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민병옥,최철자,오덕자 최신의학사 1975 最新醫學 Vol.18 No.8
This thesis is the result of analysis of the replies to the questionaires which were distributed to twenty five nurseries of hospitals in Seoul from July 1, to July 31. 1975 as summerized below: 1. Nursing care of newborn babies. ①Usually newborn babies were in lateral position at 20 hospitals (80%) and in prone position at 4 hospitals(16%). ② New born babies were given the first feeding 12 hours after being born at 12 hospitals (48%) and 8 hours after being born at 10 hospitals (40%). They were given glucose as first feeding at 24 hospitals (96%) and were given 10 to 20cc at 19 hospitals (76%). ③ They were usually given 1/3 milk at first, 1/2 milk next and 2/3 milk at last at 12 hospitals (48%). However, 4 hospitals gave them the whole milk from the very beginning. Intervals of feeding were 3 to 4 hours at 22 hospitals (88%). ④Plastic milk bottles were used at nurseries of 10 hospitals (40%), while glass bottles were used at 12 hospitals (48%). The bottles were sterilized boiling at 20 hospitals (80%). ⑤At 20 hospitals (80%). mothers were breast feeding babies when they wanted to do so. ⑥They applied eye dropping to the babies at hospitals. For eye dropping, 1 % Ag NO2 was used at 15 hospitals (60%), while antibiotic ointment was used at 5 hospitals (20%). ⑦Umbilical cord care was done at the time of bathing everyday at 20 hospitals (80%). As disinfectant, 75% alcohol were used at 9 hospitals (36%) while mercurochrome and gentian violet were used at 4 hospitals each (16%). 2. Teaching of childcare to the parents. Education on childcare to the parents were carried out at all the hospitals. Vaccination, feeding, regular visit to the hospitals were taught at all the hospitals, bathing and umbilical cord care at 92% of hospitals, hygiene of newborn babies at 8% of the hospitals and vomiting and diarrhea at 10% of the hospitals. Teaching was carried out at the time of leaving at 11 hospitals (44%) and at the time of breast feeding at 10 hospitals (40%). The means of teaching were brochure on childcare and oral teaching at 21 hospitals (84%). 3. At 22 hospitals (88%) B. C. G vaccination was not given to the newborn babies.
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서울시내 일부 종합병원 신생아실에서의 감염방지를 위한 간호관리 조사연구
김화중,최철자,오덕자 최신의학사 1974 最新醫學 Vol.17 No.8
This survey was done in twenty-four nurseries of general hospitals in seoul from aug-1 to aug-30, 1973. The results of the analysis of the replies to the questionnaires and observation, discussion with the head nurse are as follows. 1. Nursing care for the prevention of infection in nurseries. (1) The cleaning of nurseries was done, once a week In 70.8% of hospitals and once for two weeks In 12.5% of hospitals. (2) The cleaning of incubator of premature baby was done once a week In 58.3% of hospitals and once a day In 20.8%, only when the baby was discharged In 16.7%. For the sterilization of incubator, antiseptic solution and ultraviolet ray were used in 66.7% hospitals and antiseptic solution was only used in 20.8%. (3) For the sterilization of Diapher, Autoclave after boiling was used in 37.5% of hospitals and boiling was only used in 54.2% (4) Powder puff was used Communally in 70.8% of hospitals and individually in 16.7% (5) It was that the isolation of sick babies was achieved to the level of 98.5% of hospitals (5) Nurses took up a gown, mask and Cap in 50% of hospitals and took up a gown and mask in 29.2% and nothing in 8.3%. 2. Nursing Care staff in Nurseries (1) Pediatric Dr. worked fulltime in 87.5% of hospitals and in 12.5% (2) The number of registered nurses in nurseries are 1-4 in 45.8% 5-9 in 45.8% and 10-14 in 8.4%. The numbers of bed per registered nurse are 10-14 in 37.5% of hospitals, 15-19 in 29.230 and 5-9 in 16.7 (3) The numbers of nurse aid working in the nurseries are 1-4 in 62.5% of hospitals, 5-9 in 8.3% and 10-14 in 12.5%. Now, with the above results we find that even the, relatively well equipped hospitals in seoul do not give the strict nursing care for the prevention. of the infection Nursing care staff must be aware of-the importance of the control of Infection fully andy try_ to make the more efficient system of nursing care for the prevention of infection.
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서울 市內 一部 綜合病院의 新生兒室관리에 대한 조사연구(1) : 본격적인 간호 관리에 대한 조사연구의 기초작업으로
김화중,오덕자,최철자 최신의학사 1974 最新醫學 Vol.17 No.8
This thesis is the result of analysis of the replies to the questionnaires which were distributed to twenty four nurseries of hospitals in seoul from april 2 to april 30, 1973 as summarized below; I . The management of nursery in the aspect of facilities. 1) The bed numbers of the nurseries are sufficient to meet requirement for the delivery at each hospital. 2) 33.3% of hospitals are found to have one to two premature incubators while 62.5% of the hospitals have three to four premature babies in average every day. Consequently, premature incubators are short for the premature babies born everyday. 3) Only 50% of the hospitals have oxygen tank, suction, resuscitator which are absolutely required for the emergency of the newborn babies. Another 45.8% of them have oxygen tank and suction only. 4) The formula room is separated from the nursery in the 62.5% of the hospitals and not in the rest. ][ . The management of nursery in the administrative aspect. 1) In 66.7% of the hospitals, nursery is separated from obstetric or pediatric ward and not sepa?rated in the rest of 33.3%. 2) All the hospitals allocated separated room for mother and baby. The most of hospitals believe that they can protect the babies from infection by doing so. 3) For the identification of the newborns, 41.7% of the hospitals are using rings both on the wrist and ankle. 25% of them are using only on the wrist while another 20.8% only on the ankle. 4) At the 35% of the hospitals where mothers are separated from the babies, babies are carried to the their mothers by nurses. 5) The hospital charges are paid in total at the 41.6% of the hospitals, in details at, the 37.5% and at 16.5%, the charges are free. As elaborated in the above, the management group of the hospital have to understand-particularity of nursery better and improve the facilities and administration of the nursery accordingly. Incidentally, the next step to this research must be a study or the nursing care management in the light of facilities and administration discussed above.
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