• Title/Summary/Keyword: 자가간호프로그램

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A Study on the Relationship of Infection Control Performance in a Long Term Care Hospital Caregivers (일개 지역 요양병원 간병인의 감염관리수행도 관련성 연구)

  • Hong, Na-Kyung;Kang, Kyung-Ja
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.187-198
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    • 2020
  • The purpose of the study is to investigate infection management status of long term care hospitals and infection prevention knowledge of caregivers. This is descriptive study to investigate the factors affecting caregivers' infection control performance in long term care hospitals. The data collection period was from August, 2018, and a total of 197 caregivers from 8 long term care hospitals. The data analysis were done Win SPSS 20.0 with t-test, ANOVA, pearson's correlation coefficient, and hierarchical multiple regression analysis. Infection prevention knowledge was positively correlated with infection control performance (p=<.001). The factors influencing performance in a long term care hospital caregivers were over seventy years old (t=2.50, p=.013), eight-hour working time (t=-2.62, p=.010), nursing staffing First grades (t=2.48, p=.014), and infection prevention knowledge (t=2.96 p=.003), which explained 12.9% (F=6.70 p<.001). In summary, we recommend to develop infection education interventions to improve caregivers' infection control performance in long term care hospitals and to improve of the function in long term care hospitals.

A Study on Knowledge, Attitude and Needs of Preventive Education related to Dementia in Adults (성인의 치매지식, 태도, 예방교육 요구도)

  • Park, Sun-Nam;Lim, Hee-Su
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.347-356
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    • 2020
  • The purpose of this study was to examine the knowledge, attitudes and needs of preventive education for dementia in adults and provide them as basic data for developing nursing intervention strategies and preventive education programs for preventing dementia in adults. It collected data from 127 adults living in Seoul who agreed to the study and data were collected through personal interviews using a questionnaire. The level of dementia knowledge was high at 8.17, while the level of dementia attitude was high at 7.14, the need for dementia education was 4.56. The need for dementia preventive education was significant difference in the level of education, and the degree of interest in dementia preventive education showed a significant difference in the participant's occupation. The correlation of knowledge, attitudes and educational needs about dementia showed a significant amount of correlation. In this study, adults had a high level of knowledge about dementia and high attitude scores on dementia. Further studies are needed to increase the positive attitude toward dementia, education programs that increase knowledge need to be provided continuously as they are related to the increase in knowledge about dementia.

Health-Related Quality of Life in the Early Childhood of Premature Children (미숙아로 출생한 유아의 건강 관련 삶의 질 정도와 영향요인)

  • Lim, Eun-Hee;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.37-45
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    • 2015
  • Purpose: In this study, a comparison was done of the extent of health-related quality of life (HRQoL) for preterm and fullterm children during early childhood, and factors affecting HRQoL in the early childhood of premature children were analyzed. Methods: Eighty mothers of children born prematurely and 83 mothers of children born at fullterm listed on two Internet cafes were sampled for this study. The major instrument used for the study was the TNO-AZL Preschool Quality Of Life (TAPQOL) questionnaire. Results: Total score for HRQoL in the premature group was 80.5 (${\pm}9.9$) and for the full term group, 85.0 (${\pm}8.3$), on a 100-point scale. A comparison of the premature group and full term group showed that the domains which scored relatively lower with respect to HRQoL included the stomach, motor function, anxiety, liveliness and communication. Among the factors that have an impact on HRQoL were 'length of stay in neonatal intensive care unit (${\geq}7$ days)' and 'birth weight (<1,000 gm)'. The explanation power of the model was 17%, which was statistically significant. Conclusion: These findings indicate that a differentiated premature infant follow-up program for children who are hospitalized over 7 days in NICU or weighed under 1,000g at birth is urgently needed.

