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김선경 ( ) - 인하대학교병원
서문자 ( ) - 서울대학교 간호대학
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Abstract
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The purpose of this study was to identify the effects of Primary Nursing administered to one psychiatric unit.
With nonequivalent control group nonsynchronized design, the subjects were selected from one university hospital in Incheon, Korea from December 1998 to September 1999. The subjects were 34 psychiatric patients composed of experimental group (17) for Primary Nursing and control group (17) for ordinary nursing.
In order to obtain the research objectives, the patient´s behavioral characteristics were evaluated with the NOSIE(Nurses´ Observation Scale for Inpatient Evaluation), the patient satisfactions
were evaluated with the Monica´s scale. And the patient´s self-care activities were evaluated with the Yu Sook Ja´ scale.
The patient´s behavioral characteristics were measured at the time of admission and discharge. Patient Satisfaction were measured at the time of discharge. The state of self-care activities prior to admission were measured at the time of discharge and the state of self-care activities at discharge was measured one week after discharge.
The data were analyzed with SAS program. The homogeneity of general characteristics between experimental and control group was tested using Cochran-Mantel-Haenszel statistics. The t-test for behavioral characteristics and patient satisfaction, and ANCOVA for self-care activities were done.
The results of this study were as follows Primary Nursing was relatively effective on diminishing the patient´s negative behavioralfactors such as irritability and depression, and effective on enhancing the patient´s positive factors such as neatness and competence. The patients of experimental group were more satisfied with the nurse´s professional skill, trust relationship and education although statistically insignificant. Primary Nursing also was effective on the patient self-care activities after discharge such as eating, personal hygiene, elimination, clothing, safety and leisure time activities.
Considering the obtained results, it was suggested that Primary Nursing should be widely implemented to the psychiatric inpatients in order to provide more conductive environments for better self-care activities, patient´s satisfaction and patient´s behavioral change. Therefore, the Primary Nursing could be expanded to the psychiatric ward of university hospitals and the acute setting of large psychiatric hospitals.
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KeyWords
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일차간호접근, 환자만족도, 행동특성, 자기간호활동, primary nursing, patient satisfaction, behavioral characteristics, self-care activities
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원문 및 링크아웃 정보
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등재저널 정보
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