Abstract
Purpose : This was a qualitative descriptive study aimed to describe the expert home visiting nurse's support for the patient with tracheotomy intermittent positive pressure ventilation to live at home. Method : This study was qualitative descriptive study. The participants of this study were seven home visiting nurses who had more than four years experience of home care. A semi-structured interview was conducted with the participants about the daily support and the meaning of the support for the patient. Result : Ten core categories of the expert home visiting nurse's support for the home patient with tracheotomy intermittent positive pressure ventilation to live at home were extracted : (1)【assessment of the signal of the body】, (2)【respiratory care team building and adjustment】, (3)【understanding the care giver as a person】, (4)【relief from body and pain of immobility】, (5)【respect identity of home patient and families】, (6)【decision-making support in anticipation of losing function】, (7)【maintenance of relationships of home patient and families】, (8) 【easing conflict accompanying with ventilator】, (9)【getting along with patient】, (10)【realization of patient identity】. Conclusion : In this study of the role of the home visiting nurse for the patient with tracheotomy intermittent positive pressure ventilation, what was considered to be important was the educational role for care systems, decision-making support and Adjustment between families for patients and families.
