ê·ŒêŽì 걎ê°ííì§ì 24 ê¶ì 2 íž, 2017 ë 8 ì J Muscle Jt Health Vol. 24 No. 2, 89100, August, 2017 ISSN 19759398 (Print) ISSN 2288789x (Online) https://doi.org/10.5953/jmjh.2017.24.2.89 ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë 조묞ì 1) ë°ì°í 2) 1) ë¶ë¹ììžëíêµë³ì, 2) ììžëíêµê°ížëí ê°ížê³Œíì°êµ¬ì Utilization of and Satisfaction with Smart Bedside Station System as a Patientcentered Healthcare System Cho, Moon Suk 1) Park, YeonHwan 2) 1) Seoul National University Bundang Hospital, Seongnam 2) College of Nursing, Seoul National University The Research Institute of Nursing Science, Seoul, Korea Purpose: The aim of this study was to examine the utilization of and satisfaction with the smart bedside station (SBS) system among users in a hospital. Methods: A crosssectional descriptive design was used. The participants were 190 patients, 186 family caregivers, and 154 nurses in a hospital. Results: Around 78.1% of patients or family caregivers used the SBS system at least once during their hospital stay. The commonly used items on the SBS system menu were lab findings, hospital cost, today s medication, and the alarm message. Satisfaction with the SBS system of patients and family caregivers were significantly higher than those of nurses (F=39.88, p<.001). Conclusion: A patientcentered SBS system was a useful system that could increase patient satisfaction and comfort. More specific and technical service contents reflecting the current healthcare system should be added. Key Words: Information, Satisfaction, Technology, Health care ìë¡ 1. ì°êµ¬ìíìì± êžê²©íì 볎íë¡ 1990ë ëìŽíêµëŽìë£ë¶ìŒììëì 볎Ʞì ììŽì©íì²ë°©ì ë¬ìì€í , ìíììì 볎ìì€í , ì ìì§ë£êž°ë¡ìì€í ìŒë¡ëíëëìë£ì 볎ìì€í ìê°ë°íì¬ì¬ì©íê³ ìë€. ì 볎Ʞì 곌ìë£ìì 목ìê°ìžì걎ê°ê³Œìë£ìžìì 묎ìíììŠì§ììŒìë£ìì§ìëìŽê³ , ë¹ì©ìê°ììí€ë©°, íìë€ìŽê·žë€ìì ìì¹ë£ìì 극찞ì¬íëë¡íë€ (Blumenthal, 2010). ëíê°ížì€ë¬Žìììì¬ìíµìì íëìŠê°, í¬ìœì€ë¥ê°ì, íìê°ížìíšìšì±ìŠê°ë±êžì ì ìžíšê³Œë¥Œê°ì žìë€ (Hwang & Park, 2006; Jha et al., 2009; Kim & Park, 2008). ìµê·Œìëìë£ìë¹ì€ìëííìë€ìì구ìì€ìŽëìì žë³ìì 볎ëêµì¡ìëíŽìëê°ë³ì ì ê·ŒìŽì구ëê³ , íìì€ì€ë¡ìì ìì§ë£ì 볎ëë³ìì 볎륌íìží ììëì¬ì©ìì€ì¬ìë£ì 볎ìì€í ìëíêŽì¬ìŽê³ ì¡°ëê³ ìë€. ì¢ ìŽëì± ì륌ìŽì©íêµì¡ë³Žë€ì€ë§ížêž°êž°ë¥ŒìŽì©í걎ê°êµì¡ìë§ì¡±ëìì 볎ì ë¬íšê³Œê°ëìíììê²ì 볎ë°êµì¡ì 죌ììŽ : ì 볎, ë§ì¡±ë, êž°ì , 걎ê°êŽëŠ¬ Corresponding author: Cho, Moon Suk Seoul National University Bundang Hospital, 82 Gumiro, 173 Beon Gil, Bundanggu, Seongnam 13620, Korea. Tel: +8227408846, Fax: +82317874839, Email: msc586@snubh.org ìŽë Œë¬žìë¶ë¹ììžëíêµë³ìì ì± ì°êµ¬ë¹ (022014073) ììíŽìŽë£šìŽì§ê²ì. This work was supported by grant no 022014073 from the SNUBH Research Fund. Received: Jun 12, 2017 / Revised: Jul 18, 2017 / Accepted: Jul 21, 2017 c 2017 Korean Society of Muscle and Joint Health http:// www.rheumato.org
조묞ì ë°ì°í ê³µìíšê³Œì ìŒìììŽ (Eason & Waterson, 2013; Park, 2013; Wiechmann, Kwan, Bokarius, & Toohey, 2016) ìë£ì 볎ìì€í ìŽëëì§ížìì€í ìíì©ííìêµì¡íë¡ê·žëšê°ë°ìŽìŠê°íê³ ìë€. ìžêµììëì§íë³íììì구ì귌거ííìì 볎ìì€í (Patient Information System)(Hassling, Babic, Lönn, & CasimirAhn, 2003; Kuosmanen, Jakobsson, Hyttinen, Koivunen, & Välimäki, 2010; Van De Meijden, Tange, Troost, & Hasman, 2003), 걎ê°êŽë šìŽìë걎ê°ì 볎ìêŽíì구ì귌거íìë£ì 볎ìì€í (Kushniruk, Patel, & Cimino, 2000; Lussier, Kukafka, Li, Patel, & Cimino, 2001; Szolovits, Doyle, Long, Kohane, & Pauker, 1994) ë±ììììžíìë€ìì구ìêž°ë°íìë£ì 볎ìì€í ì°êµ¬ë€ìŽë€ìíê²ìŽë£šìŽì§ê³ ìë€. êµëŽìŒë¶ë³ìììëíììê°ë³ì êµì¡ì구ë충족ë°íìë§ì¡±ëê°ì ììíŽìµì²šëšìë£êž°êž°ë¥Œíì©íëìëìê·žíšê³Œìëíì°êµ¬ê°ìë€ (Park, 2013). ëíìë£ìë¹ì€ê°ì ììíë°©ììŒë¡ìë£ì 볎íìíšê»ìŒë¶ë³ìììëì§íží¬ì€ë¥ŒìíŽëì íë³ìëšë§êž° (Bedside Terminal) ëë³ììì€ì¹ëíìê°ìžì©ëªšëí°ë¡ìšê°ì¢ ìœí ìž ë°ë³ìížììë¹ì€ë¥Œì ê³µíëìì€í ìŒë¡ìì ì°šë§ìë³ìë€ìŽëì í ê²ìŒë¡ììëë€. ë³ìëšë§êž° (Bedside Terminal) ëëšìíë³ì TV ííë¡ììíì¬, Information Communication Technology (ICT) êž°ì ë°ì ìíì ìŽë€ìíìœí ìž ì ê³µë¿ë§ìëëŒì§ë£ / ê°ížì 묎ê°ì 곌ê°ìë³ììë¹ì€ìì§í¥ìì목ì ìŒë¡ê°ë°ëê³ ììŒë©°, ìµê·Œìëíë ¥ì§í ( íì, ë§¥ë° ), íë¹ë±ìì첎ì ížë¥Œê³ìž¡íëêž°ë¥ìê²°í©íšìŒë¡ìšíµí©ì ìžì»€ë®€ëìŒìŽì ìëšìŒë¡ë°ì íê³ ìë€ (Yoo et al, 2015). ìë£ì 볎ìì€í ìì±ê³µì¬ë¶ëì 볎ìì€í ììŽì©íëì¬ì©ììíê°ìêž°ìŽíŽìŒíë€ (Eason & Waterson, 2013). í¹ííìì€ì¬ìë£ì 볎ìì€í ìê°ë³íìë€ìë¥ë ¥ê³Œì구ìë§ì¶ìŽê°ë³íëì 볎륌ì ê³µí ììê³ , íìë€ìŽì¹ë£ê²°ì ìŽëê³íìì ê·¹ì ìŒë¡ì°žì¬í ìììŽìŒíë€. 