학술논문
혈액투석 환자를 위한 Critical Pathway 개발
이용수 7
- 영문명
- Development of the Critical Pathway for New Chronic Renal Failure PatientOnitiation of Dilysis
- 발행기관
- 전남대학교 간호과학연구소
- 저자명
- 양상희(Sang -Hee Yang) 소향숙(Hyang-Sook So)
- 간행물 정보
- 『Nursing & Health Issues』제4권 제1호, 193~206쪽, 전체 14쪽
- 주제분류
- 의약학 > 간호학
- 파일형태
- 발행일자
- 1999.08.31
4,480원
구매일시로부터 72시간 이내에 다운로드 가능합니다.
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국문 초록
영문 초록
Recently operating costs at many hospitals are changing. We should research how to increase medical services and at the same time, whether medical fee can be decreased.
The purpose of this study was to develop a critical pathway for patients undergoing chronic renal failure(Initiation of Hemodialysis), which aims to standardize and systematize the patient care in initiation of hemodialysis The first step of developing the critical pathway was to select the disease/ treatment modality which was initiation of hemodialysis in this study. In the second step, a development team consisted of eight experts who were working and studing in hemodialysis area. In the third step, the service content and the implementation
period for the hemodialysis was decided by reviewing medical records. In the forth step, a preliminary critical pathway was made through verification of expert group on content validity. In the fifth step, the clinical appropriateness of the preliminary critical pathway was validated by applying it to new three patients undergoing
initiation of hemodialysis. In the sixth step, the final critical pathway was developed.
Through the process the following results were obtained:
1. Nine categories of medical services, test, diet/nutrition, medication, activity/safety, consult, monitoring/assessment, treatment/care, education and discharge plan were set to vertical axis, and the hospital stay from hospital admission to discharge was set to the horizontal axis.
2. The mean hospital stay (from hospital admission to hemodialysis) of 20 patients reviewed was 3 days, and the overall hospital stay (from hospital admission to discharge) was 14.4days.
3. Among 94 items on medical service contents in 9 categories, 81 items showed expert s agreement over 88% and were selected to analyze. Thirteen items were modified because of showing expert’s agreement below 75%.
4. A clinical validity test was done in three patients. Five patients were selected for clinical validity test but two patients were attrited. A preliminary critical pathway was validated using remaining three patients. The mean hospital stay of them was 9.6 days. Seven items showed differences between preliminary critical pathway and
the real medical activities. Those seven items was modified or supplemented, one was deleted, and six were added to make the final critical pathway.
목차
Ⅰ. 서 론
Ⅱ. 연구 방법
Ⅲ. 연구 결과
Ⅳ. 결론 및 제언
해당간행물 수록 논문
- 골수이식술 환자를 위한 Critical Pathway 개발
- 흉부와 골반부 방사선치료를 받은 암환자 영양상태평가
- 유방자가검진 재교육 시작시기에 따른 유방자가검진에 대한 지식, 기술 및 태도 비교 - 일 도시 N지역 중년여성을 대상으로-
- 임부의 스트레스와 태아애착행위에 관한 연구
- 혈액투석 환자를 위한 Critical Pathway 개발
- 유방자가검진 이행에 영향을 미치는 요인에 관한 연구 - 유방검진을 위해 내원한 여성을 대상으로-
- 복막투석환자의 건강지식과 자가간호수행정도에 관한 연구
- 일 도시 중학생의 비만상태와 비만에 대한 태도 조사
- 뇌졸중 환자의 급성기간호 사례연구
- 노인이 지각한 사회적 지지와 건강상태와의 관계연구
- 에고그램에 나타난 간호사의 자아상태와 인간관계와의 관계
- 정신분열증 환자가 지각한 가족의 표출감정
- 고등학생에 대한 물질남용 예방교육의 효과
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