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김정희 ( Kim Jung-Hee ) - 인하대학교 간호학과
문경숙 ( Moon Kyung-Sook ) - 인하대학교 간호학과
신복순 ( Shin Bok-Soon ) - 인하대학교 간호학과
장은아 ( Jang Eun-A ) - 인하대학교 간호학과
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Abstract
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Purpose: This study aimed at understanding terminal care provided in nursing homes.
Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher’s exact test.
Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth.
Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.
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KeyWords
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요양시설, 임종돌봄서비스, 노인
Nursing Homes, Terminal Care, Death, Aged
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원문 및 링크아웃 정보
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등재저널 정보
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