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Journal of Korean academy of nursing = 대한간호학회지 v.40 no.1, 2010년, pp.110 - 118   SCIE SSCI 피인용횟수: 2
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요양병원의 서비스 질 평가를 위한 요실금 결과 지표 개발
Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals

윤주영    (위스콘신대학교 간호대학.건강보험심사평가원 심사평가정책연구소   ); 이지윤    (호서대학교 간호학과  );
  • 초록

    Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.


  • 주제어

    요양병원 .   요실금 .   질지표 .   위험보정.  

  • 참고문헌 (18)

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  • 이 논문을 인용한 문헌 (2)

    1. Park, Jong-Ho ; Kim, Yoo-Mi ; Kim, Sung-Soo ; Kim, Won-Joong ; Kang, Sung-Hong 2012. "Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 13(4): 1739~1750     
    2. Jung, Woon-Sook ; Yim, Eun-Shil 2016. "Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care" 지역사회간호학회지 = Journal of korean academy of community health nursing, 27(4): 388~398     

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