• Title/Summary/Keyword: 지역사회방문간호

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Experiences on Home Visiting Nursing Service among the Elderly in Community (재가 노인환자의 방문간호 경험 - 보건소 실습학생 방문대상자 중심으로 -)

  • Park, Sook-Kyung;Park, Jeong-Mo;Lee, Suk-Jeong;Min, So-Young
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.437-445
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    • 2005
  • The purpose of this study was to understand the meaning of experiences in home visiting nursing service among the elderly in community provided by nursing students. Method: This is a phenomenological study to investigate the experience of community-based patients. Data were collected through in-depth interviews from the 4th of March to the 15th of December 2003. Individual interviews were conducted with 8 patients on subjective experiences. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. Result: Four categories were identified from nine theme clusters. The four categories were 'thankfulness', 'dependence', 'sorrowfulness' and 'the sense of being'. Conclusion: These results show the importance of visiting nursing service for the elderly in community

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The Effect of Using Web-based Distance Program in Home Health Education for Nursing College Students in COVID-19 Special Disaster Area (COVID-19 특별재난지역의 일개 간호대학생을 위한 웹기반 원격 방문간호교육 프로그램의 효과)

  • Ha, Young-Sun;Sohn, Myung-Ji
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.461-473
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    • 2020
  • This study examined the effect of using web-based distance program in home health education for nursing college students in COVID-19 special disaster area. The study was carried out according a nonequivalent control group pretest-posttest design. The study subjects were 49 nursing college students from K City, Gyeongsangbuk-do. The web-based distance program was conducted for 2 weeks. The data collection period was from June 1, 2020 to June 12, 2020. Collected data were analyzed using SPSS PC+ 19.0 with the Fisher' exact test, Wilcoxon rank sum test, ANCOVA with pretest value as covariate. The experimental group had significantly different in knowledge related home health nursing, perceived motivation, and learning commitment in comparison to the control group. This suggests that the web-based distance program in the COVID-19 special disaster area can be applied as a way to increase nursing students' knowledge related home health nursing, perceived motivation, and learning commitment.

Nursing Performance and Requirements of Visiting Nurses at Public Health Centers according to Omaha system (오마하체계에 따른 보건소 방문간호사의 간호업무 수행도와 필요도)

  • Choi, In-Hee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.143-154
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    • 2020
  • The aim of this study was to identify the performance and requirements of the visiting nursing care using Omaha system in public health center. The highest performance were 'personal hygiene', 'pain', 'medication regimen', 'nutrition', 'physical activity', 'sanitation', 'sleep and rest patterns', 'oral hygiene', 'mental health' in order. The lowest performance were 'sexuality', 'postpartum', 'income', 'family planning', 'pregnancy', 'spirituality', 'abuse', 'reproductive function', 'neglect' in order. Problems such as 'postpartum', 'pregnancy' and 'family planning' need to strengthen the role of visiting nurses according to the region. this result will be the basis for visitung nursing care.

Experiences with Rapid Appraisal to Assess Health and Social Needs in Primary Care (Primary care에서 지역사회 건강과 사회적 요구사정을 위한 Rapid appraisal 경험)

  • Cho, Myung-Sook
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.299-307
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    • 2001
  • 본 연구의 목표는 rapid appraisal의 사용을 통한 지역사회의 건강과 사회적 요구들을 알아내고 이들의 우선순위를 파악하여 지역주민과 써비스 제공자들 사이에 활동계획을 만들기 위함이다. 자료 수집은 Rapid appraisal의 정보피라미드를 통한 primary care team에 의해 3개의 자원들인 지역사회내 기존자료들과 지역 내에서 많이 사용해왔던 반 구조화된 면담지, 방문과 크리닉을 통한 직접 관찰로 자료수집을 하였다. 반 구조화된 면담지는 pilot study하고 검증한 후 사용하였다. 자료수집 대상은 Northern General hospital내에 등록되어진 100가구의 도시영세민 주택에 거주하는 자로 하였다. 결과로 면담자 들과 focus groups은 지역사회 내 지역건강요구들을 만나고 알아내며 건강뿐만이 아닌 사회적인 많은 변화가 요구되는 건강관련 우선순위를 알아내는 첫단계로써 rapid appraisal의 사용이 유용하다. 결론적으로 Rapid appraisal은 지역사회 내 Primary care에서 muti-displinary approach를 촉진하여 건강에 영향하는 다양한 요인사정의 질적인 방법으로 변화를 위한 행동 계획을 세우는데 좋은 평가 방법으로 확인되었다.

