• Title/Summary/Keyword: 간호 요구도

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HOME NURSING CARE NEEDS IN RURAL KOREA (한국 농촌 지역의 가정간호 요구에 관한 연구)

  • KIM, SUNG SILL
    • Journal of Korean Academy of Nursing
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    • v.18 no.1
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    • pp.44-69
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    • 1988
  • 보건의료기술이 고도로 발달되었다 하더라도 의료의 혜택이 필요할 때 누구에게나 언제든지 제공될 수 없는한 전체 국민의 건강요구를 포괄적으로 충족시킬 수 있는 제도나 방법이 필요하게 된다. 본 연구는 사회 집단의 최소 단위인 가정을 중심으로 수행되고 있는 지역사회 가정간호의 합리적 수행에 필요한 기초자료를 얻기 위하여 가정간호 요구의 사정 및 가정간호 수행에 관하여 연구하였다. 가정 간호(Home Nursing Care, Home Health Care)는 추후관리를 받아야 할 대상자, 고령자, 만성질환자에게 규격화되어 있는 병원간호를 가정이라는 친숙한 분위기에서 개별적으로 제공되는 가정 중심의 심리적 안정은 물론 시간과 경비를 절감하는 효과적 간호수단이다. 본 연구의 목적은 첫째 우리나라 농촌가정의 가정간호의 요구는 무엇이며 그 요구의 원인은 무엇인가\ulcorner 둘째, 농촌가정에서 가지고 있는 상병에는 어떠한 것이 있으며 행하여 지고 있는 가정간호의 내용에는 어떤 것들이 있는가\ulcorner 셋째, 가정간호 수행자는 누구이며 이에 대한 수혜자의 만족도는 어느 정도인가\ulcorner 본 연구의 방법은 1985년 6월 18일 부터 8월 7일 까지 C군에 거주하는 주민중 11개소 보건진료소가 소재한 반의 주민 전체 1,027명 중 상병자 159명과 30세 이상의 인구 440명, 가구주 239명을 대상으로 가정방문을 통한 면접으로 질문지를 기록케 하여 자료를 수집하였다. 연구의 도구는 첫째 간호요구의 측정을 위한 도구로 Virginia Henderson의 기본간호활동 14가지를 기초로 지역주민 50명과 현직 간호원 50명에게 개방질문으로 얻은 내용을 중심으로 제작하였으며 둘째, 가정간호수행에 대한 도구로 Orem의 간호이론 중 간호방법 5가지를 근거로 개발하였다. 본 연구의 내용은 보건진료원에 의하여 사정된 간호요구와 그 원인들을 인간의 기본요구 영역별로 분류하여 가정간호진단을 위한 지역사회 가정간호사정 및 진단도구로 쓸 수 있도록 개발하였으며, 상병자에 대한 가정간호 수행은 수행빈도와 수행내용에 따른 수행자와 수행 만족도를 측정하였다. 1. 가정간호요구에 대하여 1) 가정간호요구 측정은 신체영역 중 몸을 청결히 하고 몸차림을 단정히 하여 피부를 보호하기 내용에서 더위나 추위에 대하여 옷을 맞추어 조절하기의 요구, 적절한 식사와 수분섭취하기 내용에서 배변의 요구, 또한 몸을 움직이고 바람직한 체위를 유지하기 내용에서 한가지 자세를 계속하기의 요구가 높았고 정상호흡하기 내용에는 일상활동시 호흡에 대한 요구가 높은 편이었다. 사회, 심리, 영적 간호요구 영역에서는 자신이 신앙에 따라 예배하기 내용에서 신앙으로 어려움을 극복하려는 요구가 높았으며 여러가지 오락의 형태를 취하여 이에 참여하기 내용에서는 취미생활의 요구가 높았다. 2) 가정간호요구는 연령이 높을수록 높았고 성별로는 여자의 가정간호요구가 남자보다 높았으나 내용별 요구의 차이는 없었다. 2. 가정간호수행에 대하여 1) 가정에서 수행되는 가정간호내용으로는 직접간호가 가장 많이 수행되었으며 내용으로는 구강청결, 옷 갈아 입기, 투약, 음식투여, 대ㆍ소변보기의 빈도가 많았다. 건강한 환경제공의 간호수행내용에서는 적당한 실내온도 유지하기의 빈도가 많았으며 안내와 지도내용에서는 투약요령 알기의 빈도가 많았으며, 보호와 지지내용과 교육의 간호수행내용에서는 현 상태 인정하기와 투약 방법에 대한 교육하기의 간호수행빈도가 가장 많았다. 2) 간호수행자에 있어서 직접간호 수행은 본인 스스로 하는 빈도가 가장 많았으며 안내와 지도 및 교육의 간호수행은 전문가가 많았고 보호와 지지간호는 가족이 많았고 건강한 환경제공간호는 배우자에서 더 많았다. 3) 간호수행자에 대한 만족도는 직접간호 방법에서는 가족이, 안내와 지도는 배우자가, 보호지지, 건강한 환경제공 및 교육에서는 전문가에 의한 간호수행 만족도가 높았다. 4) 상병상태에 따른 주 증상은 관절통 요통이 가장 많았고 상병자는 남자가 많았고 주 중상에 대한 성별간의 큰 차이는 없었다. 이상 가정간호요구와 정도 및 가정간호 수행의 내용을 기반으로 가정간호사업의 시행이 시급하다는 결론을 내릴 수 있었으며 가정간호사업의 시행을 위한 제도적 보완개선책이 요구된다고 결론을 지을 수 있다.

