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일 상급종합병원 노인 환자의 가정간호 서비스 이용 현황 분석

Analysis of the Current State of Home Health Nursing for Elderly Patients in Advanced General Hospital

임상간호연구 2019년 25권 3호 p.275 ~ 284
박성혜 ( Park Sung-HYe ) - 세브란스병원

장연수 ( Jang Yeon-Soo ) - 연세대학교 간호대학
김수진 ( Kim Su-Jin ) - 연세대학교 간호대학

Abstract


Purpose: The purpose of this study was to analyze the current state of home health nursing (HHN) for elders and to provide basic data on policy alternatives for establishing home medical care in the advanced general hospital.

Methods: This study was conducted as a secondary data analysis, using electronic medical record (EMR) data of older patients who received HHN more than once from the S advanced general hospital between January 2016 and December 2018.

Results: A total of 1,790 patients received HHN visits, with 22,477 visits being made. The mean age was 76.8±7.3 years old, 96.0% of elders had health insurance and 24.6% had orthopedics problems. Of the 1,168 people who visited emergency rooms, the most frequent symptom was pain (23.4%) and all patients visited the hospital at least once and at most 163 times outpatient care during HHN. Causative diseases were degenerative knee joint osteoarthritis (0.6%), surgery for right knee replacement (4.0%), and for dressings (9.7%) in the HHN service content analysis.

Conclusion: The progress towards an aging society and the introduction of community care are expected to further enhance the need for HHN which should be able to provide comprehensive and continuous visiting health care services to the older patients. The results of this study are expected to help doctors solve problems not solved by HHN, reduce unnecessary emergency room or outpatient visits, and readmission, while at the same time contributing to the mprovement of patient quality of life through efficient patient health care.

키워드

가정간호; 노인 환자; 상급종합병원; 2차 분석
Home Health Nursing; Aged; General Hospital; Data Analysis
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