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Community diagnosis of health life style in the maternal community -A project for maternal & child health at Ban Nong Loob division in Thailand- (지역사회 진단을 통한 모자보건사업 계획)

  • So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.227-235
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    • 1994
  • 본 프로젝트는 1993년 6월부터 9월까지 태국의 International Community Maternal and Child Health Nursing Training Program에서 이루어진 것으로 17개국 참석자 중 8개국 참가자들이 태국의 권케지역(태국 북동부)중 한 농촌지역을 택해 1개월간의 가정방문과 Group Work을 통해 지역사회 진단후 진단내용을 근거로 사업계획을 시행한 것이다. 조사지역 -Ban Nang Loob Village-은 우리나라의 일차보건의료를 수행하는 가장 말단지역인 이(里)에 해당하며, 이 중 5세 미만의 영유아가 있는 어머니들을 조사대상으로 하였다. 조사가구는 75가구였으며, 자료수집도구는 일반적인 특성, 환경상태, 지역사회 조직, 모자보건에 대한 지식, 태도, 실천과 관련된 내용으로 총 52개 문항이었다. 자료수집은 면접과 관찰을 통해 이루어졌으며 면접은 통역을 위해 태국 권켄대학의 간호대학 교수들과 함께 시행하였다. 본인이 참석한 그룹에서는 모자보건사업 중 모성건강에 관한 조사만 이루어졌으므로 이 지면에 소개된 프로젝트는 모성건강문제에 국한된다. 본 조사에서는 3가지 모성 건강과 관련된 문제가 나타났는데 이를 문제의 정도, 심각성, 예방가능성, 지역사회의 관심정도로 점수화하여 총계를 낸 후, 가장 커다란 문제점으로 '모성의 임신과 산욕기 동안의 합병증에 대한 지식부족'이 제기되어 이를 기초로 Master Plan, Operational Plan, Time Frame, Budget이 제시되었다. 본 프로젝트에서 제시된 사업계획은 담당지역의 Health Center, 권켄 간호대학, 지역사회 주민조직의 협조로 지역주민의 모자보건사업 활성화를 위해 실제로 시행될 계획이다.

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Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care (노인장기요양보험의 방문간호 서비스가 의료이용에 미치는 효과)

  • Lee, Sangjin;Kwak, Chanyeong
    • Research in Community and Public Health Nursing
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    • v.27 no.3
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    • pp.272-283
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    • 2016
  • Purpose: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. Methods: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. Results: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. Conclusion: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

A Study on Evaluation of District Visiting Nursing Services of Urban Health Center (일 보건소 동단위 지역담당 방문간호서비스 성과)

  • Ryu, Ho-Shin;Hwang, Rah-Il;Chin, Dal-Lae;Suk, Min-Hyun
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.127-136
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    • 2005
  • Purpose: The purpose of this study was to present the outcomes of the district visiting nursing services. Method: We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants. Results: According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others. Conclusion: We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

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Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance (장기요양보험 등급판정 대상자의 지역별 방문간호 서비스 이용 만족도 및 요구도: 대도시, 중소도시, 농촌 지역을 중심으로)

  • Kwak, Chanyeong
    • Research in Community and Public Health Nursing
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    • v.27 no.2
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    • pp.114-123
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    • 2016
  • Purpose: This study aims at comparing levels of service satisfaction with and needs for visiting nurse(VN) services among their beneficiaries in order to make a plan for extending VN services. Methods: The number of the subjects of this study is 270 in total. They were selected in random sampling in which 30 VN service recipients were randomly selected from each of 7 regions based on their grades and region types. Results: The highest total score for satisfaction with the VN services was 46.30, which the rural residents gave to their received VN services, then the metropolitan residents gave 44.57, and the small and middle size cities' residents 43.64. On the other hand, the highest total score for needs for VN services was 33.03, which the small and middle size cities' residents gave to their received VN services, then the rural residents gave 31.68, and the metropolitan residents 30.88. Conclusion: As the small and middle size cities' residents showed low satisfaction with and high needs for local VN services, policies need to be made to promote service providers' expertise and accessibility.