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정경화 ( Jeong Gyeong-Hwa ) - 천주의성요안의원
강혜영 ( Kang Hae-Young ) - 전남대학교 간호대학
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Abstract
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The purpose of this study was to survey on the knowledge about visiting nursing service(VNS) and perceptions of its needs among the workers in Long-Term Care Insurance(LTCI) institutions. The subjects were 125 workers from 10 home-based service facilities in G city. Data were selected from 1st - 30th September, 2009 and analyzed with frequency, percentage, χ2-test, t-test, ANOVA and Pearson Correlation Coefficients using SPSS-PC 17 program. The results were as follows: 1. Though most of the subjects 92.7% had already known VNS, only 48.0% of them had ever referred to VNS, and referred them by their own judgement in 55.0%. Among the subject who had never referred, 36.2% did not know the reasons to refer to VNS, and regarded the responsibility to refer as family’s duties in 31.0%. Thirty seven point six percent responded that 30-60 minutes was adequate hour for VNS, and 53.6% of them were favor in employing visiting nurse in their institutions. Referral priority was bed sore in the first place, parenteral infusion, nosogastric tube change, and tracheal tube change in order. 2. The knowledge about VNS of the subjects marked 4.88±2.57 out of total 11 point and it was significantly high in the group of graduated from college and over (t = -2.779, p = .006); the group who knew VNS ( t = 2.470, p = .015), who had experience to refer (t = 3.114, p = .002). and were favor for employing visiting nurses (t = 2.179, p = .032) showed significant higher scores. 3. Perceptions of VNS needs of the subjects marked 70.50±13.74 out of total 96 point, and it was significantly affirmative in the group in age of 40s (F = 4.067, p = .020); and the group who had experience to refer (t = 1.980, p = .050), who were not assigned any client (t = 4.827, p = .010), referred by staff’s judgement (t = 1.089, p = .028), and were favor for employing visiting nurses (t = 3.220, p = .020) showed higher scores significantly than the others.
In conclusion, knowledge about VNS and perception on its needs of workers in LTCI facilities showed significant differences according to age, education, referral episode and their attitude on employing visiting nurse. For this, these characteristics should be considered as important variables in developing continuing education for the staffs in LTCI institutions and in various public relations for promoting VNS in future.
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KeyWords
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long-term care insurance, visiting nursing service, elderly
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원문 및 링크아웃 정보
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등재저널 정보
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