일 대학병원의 가정간호시범사업 서비스 내용 및 만족도에 대한 조사연구

Abstract

The purpose of this study was to assess the provided home health care services and to evaluate the patient's satisfaction level of received home health care services. Well trained two home health care nurses interviewed with 138 respondents who received home health care by Keimyung University Hospital from January 1st to August 31st 1999. The results were summarized as follows : 1) Among 138 respondents, 55.8% were mail and 44.2% were female and 70.3% of them were over sixty years old. Respondents main family care givers were spouse(53.6%), daughters and sons(36.2%) and parents(7.2%). 2) 60.2% of cancer patients received home health care services, 23.3% of cerebral­cardiovascular patients, 7.5% of endocrine disorder patients, 2.3% of those who have indwelling foley catheter patients, 1.5% of those who have respiratory problems and others(5.2%). 3) 88.1% of respondents were satisfied with the number of home visits they received. 50.5% of respondents' were received 1 to 3 times of home visits by home health care nurse per month. 48.6% of respondents answered they were introduced by attending doctors or nurses to home health care services. 55.8% of respondents answered registration to home health care services was simple and easy. 97.4% of respondents answered home health care payment system was adequate. 64.9% of respondents answered the cost of home health care per visit was adequate and comfortable. 4) Health education, counselling, physical assessment was provided to most of the patients. Those who suffered with cerebral-cardiovascular disease was needed hands on direct care most of all. The least home health care service provided was medication. 5) The satisfaction measurement tool was composed with 13 items and 3 score scale. The mean score of satisfaction on provided home health care services was 2.67 out of 3. Among 13 items. 'home health care service was kind enough' was highest(2.84). 'nurse use precise word to understand and communicate'. 'nurse gave home visiting notice ahead of time and kept the home visiting promise on time' was 2.83. 'whenever I need home health care nurse I can give a call and meet the nurse' was lowest 2.41. Special Home Health care programs such as comprehensive hospice care programs for elders over sixty years old should be organized. Adequate and standardized home health care payment system should be developed as soon as possible. In korean family situation. when family members are getting sick and stay at home. family members were taking care of the patients. special program such as counselling family members are needed.