282ëª ìì ë°©ìíìëì ehealth system ì¬ì©íšê³Œìëíì°êµ¬ììíììì구ìêž°ë°íìì€í ììì ìì , ì 첎ì 걎ê°ê³Œì¬íì ì§ì§ì ê³µíšê³Œê°ìììŽê²ìŠëìë€ (Park, Lee, & Ham, 2013). ê·žë¬ëì€ì íììì구ë륌ë°ìíìì€í ê°ë°ê³Œíììž¡ë©Žì걎ê°ê²°ê³Œëìíì믞ì¹ëíšê³Œëíìê°ížìž¡ë©Žìììê°ížì 묎ìíšìšì±ìëíì°êµ¬ëìì§ë¶ì¡±íìíìŽë€. ëííšìšì ë³ìì 볎ìì€í ìŽìììíŽìëë€ìíì 묞ìžë ¥ë€ìì§ììŽì€ê³ìë°ìëìŽìŒíë€. í¹íê°ížì¬ëë³ìì 볎ìì€í ìì¬ì©íë죌ì¬ì©ììŽë©°íìë°ë³Žížììê²ì 볎ìì€í ì¬ ì©ììëŽ, êµì¡íëìì¹ìììŒë¯ë¡ (Sung, Cho, & Hong, 2006), íììì구ëìíšê»ê°ížì¬ìì구ëíìžìŽíìíë€. ì ìžê³ì ìŒë¡íìì걎ê°ìŠì§ê³Œìêž°êŽëŠ¬ì°žì¬ìŠë, íììì ììíìì¬ìíµí¥ì목ì ìŒë¡ë³ìì§ìì 볎ìì€í ê°ë°ìëíêŽì¬ìŽìŠê°íê³ ìë€ (Caligtan, Carroll, Hurley, GershZaremski, & Dykes, 2012). êµëŽ 3ì°šìë£êž°êŽìì€ì¬ìŒë¡ìµì²šëšìë£ì 볎ìì€í ììŽì©íì§ë¥íë³ìì§ì (Smart Bedside Station, SBS) ìì€í ìíµíì¬íììê²ë€ìíì 볎ë°ížìì 공곌ì§ë£ìì§ê³Œì 묎íšìšì±ìëìŽêž°ìíì¬. ë³ììì€í¬ëŠ°ìì¥ì°©íì¬íìê°ê°ë³ì ìŒë¡ë³ìììì§ë³ë°ê±Žê°ì 볎륌íìží ììê³ , ììŽë°ì ìŠëª ìë±ìížìì ì²ìŽê°ë¥í SBS ìì€í ìì¬ì©íê³ ìë€. í¥íìë¹ì€íì©ìšê°ì ë°ëë°ìŽì€ìêž°ë¥ê³ ëí륌ìíì¬ì¬ì©ì±ì°êµ¬ë°ë§ì¡±ëì¡°ì¬ì°êµ¬ê°íìíë€íìë€ (Yoo et al., 2015). ìŽì볞ì°êµ¬ëì ìíìì SBS ìì€í ìŽì©íí©ìíìžíê³ , íì©ëê°ì ììíì¬ìë¹ì€ì¬ì©ììžíìììë¹ì€ì ê³µììžê°ížì¬ë¥ŒëììŒë¡ SBS ìì€í ìì¬ì©ë§ì¡±ë륌조ì¬íê³ ìíë€. 2. ì°êµ¬ëª©ì 볞ì°êµ¬ì목ì ìíìì€ì¬ìë£ì 볎ìì€í 구ì¶ììŒíìŒë¡ì§íë SBS ìì€í ììŽì©íí©ìíìžíê³ , SBS ìì€í ìì¬ì©í겜íìŽìëëìì ( íì, 볎ížì, ê°ížì¬ ) ìì¬ì©ë§ì¡±ë륌조ì¬íëê²ìŽë€. 구첎ì ìžì°êµ¬ëª©ì ìë€ì곌ê°ë€. ì ìíìì SBS ìì€í ìŽì©íí©ìíìžíê³ , ëìììí¹ì±ìë°ë¥ž 1íì ìë¹ SBS ìì€í ìŽì©íí©ì°šìŽë¥Œíìžíë€. ëìì ( íì, 볎ížì, ê°ížì¬ ) ë³ SBS ìì€í ì¬ì©ë§ì¡±ë륌조ì¬íì¬, ëììê·žë£¹ë³ SBS ìì€í ì¬ì©ë§ì¡±ëìì°šìŽë¥Œíìžíë€. 3. ì©ìŽì ìì§ë¥íë³ìì§ì (Smart Bedside Station, SBS) ìì€í ìë³ììì€ì¹ëíìê°ìžì©ëªšëí°ë¥Œíµíì¬ TV, ìží°ë·ìí°í ìžëšŒížìë¹ì€ë¿ë§ìëëŒíììê²ì§ë£ / ê²ì¬ì 볎ë°ë€ìíížìë±ìê°ìžíëìë¹ì€ë¥Œì ê³µíëìì€í ìŒë¡ (Yoo et al., 2015), 볞ì°êµ¬ììëë³ììì€í¬ëŠ°ìì¥ì°©íì¬íìê°ê°ë³ì ìŒë¡ë³ìììì§ë³ë°ê±Žê°ì 볎륌ì ê³µë°ìììê³ , 90 Korean Society of Muscle and Joint Health
ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë ììŽ, ìë¹ì€, ì ìŠëª ìë±ìížìì ì²ìŽê°ë¥íëë¡ê°ë°ííìì€ì¬ìë£ì 볎ìì€í ìŒë¡ë§ìŽíìŽì§, ë³ìì 볎, TV, ìží°ë·ìŒë¡êµ¬ë¶ëë€. ë§ìŽíìŽì§ììëëììŒì , ìì¬ì ì², ìë¹ì€ì ì², ì ìŠëª ìì ì², ê²ì¬ê²°ê³Œì¡°í, êµì¡ì 볎, ììì 볎, ë³ìë¹ì¡°í, ìë£ì§ì 볎, ì€ë¬žì¡°ì¬, ì늌ë©ìì§ìì¡°íê°ê°ë¥íë€. ë³ìì 볎ììëìžëì§ë£ìŒì í, ì§ë£ê³Œìë£ì§, ìžëììœìëŽ, 걎ê°ê²ì§ìëŽ, ìì¹ìëŽ, ì íë²ížìëŽ, ë³ììê°, 걎ê°ì 볎, ììœìëŽìŒí°ë¥Œì ê³µíë€. ìí°í ìžëšŒížìë¹ì€ë¡ì§ììŒìŽëž TV ë°©ì¡ê³Œìží°ë·ìì ê³µíë€. ìë€. 볞ì°êµ¬ìì ì íëìììì°ì ì G*Power (3.1.9.2) í볞ìì°ì¶íë¡ê·žëšììë 늜ì ìžëê·žë£¹ê° ttest ììž¡ê²ì , íšê³Œí¬êž°.5, ì ììì€.05, ê²ì ë ¥ 95% ìŒëê·žë£¹ë¹ 105ëª ì©ìŽ 210ëª ìí볞ìê°íìíìê³ , ìžê·žë£¹ê° ANOVAë¡ë¹êµí ëíšê³Œí¬êž°.25, ì ììì€.05, ê²ì ë ¥ 95% ìŒëìŽí볞ì 400 ëª ìŽíìíìë€. 3. ì°êµ¬ë구 ì°êµ¬ë°©ë² 1. ì°êµ¬ì€ê³ 볞ì°êµ¬ëìŒë³ììì ìì묎Ʞë¡ìë£ë¥Œíí¥ì ìŒë¡ì¡°ì¬íì¬ SBS ìì€í ìëíìŽì©íí©ìíìžíê³ , SBS ìì€í ì¬ì©ì ( íìì볎ížì ) ìì ê³µì ( ê°ížì¬ ) ìì¬ì©ë§ì¡±ë륌ì í¥ì ìŒë¡ì¡°ì¬íëìì ì ì¡°ì¬ì°êµ¬ìŽë€. 2. ì°êµ¬ëì 1) SBS ìì€í ìŽì©íí©ìŒê°ìêžì¢ í©ë³ì SBS ìì€í ìŽêµ¬ì¶ë 12ê°ë³ëìì¡°ì¬ìì íì¬ 3ê°ìê° (2014ë 5ì 1ìŒ ~7ì 31ìŒ ) ì ìííììŽ 3,055ëª ì€ SBS ë©ëŽì 1íìŽìì ìííìì ììž 2,386ëª ìì ìì묎Ʞë¡ìë£ì€ìŒë°ì í¹ì±ë°ì§ë³êŽë ší¹ì±ê³Œ SBS ìì€í ë©ëŽë³ì ì걎ììë£ìŽë€. 1) SBS ìì€í ìŽì©íí©ì ìì묎Ʞë¡ìë£ì€íìììŒë°ì í¹ì±ë°ì§ë³êŽë ší¹ì±ìëíë³ìëì íì°êµ¬ììë£ì 볎ìì€í ê°ë°ìì ìì°žì¬í겜íìŽìëì ë¬žê° 12ëª ì ( ìê°ížì¬ 8ëª , ê°ížíì¥ 1ëª , ê°ížëíêµì 1ìž, ì 볎ìì€í ëŽë¹ì 2ëª ) ì 5íì걞ì¹í ìë¡ë³ì륌ì ì íìë€. ì ì ëë³ìëì ìì묎Ʞë¡ììíìžê°ë¥ííììí¹ì± ( ëìŽ, ì±ë³, íë ¥, ì§ëšëª , ìì ì 묎, ê²ì¬ì 묎ë°ê²ì¬ëª , í¬ìœë ¥, ì ìíì, ì¬ììŒì, ì ììŒ, íŽììŒ ) ìŽë€. SBS ìì€í ë©ëŽë³ì ì걎ìë 1íì ìë¹ SBS ìì€í ì 23 ê°ë©ëŽìì ìí걎ìë¡ì ì걎ìê°ë§ììë¡ìŽì©íí©ìŽëìê²ìŽë€. SBS ìì€í ìë©ëŽëë§ìŽíìŽì§ìë³ììëŽë¡ë€ì곌ê°ë€. ë§ìŽíìŽì§ëëììŒì ( ì ì, ìì¬ìê°, ì€ëììœ, ì€ëìê²ì¬, ê°ížì¬ë°©ë¬žìê°, ê²ì¬ìì ìê°, íì§ìê°, ìì ìì ìê°, êµì¡ìì ìê°, ìžëììœìê°, íŽì ) 11ê°í목곌íìììŽì ì², 볎ížìììŽì ì², ìë¹ì€ì ì², ì ìŠëª ìì ì², ëìê²ì¬ê²°ê³Œ, êµì¡ì 볎, ììì 볎, ë³ìë¹ì¡°í, ìë£ì§ì 볎, ì€ë¬žì¡°ì¬, ì늌ë©ìì§ 11ê°í목곌ë³ììëŽ 1ê°í목ìŽë€. 2) SBS ìì€í ì¬ì©ë§ì¡±ëìŒê°ìêžì¢ í©ë³ì SBS ìì€í ìŽêµ¬ì¶ë 12ê°ë³ëìì 2014ë 12ì 10ìŒìì 2015ë 1ì 31ìŒê¹ì§ì ìííìë°ë³Žížì ( ì¬ì©ì ), ì¬ì©ììê² SBS ìì€í ìì¬ì©ë°©ë²ììëŽ, êµì¡íëíŽë¹ë³ëê°ížì¬ ( ì ê³µì ) ë¡êµ¬ì²Žì ìžì ì êž°ì€ìë€ì곌ê°ë€. íìë°ë³Žížìëì ìêž°ê°ì€ SBS ìì€í ìì¬ë¬ë©ëŽë¥Œì¬ì©íŽë³Œììëë¡ì¬ìêž°ê° 3ìŒìŽììžíìëë볎ížìë¡ë§ 18ìžìŽììŽë©°ìì¬ìíµìŽê°ë¥íê³ ì€ë¬žì§ìê°êž°ì ìŽê°ë¥íë©°, ì°êµ¬ëª©ì ììŽíŽíê³ ìë°ì ìŒë¡ì°žì¬ìëìííì 190ëª , 볎ížì 186ëª ìŽìë€. ê°ížì¬ëíŽë¹ë³ëìê°ížì¬ì€ SBS ìì€í ìíìë°ë³Žížììê²ìëŽ, êµì¡íëì 묎겜íìŽìë 1ë ìŽììê²œë ¥ìŒë¡ì°êµ¬ì°žì¬ìëìíê°ížì¬ 154ëª ìŽ 2) SBS ìì€í ì¬ì©ë§ì¡±ë SBS ìì€í ì¬ì©ë§ì¡±ëì€ë¬žìì±ììíì¬ì ë³ìì SBS ê°ì€ì¹ë 2ê°ë³ëìê°ížì¬ìíìë°ë³Žížìì€ SBS ìì€í ì¬ì©ê²œíìŽë§ì 20ëª ìììíì¶ë¡ëªšì§íì¬ SBS ìì€í ì¬ì©ìëíì견ìê°ë°©íì§ë¬žì§ë¡ì¡°ì¬íì¬ì í묞íê²í 륌íµíŽìŽ 9묞íìì€ë¬žìŽìììì±íìë€. ì€ë¬žë¬žíìŽììê°ë°©íì§ë¬žìëµíì§ììë 3ê°ë³ëìê°ížì¬ìíìë°ë³Žížì 20ëª ìê²ê²í íì¬ìì 볎ìíìë€. ê°ë°©íì§ë¬žì§ììì¡°ì¬ëì견ìë°íìŒë¡ë¬žíìëíì견ìê°êŽììŒë¡ë¶ë¥íìë€. ìì 볎ìëì€ë¬žì§ëê°ížëíêµì 1ìž, ê°ížë³žë¶ì¥ 1ìž, ê°ížíì¥ 1ìž, ìê°ížì¬ 8ìžìŒë¡êµ¬ì±ëì 묞ê°ì§ëšìììŽ 5íê²í íìµì¢ íì íìë€. ì€ë¬žì§ëíìë°ë³Žížìì©, ê°ížì¬ì©ìŒë¡êµ¬ë¶íì¬íìë° Vol. 24 No. 2, 2017 91
