[논문]암 간호정보체계 개발;한국 6대 암 환자의 핵심간호진단

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암 간호정보체계 개발;한국 6대 암 환자의 핵심간호진단
Developing a Cancer Nursing Information System;Determining Core Nursing Diagnoses for the Six Most Common Cancers in Korea 원문보기

연구목적: 본 연구는 암 간호정보체계에 사용될 한국 6대 암 환자의 핵심간호진단을 결정하기 위해 수행되었다. 핵심간호진단 은 6대 암, 각 환자 군의 간호를 위해 가장 자주 혹은 많이 사용되는 일정의 간호진단 세트로 정의된다. 본 연구에서 6대 암 환자의 핵심간호진단을 결정하고자 하는 가장 큰 목적은 간호진단 과정에서의 편리성을 높임으로써 앞으로 개발될 암 간호정보체계의 유용성과 사용가능성을 높이기 위함이다. 연구방법: 핵심간호진단은 조사연구를 통해 결정하였으며, 결정된 진단들은 문헌고찰과 환자기록 분석을 통해 그 타당도를 확인하였다. 환자기록 분석은 특히 조사연구 결과의 타당도를 확인하기 위해 사용되었다. 조사연구에 사용된 도구 및 환자기록에 나타난 간호진단 혹은 간호문제의 교차분석을 위해서는 NANDA Taxonomy II에 포함된 간호진단이 사용되었다. 219명의 경력간호사가 조사연구에 참여하였으며, 72개의 환자기록이 분석되었다. 핵심간호진단은 암 간호 정보체계의 언어개발을 위해 구성된 전문가 집단에 의해 조사연구 참여자의 20% 이상이 선택한 NANDA 간호진단으로 정하였다. 연구결과: 16개 ${\sim}$ 20개의 NANDA 간호진단이 한국 6대 암, 각 환자군의 핵심간호진단으로 선정되었다. 핵심간호진단 중 '급성통증', '만성통증', '불안', '감염가능성', '피로' 등이 6대 암 환자 군에 모두 포함되었다. 결론: 핵심간호진단의 타당도는 환자기록 분석과 문헌고찰을 통해 확인되었다. 이들 핵심진단은 암 간호정보체계에 사용되어 간호진단 적용을 촉진함으로써 암 환자 간호의 질 향상에 기여할 수 있을 것이다.

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문제 정의

Using this information system, the CNDs will be presented prior to others with causes and contributing factors when nurses are making nursing diagnoses for these patients. The main objective for the determination of CNDs in this study is to increase the perceived usefulness and the perceived usability of the information system by supporting nursing diagnosis. According to the Information technology adoption model (Dixon, 1999), these two perceptions are the key factors that lead to the successful adoption and utilization of Information Technology.
(2002) have reported the symptoms of cancer patients are different according to the sites of cancers. This report supports the CNDs which were determined for specific populations in this study. The CNDs included only one patient group are mostly related to the functional disturbances of the organs involved by diseases.
In particular, information systems using standard language systems can support nursing care more effectively. This study was conducted to determine core nursing diagnoses (CNDs) for a cancer nursing information system which will be designed to support the nursing process for cancer patients. CNDs were determined for the patient groups of each of the six most common cancers in Korea.

제안 방법

The survey was performed to identify the nursing diagnoses perceived to be used most often for each of the six patient groups because the nursing diagnoses are not actively used at the present time in Korea. The analysis of patient records was performed to verify the findings of survey by identifying nursing diagnoses actually used in nursing care of the cancer patients.
They reviewed NANDA nursing diagnoses selected in the survey and compared them with the nursing diagnoses identified in the analysis of patient records. The findings of the analysis of patient records were used to verify and supplement the findings of the survey. Consequently, the expert group members determined the NANDA nursing diagnoses s이ected by 20% of the participants or more in the survey as the CNDs for each group.
To determine CNDs for each of the six patient groups, a survey and analysis of patient records were performed. The survey was performed to identify the nursing diagnoses perceived to be used most often for each of the six patient groups because the nursing diagnoses are not actively used at the present time in Korea. The analysis of patient records was performed to verify the findings of survey by identifying nursing diagnoses actually used in nursing care of the cancer patients.
Group members included six experienced clinical nurses working at medical, surgical, or hospice nursing units for three years or more in an academic hospital and had master degrees or higher education. They reviewed NANDA nursing diagnoses selected in the survey and compared them with the nursing diagnoses identified in the analysis of patient records. The findings of the analysis of patient records were used to verify and supplement the findings of the survey.
They were analyzed to identify the nursing diagnoses or nursing problems actually used in the nursing process for the patients and to verify the survey findings. Inclusion criteria of the patient records were (1) seven hospital days or more (2) existence of nursing diagnoses or nursing problems in the record, and (3) consistent and substantial nursing records.
Thus, CNDs were selected from NANDA Taxonomy II (NANDA, 2001) in this study. To determine CNDs for each of the six patient groups, a survey and analysis of patient records were performed. The survey was performed to identify the nursing diagnoses perceived to be used most often for each of the six patient groups because the nursing diagnoses are not actively used at the present time in Korea.

