• 제목/요약/키워드: Customized home health care

검색결과 44건 처리시간 0.021초

맞춤형 방문건강관리 대상 노인의 우울 건강정보이해능력과 도움요청의도 (Depression Health Literacy and Help-seeking Intention of the Aged Receiving Customized Home Visiting Health Care Services)

  • 오두남;이지윤
    • 지역사회간호학회지
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    • 제23권3호
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    • pp.276-285
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    • 2012
  • Purpose: The purpose of this study was to understand levels of both mental health literacy of depression and intention of help-seeking, and then to identify the relationship of them in Korean older adults. Methods: Participants in this cross-sectional survey were 395 persons over 65 years old receiving customized home visiting health care services at Chungnam province. Data were collected through interviews by visiting nurses in 2011. Results: The proportion of participants with depression was 61.8% ($6.7{\pm}3.6$). 78.2% of subjects appeared to have help-seeking intention for solving depression. The proportions of participants with ability to recognize depression was 69.1%. Although the level about knowledge and belief in self-help interventions were varied according to questionnaires, subjects understood self-help intervention of smoking accurately (86.3%) and physical activity (85.5%). Ability to recognize depression, knowledge and belief about self-help managements, and opinion of medication for treatment among health literacy variables measured in this study were related to help-seeking intention. In addition, women, visual impairment, and lower depression scores were related to help-seeking intention. Conclusion: Results demonstrate that it is necessary to improve depression health literacy to manage effectively depression of vulnerable elderly in communities. These results could be used in developing mental health literacy programs.

중환자실 간호사의 심리적 임파워먼트와 의료관련감염 관리의 인지도 및 수행도 (Awareness and Performance of Healthcare-Associated Infections Control and Psycological Empowerment of Intensive Care Unit Nurses)

  • 이선주;양남영
    • 가정∙방문간호학회지
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    • 제24권3호
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    • pp.306-315
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    • 2017
  • Purpose: This study was conducted to examine psychological empowerment and awareness and performance of Healthcare-Associated Infections(HAIs) control among Intensive Care Unit (ICU) nurses. Method: The data for this study were collected using structured questionnaires from 178 nurses working in the ICUs of four hospitals with more than 500 beds. Results: The subjects'psychological empowerment, awareness and performance of HAIs control were mean over. The subjects'psychological empowerment showed statistically significant differences depending on age, marital status, academic background, clinical career, ICU career, and position and experience in infection control among their general characteristics. Awareness of HAIs control showed statistically significant differences depending on age, gender, marital status, clinical career, and ICU career. Performance showed statistically significant differences depending on age, gender, marital status, and, ICU career. Regarding the subjects' performance of HAIs control, there was a statistically significant positive correlation between psychological empowerment and awareness. Conclusion: It was found that it is necessary to strengthen differential customized training according to the subjects'characteristics for effective HAIs control, and to strengthen the nurses'awareness of HAIs control through systematic evaluation, monitoring, and feedback, as well as continuous education and training.

건강가정지원센터의 육아품앗이 사업 실천사례 (A Case Study on Communal Child Care in Healthy Family Support Centers)

  • 차성란
    • 가정과삶의질연구
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    • 제27권6호
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    • pp.189-201
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    • 2009
  • The purpose of this study was to explore the potential development of a communal child care project that would lead towards a more family friendly community. By reviewing the case of the Daejeon Health Family Support Center, the study revealed that many child care providers showed an interest in communal child care. But the providers also had problems seeking both partners for communal child care and a communal place to gather. The Daejeon Health Family Support Center had several elements of strength in communal child care project. First, they provided educational programs for care providers to promote the professional knowledge and skills needed for child care and education. The participants' responses to the program were satisfactory, in that they showed the relative effectiveness of such programs in improving attitudes towards Pumasi, along with customized services and other programs provided by the Healthy Family Support Center. In addition, the availability of professional child care services in the attached gym, the Saturday classes for dual earner families, and the prompt response by the center to requests that more space be provided, also contributed to the success of Pumasi program.

