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KMID : 0922320170240020210
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Journal of Korean Academic Society of Home Care Nursing
2017 Volume.24 No. 2 p.210 ~ p.220
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A Survey of Hospital-Based Home Healthcare Utilization in Patients using Home Mechanical Ventilator
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Lee Mi-Kyoung
Song Chong-Rye
Oh Eun-Kyung
Yoon Young-Mi
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Abstract
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Purpose: The study aimed to describe the utilization of home healthcare in patients using home mechanical ventilator(HMV)
Method: A descriptive cross-sectional design was used in this study. A Questionnaires were sent to nation wide home healthcare agencies to assess their utilization status of home healthcare. A convenience sample of 158 patients data was reviewed.
Result: A total of 88(55.7%) men with the mean age of 51.94((±19.52) years were included in the study. Approximately 55.1% of patients at the outpatient department were referred to the home healthcare services after discharge. The underlying diseases were as follows : 129 amyotrophic lateral sclerosis and 27 muscular dystrophies. A total of 155 patients have invasive HMV. Efficient home healthcare nursing activities provided by a highly skilled home healthcare advanced practice nurses(HHCAPN) were tracheotomy and gastrostomy tube management and urinary catheterization. The average frequency of home visit for one patient was 2.52times per month. The duration of home healthcare utilization with >1 year was 82.9%. HHCAPNs have limited knowledge and skill for HMV.
Conclusion: The government support is required to provide sufficient home healthcare services to the patients discharged with HMV. HHCAPNs should be properly educated on the effective HMV care.
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KEYWORD
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Home Mechanical Ventilator, Home Healthcare
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