• Title/Summary/Keyword: Care House

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Emergency Care Conditions where the Nurse is posted in the 119 Relief Squad (119구급대의 간호사 배치여부에 따른 응급처치 실태)

  • Kim, Young-Im;Jung, Hye-Sun;Lee, Chang-Hyun;Kim, Gum-Sook;Park, Jung-Young
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.411-422
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    • 2000
  • The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.

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A Study on Community Sense and Needs of Community Programs for Large-scale Cooperative Rental Housing Resident (대규모 협동조합형 임대주택 입주예정자의 공동체 의식과 공동체 프로그램 요구에 관한 연구)

  • Kim, Ransoo
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.581-591
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    • 2021
  • This study aims to understand the community sense and need for community programs for large scale cooperative rental housing residents, and to set the direction of the construction plan. To this end, a survey was conducted on visitors and contractors of the model house in Westaybyeolnae. As a result of the analysis, the most visitors to the model house were in their 20s and 30s, while the number of contractors in their 30s was the most. Most of the model house visitors currently do not participate in community activities, but the contractors wanted to interact with neighbors about once a week. The contractors had high demands for sports facilities and child-rearing facilities, and the most demanded for living cooperatives and child care services. However, the range of neighbors required by age, the degree of meeting, common facilities and programs required were different.

Determinants of Demand for Long-Term Care (장기요양서비스 수요의 결정요인)

  • Chung, Wankyo
    • KDI Journal of Economic Policy
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    • v.31 no.1
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    • pp.139-167
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    • 2009
  • A new public insurance for long-term care was introduced in July 2008 to provide for the rising demand for long-term care as the population is aging rapidly. The demand for long-term care is expected to rise further because more and more elderly are living alone or in households with only other elderly, such as his/her spouse, without informal care of their adult children. Even when the elderly are living together with their adult children, daughters and daughters in law, once the main informal care-givers, are not available because they choose to become economically active and work more over time. Experiences of countries such as Japan and Germany with similar public long-term care insurance scheme highlight the importance of detailed analysis on the demand for long-term care for the financial stability of the insurance scheme. Countries which had underestimated the demand for long-term care at the time of adopting the scheme went through financial instability of insurance schemes. This study analyzes the determinants of the demand for long-term care using data from the second demonstration project (April 2006~April 2007) of the long-term care insurance scheme for the elderly in Korea. Taking full advantage of detailed data on the long-term care, this paper analyzes the eligibility for the long-term care insurance scheme and its use. According to study results, even when common diseases among the elderly such as cancer, diabetes, arthritis, dementia, hypertension, etc. are controlled together with other individual and socioeconomic factors, limitations the elderly are faced with in their twelve activities of daily living significantly affect the eligibility for the Korean Long-term Care Insurance Scheme. This means that limitations in daily living activities are more critical than common diseases among the elderly are to the eligibility for the Korean Long-term Care Insurance Scheme. Bathing and toileting problems have been found to be the most important factor affecting the eligibility for the insurance scheme, followed by eating, dressing and moving around inside the house. Moreover, the choices of whether to use long-term care and which to use between home care and institutional care are found to be significantly influenced by health status and various socioeconomic factors of the elderly. In particular, those with more limitations in daily living activities and the female elderly are more likely to use long-term care and institutional care rather than home care. As for home care users, those living alone or with adult children and those with monthly household income of more than 500,000 won are more likely to use home care. Most importantly, even when the monthly household income of the elderly is controlled, the elderly recipients of the National Basic Living Security, who are not charged for long-term care, are more likely to choose home care. This implies that price as well as income is a critical factor for the decision to use long-term care. Further study on the duration of long-term care use will surely enhance the long-term care policy, when panel data is available for simultaneous analysis of the likelihood of long-term care use and its use duration.

