|
|
|
|
유지수 ( ) - 연세대학교 간호대학
|
|
Abstract
|
|
|
|
|
Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. Inspite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December lst 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years´ experience on stroke patients were participated in this study as a user validity validation group. The results of this study asre as follows.
1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing.
2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficti, impaired physical mobility. Constipation, knowledge deficit. Ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury. Self-esteem disturbance, impaired verbal communication, fatigue of family caregiver.
3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen.
4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position chagne, preventive care for circulatory dysfunction, tube care catheter, vital sign monitor. Constipation/impaction management, artificial airway management, suction of airway secertion environmental management : safety, and fall prevention.
|
|
|
KeyWords
|
|
가정간호, 뇌졸중, 가정간호중재프로토콜Home care, stroke, Nursing, Intervention Protocol
|
|
|
원문 및 링크아웃 정보
|
|
|
|
|
등재저널 정보
|
|
 
|
|
|
|
|