성인간호학 외과병동 Case Study(케이스) - UTI(요로감염증) [진단 2개]

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"성인간호학 외과병동 Case Study(케이스) - UTI(요로감염증) [진단 2개]"에 대한 내용입니다.

목차

Ⅰ.서론
1. 연구의 필요성 및 목적 ·····························································································3
2. 대상자의 전반적 질병과정 요약 ··········································································4
3. 문헌고찰 ··························································································································4

Ⅱ.본론
1. 대상자 간호사정 ·········································································································11
2. 현병력 ·····························································································································15
3. 진단적검사 ····················································································································20
4. 의사의 진단 및 치료계획 ·······················································································22
5. 질환에 대한 소개 ·······································································································23
6. 환자 면담 내용 ···········································································································26
7. 간호진단 목록 ··············································································································27
8. 간호과정 ··························································································································28

Ⅲ. 결론
1. 느낀 점·····························································································································32

Ⅳ.참고문헌 ·····················································································································32

본문내용

1. 연구의 필요성 및 목적

(1) 연구의 필요성 및 목적
신장, 요관, 방광, 요도로 구성된 비뇨기계의 한 부분에 세균이 감염된 것을 요로감염 [UTI (Urinary Tract Infection)]이라고 한다. 요로감염은 임상 증상의 유무, 감염 부위, 기저질환, 요로의 기능적 혹은 해부학적 이상에 따라 분류될 수 있다. 실습을 나온 외과병동이기는 하지만, 병원 내에서 유일한 간호간병통합서비스 병동이었기 때문에 외과파트 이외에도 비교적 다양한 케이스의 대상자들을 볼 수 있었다. 아직 요로계 장애 대상자 간호에 대해 배우지 않았지만 대상자의 불편감이 상당히 컸기 때문에 그 중요성을 인지하게 되었으며, 환자의 원활한 건강 회복과 안위를 위해 요로감염에 대한 연구를 시작하게 되었다. 이 사례연구를 통해 많은 지식을 얻은 후, 요로감염 환자의 여러 증상과 그에 따른 간호에 대해 정확히 알고 예방할 수 있게 하며 질 좋은 간호를 제공하기 위함이다.

(2) 연구장소 및 방법
1) 연구장소 : 대학병원
2) 연구방법 : 대상자와의 면담, 신체검진, 문진, EMR Chart를 통한 정보 수집
(임상실습 과정 중에 체위변경과 라운딩을 통해 라포 형성을 하기 위해
노력하였고, 담당 간호사 선생님이 드레싱과 약물 액팅을 하러 가실 때
함께 관찰하며 많은 정보를 얻을 수 있었다.
또 차트와 간호기록지 등의 자료를 통해 많은 기록을 볼 수 있었다)

(3) 사례로 채택하게 된 동기
아직 요로감염에 대해서 배우지 않았지만 병명은 자주 들어보아서 관심을 가지고 대상자를 관찰하게 되었다. 요로감염은 요도, 방광, 요관, 콩팥을 포함하는 요로기계 감염을 지칭하는 것으로, 대개는 장내 세균에 감염되어 발생한다.

참고자료

· 황옥남 외, 성인간호학 7판 하권, 현문사, 2018, p. 117~175
· 성미혜 외, 비판적 사고기반 간호과정의 적용, 수문사, 2018
· 백민자, 박현신, 임순옥 성인간호학실습 Ⅱ 지침서, 현문사, 2019
· [네이버 지식백과] 요로감염(서울대학교병원 의학정보, 서울대학교대학원)
· NRS, 통증사정도구
· 의약품사전
· 약학정보원