DOI QR코드

DOI QR Code

노인요양시설과 노인요양공동생활가정 요양보호사의 응급상황 경험 및 응급지식, 응급상황대처능력 비교

Comparison of Emergency Experience and First Aid Knowledge, Emergency Coping Ability of Elderly Care Facilities and Group Home Caregivers

  • 투고 : 2020.10.06
  • 심사 : 2020.11.06
  • 발행 : 2020.11.30

초록

본 연구는 노인요양시설과 노인요양공동생활가정 요양보호사의 업무특성에 맞는 응급상황대처능력을 강화시키기 위한 응급교육프로그램을 개발하는데 기초자료로 활용하고자 실시한 조사연구이다. 자료수집은 S 및 G지역 노인요양시설과 노인요양공동생활가정을 대상으로 2020년 7.10~8.15 실시하였으며, 최종 236부를 분석에 사용하였다. 자료는 χ2 검정, t-test, ANOVA, Pearson's correlation coefficient로 분석하였다. 연구결과 응급상황 경험은 시설군 68.9%, 공생군 50.7%로 두군간에 차이가 있고(χ2=8.42, p=.004), 응급처치 담당자는 시설군 간호(조무)사 55.3%, 공생군 시설장 42.7%였으며, 두군간에 차이를 보였고(χ2=27.84, p<.001), 응급처치 경험은 시설군 56.5%, 공생군 68.0%, 응급처치 항목은 시설군 해열처치, 복약도움, 하임리히법, 공생군 119 및 보호자 연락, 해열처치, 하임리히법순으로 실시하였다. 응급처치 지식은 시설군 11.60±2.09점, 공생군 9.08±2.28점으로 집단간 차이가 있었고(t=8.39, p<.001), 응급상황대처능력은 시설군 52.94±5.27점, 공생군 47.33±4.39점으로 두집단 간 차이를 보였다(t=8.00, p<.001). 또 시설군에서 응급상황 경험과 응급상황대처능력 간에 양의 상관관계가 있었다. 본 연구결과 시설과 공생 요양보호사가 경험한 응급상황 경험 및 응급지식, 응급상황대처능력에 유의한 차이가 있음이 확인되었으므로 규모별 기관특성에 맞는 응급교육을 개발하여 적용해보는 것이 중요하다고 생각된다.

This study is a descriptive research that provides basic data to develop customized emergency education programs for strengthening the emergency coping ability of facility and group home caregivers. Data were collected from 7.10~8.15 in 2020 in the S and G areas. A total of 236 questionnaires were included for the analysis. Data were analyzed using χ2, t-test, ANOVA, and Pearson's correlation coefficients. Approximately 68.9% facilities and 50.7% group homes experienced emergencies, and there was a significant difference (χ2=8.42, p=0.004). First aid personnel were nurses (nurse aides) 55.3% facility and 42.7% of facility directors group home, showing differences (χ2=27.84, p<.001). 56.5% and 68.0% in the facility and group home, first aid care : ice pack, medication, Heimrich in the facility and 119 and guardian call, ice pack, Heimrich for the group home. First aid knowledge was determined to be significantly different between the facilities (11.60±2.09) and group homes (9.08±2.28) (t=8.39, p<0.001). Similarly, the emergency coping abilities showed a significant difference (t=8.00, p<0.001) between facilities (52.94±5.27) and group homes (47.33±4.39). In addition, a positive correlation was established between the experience of emergency situations and the emergency coping ability in the facilities. Overall, our data indicates that the emergency experience, emergency knowledge, and emergency coping abilities of the facility and group home caregivers are significantly different. We propose that emergency education tailored to the characteristics of each institution is needed.