Factors Affecting on Death Anxiety in Elderly Cancer Survivors : Focusing on Ego Integrity, Depression and Awareness of Good Death (노인 암 생존자의 죽음불안에 영향을 미치는 요인 : 자아통합감, 우울, 좋은 죽음에 대한 인식을 중심으로)

  • Lim, Heon Suk;Yoo, Jae Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.197-207
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    • 2020
  • The purpose of this study was to identify the predictors of death anxiety among community-dwelling elderly cancer survivors in Korea. This study was a descriptive correlation study with 216 elderly cancer survivors who live in the jurisdiction of community health centers in Chugbuk province. Data of this study were collected from February 27 to March 15 2019 by a structured questionnaire. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. In the results, the mean score of death anxiety was 2.47±0.39 out of 4.0, while that of ego integrity was 2.60±0.29, depression 6.35±4.0, and awareness of a good death 2.97±0.35. Based on the hierarchical multiple regression analysis, subjects' awareness of a good death had the greatest impact on death anxiety (β = 0.255, p < .001), followed by depression (β = 0.185, p = .020) and religion (no= 1; β= 0.148, p = .021). These factors explained 16.4% of death anxiety (F=8.04, p<.001). Therefore, the results of this study are expected to be utilized as basic data for developing an intervention program that will be designed to reduce the death anxiety in elderly cancer survivors.

The effect of disability and disability type on the depression of the elderly (장애여부, 장애유형이 노인의 우울에 미치는 영향)

  • Song, Ji-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.362-369
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    • 2019
  • This descriptive study investigated depression among 4,904 elderly people aged 60 to 90 years using the Korean Retirement and Income Study. The depressive group and non-depressive group were classified by the depression self-diagnostic scale, CES-D. The effects of general characteristics, disability, disability type, IADL, and social support on depression were examined. A t-test, chi-squared test, and logistic regression analysis were used to identify risk factors affecting depression. The average age of the depressive group was 75.10 years, which was higher than the average age of the non-depressive group (73.44 years), indicating that depression increased with age. Elderly who were female, elderly with no spouse, elderly with lower educational attainment and with a lower household income were in the depressed group. The score to perform IADL of disabled persons was higher than that of non-disabled persons, and the social support was lower. Logistic regression analysis performed to determine the risk factors affecting depression revealed that it was affected by disability and type of disability. Although this study has some limitations, the results presented herein can be used as a basis for understanding elderly with disabilities and developing future healthcare programs for them.

The Effect of Social Support and Resilience on Quality of Life in Middle-Aged Women (중년여성의 사회적지지, 회복탄력성이 삶의 질에 미치는 영향)

  • Young-Hee Cho
    • Journal of Industrial Convergence
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    • v.22 no.2
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    • pp.153-159
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    • 2024
  • This study is a descriptive research study to determine the relationship between middle-aged women's social support, resilience and quality of life, and to identify factors that affect quality of life. The participants were 162 middle-aged women in G City. Data was collected from May 10 to June 10, 2023. Data were analyzed through descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS 25.0 program. The social support was 3.36±0.38, resilience was 3.39±0.42, and quality of life was 3.18±0.50. Quality of life was positively correlated with social support(r=.502, p<.001), resilience(r=.530, p<.001). Factors that have a significant impact on quality of life include resilience(β=.422, p<.001), social support(β=.412, p<.001) and health status(β=.212, p=.001). The total explanatory power of these variables on quality of life was 39.2%. Therefore, it is necessary to develop effective programs and strategies to improve the quality of life of middle-aged women by improving their resilience, social support, and health status.

The Knowledge and Needs of Hospice for Inpatients' Family (입원환자 가족의 호스피스 인지 및 요구도)

  • Ko, Sung-Hee;Kim, Hyun-Kyung
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.131-142
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    • 2005
  • Purpose: The purpose of this study was to survey the knowledge and needs of hospice for inpatients' family. Methods: This study was carried out with 277 inpatients' families at J General Hospital located in J city, Korea during the period from March to May, 2004. The data were collected through a self-reporting questionnaire constructed by the authors. The data were analyzed by descriptive statistics and $x^2-test$ with SPSSWIN 10.0. Results: 83.8% of the respondents heard about hospice mostly through mass communication. 76.9% of the respondents recognized hospice to be helpful and to provide comfort during the remainder of life and to confront the moment of death. Most of the respondents responded positively to the necessity of hospice service, and would receive hospice if necessary. 76.5% of them would consider arranging preparation for death if he/she were to be diagnosed with a terminal illness. 63.9% of the respondents wanted only to be with their family members, 31.4% wanted both the family and hospice members at the moment of death. They named the best helper among the hospice members to be the nurse. 81.6% of the respondents wanted a hospice institution to be established, 23.8% of them report that the most adequate hospice management institution would be the hospice ward in hospital. Conclusion: Consequently, most respondents wanted hospice services. So Korean society is in need of developing adequate teaching and care programs for hospice according to local needs.

