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영상처리 기반 재활 환자의 헬스케어 개선을 위한 낙상예방 프로그램 개발 : 예비연구

Development of Fall Prevention Program for Improvement of Healthcare in Rehabilitation Patients Based on Image Processing : A Preliminary Investigation

  • 강소라 (인천사랑병원 재활의학과 작업치료실) ;
  • 윤중대 (인천사랑병원 재활의학과 물리치료실) ;
  • 유진원 (인천사랑병원 재활의학과 물리치료실) ;
  • 나창호 (인천 글로리 병원 작업치료실) ;
  • 허성진 (양산부산대학교병원 의생명융합연구소) ;
  • 김예순 (국립재활원 재활연구소 건강보건연구과) ;
  • 문종훈 (국립재활원 재활연구소 건강보건연구과)
  • 투고 : 2017.12.05
  • 심사 : 2018.08.15
  • 발행 : 2018.08.31

초록

본 예비연구는 낙상예방 프로그램이 종합병원 입원환자의 낙상발생에 미치는 영향을 조사하고자 하였다. 중재 전, 인천에 위치한 I병원에 입원하여 재활치료를 받는 환자 190명의 낙상발생빈도를 확인하였다. 낙상의 원인은 환자 보호자 및 치료사의 부주의, 치료사의 업무 부담의 가중, 침상의 높이, 보호자의 부재와 같은 치료실 환경의 문제로 나타났다. 저자들은 PDCA 모델을 통하여 문제점을 인식한 후 낙상예방 프로그램을 개발하였다. 낙상예방 프로그램의 구성은 낙상예방교육 동영상을 제작하여 환자 및 보호자에게 교육하였고, 환경개선 및 치료사교육을 2개월 간 수행하였다. 중재 후, 낙상 발생률의 분석은 220명의 환자를 대상으로 하였다. 그 결과, 낙상발생률은 중재 전과 비교하여 통증치료실은 34.1~66.7%가 줄었으며, 운동/작업치료실은 21.3~40.8%가 감소하였다. 본 연구의 결과는 낙상예방 프로그램이 입원환자의 낙상 감소에 긍정적인 효과를 나타내고 있으며, 낙상예방 모델 중 하나의 방법이 될 것이다.

The purpose of this preliminary study was to investigate the effect of fall prevention program on the occurrence of falls in inpatients at general hospital. Before the intervention, we identified the occurrence of the rate of falls in I hospital at Incheon and 190 patients received rehabilitation treatment. The causes of falls were carelessness of caregivers and therapists, increased burden of therapists, and height of beds. After recognizing the problems, the authors developed a fall prevention program through the PDCA model. The fall prevention program consisted of a video of fall prevention education and education for the patients and caregivers, environmental improvement and education of therapists for two months. After intervention, 230 patients were subjected to be included as analysis of the incidence of falls included As a result, the fall incidence was reduced by 34.1~66.7% in the pain clinic and 21.3~40.8% in the exercise clinic / department of occupational therapy compared to the before intervention. These findings show that the fall prevention program has a positive effect on the fall of inpatients, and it can be used as a model for fall prevention.

키워드

참고문헌

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