병원중심 가정호스피스 대상자의 주호소, 의뢰사유 및 간호진단 분석 = Analysis of Major Complaints, Reasons for Referring Home Hospice, and Nursing Diagnosis of Home Hospice Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to analyze major complaints, reasons for referring home hospice, and nursing diagnosis based on the NANDA of home hospice patients. This study was a descriptive survey that investigated 100 medical and nursing records of hospice from K hospital in Seoul during the period of February 2002 to May of 2003.
The results of the study were summarized as follows:
The mean number of complaints for one patient written by doctor was 2.15. Pain was most frequent complaint of patients (38 people) followed by general weakness (25 people), poor oral intake (24 people), dyspnea (18), and skin breakdown (15 people). The mean number of reasons for referring to home hospice care was 1.3. The most frequentlyused reason for referring was total parenteral nutrition administration (34 people) followed by IV chemo-port management (17), Foley-catheter management (16), and fluid therapy (15 people).
There were 27 kinds of nursing diagnoses used for a total of 695 times counting the same diagnosis as one time for a patient. Themean number of nursing diagnosis used for one patient was approximately seven.
Further research is needed to develop nursing intervention standards for home hospice patients.