조묞ì ë°ì°í 볎ížìì©ì€ë¬žì§ëìŒë°ì í¹ì± 4묞í, SBS ìì€í ì¬ì©êŽë š 3 묞í, SBS ìì€í ìŽì©ížëŠ¬ì± 1묞í, SBS ìì€í ìŽì©ì ì©ì± 3 묞í, ìì 볎ìì견 1묞íìŽ 12묞íìŒë¡êµ¬ì±íìê³ , ê°ížì¬ì©ì€ë¬žì§ëìŒë°ì í¹ì± 5묞í, SBS ìì€í ì¬ì©êŽë š 2묞í, SBS ìì€í ìŽì©ížëŠ¬ì± 1묞í, SBS ìì€í ìŽì©ì ì©ì± 5묞í, ìì 볎ìì견 1묞íìŽ 14묞íìŒë¡êµ¬ì±íìë€. SBS ìì€í ì 30ê°ë©ëŽë³ì¬ì©ë§ì¡±ë륌 5ì ì²ëë¡ìž¡ì íì¬ì ìê°ëììë¡ SBS ìì€í ìì¬ì©ë§ì¡±ëê°ëìê²ìì믞íë€. SBS ìì€í ìë©ëŽëëìë§, ë§ìŽíìŽì§, ë³ììëŽë¡ë€ì곌ê°ë€. ëìë§ 1묞í, ëììŒì ( ì ììëŽ, ìì¬ìê°ë°ë©ëŽ, ì€ëììœ, ì€ëìê²ì¬, ê°ížì¬ë°©ë¬žìê°, ê²ì¬ìì ìê°ë°ìëŽ, íì§ìê°, ìì ìì ìê°ë°ìëŽ, êµì¡ìì ìê°ë°ìëŽ, ìžëììœìê°ë°ìëŽ, íŽììëŽ ) 11묞í곌ììŽì ì², ì²ì, íì, ë³ì€ìŽëë±ììë¹ì€ì ì², ì ìŠëª ìì ì², ëìê²ì¬ê²°ê³Œ, ì§ë³êµì¡ë°ììì 볎, ë³ìë¹ì¡°íë°ìëŽ, ì íì, 죌ì¹ìê°ížì¬ììë£ì§ì 볎, ë§ì¡±ëë°ê³ ê°ê²œíì€ë¬žì¡°ì¬, ìì¬, ê²ì¬, êµì¡ìê°ë±ì늌ë©ìì§ 9묞íìë§ìŽíìŽì§ 20묞í곌ìžëì§ë£ìê°í, ì§ë£ê³Œìë£ì§, ìžëììœìëŽ, 걎ê°ê²ì§ìëŽ, ìì¹ìëŽ, ì íë²ížìëŽ, ë³ììê°, 걎ê°ì 볎, ììœìëŽìŒí°ìë³ììëŽ 9묞íìŽ 30ê°ë©ëŽìŽë€. 볞ì°êµ¬ììë구ìì 뢰ë Cronbach s ëíìë°ë³Žížì.96, ê°ížì¬.95ìë€. 4. ìë£ìì§ë°ìë£ë¶ì볞ì°êµ¬ë¥Œìííë몚ë ì°êµ¬ìë 2013ë ê°ì ëí¬ì±í€ì ìžìëŽì©ìì€ìíììŒë©°. ëìë³ììëª ì€ëŠ¬ì¬ìììí (IRB NO: B1410/272301) ì¬ì륌거ì³ì¹ìžìì»ìíì°êµ¬ë¥Œìííìë€. 1) SBS ìì€í ìŽì©íí© SBS ìì€í ìŽì€ì¹ë 12ê°ë³ë, 138ê°ë³ììì¡°ì¬ìì 3 ê°ìê° (2014ë 5ì 1ìŒ ~7ì 31ìŒ ) ì ìííì 3,055ëª ì€ì¬ë¬ë²ì ìííì륌ëìŒíìë¡ì²ëŠ¬íê³ , ì ìêž°ê°ì€ SBS ìì€í ìíë²ìŽìì ìííì 2,386ëª ìì묎Ʞë¡ìë£ë¡ìë£ì 볎íììê°ìžììë³í ììëëŽì©ììì íí볎ëŽì€ì ìì묎Ʞë¡ìë£ë¥Œë¶ìíìë€. ì¡°ì¬ìì 3ê°ìê°ì ìíììì ìêž°ê°ì€ SBS ìì€í ìŽì©ë¥ ì 78.1% ìë€ 2) SBS ìì€í ì¬ì©ë§ì¡±ëíìë°ë³Žížììì€ë¬žì¡°ì¬ë 2014ë 12ì 10ìŒë¶í° 2015 ë 1ì 31ìŒê¹ì§ SBS ìì€í ìŽì ë³ììì€ì¹ë 2ê°ë³ëìì ë³ì곌 SBS ìì€í ìŽ 2ìžì€ìë§ì€ì¹ë 10ê°ë³ëì 2ìžì€ë³ììì ìííìì€ 3ìŒìŽìì¬ìííìëë볎ížì륌ëììŒë¡ì§ííìë€. ì°êµ¬ëìììê²ì°êµ¬ëª©ì 곌ìììëíŽì€ëª íê³ , ëìì륌ìì±íì°êµ¬ì륌ëììŒë¡ì€ë¬žì§ë¥Œë°°í¬, ìê±°íììŒë©°ìŽíìì© 190ë¶, 볎ížìì© 186ë¶ë¥Œìê±°íìë€. ê°ížì¬ìì€ë¬žì¡°ì¬ë 2014ë 12ì 10ìŒë¶í° 2015ë 1ì 31 ìŒê¹ì§ SBS ìì€í ìŽì ë³ììì€ì¹ë 2ê°ë³ë곌 SBS ìì€í ìŽ 2ìžì€ìë§ì€ì¹ë 10ê°ë³ëììê²œë ¥ 1ë ìŽìì¬ì§íê°ížì¬ì€íŽë¹ë³ë곌êŽë šìŽìëì°êµ¬ìê°ì°êµ¬ëª©ì ìì€ëª ííìë°ì ìŒë¡ì°êµ¬ì°žì¬ìëìíê°ížì¬ë¥ŒëììŒë¡ëìì륌ìì±ííì§ííìë€. ê°ížì¬ì© 154ë¶ë¥Œìê±°íìë€. ìë£ë¶ìì SPSS/WIN 22.0 íë¡ê·žëšìì¬ì©íìê³ , 구첎ì ìžë¶ìë°©ë²ìë€ì곌ê°ë€ SBS ìì€í ìŽì©íí©ìë¹ë, ë°±ë¶ìš, íê· ê³Œíì€ížì°šë¥ŒìŽì©íì¬ë¶ìíìê³ ëìììí¹ì±ìë°ë¥ž 1íì ìë¹ SBS ìì€í ìŽì©íí©ì°šìŽë¥Œíê· , íì€ížì°š, ttest, ANOVA 륌ìŽì©íì¬ë¶ìíìë€. SBS ìì€í ìì¬ì©ë§ì¡±ëëë¹ë, ë°±ë¶ìš, íê· ê³Œíì€ížì°šë¡ë¶ìíìê³ íì, 볎ížì, ê°ížì¬ë³ì¬ì©ë§ì¡±ëìì°šìŽë ttest, ANOVAë¡ë¶ìíììŒë©°íì, 볎ížì, ê°ížì¬ììŒë°ì í¹ì±ìë°ë¥ž SBS ìì€í ì¬ì©ë§ì¡±ëìì°šìŽëíê· , íì€ížì°š, ttest, ANOVA륌ìŽì©íì¬ë¶ìíìë€. ì¬íë¶ìì Scheffe test륌ì¬ì©íìê³ , 몚ë ë¶ììì ììì€ <.05륌Ʞì€ìŒë¡íìë€. ì°êµ¬ê²°ê³Œ 1. SBS ìì€í ìŽì©íí© 1) ëììììŒë°ì í¹ì±ë°ìŽì©íí©ëììììŒë°ì í¹ì±ê³Œ SBS ìì€í ìŽì©íí©ì Table 1곌ê°ë€. ì±ë³ìëšìê° 1232ëª (51.6%), ì¬ìê° 1,154ëª (48.4%) ìŽìê³ , íê· ì°ë ¹ì 33.9±26.6ìžìŽìë€. êµì¡ìì€ìëì¡žìŽ 528ëª (22.1%), ê³ ì¡žìŽ 406ëª (17.0%) ìŽìë€. ë³ëììžê³Œê³ë³ë 1272ëª (53.3%), ììì²ìë 곌ë³ë 695ëª (29.1%), ëŽê³Œê³ë³ë 419ëª (17.6%) ììŽìê³ , ì²ìì ìí겜ì°ê° 2,166ëª (90.8%) ìŒë¡ê°ì¥ë§ìë€. ì¬ììŒìë 3~5ìŒìŽ 1264ëª (53.0%), 6~8ìŒìŽ 445ëª (18.7%), 9~14ìŒìŽ 315ëª (13.2%) ììŽìê³ , íê· ì¬ììŒ 92 Korean Society of Muscle and Joint Health
ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë Table 1. Utilization for Smart Bedside Station by General Characteristics of Patients (N=2,386) Characteristics Categories n(%) M±SD t or F p Scheffe Gender Male 1,232 (51.6) 20.53±27.29 2.51.012 Female 1,154 (48.4) 18.00±21.86 Age (year) 18 19~30 31~40 41~50 51~64 65 Average 961 (40.3) 156 (6.5) 195 (8.2) 273 (11.4) 415 (17.4) 386 (16.2) 21.41±26.99 22.42±20.76 25.61±26.16 a 18.86±29.41 17.20±21.43 12.20±17.06 b 33.86±26.60 11.57 <.001 Education Elementary school Middle school High school College Master Missing 149 (6.2) 141 (5.9) 406 (17.0) 528 (22.1) 138 (5.8) 1,024 (42.9) 9.88±12.32 b 16.31±22.84 a 17.38±20.35 a 21.61±28.41 a 20.62±20.22 a 20.49±26.28 6.72 <.001 Unit Pediatric Adultsurgical Adultmedical 695 (29.1) 1,272 (53.3) 419 (17.6) 22.44±27.29 b 19.81±25.24 b 12.56±16.83 a 21.59 <.001 a<b Number of admission 1 2 3 4 2,166 (90.8) 106 (4.4) 106 (4.4) 8 (0.4) 19.21±24.90 24.24±29.24 16.12±18.17 24.57±13.61 1.62.166 Length of hospital stay (day) 2 3~5 6~8 9~14 15~30 31 Missing Average 163 (6.8) 1,264 (53.0) 445 (18.7) 315 (13.2) 140 (5.9) 55(2.3) 4 (0.2) 9.31±9.30 a 17.95±19.88 b 20.17±21.88 b 24.13±33.20 b 22.78±28.86 b 37.16±66.42 c 7.30±10.42 15.17 <.001 a<b<c Total 2,386 (100.0) ìë 7.30±10.42ìŒìŽìë€. ìŒë°ì í¹ì±ìë°ë¥ž 1íì ìë¹ SBS ìì€í ì ì걎ì륌볎멎ì±ë³ìëšììíê· ì ì걎ì 20.53±27.29í, ì¬ì 18.00 ±21.86íë¡ëšìììŽì©íìê°ë§ìë€ (t=2.51, p=.012). ì°ë ¹ì 31~40ìžê°íê· 25.61±26.16íë¡ê°ì¥ë§ìê³ 19~30ìžê° 22.42 ±20.76í, 18ìžìŽíê° 21.41±26.99íììŒë¡ì°ë ¹ë³ì ìíì°šìŽê°ìììŒë©° (F=11.57, p<.001), ì¬íë¶ì결곌 31~40ìžê° 25.61±26.16íë¡ 65ìžìŽìì 12.20±17.06í볎ë€ì ìíê²ë§ìŽì ìíì¬ì¥ë ì°ë ¹ìžµìŽë žìžì°ë ¹ìžµë³Žë€ë§ìŽìŽì©íëê²ìŒë¡ëíë¬ë€. êµì¡ìì€ìëì¡žíê· 21.61±28.41í, ëíììŽì 20.62±20.22í, ê³ ì¡ž 17.38±20.35í, ì€ì¡ž 16.31±22.84í, ìŽì¡ž 9.88±12.32íììŒë¡ì ìíì¬íë ¥ìë°ëŒì ìíì°šìŽê°ìììŒë©° (F=6.717, p<.001), ì¬íë¶ì결곌ìŽì¡žìŽì€ì¡žìŽììíë ¥ë³Žë€ì ê²ì ìíì¬ìŽë±íêµì¡žì ìê°ì€ì¡žìŽììíë ¥ì 볎ë€ì ê²ìŽì©íëê²ìŒë¡ëíë¬ë€. ë³ëìììì²ìë 곌ë³ëìŽíê· 22.44±27.29í, ìžê³Œê³ë³ë 19.81±25.24í, ëŽê³Œê³ë³ë 12.56±16.83íììŒë¡ì ìíì¬ë³ëë³ì ìíì°šìŽê°ìììŒë©° (F=21.59, p<.001), ì¬íë¶ì결곌ëŽê³Œê³ë³ëìŽìì곌ë³ë곌ì곌ê³ë³ë볎ë€ì ê²ì ìíì¬ëŽê³Œê³ê°ë€ë¥žë³ë볎ë€ì ê²ìŽì©íê²ìŒë¡ëíë¬ë€. ì¬ììŒìë 31ìŒìŽììŽíê· 37.16±66.42íë¡ê°ì¥ë§ìŽì ìíìê³ , 9~14ìŒ 24.13±33.20í, 15~30ìŒ 22.78±28.86í, 6~8ìŒ 20.17±21.88í, 3~5ìŒ 17.95± 19.88í, 2ìŒë¯žë§ìŽ 9.31±9.30íë¡ì¬ììŒììë°ëŒì ìíì°šìŽê°ìëê²ìŒë¡ëíë¬ë€ (F=15.17, p<.001). ì¬íë¶ì결곌 31ìŒìŽìì¬ììê°ì¥ë§ìŽì ìíìê³ , 3~5ìŒ, 6~8ìŒ, 9~14 ìŒ, 15~30ìŒìŽì€ê°ìŒë¡ì ìíìê³ , 2ìŒë¯žë§ìŽê°ì¥ë®ê²ì ìíì¬ì¬ììŒìê°ìŠê°í ìë¡ SBS ìì€í ìŽì©ìŽìŠê°íëê²ìŒë¡ëíë¬ë€ Vol. 24 No. 2, 2017 93
