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이경옥 ( Lee Kyeong-Ock ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
신현주 ( Shin Hyeon-Ju ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
박현애 ( Park Hyeoun-Ae ) - 서울대학교 간호대학
정현명 ( Jung Hyun-Myung ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
이미혜 ( Lee MI-Hye ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
최은하 ( Choi Eun-Ha ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
이정미 ( Lee Jeong-Mi ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
김유자 ( Kim Yu-Ja ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
심윤경 ( Shim Yun-Kyeong ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
박귀주 ( Park Kyi-Ju ) - 서울대학교 의과대학 서울대학교병원 내과중환자실
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Abstract
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The purpose of this study was to verify the validity of the Patient Severity Classification Tool by examining the correlations between the APACHE Ⅲ and the Patient Severity Classification Tool and to propose admission criteria to the ICU. The instruments used for this study were the APACHE Ⅲ developed by Knaus and the Patient Severity Classification Tool developed by Korean Clinical Nurses Association. Data was collected from the 156 Medical ICU patients during their first 24 hours of admission at the Seoul National University Hospital by three trained Medical ICU nurses from April 20 to August 31 1999. Data were analyzed using the frequency, $x^2$, Wilcoxon rank sum test, and Spearman rho. There was statistically significant correlations between the scores of the APACHE III and the Patient Severity Classification Tool. Mortality rate was increased as patients classification of severity in both the APACHE III and the Patient Severity Classification Tool scored higher. The Patient Severity Classification Tool was proved to be a valid and reliable tool, and a useful tool as one of the severity predicting factors, ICU admission criteria, information sharing between ICUs, quality evaluations of ICUs, and ICU nurse staffing.
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KeyWords
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노인, 간호요양원, 입원적격기준, 필요예측
APACHE Ⅲ, Patient Severity Classification Tool, ICU, Severity
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원문 및 링크아웃 정보
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등재저널 정보
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