• Title/Summary/Keyword: 건강돌봄이

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The Relationship Between Family Related Variables and Program in Healthy Family Support Business (가족관련 변인과 건강가족지원사업 프로그램의 관계)

  • Lee, Hyoung-Ha
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.1
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    • pp.167-175
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    • 2013
  • This study set out from the perception that one should develop and activate differentiated programs from those 5 programs of the Health Family Support Center (family counseling program, family education support project, family affinity culture support project, care support project, diversity family support project) on the subjects (n=299) of residents in G metropolitan city by reflecting the levels of family values, communication between family members and family relationship. To achieve the study purposes above, this study devised research questions as follows: Research question 1. What are the levels of local residents for their family values, communication between family members and family relationship? Research question 2. Is there any difference in demanding family support project programs according to the local residents' family values, communication between family members and family relationship? Following are the results of this study: First, the levels were analyzed to be more than the average (on a maximum scale of 5 points) with local residents' family values (M=3.55, S.D.=.664), communication between family members (M=3.65, S.D.=.669), family relationship (M=3.69 S.D=.584) Second, the necessity levels for family values, communication between family members and family relationship of the group below the average as compared with the group over the average was found to be significantly high in family education support project, family affinity culture support project, care support project and diversity family support project except family counseling program. Accordingly, strategic plans for increasing the participation rate for the programs by the Health Family Support Center and activating those programs could be by investigating in advance the levels of family values, communication between family members and family relationship by each program respectively and differentiating the target level for the program by the group, or by giving preference to the group below the average who have high needs of program necessity when making decisions for the participation preference of the programs.

Reseach on Transcultural Nursing (횡문화 간호에 관한 연구)

  • Shin, Kyng-Rim
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.454-463
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    • 1992
  • 세계가 일일 생활권화 됨과 더불어 국제교류가 활발해지므로써 횡문화 간호 연구는 전문직 간호(Professional Nursing)에 있어서 매우 중요한 부분을 차지하고 있음을 많은 문헌을 통해서 알 수 있다(Brink, 1976 : Leininger, 1977 : Roberston & Boyle, 1987). 횡문화 간호연구는 서로 다른 문화적 배경을 가진 사람들을 잘 이해하고 그들의 건강을 돌봄에 있어서 더욱 효과적이고, 안전한 간호를 할 수 있을 뿐만 아니라 간호이론 개발, 간호모형(Model) 개발에 있어서도 매우 중요한 역할을 한다고 믿는다. 본 연구는 1984년에서 1987년 사이에 전문적 간호연구지에 실린 10편의 횡문화 간호연구와 관련된 논문들을 발췌하여 간호지식체의 본질적인 과정인 비판적 문헌고찰을 통해 각 논문들을 비교 분석 한 것으로써, 미래의 간호연구를 위한 간호실무, 간호교육, 간호연구 방법 및 간호 행정면에서 그 적용성을 높여줄 것이다. 비판적 문헌고찰을 위한 기준은 Burns와 Grove(1987)의 방법을 참고하여 아래와 같이 선정하였다. 1. 분석대상 : 목적, 가설 진술, 문헌고찰, 표본조사, 방법론적 논점, 결과 해석 2. 이론적 틀의 유도 흑은 통합 3. 발전적인 간호수행을 위한 중요성, 적용성 및 제언 이상의 내용으로 비교 분석을 해본 결과 1984년에서 1987년 사이에 발표된 횡문화 간호에 관한 논문들의 주제는 주로 여성을 대상으로 한 건강돌봄, 자가간호, 건강신념, 수유, 임신 그리고 간호사와 소수민족 노인과의 의사소통 양상 등으로 나누어 볼 수 있었다. 이론적 틀은 주로 사회학, 정신심리학, 인류학 이론으로부터 도출되었고, 오직 두 편만이 간호 이른에 틀을 둔 것으로 나타났다. 1. 10개의 논문의 가설과 목적의 분석에 있어서 4편의 논문은 목적과 가설이 구체적으로 진술되어 있었고, 나머지 6편은 목적이 전반적으로 진술되어 있었으며 가설도 구체적이지 않았다. 이러한 제한점은 각 논문의 연구자가 문헌고찰을 충분히 하지 못하고 단지 수편의 논문만을 제시 한 데서 비롯되었다고 분석 해 볼 수 있겠다. 2. 문헌고찰 부분에서는 각각의 연구주제를 지지해줄 수 있는 문헌들이 충분히 고찰되지 못하였고, 이론적배경 또한 횡문화 이론과의 관련성이 적었다. 또한 횡 문화 연구에 기초가 되는 연구대상자의 사회 인구학적 특성과 역사적 배경은 잘 나타났으나, 이론적 연구와 경험적 연구 간에 괴리가 있었다. 3. 표본추출방법은 문화에 기반을 둔 대상자를 선정한다는 점에서 한계성 이 있었다. 4. 방법론적 이유로는 대상자와의 면담시간이 구체적으로 기술되지 않았으며, 고유한 언어를 통역하는 과정에서 의미론적 문제에 대한 고려가 부족하였다. 면접과 기록과정에서 보면 자료의 기록과정과 분류 및 분석과정이 명시되어 있지 않았다. 참여관찰과 면접방법을 사용시 이에 대한 자세한 기술이 되어 있지 않았다. 5. 연구결과의 적용 및 이에 대한 논의는 상당히 제한되어 있었는데, 수편의 연구만이 방법론 문제점과 앞으로의 연구분야에 대한 전망을 제시하였으며, 특이한 것은 어 떤 연구자도 이른 개발을 위한 적용 및 임상실무적 차원에서 간호에 대한 제언을 하지 않았다.

