Research in Community and Public Health Nursing

Original Articles

[English] The Related Factors to Urgent Disease in Triaging Patients with Acute Abdominal Pain in Emergency Department: Sang Rim Lee, In Sook Lee, Eun Hee Jung, Ju Won Kim, Young Ran Chin, Hyun Sook Hong, Daewon Yu; J Korean Acad Community Health Nurs. 2019;30(4):581-587. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.581

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Abstract PDF: PURPOSE
Abdominal pain is the most common symptom of patients visiting the emergency department (ED). Abdominal pain is caused by a variety of causes, so it is difficult for a triage nurse to determine the urgency of a patient, but it is still a must. The purpose of this study was to identify the related factors to the urgent diseases of patients with abdominal pain visiting ED.
METHODS
This study was a retrospective descriptive study. The study setting was an ED in a tertiary hospital in Korea. Data were collected from September 1, 2017 to October 15, 2017. During the study period, of a total of 6,181 patients visiting the ED, 731 complained of abdominal pain. Patients with obvious cause of pain and patients who could not express detailed symptoms were excluded. The 573 patients were included in the final analysis. We collected demographics, clinical characteristics, and final diagnosis. We divided final diagnoses into urgent diseases which were more likely to be life-threatening without treatment and non-urgent diseases. We identified the related factors to the urgent diseases of patients with abdominal pain using the logistic regression.
RESULTS
173 (30.2%) patients had urgent diseases. Age (OR=1.02, 95% CI=1.00~1.03), referral from other clinics (OR=2.92, 95% CI=1.86~4.60), ambulance utilization (OR=2.00, 95% CI=1.27~3.15), diarrhea (OR=0.44, 95% CI=0.25~0.76), and tachycardia (OR=2.27, 95% CI=1.44~3.58) were related to urgent diseases.
CONCLUSION
Triage nurse should take into account the patient's age, mode of visiting, and route of visiting ED; and check the symptom of tachycardia or diarrhea.

[English] The Effects of Auricular Acupressure Therapy on Abdominal Pain and Dysmenorrhea in Female University Students: Nam Hyun Cha; J Korean Acad Community Health Nurs. 2008;19(2):280-289. Published online June 30, 2008

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Abstract PDF: PURPOSE
This study was carried out to investigate the effects of auricular acupressure therapy on the relief of dysmenorrhea and abdominal pain in female university students.
METHOD
This study was designed as non-equivalent control group research. Data were collected from 44 of the female university students(Exp.: 22, Cont.: 22) from October, 2007 to December, 2007. Collected data were analysed through chi2 test, Fisher's exact test, Mann-Whitney U test and Wilcoxon signed rank test.
RESULT
Abdominal pain was significantly decreased partially in the experimental group compared to that of the control group(p=.008). Dysmenorrhea was significantly decreased in the experimental group compared to that of the control group(p=.000).
CONCLUSION
It was proven that auricular acupressure therapy was effective for abdominal pain and dysmenorrhea.

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