TKRA 케이스 - 급성통증, 불안, 낙상의 위험(진단3, 과정2)

목차

Ⅰ. 서론
1. 대상자 선정 이유 ··········································································································· 1
2. 통계자료 ··························································································································· 1

Ⅱ. 본론
1. 문헌고찰 ····························································································································· 2
2. 간호력 ································································································································· 4
3. 간호과정 ··························································································································· 17

Ⅲ. 결론
1. 간호기록지 ···················································································································· 24
2. 느낀점 ····························································································································· 24
3. 참고문헌 ························································································································· 25

본문내용

Ⅰ. 서론
1. 대상자 선정 이유
현재 실습하는 병동에서 가장 많이 볼 수 있는 case이기 때문에 실습하면서 공부하면 도움이 될 것 같아 선정하였다.

2. 통계자료
국민건강보험공단에 따르면 지난해 슬관절 치환술 시행건수는 2016년 6만9,755건, 2017년 6만9,770건, 2018년 7만1,769건, 2019년 7만9,342건 등으로 매년 증가하고 있다.
특히 겨울철에는 슬관절 치환술 시행건수가 늘어난다. 건강보험심사평가원의 최근 3년간(2018~2020년) 통계를 살펴보면 슬관절 치환술 시행 건수는 12월(평균 1만 2,603건)에 가장 많았고, 1월(1만2,304건)이 뒤를 이었다. 기온이 떨어지면 근육, 혈관, 인대 등 슬관절 주변 조직이 수축하면서 혈액순환이 저하되고 관절 속 관절액도 굳는다.
덩달아 관절 염증과 부종이 악화되고 통증이 심해지면서 병원을 찾는 환자들도 늘어나게 된다.

Ⅱ. 본론
1. 문헌고찰
질환명 TKRA(Primary gonarthrosis, bilateral)
정의
퇴행성관절염 등으로 인해 무릎관절을 인공관절로 바꾸는 수술.
문헌조사 사례대상자
원인
➀ 일차성 무릎관절증
- 퇴행성 관절염
: 구조적인 이상 또는 노화에 의해 관절연골이 점차적으로 마모되고 손상되면서 염증이 악화되고 이로 인해 관절 통증과 운동 범위 제한과 같은 증상이 동반.
② 이차성 무릎관절증
- 세균성 관절염, 결행성 관절염 등으로 인한 관절
연골의 파괴, 심한 충격, 반복적인 외상 등.
일차성
무릎관절증
증상
무릎이 아프고 붓거나 운동 범위가 줄어듦. 무릎에서 삐걱거리는 소리 들림. 무릎에 걸리는 하중으로 인해 병이 진행되면, 연골 조직이 많이 닿으면서 무릎 통증이 악화되고 다리가 휘거나 절룩거리는 증상 발생 가능.
Rt. Knee pain

참고자료

· 이은희 외. 비판적 사고에 기반한 간호과정. 1판. 서울: 고문사; 2021.
· 황옥남 외.성인간호학 하권.제7판.서울:현문사;2019
· 김정애 외. 간호사를 위한 진단검사. 1판. 서울: 수문사; 2021.
· 권은희, 이해정, 이성화. (2018). 구조화된 운동 프로그램이 인공고관절 전치환술 환자의 고관절 통증, 신체기능 및 삶의 질에 미치는 효과. 근관절건강학회지, 25(2), 122-134. https://doi.org/10.5953/JMJH.2018.25.2.122
· 이혜진, 김선화. (2013). 인공 고관절 수술 환자에서 지지간호중재가 고관절 기능, 불안 및 불확실성에 미치는 효과. 임상간호연구, 19(3), 419-431.
· https://doi.org/10.22650/JKCNR.2013.19.3.419
· 드럭인포 https://www.druginfo.co.kr/