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윤주영 ( Yoon Ju-Young ) - 위스콘신대학교 간호대학
이지윤 ( Lee Ji-Yun ) - 호서대학교 간호학과
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Abstract
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Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea.
Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals.
Results: The inter-rater reliability of items was high (Kappa range: 0.66-0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month.
Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.
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KeyWords
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요양병원, 요실금, 질지표, 위험보정
Long term care hospital, Urinary incontinence, Quality indicator, Risk adjustment
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원문 및 링크아웃 정보
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등재저널 정보
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