• 제목/요약/키워드: Change Member of Family

검색결과 75건 처리시간 0.027초

도시지역 취약가구의 방문간호서비스 평가 (Evaluation of Visiting Nursing Services for the Vulnerable Family in Urban Community)

  • 박경민
    • 지역사회간호학회지
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    • 제15권1호
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    • pp.56-66
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    • 2004
  • Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

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주거환경개선지구 다가구주택 환경 개선 방안에 관한 임차인 요구 조사연구 (A Proposal to improve environment for multi-family housing residence in amelioration area)

  • 황선혜;김다해;안창헌;이연숙
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2008년 추계학술발표대회 논문집
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    • pp.140-143
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    • 2008
  • As the number of family living alone is expected to soar due to a change in socio-demographics like divorce, more middle-aged women returning to work, homes become smaller and so on. In addition to in 2020 these people will be increase so that 85 percent of the Koreans compose elderly living alone who is over 65. This study aims at developing a sharing-typed elderly people-centered rental model which is accessible in the community integration dimension as an alternative and finding out theirconscious, their need about residence. and we need to check about their major requirements on improvement step by step. so that we suggest the desirable way on the existing multi house. The model provides benefits in the social, economical and pragmatic dimensions as the families living alone get together and living with others, Particularly, as a residence model which reduces a psychological loneliness and at the same time enables the elderly to continue to live a life in the community while they live together with other people, this model could be a strategy which supports the "Aging in Place." This study is in progress via small group workshop which debate gradually about special subject with similar group member. So we can find the residence's preference on living environment in various condition and the member can imagine freely on their future living arrangement by giving the various informations which can be proceed in future. The workshop proceed three times. at the first workshop, we're check their living environment and satisfaction level. and second time we give the knowledge about shared-type rental house then discuss about the model. and last time we're listen to the residence's opinion.

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베를린 노인의료 환경요인과 시설특성에 관한 연구 (A Study on the Medical Environmental Factor and Distinction of Medical Facilities for the Elderly in Berlin)

  • 채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제17권1호
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    • pp.15-22
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    • 2011
  • Nowadays, a proportion of healthcare service for the elderly has been improved due to the factors, such as a prolonged life expectancy, a growth of aging population and a change of member of family. For these factors, it is necessary for the elderly to receive treatment for multidisciplinary diseases, associated with psychological care of sociological concept. It is quite difficult in an acute-care hospital to accommodate the elderly patient because of the fact that an acute-care hospital is required to maintain a high level of medical care and technical standard. That is why specialized medical service is needed for the elderly. In the case of Germany, they are at the stage of the change from large scale facilities to specialized facilities applying the integrated concept. This paper addresses the medical environmental factor and distinction of medical facilities for the elderly through survey and analysis relating to all change in Germany. Therefore, it aims to suggest a fundamental resource for architectural planning and network of medical facilities for the elderly.

노인성 치매환자 가족간호 향상을 위한 교육프로그램 효과에 관한 연구 (Study on the Effectiveness of Care Giver Education Program on the Home Care of Senile Dementia Patients)