조묞ì ë°ì°í 2) SBS ìì€í ìë©ëŽë³ìŽì©íí©ëììì 1íì ìë¹ SBS ìì€í ìë©ëŽë³ìŽì©íí©ì Table 2ìê°ë€. 1íì ìë¹ìŽì ì걎ìëíê· 19.30±24.83íìŽìê³ , 1íì ìë¹ 23ê°ìë©ëŽë³íê· ì ì걎ì륌볎멎ë§ìŽíìŽì§ìëìê²ì¬ê²°ê³Œ 4.74í, ë³ìë¹ì¡°í 4.00í, ì늌ë©ìì§ 1.24í, êµì¡ì 볎 0.94í, ììŽì ì² 0.87í, ìë¹ì€ì ì² 0.72í, ì ìŠëª ìì ì² 0.70í, ëìì€ìŒì€ëŽìì€ëììœ 2.01í, ìì ìì ìê° 0.70íë¡ SBS ìì€í ìë©ëŽìì ìíëê²ìŒë¡ëíëíìë€ìŽ TV, ìží°ë·ìŽìžìëê²ì¬ê²°ê³Œ, ë³ìë¹ì¡°í, ìœì 볎륌ë§ìŽìŽì©íëê²ìŒë¡ëíë¬ë€. ê°ížì¬ë°©ë¬žìê°, ìë£ì§ì 볎, ì€ë¬žì¡°ì¬ 3ê°ë©ëŽë 1íì ìë¹ì ì걎ì 0íë¡ì¡°ì¬ëìŽìŽì©íí©ìŽììë€. 2. SBS ìì€í ì¬ì©ë§ì¡±ë 1) íìì볎ížìììŒë°ì í¹ì±ë°ì¬ì©ë§ì¡±ëíì 190ëª ê³Œë³Žížì 186ëª ììŒë°ì í¹ì±ë°ì¬ì©ë§ì¡±ëë Table 3곌ê°ë€. íìì겜ì°ì±ë³ë¡ëëšìê° 94ëª (49.5%), ì¬ìê° 96ëª (50.5%) ìŒë¡ëšììì¬ìê°ë¹ì·íìë€. ì°ë ¹ìíê· 51.5±14.7ìžë¡ 51~64ìžê° 74ëª (38.9%) ìŒë¡ê°ì¥ë§ìê³ , êµì¡ìì€ìëì¡žìŽì 80ëª (42.1%), ê³ ì¡ž 50ëª (26.3%) ìŒë¡êµì¡ìì€ìŽëìížìŽìë€. ì ìíìë 1íê° 131ëª (68.9%) ìŒë¡ê°ì¥ë§ìê³ , ë³ëììžê³Œê³ë³ë 157ëª (82.6%), ëŽê³Œê³ë³ë 33ëª (17.4%) ìŽìë€. íìììŒë°ì í¹ì±ìžì±ë³, ì°ë ¹, êµì¡ìì€, ì ìíì, ë³ëìë°ë¥ž SBS ìì€í ì¬ì©ë§ì¡±ëë몚ëì ìíì°šìŽê°ìëê²ìŒë¡ëíë¬ë€. 볎ížìì겜ì°ëì±ë³ë¡ëëšìê° 47ëª (25.3%), ì¬ìê° 139ëª (74.7%) ìŒë¡ì¬ìê°ëšì볎ë€ë§ìë€. ì°ë ¹ìíê· 40.6±12.7ìžë¡ 31~40 ìžê° 77ëª (41.4%) ìŒë¡ê°ì¥ë§ìë€. êµì¡ìì€ìëì¡žìŽì 108ëª (57.8%), ê³ ì¡ž 46ëª (24.6%) ìŒë¡ë³Žížìëíêµì¡ìì€ìŽëìížìŽìë€. ì ìíìë 1íê° 121ëª (65.1%) ìŒë¡ê°ì¥ë§ìê³ , ë³ëìììì²ìë 곌ë³ë 98ëª (52.7%), ìžê³Œê³ë³ë 53ëª (28.5%), ëŽê³Œê³ë³ë 35ëª (18.8%) ììŽìë€. 볎ížìì겜ì°ëìŒë°ì í¹ì±ìë°ë¥žì¬ì©ë§ì¡±ëìì몚ëì ìíì°šìŽê°ìëê²ìŒ Table 2. Menu Utilization for Smart Bedside Station Menu My page My schedule Admission Diet Today's medication Today's test Nurse's rounding Today's test Doctor's rounding Operation Today's education Outpatient clinic Discharge Diet request (patient) Diet request (family) Service request Documents request Lab findings Education information Nutrition information Hospital cost Medical team Survey Alarm message 0.29±0.74 0.59±1.94 2.01±4.89 0.30±1.02 0.00±0.00 0.21±1.10 0.30±1.22 0.70±2.22 0.01±0.13 0.15±0.95 0.17±0.64 0.87±1.71 0.41±1.04 0.72±1.24 0.70±1.27 4.74±7.64 0.94±1.49 0.14±0.47 4.00±6.57 0.00±0.00 0.00±0.00 1.24±2.77 No. of Access per One Admission (M±SD) (N=2,386) Hospital information 0.36±1.03 Total 19.30±24.83 94 Korean Society of Muscle and Joint Health
ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë Table 3. Satisfaction for Smart Bedside Station by General Characteristics of Patients and Caregivers Characteristics Gender Categories Male Female Patient (n=190) Caregiver (n=186) n(%) M±SD t or F (p) n(%) M±SD t or F (p) 94 (49.5) 96 (50.5) 3.92±0.64 3.91±0.60 0.15 (.882) 47 (25.3) 139 (74.7) 3.82±0.35 3.91±0.49 1.04 (.302) Age (year) 19~30 31~40 41~50 51~64 65 No answer Average 17 (8.9) 33 (17.4) 30 (15.8) 74 (38.9) 36 (18.9) 0 (0.0) 3.71±0.58 3.85±0.57 3.97±0.64 4.02±0.67 3.83±0.55 51.46±14.70 1.67 (.289) 21 (11.3) 77 (41.4) 48 (25.8) 27 (14.5) 8 (4.3) 5 (2.7) 3.69±0.49 3.90±0.48 3.93±0.55 4.03±0.42 3.65±0.52 3.68±0.48 40.62±12.70 1.60 (.163) Education Elementary school Middle school High school College Master's degree No answer 11 (5.8) 21 (11.1) 50 (26.3) 80 (42.1) 28 (14.7) 0 (0.0) 3.69±0.48 4.04±0.54 3.92±0.69 3.90±0.61 3.98±0.64 0.62 (.646) 3 (1.6) 4 (2.1) 46 (24.6) 108 (57.8) 22 (11.8) 3 (2.1) 3.77±0.68 3.34±0.57 3.95±0.47 3.88±0.51 3.97±0.45 1.27 (.283) Number of admission 1 2 3 4 No answer 131 (68.9) 35 (18.4) 14 (7.4) 10 (5.3) 0 (0.0) 3.91±0.61 3.87±0.73 4.03±0.52 3.98±0.53 0.24 (.867) 121 (65.1) 27 (14.5) 12 (6.5) 21 (11.3) 5 (2.6) 3.93±0.55 3.76±0.39 3.89±0.26 3.75±0.36 1.10 (.352) Unit Pediatric Adultsurgical Adultmedical 0 (0.0) 157 (82.6) 33 (17.4) 3.94±0.60 3.83±0.71 0.82 (.417) 98 (52.7) 53 (28.5) 35 (18.8) 3.87±0.51 3.96±0.54 3.84±0.44 0.68 (.508) Total 190 (100.0) 186 (100.0) ë¡ëíë¬ë€. 2) ê°ížì¬ììŒë°ì í¹ì±ë°ì¬ì©ë§ì¡±ëê°ížì¬ììŒë°ì í¹ì±ë°ì¬ì©ë§ì¡±ëë Table 4ìê°ë€. ëìì몚ëì¬ììê³ , ì°ë ¹ìíê· 29.3±4.4ìžë¡ 21~30ìžê° 111ëª (72.1%) ìŒë¡ê°ì¥ë§ìë€. íë³ìê·Œë¬Žê²œë ¥ìí¬íšíìŽê·Œë¬Žê²œë ¥ìíê· 77.79±53.57ê°ììŽìê³ 5ë ìŽììŽ 89 ëª (57.8%) ìŒë¡ê°ì¥ë§ìë€. íì¬ë³ìê·Œë¬Žê²œë ¥ìíê· 57.25 ±41.82ê°ììŽìê³ 1~3ë 믞ë§ìŽ 70ëª (45.5 %) ìŒë¡ê°ì¥ë§ìë€. ì§ìëìŒë°ê°ížì¬ê° 136ëª (88.3%) ìŒë¡ê°ì¥ë§ìê³ , ì± ìê°ížì¬ 11ëª (7.1%), ìê°ížì¬ 7ëª (4.5%) ììŽìë€. ë³ëììžê³Œê³ë³ë 78ëª (41.4%), ëŽê³Œê³ë³ë 64ëª (33.7%), ììì²ìë 곌ë³ë 12ëª (6.3%) ììŽìë€. SBS ìì€í ì¬ì©íìë귌묎ë§ë€ 1 íìŽììŽ 41ëª (26.6%), 2~3ë²ê·Œë¬Žì€ 1íì ëê° 43ëª (27.9%), 죌 1íì ëê° 40ëª (26.0%), ê±°ìì¬ì©ìíš 30ëª (19.5%) ìŒë¡ëíë¬ë€. ê°ížì¬ììŒë°ì í¹ì±ìë°ë¥žì¬ì©ë§ì¡±ëì°šìŽëì°ë ¹ìììŽì 41ìžìŽììì 5ì ë§ì ì€ 3.89±0.30ì , 31ìžìì 40ìž 3.57±0.48ì , 21ìžìì 30ìž 3.38±0.47ì ìŒë¡ëìŽìë° ëŒì¬ì©ë§ì¡±ëìì ìíì°šìŽê°ììë€ (F=5.01, p=.008), ì¬íë¶ì결곌 41ìžìŽììì¬ì©ë§ì¡±ëê° 21ìžìì 30ìžìì¬ì©ë§ì¡±ë볎ë€ì ìíê²ëìë€. ê·žìžê·Œë¬Žê²œë ¥, ì§ì, ë³ë, ì¬ì©íììë°ë¥žì¬ì©ë§ì¡±ëì°šìŽëìëê²ìŒë¡ëíë¬ë€. 