| 심장내과 병동의 텔레메트리 적용 환자 특성 |
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김윤선, 최혜란 |
1서울아산병원
2울산대학교 의과대학 |
| Characteristics of Patients Undergoing Telemetry in the Cardiology Ward |
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Yoon-Seon Kim, Hye Ran Choi |
1Asan Medical Center
2College of Medicine, University of Ulsan |
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| Abstract |
Purpose
The purpose of this study was to provide basic information to develop appropriate nursing guidelines for cardiac telemetry.
Methods
This retrospective research was conducted to identify the current usage of cardiac telemetry and considered 1,000 patients hospitalized for telemetry. The collected data were analyzed using IBM (SPSS Statistics for Windows 21.0).
Results
Four-hundred and ninety-two patients (49.2%) were diagnosed with arrhythmia and 209 (20.9%) with heart failure. Electrocardiogram (ECG) rhythm changes were detected via telemetry in 464 cases. Major arrhythmias were ventricular tachycardia (183, 39.4%) and bradycardia (99, 21.3%). Interventions after detecting arrhythmia were cardioversion (16, 3.4%), defibrillation (1, 0.2%), and cardiopulmonary cerebral resuscitation (5, 1.1%); other patients were treated conservatively with close observation (381, 82.1%).
Conclusion
There was appropriate intervention in 46.4% of the considered cases with the detection of ECG changes before patient notification, which implied that cardiac telemetry could be considered for application to patients with hemodynamic instability. Clear standards and guidelines are required to determine who requires telemetry and when to end the telemetry monitoring. |
| Key Words:
Telemetry, Electrocardiogram, Arrhythmia |
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