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The factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area (일부 농촌지역 노인돌보미 대상 독거노인의 자살생각 관련요인)

  • Choi, Hee-Young;Ryu, So-Yeon;Kwak, Gwang-Il;Choi, Cheol-Won
    • Journal of agricultural medicine and community health
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    • v.39 no.2
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    • pp.81-93
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    • 2014
  • Objectives: The objective of this study was to identify the factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area. Methods: This study was surveyed 206 the elderly living alone who received the elderly care service in G-gun, Jeollanamdo. The collected data were socio-demographic and health-related characteristics, family support and suicidal ideation. The used methods for statistical analysis were used t-test, analysis of variance, Pearson's correlational analysis and the multiple logistic regression analysis. Results: In univariate analysis, the suicidal ideation of the elderly living alone was statistically significant associated with age, monthly income, sufficiency of sleeping, depression, stress, activities of daily living, instrumental activities of daily living, perceived health status and family support. As a result of multiple regression analysis, the associated factors with suicidal ideation were age, depression, stress and the activities of daily living. Conclusions: The suicidal ideation of the elderly living alone in the rural area was associated with age, mental health and independency of living. It will be needed the multidisciplinary approaches to prevent the suicidal ideation and attempts of the elderly living alone.

Study on Factors Affecting Life Satisfaction of the Disabled Seniors (장애노인의 삶의 만족도 영향요인 연구)

  • Kim, Seong Hee
    • 재활복지
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    • v.20 no.3
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    • pp.17-43
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    • 2016
  • This study is on understanding the reality of disabled seniors and investigation of factors that affect overall life satisfaction, making a proposal to improve their life quality. Situation data for the disabled, gathered by Korea Institute for Health and Social Affairs (KIHASA) in 2014, was used to perform the study, and the target group is 3,181 people with disability, above the age of 65. Descriptive statistics was presented for data analysis and logistic regression analysis was performed to investigate factors that affect life satisfaction. It was concluded from the analysis that gender, age, presence of spouse (demographic factors), house income, possession of house, presence of pensioner, registration to public pension plan, social discrimination (social-economical factors), level of disability, subjective health status, level of help needed for daily living, presence of care-giver, sufficiency of help, ability to go out by oneself, difficulty of using public transportations, and presence of medical checkups (disability and health factors.) make meaningful effects to life satisfaction of disabled seniors. Based on the derived results, this study suggests intensive interests and care-giving service for disabled seniors that live alone, institutional complementations to guarantee income security, including public or private pensions, improvements to social recognition and environments for discrimination of the disabled, organization of health and medical treatment service and health care system, comprehensive service provision to social welfare for both the disabled and seniors, and comprehensive service provision to both health care and social welfare.

