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제왕절개분만 산욕부와 신생아의 가정간호 사례분석
A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns

김혜숙    (연세대학교 간호대학   ); 최연순    (연세대학교 간호대학   ); 전은미    (연세대학교 간호대학  );
  • 초록

    This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.


  • 주제어

    제왕절개분만 .   산욕부 .   가정간호.  

 저자의 다른 논문

  • 최연순 (12)

    1. 1971 "임상간호교육의 일실험방법의 효과측정" 간호학회지 = The Journal of Nurses Academic Society 2 (1): 217~236    
    2. 1978 "간호과정심포지움(3)-간호수행이론과 실제-" 대한간호 = The Korean nurse 17 (4): 29~30    
    3. 1986 "자궁적출 환자가 경험하는 건강문제에 관한 조사연구" 대한간호학회지= Journal of Korean academy of nursing 16 (2): 53~62    
    4. 1988 "간호발전을 위한 WHO 협력기구의 총회 보고서" 대한간호 = The Korean nurse 27 (2): 44~52    
    5. 1990 "제22회 I.C.M 학술대회 보고 - Love, Skill and Knowledge -" 대한간호 = The Korean nurse 29 (5): 38~40    
    6. 1991 "서울 시내 일 간호대학 입학생의 4년간 개인 및 대인가치관의 횡단적 조사 연구" 대한간호 = The Korean nurse 30 (5): 61~74    
    7. 1992 "분만 준비 교육" 대한간호 = The Korean nurse 31 (2): 86~101    
    8. 1993 "미혼임부와 기혼임부 건강증진행위 차이에 관한 비교연구" 대한간호학회지= Journal of Korean academy of nursing 23 (2): 255~268    
    9. 1993 "산부의 가족분만참여 요구" 모자간호학회지 = The Korean journal of maternal and child health nursing 3 (1): 38~48    
    10. 1995 "임신부부의 태교 실태조사" 여성건강간호학회지 = Korean journal of women health nursing 1 (2): 174~199    

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