3) íì, 볎ížì, ê°ížì¬ì SBS ìì€í ìë©ëŽë³ì¬ì©ë§ì¡±ëíì, 볎ížì, ê°ížì¬ì SBS ìì€í ë©ëŽë³ì¬ì©ë§ì¡±ëë Table 5ìê°ë€. SBS ìì€í ìì ë°ì ìžì¬ì©ë§ì¡±ëì ìë 5ì ë§ì ìíìì 첎íê· 3.92±0.62ì , 볎ížì 3.89±0.50ì , ê°ížì¬ 3.44±0.48ì ìŽììŒë©°, ì§ëšê°ì ìíì°šìŽê°ììê³ (F=39.88, p<.001), ì¬íë¶ì결곌íìì볎ížììì¬ì©ë§ì¡±ëê°ê°ížì¬ìì¬ì©ë§ì¡±ë볎ë€ì ìíê²ëìë€. íìì SBS ìì€í ë©ëŽë³ì¬ì©ë§ì¡±ëë, ë³ìë¹ì¡°íê° 4.11 ±0.73ì ìŒë¡ê°ì¥ëìê³ , ìë£ì§ì ë³Žê° 4.07±0.71ì , ì€ëììœ 4.06±0.70ì , ì€ëìê²ì¬ 4.02±0.72ì , ê°ížì¬ë°©ë¬žìê° 4.02± 0.78ì , ì ìŠëª ìì ì² 4.01±0.74ì , íŽììëŽ 4.00 ±0.76ì ë±ìììŒë¡ì¬ì©ë§ì¡±ëê°ëìê²ìŒë¡ëíë¬ë€. 볎ížììë©ëŽë³ì¬ì©ë§ì¡±ëëë³ìë¹ì¡°íê° 4.13±0.67ì ìŒë¡ê°ì¥ëìê³ , ìë£ Vol. 24 No. 2, 2017 95
조묞ì ë°ì°í Table 4. Satisfaction for Smart Bedside Station by General Characteristics of Nurses (N=154) Characteristics Categories n(%) M±SD t or F p Scheffe Gender Male 0 (0.0) Female 154 (100.0) Age (year) 21~30 31~40 41 Average (year) 111 (72.1) 37 (24.0) 6 (3.9) 3.38±0.47 a 3.57±0.48 3.89±0.30 b 29.29±4.43 5.01.008 b>a Total career (year) 1~3 3~5 5 Average (month) 26 (16.9) 39 (25.3) 89 (57.8) 3.40±0.52 3.43±0.40 3.44±0.53 77.79±53.57 0.07.936 Career of present hospital (year) 1~3 3~5 5 Average (month) 70 (45.5) 26 (16.9) 58 (37.7) 3.35±0.46 3.57±0.42 3.47±0.54 57.25±41.82 2.20.115 Position Registered nurse Charge nurse Head nurse 136 (88.3) 11 (7.1) 7 (4.5) 3.43±0.46 3.33±0.70 3.85±0.48 2.98.054 Unit Pediatric Adultsurgical Adultmedical 12 (6.3) 78 (41.1) 64 (33.7) 3.32±0.33 3.48±0.50 3.42±0.49 0.65.523 Use frequency of SBS 1 time per 1 shift About 1 time per 2~3 shifts About 1 time per 4~5 shifts Almost no use 41 (26.6) 43 (27.9) 40 (26.0) 30 (19.5) 3.47±0.50 3.36±0.53 3.48±0.41 3.46±0.48 0.51.676 Total 154 (100.0) ì§ì 볎 4.06±0.64ì , ì€ëììœ 4.02±0.66ì , ê°ížì¬ë°©ë¬žìê° 3.98±0.68ì , íŽììëŽ 3.97±0.64ì , ëìê²ì¬ê²°ê³Œ 3.96± 0.68ì , ì€ëìê²ì¬ 3.95±0.72ì ë±ìììŒë¡ëíëíììë¹ì·í결곌륌볎ìë€. ê°ížì¬ìë©ëŽë³ì¬ì©ë§ì¡±ëëì€ëììœìŽ 3.84±0.74ì ìŒë¡ê°ì¥ëìê³ , êµì¡ì 볎 3.71±0.75ì , ì ììëŽ 3.68±0.67ì , ì€ëìê²ì¬ 29.29±4.43ì , ìì¬ìê° 3.66 ±0.76ì , ë³ìë¹ì¡°í 3.66±0.81ì , ìë£ì§ì 볎3.63±0.79ì ë±ìììŒë¡ì¬ì©ë§ì¡±ëê°ëìê²ìŒë¡ëíë¬ë€. íì, 볎ížì, ê°ížì¬ì SBS ìì€í ì몚ë ë©ëŽë³ì¬ì©ë§ì¡±ëìì ìíì°šìŽê°ìììŒë©°, ì¬íë¶ì결곌íìì볎ížììë©ëŽë³ì¬ì©ë§ì¡±ëê°ê°ížì¬ìì¬ì©ë§ì¡±ë볎ë€ëìë€. ê·žì€ì¬ì©ë§ì¡±ëì°šìŽê°í°ë©ëŽëì²ì, ìížë°íìêµíë±ììë¹ì€ì ì²ìŽíì 3.89±0.72ì , 볎ížì 3.84±0.75ì , ê°ížì¬ 2.72± 0.93ì ìŒë¡ì ìíì°šìŽê°ìììŒë©° (F=104.52, p<.001), ì ìŠëª ìì ì²ìŽíì 4.01±0.74ì , 볎ížì 3.91±0.76ì , ê°ížì¬ 2.84 ±1.03ì ìŒë¡ì ìíì°šìŽê°ììê³ (F=90.18, p<.001), ìì¬ì ì²ìŽíì 3.86±0.83ì , 볎ížì 3.84±0.72ì , ê°ížì¬ 2.95±1.02 ì ìŒë¡ì ìíì°šìŽê°ììŽ (F=55.75, p<.001). íìë°ë³Žížìë칚ìììë°ë¡ì ì²ìŽê°ë¥íìì¬ì ì², ì²ì, íìêµíì ì², ì ìŠëª ìì ì²ìëíë§ì¡±ëê°ëìë°ë©Ž, íë¶ììì°ê²°ìŽíìíìì¬ì ì², ì²ì, íìêµíì ì², ì ìŠëª ìì ì²ë©ëŽìëíŽìê°ížì¬ìì¬ì©ë§ì¡±ëëì¢ë®ìê²ìŒë¡ëíë¬ë€. íì, 볎ížì, ê°ížì¬ì SBS ìì€í ììŽì©ížëŠ¬ì±ì ìë 5ì ë§ì ìíì 3.85±0.81ì , 볎ížì 3.76±0.81ì , ê°ížì¬ 3.21±0.65ì ììŒë¡ê·žë£¹ê°ì ìíì°šìŽê°ìììŒë©° (F=33.34, p<.001), ì¬íë¶ì결곌íìì볎ížìììŽì©ížëŠ¬ì±ìŽê°ížì¬ììŽì©ížëŠ¬ì±ë³Žë€ì ìíê²ëìë€. 4) SBS ìì€í ìŽì©ì ì©ì±ë°ìì 볎ììëíì견íì, 볎ížìì SBS ìì€í ìŽì©ìëíëìì ë륌íìží결곌ì ììíìëììŽëëì§ìëí묞íìíìëíê· 3.99±0.82ì , 볎ížìëíê· 4.04±0.83ì ìŒë¡ëììŽëëê²ìŒë¡ëíë¬ìŒë©°, ì§ë³ë°ê±Žê°ì 볎ì ê³µìëììŽëëì§ìëí묞íìíìëíê· 3.76±0.84ì , 볎ížìëíê· 3.81±0.79ì 96 Korean Society of Muscle and Joint Health
ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë Table 5. Menu Satisfaction in Smart Bedside Station for Patients, Caregivers, and Nurses Menu Patient a (n=190) Satisfaction Caregiver a (n=186) Nurse b (n=154) F(p) Scheffe M±SD M±SD M±SD Help 3.76±0.68 3.72±0.59 3.32±0.54 17.73 (<.001) My page My Schedule Admission Diet Today's mediation Today's test Nurser's rounding Today's test Doctor's rounding Operation Today's education Outpatient clinic Discharge 3.89±0.71 3.89±0.86 4.06±0.70 4.02±0.72 4.02±0.78 3.92±0.77 3.83±0.86 3.96±0.76 3.78±0.72 3.93±0.79 4.00±0.76 3.86±0.61 3.80±0.70 4.02±0.66 3.95±0.72 3.98±0.68 3.87±0.70 3.82±0.71 3.84±0.69 3.79±0.62 3.82±0.64 3.97±0.64 3.68±0.67 3.66±0.76 3.84±0.74 3.68±0.73 3.34±0.66 3.56±0.65 3.12±0.87 3.34±0.80 3.44±0.65 3.40±0.67 3.54±0.66 4.80 (.008) 3.52 (.030) 4.23 (.015) 9.71 (<.001) 44.74 (<.001) 11.65 (<.001) 38.48 (<.001) 29.45 (<.001) 12.96 (<.001) 24.40 (<.001) 22.40 (<.001) Diet request (patient) Service request Documents request Lab findings Education information