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Comparison in nursing needs of heart disease patients depending on whether or not readmitted (재입원 여부에 따른 심질환자의 간호요구 비교)

  • Choi, Young-Sil
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.519-526
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    • 2014
  • The purpose of this study was investigate nursing needs of heart disease patients depending on whether or not readmitted. Who had diagnosed heart disease and admitted on a general hospital was collected as a self-administered questionnaire method from March to June 2012. Collected data were analyzed through the SPSS 18.0 program. The average of total nursing needs is $4.12{\pm}.49$ point in patient who were not in readmission, and $3.89{\pm}.63$ point in patient joined readmission, there were significant differenced(p=.046). Therapeutic nursing needs are higher than others in nursing needs, in the both groups. Each rank and sub-regions is also different nursing needs according to readmission in two group. Physical, Social-emotional, educational and therapeutic nursing needs was correlated each other in depth. Therefore, focusing on patient's nursing needs according to patient's characteristics are required to perform nursing.

Survey on Education Needs for Gerontological Nursing using Nursing Diagnosis classification in hospital nurses (간호진단 분류를 이용한 노인환자 간호 교육 요구도 조사: 병동 간호사를 대상으로)

  • Song, Juhyun;Kim, Sisook
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.341-348
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    • 2022
  • The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program.

A Study on Disaster Nursing Core Competencies of Nursing College Students (일 지역 간호대학생의 재난간호 핵심역량에 관한 연구)

  • Hong, Ju Young
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.199-205
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    • 2020
  • The purpose of this study was to identify the factor Disaster Nursing Core Competencies in nursing college students. A descriptive correlation study design was used. The subjects were 144 university students of a university located in D and K city. The study used a Educational Needs on Disaster Nursing, Disaster Nursing Knowledge, Disaster Preparedness, Self-efficacy and Disaster Nursing Core Competencies. Data were collected from February 25 to March 15, 2019 and analyzed with t-test, pearson's correlation coefficient and multiple response analysis, stepwise multiple regression by using SPSS IBM 22.0 Program. The findings are follows: First, among the disaster nursing education methods, simulation based practice were the highest. Second, Disaster Nursing Core Competencies was positively correlated with Disaster Preparedness, self-efficacy and Disaster Knowledge. Third, the influencing factors in Disaster Nursing Core Competencies were Grade(β=0.343), Self-efficacy(β=0.329), Disaster Preparedness(β=0.282), Experience of practice in ER(β=0.159), adjusted R2=.532. Therefore, it is necessary to develop an Customized Disaster Program that can improve the Disaster Nursing Core Competencies of nursing college students based on the factors affecting the Disaster Nursing Core Competencies and Educational needs.

Needs of Hospice Care and Quality of Life for Cancer Patients (암환자의 호스피스 간호 요구와 삶의 질)

  • Seo, In-Sun;Shin, Mi-Hwa;Hong, Se-Hwa
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.89-97
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    • 2010
  • Purpose: This study investigated the relationship between the needs for hospice care and quality of life in cancer patients. Methods: Data were collected from 127 cancer patients hospitalized at a university hospital in Chonbuk between October, 2006 to March, 2007. Two instruments were used: cancer patients' need for hospice care, developed by Kang and Kim and quality of life developed by Tae et al. Results: The mean scores were 3.11 out of 4 for hospice care needs, and 5.25 out of 10 for quality of life. The correlation between needs for hospice care and quality of life was moderate and negative (r=-0.395, P<0.01). Among the four groups of needs, physical need was the most strongly correlated with quality of lifer (r=-0.388, P<0.01). The need for hospice care was significantly different according to participants' religion (t=6.02, P<0.05), and duration of disease (F=3.45, P< 0.05). Quality of life was significantly different according to participants' monthly income (F=3.38, P<0.05). cancer stage (F=8.10, P<0.01) and chemotherapy (t=6.09, P=0.015). Conclusion: The results suggested that the cancer patients' hospice care needs should be answered in order to improve their quality of life. While doing so, participants' characteristic need should also be considered.

