| A Case Study of Home Care Nursing for People with Chronic Mental Illness |
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Soyaja Kim1,2, Kyoungah Nam3 |
1This study was funded by Research Institute for Home Health Care, College of Nursing, Yonsei University
2Professor, College of Nursing, Yonsei University
3RN, MSN, College of Nursing, Yonsei University |
| 만성 정신질환자의 가정간호 사례 연구 |
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김소야자1,2, 남경아3 |
1연세대학교 간호대학 가정 간호연구소 지원연구
2연세대학교 간호대학 교수
3연세대학교 대학원 간호학과 석사 |
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| Abstract |
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This study was conducted to identify the basic data necessary to develop a home care protocol for people with chronic mental illnesses and to develop various psychosocial rehabilitation programs. The subject of this study was a 29 year old divorced fe male diagnosed with schizophrenia, paranoid type.
She was hospitalized and discharged from the psy chiatric ward of S General Hospital for the second time.
A home care nurse assessed the client's psychosocial functions, identified mental problems, planned nursing interventions, performed nursing activities, and evaluated the outcomes. The results were then reflected in the nursing interventions that followed. This study was a case study that reporting recovering process from the mental illness. The data was collected through the in-depth interviews with the subject. The home care nurse visited the client's home eight times. During the first and second sessions, the nurse made assessments and plans, during the third to seventh sessions nursing interventions were made and the eighth session was the termination session.
The main nursing problems of the client were the lack of communication skills, social support and in sight into the disease, ineffective drug manage ment, the absence of a caregiver, social inaladaptation, ineffective stress-coping skills and conflicts with other family members. Focusing on these problems, the nu ovided counseling, psychoeducation, role modeling of social skills and stress coping strategies.
The results showed that the client expressed feelings of satisfaction to the home care nursing she received. There were also a decreased number of family conflicts, fewer difficulties at work and increased effective stress coping skills, a greater knowledge of drugs and their side effects, a de crease in noncompliance of drugs, and insight into the mental disease. |
| Key Words:
Chronic mental illness; Home care nursing |
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