간호·간병통합서비스병동과 일반병동에 입원한 뇌졸중 환자의 간호요구도 및 간호만족도 : 재활병원 환자를 중심으로

국문 초록 (Abstract)

본 연구는 간호·간병통합서비스병동과 일반병동에 입원한 뇌졸중 환자의 간호요구도와 간호만족도를 비교하고, 일반적 특성에 따른 차이를 확인하기 위한 서술적 비교 연구이다. 경상남도 C시에 소재한 B재활병원에 입원한 뇌졸중 환자 106명을 대상으로 2025년 8월 1일부터 9월 30일까지 자가 보고식 설문조사를 실시하였다. 수집된 자료는 IBM SPSS Statistics 26.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, χ²-test, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient로 분석하였다.

연구 결과, 병동 유형에 따라 성별과 소득 수준에서 유의한 차이가 나타났다. 간호요구도는 간호·간병통합서비스병동에서 직업 유무, 입원이유, 편마비 유무 및 부위, 일상생활수행능력 수준에 따라, 일반병동에서는 교육 수준, 소득 수준, 입원횟수, 일상생활수행능력 수준에 따라 유의한 차이를 보였다. 간호만족도는 간호·간병통합서비스병동에서 발병 기간과 기저질환 유무에 따라 유의한 차이가 나타났다. 병동 유형별 비교에서는 신체청결 유지 및 피부간호에 대한 간호요구도는 일반병동 환자에서 높았으며, 감정 상태 감소에 대한 요구는 간호·간병통합서비스병동 환자에서 높았다. 간호만족도는 영양관리, 신체청결 및 피부간호, 교육 및 의뢰 영역에서 간호·간병통합서비스병동 환자가 유의하게 높았다.

본 연구는 병동 유형에 따라 뇌졸중 환자의 간호요구도와 간호만족도가 영역별로 상이한 특성을 보임을 확인하였으며, 이는 병동 특성과 환자의 기능 수준을 반영한 맞춤형 간호 제공의 필요성을 시사한다. 본 연구 결과는 뇌졸중 환자의 간호요구 사정과 간호 중재 전략 수립을 위한 기초자료로 활용될 수 있을 것이다.

목차 (Table of Contents)

• Ⅰ. 서론 ······································································································ 1
• 1. 연구의 필요성 ······························································································· 1
• 2. 연구 목적 ······································································································· 4
• 3. 용어의 정의 ··································································································· 5
• Ⅱ. 문헌 고찰 ···························································································· 7
• 1. 뇌졸중 환자 간호 ······················································································· 7
• 2. 간호요구도 및 간호만족도 ········································································· 9
• 3. 간호·간병통합서비스 ··············································································· 12
• Ⅲ. 연구방법 ···························································································· 16
• 1. 연구설계 ····································································································· 16
• 2. 연구 대상 및 표집 방법 ··········································································· 16
• 3. 연구도구 ······································································································· 17
• 4. 자료수집방법 ·································································································20
• 5. 윤리적 고려사항 ························································································· 20
• 6. 자료분석방법 ······························································································· 21
• Ⅳ. 연구결과 ···························································································· 22
• 1. 간호·간병통합서비스병동 환자와 일반병동 환자의
• 일반적 특성 및 서비스 이용 관련 특성 차이 ································· 22
• 2. 간호·간병통합서비스병동 환자와 일반병동 환자의
• 일반적 특성에 따른 간호요구도 차이 ··············································· 26
• 3. 간호·간병통합서비스병동 환자와 일반병동 환자의
• 일반적 특성에 따른 간호만족도 차이 ··············································· 29
• 4. 간호·간병통합서비스병동 환자와 일반병동 환자의 간호요구도 차이 ··32
• 5. 간호·간병통합서비스병동 환자와 일반병동 환자의 간호만족도 차이 ··34
• Ⅴ. 논의 ······································································································ 36
• Ⅵ. 결론 및 제언 ······················································································ 48
• 1. 결론 ············································································································· 48
• 2. 제언 ··············································································································· 50
• 참고문헌 ····································································································· 52
• 부록 ························································································································· 59
• ABSTRACT ········································································································· 74