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박효선 ( ) - 한양대학교 간호학과
이정섭 ( ) - 한양대학교 간호학과
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Abstract
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The purpose of this study is to understand the experience related to home care in family with stroke patients. A phenomenological research methodology is used for this study.
The sample for this study consisted of 23 cases of experience related to home care in family with stroke patients. The data were
collected using interviews and casebook during the period from June 3, 1998 to October 24, 1998. Van Kaam´s methodology was used for analysing these data.
The findings of this study can be summarized as follows:
1. The experience related to home care in family with stroke patients is categorized by experience related to physical aspect" and ´experience related to psychosocial aspect", the former sub-divided by ´family experience related to the needs for nursing care in physical aspect´ and ´experience of physical nursing care provided by home care nurse´, and the latter sub-divided by ´family´s psychosocial experience´ and ´experience of psychosocial nursing care provided by home care nurse´.
The details are as follows:
2. Experience related. to physical aspect
1) In ´family experience related to the needs for nursing care in physical aspect´(73), eight themes were extracted need for ADL management(17) : need for trachiostomy tube management(15) : need for self care in family(10) : need for levin tube and gastroentero -gavage tube management(8) : need for rehabilitation and exercise management(8) : need for foley catheter and cystostomy tube management(4) : and need for sore management (3).
2) In ´experience of physical nursing care provided by home care´ (151) , thirteen themes were extracted : levin tube and gastroentero-gavage tube care(29): trachiostomy tube care(21): sore care(21) : family health care(15) : rehabilitation and exercise care(14) : condition check(12) : foley
catheter and cystostomy tube care(10): instrument disinfection (9) : skin care(8) : medication care(4) : data collection(4): care for defecation(3): and emergency care (1) .
Experience related to psychosocial aspect
In ´family´s psychosocial experience´(123). ten themes were extracted : burden(31): conflict(21) : withdrawal (18) : abandonment (17); sense of being pressured (11) : emotional discomfort(7) : sense of responsibility(6) . sense of cohesion(6) : guilty feeling(3) : and anxiety(3).
In ´experience of psychosocial nursing care provided by home care nurse"(27), three themes were extracted : psychosocial care (14); service for support(12) : and spiritual care(1).
In conclusion, family with stroke patients have a lot of needs for care in both physical and
psychosocial aspects, and especially, enormous psychosocial aspects of nursing care compared with physical aspects. Also, family with stroke patients were provided enough nursing care by home care nurse in physical aspect, they were not provided enough: nursing care in psychosocial aspect.
Accordingly, home care nurses should understand the various psychosocial experience and needs for nursing care in physical aspect of family with stroke patients based on the findings of this study, and holistic nursing
intervention reflecting both physical and psychosocial aspects should be performed. Especially, home care nurses should z-ecognize that nursing care in psychosocial aspect would be the most important role of home care nurses for the quality of life in family with stroke patients, and further study will be needed for the nursing intervention in psychosocial aspect.
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KeyWords
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뇌졸중환자, 가정간호, Stroke patient, Home care
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원문 및 링크아웃 정보
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등재저널 정보
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