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Analysis of the Status of CHP Trainees and the Management of CHP Training Course (보건진료원(保健診療員) 훈련생(訓練生)의 제특성(諸特性) 및 교육실태(敎育實態) 분석(分析) - 1982년도(年度) 보건진료원(保健診療員) 훈련생(訓練生)을 대상(對象)으로 -)

  • Hwang, Na-Mi;Kim, Chung-Tai
    • Journal of agricultural medicine and community health
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    • v.7 no.1
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    • pp.57-65
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    • 1982
  • A special law on health care for rural areas was enacted, as of Dec. 31, 1980, in order to provide effective health care service in rural areas through the primary health care approach. The implementation of the PHC developed the CHP(Community Health Practitioner) and provided the training program lasted 24 weeks. The qualification of CHP is a registered nurses or midwivies. This study was conducted in order to analyze the characteristics of trainees of CHP and training environments. The data was collected from personal questionnaire by means of mailing. Respondent was 338 out of 356 trainees. The summary of the findings are as follows : 1) The 38.0% out of trainees is 25-29 years of age (minimum : 20, maximum 55, mean : 30.3). 2) The 59.0% of respondent come from county area and the 52.5% are married. 3) The 61.0% didn't receive any in-service education. 4) In their experience related to health care service, the 29.8% of them experienced during 4 year 6 year and the 50.8% of the holders in experience was engaged in clinical field. 5) As to motivation of application of CHP, the 55.1% respond to "Independently workable" and the 35.1% respond to "Worthwhile". 6) The 45.1% got any information sources on CHP from Newsletter of KNA. 7) The 46.8% of respondent showed that instructor had utilized both teaching materials and reference book. 8) During the training, the 49.4% stayed at own house but the 35.0% stayed with lodgings and flat. 9) The 52.8% of trainees comment on very short of living allowance. 10) The 19.3% of respondent is willing to serve as CHP for ten years or more, but the 42.1% respond to serve for obligation namely 2 years. This study result could be utilized as a basic data for improving the CHP training program and management of the CHP's field activity in the future.

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A Study on the Household Work Time's Change and Its Structure in Urban Home Makers (도시 가정주부의 가사노동시간변화와 구조에 관한 연구)

  • 김선희
    • Journal of the Korean Home Economics Association
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    • v.27 no.1
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    • pp.111-126
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    • 1989
  • The aim of the present study is to research into the household work time change and its structure in urban home makers by the choosen eleven studies and KBS's Data 1981, 1983, 1985, 1987. This study were proceeded under some limitations, it is choosen eleven studies that is different region: large city, medium and small town, and the household work's categories of original auther were changed. And KBS's Data was composed of general formation without personal character of home maker: FLC, number of childeren, family type, education, region. Although this study have a certain meaning of implementation, research into the household work time change and its's structure. The major findings of this study can be autlined as follows: (1) Total household work time did'nt so much changed through the choosen eleven studies compared with the last twenty years ago. In the change of each province household work time, time connected with meals and dwelling did not showed consistancy of change. But cloth laundering and mending time of 80's were declined compared with 70's. Family care time of 80's was increased, home management and buying time was declined untill '85, but again increasing trend '87. In choosen eleven studies, the household work time structure of urban home makers can be outlined: time connected with Meals>Family care>Cloth laundering and mending>Dwelling>Home management and Buying. (2) KBS's time-series data were analized as follows: a) Total household work time of '87 was declining gradually in weekday (34 minutes), sat. (41 minutes), sun (1 house and 2 minutes) compared with '81. b) The change of each province household work time: the time of cooking and sewing home management were declining gradually in its Mean time and its ratio of acters. The acter ratio of household worker in '81, '83, '85 was composed Cooking > Cleaning > Laundering > Home management > Buying > Child care > Sewing. In '87 was composed Cooking > Cleaning > Laundering > Buying > Home management > Child care > Sewing. c) The structure of household work time revealed some differences in each year and a day of the week.

