간호행정학회지 (Journal of Korean Academy of Nursing Administration)
- 제14권4호
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- Pages.421-431
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- 2008
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- 1225-9330(pISSN)
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- 2288-4955(eISSN)
재가 중증 뇌병변 장애인의 기능상태 및 케어요구 목록 평가
Analysis of Functional Status and Care Needs among the Community-Dwelling Disabled Persons with Cerebral Impairment
- 고려진 (건강보험심사평가원) ;
- 유원섭 (을지대학교 예방의학교실) ;
-
이꽃메
(상지대학교 간호학과) ;
- 이소나 (옥천군 보건소) ;
- 김교현 (을지대학교 예방의학교실) ;
-
오희영
(을지대학교 간호대학)
- Ko, Ryeo-Jin (Health Insurance Review and Assessment Service) ;
- Yoo, Weon-Seob (Department of Preventive Medicine, Eulji University) ;
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Yi, Ggod-Me
(College of Health Sciences, Sangji University) ;
- Lee, So-Na (Okcheon-Gun Community Health Center, Health Promotion) ;
- Kim, Kyo-Hyun (Department of Preventive Medicine, Eulji University) ;
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Oh, Hee-Young
(College of Nursing, Eulji University)
- 발행 : 2008.12.29
초록
Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.