A Comparative Study on Policies of Elderly Abuse in the Long-Term Care Facilities on WHO, Main countries (장기요양시설내 노인학대 대응정책에 관한 연구: WHO 및 주요국의 정책 비교를 중심으로)

  • Moon, yongpil;Lee, hoyong
    • 한국사회정책
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    • v.24 no.1
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    • pp.67-95
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    • 2017
  • This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.

Predictors of Breastfeeding in Adult Women: a Secondary Data Analysis of The Seventh Korea National Health and Nutrition Examination Survey(KNHANES VII-3), 2018 (성인 여성의 모유수유 예측요인: 국민건강영양조사 제7기 3차년도(2018)의 2차 자료 분석)

  • Seong, Ji-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.440-448
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    • 2020
  • This study was conducted to identify the factors affecting breastfeeding in adult women based on socio-demographic and health-related characteristics using the results of KNHANES VII-3. The data was analyzed by applying weights, using the complex sample analysis method of the SPSS Win 22.0 program. Breastfeeding was influenced significantly by age, education level, and the current smoking status. Women in the age group of 30-39 years had a breastfeeding rate that was 3.06 times higher than 19-29 year old women. Also, the breastfeeding rates for women with an education level under elementary school were 4.70 times higher than those with a college degree or higher education level and non-smokers and ex-smokers had levels 2.51 times higher than smokers. Therefore, for mothers under the age of 30, education on breastfeeding should be further strengthened. For mothers over 40 years old, lactation support to increase the milk supply should be provided as well as assistance toward care for other children in the family. Also, better-educated mothers will need to learn effective breastfeeding methods in limited environments such as work-life, and a social atmosphere needs to be established that is considerate to lactating women. Furthermore, education related to pregnancy and lactation should be provided for use in smoking cessation programs for female smokers.

Caring related to Health in Korea - Ethncgraphy centered Wichon-ri, Kangwon-do - (한국인의 건강과 관련된 돌봄 - 강원도 위촌리 지역민을 중심으로 한 문화기술지 -)

  • 황혜연
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.194-201
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    • 2000
  • The propose of the study is to try to support the practice of caring suitable for our cultural emotion by cognating the meaning of caring related to health which is melted in korean culture. Concrete purposes were as followings; to first, confirm the caring of civilian in Kangwon-do, to secondly search the caring in the traditional culture idea, and to thirdly present the conceptual frame about the caring. The methodology of this research is the ethnography to use the depth interview and the participative observation. The geographical area of this research was in Wichon-ri, Songsan- myon, Study participants were, 6men and 18women, totally 24 persons. Their average age was 72.6 years old. The period of data collection was from January, 1998 to April, 1999, which original data became saturation. Data collection was done after accept allowance of the participants, their stories were recorded in cassettee, by the way of the Spradley analysis was applied and adjusted. The results which was analyized as domain, category and property were as following; First, the category was the life serving other persons, which is the for mind, the benefiting one, the comprehensive one, the respective one, on soon. Second, the category was the controling life, and its property was the moderate mind, that is, vegetables were tried to be fed moderately, pleasantly and comfortable. Thirdly, the category was the eagerness life, and the properties were diligent mind, and mind which accomplished the complete resposibility. Fourth, the category was a happy life, and the properties were positive mind, satisfying one, thankful one, one of their ancestors benefit, and supplicatory one. Fifth, the category was the accepting life, and the properties were the submissive mind, resign one. Sixth, the category was the joint life all together and the properties were the harmonized mind, and the mutual helping one. Seventh, the category was the ruling life, and the properties were the pure mind, the ones which controls the body, the mind, the nature; which could surely confirmed the source of the life that lived with the nature, the native idea of our people. Eighth, the category was the retaining life, and the properties were the inherits the native custom, and the one that keep public morals. According to the result of examining the caring in ethnography, the general caring was performed the conceptual frame about the caring which is related to health was found in the principle of consideration, harmony, compliance, and transcendence.

