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Mission and Vision

  • Mission

    Creating a world where persons with disabilities live healthy and happy lives through rehabilitation nursing

  • Vision
    • Nursing for persons with disabilities that is based on consideration and respect
    • Nursing that gains trust through professional rehabilitation nursing
    • Nursing that leads the future of rehabilitation through education and research

Tasks of the Department of Nursing

Nursing administration, education and research: Administrative work of the Department of Nursing, education provided by the Department of Nursing, clinical practice education of nursing students, rehabilitation nursing research, and development and execution of rehabilitation nursing intervention programs

  1. 1 Nursing for Inpatients (Main Building 3F-5F, New Building 3F): Rehabilitation nursing for brain lesion patients (Main Building 3F-4F, New Building 3F), rehabilitation nursing for spinal cord injury patients (Main Building 5F), rehabilitation nursing for pediatric patients (Main Building 3F)
  2. 2 Operation of the Comprehensive Nursing Service Ward (New Building 4F): Nursing and care services are provided by nursing personnel, without guardians and caregivers
  3. 3 Nursing for outpatients: Nursing that involves providing consideration and respect for new (returning) patients and guardians, pain clinic, special exams, etc
  4. 4 Operation of the Central Supply Room: Supplies diverse medical equipment and medical consumables, handles hospital infection control through cleaning, disinfection, and sterilization

Operation of the Comprehensive Nursing Service Ward

The comprehensive nursing care service is a system where the hospital’s dedicated nursing staff members take care of patients 24 hours a day, without privately-employed caregivers or guardians. This system helps patients and their families relieve themselves of the burden of nursing to return to their work and family life, and eases the financial burden from hiring caregivers. The National Rehabilitation Center has been operating the Comprehensive Nursing Care Service Ward since February 2019.

Rehabilitation Nursing Intervention Programs

1. Morning exercise

A morning exercise is carried out in all wards for inpatients in accordance with ward patient characteristics. This exercise promotes blood circulation and helps patients begin a lively day through stretching, joint movement, laughter therapy, and various exercises that can help with swallowing and breathing.

2. Respiration management

The Department provides pulmonary rehabilitation nursing using various methods to maintain respiratory functions of persons who require pulmonary rehabilitation, minimize respiratory disease through effective coughing and phlegm discharge, and prevent complications from respiratory disturbance. There are methods that help with inspiration movement, such as lip-pursing, deep breathing exercise, and inspirometer. There are various methods for coughing exercise, including air stacking exercise, self-assisted coughing, postural drainage, percussion and vibration, manual assisted cough, and mechanical cough assist.

3. Swallowing disorder management

For dysphagia patients who have difficulty eating food with their mouths and swallowing the food, the Department provides nursing that improves the swallowing function, maintains appropriate nutrition, and prevents the risk of suffocation and complications. The Department adopts various methods, including the method of inducing swallowing by using an ice spoon before a meal to repeatedly give cold stimulation to the anterior faucial arch inside the mouth, the method of helping with swallowing by adjusting a patient’s position while having a meal, the method of reducing suction by adjusting food size and viscosity to make it appropriate for swallowing, and the method of increasing the scope of diverse swallowing muscle-strengthening exercise as well as muscular strength.

4. Pressure injury management

Tissue damage occurs to stroke patients with motor abnormality and sensory disturbance, such as tetraplegia and paraplegia, spinal cord injury patients, and blood circulation disorder patients. Regular position changes and meticulous, regular skin observations are important for pressure injury prevention. The Department uses pressure injury-preventing sitting cushions and mattresses, and also observes whether there are any pressurized parts when patients wear assistive devices.
In case of the onset of pressure injury, the Department chooses a product that is suitable for a patient’s conditions and characteristics, and provides treatment using the best methods.

5. Bladder management

When patients have neurogenic bladder symptoms, such as incontinence, urinary frequency, and ischuria, due to brain damage or spinal cord injury, the Department provides bladder management and rehabilitation nursing to maintain vesical functions to prevent bladder hyperinflation and to prevent urological complications. Education is provided on Clean Intermittent Catheterization (CIC), which empties the bladder using a catheter regularly. Education is also offered so that optimal bladder conditions can be maintained through foley catheter management, adequate fluid intake, regular emptying of the bladder, and check of the amount of residual urine.

6. Bowel management

Neurogenic bowel causes reduced bowel movement, resulting in stool hardness (solidification) and difficulty in defecation timing control. This, in turn, leads to psychological withdrawal. For this reason, there is a need to understand enteroplegia and bowel training. Excessive constipation and diarrhea can be prevented through regular meals, appropriate exercise, appropriate fluid intake, appropriate food consumption, development of a regular defecation habit, and bowel training that can replace defecation control of the rectum and anus. By using such methods as digital rectal stimulation, abdominal massage, position and defecation timing, suppository use, and drug therapy, skin damage and discomfort caused by fecal incontinence is reduced and systemic health conditions are maintained.

7. Group education

Professional knowledge-based rehabilitation nursing education is regularly provided to hospitalized patients and guardians so that they can recognize and resolve issues, such as illness-related defecation, urination, swallowing, breathing, posture, and maintenance of posture.

Education is also offered on diabetes, hypertension, bedsore prevention, and hand sanitation, which should be generally managed. Efforts are made for patients to remain healthy, and maintain conditions that enable them to receive optimal rehabilitation therapy for early reintegration into society.

8. Self-help Program for Inpatients

People with the same issue share their pain and information through self-help gatherings, which help ease symptoms and treat patients and also develop self-efficacy and confidence among patients. The self-help program is a gathering that is intended to enhance patients’ quality of life by improving self-management capabilities, and is led by a nurse.

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