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Journal of Korean Academy of Fundamentals of Nursing 1998;5(1): 7
뇌졸중환자의 가정간호 프로토콜 적용 효과
강현숙1, 김정화2, 권혜정3, 석소현4
1경희대학교 의과대학 간호학과
2경희대 병설 간호전문대학
3동남보건전문대학
4경희대학교 의과대학 간호학과
The Effects of Applying a Home Care Protocol on the Nursing Care of Stroke Patients
Hyun-Sook Kang1, Jeong-Hwa Kim2, Hei-Jeoung Kwon3, So-Hyun Sok4
1Department of Nursing, Kyung Hee University
2Kyung Hee School of Nursing
3Department of Physical Therapy, Dong Nam Health Junior College
4Department of Nursing, Kyung Hee University
Abstract
Since patients who have suffered from strokes have chronic health problems, the development of a protocol for home care nursing is required. Therefore, this study was done to test the effects of such a protocol on stroke patients. This study was conducted by using a single group pre-post design. The subjects for the study were 13 home care nurses and 30 home care patients who had a stroke. Data collection was done from October 1997 to February 1998. The collected data was analyzed using the Wilcoxon signed rank test and paired t-test and the results were as follows : 1. The first hypothesis that 'working satisfaction of home nurses would be higher after using the home care protocol' was supported. 2. The second hypothesis that 'patients' satisfaction would be higher after using the home care protocol' was rejected. 3. The third hypothesis that 'the level of ADL of patients would be higher after using the home care protocol' was supported. In conclusion, by using a home care protocol, the satisfaction of nurses' work and the ADL of patients increased, and the patients' satisfaction also increased without statistical significance. The above results confirm that the application of a home care protocol is very effective. Thus, this protocol can be helpful in the quality care of stroke patients. Therefore, developing and organizing protocols, according to health problem, can be useful for beginner nurses who interact with high risk patients.
Key words: Home care | Stroke
주요어: 가정간호 | 뇌졸중