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Development and Efficacy Validation of an ICF-Based Chatbot System to Enhance Community Participation of Elderly Individuals with Mild Dementia in South Korea (우리나라 경도 치매 노인의 지역사회 참여 증진을 위한 ICF 기반 Decision Tree for Chatbot 시스템 개발과 효과성 검증)

  • Haewon Byeon
    • Journal of Advanced Technology Convergence
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    • v.3 no.3
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    • pp.17-27
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    • 2024
  • This study focuses on the development and evaluation of a chatbot system based on the International Classification of Functioning, Disability, and Health (ICF) framework to enhance community participation among elderly individuals with mild dementia in South Korea. The study involved 12 elderly participants who were living alone and had been diagnosed with mild dementia, along with 15 caregivers who were actively involved in their daily care. The development process included a comprehensive needs assessment, system design, content creation, natural language processing using Transformer Attention Algorithm, and usability testing. The chatbot is designed to offer personalized activity recommendations, reminders, and information that support physical, social, and cognitive engagement. Usability testing revealed high levels of user satisfaction and perceived usefulness, with significant improvements in community activities and social interactions. Quantitative analysis showed a 92% increase in weekly community activities and an 84% increase in social interactions. Qualitative feedback highlighted the chatbot's user-friendly interface, relevance of suggested activities, and its role in reducing caregiver burden. The study demonstrates that an ICF-based chatbot system can effectively promote community participation and improve the quality of life for elderly individuals with mild dementia. Future research should focus on refining the system and evaluating its long-term impact.

Factors Affecting Fear of Dementia of Aged in the Community (지역사회 거주 노인의 치매두려움에 미치는 영향 요인)

  • Kim, Min Suk;Kim, Jeong Sun
    • 한국노년학
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    • v.40 no.1
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    • pp.179-196
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    • 2020
  • The purpose of this study was to identify the factors impacting fear of dementia, targeting the aged in the community. The study targeted 258 seniors aged 65 or older attending the senior college or using the senior citizen community center in areas of Jeollannam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and a stepwise multiple linear regression. Fear of dementia of the aged showed significant positive correlations with dementia anxiety, and aged anxiety. dementia anxiety, aged anxiety, dementia experience, use of a hearing aid, religion, level of dementia interest were significant predictors influencing fear of dementia of aged in the community, and these variables accounted for 37.2% of the variance. Therefore, this study suggests that in order to p revent fear of dementia of aged people in the primary health care setting, it is necessary to have a nurse's assessment on the factors affecting dementia as well as a multi-faceted education strategy for proper recognition of dementia.

Factors Affecting the Conflict between Grandparents Raising Grandchildren and Adult Children: Focusing on Grandparents' Characteristics (손자녀 양육 조부모와 자녀와의 갈등에 영향을 미치는 요인: 조부모의 특성을 중심으로)

  • Kim, Mee-hye;Seong, Ki-ok;Paeng, Kyoung-hee;Choi, Hee-jin;Choi, So-young
    • 한국노년학
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    • v.31 no.4
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    • pp.905-923
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    • 2011
  • The purpose of this study is to examine factors affecting the conflict between grandparents raising grandchildren and adult children. The data were based on the panel survey to explore korean retirement and income study conducted by National Pension Service in 2009. For this study, 287 parenting grandparents rearing grandchild are selected from the survey. Included variables are a demographic factor, a economic factor, a caregiving-related factor, a health factor, and a family relationship factor. The data were analyzed using descriptive statistics, t-test, co-relation and logistic regression, with SPSS WIN 18.0 program. The results are as follows: First, when grandparents are male, older, highly educated, having no religion, and unemployed, a conflict with their adult children grows. Second, when grandparents do not have earned income or financial income, but have private income transfers, a conflict with their adult children is high. Third, when grandchildren are younger, there are no caregiving rewards, economic activities suspension or reduction because of caregiving, a conflict with their adult children is strong. Also, when grandparents' physical health is good, but their mental health is poor, a conflict with their adult children increases. Fourth, when grandparents' satisfactions with family relationship and spouse relationship are low, but their satisfaction with adult children relationship is high, a conflict with their adult children rises. This study suggests that unlike in the past, grandparents raising grandchildren can no longer make sacrifice themselves for their adult children, but they expect proper exchange between parents and children. Therefore, there needs to be understanding of grandparents raising grandchildren and further studies of a conflict between grandparents raising grandchildren their adult children.