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

다국어 초록 (Multilingual Abstract)

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.

목차 (Table of Contents)

• Ⅰ.서론 1
• 1.연구의 필요성 1
• 2.연구목적 2
• 3.용어의 정의 2
• Ⅱ.연구방법 2
• 1.연구설계 2
• 2.연구대상과 자료수집방법 2
• 1)1단계:전문가집단토의 및 초점토의 2
• 2)2단계:방문간호기록지의 분석 3
• 3.자료분석 3
• Ⅲ.연구결과 3
• 1.방문간호사의 특성 3
• 2.동단위 지역담당 방문간호대상군분류 3
• 3.방문간호대상군별 표준 방문간호서비스 경로 4
• 1)방문간호 업무 분석 5
• 2)방문간호 대상군별 총 관리기간 및 평균 방문횟수 5
• 3)방문간호서비스 종결사유 및 종결 시 불편 정도 5
• 4)방문간호대상 군분류별 표준 방문간호서비스 경로 6
• Ⅳ.논의 8
• Ⅴ.결론 및 제언 9