임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제28권2호
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  • Pages.198-209
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  • 2022
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류

Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs

  • Lee, Ji Yun (College of Nursing, Kangwon National University) ;
  • Cho, Sung-Hyun (College of Nursing.Research Institute of Nursing Science, Seoul National University) ;
  • Hong, Kyung Jin (College of Nursing, Kangwon National University) ;
  • Yoon, Hyo-Jeong (Department of Nursing, Yeungnam University College) ;
  • Sim, Won-Hee (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Moon-Sook (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Young-Ju (College of Business Administration, Kangwon National University)
  • 투고 : 2022.01.29
  • 심사 : 2022.06.24
  • 발행 : 2022.08.31
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초록

Purpose: The purpose of the study was to shorten the KPCS-1 (Korean Patient Classification System-1) for predicting nursing care need level and to explore whether the patients can be clustered by their acuity and dependency. Methods: The participants were inpatients in two surgical wards and two internal medicine wards at a teritory hospital during 14 days investigations. The KPCS-1 was evaluated once a day for all inpatients and 2,082 cases of data from a total of 411 patients were analyzed. Results: The items were reducted from 50 items to 26 items by partial least squares analysis and expert review. Through factor analysis, it was confirmed that hygiene, diet, elimination, and exercise were categorized as dependence factors. Patients were clustered with low acuity/low dependency (average score: 7.68±2.81/1.05±1.33), high acuity/low dependency (average score: 17.20±4.15/1.94±2.40), medium acuity/high dependency (average score: 13.56±5.30/9.66±2.64) through cluster analysis. The total score of the three groups for their nursing care needs was 8.73±3.36, 19.14±5.74, and 23.24±6.31 in order, and the results showed a statistically significant difference (F=1712.12, p<.001). Conclusion: The shortening of the KPCS-1 and the new criteria for categorizing patients according to acuity and dependence will increase clinical utility and be useful for manpower assignment criteria in detail.

키워드

과제정보

본 연구는 2018년 정부(과학기술정보통신부)의 재원으로 한국연구재단에서 연구비를 지원받아 진행한 연구임(No. 2017R1A2B4009241).

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