ABSTRACT
Introduction: In order to Implement the Mongolian government's 2000 provisions for national health care, on May 28,2004, the Health Minister approved the "Home Care Nursing Service and Rules for Caring and Nursing" according to resolution # 136 and indicated that family clinic nurses should provide home care nursing services [6'71. Interestingly, it is noted that throughout the world, nursing home services have not been limited to family clinic nurses but are being delivered by nurses with diverse areas of specialization.Goal: Purpose of the study is to determine needs for making home nursing services to the population in some province and soum.Objectives:1. To comparatively search needs for providing home nursing services to citizens in the province and soum which were involved to the study.2. To determine nursing type which is required at home3. To develop needs of nurses who make home nursing servicesMaterials and Methods: Conducted studies among the 1109 people from the 520 families in 17 soums of five provinces such as Orkhon, Bulgan, Arkhangai, Khuvsgul and Selenge. We have chosen the clients with anamnesis who are repeatedly served and treated at the hospital for our study and had interviews with them. Questionnaire for citizens consists of 2 basic chapters including 17 questions which determine demographic information and needs of home nursing services. We asked and searched about needs of Home Care Nursing assistances under the 3 basic groups such as General nursing, Treatment nursing and Specialized nursing. After inserting study data into the SPSS-17 program, checked it by appropriate statistical methods (t, x2, fisher exact) and checked if difference between groups and relations has statistical truth.Results: 35.89 percent of clients who got involved to the study answered that they are interested in taking nursing and caring services at home. Also we consider needs for having home nursing at home according to numerical indexes in the provinces involved to the study, clients mostly want to be injected by intramuscular (25.88%), intravenous (31.02%) and IV fluid (30.57%). As we consider specialized nursing assistances at home under the types of needs, health education and assistance for people suffered with hemorrhage and injured people occupy major percent. Clients who got involved to the training, were asked question "With whom do you want to be made nursing assistance at home?" and 75.6% of them answered that they prefer nurses of family clinic.Conclusions:1. It was observed that 35.89% of clients who got involved to the survey, want to receive home nursing assistance and demands for home nursing is being increased with aging.2. Also we conclude that nursing after hemorrhage, nursing for injured patients and nursing for patients with cardiovascular disease occupies higher percent and it shows that percent of cardiovascular diseases and injuries is relatively high and clients' needs to receive nursing assistance at home are faced problems after they were discharged from hospital.3. 75.6% of people who got involved to the study are interested in taking home nursing assistance and we reached to conclusion that it is suitable to train nurses according to it.
ABSTRACT
Introduction: Today, Health care nursing is dominating only at the hospital but it is deficient at home. Family doctors and nurses actively move around families and receive home calls at the clinic, make assistances but services to prevent from illness, to issue health education and to provide home health care nursing, can’t provide current requirements. Thus, we have chosen this title in order to evaluate health status of citizens who are living in the some district of Ulaanbaatar city and to define demands of home health care nursing.Goal: To search population health who are being served at the some Family Clinic and home health care nursing in Ulaanbaatar city.Оbjectives:1. To make compared research to health status of families which are living in apartments and ger districts.2. To identify faced problems to population health status3. To define needs of people who want home health care nursingMaterials and Methods: We used descriptive model in our research work. We included total 670 people from 156 families which are served of Ulaanbaatar city. We used SPSS 17 software to the processing. Results: 1178 residents of 266 households live in the territory of Songinokhairkhan district, 7th khoroo, and Chingeltei district are studied in our survey. 21% of them stand for 21-30 years old and a minimum amount or 2% of them stand for the people aged more than 71 years old only. 11.7% of all people who included to the research needs to get home health care nursing. Also we considered illnesses of people who have home cares and 1% has gastric ulcer, 6% have paralysis due to hemorrhage in the brain, 1% have cardiovascular disease and 1% has tumor. 28 families or 16.5% offered to move around families to examine aged people, infants and cases, 12.2% offered to give an advice about preventing from illness. 5,7% offered to provide home health care nursing to people who have grave illness and to promptly arrive on home calls.Conclusions:1. 45.5% of families who live in apartments and 70%of families who live in ger districts considered that they have problems in relation to health during the one year and hence 85% of them feel respiratory diseases and it is related to air pollution near to the city.2. The people who live in the ger districts and apartments hypertension and cardiovascular diseases are occupying major percent and it is attracted our attentions.3. 11.7% of families who live in ger districts at our research, need to get home health care nursing. Also we searched knowledge level of nurses for people who have home health care and 87.6% evaluated that they have medium or less knowledge.