pISSN : 2383-6415   eISSN : 2383-6423

Effects of Nurse Presence Program on Anxiety and Physiological Indicators in Patients with Gynecological Surgery


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INFORMATION : page. 326~333 / 2014 Vol.16 No.4


ABSTRACT

수술은 신체적 불편과 심리적 부담을 동반하는 스트레스 사건이다. 수술환자에게 불안 요인으로 작용하는 통증, 불편감, 신체 손상, 마취 후 의식 소실, 죽음에 대한 두려움 등은 낯선 수술실 환경과 수술 기구, 마취기계 등으로 인해 더욱 가중된다. 특히 수술 전 환자의 불안은 질병과 치료에 대한 심리적 ? 인지적 반응과 함께 부정적 정서 상태를 유발하여 수술 과정뿐 아니라 수술 후 회복에도 영향을 미칠 수 있다(Watson & Visram, 2003). 수술과 관련된 불안은 자율신경계를 활성화 시켜 심박출량 증가, 혈당 증가, 기관지 확장, 말초 혈관 수축, 혈압 상승, 피부 창백 등과 같은 교감신경계 자극반응이 나타나고(Hung et al., 2002), 이러한 생리적 변화는 수술의 경과, 회복 및 예후에 중요한 영향을 미치게 되므로 수술환자의 불안을 감소시키는 간호중재는 필수적이다.

Purpose: This study was to examine the effects of Nurse Presence (NP) program on anxiety and physiological indicators in patients with gynecological surgery. Methods: This study used a randomized control group pre-test, post-test design. The patients were 25-65 years old who had undergone gynecological surgery with general anesthesia. The subjects were divided into an experimental group (n=30) and the control group (n=30). SPSS 21.0 was used to analyze the data with Chi-square, Fisher’s exact test, t-test, and one sample t-test. Results: The results show that there were significant differences in anxiety and heart rate and were no significant differences in systolic pressure or peripheral oxygen saturation of the experimental group which received the NP program. Conclusion: Nurse Presence program decreased pulse rate which is a physiological indicator by relieving the anxiety of the patients before gynecological surgery. Thus, this intervention is effective to relieve anxiety of the patients before gynecological surgery and should be utilized in clinics.

Keyword :

Nurse,Gynecology,Anxiety,Blood pressure,Pulse,간호사,산부인과,불안,혈압,맥박


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