지역사회 지체장애인을 위한 방문간호사업 효과 평가 : 재가 뇌병변장애인을 중심으로

유호신 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.31 No.6

성북구보건소 방문보건 시범사업

유호신,박민진 한국보건간호학회 2004 한국보건간호학회 학술대회지 Vol.2004 No.12

대도시지역 동단위 지역담당 방문간호서비스 효과분석 : 뇌졸중 환자를 대상으로

유호신,석민현,황라일,진달래 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.1

An Evaluation of the Visiting Nursing Service Model Based on the District Management System -focused on stroke patients -Ryu, Ho-Sihn · Suk, Min-Hyun Hwang, Rah-Il · Jin, Dal-Rae Purpose: This study was conducted to examine the effect of visiting nursing of the visiting nursing services based on the district management system on the subjects of stroke patients. Method: A nonequivalent control group pretest-posttest design was applied to 50stroke patients (31 from the experimental group, 19 from the control group). To evaluate the effects of visiting nursing services, health status(SF-36) and activity daily living(ADL/IADL) were measured from June 2003 to November 2004. Result: Health condition and the activities of living (ADL/IADL) of the subjects who received visiting nursing service were shown to be improved. Conclusion: Visiting health service model based on the district management system in public health center is considered to be an effective measure of visiting nursing services in large cities.

전국 의료기관 가정간호사 근무 실태

유호신,조혜숙,김윤옥,윤영미,송종례,임지영,김순용,김인아 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

Purpose: The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals. Method: The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of 71.8%. Result: (a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid penalties (65.9%). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain (61.5%), lower back pain (54.1%), knee pain (39.4%), and gastrointestinal problems (33.0%). Conclusion: These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.

전국 법정복지대상 노인의 일상생활 수행능력과 치매와의 상관관계

유호신 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.3 No.2

The purpose of this study was to analyze characteristics related to the activity of Daily Living (ADL) and dementia among the elderly people who have Medicaid. The cross-sectional descriptive survey study was a nationwide randomization sampling among the population of elderly families who have Medicaid. The data were collected during the month of October, 1999 and total sample was 1,027 elderly people. There were major findings according to the studies. In the results of the ADL assessment most of elderly people were within the 24 to 45 point range. Also, 63.3% of elderly people who made 45 points do not need help when performing daily activities according to the 15 areas of activity components, and 4.9% of these people couldn't do their daily activities. The results of the Dementia assessment were 70.6% of elderly people were in the normal range, 21.7% have a mild case, and 2.8% have severe case of dementia. These were found by using instruments for mental states, which simplified to items of detection of early dementia. In the result of these tests, there was a significantly positive correlation between ADL and degree of dementia with the pearson correlation coefficients. As a result of these studies, the author recommend to strengthen function and organization of public health like a visiting nurse center for elderly people who are over 65 years old. In addition, the government should apply early detection and management system for dementia in the community continuously and cost-effectively, especially for elderly people who live alone and are vulnerable elderly as our priority.

가정간호수가 적정성 검증 및 수가체계 개선 방안

유호신,정기선,임지영 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.3

가정간호수가 적정성 검증 및 수가체계 개선 방안

유호신,정기선,임지영 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.4

Test on the Cost and Development on the Payment System of Home Health Care Nursing* Ryu, Hosihn1)․Jung, Keysun2)․Lim, Jiyoung3) 1) College of Nursing, Korea University 2) College of Business, Kyung Hee University 3) Department of Nursing, Inha University Purpose: This study focused on analysing costs per home health care nursing visit based on home health care nursing activities in medical institutes. Method: The data was collected in three stages. First, the cost elements of home health care nursing services were collected and 31 home care nurses participated. Second, the workload and caseload of home care nursing activities were measured by the Easley-Storfjell Instrument(1997). Third, the opinions on improving the home health care nursing reimbursement system were collected by a nation-wide mailing survey from a total of 125 home care agencies. Result: The cost of home health care nursing per visit was calculated as 50,626₩. This was composed of a basic visiting fee of 35,090₩(≒35$) and travel fee of 15,536₩(≒15$). The major problems of the home care nursing payment system were the low level of the cost per visit, no distinction between first visit and revisits, and the limitations in health insurance coverage for home health care nursing services. Conclusion: This study's results will contribute as a baseline for establishing policies for improvement of the home health care nursing cost and for applying a community-based visiting nursing service cost.

대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구

유호신,석민현,황라일,진달래 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.4

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient, sampling, from April 2003 to November 2003. Result : First, visiting nursing service recipients were classified into Four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs, Standardized pathways of the selected items were assessment, nursing care plan, disease management and promotion of self-care ability for Level Ⅰ(mean=12.2 visits). For Level Ⅱ(7.3 visits) were offered assessment, disease management, health education, and health promtion service. For Level Ⅲ(5.2 visits)were offered assessment, disease management, health education and health promotion services, and for Level Ⅳ(2.7 visits) were offered through assessment, education for self-care and health promotion. Conclusion : the visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing service pathways in visiting nursing programs.

전문간호사를 위한 임상 전문실습교육프로그램 요구

유호신,오복자,임지영,강희선,양승희,서문경애,김애경,함옥경,추상희 대한간호행정학회 2007 간호행정학회지 Vol.13 No.4

Purpose: This study aimed to assess needs of training programs for APN practice courses and continuing education programs for APNs to provide baseline data to improve APN education and practice. Methods: A total of 98 questionnaires were distributed to professors in 38 nursing institutions and 64 (65.3%) were returned. Data collection was performed in November and December, 2007 through email. Results: Professors in charge of geriatric and home care nurse practitioner programs constituted 43.7% of the study participants. Forty-one percent answered that they were satisfied with the practice programs they currently have operated, while 36.5% responded to have difficulty in appointment of institutions for practice programs and 56.3% had problems in assignment of preceptorship. In case of developing training programs for APN practice courses, 58.7% answered that they are willing to participate, and 90.6% felt needs for development of continuing education programs for APNs. Regarding liability insurance for APN students, only 11.5% provided insurance policy. Conclusion: The study results indicated that standardized training programs are needed to assure quality of APN education, and continuing education programs are required to provide opportunities for APNs to improve competencies.

서울시 보건소 방문간호업무 분석

유호신,박은숙,박영주,한금선,임지영 한국간호과학회 2003 Journal of Korean Academy of Nursing Vol.33 No.8

Purpose: This study focused on analysing the workload of visiting nurses based on a health center. Method: A Prospective descriptive analysis of self-records for workload data from 115 visiting nurses during 4 weeks was done. In addition, a cross-sectional analysis of linked data to grasp the priority of visiting nursing services from 155 visiting nurses at the 25 health centers in Seoul. Result: Time allocation that was performed on all nursing workload of visiting nurses was identified as follows: First, the inside workload of the health center took up 60% of all visiting nurse activities. Second, providing direct nursing care(caseload) took up 25%. Third, outside nursing activities excluding the caseload provided in the health center took up 15% of all working time. Fourth, the core works to have a high priority among visiting nursing activities were family health assessment, planning and evaluation of a visiting nursing program, personal health assessment, and so forth. Conclusion: The workload of a visiting nurse suggests that the caseload of visiting nurses in a health center needs to be increased. Also, our results will contribute to baseline data used to establish a proper visiting nurses infrastructure based on the demand of visiting nursing services.