Investigation of the Effect of Level of Family Needs Coverage that Nursing Care Given to Family with Disabled Children

Öz

Objective: The purposes of this study are to evaluate disabled children and their parents in an integrated manner, to determine the needs and to examine the effect of nursing care services on meeting the family needs.  Method: The study was planned as quasi-experimental. The target population of the study consisted of disabled children between 0 and 18 years of age and their parents who have been registered to the homecare service provided by the Child and Youth Center Directorate in Gaziantep during January to April 2012. The sample group of the study consists of 30 mentally/physically/hearing/visually disabled children who were selected by the simple random sampling method. At least three home visits were made to each family during the study in order to determine the needs of the family and to determine the nursing needs related with these needs, to plan the approaches, apply and evaluate them with at least one month between each visit. Child Description Form, Caregiver and Family Description Form, Family Needs Assessment Tool (FNAT) and Child Diagnosis Form were used during the study. Results: The FNAT total mean score of family was found to be 64.13 ± 9.79 before nursing care and 51.23±7.27 after nursing care.  Conclusion: These results demonstrate the effect of nursing care with home visit in reducing the needs of families with disabled children.

Amaç: Bu araştırma, engelli çocukların ailesine verilen hemşirelik bakımının aile gereksinimini karşılama düzeyine etkisini incelemek amacıyla yapılmıştır. Yöntem: Yarı deneysel olarak planlanmıştır. Araştırmanın evrenini Ocak-Nisan 2012 tarihleri arasında Gaziantep ilinde bulunan Sosyal Hizmet ve Rehabilitasyon Merkezinin evde bakım hizmetine kayıtlı 0-18 yaş arasındaki engelli çocuklar ve aileleri oluşturmuştur. Araştırmanın örneklemini ise basit rastgele örnekleme yöntemiyle seçilen 30 zihinsel/fiziksel/işitme/görme engelli çocuk ve aileleri oluşturmuştur. Çalışmada ailelerin gereksinimlerini belirlemek ve belirlenen gereksinimlere göre hemşirelik girişimleri planlamak, uygulamak ve değerlendirmek için her aileye ziyaretler arasında en az bir ay süre bırakılarak, en az üç kez ev ziyaretleri yapılmıştır. Araştırmada "Çocuk Tanıtım Formu", "Aile Tanıtım Formu", "Aile Gereksinimlerini Belirleme Aracı (AGBA)" ve "Hasta Çocuk Tanılama Formu" kullanılmıştır. Bulgular: Hemşirelik bakımı öncesi ailelerin AGBA toplam puan ortalaması 64.13±9.79 iken hemşirelik bakımı sonrası 51.23±7.27 olduğu saptanmıştır. Sonuç: Bu sonuçlar, engelli çocuklar ve ailelerine ev ziyaretleri ile verilen hemşirelik bakımının ailelerin gereksinimlerini azaltmada etkili olduğunu göstermektedir.

Anahtar Kelimeler

• Children with disability,nursing care,family needs

Kaynakça

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