CAJ | 학술논문

目的：探讨告知手术患者压疮风险的真实体验，为有效防范压疮发生提供依据。方法采用质性研究的深度访谈法，对手术室12名高年资护士进行访谈，录音记录访谈内容，归纳分析，提炼主题。结果告知手术患者压疮风险环节中，主要存在6个方面的问题，包括告知方式与内容参差不齐，无法确定压疮风险评估量表的结果，压疮评估与预防互补性差，风险告知不明确，告知时机不合适，外围问题没有明确回答。结论手术患者压疮风险评估知情同意的实施有赖于规范的谈话内容，专科属性的评估量表，提高压疮预防能力的同时必须要有与评估相对应的预防措施。
목적：탐토고지수술환자압창풍험적진실체험，위유효방범압창발생제공의거。방법채용질성연구적심도방담법，대수술실12명고년자호사진행방담，록음기록방담내용，귀납분석，제련주제。결과고지수술환자압창풍험배절중，주요존재6개방면적문제，포괄고지방식여내용삼차불제，무법학정압창풍험평고량표적결과，압창평고여예방호보성차，풍험고지불명학，고지시궤불합괄，외위문제몰유명학회답。결론수술환자압창풍험평고지정동의적실시유뢰우규범적담화내용，전과속성적평고량표，제고압창예방능력적동시필수요유여평고상대응적예방조시。
Objective To assess the informed consent about risks of pressure ulcers so as to effectively prevent pressure ulcers and reduce the disputes between the nurses and patients.Method An in-depth interview was conducted among 12 senior nurses in the operating room,the interview content recorded and analyzed to summarize some themes.Results In the link of informed consent on pressure ulcers,6 problems were found,e.g.,the standardization of methods for informed consent and the content,pressure ulcer risk assessment scale special for clinical specialties,lack of complementarity of assessment and prevention measures,importance of clear signature on the informed consent,time for informed consent signature,attitude of the families and the skills on answering related questions.Conclusions The implementation of the informed consent about the risk assessment of the pressure ulcer for surgical patients depends on the specification of the conversation,and the assessment scale special for the clinical specialties.Both improved preventive measures and preventive ability of the pressure ulcers are of great importance.