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The Preference of Housing for the Elderly among the Middle-aged Households for Aging Society (고령화 사회에 대비한 중년층의 노후 주거선호 - 광주지역의 대학생 자녀를 둔 학부형을 대상으로 -)

  • Kim Mi-Hee
    • Journal of the Korean housing association
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    • v.17 no.1
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    • pp.117-126
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    • 2006
  • This study was conducted as a survey to find out middle-aged persons's housing preferences for a future elderly housing and to grasp background characteristics of persons influencing the preferences and the effect of elderly's aging situations on the changes of their preferences. A sample of 300 middle-aged people was selected purposely from parents of university students living in Gwang-ju city. Questionnaires were administered to parents by students and analysed with SPSS Windows 10 program. Middle-aged persons's housing preferences were differed according to elderly's aging situations, in the case of healthy situation, they tended to prefer to stay present house without their children in irrespective to couple or single, whereas in the case of unhealthy situation, they tended to prefer to live with their children. and couples showed preferences for planned housing for the elderly and singles showed preferences for elderly housing facilities with care services. The most important characteristics of elderly housing among middle-aged people was a places where they can enjoy leisure and provide home-help services, located in the suburbs. Also middle-aged persons were likely to prefer to a green spaces such as garden, path for walking, and madang for the elderly housing. Needs for community care services (NCCS) were required above the average. Among the items of NCCS, a visiting medical examination was the most demanding, and a visiting nursing services, a emergency calling bell, and home repairs were sequently followed in the level of needs. The characteristics of the elderly housing which preferred to and needs for community care services were influenced by middle-aged persons's age, gender, subjective evaluation of economic abilities, tenure status, the cost of living, and the size of housing. This findings suggests that it must to be considered to develop various types of the elderly housing depending on socioeconomic status.

Effects of Abuse Experiences on Psychological and Social Adaptation of Out-of-House Protection Service Youth : Focused on the Mediation Effect of Self-Adjusting Capacity (학대경험이 가정 외 보호 서비스 청소년의 심리사회적 적응에 미치는 영향 : 자기조절능력의 매개효과 중심으로)

  • Lee, Hwa-Myung;Kim, Yeoung-Mi
    • The Journal of the Korea Contents Association
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    • v.20 no.1
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    • pp.539-552
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    • 2020
  • The purpose of this study was to examine the abuse experience of adolescents in out-of-home care on their psychosocial adjustment and the mediating effects of self-regulation skills. A survey was conducted on the adolescents who resided in the city of Busan and received out-of-home care service. The findings of the study were as follows: First, abuse experience was found to have exerted a negative influence on self-regulation skills. Second, abuse experience was found to have exerted a negative influence on psychosocial adjustment. Third, self-regulation skills were found to have exercised a positive influence on psychosocial adjustment. Fourth, self-regulation skills were found to have had a mediating effect on the relationship between abuse experience and psychosocial adjustment. The findings of this study were of significance in that neglect and emotional abuse should be prevented to promote the psychosocial adjustment of teenagers with abuse experience who are in out-of-home care, and in that the importance of the intervention of counseling programs which could foster the self-regulation skills of adolescents was urged.

Factors Influencing Nursing Service Quality of Nurses in Long Term Care Hospitals (요양병원 간호사의 간호 서비스 질 영향요인)

  • Park, Ju Hee;Park, Eun Hee
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.409-415
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    • 2022
  • The purpose of this study is to identify factors affecting nursing service quality for nursing hospital nurses and An attempt was made to confirm the correlation between nursing work environment, human-centered care, and work stress on nurses in nursing hospital. The data was collected using questionnaire filled out by 129 nurses at nursing hospitals in G city area from August 20 to September 10, 2019. As a result of the study, factors influencing the quality of nursing services among nursing hospital nurses were married, Practice Environment of Nursing Work, and human-centered care. Based on these results, hospital management will need to make efforts to improve the organizational system to create a desirable nursing working environment in nursing hospital.

