursing Home Caregivers

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주제분류간호학

초록

Purpose: This study was done to develop and evaluate a web-based education program to reduce restraint use by nursing caregivers in nursing homes. Methods: A web-based education program was developed and the effect was examined using a randomized, single-blind, control-group pretest-posttest design. Seventy-six nursing caregivers in one nursing home participated in this study (38 in the experimental group and 38 in the control group). The experimental group received the web-based education which consisted of six sessions. Data were collected at baseline and postintervention using three instruments to measure nursing caregivers' knowledge, perception,and attitudes to restraints. Results: Demographic and dependent variables did not differ between the two groups. There were statistically significant effects of the web-based education on nursing caregiver's knowledge (t=6.59,p<.001), perception (t=-3.54, p=.001), and attitudes (t=2.58, p=.012; t=-2.51, p=.014) regarding restraints. Conclusion: The results indicate that web-based education is an effective intervention to improve nursing caregivers'knowledge, perception, and attitudes regarding restraints. Future study needs to investigate effects of the web-based education on the reduction of restraint use, and to compare the effects of web-based education with effects of other interventions.

Abstract

Purpose: This study was done to develop and evaluate a web-based education program to reduce restraint use by nursing caregivers in nursing homes. Methods: A web-based education program was developed and the effect was examined using a randomized, single-blind, control-group pretest-posttest design. Seventy-six nursing caregivers in one nursing home participated in this study (38 in the experimental group and 38 in the control group). The experimental group received the web-based education which consisted of six sessions. Data were collected at baseline and postintervention using three instruments to measure nursing caregivers' knowledge, perception,and attitudes to restraints. Results: Demographic and dependent variables did not differ between the two groups. There were statistically significant effects of the web-based education on nursing caregiver's knowledge (t=6.59,p<.001), perception (t=-3.54, p=.001), and attitudes (t=2.58, p=.012; t=-2.51, p=.014) regarding restraints. Conclusion: The results indicate that web-based education is an effective intervention to improve nursing caregivers'knowledge, perception, and attitudes regarding restraints. Future study needs to investigate effects of the web-based education on the reduction of restraint use, and to compare the effects of web-based education with effects of other interventions.

참고문헌 (30)

  1. Chaves, E. S., "Review of the use of physical restraints and lap belts with wheelchair users", Assistive Technology, 19(2), pp.94~107 (2007)
  2. 최인덕, "노인 장기요양 보험 대상자 및 시설, 인력 추계", 사회보장연구, 26(2), pp.375~400 (2010), 한국사회보장학회
  3. Choi, K., "Development and evaluation of educational program for the reduction of physical restraint use by caregivers in geriatric hospitals", 박사, pp.2008
  4. "FY 2012 Online Performance Appendix" (2012)[URL]
  5. Dunbar, J. M., "Restrain, don't restrain: The educational intervention of the national nursing home restraint removal project", The Gerontologist, 36(4), pp.539~542 (1996)
  6. Evans, L. K., "Frailty and physical restraint, In Aging and musculoskeletal disorders", pp.324~333 (1993), Springer
  7. Evans, L. K., "A clinical trial to reduce restraints in nursing homes", The American Geriatrics Society, 45(6), pp.675~681 (1997)
  8. Evans, D., "A review of physical restraint minimization in the acute and residential care settings", Journal of Advanced Nursing, 40(6), pp.616~625 (2002)
  9. Feng, Z., "Use of physical restraints and antipsychotic medications in nursing homes: A cross- national study", International Journal of Geriatric Psychiatry, 24(10), pp.1110~1118 (2009)
  10. Hong, S. P., "The use of physical restraints among patients in geriatric hospitals", Bulletin of Dongnam Health College, 25(2), pp.59~69 (2007)
  11. Huang, H., "Nurses' physical restraint knowledge, attitudes, and practices: The effectiveness of an in-service education program", Journal of Nursing Research, 17(4), pp.241~247 (2009)
  12. Huizing, A. R., "A cluster-randomized trial of an educational intervention to reduce the use of physical restraints with psychogeriatric nursing home residents", The American Journal of Geriatric Society, 57(7), pp.1139~1148 (2009)
  13. "Top 20 countries with the highest number of internet users" (2012)[URL]
  14. Janelli, L. M., "Physical restraint use: A nursing perspective", Academy of Medical-Surgical Nurses, 15(3), pp.163~167 (2006)
  15. Jung, Y. Y., "The development of a internet-based computer assisted instruction program and analysis of its educational effects on patients with coronary artery disease", 박사, pp.2002
  16. 김숙영, "간호학생의 e-Learning 학습현황에 대한 연구", 한국간호교육학회지, 12(1), pp.86~94 (2006), 한국간호교육학회
  17. 김철규, "뇌졸중 환자와 가족을 위한 웹 기반 뇌졸중 이차예방 교육 프로그램 개발 및 평가", Journal of Korean Academy of Nursing, 41(1), pp.47~60 (2011), 한국간호과학회
  18. 김진선, "장기요양시설 간호제공자들의 신체적 억제대 사용에 대한 인식과 태도", 한국노년학, 26(2), pp.347~360 (2006), 한국노년학회
  19. 김미량, "교육용 웹 사이트 평가를 위한 준거의 개발 및 적용", 컴퓨터교육학회 논문지, 6(1), pp.41~54 (2003), 한국컴퓨터교육학회
  20. 김신미, "노인시설 간호제공자의 신체적 억제대에 대한 인식, 태도 및 지식에 대한 연구", 한국간호교육학회지, 15(1), pp.62~71 (2009), 한국간호교육학회
  21. Kontio, R., "Impact of eLearning course on nurses’ professional competence in seclusion and restraint practices: A randomized controlled study", Journal of Psychiatric and Mental Health Nursing, 18(9), pp.813~821 (2011)
  22. "Long Term Care Insurance" (2012)[URL]
  23. Meyer, G., "Restraint use among nursing home residents: Cross-sectional study and prospective cohort study", Journal of Clinical Nursing, 18(7), pp.981~990 (2008)
  24. Möhler, R., "Interventions for preventing and reducing the use of physical restraints in long-term geriatric care", Cochrane Database of Systematic Reviews, 16(2), pp.1~34 (2011)
  25. Moore, K., "Barriers to reducing the use of restraints in residential elder care facilities", Journal of Advanced Nursing, 58(6), pp.532~540 (2007)
  26. Pellfolk, T. J., "Effects of a restraint minimization program on staff knowledge, attitudes, and practice: A cluster randomized trial", The American Geriatrics Society, 58(1), pp.62~69 (2010)
  27. Rippey, R. M., "Computer-based patient education for older persons with osteoarthritis", Arthritis & Rheumatism, 30(8), pp.932~935 (1987)
  28. "2012 Statistics for the elderly population" (2012)[URL]
  29. Strumpf, N. E., "Restraint-free care: Individualized approaches forfrail elders" (1998), Springer
  30. Yeh, S., "The effects of continuing education in restraint reduction on novice nurses in intensive care units", Journal of Nursing Research, 12(3), pp.246~255 (2004)

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