  • 홍여신;이선자;박현애;조남옥;오진주
    • 대한간호학회지
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    • 제25권1호
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    • pp.45-60
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    • 1995
  • This study investigated the effects of education program conducted through individual home visit by CHPs, which was developed ,by the operational re-search technique for families of dementia patients. (Yeo Shin Hong et at,1994) The study was conducted in the form of a primary experimental design with 43 people as subjects, including dementia patients and family member in several Myon areas of Chungcheong Namdo between June 10 and August 20, 1994. The data was collected by questionnaires through the home visit by the CHPs. The results of study are as follows. 1. There is no difference in the quality of life between before and after the education program. 2. Role stress 'before the education program' was significantly different than 'after the education program'. 3. There was no difference in the feeling of burden between before and after the education program. 4. There was a significant difference in the abnormal behaviors of patients between before and after the education program. 5. The knowledge of dementia by the patient's family increased significantly after the education program, compared to that of 'before the education program'. 6. There was a significant difference in the attitude of family members toward the education program on dementia between before and after the education program. 7. The results of analysis on the coefficient relationship of various variables showed that the age of patients and family members have a significant correlation with role stress(p=.01). 8. In the subjective evaluation of family members on changes in actual nursing actions and the improvement of knowledge and technique in terms of daily living, (including abnormal behavior of patients, adjustment of environment for patients, activity programs for patients, communication technique with patients, ensuring the safety of patients, clothing, meals and elimination, 60-65% of family members responded that their knowledge had increased. As for improvement in techniques for each item, the technique for communication with patients showed the greatest improvement while the action program method for patients showed the least change. As for the nursing service provided to patients, most respondents showed a positive change. The specific items for which more than 80% respondents answered positively were as follows : recognizing the demand of patients, getting patients to do simple house works, talking softly and gently, removing dangerous things, preparing comfortable clothes that are easy to put on and take off, and limiting water consumption at night. As a result of study, the following suggestions can be made. The purpose of the study was to examine the effect of an education program developed and applied for dementia patients and family members in the community. This needs to be compared with a similar study conducted in the urban setting. In addition, a community service program (ex : nursing hem and shelter) including the application of the education program should be developed and the study done to investigate its effect.

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Rogers 이론에 근거한 가족양상 사정지침개발 (Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice)

  • 이광옥;한영란;김희정
    • 대한간호학회지
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    • 제25권4호
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    • pp.751-773
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    • 1995
  • We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

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Applying Conventional and Saturated Generalized Gamma Distributions in Parametric Survival Analysis of Breast Cancer

  • Yavari, Parvin;Abadi, Alireza;Amanpour, Farzaneh;Bajdik, Chris
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.1829-1831
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    • 2012
  • Background: The generalized gamma distribution statistics constitute an extensive family that contains nearly all of the most commonly used distributions including the exponential, Weibull and log normal. A saturated version of the model allows covariates having effects through all the parameters of survival time distribution. Accelerated failure-time models assume that only one parameter of the distribution depends on the covariates. Methods: We fitted both the conventional GG model and the saturated form for each of its members including the Weibull and lognormal distribution; and compared them using likelihood ratios. To compare the selected parameter distribution with log logistic distribution which is a famous distribution in survival analysis that is not included in generalized gamma family, we used the Akaike information criterion (AIC; r=l(b)-2p). All models were fitted using data for 369 women age 50 years or more, diagnosed with stage IV breast cancer in BC during 1990-1999 and followed to 2010. Results: In both conventional and saturated parametric models, the lognormal was the best candidate among the GG family members; also, the lognormal fitted better than log-logistic distribution. By the conventional GG model, the variables "surgery", "radiotherapy", "hormone therapy", "erposneg" and interaction between "hormone therapy" and "erposneg" are significant. In the AFT model, we estimated the relative time for these variables. By the saturated GG model, similar significant variables are selected. Estimating the relative times in different percentiles of extended model illustrate the pattern in which the relative survival time change during the time. Conclusions: The advantage of using the generalized gamma distribution is that it facilitates estimating a model with improved fit over the standard Weibull or lognormal distributions. Alternatively, the generalized F family of distributions might be considered, of which the generalized gamma distribution is a member and also includes the commonly used log-logistic distribution.

