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ÀÀ±Þ½Ç¿¡ ³»¿øÇÑ COVID-19 ÀǽÉȯÀÚ¿Í ÀϹÝȯÀÚÀÇ °£È£ÀÇÁ¸µµ ºñ±³ ¿¬±¸

A Comparative Study on the Nursing Dependency of Suspected COVID-19 Patients and General Patients in the Emergency Depa

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KMID : 1004620210270020199
¹é½Â¿¬ ( Baik Seung-Yeon ) - Severance Hospital Division of Nursing

¹Ú¼Ö¹Ì ( Park Sol-Mi ) - Severance Hospital Division of Nursing
Á¤ÁÖÈñ ( Jeong Ju-Hee ) - Severance Hospital Division of Nursing
±è¹®Á¤ ( Kim Moon-Joung ) - Severance Hospital Division of Nursing
¹Ú¼öºó ( Park Su-Bin ) - Severance Hospital Division of Nursing
ÀÌÈ¿Áø ( Lee Hyo-Jin ) - Severance Hospital Division of Nursing
ÃÖÁö¿µ ( Choi Ji-Young ) - Yonsei University College of Nursing
°ûÈ¿Àº ( Kwak Hyo-Eun ) - Severance Hospital Division of Nursing
ÀÓÁ¤Çö ( Lim Jung-Hyun ) - Severance Hospital Division of Nursing
ÀÌÇö½É ( Lee Hyun-Sim ) - Severance Hospital Division of Nursing

Abstract

¸ñÀû: º» ¿¬±¸´Â ÀÀ±Þ½ÇÀÇ È¿°úÀûÀÎ °£È£ Àη ¹èÄ¡¸¦ À§ÇØ °£È£ÀÇÁ¸µµ¿¡ ±Ù°ÅÇÏ¿© °£È£ÀÇ ¿ä±¸·®°ú °£È£»çÀÇ ¾÷¹« ºÎ´ãÀ» ¿¹ÃøÇÏ°íÀÚ ½ÃµµµÇ¾ú´Ù.

¹æ¹ý: 2020³â 6¿ù¿¡ ÀÀ±Þ½Ç¿¡ ³»¿øÇÑ ¼ºÀΠȯÀÚ 256¸íÀ» COVID-19 ÀǽÉȯÀÚ¿Í ÀϹÝȯÀÚ·Î ºÐ·ùÇÏ¿´´Ù. ´ë»óÀÚÀÇ ÀüÀÚÀǹ«±â·Ï ÀÚ·á´Â SPSS ÇÁ·Î±×·¥À» ÀÌ¿ëÇÏ¿© ±â¼ú Åë°è, t-test, ¥ö2-test, Fisher¡¯s exact test·Î ºÐ¼®ÇÏ¿´´Ù.

°á°ú: ´ë»óÀÚÀÇ °£È£ÀÇÁ¸µµ Á¡¼ö´Â COVID-19 ÀǽÉȯÀÚ±º Æò±Õ 13.99¡¾1.85Á¡, ÀϹÝȯÀÚ±º Æò±Õ 10.58¡¾2.10Á¡À¸·Î À¯ÀÇÇÑ Â÷ÀÌ°¡ ÀÖ¾ú´Ù(t=12.42, p<.001). °£È£ÀÇÁ¸µµÀÇ 6°¡Áö ¿µ¿ª Áß ÀÇ»ç¼ÒÅë(t=3.28, p=.001), ±âµ¿¼º(t=3.29, p=.001), ¿µ¾ç¡¤¹è¼³¡¤°³Àΰ£È£(t=7.34, p<.001) ¿µ¿ª¿¡¼­ Åë°èÀûÀ¸·Î À¯ÀÇÇÑ Â÷ÀÌ°¡ ÀÖ¾ú´Ù. ȯ°æÀû ¾ÈÀü¡¤°Ç°­ ¹× »çȸ¿ä±¸ ¿µ¿ª¿¡¼­ °£È£ÀÇÁ¸µµ Á¡¼ö´Â ¸ðµç COVID-19 ÀǽÉȯÀÚ°¡ 3Á¡, ¸ðµç ÀϹÝȯÀÚ°¡ 1Á¡À¸·Î ³ªÅ¸³µ´Ù.

°á·Ð: º» ¿¬±¸¸¦ ÅëÇØ °Ý¸®°¡ ÇÊ¿äÇÑ ÀÀ±ÞȯÀÚÀÇ °¨¿°°ü¸® È°µ¿ÀÌ È¯ÀÚÀÇ °£È£ÀÇÁ¸µµ¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â °ÍÀ¸·Î È®ÀεǾú´Ù.

Purpose: This study was conducted to investigate the nursing needs and workload of nurses according to nursing dependency for effective placement of nursing staff in the emergency department (ED).

Methods: In June 2020, 256 adult patients who visited the ED were classified as two groups, suspected COVID-19 patients and general patients. The participants¡¯electronic medical records were analyzed using descriptive statistics, t-test, x2-test, and Fisher¡¯s exact test using the SPSS.

Results: The patient dependence score showed a significant difference between the two groups, with an average of 13.99¡¾1.85 for the suspected COVID-19 patient group and 10.58¡¾2.10 for the general patient group (t=12.42, p<.001). There were statistically significant differences in communication (t=3.28, p=.001), mobility (t=3.29, p=.001), nutrition, elimination, and personal care (t=7.34, p<.001) among the six domains of nursing dependency. In the domains of environment, safety, health, and social needs, the dependency score was 3 for all suspected COVID-19 patients and 1 for all general patients.
Conclusion: The results of this study confirmed that infection control activities of emergency patients who need isolation affect the patients¡¯ nursing dependency on nursing care.
KeyWords
COVID-19, ÀÀ±Þ½Ç, °£È£ ÀηÂ, °£È£ÀÇÁ¸µµ
COVID-19, Emergency Department, Nursing Staff, Nursing Dependency
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ÇмúÁøÈïÀç´Ü(KCI)