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최부옥 연세대학교 대학원 1976 원우론집 Vol.4 No.1
The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that the community health service is both health maintenance and health promotion, of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established. 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of the family, Definitions : The family developmental stases as classified by Duvall were used. stage 1. Married couples (without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2 1/2 to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years) stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last chilc's leaving home) stage 7. Middle-aged parents (empty nest to retirement) stage 8. Aging family members (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by the Nursing Research Institute and Center for Population and Family Planning, July 1974. The study population defined and selected were 260 nuclear families in two myun of Kang Hwa Island. Percent, mean value and F-test were utilized in the statistical analysis of the study results. Findings : A. General characteristics of the study population by the family developmental stage ; 1) The study population was distributed by the family developmental stage as follows : stage 1: 3 families stage 2: 13 families stage 3: 24 families stage 4: 41 families stage 5: 50 families stage 6: 106 families stage 7: 13 families stage 8: 10 families 2) Most families had 4 or 5 members except for those in stages 1,7 and 8. 3) The parents' present age was older in the higher developmental stages and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of the parents' occupations were listed as laborers irrespective of the developmental stage. 6) More than half of the parents were athiests irrespective of the developmental stage. 7) The higher the developmental stages (from stage 2 to stage 6), the wider the distribution of children's ages. 8) More than half of the families were of middle or lower socio-economic level. B. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in the areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring in particular stages included the following : stage 1: Prevention of Accident stage 2: Preventive Vaccination, Family Planning. stage 3: Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4,5: Preventive Vaccination, Family Planning, Health of School Children. stage 6: Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages : stage 1: Maternal Health stage 2: Housing and Sanitation, Prevention of Accident. stage 3: Housing and Sanitation stage 4: Housing and Sanitation, Diagnostic and Medical Care stage 5: Diagnostic and Medical care stage 6: Diagnostic and Medical Care, Housekeeping. stage 7: Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and Preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7,8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns Housekeeping. C. Problem occurance, the degree of nursing need and the degree of problem solving ability in nursing need areas for the family as a whole were as follows : 1) The higher the stages (except stage 1), the lower the rate of problem occurance. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stage (except stages 7 and 8), the higher the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be given to the nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should he placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree of nursing need was high and the ability to cope low
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고혈압자의 환자역할행위 이행증진을 위한 프로그램개발에 관한 연구
최부옥,차영남,장효순,김영희 한국간호과학회 1989 Journal of Korean Academy of Nursing Vol.34 No.4
This experimental study was undertaken to gauge the possibility of application and extension of a program for hypertension care to be operated by Community Health Practitioners. Four community health posts were selected. Two places were experimental groups and the other two control groups. The study was carried out from April 1987 to March 1988. In this study the hypertensives were screened form a group of adults who were over 20 years old. The rate of prevalence was 10.7% in the experimental group, and 11.1% in the control group. The hypertension care program was composed of three parts : regular care by CHPs, reinforcement of education and family support for the changing of health beliefs. The data for this analysis is based on 109 the hypertensives, with 78 from the experimental group and 31 from the control group. After the program was completed, the results obtained were as follows ; 1) Sick role behavior compliance in the experimental group were significantly higher than the control group. 2) Blood pressures were decreased in both systolic and diastolic in the experimental group. Diastolic pressure was strikingly decreased from those of the control group and showed statistical significance (p<0.05). 3) In the experimental group, benefits, perceived family support and family support behavior were high, out benefits was significantly higher than those of the control group(p=0.000). Sensitivity, seriousness and barriers were high in the control group, but not statistically significant. 4) In conclusion, it is revealed that hypertension care program developed in this study has an effect of decreasing blood pressure and promoting sick role behavior compliance.
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