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Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care
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In Sun Jang, Na Mi Hwang
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Journal of Korean Academy of Nursing 2001;31(4):619-630. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2001.31.4.619
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Abstract
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PURPOSE: The purpose of this study was to analyze the differences in terms of services
and cost between CVA without typical diseases (Group I), and CVA with typical
diseases (Group II), in their Hospital-based home health care.
METHOD: The subjects of this study were 308 CVA patients who used home care
nursing during the second phase demonstration project of their hospital-based home
health care.
Results: The results of the study was as follows
1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05).
2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema,
finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise
(p<0.05).
3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of
consciousness, patient's state on termination of home care, and some extend of home health care services
(R2=0.373, 0.205).
CONCLUSION: Home nursing care needs to be planned by severity in Hospital-based home
health care for CVA patients.
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