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황문숙 ( Hwang Moon-Sook ) - 우석대학교 간호학과
이미경 ( Lee Mi-Kyoung ) - 삼성서울병원 임상간호학연구소
송종례 ( Song Chong-Rye ) - 아주대학교병원 가정사업실
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Abstract
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Purpose: The purpose of this study was the evaluation of a Home Nursing Care based Respiratory Management Program (HHNbRMP) on health care ability, respiratory and psychological status and quality of life (QoL) of patients with Amyotrophic Lateral Sclerosis (ALS). The management program utilizes a home mechanical ventilator (HMV) in the home.
Methods: A non-randomized controlled experimental design was employed. HHNbRMP based on Cox’s Interaction Model which includes cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic exercise, air accumulated exercise) and psychological response (meditation & active listening). These variables were measured first for a base line reading and then at four, twelve, and twenty-four weeks. The data were analyzed by t-test/ANOVA and Repeated Measures ANOVA/ANCOVA.
Results: Only respiratory difficulty among the variables showed a significant difference at twelve and twenty-four weeks (F=7.52, p=.009; F=7.58, p=.009).
Conclusion: The Home Health Nursing Management program was effective in managing respiratory difficulty. The patients were satisfied with this program. Applying this program tailored to patients’ condition, their respiratory health parameters would be improved.
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KeyWords
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가정간호, 인공호흡기, 호흡, 심리, 삶의 질
Home health nursing, Mechanical ventilators, Respiration, Psychology, Quality of life
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원문 및 링크아웃 정보
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등재저널 정보
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