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Family Nursing Phenomena of High-risk and Frail Older Persons in the Community using the International Classification for Nursing Practice

ICNP (International Classification for Nursing Practice)를 이용한 재가 고위험 허약 및 허약 노인들의 가족간호현상

  • Received : 2021.06.21
  • Accepted : 2021.07.27
  • Published : 2021.08.31

Abstract

Purpose: This study, using the International Classification for Nursing Practice, aimed to identify the phenomenon of family nursing care, and the factors affecting it, for high-risk and frail older persons who have a significant need for home healthcare services. Methods: This study was conducted using secondary data collected by students who interviewed 93 healthcare subjects in a health center. The data was used to analyze the general characteristics, health-related characteristics, and confirmed problems of family nursing phenomena of the subjects. Independant t-test, Pearson correlation coefficient, and multiple linear regression were used for the data analysis. Results: The mean age of the subjects was 82.4±6.3 years. The most common problem of the family nursing phenomenon were unhealthy lifestyle, disturbance in family communication, and lack of family interaction in the community. People with greater family nursing phenomenon problems reported a higher degree of frailty and depression, lower quality of life and self-rated health. The factors that influence the family nursing phenomenon of frail older persons are the problems of mobility and hearing. Conclusion: Physical and psychological problems associated with aging can cause not only personal, but family functional problems as well. Therefore, a comprehensive family-oriented support program is required.

