뇌혈관 질환 환자의 간호진단과 연계된 간호 중재의 중요도와 수행도 분석 (Comparison of Importance and Performance of Nursing Interventions linked to Nursing Diagnoses in Cerebrovascular Disorder Patients)

서지정보

· 발행기관 : 한국성인간호학회
· 수록지 정보 : Korean Journal of Adult Nursing / 20권 / 2호 / 111 ~ 125페이지
· 저자명 : 김영애, 박상연, 이은주

초록

Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked
to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the
analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions.
Second, each intervention was compared in terms of importance and performance by 80 nurses working at
neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS
program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased
Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the
interventions were scored higher in importance than performance and most of independent interventions were not
performed as frequently as it perceived in importance. The interventions which scored high in performance were
the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified
which nursing interventions should be performed more frequently and more critically important to nursing diagnoses.
We recommend further research that enhances the performance of nursing interventions to provide better quality
of nursing services to the patients in practice.

영어초록

Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked
to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the
analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions.
Second, each intervention was compared in terms of importance and performance by 80 nurses working at
neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS
program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased
Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the
interventions were scored higher in importance than performance and most of independent interventions were not
performed as frequently as it perceived in importance. The interventions which scored high in performance were
the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified
which nursing interventions should be performed more frequently and more critically important to nursing diagnoses.
We recommend further research that enhances the performance of nursing interventions to provide better quality
of nursing services to the patients in practice.

참고자료

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