Hospital cost Medical team Survey Alarm message 3.86±0.83 3.89±0.72 4.01±0.74 3.92±0.78 3.92±0.76 4.11±0.73 4.07±0.71 3.77±0.75 3.77±0.77 3.84±0.72 3.84±0.75 3.91±0.76 3.96±0.68 3.83±0.62 4.13±0.67 4.06±0.64 3.72±0.73 3.74±0.74 2.95±1.02 2.72±0.93 2.84±1.03 3.59±0.88 3.71±0.75 3.66±0.81 3.63±0.79 3.29±0.67 3.22±0.72 55.75 (<.001) 104.52 (<.001) 90.18 (<.001) 10.12 (<.001) 3.06 (.048) 20.63 (<.001) 18.84 (<.001) 20.79 (<.001) 26.55 (<.001) Hospital information Clinic table Medical department Reservation Check up Direction Telephone General information Health information Counseling 3.95±0.80 3.99±0.75 3.96±0.75 3.84±0.74 3.82±0.76 3.86±0.75 3.86±0.73 3.86±0.74 3.87±0.74 3.87±0.67 3.93±0.62 3.83±0.62 3.75±0.64 3.81±0.66 3.82±0.67 3.82±0.67 3.80±0.68 3.87±0.68 3.44±0.71 3.53±0.71 3.42±0.71 3.49±0.71 3.55±0.71 3.53±0.71 3.60±0.76 3.56±0.73 3.50±0.74 22.15 (<.001) 20.73 (<.001) 24.73 (<.001) 10.39 (<.001) 7.10 (<.001) 9.73 (<.001) 5.80 (.003) 7.86 (<.001) 12.67 (<.001) Satisfaction 3.92±0.62 3.89±0.50 3.44±0.48 39.88 (<.001) Convenience 3.85±0.81 3.76±0.81 3.21±0.65 33.34 (<.001) ìŒë¡ëììŽëëê²ìŒë¡ëíë SBS ìì€í ì¬ì©ìŽì§ë³ë°ê±Žê°ì 볎ì 공볎ë€ëì ììíìëë§ìŽëìëëê²ìŒë¡ëíë¬ë€. ì¬ì©ìë¶ížíì¬ìì 볎ììŽíìíì ( ë³µìì í ) ìíìží결곌íìëë¡ê·žìžìŽë €ì 46ëª (20.9%), ì ìë¶ëë°ì§ì° 31ëª (14.1%), 늬몚컚ìŽì©ë¶íž 30ëª (13.6%) ë±ìììŒë¡ìëµíìê³ , 볎ížìëì ìë¶ëë°ì§ì° 61ëª (34.9%), ë¡ê·žìžìŽë €ì 32ëª (17.2%), 늬몚컚ìŽì©ë¶íž 29ëª (15.6%) ë±ìììŒë¡ìëµíìë€. ê°ížì¬ì SBS ìì€í ììŽì©ìëíëìì ëëì ë°ì ê°ížì 묎 3.06±0.78ì , íìêµì¡ 3.47±0.73ì , íììì 2.94±0.81 ì ìŒë¡ëììŽëë€ê³ ìëµíìë€. íìë°ë³Žížìì SBS ìì€í êŽë šë¬žìë¡ê°ížì 묎ìë¶ëŽìŽëëì§ìëí묞íì 맀ì°ë¶ëŽëš 6ëª (3.9%), ë¶ëŽëš 73ëª (47.4%), ë³Žíµ 47ëª (30.5%) ìŒë¡ìëµíì¬íìë°ë³Žížìì SBS ìì€í êŽë šë¬žìë¡ê°ížì 묎ìë¶ëŽìŽëë€ëì견ìŽë§ìë€. ê°ížì¬ì SBS ìì€í ìëíì¶ê°ë°ë³Žììì¡°ì¬í결곌ì¶ê°ë°ë³ŽìëììŒë©Žíëí목 ( ë³µìì í ) ìŒë¡ì§ë³êŽë šì 볎 83ëª (53.9%), íììì 71ëª (46.1%), 걎ê°êŽë šì 볎 71ëª (46.1%), íìë°ë³Žížì묞ì 61ëª (39.6%) ììŒë¡ìëµíìë€. ìŽì©ìë¶ížíì ( ë³µìì í ) ìëí묞íìì ìë¶ëë°ì§ì° 92ëª (59.7%), ëŽë¹ë¶ìì°ê²°ìŽë €ì ( 늰ëš, ì²ìë± ) 78ëª (50.6%), ì¬ì©ë²ì€ëª ìŒë¡ì 묎ê°ì€ 78ëª (50.6%) ë±ìììŒë¡ìëµíìë€. Vol. 24 No. 2, 2017 97
조묞ì ë°ì°í ë Œì 1. SBS ìì€í ìŽì©íí© ì ìíìë€ìì ìêž°ê°ì€ SBS ìì€í ìŽì©ë¥ ì 78.1% ìê³ , ëšì±, 30ë, ê³ íë ¥ìì ì걎ìê°ìëì ìŒë¡ëìë€. ìŽëì¢ í©ë³ììììíì륌ëììŒë¡ìíëì°êµ¬ììì¬ì±, ëìŽê°ìŽëŠŽìë¡, êµì¡ìì€ìŽëììë¡ì§ë³ê³Œì¶ê°ì ìžì 볎ìëíì구ìì€ìŽëë€ëë³Žê³ (Brokalaki, Sotiropoulos, Tsaras, & Brokalaki, 2005) ìë¹êµí ëì±ë³ìì ìžíë©ŽìŒì¹íë결곌ìŽë€. ëí걎ê°ì 볎ìŽíŽë¥ë ¥ì·šìœì§ëšìŒë¡ëšì±, ê³ ì°ë ¹ìì ìíì°êµ¬ì (Kim, 2011), ì°ë ¹, êµì¡ìì€ìë°ëŒìë£ìžìì€ëª ìëíìŽíŽëê°ì ìíê²ì°šìŽê°ìë€ê³ íì°êµ¬ (Lee, 2012) 결곌ìëì ì¬íë€. ìŽëì±ë³ìë°ë¥žì§íìŽíìšì°šìŽë°ì±ë³, êµì¡ìì€ìŽëì 볎ì구ëì°šìŽë±ìŽë³µí©ì ìŒë¡ë°ìë결곌ë¡ìê°ëë©°ê³ íë ¥ìë 30ëì ìì°ë ¹ìžµìŽì»Žíší°ëìží°ë·ìë¹ì€ë¥Œë§ìŽì¬ì©íêž°ë묞ìŒë¡ìê°ëë€. ê·žë¬ëíìì€ì¬ì§ë¥íë³ìì§ì (SBS) ìì€í ìíì©ë¥ ìëëìŽë €ë©Žíë ¥ìì€ìŽë®ê±°ë, 컎íší°ì¬ì©ìŽìµìíì§ììë žìžë€ëììœê²ìŽì©ê°ë¥íëë¡ì§êŽì ìŽê³ ëšë§êž°ì¬ì©ìë¶ëŽì죌ì§ìëì¬ì©ë°©ë²ìê°ë°ë°ë³ŽììŽíìí ê²ìŒë¡ìê°ëë€. ë³ëë³ìŽì©íí©ì°šìŽëììì²ìë 곌ë³ëìŽ 22.44íë¡ê°ì¥ë§ìëë°, ìŽëììì²ìë 곌ë³ëì겜ì°íìì볎ížìê°ì£Œë¡ì죌íê³ , ìŽë€ë³Žížìê°ì 볎Ʞì ììµìíì ìì°ë ¹ìžµìŽêž°ë묞ììŽì©íí©ìŽëìëê²ìŒë¡ìê°ëë€. ì¬ììŒììë°ëŒìëì¬ììŒìê°ìŠê°í ìë¡ìŽì©íí©ìŽëìì ììŽêž°ë¿ë§ìëëŒì¬ìêž°ê°ëì꟞ì€íìŽì©íëê²ìŒë¡ìê°ëë¯ë¡, ì¬ììŒìë³ëììë€ììíëì 볎ë§ìì íì ìŒë¡ìŽì©í ììëë¡ìŽì첎ì ë구ì±ë°©ìë±ì볎ììŽíìí ê²ìŒë¡ìê°ëë€. 1íì ìë¹ SBS ìì€í ììŽì ì걎ìëíê· 19.30íìê³ 1íì ìë¹ SBS ìì€í ìë©ëŽë³ì ì걎ìëëìê²ì¬ê²°ê³Œ 4.74í, ë³ìë¹ì¡°íë°ìë©ìëŽ 4.00í, ì€ëììœ 2.01í, ì늌ë©ìì§ 1.24í, ì§ë³êµì¡ë°ììì 볎 0.94í, ììŽì ì² 0.87 í, íìêµí, ì²ì, ë³ì€ìŽëë±ììë¹ì€ì ì² 0.72í, ì ìŠëª ìì ì² 0.70í, ìì ìì ìê°ë°ìëŽ 0.70íììŽìë€. Yoo ë± (2015) ìì°êµ¬ê²°ê³ŒìŽ 214ëª ìíìë€ìŽì£Œë¡ë§ìŽì¬ì©ëëë©ëŽëëì걎ê°ì 볎, ë³ìë¹ìììŠ, ëììŒì , ì€ëììœììŽìê³ , ìížêµì²Žë°ì²ììì²ììë¹ì€ì ì²ìì¬ì©ë¥ ìŽê°ì¥ë®ìê²ìŒë¡ë¶ìëìë€ìë¹êµí ëë€ë¥žê²°ê³Œëë¹ì·íìê³ íìêµí, ì²ì, ë³ì€ìŽëë±ììë¹ì€ì ì²ìì°šìŽê°ì ìŽ, íìê°ë³ìììì ì²ìŽê°ë¥íìì¬, ì²ì, íìêµí, ì ìŠëª ìì ì²ë±ìížììë¹ì€ë©ëŽìíìì±ìŽììŒë¡ëìì§ê²ìŒë¡ë³Žìžë€. ê°ížì¬ë°©ë¬žìê°, ìë£ì§ì 볎, ì€ë¬žì¡°ì¬í목ì1íì ìë¹ì ì걎ìê° 0íë¡íë²ëì¬ì©íì§ììëë°ê°ížì¬ì겜ì°ììë¡íì방묞ììííêž°ë묞ììšëŒìžì¬ì©ë¥ ìŽì ììììê²ìŒë¡ë³ŽìŽë©°, ìŽë¬íë©ëŽìëíŽì ìíìë°ë³Žížìê°ì¬ì©ë²ë°ìœí ìž ëŽì©ìììŽíŽíì§ëª»íë겜ì°ë¡ìŽìëíì ì íêµì¡, í볎ìë£ê°íìí ê²ìŒë¡ë³Žìžë€. 2. SBS ìì€í ì¬ì©ë§ì¡±ë SBS ìì€í ì ë°ì ìžì¬ì©ë§ì¡±ëë 5ì ë§ì ìíìì 첎íê· 3.92±0.62ì , 볎ížì 3.89±0.50ì , ê°ížì¬ 3.44±0.48ì ìŒë¡ëíë, ê°ížì 볎ìì€í ìë§ì¡±ë 3.39±0.77ì ìžì°êµ¬ê²°ê³Œ (Kim, 2013) ì IPTV êž°ë°ìë£ìë¹ì€ë§ì¡±ë 2.98±0.70 ì ìžì°êµ¬ê²°ê³Œ (Kim, 2010) ìë¹êµí ë볞ì°êµ¬ìì¬ì©ë§ì¡±ëê°ìëì ìŒë¡ëìë€. ìŽë SBS ìì€í ê°ë°ìë³ììììì 찚륌ê°ìííê³ ì¶ë€, ëììŒì ìíìžíì¬ì€ëí룚륌ììíê³ ì¶ë€, ìë£ì§ê³Œìë§ëšììëìê¶êžíšì몚ëíŽê²°íê³ ì¶ë€, ë³ììí곌ëìê²íìíì 볎ë€ìíëìì±ëììíìžíê³ ì¶ë€, ë³ììììë €ì£Œëì 볎륌ìêž°ìµí ììê²ëì죌ììŒë©Žì¢ê² ë€ë±ìíìì볎ížììì구ì¬íìë°ìíì¬ SBS ìì€í ìŽì¬ì©ìì€ì¬ìµì íëìë£ì 볎ìì€í (Kushniruk et al.,2000; Van De Meijden et al., 2003) ìŽëëë¡ë žë ¥í결곌ëŒê³ ì¬ë£ëë€. SBS ìì€í ì¬ì©ìëíì¬ì©ë§ì¡±ëê°ì§ëšê°ì ìíì°šìŽê°ììŽ, ì¬íë¶ì결곌íìì볎ížììì¬ì©ë§ì¡±ëê°ê°ížì¬ìì¬ì©ë§ì¡±ë볎ë€ì ìíê²ëìë€. ìŽëíìë볎ížìì겜ì°ìì¬ì ì², ì²ìë°íìêµíë±ììë¹ì€ì ì², ì ìŠëª ìì ì²ë±ìê°ëšííì ì²ëŠ¬ë¥Œë³ìììì§ì ì ì²í ìììŽížëŠ¬íìê³ , ìë£ì§ì 볎, ë³ìë¹ì¡°í, ì§ë³ì 볎ë±ëíììììë¡íìží ìììŽëììŽëììŒëŠ¬ëŒíŽìëë€. ìëì ìŒë¡ê°ížì¬ìì¬ì©ë§ì¡±ëê°ë®ìëìŽì ëì§ë³ë°êµì¡ì 볎륌ìííìŽì± ížêµì¡ëìììì ë¡ëíê±°ë, íìê° SBS ìì€í ìììšëŒìžìì ì²íììŽ, ì²ì, íìêµí, ì ìŠëª ìì ì²ë±ììë¹ì€ìì²ìëŽë¹ë¶ììì°ê²°íì¬íŽê²°íŽì£ŒìŽìŒíê³ , SBS ìì€í ì¬ì©ìëíìëŽë°êµì¡, SBS ìì€í ìë¡ê·žìžìëì죌ìŽìŒíëì 묎ê°ê°ížì¬ìꞰ볞ê°ížì 묎ìžìì¶ê°ì ìžìŒë¡ì 묎ê°ê°ì€ëìêž°ë묞ìŒë¡ìê°ëë€. SBS ìì€í ì¬ì©ìŽê°ížì 묎ìë¶ëŽìŽëë€ê³ 51.3% ê°ëµë³íìëë°ìŽë¥Œ 98 Korean Society of Muscle and Joint Health