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A Study on Hypertension Management of Community Health Practitioner Posts (보건진료소 고혈압 관리사업의 실태)

  • Kwon, Myung-Soon
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.155-169
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    • 2003
  • Objectives: The purpose of this study is to provide data for the improvement of hypertension management of community health practitioner posts through the study on hypertension management in community health practitioner posts. Methods: A questionnaire was mailed to 700 community health practitioners and 205 of them responded during the period from March 13, 2003 to May 13. The survey results were analyzed using SPSS program, version 11. Results: The results are as follows; 1. There are two major activities in a hypertension prevention project for community: health education and early detection. About 57% of community health care practitioners perform a health education for community people four times a year. The 64.5% of them used the materials for health education provided from a community health center and 22.1% of them performed a post-evaluation. The main method of early detection of hypertension was measurement of blood pressure of person to visit, which was 96.1%. Other methods included home visiting(89.3%), a referral from community hospitals and other resources(49.1%), health promotion events(39.5%), and a review of medical records(35.7%). 2. For the registration and management of patients with hypertension, about 36% of community health centers used a special form and more than 50% of them have registered patients who were managed by other health care institutions in the community. A computerized program was used for the management of patients with hypertension in 68.5% of them. More than 60% of them responded that it was used for report, treatment, and follow-up of patients with hypertension.

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A Study on a Prevention of Long-term Care self-reliance Support for the Elderly in Home: Proposal of an Prevention and Support for Self-reliance Support Model (재가노인의 장기요양예방과 자립지원에 관한 연구: 예방·자립지원 모형설계 방안제언)

  • Kim, Hyun-Sil;Hwang, Sung-Ja
    • 한국노년학
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    • v.30 no.4
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    • pp.1359-1375
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    • 2010
  • Expecting the expansion of the elderly population under long-term home care with the coming of the aged society, this study purposed to propose a prevention and self-reliance support model and to get practical implications for minimizing dependency on care benefits and enhancing the effectiveness of prevention and self-reliance support. Research methods employed for this study were: first, reviewing theoretical literature for clarifying the concept of prevention and self-reliance support in providing long-term care benefits for the elderly; second, identifying factors hindering prevention and self-reliance support through analyzing standard long-term care use plans and documents related to long-term care benefits at elderly welfare centers to which the research subjects belonged; and third, surveying care benefit users on factors hindering their use of prevention and self-reliance support and their needs in the use of care benefits. Based on the results of the three types of qualitative research, we proposed directions for prevention and self-reliance support modeling and suggested practical implications for enhancing the effectiveness of prevention and self-reliance support. For this study, we collected documentary materials and conducted in-depth interviews with the participants with the consents and cooperation of managers and professional social workers at day care centers and elderly welfare centers in D City. According to the results of this study, literature review suggested that long-term care prevention and self-reliance support should be provided in a way of 'strengthening user-centered support systems,' which support elderly long-term care beneficiaries' right to lead a life as the subject of their own life. Document analysis found the absence of benefits related to health and medicine and lack of social support systems for prevention and self-reliance support, and the results of in-depth interviews suggested the necessity to strengthen services related to elderly long-term care beneficiaries' prevention and self-reliance, and the keen needs of the long-term care elders for prevention and self-reliance included: ① loneliness, anxiety, fear; ② missing for and worry about children and people; ③ moving, outing; ④ health and medical services, rehabilitation programs; ⑤ desire to use day care; ⑥ inconvenience of house structure; ⑦desire for meal menus; and ⑧ the occurrence of disuse syndrome. Based on these results, we suggested the base of prevention and self-reliance support modeling with three axes: ① strengthening user-centered support systems; ② strengthening support systems connected to health and medicine; and ③ strengthening social support systems.

