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근거기반의 수술 후 오심·구토 관리 프로토콜의 개발 및임상적 평가

Other Titles
 Development and Evaluation of an Evidence-based Nursing Protocol for Postoperative Nausea and Vomiting 
Authors
 오인옥  ;  유재용  ;  오의금 
Citation
 Journal of Korean Biological Nursing Science, Vol.19(2) : 86-97, 2017 
Journal Title
 Journal of Korean Biological Nursing Science 
ISSN
 1229-6155 
Issue Date
2017
Keywords
Postoperative nausea and vomiting ; Evidence-based nursing ; Clinical Protocols ; Program Development ; Program Evaluation
Abstract
Purpose: Postoperative nausea and vomiting (PONV) is very common among postoperative orthopedic surgical patients with patient-controlled analgesia (PCA), especially for narcotics. Therefore, the purpose of this study was to investigate the effects of an evidence-based PONV management protocol on nursing and patient outcomes. Methods: A methodological study was conducted to develop PONV protocol and a quasi-experimental study to evaluate the effectiveness of protocol. The preliminary PONV protocol was drawn by conducting a systematic review and by reviewing clinical guidelines and best practice recommendations. Validation of the content was done by expert clinicians, and the clinical applicability was evaluated by staff nurses and patients. The effect was evaluated in clinical outcomes associated with PONV and nursing outcomes. Results: In the experimental group, the occurrence of vomiting (z=2.147) was significantly decreased, the maintenance PCA (X2=4.212) and the satisfaction of patients (z=5.007) were significantly higher. In the outcomes of nurses, the PONV knowledge of nursing care (z=3.791), awareness (z=2.982) and self-efficacy (z=2.745) were higher in the experimental group. The attitude towards evidence-based nursing practice (z=2.446) was significantly positive. Conclusion: The results show that an evidence-based approach to the implementation of PONV care is effective in improving patient clinical outcomes and quality of care.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/160886
Appears in Collections:
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
Yonsei Authors
오의금(Oh, Eui Geum)
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