The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
권호 표지

Experience of Discharge from Rehabilitation Facility

경수완전손상환자의 재활병동생활 경험 - 퇴원을 중심으로 -

  • Received : 2011.04.15
  • Accepted : 2011.06.10
  • Published : 2011.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to explore and describe the essence of hospital life concerning discharge from rehabilitation facility as defined by clients with complete quadriplegia. Method: This was a qualitative research using Giorgi's descriptive phenomenology. Four participants with complete quadriplegia were participated. Results: The lived experience of discharge from rehabilitation facility among clients with complete quadriplegia was structured by 10 components and was defined as a life event which those patients felt fears and worries to leave the therapeutic environment and to return to their community with various changes due to their disability. During their hospital stay, the patients with quadriplegia were concerning to prepare proper living conditions and their health conditions so that they could keep their life independent and worthy. They also cherished a hope for cure for their cervical injury even at the moment of discharge. Conclusion: This study suggests developing a discharge program which relieves the clients' emotional burden for discharge from inpatient rehabilitation facility and helps them to take an active role in preparing for returning to their daily life.

Keywords

References

  1. Anzai, K., Young, J., McCallum, J., Miller, B., & Jongbloed, L. (2006). Factors influencing discharge location following high lesion spinal cord injury rehabilitation in British Columbia, Canada. Spinal Cord, 44(1), 11-18.
  2. Boschen, K. A., Tonack, M., & Gargaro, J. (2003). Long-term adjustment and community reintegration following spinal cord injury. International Journal of Rehabilitation Research, 26(3), 157-164.
  3. Carpenter, C., Forwell, S. J., Jongbloed, L. E., & Backman, C. L. (2007). Community participation after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 88(4), 427-433.
  4. Chan, S. C. C., & Chan, A. P. S. (2005). Rehabilitation outcomes following traumatic spinal cord injury in a tertiary spinal cord injury centre: A comparison with an international standard. Spinal Cord, 43(8), 489-498.
  5. Charlifue, S., & Gerhart, K. (2004). Community integration in spinal cord injury of long duration. Neuro Rehabilitation, 19(2), 91-101.
  6. Chen, H. Y., & Boore, J. R. (2007). Establishing a super-link system: spinal cord injury rehabilitation nursing. Journal of Advanced Nursing, 57(6), 639-648.
  7. Choi, D. G. (2003). A study of analysis of the characters and the reason for inpatients: mainly based on D university hospital. Unpublished master's thesis, Dankook University, Yongin.
  8. DeSanto-Madeya, S. A. (2006). A secondary analysis of the meaning of living with spinal cord injury using Roy's adaptation model. Nursing Science Quarterly, 19(3), 240-246.
  9. Giorgi, A. (1985). Phenomenology and psychological research. Pittsburgh, PA: Duquesne University Press.
  10. Giorgi, A. (2003). Descriptive phenomenological method: Dr. A.P. Giorgi 2003 Winter Qualitative Research Methodology Workshop. Seoul.
  11. Giorgi, A., & Giorgi, B. (2003). Phenomenology. In J. A. Smith, Qualitative Psychology: A Practical Guide to Research Method (pp.25-50). London: SAGE Publication.
  12. Hammell, K. W. (2007). Quality of life after spinal cord injury: a meta-synthesis of qualitative findings. Spinal Cord, 45(2), 124-139.
  13. Ho, C. H., Wuermser, L. A., Priebe, M. M., Chiodo, A. E., Scelza, W. M., & Kirshblum, S. C. (2007). Spinal cord injury medicine. 1. Epidemiology and classification. Archives of Physical Medicine and Rehabilitation, 88(Suppl 1), S49-54.
  14. Jensen, M. P., Kuehn, C. M., Amtmann, D., & Cardenas, D. D. (2007). Symptom burden in persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 88(5), 638-645.
  15. Jeong, H. S., & Park, H. S. (2004). The relationship between activity daily living and powerlessness of spinal cord injury patient's, The Korean Journal of Rehabilitation Nursing, 7(2), 197-206.
  16. Kim, S. H. (2000). The effects of disability status and attributional style on the disability acceptance and depressive reaction. Unpublished doctoral dissertation, ChungAng University, Seoul.
  17. Kim, Y. H. (2006). A comparative study on differential impacts of insurance type on the spinal cord injury patients' rehabilitation motivation. Unpublished master's thesis, Soongsil University, Seoul.
  18. Koivisto, K., Janhonen, S., & Väisänen, L. (2002). Applying a phenomenological method of analysis derived from Giorgi to a psychiatric nursing study. Journal of Advanced Nursing, 39(3), 258-265.
  19. Lee, D. H. (2005). A study on the perception of disability by Q method. Unpublished master's thesis, Kongju University, Kongju.
  20. Lee, M. S. (2003). Association between care burden and musculoskeletal disorders among primary caregivers. Unpublished master's thesis, Seoul National University, Seoul.
  21. Mistiaen, P., Francke, A. L., & Poot, E. (2007). Interventions aimed at reducing problems in adult patients discharged from hospital to home: a systematic meta-review. BMC Health Services Research, 7(47), http://www.biomedcentral. com/1472-6963/7/47
  22. Robinson-Whelan, S., & Rintala, D. H. (2003). Informal care providers for veterans with SCI: Who are they and how are they doing? Journal of Rehabilitation Research and Development, 40(6), 511-516.
  23. Ryu, H., & Lee, J. (2003). A policy alternatives on developing health care delivery system for disable person in the community, Journal of Korea Community Health Nursing Academic Society, 17(1), 5-16.
  24. Sand, A., Karlberg, I., & Kreuter, M. (2006). Spinal cord injured persons' conceptions of hospital care, rehabilitation, and a new life situation. Scandinavian Journal of Occupational Therapy, 13(3), 183-92.
  25. Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Bathel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42(8), 703-709.
  26. Strauss, D. J., Devivo, M. J., Paculdo, D. R., & Shavelle, R. M. (2006). Trends in life expectancy after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 87(8), 1079-85.
  27. Tooth, L., McKeena, K., & Geraghty, T. (2003). Rehabilitation outcomes in traumatic spinal cord injury in Australia: functional status, length of stay and discharge setting. Spinal Cord, 41(4), 220-230.
  28. Woolrich, R. A., Kennedy, P., & Tasiemski, T. (2006). A preliminary psychometric evaluation of the Hospital Anxiety and Depression Scale (HADS) in 963 people living with spinal cord injury. Psychology, Health & Medicine, 11(1), 80-90.