임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제14권1호
  • /
  • Pages.161-172
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  • 2008
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지

혈액투석 환자의 중증도 분류에 관한 연구

Classification on Patient Severity Score among Hemodialysis Patients

  • 김문실 (이화여자대학교 건강과학대학 간호과학부) ;
  • 김미경 (가톨릭대학교 강남성모병원) ;
  • 송우정 (가톨릭대학교 의정부성모병원) ;
  • 임은영 (서울아산병원 간호과) ;
  • 김해정 (가톨릭대학교 성모병원) ;
  • 임효순 (영동세브란스병원) ;
  • 최송희 (이대목동병원) ;
  • 전인숙 (이화여자대학교 건강과학대학 간호과학부)
  • Kim, Moon Sil (Division of Nursing Science, College of Health Science, Ewha Womans University) ;
  • Kim, Mi Kyoung (Catholic University Gang Nam St. Mary's Hospital) ;
  • Song, Woo Jeong (Department of Nursing Service, Catholic University Uijeongbu St. Mary's Hospital) ;
  • Lim, Eun Young (Asan Medical Center) ;
  • Kim, Hae Jeong (Catholic University St. Mary's Hospital) ;
  • Lim, Hyo Soon (Yonsei University of Youndong Severance Hospital) ;
  • Choi, Song Hee (Department of Nursing Service, Ewha Womans University Mokdong Hospital) ;
  • Chun, In Sug (Division of Nursing Science, College of Health Science, Ewha Womans University)
  • 발행 : 2008.04.30
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초록

Purpose: This study was to classify patient severity score for hemodialysis patients. Method: The subject of this study was 1,575 patients. To study the severity of the patients, we used t-test and ANOVA. The congruity was measured by Kappa coefficient and the severity in each medical facility was analyzed by ANOVA. Result: The results showed that there was a significant difference according to the levels of medical center (F=171.187, p<.0001). Categorizing the severity of the patients in each medical facility, group II and III of the secondary medical institution had higher ratio than the primary medical institution. There was not a single patient coming under group IV in both of the primary or secondary medical institutions. However, the tertiary medical institutions had more subjects in group II and III than the primary and secondary medical institutions. The group IV with the highest severity had 11 patients(1.5%), demonstrating that the tertiary medical institution had higher severity patients than the primary or secondary medical institutions. Conclusion: The results of this study appropriately reflects the repayment system of medical expenses by the government. Also, it provides the fundamental information to develop nursing fee system taken into account of the systemic differences among the primary, secondary and tertiary medical institutions.

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