13 research outputs found
ICU psychosis experience of nurse in intensive care unit
κ°νΈνκ³Ό/μμ¬[νκΈ]
μ€νμμ€μ μ
μνλ νμλ μ€νΈλ μ€λ₯Ό μ£Όλ λ―μ νκ²½μ μκ² λλ λμμ μ€μ¦ μ§νμ΄λΌλ μκΈ°μΉ λͺ»ν μν©μ μκΈ°λ₯Ό λ§μ΄νκ² λ¨μΌλ‘μ¨ μ¬λ¦¬μ μΈ λΆκ· νμ΄ μΌμ΄λκ² λλλ°(μ΄λ―Έμ, 1990) μ΄λ βμ€νμμ€μ μ μ¦(ICU Psychosis)''μ΄λΌ λΆλ¦¬λ μ¬κ°ν νμ μ¦μ μ΄λνλ μμΈμ΄ λκΈ°λ νλ€. λν μ΄κ²μ μ€νμ κ°νΈμ μ€μν λΆλΆμ΄ λκΈ°λ νλ€. κ·ΈλΌμλ λΆκ΅¬νκ³ μ€νμμ€μ μ μ¦μ λν μ°κ΅¬κ° λΆμ‘±ν μ€μ μ΄λ―λ‘ λ³Έ μ°κ΅¬μ λͺ©μ μ μ€νμμ€μ μ μ¦μ λν μ€νμμ€ κ°νΈμ¬μ κ²½νμ λ°νκ³ μμ νμ¬ μ΄ν΄λ₯Ό μ¦μ§μν€κΈ° μν κ²μ΄λ€.λ³Έ μ°κ΅¬μ λμμ μμΈ μμ¬ Aλν λ³μ μ€νμμ€μμ νμ¬ κ·Όλ¬΄νκ³ μλ 20λͺ
μ κ°νΈμ¬λ€μ λμμΌλ‘ λ°κ΅¬μ‘°νλ μ§λ¬Έμ§λ₯Ό μ¬μ©νλ μ§μ λ©΄λ΄μ ν΅ν΄ μ΄λ£¨μ΄μ‘λ€. μμ§λ μλ£λ λ©΄λ΄ λ΄μ©μ λν μ¬μΈ΅μ μΈ λ΄μ©λΆμμ μ€μνμμΌλ©° λ€μκ³Ό κ°μ κ²°κ³Όλ₯Ό λμΆνμλ€.1) λ³Έ μ°κ΅¬μ μ°Έμ¬ν λͺ¨λ κ°νΈμ¬λ€μ μΌμμ κ°νΈμ
무λ₯Ό μννλ λμ μ€νμμ€μ μ μ¦μ λͺ¨λ κ²½ννλ κ²μΌλ‘ λνλ¬μΌλ 근무 μ°νμ λ°λΌ μ€νμμ€μ μ μ¦ λ°μμ λν μΈμμ μ°¨μ΄κ° μμλ€.2) μ€νμμ€μ μ μ¦μ΄ λνλλ νμ νΉμ±μΌλ‘λ μ£Όλ‘ μ€λ
μ΄νμ λμ΄μμ λνλ¬μΌλ κ°νΈμ¬λ§λ€ λ€λ₯΄κ² μ°λ Ήκ³Ό μ±λ³μ μΈμνκ³ μμλ€. μνκΈ° λ΄κ³Ό νμ, μμ‘΄μ μ΄κ³ μλ―Όν μ±κ²©, μ§μμ μΈ μλ©΄ μ₯μ , μ§λ³μ κΈμ±κΈ°κ° μ§λκ³ νλ³΅κΈ°λ‘ μ μ΄λλ λ¨κ³μ μλ νμμκ²μ μ€νμμ€μ μ μ¦μ΄ λνλ¨μ κ²½ννμλ€.3) μ€νμμ€ κ°νΈμ¬λ€μ μ§μμ κΈ΄μ₯μ μ‘°μ±νλ 곡ν¬μ€λ¬μ΄ λΆμκΈ°, μ£½μμ λͺ©κ²©νλ μ₯μ, μ€νμμ€μμμ ν΄μ€ μ§μ°, μμ§μ λ° μΌμ νλ μνμ μ ν, νμ κΆλ¦¬μ μνκ³Ό κ°μ νκ²½μ μν©μμ νμλ€μ μ€νμμ€μ μ μ¦μ κ²½ννλ€κ³ νμλ€.4) νμλ€μ νμ²λ³΄λ€λ νμλ₯Ό λ λ§μ΄ λνλ΄λ κ°κ°μ§κ°μ₯μ , μ§λ¨λ ₯ μμ€μ λνλ΄λ μΈμ§ μ₯μ , μΈμ΄μ / λΉμΈμ΄μ 곡격μ±, μ¬μ₯λ°λμμ νμμ λ³νμ κ΄λ ¨λ νλ ₯μ¦νμ λ³ν, λΆμμ λνλ΄λ μ μμ λ³νμ κ°μ μ¦μμ λνλΈλ€κ³ νμλ€.5) νμλ€μ΄ μ€νμμ€μ μ μ¦μ λνλ λ κ°νΈμ¬λ€μ λλμ λΆμκ°, λΉνΉκ°, 무λμ§, λ―Έμν¨κ³Ό κ³μμ μΈ κ²½νμ μν νμμ λν μ΄ν΄λ‘ λνλ¬λ€.6) μ€νμμ€μ μ μ¦μ΄ λνλ¬μ λ κ°νΈμ¬μ λμ²λ‘λ νμμκ² μ€λͺ
κ³Ό μΈμ§μ 곡, μ΅μ λμ μ¬μ©κ³Ό μ½λ¬Ό μ 곡μ μ§μ κ°νΈ, μμ¬μκ² λ³΄κ³ νκ±°λ 보νΈμλ₯Ό λΆλ¬μ£Όλ νλ ₯μ κ°νΈ, μΉλ£μ νκ²½μ μ 곡, μ§μ§μ κ°νΈμ μ§μ§μ λμ²μ 무μ, ννΌ, μ΅μ, ν¬κΈ°μ λΉμ§μ§μ λμ²λ°©λ²μ μ¬μ©νλ κ²μΌλ‘ λνλ¬λ€.7) μ€νμμ€μ μ μ¦μ λν κ°νΈ μ€μ¬μ μ₯μ μμΈμ μ€νμμ€ κ°νΈ μΈλ ₯μ λΆμ‘±, κ°νΈμ¬ μμ μ 무κ΄μ¬, κ°νΈμ€μ¬ μ°μ μμμμμ μ°¨λ±ν, λΆμ μ ν μ€νμμ€μ μΉλ£μ νκ²½, μ€νμμ€μ μ μ¦ κ΄λ¦¬ μ§μΉ¨μ λΆμ¬λ‘ λνλ¬λ€.μμ μ°κ΅¬ κ²°κ³Όλ μ€νμμ€μ μ μ¦μ λ€μν νμμμ λνλ μ μμΌλ©° μ€νμμ€μ νκ²½μ μν©λ€μ΄ μ΄λ¬ν λ¬Έμ λ₯Ό κ°μ€μν¬ μ μμμ μμ¬νλ€. λν κ°νΈμ¬λ€μ μΌμμ κ°νΈ νμ₯μμ μ€νμμ€μ μ μ¦ νμλ₯Ό μμ£Ό μ νκ³ μμΌλ μ΄μ λν κ°νΈ μ€μ¬ μ μ΄λ €μμ΄ μλ κ²μΌλ‘ λνλ¬λ€. λ°λΌμ μ΄λ¬ν κ²°κ³Όλ μ€νμμ€μ μ μ¦μ λν μ κ·κ΅μ‘, 보μκ΅μ‘μ νμμ±μ μμ¬ν λΏλ§ μλλΌ νμ μ μ°¨μμμμ μ§μ§ μ¦, μ€νμμ€μ μ μ¦μ λν νλ‘ν μ½κ°λ°μ΄ νμνλ¦¬λΌ λ³Έλ€.
[μλ¬Έ]The hospitalized patient has a psychological unbalance as a unexpectedly situational crises. We call this phenomenon ICU Psychosis which cause the serious sequela. This is also an important nursing part of Intensive care. As the lack of study on the ICU Psychosis, nonetheless, The goal of this study is to describe the experience of ICU nurse on ICU Psychosis and increase the understanding of it.As the objects of this study, 20 members, have been working in ICU located in A university