키워드

참고문헌

  1. National Law Information Center. [Internet]. Seoul: 2020 [cited 2020 Oct 03].Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=217255#0000
  2. H. S. Yoon, S.H. Sok, "Adaptation Process to Group Home Living by Older Adults", Joural Korean Academic Nursing, Vol.46, No.6, pp.858-870, 2016. DOI: https://doi.org/10.4040/jkan.2016.46.6.858
  3. H. J. Kim, A Study on the Reform Measures for Operation of the Elderly Medical Welfare Facilities(Elderly Nursing Homes), Master's thesis, The Graduate School of Public Administration Chung-Ang University, pp.6-9, 2019.
  4. A. M.Sanford, M.Orrell, D.Tolson, A. M. Abbatecola et al, "An international definition for nursing home", Journal of the American Medical Directors Association, Vol.16, No.3, pp.181-184, 2015. DOI: http://dx.doi.org/10.1016/j.jamda.2014.12.013
  5. K.B.Kim, H.K.Lee, S.H.Sok, "Activities of Daily Living and Nursing Needs of the Elderly in Nursing Home", Journal of the Korean Community Health Nursing, Vol.20, No.1, pp.1-11, 2009.
  6. H. Ga, Nursing Home Guide for Part-time Doctors and Nursing Staff, p.552, Goonja Publishers, pp.167-170, 2018.
  7. C.D.Zwicker, "The elderly patient at risk", Journal Infusion Nursing, Vol. 26, pp.137-143. 2003.DOI: http://dx.doi.org/10.1097/00129804-200305000-00004
  8. E. Mitty, S. Flores, J. Mongomery, "Resident condition change: should I call 911", Geriatric Nursing, Vol.22 No.1, pp.15-26, 2008. DOI: http://dx.doi.org/10.1016/j.gerinurse.2007.11.009
  9. M. S. Lee, A study on the method in dealing with patients and patient transfer process at the elderly care facility before going to emergency department, Master's thesis, Department of Public Administration Graduate School Korea National Open University, pp.7-9, 2015.
  10. C. E. Stephens, R. Newcomer, M. Blegen, B. Miller, C. Harrington, "The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations", Alzheimer's & Dementia, Vol.10, No.6, pp.835-843, 2014. DOI: https://doi.org/10.1016/j.jalz.2014.03.010
  11. B. Shoulders, C. Follett, J.Eason, "Enhancing critical thinking in clinical practice: Implications for critical and acute care nurses", Dimensions of Critical Care Nursing, Vol.33, No.4, pp.207-214, 2014. DOI: http://dx.doi.org/10.1097/DCC.0000000000000053
  12. Y.H.Park, S.J.Kim, Y.J.Kim, J.S. Park, S.H. Sok, D.S.Shin, Gerontological Nursing, p588, Soomoonsa Publishers, pp.88-92, 2015.
  13. S. O. Kim, S. Y. Kim,"Experience of emergency situation and experience of education, first aid knowledge and educational needs of caregivers", Journal Korean Public Health Nursing. Vol.32, No.2 pp.288-303, 2018. DOI: https://doi.org/10.5932/JKPHN.2018.32.2.288
  14. S. Y. Kim, S. O. Kim,"Patient safety awareness and emergency response ability perceived by nursing homes and home visiting caregivers", Journal Korean Academic. Society. Nursing. Education, Vol.24, No.4 pp.347-357, 2018. DOI: https://doi.org/10.5977/jkasne.2018.24.4.347
  15. S. O. Kim, "Comparison of Emergency Experience and First Aid Knowledge, Emergency Coping Ability, Educational Experience and Educational Needs of Facilities and Home Caregivers," Journal of Korean Public Health Nursing, Vol.33, No.3, pp.390-408, 2019. DOI:http://dx.doi.org/10.5932/JKPHN.2019.33.3.390
  16. H. Y. Lim, M. J. Lee, "The effect of managerial leadership on the care burden of care workers - focus on the leadership of top-leader and leadership of mid-level leader-", Journal of Korea Contents Academic, Vol. 17, No.12, pp.308-318, 2017. DOI:http://doi.org/10.5392/JKCA.2017.17.12.308
  17. H.J.Kim, S.N.Jang,"Improving The Formal Long-Term Care Workforce Caring for the Elderly: A Focus Group Interview", Journal of the Korean Gerontological Society, Vol. 37, No. 3, pp.549-565, 2017.
  18. J.Kim, S.Y.Lee, "A Study on Care Workers' Job Performance and Competency at Long-Term Care Homes", Health and Social Welfare Review, Vol.33, No.2, pp.243-273, 2013. https://doi.org/10.15709/hswr.2013.33.2.243
  19. National Health Insurance Corporation, Elderly long-term care insurance statistics monthly report, National Health Insurance Corporation, Korea, 2019.
  20. Y.G. Noh, W.D.Sun, K.H.Jo, J.Y.Hwang,Y.G. Kwon, Comparative Analysis of Group Home Scheme under the Korean and Japanese Long-Term Care Insurance Systems. Research Institute for Health Care Policy, Korean Medical Association, Korea, pp.1-173, 2018.
  21. A.J.Yoo, H.Y.Lee, K.A.Kim, J.W.Cho, D.H.Kim, Long-term care facility service expertise strengthening plan, National Health Insurance Corporation Health Insurance Policy Research Institute, Korea, 2013.
  22. B. Y. Kang, A Phenomenological Study on the Meaning and Essence of Care for Caregivers, Master's thesis, Department of Social Welfare Graduate School of Public Policy & Civic Engagement Kyung Hee University, pp.9-10, 2018.
  23. S. O. Kim, & S. H. Bae, "Emergencies in Long-Term Care Services for the Elderly in Korea: A Mixed-Methods Study", International Journal of Environmental Research and Public Health, Vol.17, No.66, pp.1-11, 2019. DOI:http://doi.org/10.3390/ijerph17010066
