• 제목/요약/키워드: Home Nursing

검색결과 2,068건 처리시간 0.027초

재가노인과 시설노인의 수면양상에 대한 비교연구 (Comparison of Sleep Patterns between Home and Institute Elderly People)

  • 김귀분;석소현;김인숙
    • 동서간호학연구지
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    • 제5권1호
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    • pp.65-74
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    • 2000
  • This study was attempted to show basic data for search of nursing intervention about sleep improving in home and institute elderly peoples. Research design was cross-sectional survey method for comparison of sleep patterns and another variables between home and institute elderly peoples. Subjects were sampled by purpose as home and institute elderly peoples at age of 65 or older in Seoul or nearly. The survey questionnaire was used by modification of sleep questionnaire which Kim, O, Song & Bak(1997) developed. Data were collected between December, 1999 and April, 2000. And data were analyzed by SPSS PC+ for purpose of research. Results are as follows: 1. Home and institute elderly peoples, all were change of sleep patterns and sleep pattern was showed early sleeping down. But institute elderly peoples slept earlier than home elderly peoples. 2. As rest of morning, difficulty of falling asleep and disturbance of re-asleep, subjective thinking and feeling were showed more negative thing home elderly peoples than institute elderly peoples. As frequency of falling asleep within 5 min in 1 week, frequency of falling asleep over 30 min in 1 week and frequency of awakening in a day, objective frequency were showed more insomnia institute elderly peoples than home elderly peoples. Home elderly peoples didn't nap most and institute elderly peoples napped on very short time. 3. Regarding sleep-disturbing factors, physical factor was popularly joint-disturbance in all, home and institute elderly peoples. Environmental factor was popularly noise, particularly institute elderly peoples. Emotional factor wasn't all. 4. Practiced strategies for better sleep was popularly TV/Radio in home elderly peoples and were popularly regular sleep and religious action in institute elderly peoples. From the results of this study, home elderly peoples need nursing intervention of improving self-satisfaction on sleep and institute elderly peoples need nursing intervention of decreasing falling asleep-disturbing and decreasing frequency of awakening in sleep.

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가정전문간호사가 실무에서 경험한 어려움과 대처 (Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field)

  • 황문숙;박학영;장수정
    • 지역사회간호학회지
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    • 제31권2호
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    • pp.143-155
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    • 2020
  • Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: "crushed by the responsibilities as the only healthcare professional", "worn out by family who interfere with work", "anxiety about my safety being threatened" and "using self-learned know-hows". Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

노인의 무료요양원 적응 척도 개발 (Scale Development of Free Nursing Home-Adjustment for the Elderly)

  • 이가언
    • 대한간호학회지
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    • 제37권5호
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    • pp.736-743
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    • 2007
  • Purpose: The purpose of this study was to develop a scale of free nursing home adjustment for the elderly in Korea. Method: The developmental processes were construction of a conceptual framework, development of preliminary items, verification of content validity, twice data gathering, verification of construct validity, and reliability of final items. The first 53 preliminary items were obtained through review of literatures about nursing home adjustment and in depth interviews with 5 staffs of nursing home. These items were reviewed by five specialists for content validity and 39 items were chosen. The first data was collected from 107 elderly residing in 3 nursing homes and the second survey was from 147 residents who were living in five nursing homes. Finally this data was analyzed for construct validity and reliability. Result: There were 23 final items which were sorted into 5 factors. The factors were identified as 'Relocation distress symptom'(8items), 'Making friends'(4items), 'Acceptance of new residence'(6items), 'Difficulty in group life'(3items), and 'Having self-worth'(2items). The cumulative percent of variance was 53.466%. The reliability of the scale, Cronbach's alpha was .837. Conclusion: The result of this study could be used for measuring nursing home adjustment of the elderly. However, for further validity and reliability, repeated researches are needed.