CRYSTAL STRUCTURE OF AN UNCLEAVED $\alpha_1$-ANTITRYPSIN WITH SEVEN STABILIZING MUTATIONS AT 2.7 $\{AA}$ RESOLUTION

  • Ryu, Seong-Eon;Park, Hee-Jeong;Kwon, Ki-Sun;Lee, Kee-Nyung;Yu, Myung-Hee
    • 한국생물물리학회:학술대회논문집
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    • 한국생물물리학회 1996년도 정기총회 및 학술발표회
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    • pp.4-4
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    • 1996
  • $\alpha$$_1$-arantitrypsin, a member of the serpin (serine protease inhibitor) family, undergoes a large structural rearrangement upon the cleavage and insertion of the reactive site loop. This conformational change is driven by the metastability of the native serpin structures and has an important role in the regulation of the inhibitory-serpin function. (omitted)

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Annexin I의 구조와 결합에 관한 분광학적 연구

  • 이봉진;방근수;이연희;이태우;나도선
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.263-263
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    • 1994
  • Annexin I is a member of the in family of calcium dependent phospholipid banding proteins and is an in vitro phospholipase $A_2$ (PLA$_2$) inhibitor. The mechanism of PLA$_2$ inhibition by annexin I is still ambiguous. The structure of annexin I was studied at the atomic level by using nuclear magnetic resonance (NMR), circular dichrotsm (CD) and fluorescence spectroscopy. Recombinant human annexin I and N-terminally truncated annexin I (1-31 deleted: d-annexin I) were purified and their NMR spectra were compared. The NMR spectra of the two were similar. When $Ca^{2+}$ ion added to annexin I ad d-annexin I, peak broadening occurred, but no significant spectroscopic change was observed. When porcine pancreatic PLA$_2$ was added to deuterium labeled annexin I, an interaction of annexin I with PLA$_2$ was observed as indicated by the disappearance and shift of several peaks in the NMR spectrum. This result supports a protein-protein interaction mechanism for PLA$_2$ inhibition by annexin I.I.

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농가 주거공간의 이용 실태 및 변화에 관한 연구 (A Study on the Situatidn and Transition of the Living Space Using of the Rural Houses)

  • 서주환;조순재
    • 농촌계획
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    • 제4권2호
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    • pp.89-95
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    • 1998
  • This study is about the process of change of Korean rural house based on usage of residential space. This paper aims to identify the patterns of change and the characteristics of usage of space, to suggest the planning directions for the desirable rural house. The major findings are summarized as follows : 1) The spatial structure of the rural house has been changed largely, major changes of this are as follows : enlargement of An-bang size, heating of traditional floor, introduction of bathroom and utility room, improvement of kitchen. 2) The satisfaction of the rural house has relation to the lot size and house size. 3) The life style which centered An-bang is changing into the that which centered living room. The number of unused rooms are increased while the family member decreased. 4) The residents have medial degrees of satisfaction at inner space of the rural house. 5) The need of Bu-sok-sa(storage space) as space for the farming machines has been increased. 6) The new strategies for planning the desirable rural house is need to be developed, which include the advantages of traditional rural house, planning techniques of the ego-oriented residential space. effective usage of living space. the formation of the rural village image.

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봉화지역의 농촌주택 유형과 공간구문론에 의한 공간 분석 (A Study on the Space Analysis of Rural House Plans and Types in Bonghwa Area Using the Space Syntax)

  • 황용운
    • 한국실내디자인학회논문집
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    • 제24권2호
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    • pp.142-150
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    • 2015
  • The purpose of this study is to analysis the change of rural house type and house plans in Bonghwa province. According to definition of rural area, the scopes of the research of rural houses limited the Bonghwa rural area(1 eup, 9 myeon). The method of study is to compare and analyze about housing situation, structure of house, housing type and construction of house space etc. through the statistical data of Bongwha statistical yearbook, space syntax(convex analysis) and other various data etc. during these 10 years. As a results of the analysis 1) According to Change of family member the supply ratio of detached house is steadily decreasing and changing from a detached house to multi-household house in Bongwha areas. 2) Most of houses structure were using lightweight steel construction because of cost-cutting of construction and easy way to construct etc.. 3) The highest Integration space is living space in rural house plans 4) The highest segregation space is bathroom space of master bed room in rural house plans. Some of bed rooms are classed as segregation space regardless of Integration space 5) Traditional front yard's function is changing from the place with the various functions to the place with the specific functions.