| The Effects of Primary Nursing Implemented to Psychiatric Inpatients |
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Sun Kyung Kim1, Moon Ja Suh2 |
1Nursing Department, Inha University Hospital
2Colledge of nursing. Seoul National University |
| 정신과 입원환자에게 적용한 일차간호접근의 효과 |
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김선경1, 서문자2 |
1인하대학교 병원
2서울대학교 간호대 교수 |
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| Abstract |
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The purpose of this study was to identify the effects of Primary Nursing administered to one psychiatric unit.
With nonequivalent control group nonsynchronized design, the subjects were selected from one university hospital in Incheon. Korea from December 1998 to September 1999. The subjects were 34 psychiatric patients composed of experimental group (17) for Primary Nursing and control group (17) for ordinary nursing.
In order to obtain the research objectives, the patient's behavioral characteristics were evaluated with the NOSIE(Nurses’ Observation Scale for Inpatient Evaluation), the patient satisfactions were evaluated with the Monica's scale. And the patient's self-care activities were evaluated with the Yu Sook Ja' scale.
The patienfs behavioral characteristics were measured at the time of admission and discharge Patient Satisfaction were measured at the time of discharge. The state of self-care activities prior to admission were measured at the time of discharge and the state of selFcare activities at discharge was measured one week after discharge.
The data were analyzed with SAS program.
The homogeneity of general characteristics between experimental and control group was tested using Cochran-Mantel-Haenszel statistics.
The t-test for behavioral characteristics and patient satisfaction, and ANCOVA for self-care activities were done.
The results of this study were as follows :
Primary Nursing was relatively effective on diminishing the patient's negative behavioral factors such as irritability and depression, and effective on enhancing the patient's positive factors such as neatness and competence. The patients of experimental group were more satisfied with the nurse's professional skill, trust relationship and education although statistically insignificant. Primary Nursing also was effective on the patient self-care activities after discharge such as eating, personal hygiene, elimination, clothing, safety and leisure time activities.
Considering the obtained results, it was suggested that Primary Nursing should be widely implemented to the psychiatric inpatients in order to provide more conductive environments for better self-care activities, patient's satisfaction and patient's behavioral change. Therefore, the Primary Nursing could be expanded to the psychiatric ward of university hospitals and the acute setting of large psychiatric hospitals. |
| Key Words:
primary nursing; patient satisfaction; behavioral characteristics; self-care activities |
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