[논문]복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도-수행도 분석

김보은; 최혜란

doi:10.14400/jdc.2021.19.12.567

복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도-수행도 분석
Importance-Performance Analysis about Early Mobilization after Abdominal Surgery Patients in Surgical Ward Nurses 원문보기

디지털융복합연구 = Journal of digital convergence, v.19 no.12, 2021년, pp.567 - 575

초록
AI-Helper

본 연구는 중요도-수행도 분석을 통해 복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도 인식 및 수행 정도를 확인하기 위함이다. 연구대상은 외과병동에서 근무하는 간호사 162명을 대상으로 자가보고 설문지를 이용하여 2021년 3월 8일부터 22일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0를 이용하여 기술통계, independent t-test, paired t-test, one-way ANOVA로 분석하였으며 중요도와 수행도는 IPA분석 기법을 사용하였다. 조기운동은 폐합병증 예방운동과 조기이상으로 구분하였다. 연구결과, 집중이 필요한 영역은 흡인위험성 확인, 개선이 필요한 영역은 구강간호, 호흡음 청진, 진동/타진, 필요시 흡인, 강화운동 영역이었다. 따라서 임상에서 조기운동의 중요도 및 수행도의 격차를 줄일 수 있는 방안을 마련하여야 하겠다.

Abstract ▼ AI-Helper

This study was aimed to identify surgical ward nurses' importance-performance awareness toward early mobilization after abdominal surgery patients. The date were collected from 162 nurses and the importance and performance of early mobilization were analyzed by the IPA method. The collected data were analyzed using the SPSS/WIN 25.0 by implementing descriptive statistics, independent t-test, paired t-test, and ANOVA. Early mobilization was divided into exercise of pulmonary complications and early ambulation. As a result of the study, the areas requiring concentration were 'check risk of aspiration', and areas requiring improvement were 'oral care', 'check lung sound', 'percussion/vibration', 'suction', and 'reinforcement exercise in bed'. Therefore, each item of early mobilization is recommended to reduce the gap between importance and performance in clinical care.

주제어

표/그림 (6)

표 Table 1. General Characteristics of Participants (N=162)
표 Table 2. Characteristics related to Experience and Education about Early Mobilization (N=162)
표 Table 3. Awareness of Importance and Performance about Early Mobilization by General Characteristics (N=162)
표 Table 4. Awareness of Importance and Performance for Preventive Exercise of Pulmonary Complications (N=162)
그림 Fig. 1. IPA matrix for preventive exercise of pulmonary complications and early ambulation
표 Table 5. Awareness of Importance and Performance for Early Ambulation (N=162)

참고문헌 (29)

Y. I. Kim. (2019). Statistical yearbook of major surgery 2018(ISSN 1976-619X), Wonju: National Health Insurance Service.
E. H. Lawson et al. (2013). Association between occurrence of a postoperative complication and readmission. Annals of Surgery, 258(1), 10-18.

상세보기
B. H. Jeong et al. (2014). Development of a prediction rule for estimating postoperative pulmonary complications. Public Library of Science, 9(12), e113656. DOI : 10.1371/journal.pone.0113656

상세보기
J. L. Thanavaro, & B. J. Foner. (2013). Postoperative pulmonary complications: reducing risks for noncardiac surgery. The Nurse Practitioner, 38(7), 38-47.

상세보기
R. D. Basset, K. M. Vollman, L. Brandwene, & T. Murray. (2012). Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative. Intensive and Critical Care Nursing, 28(2), 88-97. DOI : 10.1016/j.iccn.2011.12.001

상세보기
D. M. Needham, & R. Korupolu. (2010). Rehabilitation quality improvement in an intensive care unit setting: implementation of a quality improvement model. Topics in Stroke Rehabilitation, 17(4), 271-281. DOI : 10.1310/tsr1704-271

상세보기
T. H. Lee et al. (2017). Risk factors for postoperative ileus following orthopedic surgery: the role of chronic constipation. Journal of Neurogastroenterology and Motility, 21(1), 121-125. DOI : 10.5056/jnm14077

상세보기
R. Dubb et al. (2016). Barriers and strategies for early mobilization of patients in intensive care units. Annals of the American Thoracic Society, 13(5), 724-730. DOI : 10.1513/AnnalsATS.201509-586CME

상세보기
Y. S. Chau et al. (2005). A nurse-led walking exercise program for Hong Kong chinese diabetic patients: implications for facilitating self-efficacy beliefs. Journal of Clinical Nursing, 14(10), 1257-1259.

