Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project

요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로

  • Received : 2021.05.15
  • Accepted : 2021.08.18
  • Published : 2021.09.30
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Abstract

Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

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Acknowledgement

이 논문은 동아대학교 교내연구비 지원에 의하여 연구되었음.

References

  1. Ministry of Health and Welfare. Guide book of community care. Sejong: Ministry of Health and Welfare; 2020. 410 p.
  2. Ministry of Health and Welfare. Pilot project mannual of medicaid. Sejong: Ministry of Health and Welfare; 2020. 246 p.
  3. Kim OS. Life experiences of elderly residents in long-term care hospitals: focusing on the elderly with suicide ideation [dissertation]. [Seoul]: Kyung Hee University; 2015. 231 p.
  4. Statistics Korea. 2017 The survey on the actual conditions of older person in Korea [Internet]. Daejeon: Statistics Korea. 2017 [cited 2018 December 13]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_054&conn_path=I2
  5. Kang MH, Park JS. The successful aging experiences of the older adults on the in-home benefits of long-term care insurance: Living my life at home using remaining abilities. Korean Journal of Adult Nursing. 2019;31(3):269-282. https://doi.org/10.7475/kjan.2019.31.3.269
  6. Mahoney JE, Eisner J, Havighurst T, Gray S, Palta M. Problems of older adults living alone after hospitalization. Journal of General Internal Medicine. 2000;15(9):611-619. https://doi.org/10.1046/j.1525-1497.2000.06139.x
  7. Grimmer K, Moss J, Falco J. Experiences of elderly patients regarding independent community living after discharge from hospital: A longitudinal study. International Journal for Quality in Health Care. 2004;16(6):465-472. https://doi.org/10.1093/intqhc/mzh071
  8. LeClerc CM, Wells DL, Craig D, Wilson JL. Falling short of the mark: Tales of life after hospital discharge. Clinical Nursing Research. 2002;11(3):242-263. https://doi.org/10.1177/10573802011003002
  9. Mistiaen P, Francke AL, Poot E. Interventions aimed at reducing problems in adult patients discharged from hospital to home: A systematic meta-review. BioMed Central Health Service Research. 2007;7(47). https://doi.org/10.1186/1472-6963-7-47
  10. Lin PC, Chang SY. Functional recovery among elderly people one year after hip fracture surgery. Journal of Nursing Research. 2004;12(1):72-76. https://doi.org/10.1097/01.JNR.0000387490.71062.4a
  11. Baek SS. Improvement of transitional care management for older adults in korea: a comparative study in the US and Australia [dissertation]. [Seoul]: Yonsei University;2018. 156 p.
  12. Coleman EA, Boult C. Improving the quality of transitional care for persons with complex care needs. Journal of the American Geriatrics Society. 2003;51(4):556-557. https://doi.org/10.1046/j.1532-5415.2003.51186.x
  13. Andreasen J, Lund H, Aadahl M, Sorensen EE. The experience of daily life of acutely admitted frail elderly patients one week after discharge from the hospital. International Journal of Qualitative Studies on Health and Well-being. 2015;10(1):27370. https://doi.org/10.3402/qhw.v10.27370
  14. Neiterman E, Wodchis WP, Bourgeault IL. Experiences of older adults in transition from hospital to community. Canadian Journal on Aging. 2015;34(1):90-99. https://doi.org/10.1017/S0714980814000518
  15. Rustad EC, Furnes B, Cronfalk BS, Dysvik E. Older patients' experiences during care transition. Patient Prefer Adherence. 2016;10:769-779. https://doi.org/10.2147/PPA.S97570
  16. Kang GS, Kim JS. Change of life of the older due to social admission in long-term care hospital. Journal of the Korean Gerontological Society. 2017;37(1):103-123.
  17. Lee NI. Phenomenology and qualitative research. Paju: Hangilsa Corp; 2014. 415 p.
  18. Lee MS. Qualitative research. Paju: Sumunsa Corp; 2018. 340 p.
  19. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential phenomenological alternatives for psychology. New York: Oxford University Press. 1978. p. 48-71.
  20. Garza G. Thematic collation: An illustrative analysis of the experience of regret. Qualitative Research in Psychology. 2011;8(1):40-65. https://doi.org/10.1080/14780880903490839
  21. Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 2nd ed. Seoul: Hakjisa; 2010. 525 p.
  22. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  23. Sanders C. Application of Colaizzi's method: Interpretation of an auditable decision trail by a novice researcher. Contemporary Nurse. 2003;14(3):292-302. https://doi.org/10.5172/conu.14.3.292
  24. Oh J, Oh S. Nurse case managers' experiences on case management for long-term hospitalization in Korea. Asian Nursing Research. 2017;11(4):283-289. https://doi.org/10.1016/j.anr.2017.11.002
  25. Hirschman KB, Shaid E, McCauley K, Pauly MV, Naylor MD. Continuity of care: The transitional care model. Online Journal of Issues in Nursing. 2015;20(3):1.