Abstract
The purpose of this study was to explore home care nursing intervention for clients requiring prevention of aspiration pneumonia. Data were collected through semi-structured interviews by 13 home care nurses and analyzed referring to the Grounded Theory Approach. The core intervention of home care nursing was to provide integrated care for control of the risk of aspiration pneumonia, the life clients wish to lead, and continuance of preventive care. To achieve this core intervention, nurses provided 4 types of intervention: 1) To control the risk of aspiration pneumonia, nurses always judged the risk of pneumonia from clients' physical conditions, lifestyle and family caregivers' ability to care. Depending on these conditions, nurses helped clients to improve their physical function or compensated for the lack of caregivers' ability. 2) Nurses helped clients lead the most fulfilling lives. 3) Nurses promoted convenience and efficiency in various preventive cares that clients need. This led caregivers and nurses to provide preventive care more easily and continue it longer. 4) Nurses tried to find the most practical methods to achieve the above-stated 3 types of intervention. This can be accomplished by evaluating the effectiveness of care and accurately judging the risk of pneumonia. In conclusion, for clients requiring prevention of aspiration pneumonia, home care nurses simultaneously controlled the risk of pneumonia, helped clients lead fulfilling lives and promoted convenience and efficiency in preventive care by finding the most practical methods to provide care.