Keywords

References

  1. Ahn, S. Y. (2007). ADL, IADL and cognition of elders living alone. Journal of Korean Gerontological Nursing, 9(1), 68-75.
  2. Hennessy, C. H., Moriarty, D. G., Zack, M. M., Scherr, P. A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports, 109(5), 665.
  3. ICN. (1998b). Update-ICNP emerging beta version.
  4. Jang, S. M. (2008). Family type and family support effecting on depression of elderly diabetics. Korean Journal of Family Social Work, 22(0), 35-66. https://doi.org/10.16975/kjfsw.2008..22.002
  5. Jang, Y., Kim, G., & Chiriboga, D. (2005). Acculturation and manifestation of depressive symptoms among Korean-American older adults. Aging and Mental Health, 9(6), 500-507. https://doi.org/10.1080/13607860500193021
  6. Jo, S. Y., Lee, M. J., Yeon, H. J., & Lee, S. J. (2010). Family nursing phenomena of military families in medically vulnerable areas. Journal of Military Nursing Research, 28(1), 98-108.
  7. Kang, C. K., Lee, M. S., Kim, U. Y., Park, J. H., & Yun, J. S. (2008). A study on assessment of CAPs (Client Assessment Protocols) using MDS-HC 2.0 on city elderly. Korean Journal of Family Medicine, 29(12), 915-924.
  8. Kang, T. K. (2019). Principles of community integrative care(Community care). Research Institute for Healthcare Policy Korean Medical Association, 17(1), 6-10.
  9. Kim, J. I. (2013). Levels of health-related quality of life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing, 24(1), 99-109. https://doi.org/10.12799/jkachn.2013.24.1.99
  10. Kim, K. R. (2000). Home care nursing needs of welfare solitude elderly person in Pusan city. Journal of Korean Academy of Nursing, 30(2), 425-436. https://doi.org/10.4040/jkan.2000.30.2.425
  11. Kim, M. R., Kim, K. H., Kwak, Y. H., & Kim, Y. J. (2015). The need for, satisfaction with, and availability of local healthcare services for elderly individuals receiving home-care services. The Korean Journal of Community Living Science, 26(1), 5-18. https://doi.org/10.7856/kjcls.2015.26.1.5
  12. Kim, S. M. (1999). Significance and Status of Development of Functional Condition Evaluation Tools for the Elderly in Korea. Seoul: Korea Health Industry Development Institute.
  13. Kim, S. M., Bae, S. S., Kim, D. H., June, K. J., Kim, C. Y., & Yoon, J. L. (2000). Validity of resident assessment instrument minimum data set home care version in Korea. Annals Geriatric Medicine and Research, 4(1), 68-75.
  14. National Health Insurance Service. (2019). National health insurance statistical yearbook 2018. Wonju: Health Insurance Review and Assessment Service of Korea.
  15. Kim, Y. A., Lee, J. Y., Kim, H. S., & Hwang, J. H. (2011). A Comparison of nursing problems identified through RAI-FC and by nurses caring for nursing home residents. Journal of Korean Gerontological Nursing, 13(1), 58-68.
  16. Kim, Y. I., Kim, H. G., Jung, H. S., & Park, J. K. (2003). Family phenomena and characteristics by social-economic characteristics of the family. Journal of Korean Academy of Community Health Nursing, 14(2), 263-273.
  17. Kondo, N., Sembajwe, G., Kawachi, I., van Dam, R. M., Subramanian, S. V., & Yamagata, Z. (2009). Income inequality, mortality, and self rated health: Meta-analysis of multilevel studies. British Medical Journal, 339, b4471. https://doi.org/10.1136/bmj.c5590
  18. Korea Health Promotion Institution. (2018) Community Integrated Health Promotion Program Guideline: Visiting Health Care (Issue Brief No. 11-1352000-000874-10). Seoul: Korea Health Promotion Institution.
  19. Lee, E. Y., Kang, J. Y., & Jung, J. P. (2013). Factors influencing the depression of aged people. The Journal of the Korea Contents Association, 13, 290-300.
  20. Lee, I. S. (2011). The Seoul city-Ministry of Health and Welfare Visiting Health Care Program (Intervention Program in City/Province) 'Development of guideline for visiting health care provider for elderly in the community' (Issued Brief No. 11-1352000-000874-10). Seoul: Korea Health Promotion Institute.
  21. Lee, Y. M. (2016). The influence of hearing disability on subjective memory complaint and depression in community-dwelling elderly. Journal of Wellness, 11(4), 277-287.
  22. Nam, H. S., Kim, K. Y., Kwon, S. S., Ko, K. W., & Kind, P. (2007). Quality weight estimation study of the quality of life measurement tool (EQ-5D). Chungju: Korea Centers for Disease Control and Prevention.
  23. Park, D. S., Ma, S. J., & Choi, K. E. (2010). Current situation of the vulnerable class and policy improvement measures in rural area: Focused on the elderly living alone and grandparents-grandchildren families. Seoul: Korea Economic Research Institute.
  24. Park, K. M. ( 2004). Evaluation of visiting nursing services for the vulnerable family in urban community. Journal of Korean Academy of Community Health Nursing, 15(1), 56-66.
  25. Seong, S. S., Choi, C. B., Sung, Y. K., Park, Y. W., Lee, H. S., Uhm, W. S., et al. (2004). Health-Related Quality of Life using EQ-5D in Koreans. Journal of the Korean Rheumatism Association, 11(3), 254-262.
  26. Statistics Korea. (2020). Population in Numbers. Retrieved May 10, 2020, from https://kosis.kr/visual/populationKorea/PopulationByNumber/PopulationByNumberMain.do?mb=N&menuId=M_1_4&themaId=D03
  27. Suk, S. H, Son, I. H., & Kwak, Y. T. (2001). Family caregiver's burden of stroke patients. Journal of The Korean Neurological Association, 19(3), 213-218.
  28. Ware, J. E. Jr. (1987). Standards for validating health measures: Definition and content. Journal of Chronic Disease, 40(6), 473-480. https://doi.org/10.1016/0021-9681(87)90003-8
  29. Yun, S. Y., Kim, H. S., Kwon, Y. S., Park, K. M., Kim, H. J., Lee, J. H., et al. (1999). Development of family nursing phenomena in Korea by retrospective method of ICNP. Journal of Korean Academy of Community Health Nursing, 10(2), 275-290.
  30. Yun, S. N., Kim, H. S., Kwan, Y. S., Park, K. M., Lee, J. H., Go, Y. Y., et al. (2002). Testing on practical validity of family nursing phenomena in Korea by retrospective method of ICNP. The Journal of Korean Academy of Community Health Nursing, 13 (3), 423-432.
  31. Zack, M. M., Moriaty, D. G., Stroup, D. F., Ford, E. S., & Mokdad, A. H. (2004). Worsening trend in adult health-related quality of life and self rated health-United States, 1993-2001. Public Health Research, 119(5), 493-505.