상세보기
J. W. Park, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
N. Y. Yang & J. S. Choi. (2011). Nurse's knowledge, attitude and practice of skin disinfection. Korean Journal of Adult Nursing, 23(3), 278-287.
S. H. Byun & D. H. S. Kang. (2019). Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses. Journal of Digital Convergence, 17(9), 231-240. DOI : 10.14400/JDC.2019.17.9.231

원문보기 상세보기
Y. H. Chae, W. H, Lee, Y. M. Min, A. M. Shin & H. M. Kim. (2013). Nurse's role performance and perception of the importance of role among nurses practicing in a cancer care facility. Journal of Korean Clinical Nursing Research, 19(3), 407-418. DOI : 10.22650/JKCNR.2013.19.3.407

원문보기 상세보기
Y. H. Yang. (1997). The comparison of the perceived needs between patients with cancer, their caregivers, and nurses according to the cancer patient's phases of illness. Journal of Korean Academy of Nursing, 27(4), 787-795.
J. Martilla & J. James. (1977). Importance-performance analysis. Journal of Marketing, 41(1), 77-79.

상세보기
Y. Chung, K. J. Lee & S. K. Kim. (2014). A study of utilizing IPA of agenda priority for nursing service research and development. Journal of Korean Academy of Nursing Administration, 21(1), 99-110.
Y. K. Jung & E. Y. Yoo. (2020). Analysis of the health care empowerment educational needs of the elderly with hypertension. Journal of Digital Convergence, 18(11), 409-415. DOI : 10.14400/JDC.2020.18.11.409

원문보기 상세보기
C. Kim, S. Kim, J. Yang & M. Choi. (2019). Nurses' perceived barriers and educational needs for early mobilization of critical ill patients. Australian Critical Care, 32(6), 451-457. DOI : 10.1016/j.aucc.2018.11.065

상세보기
J. W. Park, Y. O. Suh, J. I. Lee & J. W. Kim. (2009). The difference of the nurses' perception on the importance and performance of rehabilitation nursing service. Korean Journal of Rehabilitation Nursing, 12(1), 30-38.
F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.

상세보기
S. M. Shin & H. R. Choi. (2017). Practice guideline to prevent postoperative pulmonary complications for abdominal surgery. Evidence and Nursing, 5(1), 27-37.
H. S. Park, N. H. Kim & E. S. Kim. (2009). The effects of walking-support program on the pulmonary ventilatory functions of elders following upper-abdominal surgery. Journal of Korean Academy of Fundamentals of Nursing, 16(2), 214-222.
H. Y. Park, Y. J. Kim & S. H. Chu. (2019). Importance-performance analysis(IPA) to improve emergency care for novice nurses. Journal of Korean Academy of Fundamentals of Nursing, 26(3), 155-165. DOI : 10.7739/jkafn.2019.26.3.155

원문보기 상세보기
Y. H. Sung, M. S. Song & J. H. Park. (2007). Estimation of nursing costs by a patient classification system(PCS) in ICU. Journal of Korean Academy of Nursing, 37(3), 370-380.
W. Kim. (2018). Rehabilitation in intensive care unit. Journal of Acute Care Surgery, 8(1), 2-6. https://doi.org/10.17479/jacs.2018.8.1.2

상세보기
C. Lim, H. Cho & S. H. Chang. (1997). The effect of deep breathing exercise and incentive spirometry to prevent postoperative pulmonary complications after abdominal surgery in geriatric patients. Korean Journal of Anesthesiology, 21(1), 13-20. DOI: 10.4097/kjae.1997.33.6.1185

상세보기
A. C. Lunardi, D. M. Paisani, C. C. Muarques da Silva, D. P. Cano, C. Tanaka & C. R. Carvalho. (2015). Comparison of lung expansion techniques on thoracoabdominal mechanics and incidence of pulmonary complications after upper abdominal surgery: A randomized and controlled trial. Chest, 148(4), 1003-1010. DOI : 10.1378/chest.14-2696

상세보기
K. Stonecypher. (2010). Ventilator-associated pneumonia: the importance of oral care in intubated adults. Critical Care Nursing Quarterly, 33(4), 339-347.

상세보기
I. A. Kim & H. J. Lee. (2014). Effects of a progressive walking program on physical activity, exercise tolerance, recovery, and post-operative complications in patients with a lung resection. Journal of Korean Academy of Nursing, 44(4), 381-390. kttp://dx.doi.org/10.4040/jkan.2014.44.4.381

원문보기 상세보기

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