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이미정 ( Lee Mi-Jeong ) - 삼성서울병원 간호부
황문숙 ( Hwang Moon-Sook ) - 우석대학교 간호학과
임현숙 ( Lim Hyun-Sook ) - 삼성서울병원
박미옥 ( Park Mi-Ok ) - 삼성서울병원 간호부
허지원 ( Huh Ji-Won ) - 삼성서울병원 간호부
강기주 ( Kang Ki-Joo ) - 삼성서울병원 소화기내과
김재준 ( Kim Jae-Jun ) - 삼성서울병원 소화기내과
조명숙 ( Cho Myoung-Sook ) - 성균관대학교 임상간호대학원
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Abstract
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Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer’s Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection.
Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, SpO2), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters.
Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time.
Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.
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KeyWords
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이중분광계수, 의식하 진정, 내시경 점막하 박리술
Bispectral index, Conscious sedation, Endoscopic gastrointestinal surgical procedure
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원문 및 링크아웃 정보
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등재저널 정보
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