Post-Discharge Experiences With Home-based Medical Aid Services Among Medical Aid Recipients: A Hermeneutic Phenomenological Study.

IF 2.9 3区 医学 Q2 NURSING
Asian Nursing Research Pub Date : 2026-10-01 Epub Date: 2026-08-12 DOI:10.1016/j.anr.2026.08.003
Myung Soon Kwon, Moung Ja Kim, Myung Sook Baek, Ji Hye Jang, Yeon Jeong Heo
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Abstract

Purpose: The aim of this study was to explore the lived postdischarge experiences of medical aid recipients who received home-based medical aid services in Gangwon Province, South Korea, with particular attention to how they made sense of the transition from hospital to home and the meaning of service support in their everyday lives.

Methods: A hermeneutic phenomenological design was used. Twelve medical aid recipients in Gangwon Province, South Korea, who had been discharged and received home-based services for at least 3 months, were purposively recruited. One or two semistructured interviews were conducted with each participant, recorded, transcribed verbatim, and analyzed using interpretative phenomenological analysis.

Results: Analysis identified six themes as follows: (1) seeking survival in unfamiliar daily life after discharge and re-experiencing one's existence; (2) restoring autonomy and achieving physical independence through home-based medical aid services; (3) re-experiencing the warmth of relationships and recognition of existence through care; (4) repeated disconnection and the re-encounter with the sense of being "alone"; (5) longing for continuity and stability in care; and (6) accepting changed life and reframing the self and the system.

Conclusion: Home-based medical aid services helped vulnerable medical aid recipients sustain life at home by supporting daily independence, emotional reassurance, relational recognition, and participants' perceptions of quality of life. Nurses and case managers are central to ensuring continuity and stability of care, emphasizing the need for community-integrated approaches to reduce disparities and sustain life at home.

医疗救助受助人的出院后家庭医疗救助服务经验:解释学现象学研究。
目的:本研究旨在探讨韩国江原道接受居家医疗救助服务的医疗救助受助者出院后的生活经历,特别关注他们如何理解从医院到家庭的过渡以及服务支持在日常生活中的意义。方法:采用解释学现象学设计。有目的地招募了韩国江原道的12名医疗援助受助人,他们已经出院并接受了至少三个月的家庭服务。对每位参与者进行一次或两次半结构化访谈,记录,逐字转录,并使用解释性现象学分析进行分析。结果:分析确定了六个主题:(1)出院后在陌生的日常生活中寻求生存,重新体验自己的存在;(2)通过家庭医疗援助服务恢复自主和实现身体独立;(3)通过关爱重新体验人际关系的温暖和对存在的认可;(4)反复断裂,重新遭遇“孤独”感;(5)渴望护理的连续性和稳定性;(6)接受改变了的生活,重构自我和系统。结论:以家庭为基础的医疗援助服务通过支持日常独立性、情感安慰、关系认知和参与者对生活质量的感知来帮助弱势医疗援助受助人维持家庭生活。护士和病例管理人员对确保护理的连续性和稳定性至关重要,强调需要采取社区综合办法来减少差距和维持家庭生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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