제왕절개분만 산욕부와 신생아의 가정간호 사례분석
A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns
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.
저자의 다른 논문
- 1971 "임상간호교육의 일실험방법의 효과측정" 간호학회지 = The Journal of Nurses Academic Society 2 (1): 217~236
- 1978 "간호과정심포지움(3)-간호수행이론과 실제-" 대한간호 = The Korean nurse 17 (4): 29~30
- 1986 "자궁적출 환자가 경험하는 건강문제에 관한 조사연구" 대한간호학회지= Journal of Korean academy of nursing 16 (2): 53~62
- 1988 "간호발전을 위한 WHO 협력기구의 총회 보고서" 대한간호 = The Korean nurse 27 (2): 44~52
- 1990 "제22회 I.C.M 학술대회 보고 - Love, Skill and Knowledge -" 대한간호 = The Korean nurse 29 (5): 38~40
- 1991 "서울 시내 일 간호대학 입학생의 4년간 개인 및 대인가치관의 횡단적 조사 연구" 대한간호 = The Korean nurse 30 (5): 61~74
- 1992 "분만 준비 교육" 대한간호 = The Korean nurse 31 (2): 86~101
- 1993 "미혼임부와 기혼임부 건강증진행위 차이에 관한 비교연구" 대한간호학회지= Journal of Korean academy of nursing 23 (2): 255~268
- 1993 "산부의 가족분만참여 요구" 모자간호학회지 = The Korean journal of maternal and child health nursing 3 (1): 38~48
- 1995 "임신부부의 태교 실태조사" 여성건강간호학회지 = Korean journal of women health nursing 1 (2): 174~199
- NDSL :
- 한국간호과학회 : 저널 > http://kan.or.kr/kor/sp_journal/sp_journal01v2.php?year=1994&issue=4&volume=24&spage=696
- Synapse : 저널
유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.
원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.
NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.
- 이 논문과 함께 이용한 콘텐츠
- 이 논문과 함께 출판된 논문 + 더보기