in Seoul, they were directly interviewed by means of a half-structurized questionnaires. The collecting data were deeply analyzed about the content of interview and then we got the following result.1) On a ordinary duty, all the nurses joining in this study entirely showed the experience of ICU Psychosis but as a working periods, there was the difference of recognition on occurrence of ICU Psychosis.2) The characteristic of ICU Psychosis patients mainly showed after the middle aged but each nurse recognized age and sex of patients differently. They experienced that patients showed the ICU Psychosis in the process of recovery after a acute disease period, a lasting sleep-disturbance, a sensitive and dependent temper, CA patients.3) The ICU nurses expressed the patients experienced ICU Psychosis under the environmental situation related to the noises and the mood of horror causing a lasting tension, a spot of death, the delay of ICU checkout, the limit of movement and routine action, and the threat of patients'' right.4) The syndrome of ICU Psychosis showed the sense of perception that has more a visual hallucination than auditory, the trouble by the lost of perception, the behavior of aggressive and nonverbal language, vital sign change related to beating of heart and blood pressure, and the emotional change related anxiety.5) When the patients showed the ICU Psychosis, the feeling of nurse is indicated as discomfort, embarrassment, habitualization, repentance and understanding on patients by the constant experience6) In case of ICU Psychosis, the way of nurses'' coping and was support coping like the supply of explanation and recognition to patients, the use of restraint and direct nursing of medication, either reporting the doctor or cooperative nursing of calling a carer, treatment environment supply, response of emotional and supporting tendance centered question and non-support coping like ignorance, avoidance, suppression, abandon7) The obstacle factor of nursing intermediation on ICU Psychosis showed as the lack of nursing workers in ICU, indifference of nurse herself, difference of caring level, treatment environment of irrelevant ICU, and the absence of management instruction in ICU.The result of research shows that ICU Psychosis can happen in various patients and the environmental situations of ICU cause bigger problems. Nurses often face with the patients in ICU but they experience the trouble in the cause of nursing intermediation. Accordingly, As a result of this study, I want to state that organization related to hospital require not only the new and mending educational system of ICU Psychosis for nurses but the protocol development for the ICU Psychosis in aspect of hospital administration.ope
(A) Study on the Right of Avoidance in Bankruptcy Procedure
νμλ
Όλ¬Έ(μμ¬) --μμΈλνκ΅ λνμ :λ²νκ³Ό,2010.2.Maste
Application of Quenching and Partitioning (Q&P) Processing to Press Hardening Steels (PHS)
1