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    ๊ตญ๊ฐ€์˜ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์™€ ์ž…๋ฒ•๋ฐฉ์•ˆ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๋ฒ•ํ•™๊ณผ, 2013. 8. ์ด๊ทผ๊ด€.2004๋…„ ๊น€์„ ์ผ์”จ ํ”ผ์‚ด, 2007๋…„ ์ƒ˜๋ฌผ๊ตํšŒ ๋ด‰์‚ฌ์ž ํ”ผ๋ž ๋“ฑ ํ•ด์™ธ์—์„œ ์šฐ๋ฆฌ ๊ตญ๋ฏผ๊ณผ ๊ด€๋ จํ•œ ์‚ฌ๊ฑด์‚ฌ๊ณ ๊ฐ€ ๋ฐœ์ƒํ•  ๋•Œ๋งˆ๋‹ค ์˜์‚ฌ ์—…๋ฌด๋ฅผ ๋‹ด๋‹นํ•˜๊ณ  ์žˆ๋Š” ์™ธ๊ต๋ถ€์— ๋Œ€ํ•œ ๋น„๋‚œ์ด ๋Š์ด์ง€ ์•Š๊ณ  ์žˆ๋‹ค. ์ด๋Ÿฌํ•œ ๋…ผ๋ž€์˜ ์ผ์ฐจ์  ์›์ธ์€ ํ•ด์™ธ์—์„œ ์šฐ๋ฆฌ ๊ตญ๋ฏผ์„ ์œ„ํ•ด ์˜์‚ฌ๊ฐ€ ์–ด๋Š ๋ถ€๋ถ„๊นŒ์ง€ ์ง€์›ํ•ด์ค„ ์ˆ˜ ์žˆ๋Š”์ง€์— ๋Œ€ํ•ด ๋ฒ•์  ๊ทผ๊ฑฐ๊ฐ€ ๋ฏธ๋น„ํ•˜๊ธฐ ๋•Œ๋ฌธ์ด๋‹ค. ๊ตญ๋ฏผ์€ ๊ฐ€๊ธ‰์  ์˜์‚ฌ๊ฐ€ ๊ด‘๋ฒ”์œ„ํ•˜๊ฒŒ ๊ฐœ์ž…ํ•ด์ฃผ๊ธฐ๋ฅผ ๊ธฐ๋Œ€ํ•œ๋‹ค. ๋ฐ˜๋ฉด, ๊ตญ๊ฐ€๋Š” ๊ตญ์ œ๋ฒ• ๋ฐ ์™ธ๊ตญ์˜ ๊ตญ๋‚ด๋ฒ•, ์˜์‚ฌ ์ธ๋ ฅ ๋ฐ ์˜ˆ์‚ฐ์˜ ์ œํ•œ, ๋‹ค๋ฅธ ๊ตญ๋ฏผ๊ณผ์˜ ํ˜•ํ‰์„ฑ ๋“ฑ์— ๋”ฐ๋ผ ๊ฐœ์ž…์„ ์ œํ•œํ•˜๊ณ ์ž ํ•œ๋‹ค. ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„์— ๋Œ€ํ•ด ๊ตญ์ œ๋ฒ•์€ ๋ณ„๋„์˜ ๊ทœ์ •์„ ๋‘์ง€ ์•Š๊ณ  ์˜ํ†  ์ฃผ๊ถŒ ์กด์ค‘, ๊ตญ๋‚ด๋ฌธ์ œ ๋ถˆ๊ฐ„์„ญ ๋“ฑ ๊ตญ์ œ๋ฒ•์˜ ๊ธฐ๋ณธ์›์น™์— ๋”ฐ๋ผ ๊ตญ๊ฐ€๊ฐ€ ํƒ€๊ตญ์˜ ์˜ํ†  ๋‚ด์—์„œ ์˜์‚ฌ ๋ณดํ˜ธ๋ฅผ ํ•˜๋„๋ก ์š”๊ตฌํ•˜๊ณ  ์žˆ๋‹ค. ๊ตญ์ œ๊ด€์Šต๋ฒ•์€ ์ „ํ†ต์ ์œผ๋กœ ๊ตญ๊ฐ€์˜ ์˜์‚ฌ ์กฐ๋ ฅ๊ถŒ ๋˜๋Š” ์ž๊ตญ๋ฏผ ๋ณดํ˜ธ๊ถŒ์„ ์ธ์ •ํ•ด์™”๋‹ค. ์˜์‚ฌ ๋ถ„์•ผ์—์„œ ๊ตญ์ œ๊ด€์Šต๋ฒ•์„ ๋ฒ•์ „ํ™”ํ•œ 1963๋…„์˜ ใ€Ž์˜์‚ฌ๊ด€๊ณ„์— ๊ด€ํ•œ ๋น„์—”๋‚˜ ํ˜‘์•ฝใ€์€ ์˜์‚ฌ ์กฐ๋ ฅ์˜ ์ „์ œ์กฐ๊ฑด์œผ๋กœ์„œ ์กฐ๋ ฅ ์ˆ˜ํ˜œ์ž์˜ ๋™์˜๋ฅผ ๋ช…์‹œํ•˜์˜€์œผ๋ฉฐ, ํ˜•์‚ฌ์ ˆ์ฐจ์—์„œ์˜ ์˜์‚ฌ ์กฐ๋ ฅ์— ๋Œ€ํ•ด ๋‹ค๋ฅธ ์ƒํ™ฉ๊ณผ ๊ตฌ๋ณ„ํ•˜์—ฌ ๋ณ„๋„์˜ ๊ทœ์ •์„ ๋‘๊ณ  ์žˆ๋‹ค. ์šฐ๋ฆฌ๋‚˜๋ผ๋Š” ์ด์™€๋Š” ๋ณ„๊ฐœ๋กœ ๋ฏธ๊ตญ, ๋Ÿฌ์‹œ์•„ ๋“ฑ๊ณผ ์˜์‚ฌ ๋ถ„์•ผ์—์„œ์˜ ์–‘์ž ์กฐ์•ฝ์„ ์ฒด๊ฒฐํ•˜์—ฌ ํ•ด๋‹น ๊ตญ๊ฐ€์™€์˜ ๊ด€๊ณ„์—์„œ ๊ตญ์ œ๊ด€์Šต๋ฒ•, ๋‹ค์ž ์กฐ์•ฝ๊ณผ ํ•จ๊ป˜ ์–‘์ž ์กฐ์•ฝ์„ ์ ์šฉํ•˜๊ณ  ์žˆ๋‹ค. ์ƒ๋‹น์ˆ˜์˜ ๊ตญ๊ฐ€๋“ค์ด ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„๋ฅผ ์ •๋ถ€ ๋‚ด๋ถ€ ์ง€์นจ์ด๋‚˜ ์˜์‚ฌ ์—…๋ฌด ๋งค๋‰ด์–ผ์—์„œ ๊ทœ์ •ํ•˜๊ณ  ์žˆ๋‹ค. ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„๋ฅผ ๋ฒ•๋ฅ ์—์„œ ๊ทœ์ •ํ•˜๊ณ  ์žˆ๋Š” ๊ตญ๊ฐ€๋Š” ๋…์ผ, ํ•€๋ž€๋“œ, ์Šค์›จ๋ด ๋“ฑ ์†Œ์ˆ˜ ๊ตญ๊ฐ€์— ๋ถˆ๊ณผํ•˜๋‹ค. ๋‚ด๊ตญ๋ฏผ๋ณดํ˜ธ์™€ ๋‹ฌ๋ฆฌ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ๋Š” ์™ธ๊ตญ์˜ ์˜ํ†  ๋‚ด์—์„œ ์ด๋ฃจ์–ด์ง€๊ธฐ ๋•Œ๋ฌธ์— ๊ตญ์ œ๋ฒ• ๋ฐ ์™ธ๊ตญ์˜ ๊ตญ๋‚ด๋ฒ• ์ค€์ˆ˜, ์˜ํ†  ์ฃผ๊ถŒ ์กด์ค‘ ๋“ฑ์˜ ์ œํ•œ์ด ๋’ค๋”ฐ๋ฅด๊ณ  ์ƒํ™ฉ์— ๋”ฐ๋ผ ์˜์‚ฌ์˜ ์žฌ๋Ÿ‰์„ ์š”๊ตฌํ•˜๋Š” ๋ถ€๋ถ„์ด ํฌ๊ธฐ ๋•Œ๋ฌธ์— ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ ์—…๋ฌด๋ฅผ ๋ฒ•์  ๊ตฌ์†๋ ฅ์ด ์žˆ๋Š” ๋ฒ•๋ฅ ์—์„œ ๊ทœ์ •ํ•˜๊ธฐ์—๋Š” ํ•œ๊ณ„๊ฐ€ ์žˆ๋‹ค. ๊ตญ๊ฐ€๋“ค์€ ๊ตญ๋‚ด๋ฒ•, ์˜์‚ฌ ์ •์ฑ…, ๊ณ ์œ ์˜ ๊ด€ํ–‰๊ณผ ๋ฌธํ™”, ์ธ์‹ ๋“ฑ์— ๋”ฐ๋ผ ๋ฒ•๋ฅ  ๋˜๋Š” ์ •๋ถ€ ๋‚ด๋ถ€ ์ง€์นจ์„ ํ†ตํ•ด ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„๋ฅผ ์ •ํ•˜๊ณ  ์žˆ๋‹ค. ๋ณดํ˜ธ์˜ ๋Œ€์ƒ๊ณผ ๊ด€๋ จํ•˜์—ฌ ์œ ์ผ๊ตญ์ ์˜ ์›์น™์— ๋”ฐ๋ผ ์ด์ค‘๊ตญ์ ์ž๋ฅผ ๋ฐฐ์ œํ•˜๋Š” ๊ตญ๊ฐ€๊ฐ€ ์žˆ๋Š” ๋ฐ˜๋ฉด, ์ด์ค‘๊ตญ์ ์ž๋Š” ๋ฌผ๋ก  ์ผ์ •ํ•œ ์š”๊ฑด์„ ๊ฐ–์ถ˜ ๋ฌด๊ตญ์ ์ž, ์™ธ๊ตญ์ธ๊นŒ์ง€๋„ ๋ณดํ˜ธ์˜ ๋Œ€์ƒ์— ํฌํ•จํ•˜๋Š” ๊ตญ๊ฐ€๋„ ์žˆ๋‹ค. ์™ธ๊ตญ ์‚ฌ๋ฒ•๋‹น๊ตญ์— ์˜ํ•ด ๊ตฌ๊ธˆ๋œ ์ž๊ตญ๋ฏผ์— ๋Œ€ํ•ด ์ƒํ•„ํ’ˆ ๋˜๋Š” ์Œ์‹์„ ์ œ๊ณตํ•˜๊ฑฐ๋‚˜ ๊ณต์ •ํ•œ ํŒ๊ฒฐ์— ๋ฐฉํ•ด๊ฐ€ ๋˜๋Š” ์žฌํŒ๊ด€ ๋ฐฐ์ œ๋ฅผ ์š”๊ตฌํ•˜๋Š” ๋“ฑ ์žฌ์™ธ๊ตญ๋ฏผ์˜ ์ธ๊ถŒ ๋ณดํ˜ธ๋ฅผ ์œ„ํ•ด ์ ๊ทน์ ์ธ ์˜์‚ฌ ์กฐ๋ ฅ ์กฐ์น˜๋ฅผ ๊ทœ์ •ํ•˜๋Š” ๊ฒฝ์šฐ๋„ ์žˆ๋‹ค. ์šฐ๋ฆฌ๋‚˜๋ผ์—์„œ๋Š” ๋งค๋…„ ์•ฝ 1,400๋งŒ๋ช…์˜ ๊ตญ๋ฏผ์ด ์ถœ๊ตญํ•˜๊ณ  ์ด์ค‘ ์•ฝ 7,800๋ช…์ด ํ•ด์™ธ์—์„œ ๋‹ค์–‘ํ•œ ์‚ฌ๊ฑด์‚ฌ๊ณ ์— ์—ฐ๋ฃจ๋˜์–ด ์˜์‚ฌ ์กฐ๋ ฅ์„ ์š”๊ตฌํ•œ๋‹ค. ์ •๋ถ€๋Š” ํ˜„์žฌ ์™ธ๊ต๋ถ€ ๋ถ€๋ น์ธ ใ€Ž์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ๋ฅผ ์œ„ํ•œ ์˜์‚ฌ์—…๋ฌด ์ง€์นจใ€์— ๋”ฐ๋ผ ์ด๋“ค์— ๋Œ€ํ•ด ์˜์‚ฌ ์กฐ๋ ฅ์„ ์ œ๊ณตํ•˜๊ณ  ์žˆ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ์ด ์ง€์นจ์€ ๋Œ€์™ธ๊ตฌ์†๋ ฅ์ด ์—†๋Š” ์ •๋ถ€ ๋‚ด๋ถ€ ์ง€์นจ์œผ๋กœ์„œ ๊ทธ๊ฐ„ ์ด์— ๊ทผ๊ฑฐํ•˜์—ฌ ํšจ๊ณผ์ ์ด๊ณ  ํ†ตํ•ฉ์ ์ธ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ ์ฒด๊ณ„๋ฅผ ํ™•๋ฆฝํ•˜์—ฌ ์˜์‚ฌ ์—…๋ฌด๋ฅผ ์ˆ˜ํ–‰ํ•˜๊ธฐ์—๋Š” ํ•œ๊ณ„๊ฐ€ ์žˆ์—ˆ๋‹ค. ๊ทธ ๊ฒฐ๊ณผ ํ•ด์™ธ์—์„œ ์šฐ๋ฆฌ ๊ตญ๋ฏผ ๊ด€๋ จ ์‚ฌ๊ฑด์ด ๋ฐœ์ƒํ•  ๋•Œ๋งˆ๋‹ค ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๋Œ€ํ•œ ์ •์ฑ…์€ ์ˆ˜์‹œ๋กœ ์žฌ๊ฒ€ํ† ๋˜์—ˆ๊ณ , ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„๋„ ์ผ๊ด€์„ฑ์ด ์—†์—ˆ๋‹ค. ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๊ด€ํ•œ ๋ฒ•๋ฅ ์˜ ์ œ์ •์€ ํ—Œ๋ฒ• ์ œ2์กฐ 2ํ•ญ์—์„œ ๊ทœ์ •ํ•œ ๊ตญ๊ฐ€์˜ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ ์˜๋ฌด๋ฅผ ๊ตฌ์ฒดํ™”ํ•  ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ, ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์˜ ๋ฒ•์  ๊ทผ๊ฑฐ๋ฅผ ํ™•๊ณ ํžˆ ํ•˜๊ณ  ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„์— ๋Œ€ํ•ด ๋ถˆํ•„์š”ํ•œ ๋…ผ๋ž€์„ ์ค„์ผ ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋‹ค. ๋ฒ•๋ฅ  ์ œ์ •์‹œ ์šฐ๋ฆฌ๋‚˜๋ผ๊ฐ€ ๊ตฌ์†๋ฐ›๋Š” ๊ตญ์ œ๋ฒ•์˜ ๊ด€๋ จ ๊ทœ์ •์ด ๋ฐ˜์˜๋˜์–ด์•ผ ํ•  ๊ฒƒ์ด๋ฉฐ, ์ด๋ฏธ ๋ฒ•๋ฅ ์„ ์ œ์ •ํ•˜๊ฑฐ๋‚˜ ๋‹ค๋ฅธ ํ˜•ํƒœ๋กœ ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„๋ฅผ ๊ทœ์ •ํ•œ ๊ตญ๊ฐ€์˜ ์‚ฌ๋ก€๋ฅผ ๊ณ ๋ คํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค.์ œ 1 ์žฅ ์„œ ๋ก  ์ œ 1 ์ ˆ ๋ฌธ์ œ์˜ ์ œ๊ธฐ ๋ฐ ์—ฐ๊ตฌ์˜ ๋ชฉ์  ์ œ 2 ์ ˆ ์—ฐ๊ตฌ์˜ ๋ฒ”์œ„ ๋ฐ ๋ฐฉ๋ฒ• โ… . ์—ฐ๊ตฌ์˜ ๋ฒ”์œ„ โ…ก. ์—ฐ๊ตฌ์˜ ๋ฐฉ๋ฒ• ์ œ 2 ์žฅ ๊ตญ์ œ๋ฒ•์ƒ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์™€ ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„ ์ œ 1 ์ ˆ ์˜์‚ฌ ์กฐ๋ ฅ์˜ ์˜์˜ โ… . ์˜ํ† ๊ตญ์˜ ์™ธ๊ตญ์ธ ๋ณดํ˜ธ ์˜๋ฌด โ…ก. ์˜์‚ฌ ์กฐ๋ ฅ์„ ์œ„ํ•œ ๊ตญ์ ๊ตญ์˜ ๊ฐœ์ž… ์ œ 2 ์ ˆ ๊ธด๊ธ‰์ƒํ™ฉ์— ์ฒ˜ํ•œ ์ž์— ๋Œ€ํ•œ ์˜์‚ฌ ์กฐ๋ ฅ ๋ฒ”์œ„ โ… . ์˜์‚ฌ ์กฐ๋ ฅ์˜ ์ผ๋ฐ˜์›์น™ โ…ก. ์˜์‚ฌ ์กฐ๋ ฅ์˜ ๋Œ€์ƒ โ…ข. ํ˜•์‚ฌ ์ ˆ์ฐจ์—์„œ์˜ ์˜์‚ฌ ์กฐ๋ ฅ โ…ฃ. ์†Œ ๊ฒฐ ์ œ 3 ์žฅ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๊ด€ํ•œ ํƒ€๊ตญ ์ž…๋ฒ•๋ก€ ๊ฒ€ํ†  ์ œ 1 ์ ˆ ๋ณดํ˜ธ์˜ ๋ฒ•์  ๊ทผ๊ฑฐ โ… . ๋ฒ•๋ฅ  โ…ก. ์ •๋ถ€์˜ ๋‚ด๋ถ€ ์ง€์นจ ๋˜๋Š” ๋งค๋‰ด์–ผ โ…ข. ๊ตญ์ œ๋ฒ•์˜ ๊ตญ๋‚ด์  ์ ์šฉ ์ œ 2 ์ ˆ ๋ณดํ˜ธ์˜ ๋ฒ”์œ„์— ๋Œ€ํ•œ ๋น„๊ต๋ฒ•์  ๊ฒ€ํ†  โ… . ๋ณดํ˜ธ์˜ ๊ธฐ๋ณธ์›์น™๊ณผ ํ•œ๊ณ„ โ…ก. ๋ณดํ˜ธ์˜ ๋Œ€์ƒ โ…ข. ์™ธ๊ตญ์˜ ๊ตญ๋‚ด๋ฒ• ๋“ฑ์— ๋Œ€ํ•œ ์ •๋ณด ์ œ๊ณต โ…ฃ. ํ˜•์‚ฌ ์ ˆ์ฐจ์—์„œ์˜ ๋ณดํ˜ธ โ…ค. ํ•ด์™ธ์œ„๋‚œ์ƒํ™ฉ ๋ฐœ์ƒ์‹œ ๋ณดํ˜ธ โ…ฅ. ์†Œ ๊ฒฐ ์ œ 4 ์žฅ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๊ด€ํ•œ ์ž…๋ฒ•์˜ ํ•„์š”์„ฑ๊ณผ ๋ฐฉํ–ฅ ์ œ 1 ์ ˆ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๊ด€ํ•œ ์ž…๋ฒ• ํ•„์š”์„ฑ โ… . ๊ตญ๊ฐ€์˜ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ ์˜๋ฌด โ…ก. ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ ๊ด€๋ จ ํ˜„ํ–‰ ๋ฒ•๋ น โ…ข. ์ƒˆ๋กœ์šด ๋ฒ•๋ฅ ์˜ ์ œ์ • ํ•„์š”์„ฑ ์ œ 2 ์ ˆ ์žฌ์™ธ๊ตญ๋ฏผ๋ณดํ˜ธ์— ๊ด€ํ•œ ์ž…๋ฒ• ์ œ์–ธ โ… . ๋ฒ•๋ฅ ์˜ ์ œ๋ช… ๋ฐ ๊ตฌ์กฐ โ…ก. ๋ฒ•๋ฅ ์˜ ๋ชฉ์ ๊ณผ ์ ์šฉ๋Œ€์ƒ โ…ข. ๋ณดํ˜ธ์˜ ๊ธฐ๋ณธ์›์น™๊ณผ ๊ถŒ๋ฆฌโ€ข์˜๋ฌด ๊ด€๊ณ„ โ…ฃ. ์ƒํ™ฉ๋ณ„ ๋ณดํ˜ธ์˜ ๋ฒ”์œ„ ์ œ 5 ์žฅ ๊ฒฐ ๋ก  ์ฐธ๊ณ ๋ฌธํ—Œ ๋ถ€ ๋ก AbstractMaste

    Literature Review of Nursing Intervention Studies for Patients Undergoing Percutaneous Coronary Intervention

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    Purpose: This study aimed to provide a systematic review of the evidence from controlled trials regarding nursing intervention studies on patients undergoing percutaneous coronary intervention, a discussion of the methodological problems that limit current research, and suggestions regarding future directions for research. Methods: Using a predefined protocol, 27 electronic databases were searched, studies selected, relevant data extracted, and the methodological quality of the studies assessed. Results: Twenty-seven studies were found reporting complex, generally heterogeneous interventions. The studies reported positive results, including elf-efficacy, knowledge, and self-care. There were 6 randomized controlled trials, 19 quasi-experimental studies, and 2 only research group studies. In addition to support components, the interventions included elements of teaching, counseling, and education. Nursing interventions are still in the developmental and testing phase. Conclusion: The review demonstrated that a great deal is known about nursing intervention, the impact on a range of outcomes, and methodology. Although some useful evidence was reported for all interventions, further research needs to be carried out
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