• 제목/요약/키워드: 간병

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성인병 신문 제297호

  • 한국만성질환관리협회
    • 월간성인병
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    • 297호
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    • pp.1-18
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    • 2005
  • 국민보건은 우리에게 맡겨라/한국에‘세계줄기세포허브’개설/치매.중풍 노인들 간병 수발 문제 해결/조류독감 겁낼 필요없다/보건복지부 조직 전면 개편/임상노인의학회장에 유동준 회장 취임/희귀.난치성 질환 보험급여 대폭 확대/국립암센터, ‘세계최고’비전 제시/경기도립의료원, 서민병원으로 탈바꿈/감압치료 디스크탈출증에"탁월"/희망과 건강이 함께 하는 도시/현실성 있는 보건사업 전략 효율적 수행/고혈압의 예방 및 치료/‘금연’도 의학적 접근 필요하다/

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친환경 사업으로 자활의 꿈을 이루어 나갑니다-음성자활후견기관 스팀세차 사업

  • 한국사회복지사협회
    • Social Workers
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    • 4호통권36호
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    • pp.44-45
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    • 2005
  • 음성자활후견기관(관장 김영옥)은 2001년 12월 31일 보건복지부로부터 지정받아 근로능력이 있는 지역 저소득 주민에게 자활의욕을 고취시키고 기술능력을 향상시켜 일자리를 제공하여 자활 자립을 도와주는 복지 기관입니다. 음성자활후견기관에서는 현재 재활용 사업, 간병사업, 세차사업, 무료 화장실전문청소사업, 양봉사업, 모아자원공동체, 그린건축 공동체 사업단으로 나누어 사업을 실시하고 있습니다.

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근위축성측삭경화증 환자를 돌보는 가족의 우울과 간병 부담감 (Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis)

  • 오주연;안지원;오기욱;오성일;김정아;김승현;이정섭
    • 대한간호학회지
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    • 제45권2호
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    • pp.202-210
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    • 2015
  • Purpose: The purpose of this study was to describe depression, caregiving burden and the correlation of the two variables in the families of patients with amyotrophic lateral sclerosis (ALS) and to clarify factors predicting caregiving burden. Methods: A descriptive and cross-sectional study was conducted with 139 family members who provided care to patients with ALS. The characteristics of patients and families, Korean-Beck Depression Inventory (K-BDI), Korean version of Zarit Burden Interview (K-ZBI) and Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (K-ALSFRS-R) were used as study measures. Results: The mean score for K-BDI was 19.39 out of 63 suggesting sub-clinical depression and 38.2% of the family members exhibited depression. The mean score for K-ZBI was 66.03 out of 88. The predictors for K-ZBI were K-BDI, age of family member, length of time spent per day in caring, relationship to patient and K-ALSFRS-R. Conclusion: The results of this study suggest that levels of depression and caregiving burden are high among family members caring for patients with ALS. As depression is associated with caregiving burden, screening and emotional supports should be provided to reduce the burden of care for these family. Support programs to alleviate the care burden are also needed, considering family demographics, time per day in caring giving and K-ALSFRS-R.

노인장기요양보험의 보험수리적 분석 (Actuarial Analyses of Long Term Care Insurance for the Elderly in Korea)

  • 권혁성
    • 응용통계연구
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    • 제26권5호
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    • pp.725-736
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    • 2013
  • 최근 노년기의 삶에 대비하기 위한 은퇴자금 마련이 중요한 개인적, 사회적 문제로 부각되고 있다. 특히, 앞으로 노년인구의 비율이 지속적으로 상승할 것이라는 전망과 더불어 이러한 개인의 재무설계 및 그와 관련한 리스크와 관련한 문제는 그 중요성이 날로 커질 것이다. 노년기의 질병에 따른 의료비 지출은 특히 재무적인 리스크와 밀접한 관련이 있는데, 유병 기간이 상대적으로 긴 질병의 경우에는 수발비용을 포함한 장기적인 의료비 지출로 인하여 재무적인 위험을 증가시키고 노년기의 삶의 질을 크게 떨어뜨릴 수 있다. 따라서, 각 개인이 장기적인 비용 지출을 요하는 질병에 대하여 예상되는 비용의 규모를 파악하고 이를 사전에 대비할 수 있는 방안을 모색하는 것이 필요하다. 본 연구에서는 노인장기요양보험의 실적 자료와 다중상태모형을 토대로, 노년기에 노인장기요양보험을 통하여 장기요양보호가 필요한 기간과 이에 따른 비용 규모의 추정을 통하여, 각 개인이 장기간병을 위해 준비해야 하는 필요금액을 도출하여 보았다.

