노인요양시설 거주노인 자아통합감 관리: Walker와 Avant에 의한 개념분석

Abstract

Purpose: The aim of this study was to analysis the concept of ego-integrity management in nursing homes residents. Methods: Walker and Avant’s process of concept analysis was used in this study. Results: The defining attributes of the concept of ego-integrity management within nursing home residents included (a) overall process in life assessment of residents, (b) quality assessment of the relationship of residents with people around them, (c) inducing transcendental recognition in the residents and (d) use of the remaining psycho-social functional ability of the residents. In consideration of these defining criteria, antecedents to the concept of ego-integrity management include (a) longer period of stay in the nursing home, (b) expanding the role of nurses in long-term care laws, (c) emphasizing positive aspects and recognizing the need to increase the quality of life of elders, (d) close relationship between nurses and residents: psycho-social adjustment management. Consequences include a marked improvement in the quality of life of elder residents, decreased depression, reduced problem behavior, gerotranscendence, and a positive relationship to people around them including nurses. Conclusion: Nursing management in these homes to maintain residents’ ego-integrity includes evaluation of residents’ ego-integrity through objective observation, as well as planning appropriate interventions as needed.