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이광옥
임미림
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Abstract
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The purpose of this study was establish the basic material for assisting in raising the quality of nursing service for nurses in the nursing home. For this purpose, it attempted to identify the demand of nursing service of old people resident in the nursing home.
The research design was the research study to identify the degree of nursing service of old people.
This study was conducted for 175 old people resident in 4 the nursing home for the elderly in Kangwon, Kyoggi and Kyungbuk provinces and Seoul, able to have the interview with the cognitive ability and understand the purpose of this study and agree to participate in this study.
The questionnaire was composed of the following: 16 items relating to the general characteristics; 6 items relating to the physical function; 8 items relating to the daily activity ability; 22 items relating to the disease-induced dysfunction; 3 items relating to the cognitive function; one item relating to subjective vision; one item relating to subjective hearing; 71 items relating to the classification of nursing service areas; 71 items relating to the degree of service demand; and 71 items relating to the level of service satisfaction.
The contents of the questionnaire were composed by referring to the Psychiatric Nursing Assessment Protocol(Abraham, 1989; Abraham et al,. 1990) and the measurement instrument used by Lee, Kwang-ok.
In data collection, research assistants were educated to concerning the structured questionnaire for one day and trained to conduct the interview for the questionnaire research in person. After full discussion over the questionable contents, 175 old people with the cognitive ability were randomly sampled from one ´cost´ nursing home for the elderly in Seoul, one paid nursing home in Kyonngi Province, one free-charging nursing home in Kangwon Province and each of free-charging, cost and paid nursing homes in Kyungbuk Province. The trained research assistants conducted the questionnaire research through the direct interview. As to the questionable contents, accuracy was confirmed about the questionnaire by having the communication through the personal visit and telephone call with the researcher as needed.
In data analysis, data were analyzed using the SAS statistical program after the process of coding.
Data concerning the general characteristics of the old people in the nursing home analyzed on the basis of frequency and percentage.
And mean and standard deviation were determined concerning the degree of demand for nursing service and Pearson correlation coefficient was used to determine the correlation between principal variables.
The degree of demand for nursing service among the old people in the nursing home was shown as follows: The items relating to direct nursing services showed the high average score in venous injection(2.0), rectal injection(2.2), physical treatment(2.5), cold-warm therapy(2.0), vitality symptom measurement(2.1). The items relating to supportive nursing service demonstrated the following high average scores: education for health promotion(2.2); nutritional education(2.2); drug abuse and disuse education(2.5); informing all kinds of equipment and their usage(2.0); asking and counseling with the doctor(2.2); treatment and management plan(2.2); counseling with patients and their guardian(2.2); assistance in money management(2.1); counseling on the health status (2.3); tooth brushing(2.2); shampooing(2.2); bathing (2.4); sitz bath(2.0); assistance in shopping(2.1); recreation(2.1); conversational partner(2.5), emotional support(2.3), assistance in going to hospital(2.3), listening to the family problem(2.0); assistance in clothing and food life(2.2) and referral to the other medical institutions(2.2); Safety and environmental management(2.0) and contagion management(2.0) and the like.
The old people showed the high level of demand for nursing services in many items relating to supportive nursing services as well as direct nursing services.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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