의료진의 가정용 인공호흡기 관련 지식 정도와 교육요구도 조사 (A Survey on Nurses' and Physicians' Knowledge and Educational Needs on Home Ventilator)

  • 조수현;고명균;정진희;원선영;이희옥;남지명;위미숙;이영희
    • 중환자간호학회지
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    • 제5권1호
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    • pp.56-66
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    • 2012
  • Purpose: The purpose of this study was to investigate the knowledge and educational needs of nurses and physicians on home ventilator. Methods: The participants were 140 nurses and 47 physicians working at departments using home ventilators. The data were collected from January 30 to February 12, 2012 through a self-administered questionnaire with 32 items of the knowledge and educational needs on home ventilator. Results: The mean scores of nurses' and physicians' knowledge were 2.52 and 2.56 respectively. The mean scores of nurses' and physicians' educational needs were 3.16 and 3.06 respectively. Nurses' knowledge was associated with their experience using and receiving education about home ventilator and willingness to receive education about home ventilator education. Nurses' educational needs were associated with their present working department and experience using home ventilator. Nurses with high knowledge were more likely to have high educational needs. Physicians' knowledge and educational needs were not associated with any their general characteristics. Conclusion: Nurses' and physicians' knowledge of home ventilator were low and their educational needs on home ventilator were high. To provide high quality of care for home ventilators, it is necessary to provide nurses and physicians with education and to develop a more specific educational program for them.

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노인요양시설에 관한 국내연구 분석 - 1990년 이후 학위논문과 학술지 게재논문을 대상으로 - (Analysis of Research on Nursing Home in Korea - Focused on Theses and Journal Papers since 1990 -)

  • 변혜령;정미렴;김대년;윤영선
    • 한국주거학회논문집
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    • 제19권2호
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    • pp.93-103
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    • 2008
  • The tendency of having fewer or no children and increasing number of single household will make the protection of the elderly with geriatric disease even harder in the future. Nursing home can provide long-term care for those who can-not be cared by the family. Korean government has been changing welfare policy for the elderly to cope with the changing needs of them regarding nursing home and geriatric disease. Researchers from various field also showed great interest in nursing home. The purpose of this study is to analyze the number and contents of theses and papers regard-ing nursing home in the 12 journals, to find out overall the research streaming of the theme, method, subject, and district of the papers in the journals. Data were collected by using keyword through library database. 246 thesis and 116 papers published from 1990 to 2006 were analyzed in 7 categories, and 66 papers in the journals were used on the content analysis for lading out research streaming. As results, research streaming according to 5 periods were identified. The most frequent subjects of theses regarding nursing home are nursing home systems and policies. Otherwise, the various subjects of papers in the journals have been deal with, especially plans of nursing home and spacial behavior of the elderly and staffs' satisfaction. In the future, the research subjects related to the nursing home should deal with total space plan as living environment for the elderly and work environment for the staffs according to privacy, spatial use and behavior, culture and lifestyle in Korea, and so on.

병원중심 가정간호사업에 대한 입원환자의 인식과 태도에 대한 조사연구 (A Study on the Recognition and Attitude on the Home Health Care Program by Inpatients in Pusan)

  • 김정순;고영희;김대숙;김정화;신재신;이길자;정인숙;황선경
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.620-626
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    • 2001
  • Purpose: This study was aimed at investigating the recognition and attitude of inpatients for the purpose of facilitating the implementation of the home health care program in relation to the opening of the Home Care Department in P University Hospital in Pusan. Method: Data were collected from the questionnaires returned by 293 patients, who were admitted at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and the Fisher exact test. Results: In regard to the previous information about the home health care program, 55.6% of the inpatients heard about the name through the advertisement in the hospital. the mass communication, and from acquaintances. The percentage of right answers regarding the knowledge of home health care program was 43.9%. In regard to the acceptance of the home health care program, 97.1 % of patients agreed with the implementation of the home care program. The reasons for acceptance were: the maintenance of the continuity of care, the alleviation of the family burden of time. Conclusion: For the stabilization and successful implementation of a home health care system, it should be accompanied not only by advertisement but also education for patients about the home health care program, and a post-evaluative study after the implementation.

