일개 군 지역 노인의 가정간호요구에 대한 조사연구 = Home Care Needs of the Elderly In a Country
저자
발행기관
학술지명
권호사항
발행연도
1995
작성언어
Korean
주제어
KDC
512.8
자료형태
학술저널
수록면
69-87(19쪽)
제공처
This study was accomplished to attain basic data to establish Korean Home Care Model through the investigation of prevalence of chronic disease and frequency, contents of home care needs of the elderly who were aged over sixty five in a rural county of Kunggi province, Korea.
The number of subjects was 513 elderly who were selected by stratified cluster sampling from a county population. The data were collected during the period from July 26, 1993 to August 6, 1993.
The data were collected through interviews with questionnaire, checking blood pressure and observation by trained senior nursing students who visited each household. Six out of seven criteria, which were selected by Seoul National University Community Health System Demonstration Project to investigate home health care needs in the area, were adapted in this study, to screen home care needs of the elderly. It was regarded that home care need is present if there is severe impairment on any one item of the questionnaire composed of eighty eight three point rating scale. The items of questionnaire consisted of symptoms of chronic illness, source of social support, functional capacity and demographic data.
The data were analyzed with descriptive statistics and x²test by means of p/c SAS program. The results were as followings;
1) The prevalence of chronic illness in the elderly was 49.9%, and the number of chronic illness for each older person was .65. Neurological and joint disease(22%), and hypertensive disease(19.0%) were the most prevalent chronic illness.
2) The elderly who have more than one home care need were 61.0% of all subjects. There were 34% of the subjects who met more than two home care need criteria. The rates of home care need among subjects according to each home Care need criteria were as follows.
(1)The subjects who impaired to control or recover from the chronic were 19.3%, and the subjects who had educational need were 40.7%. It means that major proportion of home care activities should be planned with appropriate education and management of chronic illness, which enhances ompliance, minimize complications and potentiate rehabilitational abilities.
(2) The rate of recently discharged patients and the subjects with special medical appliance was under 1%. However they should be cared by the hospital based home care nurses who are familial with high technique nursing.
(3) The subjects with insufficient health management abilities among elderly were 33.1%. Therefore, home care service for the elderly should not be limited to the extension of hospital care, but comprehensive health promotion services should be included.
(4) The subjects who have insufficient familial support were 18.9%, It is suggested that social service should be included in home care service.
3) Followings are the result of chi square tests, examing difference in prevalence of home care needs among different characteristics of the subjects.
(1) There were significant differences in prevalence of need for control or recovery from the chronic illness between sexes (P<.001), chronically ill and non-chronically ill(P<.001).
(2) There were significant differences in prevalence of need for health management between sexes (P<.001), young-old and old-old age(P<.001), educational levels(P<.001), chronically ill and non-chronically ill(P<.001), and good and poor transportational convenience(P<.05).
(3) There were significant differences in familial support need between sexes (P<.05), educational levels (P<.05), the number of family members (P<.05), chronically ill and nonchronically ill (P<.001), and rural and non-rural and non-rural residental area (P<.05).
(4) There were significant differences in educational need between chronically ill and non chronically ill (P<.001), rural and non-rural residental area (P<.001), and good and poor transportational convenience (P<.001).
In conclusion, above characteristics of home care needs of community elderly should be considered in development of Korean Home Care Model.
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