  24. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner, "G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior research methods, Vol.39, No.2, pp.175-191. 2007. DOI: https://doi.org/10.3758/BF03193146
  25. H. H. Kim, I. S. Lee, "First aid Knowledge and education needs of ski resort workers", The Journal of the Korean Society of Emergency Medical Technology, Vol.16, No.1, pp.103-115, 2012. DOI: https://doi.org/10.14408/KJEMS.2012.16.1.103
  26. K. H. Hwang, O. C. Lee, "Factors affecting safety awareness and emergency response capability among employees of public facilities", Crisis, Vol.13, pp.1-12, 2017. http://dx.doi.org/10.14251/crisisonomy.2017.13.8.1
  27. J. Cerejeira, L. Lagarto, E. B. Nukaetova- Ladinska, "Behavioral and psychological symptoms of dementia", Frontiers in Neurology, Vol.3, pp.1-21, 2012. https://doi.org/10.3389/fneur.2012.00073
  28. K. W. Kim, Research to establish a comprehensive national dementia management plan, Seoul National University, Korea, 2015.
  29. G. Lovheim, P. Sandman, S. Karlsson, Y. Custafson, "Behavioral and psychological symptoms of dementia in relation to level of cognitive impairment", International Psychogeriatrics, Vol.20, No.4, pp.777-789, 2008. DOI: http://doi.org/10.1017/S1041610208006777
  30. E. H.Ha, J. Y. Cho, "Analysis of Knowledge About, Attitude Toward, and Educational Needs for Dementia in Certified Caregivers", The Journal of Korean Academic Society of Nursing Education, Vol.21, No.1, pp.108-118, 2015. DOI: http://dx.doi.org/10.5977/jkasne.2015.21.1.108
  31. S. P.Hirst, C. Blake, A. Lane, "What evidence underlines our practice with Alzheimer's familles?", Geriatic Nursing, Vol.24, No.3, pp.148-151, 2003. DOI: https://doi.org/10.1067/mgn.2003.52
  32. T. Tannazzo, L. Breuer, S. Williams, N. A. Andreoli, "A dementia training program to benefit certified nurse assistant satisfaction and nursing home resident outcomes", Alzheimer's Care Today, Vol.9, No.4, pp.221-229, 2008. DOI: 10.1097/01.ALCAT.0000338653.54284.2c
  33. S.Y.Kim, S.W,Lee, "Differential diagnosis of abdominal pain in old age", Korean journal of internal medicine, Vol.78, No.1, pp.41-44, 2010.
  34. I. S. Koh, Caregivers' Experience with Elderly Residents during an Emergency in Long-Term Care Facilities and Emergency Rooms, Master's thesis, The Graduate School of Chung-Aug University, pp.33-39, 2013.
  35. S.K.Shin, Experience of Health Service Providers related to Long-term Care Residents' Use of the Emergency Room, Ph.D dissertation, Department of Nursing, Graduate School Eulji University, pp.14-19, 2018.
  36. Y. M. Ko, A Study on the Recognition and Performance on Infection Control of Caregivers in Home Visit Care Centers and Aged Care Facilities in I City, Master's thesis, Department of Nursing The Graduate school of Gachon University, pp.18-23, 2014.
  37. S. M. Kim, Factors affecting the length of hospital stay and medical expenses in trauma patients, Master's thesis, The Graduate school of Public Health Seoul National University, pp.59-61, 2019.
  38. G. R. Kim, The Effect of Characteristics of Elderly Care Facilities on the Quality of Long-Term Care Service, Ph.D dissertation, Social welfare Department of the Graduate School of Pyeongtaek University, pp.92-95, 2019.
  39. L. H. Aiken, S. P. Clarke, R.B.Cheung, D.M.Sloane, J.Silber, "Educational levels of hospital nurses and surgical patient mortality", Journal of the American Medical Association, Vol. 290, No.12, pp.1617-1623, 2003. DOI: http://doi.org/10.1001/jama.290.12.1617
  40. M.A.Blegen, "Patient safety in hospital acute care unit", Annual Review of Nursing Research, Vol.24, pp.103-125, 2006. DOI: 10.1891/0739-6686.24.1.103
  41. J.K. Lee, S.N. Jang, "Comparative Study of Formal Education Systems for Long-term Care Workers in Six Countries", The Journal of Long Term Care, Vol.6, No.1, pp.6-30, 2018. DOI: http://doi.org/10.32928/TJLTC.6.1.1
  42. J. M. Lee, "A study on the recognition, knowledge, and self-efficiency of the Basic cardiopulmonary resuscitation of care helpers", The Korean Journal of Emergency Medical Services, Vol.16, No.1, pp.7-18, 2012. https://doi.org/10.14408/KJEMS.2012.16.1.007
  43. G. S. Anderson, M. Gaetz, J. Masse, "First aid skill retention of first responders within the workplace", Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol.19, No.11, 2011. DOI: http://doi.org/10.1186/1757-7241-19-11 2011.
  44. M.H.Youn, Effects of nutrition education methods on dietary knowledge and behavior in diabetic patients, Master's thesis, Graduate School of Public Health Korea University, pp.10-13, 2010.
  45. S. O. Kim, "A Study on the Perception and Emergency Coping Ability of the Elderly in Long-term Care Facilities", Journal of Digital Convergence, Vol.18. No.5, pp.325-336, 2020, DOI: https://doi.org/10.14400/JDC.2020.18.5.325