A Study on the Cultural Competency and Demand for a Multicultural Education Program among Nursing College Students (간호대학생의 문화적 역량과 다문화 교육 요구도에 관한 연구)

  • Lee, Inn Sook;Cho, Ju Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.283-290
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    • 2014
  • This study analyzed the cultural competency and demand for a multicultural education program among nursing college students. The participants were 278 college students gathered through convenience sample method. Data were collected from November, 19 to 30, 2012 and analyzed using SPSS/PC Win 12.0 program. The major findings were as follows, First, the mean scores of cultural competency and demand for a multicultural education program were 2.8 and 3.9. respectively. Second, cultural competency scores of students varied with multicultural educational course experience. Third, demand for a multicultural education program varied in accordance with student's views of the necessity of multicultural education. Our results suggest that, courses focusing on understanding multicultural clients are needed and highly desired by nursing students.

A Study on the Demand of K-Nursing in Southeast Asian Nursing Colleges to Activate International Exchange Convergence in the Untacked Era (언택드 시대에 국제교류융합 활성화를 위한 동남아시아 간호대학에서 한국 간호에 대한 수요도 조사연구)

  • Kim, Seon Jeong;Kim, Kyung-yong;Choi, Byung Hwan;Song, Mei Ling
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.429-438
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    • 2020
  • The purpose of this study was to investigate the demand of K-nursing in Southeast Asian nursing colleges, and to promote international exchange convergence. In this study, we surveyed the professors and students who were living in Thailand, Vietnam, and the Philippines. For investigating the demands of the topics, two times of surveys were conducted using the google form In the first survey, the emergency care and infectious control showed the most frequent. In the second survey, the classification of emergency patients, showed the most, according the highest priority of emergency department. In infectious control department, management of new infectious diseases, such as COVID-19, showed the most, according to the highest priority. Based on the result, we make a suggestion to develop the contents, according to the highest priority, and to utilize them in international exchange programs.

Awareness, Nursing Needs, and Nursing Satisfaction on Conscious Sedation as a Pretreatment for Diagnostic Tests in the Guardians of Hospitalized Children (진단검사 전 처치로 실시하는 의식하 진정요법에 대한 환아 보호자의 인식도와 간호요구도, 간호만족도)

  • Seo, Mi Hee;Park, Soonjoo
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.573-581
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    • 2021
  • This study aims to investigate the awareness, nursing needs, and nursing satisfaction of conscious sedation, and their relationships in the guardians of hospitalized children receiving conscious sedation. Data were collected from 120 guardians of children who were admitted to the pediatric ward of University Hospital C in D city from July 6 to October 6, 2016 and received conscious sedation as a pretreatment for diagnostic tests. The result showed that the guardians' awareness was relatively low (2.49±0.83) and nursing needs (4.53±0.40) was found to be significantly higher than nursing satisfaction (3.81±0.56)(p<.001). Awareness showed a significant positive correlation with nursing satisfaction (r=.18, p=.048) and there was a significant positive correlation between nursing needs and satisfaction (r=.20, p=.033). This result suggested that in order to improve the nursing satisfaction of the guardians, it is necessary to understand the awareness and nursing needs of the guardians on conscious sedation. In addition, the development of customized nursing intervention should be carried out based on the awareness and nursing needs.

Assessment of University Student's Supplements Knowledge and Educational Needs (간호대학생의 건강기능식품 관련 지식정도 및 교육 요구도 조사)

  • Kim, In-Kyoung;Seong, Ji-A
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.349-359
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    • 2017
  • The purpose of this study is to examine the relationships between supplements knowledge and educational needs of nursing students. Data were collected through self-reported structured questionnaire using convenient sampling survey from 586 students enrolled in the nursing department from May to June, 2015. The average score of supplements knowledge and educational needs were 15.45 and 3.45 respectively. There were positive correlations between supplements knowledge and educational needs. As a result, the men's score of supplements knowledge is higher than women's according to the general characteristics of nursing students. It is necessary to develop a comprehensive program to improve for inducing the effective supplements knowledge and educational needs in nursing students.