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Thrown in a Different World: The Later Lives of Korean Elderly in an American Nursing Home

  • Suh, Eunyoung E.;Park, Yeon Hwan
    • 성인간호학회지
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    • 제19권2호
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    • pp.329-337
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    • 2007
  • Purpose: Increasing numbers of Koreans have immigrated to the United States since the late 1960s. The first generation of Korean immigrants or their parents become old and institutionalized in American nursing home setting. Although the Korean elders would experience many cultural differences in the nursing home, no study to date has investigated their everyday lives on how they live through their later lives within a different cultural environment from their own. Methods: Using ethnographic methodology, the purpose of this paper was to illustrate Korean residents' experiences and daily lives in a nursing home located in an east coastal city in the U.S. Participant observation, filed notes, semi-structured interviews were utilized by means of data collection. Eighteen Korean residents were observed, and five of them and two nurses participated in informal qualitative interviews. Results: The overriding theme from the findings is "thrown in a different world." Three sub-themes include "constant struggles in making themselves understood", "dealing with culturally inappropriate nursing care," and "maintaining their own ways of life". Conclusions: The discovered themes reflect culturally isolated lives of the participants and open a venue for designing a culturally congruent nursing care for Korean elders living in the U.S. nursing homes.

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산욕부와 신생아의 가정간호 사례연구 (A Case Study of Home Health Care for Postpartum Women and their Newborns)

  • 전은미
    • 모자간호학회지
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    • 제4권1호
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    • pp.3-11
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    • 1994
  • Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

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가정간호 서비스내용 및 만족도에 대한 조사연구 (A Study on Home Health Care Service and the Level of Client Satisfaction)

  • 조미자;현혜진
    • 가정간호학회지
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    • 제2권
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    • pp.52-59
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    • 1995
  • This Study was done to examine the home health care service provided by home care nurses and the level of client satisfaction. Data were collected from 60 clients who received services from a home care center. The tool for measurement of satisfaction was composed 13 items and was 3 score scale. The results of this study are summarized as follows ; 1. By the disease pattern, subjects were distributed into cardiovascuvr disease(73.5%), digestire disease(10.2%), endocrine disease (6.1%), Senile dementia(6.1%) and the others(4.0%). 2. By the disease pattern, provided home health care services were follows; In cardiovascular disease and digestire disease, direct nursing service, education and physical assessment were provided every time. In senile dementia, direct nursing services were mainly provided and transfer and medication were rarely provided. 3. The level of satisfaction on provided home health services was high; mean score was 2.4 out of 3.

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시뮬레이션을 적용한 방문건강관리 실습교육 프로그램이 방문간호 지식, 문제해결 능력, 임상수행 능력에 미치는 효과 (The Effects of the Home Health Nursing Practical Education Program Applying Simulation on Knowledge related Home Health Nursing, Problem-solving Ability, and Clinical Competency)

  • 김미한;하영선;나윤주
    • 디지털융복합연구
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    • 제19권12호
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    • pp.605-616
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    • 2021
  • 본 연구는 간호대학생들을 대상으로 시뮬레이션을 적용한 방문건강관리 실습교육 프로그램을 적용한 효과를 확인하기 위해 실시되었다. 일개 간호대학생 60명에게 비동등성 대조군 유사 실험연구를 수행하였고, 개발한 시뮬레이션을 적용한 방문건강관리 실습교육 프로그램을 2주간 실시하였다. 자료 수집 기간은 2021년 3월 29일부터 5월 7일이며, 수집된 자료는 SPSS PC+ 19.0을 사용하여 분석을 수행하였다. 효과 검증한 결과 방문간호 지식, 문제해결 능력, 임상 수행 능력에서 유의한 차이가 있는 것으로 나타났다. 본 연구에서 개발된 시뮬레이션을 적용한 방문건강관리 실습교육 프로그램은 간호대학생의 방문간호지식, 문제해결 능력을 높이고 임상수행 능력을 높여 방문건강관리를 수행할 수 있는 역량이 증진됨을 확인하였다.