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모성간호학 자궁경관무력증 IIOC ( Incompetent Internal Os of Cervix ) 케이스 스터디 입니다.
간호진단 10개
간호과정 1개 입니다.
간호과정: 태아상실 가능성과 관련된 불안

목차

Ⅰ. 서론
1. 연구의 필요성 및 목적·················································································2

Ⅱ. 문헌고찰
1. 자궁경관무력증(Incompetent Internal Os of Cervix, IIOC) 정의 ···················2
1.1. 자궁경관무력증의 원인 ··············································································2
1.2. 자궁경관무력증의 진단 ··············································································3
1.3. 자궁경관무력증의 치료 ··············································································3
1.4. 자궁경관무력증의 간호 ··············································································4

Ⅲ. 본론
1. 간호력(Nursing history taking) ··································································5
2. 신체검진(Physical examination) ··································································6
3. 활력징후(vital sign) ····················································································6
4. 임상병리 검사 ·····························································································7
5. 진단적 검사 ································································································9
6. 투약(Medication) ·······················································································10
7. 간호문제 목록 ···························································································12
8. 간호진단 ···································································································13

Ⅳ. 참고문헌

본문내용

1. 연구의 필요성 및 목적

자궁경관무력증(Incompetent Internal Os of Cervix, IIOC)은 경관의 구조적, 기능적 장애로 인해 임신 2기에 진통이나 자궁수축 없이 무통성으로 경부가 개대되어 태아와 그 부속물이 배출되는 것이다. 그 결과 습관성 유산이나 조산을 초래할 수 있다. 임신 2기에 임신이 중단되는 경우 중 20%이상은 경부무력증 때문이다.
경관무력증의 발생빈도는 출생의 1/1,000, 유산의 1/100, 습관성 유산의 1/5로 추정된다. 이렇게 자연유산과 습관성 유산 등의 주요이유로 꼽히는 경관무력증의 문헌고찰과 본 연구를 통해 진단 및 치료에 대하여 서술하고자 한다. 본 연구는 계명대학교 동산병원에 입원한 남○○님을 대상으로 하였으며 기간은 2019년 11월 25일부터 11월 29일까지이다. 대상자 사정과 EMR의 기록을 통하여 자료를 수집하였고, 수집한 자료들을 분석하는 과정을 통해 간호진단을 내리고 진단에 맞는 적절한 간호목표를 세웠다.
1. 자궁경관무력증(Incompetent Internal Os of Cervix, IIOC) 정의

자궁경관무력증은 임신2기(14~26주)와 3기(27~40주) 초기에 주로 나타나는 질환으로 아기가 나오는 출구인 자궁경관에 힘이 없어서 태아의 무게를 지탱하지 못하여 분만진통 없이 자궁경부가 열리는 것을 말한다. 자궁경부가 열리면서 태아가 누르는 무게로 인해 양막이 부풀어 오르게 되고, 조그만 자극에도 양막이 파열되고, 양수가 나오며 미숙아가 출생되거나, 저체중 아이가 나오게 되는 결국은 임신손실이 나타나는 질환이다. 이는 자연유산, 습관성 유산 등의 주요 원인이 되는 질환이라고 할 수 있다.

1.1. 자궁경관무력증의 원인

1) 자궁 경부의 선천적 이상
- 짧은 경관, 자궁 기형
- 자궁경부에 근육성분이 많은 경우
2) 자궁 경부가 손상을 받게 되는 여러 경우
- 자궁 경부 원추 절제술을 시행한 경우
- 인공 유산과 관련하여 자궁 경부를 인위적으로 개대한 경우

참고 자료

하영수 외.「여성 모성간호학Ⅰ」. 신관출판사. 2016. p410~412
하영수 외.「여성 모성간호학Ⅱ」. 신관출판사. 2016. p470~471
김덕수 외.「인체 구조와 기능Ⅱ」.JMK. 2016. p696~703
이강이 외. 「건강사정」. 현문사. 2018. p.453~457
국가건강정보포털 의학정보, 국가건강정보포털(http://health.mw.go.kr/Main.do)
드러그인포(http://www.druginfo.co.kr/index.aspx)
약학정보원(http://www.health.kr)