간호간병 통합서비스 간호업무에 대한 간호대학생의 인식 (Perception on Nursing Practice of Total Care Service in Nursing Students)

  • 조미경;구병철;김가란;천홍섭;이지영;이환희;조아라;황가람;강신후;오지현;진현아
    • Perspectives in Nursing Science
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    • 제14권2호
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    • pp.70-80
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    • 2017
  • Purpose: This study aims to identify the factors that affect the expected frequency of performance and the importance in nursing practice of total care service recognized by nursing college students. Methods: This is a descriptive study. A self-administered questionnaire survey was conducted on 288 nursing students of E university and data was collected and analyzed using the SPSS program. Results: The average scores for the expected frequency of performance and the importance in nursing practice of total care service were $4.07{\pm}0.58$ and $4.00{\pm}0.50$ respectively. The expected frequency of performance was found to have a significantly positive correlation with the importance in nursing practice. Additionally, the factors that influenced the degree of recognition in the expected frequency of performance and the importance in nursing practice of total care service among nursing students were comfortable care and respiratory care, respectively. Conclusion: The major finding of this study shows a significantly positive correlation between the expected frequency of performance and the importance in nursing practice. These results suggest that effective and systematic education is needed on factors affecting the expected frequency of performance and the importance in nursing practice for nursing college students.

간호간병통합병동과 일반병동의 간호서비스 만족도와 중요도, 간호 근무환경, 간호사 재직의도 비교 (Comparing Satisfaction and Importance of Nursing Care Nursing Work Environment, Nurse's Intention to Work between Comprehensive Nursing Care Unit and General Nursing Care Unit)

  • 박인숙;김주희;홍희정;김혜선;한인선;이선영
    • 임상간호연구
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    • 제24권1호
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    • pp.34-43
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    • 2018
  • Purpose: This study was aimed to identify the difference in satisfaction and importance of nursing care between patients in comprehensive nursing care unit (CNCU) and general nursing care unit (GNCU). It also confirms the difference between practice environment of nursing work and nurse's intention to work. Methods: Nursing care satisfaction and importance levels were measured from 202 patients. Practice environment of nursing work and nurse's intention to work were measured from 54 nurses. Results: The satisfaction level was higher in the CNCU in comparison to the GNCU (p<.001). There was no significant difference between the importance and satisfaction level of nursing care for patients at the CNCU (p=.973), whereas in the GNCU, patients' satisfaction level was lower than the importance level (p<.001). The score for practice environment for nursing work was higher in the CNCU than in the GNCU (t=3.34, p=.002). The nurse's intention to work in the CNCU was higher than that of the GNCU, but there was no statistically significant difference. Conclusion: Through the survey, the paper suggests that comprehensive nursing care is a service type that satisfies the nursing demand (importance) that patients consider important. Results from nurses showed no significant differences.

뇌졸중 환자 보호자의 SF-8을 이용한 신체건강관련 삶의 질 융복합적 연구 (A Convergent Study of the Physical Related Quality of Life Using SF-8 of Stroke Patient's Caregiver)

  • 김영란;김영일;김민정
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.119-127
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    • 2017
  • 본 연구는 청주시와 대전광역시에 소재한 7개의 종합병원에서 뇌졸중으로 진단받은 입원환자의 보호자 226명을 대상으로 부양부담감 및 우울감과 신체건강관련 삶의 질을 융복합적으로 파악하고자 조사하였다. 삶의 질은 HRQoL의 단축형인 SF-8을 이용하였다. 다중회귀분석 결과, 환자의 일상생활 의존도가 가장 많은 영향을 주었다. 이러한 결과로 볼 때 뇌졸중 환자 보호자의 신체건강관련 삶의 질을 높이기 위해서는 노인 장기 요양 보험제도 및 간병인 제도와 보건복지부에서 실시하고 있는 보호자 없는 병실을 확대 운영하여 보호자의 간병시간을 줄이고, 질환에 대한 교육과 가족지지모임을 통해 회복에 대한 기대를 높일 필요가 있다.

