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보건소 방문보건사업 효과와 간호중재 분석

Analysis of the Effects and Nursing Intervention of Home Health Care in Public Health Centers

Abstract

Purpose: The purpose of this study was to investigate the types and frequencies of nursing intervention of home health care in Public Health Centers and its effects. Method: The data collection period for this study lasted from March 1 to December 31, 2003. The clients were sampled by a stratified randomized method among those who had been cared for at least 3 months. The data was analyzed by SPSS for description. ANOVA, paired t test, etc. Result: The types and frequencies of nursing intervention in major chronic health problems were significantly different. The main types of nursing intervention in hypertension and DM patients included education on disease management, regular exercise, stress management, diets, etc. CVA patients were intervened in pain control (ice or hot pack, massage), position changes, and ROM exercise. Cancer patients received imaginary or relaxation therapy, pain control (ice or hot pack, massage), hospice, etc. After the intervention, the drug compliance of hypertension (8.2 days per month) and DM patients (6.2 days per month) improved. Blood sugar levels (FBS 7.6, post partum 2hrs $21.4(mg/d{\ell})$ and blood pressure(systolic 9.8, diastolic 4.3 mmHg) lowered significantly. All aspects of QOL also improved (total 3.68). Conclusion: The types and frequencies of nursing intervention were determined by characteristics of the health problems, and home health care nursing intervention in Public Health Centers was effective to the elderly of the community in many aspects.

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이 논문을 인용한 문헌 (3)

  1. Han, Young-Ran ; Song, Mi-Sook ; Lim, Ji-Young 2010. "The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders" Journal of Korean academy of nursing = 대한간호학회지, 40(5): 724~735 
  2. Lee, Chong Mi ; Cho, Bok-Hee 2014. "Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk" 근관절건강학회지 = Journal of muscle and joint health, 21(1): 36~45 
  3. Kim, Jin Hak ; Song, Min Sun 2015. "The Health service performance frequency and educational needs among the visiting nurses of public health centers" 가정간호학회지, 22(1): 22~37 

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