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선천성 심질환으로 고식적 수술을 시행 받은 영아의 홈모니터링의 성과

Outcomes of Home Monitoring after Palliative Cardiac Surgery in Infants with Congenital Heart Disease

Journal of Korean Academy of Nursing
2014년 44권 2호 p.228 ~ p.236
김상화 ( Kim Sang-Wha ) - 서울아산병원 간호부

엄주연 ( Uhm Ju-Yeon ) - 울산대학교 의과대학
임유미 ( Im Yu-Mi ) - 울산대학교 의과대학
윤태진 ( Yun Tae-Jin ) - 울산대학교 의과대학
박정준 ( Park Jeong-Jun ) - 울산대학교 의과대학
박천수 ( Park Chun-Soo ) - 울산대학교 의과대학

Abstract

Purpose: Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality.

Methods: Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge.

Results: Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) ( χ2=1.15, p= .283).

Conclusion: Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.

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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed 
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