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용진선 ( Yong Jin-Sun ) - 가톨릭대학교 간호대학
유인자 ( Yoo In-Ja ) - 가톨릭대학교 강남성모병원
유지연 ( Yoo Ji-Yeon ) - 가톨릭대학교 강남성모병원
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Abstract
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The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May. 1997 and July, 2000 at K hospital in Seoul. The average alee of the clients was 66 years and the number of clients in their 70s ranted first with 28.2 percent(158 people). The mean length of home care servile was 47 days with the highest frequency of less than four weeks(56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%. 271 people) fellowed by cerebrovascular disease (19%). anti pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3.663 times (33%) among 11.107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological Basic, and the Behavioral domains. In level 2. the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%). followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions. Vital Sign Monitoring was the most frequently used intervention. 569 times (5.1%) followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death(40%). followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing decal-foment as it was a University leaching hospital. Further research on analyzing nursing interventions performed in earth institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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