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우리 나라 가정·방문간호 사업을 위한 가정간호요구 사정도구 개발 -저가간호개념에 근거한 가정간호진단을 중심으로-

 Development of a home care need assessment tool -focused on home care nursing diagnoses based on self care-

지역사회간호학회지 2002년 13권 3호 p.433 ~ 443
KMID : 0607720020130030433
소애영 ( So Ae-Young ) - 원주대학 간호과

조병희 ( Cho Byong-Hee ) - 서울대학교 보건대학원

Abstract

Objectives: The purpose of this study was to develop a framework for home care and a home care need aaessment tool.

Method: 1. Identifying common domains in the provision of home care. 2. Charts of 253 home care clients were reviewed to obtain a classification of the nursing diagnoses. 3. A focus group methodology was used to develop the domains. 4. The tool was applied to 439 home care clients. (Kappa value=0.0460-1.000). 5. Some refinements and extractions of the defining characteristics and related factors were made based on the results of the focus group.

Results: Home care need assessment tool consists of three parts:
-Part I : factors related to basic conditions
-Part II : a screening component that enables home care nurses to assess 30 multiple domainsof 53 nursing diagnoses.
-Part III : summative nursing diagnoses and nursing need intensity for the clients.

Conclusion:This tool provides a comprehensive assessment that helps the recognition of many strengths as well as problems of the clients. It will be usefully utilized in scheduling home care nursing plans and evaluating client outcomes.
KeyWords
가정간호진단, 자가간호
home care nursing diagnosis, self care
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학술진흥재단(KCI) KoreaMed