ìŒë³ììíìì€ì¬ì§ë¥íë³ìì§ì (Smart Bedside Station) ìì€í ììŽì©íí©ë°ì¬ì©ë§ì¡±ë ë·ë°ì¹šíë€íê² ê³ , ë³ìëšë§êž° (bedside terminal) ìì€í ìíšê³Œìëíì°êµ¬ììì€íë €ì§ì ê°ížìê°ê³Œê°ížì¬ìêžì ì ìžíëê°ê°ìíë€ë결곌 (Brown, Cioffi, Schinella, & Shaw, 1994) ìëìŒì¹íë€. ë°ëŒìê°ížì 묎ê°ê°ì€ëì§ììŒë©Žìì§ì ìžìë¹ì€ì ê³µìŽë ììëë¡ê°ížì¬ìì구ê°ë°ìëê°ì (Aggelidis & Chatzoglou, 2012) ìŽíìí ê²ìŽë€. ëí구첎ì ìžíìêµì¡, íììì ììíìœí ìž ë³Žìë°êµì¡ì ê³µìŽìŽë£šìŽì§ë€ë©Žê°ížì 묎ìëëììŽë ê²ìŒë¡ìê°ëë€. SBS ìì€í ìŽì©ìë¶ížíì ìì¡°ì¬í결곌íìë ë¡ê·žìžìŽë €ì (20.9%) ì볎ížìë ì ìë¶ëë°ì§ì° (34.9%) ìê°ì¥ë§ìŽìëµíì¬ìì€í ìŽììì볎ììŽì¶ê°ëìŽìŒí ê²ìŒë¡ìê°ëë€. ë¡ê·žìžìŽë €ììììžëŽì©ììŽíŽë³Žë©Žì목밎ëí°ì¹íëë°©ë²ìŽë¶ížíê³ , ì ì쌀ëë§ë€ë¡ê·žìžíŽìŒíëë²ê±°ë¡ìììžêžíìë€. ìŽëê±°ëìŽë¶ížííì, ë žë ¹ìíìë°ë³Žížìë€ìŽíë©Žìí°ì¹íì¬ì ë ¥íëë°©ë²ìŽë¯ì 겜ì°ê°ë§ìêž°ë묞ìŒë¡ìê°ëë€. íìì 볎볎ìììíŽìëë¡ê·žììì€ì ìŽëìŽìëë°, ìŽêž°ë¥ìê°ìžì 볎볎ížë¥Œìíë°©ì (Yoo, 2014) ìŽë¯ë¡ì 볎볎ì곌ì¬ì©ìížëŠ¬ì±ì몚ëê³ ë €í볎ììŽíìí ê²ìŽë€. ëíìë£ì 볎ìë¹ì€ìêž°ì íì§ìŽë§ì¡±ëìì ìíìí¥ìì€ë€ë결곌 (Kim, 2010) ì²ëŒì ìë¶ëë°ì§ì°ìŽìëë¡ìë²ììì íëì€ìí ê²ìŽë€. ë°ëŒìí¥í SBS ìì€í ìíì©ë¥ ìëìŽêž°ìíŽìëì¬ì©ë°©ë²ìëíëìë§êž°ë¥ìŽëì°Ÿìê°ëíì ìë¹ì€ë±ìëì íì¬íìë볎ížìê°ììšì ìŒë¡ SBS ìì€í ìì¬ì©í ììëë¡ë³Žìí íìê°ìë€. ê°ížì¬ê° SBS ìì€í ì볎ìíìŒë©ŽíëëŽì©ìŒë¡ë몚ëí°ê³ ì ìí, 묎ì 늬몚컚조ì, ìì볎ì, ì 볎ìì€ìê°ì ë°ìŽíž, ì 볎ëŽì©ë³Žì, ì©ìŽìŽë €ììëí볎ì, ìë°©í¥ìì¬ìíµë°©ì, ì¬ì©ë²ìëŽë±êž°ì ì ìžìž¡ë©Žìëíì견ìŽë§ììŒë¯ë¡ìŽìëíê³ ë €ëíìí ê²ìŒë¡ìê°ëë€. 볞ì°êµ¬ìì íì ìë€ì곌ê°ë€. 첫짞, ìŒê°ë³ììììë£ìì§íì¬ìŒë°ííëë°ì íìŽìë€. ë짞, SBS ìì€í ììŽì©íí©ìì ìì묎Ʞë¡ìë£ë¡íìì볎ížì륌구ë³íì¬ìŽì©íí©ìë¶ìíì§ëª»íìë€. ì 짞, íí¥ì 3ê°ìê°ì ìíììì ìì묎Ʞë¡ìë£ë¥ŒëììŒë¡ SBS ìì€í ìŽì©íí©ìì¡°ì¬íì¬ SBS ìì€í ì¬ì©ë§ì¡±ëìì¡°ì¬ìêž°ê°ë¬ëë€. 볞ì°êµ¬ê²°ê³Œë¥Œí ëë¡ë€ì곌ê°ìŽì ìžíê³ ìíë€. 첫짞, ì¬ì©ììžíììì ê³µììžê°ížì¬ìì구륌ë°ìí SBS ìì€í ììì ë°ë³ŽììŒë¡ SBS ìì€í ììŽì©ë¥ ìëìŽê³ , ëšìíë©ìì§ì ë¬ìžìì§ë³ì¹ë£ë°ê°ížìëììŽëë 구첎ì ìŽê³ ì 묞ì ìžì 볎ì ê³µììíëŽì©ë³ŽììŽíìíë€. ë짞, SBS ìì€í ìíì±í륌ìíŽíìì€ì¬ìë£ì 볎ìì€í ììŒíìŒë¡ì§íë SBS ìì€í ìŽíììì , íìêµì¡, ê°ížì 묎íšìšì±ë±ì믞ì¹ëíšê³Œë¥Œíìžíëì€íì°êµ¬ê°íìíë€. ê²°ë¡ ë³žì°êµ¬ëíìì€ì¬ìë£ì 볎ìì€í ììŒíìŒë¡ê°ë°ë³Žêžëì§ë¥íë³ìì§ì (SBS) ìì€í ììŽì©íí©ìì ìì묎Ʞë¡ìë£ë¥Œíµíì¬íì íê³ , SBS ìì€í ìì¬ì©ë§ì¡±ë륌조ì¬íì¬í¥íìë¹ì€íì©ë¥ ê°ì ììíì¬ìëëìë€. SBS ìì€í ìŽì€ì¹ë 12ê°ë³ëì 3ê°ìê°ì ìí 3,055ëª íìì€ SBS ìì€í ìì ìêž°ê°ì€íë²ìŽììŽì©ííìë 2,386ëª ìŒë¡ìŽìŽì©ìšì 78.1% ìë€. ëšì, 30ë, ê³ íë ¥ì, ììì²ìë 곌ë³ë, 31ìŒìŽìì¬ììì SBS ìì€í ìŽì©íí©ìŽì ìíê²ëìë€. SBS ìì€í ë©ëŽë³ìŽì©íí©ì 1íì ìë¹íê· ì ì걎ì 19.30íìê³ , 1íì ìë¹ë©ëŽë³íê· ì ì걎ìëë§ìŽíìŽì§ìëìê²ì¬ê²°ê³Œ 4.74í, ë³ìë¹ì¡°í 4.00í, ì늌ë©ìì§ 1.24í, ì§ë³ë°êµì¡ì 볎 0.94í, ììŽì ì² 0.87 í, ížììë¹ì€ì ì² 0.72í, ì ìŠëª ìì ì² 0.70í, ëìì€ìŒì€ëŽìì€ëììœ 2.01í, ìì ìì ìê° 0.70íë¡ SBS ìì€í ìë©ëŽë¥ŒìŽì©íëê²ìŒë¡ëíë¬ë€. êž°ì¡Žìë³ìëšë§êž°ìì죌ììë¹ì€ë¡ì ê³µëìëë©ëŽë¿ë§ìëëŒìì¬ì ì², ìë¹ì€ì ì² ( ìížêµì²Ž, ì²ììì², ë³ì€ìŽëìì² ), ì ìŠëª ìì ì²ë±ìíì ížììë¹ì€ë©ëŽëì€ìíšììžì§íê²ëìë€. SBS ìì€í ìì 첎ì¬ì©ë§ì¡±ëëíì, 볎ížìë°ê°ížì¬ìì¬ì©ë§ì¡±ëìì ìíì°šìŽê°ììŽíìì볎ížììì¬ì©ë§ì¡±ëê°ê°ížì¬ìì¬ì©ë§ì¡±ë볎ë€ì ìíê²ëìë€. SBS ìì€í ë©ëŽë³ì¬ì©ë§ì¡±ëëíìëë³ìë¹ì¡°í, ìë£ì§ì 볎, ì€ëììœë©ëŽìì, 볎ížìëë³ìë¹ì¡°í, ìë£ì§ì 볎, ì€ëììœë©ëŽìì, ê°ížì¬ëì€ëììœ, êµì¡ì 볎, ì ììëŽë©ëŽììì¬ì©ë§ì¡±ëê°ëììŒë, íì, 볎ížìë°ê°ížì¬ê°ì ìíì°šìŽê°ììŽ, ì¬íê²ì¬ê²°ê³Œë³ìë¹ì¡°í, ìë£ì§ì 볎, ì€ëììœ, êµì¡ì 볎, ì ììëŽê°ë©ëŽë³ë¡íìì볎ížììì¬ì©ë§ì¡±ëê°ê°ížì¬ìì¬ì©ë§ì¡±ë볎ë€ëìë€. ì°šíì¬ì©ë§ì¡±ëê°ëìë©ëŽë€ìêž°ë¥ìì¢ëê³ ëííë€ë©Ž, SBS ìì€í ììŽì©ë¥ ìëì¬íììê²ëí¬ìœë±ìêž°êŽëŠ¬ë¥ë ¥ìëìŽê³ , 볎ížììê²ëì¢ëë§ìë³ìì 볎륌ì»ìììëêž°í륌ì ê³µíë©°, ê°ížì¬ìê²ëíììì , íŽìë°êµì¡ì 볎ì ê³µìì¢ëìœê²í ììëë¡í ê²ìŒë¡ë³Žìžë€. Vol. 24 No. 2, 2017 99
