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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.49 no.6, 2019년, pp.724 - 735
이선희 (가톨릭대학교 간호대학) , 이선미 (가톨릭대학교 간호대학)
Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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국내외 중환자실 환자의 섬망 경험률은 어떻게 보고되는가? | 중환자실 환자의 섬망 경험률은 국외의 경우 약 22.4~87.0%였으며[2,5] 국내에서는 22~73%로 보고되었다[6]. 이와같이 섬망은 중증도가 높은 중환자실 환자에게 흔하게 발생하는 문제이다[2]. | |
섬망이 발생한 환자는 어떠한 행동을 보이는가? | 섬망이 발생한 환자는 삽관 튜브나 카테터를 우발적으로 제거하기도 하고, 침대 밖으로 나가려고 시도하는 과정에서 낙상을 하기도 한다. 또한 환자의 공격적이고 불안정한 행동은 질병의 중증 상태에서 패혈증, 무기폐, 호흡부전 및 골절 등의 합병증을 유발하기도 한다[9,10]. | |
본 연구가 섬망의 위험요인과 섬망이 환자결과에 영향을 미치는 인과관계를 파악하여 도출한 결론은 무엇인가? | 본 연구는 중환자실 환자의 섬망을 중재하기 위한 근거자료로 모형을 구축하여 섬망의 위험요인과 섬망이 환자결과에 영향을 미치는 인과관계를 파악하였다. 이러한 결과를 통해 중환자실 환자에게 섬망의 위험요인에 대한 적극적인 중재를 제공하여 섬망을 예방하는 것은 환자의 사망, 재원기간 연장, 퇴원시 타기관으로의 전원 등 환자의 결과를 개선시킬 수 있다는 결론을 도출하였다.본 연구는 전자의무기록에 포함된 요인만 선정할 수 있었던 점을 고려하여 섬망을 예방하기 위한 중재를 적용하기 위한 기초자료로서 환경적인 요인과 수면의 질 등을 전자의무기록에 추가하는 방안을 고려하는 것이 필요하다. |
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