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KMID : 0378019810240070139
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New Medical Journal
1981 Volume.24 No. 7 p.139 ~ p.148
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A Study on the Nursing Needs of Being Discharged Patients and Their Caregivers at Home
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Abstract
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This study was performed from May 18th to June 13th to identify the nursing needs of being discharged surgical patients and their caregivers at home. The purpose of this. study is to provide as a teaching material for the patients and their caregivers in. aspect of a integral part of nursing intervention.
113 being discharged surgical patients who admitted to the general, orthopedic, chest and neurosurgery ward were selected. Data gathering method was the chart review and structured interview with the patients and their caregivers.
The results were as follows;
1. Out of 113 patients, male patient was 57.500, female patient was 42.5x, 30.100 of them was graduated at high school. And 60.200 of them had not religion, the patients with medical insurance or medical aid were 57.5%, 56.6% of them lived in Seoul 43.40o of them lived in the other provinces.
Average hospitalization period of a orthopedic patient was 25.5 days and average postoperative period of a orthopedic patient was 18.4 days.
2. Concerning with the nursing needs of being discharged patients;
1) The nursing needs of orthopedic surgical patients for continence, mobility, rehabilitation, mental status and special procedure and equipment were significant higher than those of the other surgical patients. (p<0.05)
2) 66.0% of general surgical patients had the soft bland diet or fluid diet, 50.00 of the patients having chest surgery had the the low salt diet.
3. Concerning with nursing needs after being discharged; First, 25% of the patients was:
t administered medicine by oral, the next, diet therapy and the third, special procedure r
and qeuipment. Major caregivers of the sample were housewives among the 82,7% of
total caregivers.
4. Concerning with the need for the education of the caregivers in hospital for continuing home care and the home visiting;
1) 77.700 of the caregivers wanted the education in hospital, but statistical differances of need by the characteristics of the caregivers-age, education level, relation between the caregivers and the patients, hospitalization period, postoperative period and residential area, of the patients were. not "seen ´significantly. (p>0.05)
2) 77.0% to %9.200 of the caregivers wanted the home visiting by a nurse. And significant differances of need by the postoperative period and residential area of the patients were seen statistically, (p<0.05), but the characteristics of the caregivers, hospitalization period of the patients and relation between the caregivers and the patients were not significant. (p>0.05)
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