Effects of a Service Design–Based Nursing Service on Health Experiences in Patients Undergoing Surgery for Diabetic Retinopathy
서비스 디자인 기반 당뇨망막병증 수술환자의 건강경험 향상 간호서비스 개발 및 효과
A nonequivalent control group pretest–posttest design was used to develop a service design-based nursing intervention for patients undergoing diabetic retinopathy surgery and to evaluate its clinical effectiveness. Seventy patients admitted to a specialized ophthalmology hospital for diabetic retinopathy surgery were enrolled (experimental group, n = 35; control group, n = 35). The intervention, developed through a six-stage service design thinking process, was administered exclusively to the experimental group. Data were collected using structured questionnaires assessing knowledge of diabetes and diabetic retinopathy, self-care behaviors, and service satisfaction, and were analyzed using independent samples t-tests and analysis of covariance (ANCOVA). The experimental group demonstrated statistically significant improvements compared with the control group across all outcome measures: knowledge (F = 12.66, p = .001), self-care behaviors (F = 17.18, p < .001), and service satisfaction (t = 2.10, p = .039). The intervention proved effective in enhancing knowledge, self-care behaviors, and service satisfaction among patients undergoing diabetic retinopathy surgery, thereby confirming its utility as a patient-centered fundamental nursing intervention. Future research extending its application to diverse surgical populations and individuals with chronic conditions is warranted to further establish generalizability.
한국어
본 연구는 당뇨망막병증 수술환자를 위한 서비스디자인 기반 간호중재를 개발하고 그 효과를 평가하고자 수행된 비동등성대조군 전후실험설계연구이다. 안과 전문병원에 당뇨망막병증 수술을 위해 입원한 환자 70명(실험군 35명, 대조군 35명)을 대상으로 하였으며, 6단계 서비스디자인 씽킹 과정을 통해 개발된 간호중재를 실험군에게 제공하였다. 자료는 당뇨 및 당뇨망막병증 관련 지식, 자가간호 행위, 서비스 만족도를 측정하는 설문지를 통해 수집되었으며, 독립표본 t-검정과 공분산 분석으로 분석하였다. 분석 결과, 실험군은 대조군에 비해 지식(F=12.66, p=.001), 자가간호 행위(F=17.18, p<.001), 서비스 만족도(t=2.10, p=.039)에서 유의하게 높은 향상을 보였다. 본 연구에서 개발된 서비스디자인 기반 간호중재는 당뇨망막병증 수술환자의 지식, 자가간호 행위 및 서비스 만족도를 효과적으로 향상시키는 것으로 나타났으며, 환자중심 기본간호 중재로서의 유용성이 확인되었다. 향후 다양한 수술 유형 및 만성질환 환자를 대상으로 한 후속 연구를 통해 서비스디자인 기반 간호 중재의 적용 가능성을 확대해 나갈 필요가 있다.
목차
Abstract 요약 1. Introduction 1.1 Necessity of the Study 1.2 Purpose of the Study 2. Literature Review 2.1 Diabetic Retinopathy and Surgical Management 2.2 Service Design Thinking in Healthcare 3. Research Model and Hypothesis 3.1 Research Design 3.2. Participants and Setting 3.3 Instruments 3.4 Hypothesis 4. Results 4.1 Understanding 4.2 Observing 4.3 Analyzing 4.4 Ideating 4.5 Prototyping 4.6 Growing 4.7 Outcomes 5. Discussion 6. Conclusion REFERENCE