Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Convergence study of Comparison of prognosis between Adult and Elderly patients with Traumatic Acute Subdural Hematoma: Retrospective survey research

성인과 노인에서 외상성 급성 경막하 혈종의 예후 비교에 대한 융합적 연구: 후향적 조사 연구

  • Lee, Seung-Woo (Trauma intensive care unit, Chonnam university hospital) ;
  • Woo, Sang-Jun (Department of nursing, Dongshin University) ;
  • Kim, Eun-A (Department of nursing, Dongshin University)
  • 이승우 (전남대학교병원 외상중환자실) ;
  • 우상준 (동신대학교 간호학과) ;
  • 김은아 (동신대학교 간호학과)
  • Received : 2020.04.10
  • Accepted : 2020.06.20
  • Published : 2020.06.28
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Abstract

Purpose: The purpose of this study is to compare the prognosis of traumatic acute subdural hematoma between adults and the elderly to provide appropriate nursing according to age. Methods: A retrospective medical records research study was conducted on 239 patients(adults 104, elderly 135) at Gwangju C university hospital. For data analysis, χ2 test, independent sample t-test, one-way ANOVA were used. Results: There was no difference between GCS at discharge(t=-0.03, p=.978) and GOS at discharge(t=0.17, p=.863). But there were differences in gender(χ2=4.19, p=.041), history(χ2=20.78, p<.001), GCS at admission(t=-2.22, p=.028), pupil reflection at admission(t=8.04, p=.005), pH(t=-3.30, p=.001), serum blood glucose(t=-0.85, p=.040), complications(χ2=6.450, p=.011) between adults and elderly. Conculsion: When nursing patients with traumatic acute subdural hematoma, it is thought that patients assessment and nursing care considering the clinical characteristics according to age can be provided. Future research needs to develop educational materials for medical staff.

목적: 본 연구의 목적은 성인과 노인의 외상성 급성 경막하 혈종 예후를 비교하여 연령에 따른 적절한 간호를 제공하는 것이다. 방법: 광주광역시 C대학병원에서 239명 환자(성인 104, 노인 135)를 가지고 후향적 의무기록조사연구를 수행하였다. 데이터 분석에는 χ2 test, independent sample t-test, one-way ANOVA를 이용하였다. 결과: 성인군과 노인군간에 퇴원 시 GCS (t=-0.03, p=.978)와 퇴원 시 GOS (t=0.17, p=.863)는 차이가 없었지만 성별(χ2=4.19, p=.041), 과거력(χ2=20.78, p<.001), 음주력(χ2=20.12, p<.001), 입원 시 GCS(t=-2.22, p=.028), 입원 시 동공반사(t=8.04, p=.005), pH(t=-3.30, p=.001), 혈청 혈당(t=-0.85, p=.040), 합병증(χ2 =6.450, p=.011)에서는 차이가 있었다. 결론: 외상성 경막하 혈종이 있는 환자를 간호할 때 연령에 따른 임상적 특성을 고려한 환자 사정과 간호제공을 할 수 있을 것으로 생각된다. 추후 연구는 의료진을 위한 교육자료 개발이 필요하다.

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