Study of the Actual Condition and Satisfaction of Volunteer Activity in Australian Hospital (호주 일 지역의 병원 자원봉사활동 실태와 만족도)

  • Park, Geum-Ja;Choi, Hae-Young
    • Journal of Hospice and Palliative Care
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    • v.9 no.1
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    • pp.17-29
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    • 2006
  • Purpose: This research aimed to investigate the actual condition and satisfaction of volunteer activity in Australian hospital. Methods: Data was collected by self reported questionnaire from 101 volunteers and analyzed by frequency and percentage, t-test, ANOVA and Sheffe and Pearson's correlation coefficients using SPSS 12.0. Results: 1. Years involved in volunteer work were $5{\sim}10$ years (32.7%), above 10 years (30.7%), $2{\sim}3$ years (11.9%) and $3{\sim}5$ years (10.9%). Types of volunteer work were physical care (32.7%), physical and emotional care (14.9%), and others (18.8%). Types of allocation of tasks were by volunteer coordination (55.7%), and by volunteer preference and consent between volunteer and coordinator (both respectively, 20.5%). Main reasons for volunteer work were to help sick people (61.4%) and to make good use of leisure time (22.8%). Routes to start volunteer work were from his (her) own inquiries (43.4%), from hearing from other volunteers (30.7%) and from mass media (13.1%). 80.2% of volunteers had received some kinds of training or preparation for volunteer work. Suitability of volunteer's skill and ability to voluntary work were 'very well' (74.0%) and 'mostly well' (18.0%). Reimbursements or benefits received for volunteer work were token or lunch or group outing (31.7%), and token and lunch or group outing (19.8%). Evaluation frequency for volunteer work was occasionally (372%), frequently (30.9%), always (17.0%) and never (14.9%). Relationship with volunteer work coordinator was very good (85.0%). The relationship with other volunteers was very good (81.2%). The relationship with hospital staffs was very good (69.7%) and mostly good (21.2%). Family and friend's support for volunteer work was very good (83.2%). 2 The mean score of satisfaction for the hospital volunteer activity was $3.09{\pm}0.49\;(range:\;1{\sim}4)$. The highest score domain was 'social contact', $3.48{\pm}0.61$, and the lowest was 'social exchange', $1.65{\pm}0.63$. An item of the highest score was 'I have an opportunity to help other people' ($3.83{\pm}0.40$), and the lowest score item was 'I will receive compensation for volunteer work I have done ($1.10{\pm}0.78$).' 3. The satisfaction from hospital volunteer activity was shown by significant difference according to sex (t=2.038, P=0.044), marital status (F=3.806, P=0.013), years involved in volunteer work (F=3.326), nam reason to do volunteer work (F=2.707, P=0.035), receive any training or preparation for volunteer work (t=-1.982, 0=0.050), frequency of evaluation for volunteer work (F=7.877, P=0.000), suitability of volunteer's skill and ability to voluntary work (t=2.712, P=0.049), relationship with volunteer work coordinators (F=-2.517, P=0.013), relation with hospital staffs (F=5.202, P=0.007), and support of their volunteer work by their family and friends (t=-3.394, P=0.001). Conclusion: The satisfaction of hospice volunteer activity was moderate. The satisfaction for hospice volunteer activity was shown by significant difference according to sex (t=2.038, P=0.044), marital status (F=3.806, P=0.013), years involved in volunteer work (F=3.326), main reason to do volunteer work (F=2.707, P=0.035), receive any training or preparation for volunteer work (t=-1.982, 0=0.050), frequency of evaluation for volunteer work (F=7.877, P=0.000), suitability of volunteer's skill and ability to voluntary work (t=2.712, P=0.049), relationship with volunteer work coordinator (F=-2.517, P=0.013), relation with hospital staffs (F=5.202, P=0.007), and family and friend's support for volunteer work (t=-3.394, P=0.001). Therefore, it is necessary to consider various factors to improve the satisfaction of voluntary work.

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