<A+>(간호 실습)연구 보고서-논문분석, 호기 및 흡기 호흡운동이 상복부 수술을 한 노인 환자의 폐환기능과 폐 합병증에 미치는 효과 비교, 수술환자 간호 논문 보고서, PICO 분석
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- 2020.12.18
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* 본 문서(hwp)가 작성된 한글 프로그램 버전보다 낮은 한글 프로그램에서 열람할 경우 문서가 올바르게 표시되지 않을 수 있습니다. 이 경우에는 최신패치가 되어 있는 2010 이상 버전이나 한글뷰어에서 확인해 주시기 바랍니다.
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Ⅰ.서론
1.연구의 필요성 ·································································· 1
1)임상 사례 ······································································ 1
2)논문 요약틀(PICO) ·························································· 1
3)임상 질문 ······································································ 1
Ⅱ.본론 ··············································································· 1
1.문헌정리 요약 ·································································· 1
1)연구 필요성 및 목적 ······················································· 1
2)연구방법 ······································································· 1
가.연구 설계
나.연구대상
다.자료수집
라.연구도구
마.연구절차
바.자료분석방법
3)연구결과 ······································································· 2
4)논의 ············································································· 2
5)결론 및 제언 ································································· 2
Ⅲ.결론 ············································································· 30
목차
Ⅰ.서론1.연구의 필요성 ·································································· 1
1)임상 사례 ······································································ 1
2)논문 요약틀(PICO) ·························································· 1
3)임상 질문 ······································································ 1
Ⅱ.본론 ··············································································· 1
1.문헌정리 요약 ·································································· 1
1)연구 필요성 및 목적 ······················································· 1
2)연구방법 ······································································· 1
가.연구 설계
나.연구대상
다.자료수집
라.연구도구
마.연구절차
바.자료분석방법
3)연구결과 ······································································· 2
4)논의 ············································································· 2
5)결론 및 제언 ································································· 2
Ⅲ.결론 ············································································· 30
본문내용
가. 연구 설계비동등성 대조군 전후 시차설계를 이용한 유사 실험연구.
수술 후 폐기능의 회복 시기는 상복부 수술 7~10일 정도이고, 폐 합병증 발생의 예방은 수술하기 전에 시작하여 수술 후 첫 일주일에 집중적으로 하는 것이 효과적이므로 수술 후 7일째까지로 실험처치 시기 정함.
나. 연구 대상
대상자 - 경상남도 Y시에 소재한 1개 대학병원에서 상복부 수술을 받기 위해 입원한 노인 환자
선정기준 - 연령 60세 이상, 전신마취 하에 정규수술을 받은 환자, 상복부 수술을 받은 환자, 수술 전 1개월 이내 호흡기계 기저질환이 없는 환자.
제외기준 - 출혈 위험으로 수술 후 호흡운동을 할 수 없는 환자, 치매나 섬망으로 협조가 불가능한 환자.
실험군 36명, 대조군 36명 선정.
다. 자료 수집
실험처치의 확산을 방지하기 위해 대조군을 먼저 조사하고 실험군을 이후에 조사.
외과중환자실 간호사 5명을 연구보조원으로 선정하고 연구자가 자료 수집 방법(노력성 폐활량 측정법, 1초간 노력성 호기량 측정법)을 3회 교육하였고, 측정자간 신뢰도는 .96 이였음.
본 연구자가 대상자의 병실에 방문하여 일반적 특성 및 질병특성을 설문지를 이용한 면담과 의무기록을 통하여 수집.실험군에게는 expirometer를 이용한 호기 호흡운동 방법을, 대조군에게는 incentive spirometry를 이용한 흡기 호흡운동 방법을설명과 시범을 통해 교육하고, 체크리스트를 주어 수술 전날부터 수술 후 7일째까지 매일 6회씩 호흡운동 후 이행여부를 표시하도록 함.
라. 연구 도구
일반적 특성 및 질병특성 - 나이, 성별, 흡연여부, 과거 호흡기계질환 유무, 입원기간, 진단명, 수술 부위, 수술 방법, 수술시간 및 마취시간, 중환자실 입실여부, 수술 후 자가 통증조절장치 사용여부, ARISCAT 점수, 체질량지수, 헤모글로빈과 알부민을 분석. 설문지를 이용한 면담과 의무기록 이용.폐환기능 - 노력성 폐활량과 1초간 노력성 호기량을 측정. Wright respirometer haloscale을 이용.폐 합병증 - 수술 후 7일째까지 기간 중 흉부방사선 소견을 근거로 영상의학과 전문의가 진단한 내용으로 합병증 유무를 평가.
