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도시지역 취약가구의 방문간호서비스 평가

Evaluation of Visiting Nursing Services for the Vulnerable Family in Urban Community

Abstract

Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

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  1. Park, Ji-Eun ; Kim, Chung-Nam ; Kwon, Yun-Hee 2010. "Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism" 지역사회간호학회지 = Journal of korean academy of community health nursing, 21(4): 448~457 
  2. Park, Yeong-Sook ; Lee, Haw-Yean ; Kwon, Yun-Hee 2011. "The Relationship of Functional Health Status, Satisfaction of Customized Home Visiting Health Service, and Quality of Life in Vulnerable Elderly" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 12(11): 5071~5078 

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