A Case of Giant Cell Interstitial Pneumonia (거대세포 간절성 폐렴(Giant Cell Interstitial Pneumonia) 1예)

  • Kang, Kyeong-Woo;Park, Sang-Joon;Suh, Gee-Young;Han, Joung-Ho;Chung, Man-Pyo;Kim, Ho-Joong;Kwon, O-Jung;Rhee, Chong-H.;Choi, Jae-Wook
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.2
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    • pp.260-267
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    • 2000
  • Giant cell interstitial pneumonia. a synonym for hard metal pneumoconiosis, is a unique form of pulmonary fibrosis resulting from an exposure to hard metal dust. A case of biopsy-proved giant cell interstitial pneumonia in the absence of appropriate history of exposure to hard metal dust is reported. The patient presented with clinical features of chronic interstitial lung disease or idiopathic pulmonary fibrosis. He worked in a chemical laboratory at a fertilizer plant, where he had been exposed to various chemicals such as benzene and toluene. He denied having any other hobby in his house or job at work, which may have exposed him hard metal dust. High-resolution CT scan revealed multi-lobar distribution of ground glass opacity with peripheral and basal lung predominance. The retrieved fluid of bronchoalveolar lavage contained asbestos fiber and showed neutrotphil predominance. Surgical lung biopsy was performed for a definite diagnosis. Lung specimen showed alveolar infiltration of numerous multinucleated giant cells with mild interstitial fibrosis. Upon detailed examination of the lung tissue, one asbestos body was found. An analysis for mineral contents in lung tissue was performed. Compared with the control specimen, the amount of cobalt and several hard metal components in the lung tissue of this patient was ten times higher. We speculated that the inconsistency between occupational history and the findings of pathologic and mineralogical analyses could be explained by the difference in individual immunologic reactivity to hard metal dust despite the relatively small amount of unrecognized environmental exposure(ED: It's hard to understand what this phrase is trying to say).

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A Study on Desirable Attitudes of Health Subcenter Personnel, Affecting to Utilization of a Rural Health Subcenter for Primary Health Care (일부 농촌지역에서의 보건지소 의료인의 정의적인 태도가 주민의 보건지소 이용에 미치는 영향)

  • Wie, Ja-Hyung
    • Journal of agricultural medicine and community health
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    • v.14 no.1
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    • pp.30-36
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    • 1989
  • In order to desirable attitudes of health subcenter personnel, affecting to utilization of a rural health subcenter for primary health care, a study carried out, through analyzing the specific survey datas of 228 out of 1151 total house-holders in a rural community, Su-Dong Myun, Yam-yang-ju kun, Kyung-Gi Do in Korea, and the medical re-cords of total out-patients of health subcenter in this district during 1981-1988. The following results were obtained: 1) The annual utilization rate showed decreasing tedency such as 723 per 1,000 inhabitants in 1981, 652 in 1982, 618 in 1985, 54H in 1984 and 341 in 1987, since 1981. 2) The utilization Rate in 1987 was unusually the lowest with 341 per 1,000 inhabitants in decreasing tendency, steadily. 3) In advatage on utilization of health subcenter for primary health care in a rural area, 68.8% of the respondents answered that it was in comprehensive health care with the highest rate and next order in near distance from living place with 16.7% in easy and simple process to utilize with 9.2% and in lower medical cost with 5.3%. 4) The order of desirable image of rural health subcenter personnel for primary health care was of good attitude(57.0%), of good skill(29.0 %) and of wide knowledge(14.0%), 5) The order of desirable image of doctor for primary health care in rural health subcenter was of good skill(.44.3%), of good attitude(36.8%) and of wide knowledge(18.9%), and nurse was of good attitude(76.8%), of good skill(14.0 %) and of wide knowledge(9.2%). 6) The percentage order by good attitudes of rural health subcenter personnel was the highest in responsibility(38.2%), kindness(26.3% ), proprieties(14.9%), sincerity(12.7%) and notion of duty hours(6.6%). 7) The statistical datas in health subcenter was written and kept, without distinction of definition of new and old patients, by month and for suitable method of medical expenses of medical insurance and medicaid by clerical convenience. 8) In future, the organization of health subcenter must be unified, systematized and rationlized for primary health care. Health subcenter must be organized by 3 parts of function(medical care, health service and clerical affair) and then function of health subcenter will be more activated by clerical activities.

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