일부 종합병원 간호사들이 경험한 간병인에 대한 연구 (A Study on Occupational Care Diver Though Nurse's Experiences in General Hospitals)

  • 김혜순;김숙영;박미성
    • 지역사회간호학회지
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    • 제5권2호
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    • pp.216-226
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    • 1994
  • This study attempted to analize nurse's experiences about care giver including nurse's recognition of occupational care giver's existence, the helping part of occupational care giver's activities, problems between occupational care giver and nurse, and correlations between reasons of problems and each variable. The subjects of the study are 218 nurses who are working at general hospitals. The study informations gathered by using structured questionnaire which consisted of 38 items. The reliability of the instrument was cronhach's 0.8310. The collected data was analized by spss program for the statistics of percent, t-test, ANOVA, and Pearson's correlation. The study results were as follows : 1. For the nurse's recognition of occupational care giver's existence 70.2% of nurses(153 nurses) who felt occupaitional care giver's existence was helpful. The result showed 2.20 when transfered to score. 2. Occupational care giver's activities which were helpful to nurses were in order of following : simple serving, personal hygiene, companion of talking, room arrangement, and saftey management. 3. Among 10 items of the problems which nurses having experiences with occupational care givers, 4 items were related with nurses directly. 88.4% of the reasons of the problems were due to lack of occupational care giver's eduction. 4. For the relationships of general characteristics and nurse's reason of problems there was the significant difference in the nurse's status and education. There was the significant difference showed in the group of over status of charge nurse and over college education(T=-2.08, P<0.05, T=-2.13, P<0.01) 5. Correlation between nurse's recognition of occupational care giver's existence and the problems between care giver and the nurse revealed weak relationship (r=0.2002, P<0.01). However, correlation between nurse's recognition of occupational care giver's existence and degree of occupational care giver's helping and also relationship of degree of care giver's helping and problems between these two groups were not statistically significant.

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간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발 (Development of Staffing Levels for Nursing Personnel to Provide Inpatients with Integrated Nursing Care)

  • 조성현;송경자;박인숙;김연희;김미순;공다현;유선주;주영수
    • 간호행정학회지
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    • 제23권2호
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    • pp.211-222
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    • 2017
  • Purpose: To develop staffing levels for nursing personnel (registered nurses and nursing assistants) to provide inpatients with integrated nursing care that includes, in addition to professional nursing care, personal care previously provided by patients' families or private caregivers. Methods: A time & motion study was conducted to observe nursing care activities and the time spent by nursing personnel, families, and private caregivers in 10 medical-surgical units. The Korean Patient Classification System-1 (KPCS-1) was used for the nurse manager survey conducted to measure staffing levels and patient needs for nursing care. Results: Current nurse to patient ratios from the time-motion study and the survey study were 1:10 and 1:11, respectively. Time spent in direct patient care by nursing personnel and family/private caregivers was 51 and 130 minutes per day, respectively. Direct nursing care hours correlated with KPCS-1 scores. Nursing personnel to patient ratio required to provide integrated inpatient care ranged from 1:3.9 to 1:6.1 in tertiary hospitals and from 1:4.4 to 1:6.0 in general hospitals. The functional nursing care delivery system had been implemented in 38.5% of the nursing units. Conclusion: Findings indicate that appropriate nurse staffing and efficient nursing care delivery systems are required to provide integrated inpatient nursing care.

앙상블 딥러닝을 이용한 초음파 영상의 간병변증 분류 알고리즘 (Classification Algorithm for Liver Lesions of Ultrasound Images using Ensemble Deep Learning)

  • 조영복
    • 한국인터넷방송통신학회논문지
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    • 제20권4호
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    • pp.101-106
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    • 2020
  • 현재 의료 현장에서 초음파 진단은 과거 청진기와 같다고 할 수 있다. 그러나 초음파의 특성상 검사자의 숙련도에 따라 결과 예측이 불확실하다는 단점을 가진다. 따라서 본 논문에서는 이런 문제를 해결하기 위해 딥러닝 기술을 기반으로 초음파 검사 중 간병변 탐지의 정확도를 높이고자 한다. 제안 논문에서는 CNN 모델과 앙상블 모델을 이용해 병변 분류의 정확도 비교 실험하였다. 실험결과 CNN 모델에서 분류 정확도는 평균 82.33%에서 앙상블모델의 경우 평균 89.9%로 약 7% 높은 것을 확인하였다. 또한 앙상블 모델이 평균 ROC커브에서도 0.97로 CNN모델보다 약 0.4정도 높은 것을 확인하였다.