대상 데이터

For responding to the questionnaires, the participants were informed about the purpose of the questionnaires. A total of 219 participants from 220 participants completed the questionnaires. Data collection was performed from March 1st to April 30th, 2004.
From the list of the 이igible participants, 15-20 participants who agreed to participate were chosen from each hospital. As a result, 220 clinical nurses from 11 academic hospitals and two cancer centers in four metropolitan areas including Seoul participated in the data collection.
A total of 219 participants from 220 participants completed the questionnaires. Data collection was performed from March 1st to April 30th, 2004. Using SPSS Win 11.
To select eligible participants, information about the professional experiences of the nurses working at the medical, surgical, or oncology nursing units was taken from the head nurses of the units. From the list of the 이igible participants, 15-20 participants who agreed to participate were chosen from each hospital. As a result, 220 clinical nurses from 11 academic hospitals and two cancer centers in four metropolitan areas including Seoul participated in the data collection.
Ten NANDA nursing diagnoses expected to be most frequently used for each of the six patient groups were selected by each participant. Total 192~199participants selected NANDA nursing diagnoses for each of the patient groups.

성능/효과

The nursing diagnoses selected as will be most frequently used for the patient groups in the survey were found consistent with the nursing diagnoses identified in the analysis of patient record relatively well. Based on these findings, the NANDA nursing diagnoses which were selected by 20% of the participants or more as will be most frequently used for each of the patient groups of the six most common cancers in Korea were determined as CNDs for the patient groups by the expert group members.
The findings of the analysis of patient records were used to verify and supplement the findings of the survey. Consequently, the expert group members determined the NANDA nursing diagnoses s이ected by 20% of the participants or more in the survey as the CNDs for each group. This criteria was determined after reviewing nursing diagnoses within the criteria, which were recognized in high frequency for the nursing care of the populations by expert group members, and considering adequate number, 15~20, of CNDs for the convenience of nurses in choosing nursing diagnoses.
, 1995; Yang, 2002). Consistent with the results of the survey, the NANDA nursing diagnoses, Pain, Imbalanced nutrition: Less than body requirement, Anxiety, Disturbed sleep pattern, Nausea, Hyperthermia, and Anxiety were also frequently found in patients’ records even though sufficient numbers of nursing diagnoses were not found. Based on these findings, which were meaningful even though not sufficient, the validity of the common CNDs for cancer patients could be verified.
Consistent with the results of the survey, the NANDA nursing diagnoses, Pain, Imbalanced nutrition: Less than body requirement, and the nursing diagnoses related to the body fluid volume were also found frequently in the patients’ records. The eight statements which were not cross-mapped with NANDA nursing diagnoses were classified into the nursing diagnoses derived from ICNP, ‘Anorexia’ (6, 4.2%), ‘Depression’ (1, 0.7%), and ‘Dyspepsia’ (1, 0.7%) [Table 3].
Consequently, the expert group members determined the NANDA nursing diagnoses s이ected by 20% of the participants or more in the survey as the CNDs for each group. This criteria was determined after reviewing nursing diagnoses within the criteria, which were recognized in high frequency for the nursing care of the populations by expert group members, and considering adequate number, 15~20, of CNDs for the convenience of nurses in choosing nursing diagnoses.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

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암 간호정보체계 개발;한국 6대 암 환자의 핵심간호진단
Developing a Cancer Nursing Information System;Determining Core Nursing Diagnoses for the Six Most Common Cancers in Korea 원문보기

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암 간호정보체계 개발;한국 6대 암 환자의 핵심간호진단 Developing a Cancer Nursing Information System;Determining Core Nursing Diagnoses for the Six Most Common Cancers in Korea 원문보기

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암 간호정보체계 개발;한국 6대 암 환자의 핵심간호진단
Developing a Cancer Nursing Information System;Determining Core Nursing Diagnoses for the Six Most Common Cancers in Korea 원문보기

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