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NTIS 바로가기한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.19 no.11, 2018년, pp.635 - 644
김승옥 (한양대학교 일반대학원 간호학과) , 신용순 (한양대학교 간호학부)
This descriptive study examined the practical nursing guidelines for the prevention of pressure injuries (PI) in operating rooms and their application. Method: Four general hospitals and three specialized hospitals located in Seoul, Incheon, and Gyeonggido province were selected through an online ra...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
욕창이란? | 욕창은 지속적으로 압력이 가해지는 부위의 국소적인 허혈로 인하여 피부, 조직에 손상이 발생하는 것으로 돌출된 뼈 부위나 의료장비 등과 접촉하는 부위에서 흔하게 발생한다[1]. 욕창의 주된 위험요인은 강하고 지속적인 압력과 전단력으로 피부표면에 가해진 압력은 모세혈관의 순환장애를 유발하며 세포의 허혈과 조직괴사를 초래하여 피부나 조직의 손상을 가져오게 된다[2]. | |
욕창의 위험요인은? | 욕창은 지속적으로 압력이 가해지는 부위의 국소적인 허혈로 인하여 피부, 조직에 손상이 발생하는 것으로 돌출된 뼈 부위나 의료장비 등과 접촉하는 부위에서 흔하게 발생한다[1]. 욕창의 주된 위험요인은 강하고 지속적인 압력과 전단력으로 피부표면에 가해진 압력은 모세혈관의 순환장애를 유발하며 세포의 허혈과 조직괴사를 초래하여 피부나 조직의 손상을 가져오게 된다[2]. |
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J. M. Kim, J. S. Park, "Development of an Algorithm for the Prevention and Management of Pressure Ulcers", Korean Journal of Adult Nursing, Vol.22, No.4, pp.353-364, 2010.
B. L. Burlingame, "Guideline Implementation: Positioning the Patient", AORN Journal, Vol.106, No.3, pp.227-237, 2017. DOI: https://dx.doi.org/10.1016/j.aorn.2017.07.010
Korea Hospital nurses association. Evidence-Based Clinical Practice Guideline.; Prevention and Management of Pressure Ulcer. pp.86-87, 2013.
P. C. Tallier, P. R. Reineke, K. Asadoorian, J. G. Choonoo, M. Campo, C. Malmgreen-Wallen, "Perioperative registered nurses knowledge, attitudes, behaviors, and barriers regarding pressure ulcer prevention in perioperative patients", Applied Nursing Research, Vol.36, pp.106-110, 2017. DOI: https://dx.doi.org/10.1016/j.apnr.2017.06.009
L. Spruce, "Back to Basics: Preventing Perioperative Pressure Injuries", AORN Journal, Vol.105, No.1, pp.92-99, 2017. DOI: https://dx.doi.org/10.1016/j.aorn.2016.10.018
W. He, P. Liu, H. L. Chen, "The Braden scale cannot be used alone for assessing pressure ulcer risk in surgical patients: a meta-analysis", Ostomy Wound Manage., Vol.58, No.2, pp.34-40, 2012
D. Engels, M. Austin, L. McNichol, J. Fencl, S. Gupta, H. Kazi, "Pressure Ulcers: Factors Contributing to Their Development in the OR", AORN Journal, Vol.103, No.3, pp.271-281, 2016. DOI: https://dx.doi.org/10.1016/j.aorn.2016.01.008
E. McInnes, A. Jammali-Blasi, S. E. Bell-Syer, J. C. Dumville, V. Middleton, N. Cullum, "Support surfaces for pressure ulcer prevention", Cochrane Database of Systematic Reviews, No.9, Article ID CD001735, 2015. DOI: https://dx.doi.org/10.1002/14651858.CD001735.pub5
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K. F. de Oliveira, K. G. Nascimento, A. C. Nicolussi, S. R. R. Chavaglia, C. A. de Araujo, M. H. Barbosa, "Support surfaces in the prevention of pressure ulcers in surgical patients: An integrative review", International Journal of Nursing Practice, Vol.23, No.4, Article ID e12553, 2017. DOI: https://dx.doi.org/10.1111/ijn.12553
T. Defloor, D. De Bacquer, M. H. F. Grypdonck, "The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers", International Journal of Nursing Studies, Vol.42, No.1, pp.37-46, 2005. DOI: https://dx.doi.org/10.1016/j.ijnurstu.2004.05.013
J. Feuchtinger, R. de Bie, T. Dassen, R. Halfens, "A 4-cm thermoactive viscoelastic foam pad on the operating room table to prevent pressure ulcer during cardiac surgery", Journal of Clinical Nursing, Vol.15, No.2, pp.162-167, 2006. DOI: https://dx.doi.org/10.1111/j.1365-2702.2006.01293.x
Association of periOperative Registered Nurses. Guidline for positioning the patient. in: Guidline for perioperative practice. Denver, CO: AORN, Inc; 2017; pp.e1-e72.
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