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서지반출
중환자실 내 지속적 신대체 요법과 관련된 간호업무 분석
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  • 중환자실 내 지속적 신대체 요법과 관련된 간호업무 분석
저자명
윤선영,이영옥,강지연,윤미정,원윤희,이미영,Yun. Seonyoung,Lee. Young Ock,Kang. Jiyeon,Yun. Mi-Jeong,Won. Youn-Hui,Lee. Mi-Young
간행물명
중환자간호학회지
권/호정보
2013년|6권 2호|pp.65-77 (13 pages)
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한국중환자간호학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: The purpose of the study was to analyze the nursing activities related to continuous renal replacement therapy (CRRT) in the intensive care units (ICU). Methods: We developed a list of 31 CRRT related nursing activities based on literature review and reviewed by expert group. A total of 109 direct time measurement records by 43 ICU nurses were collected and analyzed in terms of total time per shift, frequency, standard time, difficulty and performance levels of each CRRT nursing activity. Results: The mean time for CRRT nursing activity was 85.60 minutes per 8 hour shift. Nurses have spent average $9.46{pm}6.98$ minutes in a shift for "waste fluid bag change" activity. In addition, "check catheter location" was the most time consuming single activity. The most difficult activity was "counseling-answer" and the most competent one was "dialysis solutions change". Conclusion: The CRRT nursing activities accounted for a significant portion of total nursing workload. Practical allocation of nursing staff for CRRT patient along with development of a new nursing cost system need to be considered. Continuous nursing educational and training programs on CRRT should be developed.