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KMID : 0350819980120010097
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Seoul Journal of Nursing
1998 Volume.12 No. 1 p.97 ~ p.117
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A Study on the Effectiveness of Home Care Services at Community
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Yun Soon-Nyung
Kim Mae-Ja
Suh Moon-Ja
Han Kyung-Ja
Park Sung-Ae
Park Young-Sook
Hah Yang-Sook
Kim Keum-Soon
Song Mi-Soon
Lee Ae-Ju
Park Yeon-Hwan
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Abstract
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The purpose of this study was to evaluate the effectiveness of the home care service. The data were collected from the home care service center in the College of Nursing, Seoul National University, which was operated from September, 1996 to February, 1997.
Seven home care nurses were hired and trained for this study. 32 study subjects who were refered from 11 general hospitals and 1 public health center in Seoul. Out of 32 subjects, clients with impairment in consciousness and cognition were the most prevalent and the second majority was the clients with malignancies and the third was the client with pulmonary diseases. The average number of home visit per week was 2.1 and the average nursing care time was 68 minutes per visit excluding the traveling time. Checking the vital signs and physical examination were the most common nursing activities provided by the home care nurse during home visit, and other activities were specific skilled nursing care, such as urinary catherization, L-tube insertion exercise and safety care, wound dressing, toileting care, and medication. The most used materials during home care were dressing sets, gloves, gauzes, and disinfectants. L-tube, Foley catheter, T-cannular, IV sets were also often used. The most common subjects of health to the clients and their family member education were exercise, safety care and how to manage the stress of family caregiver etc.
The effects of home care service were evaluated by the change of client health status, family burden, perceived satisfaction of family member and the quality of life of the client, Health status of the clients who had impairment in consciousness and cognition, peritoneal dialysis, and diabetes were improved. The score of family burden was decreased and the clients were satisfied with home care services considerably. The score of the quality of life was increased but was no statistical significance.
As the results of this study firstly, for saving the traffic expenses and more efficient home care, client assignment to the home care nurse by the geographical-based is needed. Secondly, Referral system with physicians and other health professions should be set up for effective home care. Thirdly, in order to supply nondisposable sterile materials for home care had to be available at any place and accessible to all the residents. Fourth, home care nurse training curriculum, mobility exercise, related nursing and special nursing technique should be strengthened.
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KEYWORD
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Community, home care service, effectiveness
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