퇴원환자의 신체적 기능상태 및 미충족 간호요구도 : 만성호흡기질환, 장루보유 대장암, 뇌졸중 환자를 중심으로 = Physiological Functional Status and the Levels of Unmet Care Needs after Discharge in Patients with Chronic Pulmonary Disease, Colorectal Cancer, and Strokes

국문 초록 (Abstract)

Purpose: 본 연구의 목적은 퇴원환자의 신체적 기능상태와 퇴원 후 가정에서 경험하는 미충족 간호요구도를 파악하기 위함이다. Methods: 본 연구는 224명의 환자를 대상으로 시행된 횡단적 조사연구이며, 만성호흡기질환자, 장루를 보유한 대장암 환자, 뇌줄중으로 진단받은 환자가 연구대상에 포함되었다. 신체적 기능상태와 미충족 간호요구도는 각각 Karnofsky Performance Status (KPS) Scale 과 Problems After Discharge Questionnaire-English version (PADQ-E) 를 이용하여 측정되었다. 수집된 자료는 SPSS WIN 21.0 버전으로 분석되었다. Results: 만성호흡기질환자와 장루를 보유한 대장암환자는 전반적으로 낮은 수준의 신체적 기능상태와 (mean 77.20, 77.60 out of 100) 높은 수준의 미충족 간호요구도 (mean 2.23, 2.63 out of 4)를 보였다. 뇌졸중 환자는 개별상담, 신체적 증상, 치료지시이행의 영역에서 미충족 간호요구도가 높은 수준으로 나타났다. 신체적 기능상태는 세 질환군에서 모두 미충족 간호요구도와 유의한 상관관계가 있었고, 뇌졸중환자그룹에서 신체적 기능상태가 미충족 간호요구도에 유의한 영향을 미치는 것으로 나타났다. Conclusion: 본 연구 결과는 퇴원 환자들이 다양한 측면의 어려움을 경험하고 있으며, 미충족 간호요구를 가지고 있음을 나타낸다. 따라서 본 연구결과를 바탕으로, 퇴원환자를 위한 간호서비스의 개발이 요구됨을 제안하는 바이다.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify physiological functional status and unmet care needs among patients with chronic pulmonary disease, colorectal cancer, and strokes after discharge. Methods: A crosssectional study was conducted with 224 patients diagnosed with aforementioned diseases from January to July in 2014 in two different tertiary hospitals in Seoul and its suburban area. Physiological functional status and unmet care needs were collected using Karnofsky Performance Status (KPS) Scale and Problems After Discharge Questionnaire-English version(PADQ-E) respectively. Data were analyzed using SPSS/WIN 21.0 program. Results: Patients with chronic pulmonary disease and colorectal cancer showed a low level of physiological functional status (mean: 77.20 and 77.60 out of 100 respectively) and a high level of unmet care needs (mean 2.23 and 2.63 out of 4 respectively). Stroke patients showed a high level of unmet care needs in the category of ‘counseling’, ‘physical complaints’, and ‘instructions’. Physiological functional status was significantly associated with unmet care needs in all three patient groups and it showed a significant effect on unmet care needs in patients with stroke. Conclusion: The results showed that patients after discharge were still having insufficient functional status and various unmet care needs. The results of this study suggest a development of nursing care service for patients with chronic diseases after discharge

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