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황윤영 ( Hwang Yun-Young ) - 중앙대학교 부속용산병원
양기우 ( Yang Kee-Woo ) - 중앙대학교 부속 용산병윈
채정선 ( Chae Jung-Sun ) - 중앙대학교 부속 용산병윈
이필호 ( Lee Phil-Ho ) - 중앙대학교 부속용산병원
장미 ( Chang Mi ) - 중앙대학교 부속용산병원
강미경 ( Kang Mi-Kyoung ) - 중앙대학교 부속용산병원
서효신 ( Seo Hyo-Shin ) - 중앙대학교 부속용산병원
박성희 ( Park Sung-Hee ) - 중앙대학교 부속용산병원
최경숙 ( Choi Kyoung-Sook ) - 중앙대학교 의과대학 간호학과
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Abstract
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This study was to understan the experience of patients before and after operation with general anesthesia, and find specific nursing intervention unique to each patients so that they could keep peaceful mind and recover sooner.
Patients in front of operation would experience anxiety and even emotional crisis in almost of them even though individual variation.
To provide effective nursing care to them, it is essential to estimate nd understand the experiences of subjects. So this study is aimed to estimate the experience of patients in perioperative period in view of them.
Subjects were 25 adult patient over 20 years who had been operated under general anesthesia in one university hospital in seoul. They did not have any special complication or psychological problem or change consciousness in perioperative period and agree this study.
Data were gathered through in - depth interview using open and unstructive questions. Interview was done twice per one patients before and after 3 days of opeartion in their room and each interview tooks 30 - 40 minutes.
Data analysis tool was Giorgi’s phenomenological analysis method.
Result were as follows ;
1) preoperative experiences of the patients were categorized into "Anxiety" "Hoping·Wishing" and "Transcendental Attitue"
2) postoperative experiences of the patients were categorized nto "Comfortability" "Hoping·Wishing" and "Dissatisfaction"
Before operton most patients felt anxiety on the possibilities of operative pain, complication of failure of awakening from anesthesia. But patients tried to keep peaceful mind expecting good results or relying on medical teams.
After opearton most patients felt comfortability and dissatisfaction a special treatment to reduce patients dissatisfaction.
For satisfaction that perioperative nursing needs of the patients in admission is above all nurse’s supporting and thinking patient’s situation and specific nursing care to unique patients.
Specially, patient’s satisfaction that important role of operation room nurse to provide information and emotional support in opeartion waiting room and operation room.
Therefore nursing intervention developed in properly operation waiting room and operation room and then performed by operation room nurse.
Suggestions for further studies as follows ;
1) various approach for supportive nursing intervention methods by that perioperative patients in admission could be opearted and recovered in more comfortable state.
2) further study about perioperative nursing needs of the patients in same operation would be needed.
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KeyWords
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입원환자, 수술경험
Perioperative Experiences
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원문 및 링크아웃 정보
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등재저널 정보
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