J Korean Community Nurs.  2004 Sep;15(3):353-364.

Analysis of the Effects and Nursing Intervention of Home Health Care in Public Health Centers

Affiliations
  • 1Korea Health Industry Development Institute, Korea.
  • 2College of Nursing, Seoul National University, Korea. lisook@snu.ac.kr

Abstract

PURPOSE
The purpose of this study was to investigate the types and frequencies of nursing intervention of home health care in Public Health Centers and its effects. METHOD: The data collection period for this study lasted from March 1 to December 31, 2003. The clients were sampled by a stratified randomized method among those who had been cared for at least 3 months. The data was analyzed by SPSS for description, ANOVA, paired t-test, etc. RESULT: The types and frequencies of nursing intervention in major chronic health problems were significantly different. The main types of nursing intervention in hypertension and DM patients included education on disease management, regular exercise, stress management, diets, etc. CVA patients were intervened in pain control (ice or hot pack, massage), position changes, and ROM exercise. Cancer patients received imaginary or relaxation therapy, pain control (ice or hot pack, massage), hospice, etc. After the intervention, the drug compliance of hypertension (8.2 days per month) and DM patients (6.2 days per month) improved. Blood sugar levels (FBS 7.6, post-partum 2hrs 21.4 (mg/dl) and blood pressure(systolic 9.8, diastolic 4.3 mmHg) lowered significantly. All aspects of QOL also improved (total 3.68).
CONCLUSION
The types and frequencies of nursing intervention were determined by characteristics of the health problems, and home health care nursing intervention in Public Health Centers was effective to the elderly of the community in many aspects.

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