지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제25권4호
  • /
  • Pages.270-281
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  • 2014
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
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Low-income Elders' Experiences in Using u-Health (Ubiquitous Healthcare) Services

  • 최한나 (서울대학교 간호대학 대학원.대한의학회 연구소) ;
  • 김정은 (서울대학교 간호대학)
  • Choi, Hanna (Graduate School, College of Nursing, Seoul National University.Institute, Korean Academy of Medical Sciences) ;
  • Kim, Jeongeun (College of Nursing, Seoul National University)
  • 투고 : 2014.08.05
  • 심사 : 2014.12.22
  • 발행 : 2014.12.31
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초록

Purpose: The purpose of the study was to understand low-income elders' experiences of community-based u-Health services. Methods: Qualitative data were collected from 11 participants. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis. Results: Three themes and eight sub-themes emerged as a result of analysis. The three main themes were 'recovered confidence and health condition,' 'trial and error in change,' and 'hope.'The eight sub-themes were 'the burden and efforts to overcome it in using bio-signal device,' 'ambivalence due to changing lifestyle,' 'increase of care time, decrease of pressure', 'conflict under environmental constraints,' 'difficulty in prioritizing health management,' 'discouragement in handling new devices,' 'desire not to be a burden to their children-gradual fulfillment of learning needs,' and 'long for broadening coverage range of services.' Conclusion: The findings of this study demonstrate that low-income elders among the participants have different needs in using u-Health services. Therefore, health professionals need to give personalized education to deal with their conflicts and requirements, especially emotional and environmental support in order for them to successfully accept the u-Health services for self-care.

키워드

참고문헌

  1. Statistics Korea. Elderly population survey [Internet]. Seoul: Statistics Korea. 2014. [Cited 2014 August 12] Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.-board?bmode=read&aSeq=330349
  2. Jeong KH, Lee YK, Park BM, Lee SJ, Lee YH, Park JS. Present and prospect for healthcare utilization by older adults. Seoul: Korea Institute for Health & Social Affairs; 2012. Report No.: 2012-47-14.
  3. Im MY, Ryu HS. A study on health service utilization for the low income elderly in Korea. The Journal of Korean Community Nursing. 2001;12(3):589-599.
  4. Kim JK. A health policy for health care vulnerable population. Seoul: National Assembly Research Service; 2012 October. Report No.: 165.
  5. Ministry of Health and Welfare. The third national health promotion plan. Seoul: Ministry of Health and Welfare; 2011 July. Report No.: 1-135200-00285-13.
  6. Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: A systematic review of reviews. International Journal of Medical Informatics. 2010;79(11):736-771. http://dx.doi.org/10.1016/j.ijmedinf.2010.08.006
  7. Ruy SW, Lee JG, Kim KH. Current state of u-Health and its developmental strategies in Korea. Journal of the Medical Association. 2009;52(12):1141-1147. http://dx.doi.org/10.5124/jkma.2009.52.12.1141
  8. Park JS. Introduction of u-health services for health vulnerable population. Seoul: Ministry for Health, Welfare and Family Affairs & Korea Health Industry Development Institute(KHIDI); 2009 September. Report No.: 2009-31.
  9. Song TM, Lee SY, Lee KS, Park DS, Jin DR. U-health: Current status and tasks ahead. Seoul: Korea Institute for Health and Social Affairs; 2011 August. Report No.: 2011-01.
  10. Glassman P, Helgeson M, Kattlove J. Using telehealth technologies to improve oral health for vulnerable and underserved populations. Journal of the California Dental Association. 2012;40(7):579-585.
  11. Gagnon M-P, Lamothe L, Hebert M, Chanliau J, Fortin J-P. Telehomecare for vulnerable populations: The evaluation of new models of care. Telemedicine and e-health. 2006;12(3):324-331. http://dx.doi.org/10.1089/tmj.2006.12.324
  12. Wade V, Eliott J, Karnon J, Elshaug AG. A qualitative study of sustainability and vulnerability in Australian telehealth services. Studies in Health Technology and Informatics. 2010;161:190-201.
  13. Na JY, Yoon YH. Research on the core technologies of network infra providing the home health service at smart home. The Conference of the Architectural Institute of Korea Review-Book. 2011;31(1):221-222.
  14. Lee JE, Yoon YH, Park JA, Kwon YJ. Analysis of apartment design elements for applying the health care service system according to the degree of independence of elderly people. LHI Journal of Land, Housing, and Urban Affairs. 2012;3(2):147-157. https://doi.org/10.5804/LHIJ.2012.3.2.147
  15. Choi HN, Kim JE, Jin M, Lee JS, Kim SW, Jeong SY. Working with low-income elders in Korea: An ethnographical exploration of u-health nurses' experiences. Perspectives in Nursing Science. 2014;11(1):18-29. http://dx.doi.org/10.16952/pns.2014.11.1.18
  16. Ko YS. Need assessment of u-life services for Korean elderly and policy implications. The Conference of the Korean Association for Local Government Studies. 2008;5:165-181.
  17. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. http://dx.doi.org/10.1177/1049732305276687
  18. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  19. Kim JY, Song EE. Health-protective factors of the healthy low-income elderly: A qualitative interview study. Health and Medical Sociology. 2014;36:103-131.
  20. Liu PR, Meng MQ-H, Liu PX, Tong FFL, Chen X. A telemedicine system for remote health and activity monitoring for the elderly. Telemedicine and e-Health. 2006;12(6):622-631. https://doi.org/10.1089/tmj.2006.12.622
  21. Jaana M, Pare G, Sicotte C. Home telemonitoring for respiratory conditions: A systematic review. The American Journal of Managed Care. 2009;15(5):313-320.
  22. Kaminsky E, Rosenqvist U, Holmstrom I. Telenurses' understanding of work: Detective or educator? Journal of Advanced Nursing. 2009;65(2):382-390. https://doi.org/10.1111/j.1365-2648.2008.04877.x
  23. Jeon HO. Influencing factors on self-care in the elderly with essential hypertension. Journal of Korean Academy of Community Health Nursing. 2008;19(1):66-75.
  24. Hsieh H, Tsai CH. An empirical study to explore the adoption of telehealth: Health belief model perspective. Journal of Engineering Science and Technology Review. 2013;6(2):1-5.
  25. Kim JK. Equity in health levels and health care utilization of elderly people in Korea. Social Science Research Review. 2011;27(2):65-87.
  26. Onor ML, Trevisiol M, Urciuoli O, Misan S, Bertossi F, Tirone G, et al. Effectiveness of telecare in elderly populations-a comparison of three settings. Telemedicine and e-Health. 2008;14(2):164-169. http://dx.doi.org/10.1089/tmj.2007.0028
  27. Gabrielian S, Yuan A, Andersen RM, McGuire J, Rubenstein L, Sapir N, et al. Chronic disease management for recently homeless veterans: A clinical practice improvement program to apply home telehealth technology to a vulnerable population. Medical Care. 2013;51(3 Suppl 1):S44-51. http://dx.doi.org/10.1097/MLR.0b013e31827808f6

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