조묞ì ë°ì°í REFERENCES Aggelidis, P., & Chatzoglou, D. (2012). Hospital information systems: Measuring end user computing satisfaction (EUCS). Journal of Biomedical Informatics, 45(3), 566579. https://doi.org/10.1016/j.jbi.2012.02.009 Blumenthal, D. (2010). Launching HITECH. New England Journal of Medicine, 362(5), 382385. https://doi.org/10.1056/nejmp0912825 Brokalaki, I., Sotiropoulos, C., Tsaras, K., & Brokalaki, H. (2005). Awareness of diagnosis, and informationseeking behavior of hospitalized cancer patients in Greece. Supportive Care in Cancer, 13(11), 938942. https://doi.org/10.1007/s0052000507947 Brown, S., Cioffi, M., Schinella, P., & Shaw A. (1994). Evaluation of the impact of a bedside terminal system in a rapidly changing community hospital. Computers in Nursing, 13(6), 280284. Caligtan, A., Carroll, L., Hurley, C., GershZaremski, R., & Dykes, C. (2012). Bedside information technology to support patientcentered care. International Journal of Medical Informatics, 81(7), 442451. https://doi.org/10.1016/j.ijmedinf.2011.12.005 Eason, K., & Waterson, P. (2013). The implications of ehealth system delivery strategies for integrated healthcare: Lessons from England. International Journal of Medical Informatics, 82 (5), e96e106. https://doi.org/10.1016/j.ijmedinf.2012.11.004 Hassling, L., Babic, A., Lönn, U., & CasimirAhn, H. (2003). A webbased patient information systemidentification of patients' information needs. Journal of Medical Systems, 27(3), 247257. https://doi.org/10.1023/a:1022523427947 Hwang, J. I., & Park, H. A. (2006). Nurses' experience: Impact of hospital information systems on nursing care. Healthcare Informatics Research, 12(1), 8394. Jha, K., DesRoches, M., Campbell, G., Donelan, K., Rao, R., Ferris, G., et al. (2009). Use of electronic health records in US hospitals. New England Journal of Medicine, 360(16), 16281638. https://doi.org/10.1056/nejmsa0900592 Kim, D. G. (2010). (A) Study on the effect of IPTV based healthcare service quality on satisfaction and intention to use. Unpublished master's thesis, Dankuk University, Yongin. Kim, D. Y., & Park, M. H. (2008). Analysis of nursing activity in general hospital using hospital system. Healthcare Informatics Research, 14(2), 169177. Kim, H. J. (2013). Effectiveness, usage and user satisfaction of nursing information system in a general hospital. Unpublished master's thesis, Yonsei University, Seoul. Kim, J. E. (2011). Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic. Journal of Korean Clinical Nursing Research, 17(1), 2734. Kuosmanen, L., Jakobsson, T., Hyttinen, J., Koivunen, M., & Välimäki, M. (2010). Usability evaluation of a web based patient information system for individuals with severe mental health problems. Journal of Advanced Nursing, 66(12), 27012710. https://doi.org/10.1111/j.13652648.2010.05411.x Kushniruk, W., Patel, L., & Cimino, J. (2000). Evaluation of webbased patient information resources, application in the assessment of a patient clinical information system. Journal of American Medical Informatics Association, 7, 443447. Lee, Y. T. (2012). A study on patients' functional health literacy and understanding of healthcare provider's explanation. Unpublished master's thesis, Kyung Hee University, Seoul. Lussier, A., Kukafka, R., Li, J., Patel, L., & Cimino, J. (2001). MI HEART: A comprehensive management system to deliver, monitor and measure efficacy of individualized webbased education. Journal of Biomedical Informatics, 35, 1076. Park, H. G. ( 2013). Study on clinical patientoriented education system for medical organizations. Journal of The Korean Association of Information Education, 17(4), 475486. https://doi.org/10.14352/jkaie.2013.17.4.475 Park, S. S., Lee, S. J., & Ham, Y. G. (2013). Study on relationship of patients' information need, ehealth system use and outcomes: CHIS system in patients with breast cancer center. Journal of Information Systems, 22(2), 105129. https://doi.org/10.5859/kais.2013.22.2.105 Sung, Y. H., Cho, M. S., & Hong, M. S. (2006). User satisfaction of nursing information system. Journal of Healthcare Informatics Research, 12(3), 227238. Szolovits, P., Doyle, J., Long, J., Kohane, I., & Pauker, G. (1994). Guardian Angel: Patientcentered health information systems (Technical Report MIT/LCS/TR604). Massachusetts:Institute of Technology Laboratory for Computer Science. Van Der Meijden, M.J., Tange, J., Troost, J., & Hasman, A. (2003). Determinants of success of inpatient clinical information systems: A literature review. Journal of the American Medical Informatics Association, 10(3), 235243. https://doi.org/10.1197/jamia.m1094 Wiechmann, W., Kwan, D., Bokarius, A., & Toohey, L. (2016). There's an app for that? Highlighting the difficulty in finding clinically relevant smart phone applications. Western Journal of Emergency Medicine, 17(2), 191194. https://doi.org/10.5811/westjem.2015.12.28781 Yoo, G. Y. (2014). An RFIDbased patient authentication protocol for uhealthcare. The Journal of Korea Institute of Information, Electronics, and Communication Technology, 7(1), 4549. https://doi.org/10.17661/jkiiect.2014.7.1.045 Yoo, S. Y., Lee, K. H.., Baek, H. Y., Ryu, B. R., Chung, E. J., Kim, K. D., et al. (2015). Development and user research of a smart bedside station system toward patientcentered healthcare system. Journal of Medical Systems, 39(9), 111. https://doi.org/10.1007/s1091601502738 100 Korean Society of Muscle and Joint Health