보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과 (The Effect of Case Management Program for Hypertensive Patient)

  • 정정순;이선옥
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.321-331
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교 (Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care)

  • 정은숙
    • 가정∙방문간호학회지
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    • 제24권1호
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    • pp.34-43
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    • 2017
  • Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

토픽 모델링을 이용한 국내 포털사이트 방문간호 기사 내용 분석: 코비드-19 이전과 이후 비교를 중심으로 (Analysis of the Contents of Visiting Nursing Articles on Domestic Portal Sites Using Topic Modeling: Focusing on the Comparison Before and After Coronavirus Disease)

  • 임지영;이미진;김근면;이옥균
    • 가정∙방문간호학회지
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    • 제30권2호
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    • pp.141-154
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    • 2023
  • Purpose: This study aimed to explore the social perception of visiting nursing before and after coronavirus disease (COVID-19). Methods: This survey-based study used online big data for comparative analysis by classifying the keywords related to visiting nursing searched on domestic portal sites before and after COVID-19. Results: According to the results of analyzing the Intertopic Distance Map based on Latent Dirichlet Allocation in this study, four topics were extracted, two each before and after COVID-19. The first topic before the COVID-19 period was termed "the expansion of visiting nursing subjects and services visiting nursing," while the second was termed "visiting nursing," which is related to customized welfare. The first topic after the COVID-19 period was termed "the suspension and resumption of visiting nursing services," while the second was "the development of a non-face-to-face home visit healthcare system". Conclusion: The results of this study can be used as useful reference data to contribute to future medical service delivery system reform policies starting at the end of COVID-19 and the revitalization of community care for visiting nursing.

노인을 위한 유비쿼터스 홈 서비스 (An Study on the Ubiquitous Homes Service for aged people)

  • 서동연;송정화;이현수
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2006년도 추계학술발표대회 논문집
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    • pp.149-154
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    • 2006
  • The purpose of this study is to introduce ubiquitous home services for the aged. In comparison with general ubiquitous homes, ubiquitous homes for the aged have two major characteristics. First, the service contents should be expanded and strengthened. Second, the services should be customized to each individuals. The primary objective of a ubiquitous home for the aged is health care. The three affordances for this objective are 1)prevention of sickness and reducing the speed of aging process, 2)technical assistance for disability, 3)recovering and enhancing the physical and cognitive function. For this purpose this paper analyses the characteristics of the aged and current ubiquitous technology and ubiquitous home service, thus providing an outline for ubiquitous services necessary for aged people.

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사회서비스 이용자 정보가용성이 서비스 품질 및 만족에 미치는 영향: 재가노인복지서비스를 대상으로 (The Effects of Information Literacy of Social Service Users' on Service Quality and Satisfaction: Based on Elderly Home Care Services)

  • 조한라;여영훈
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권11호
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    • pp.717-725
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    • 2017
  • 본 연구는 재가노인복지서비스 이용자들 사이에 정보가용성의 차이가 있는지 확인하고, 정보가용성이 품질 및 만족에 미치는 영향을 파악하는 것을 목표로 한다. 이를 위해 전라북도 지역 이용자의 응답자료 466부를 활용하여 차이검증과 회귀분석을 실시하였다. 분석결과는 다음과 같다. 첫째, 서비스 이용자의 성별, 가구 형태, 거주 지역, 학력, 주관적 건강상태에 따라 정보가용성의 차이가 있었다. 둘째, 정보가용성은 서비스 품질과 만족에 유의미하게 영향을 미쳤다. 정보가용성의 하위요소 중 특히 서비스 내용에 대한 정보와 요구 가능한 내용에 대한 정보는 기타 정보가용성 하위요소 보다 서비스 품질 및 만족에 더욱 큰 영향력을 나타내었으며, 이는 각 이용자의 욕구와 상황을 기반으로 한 맞춤형 서비스의 중요성을 보여준다. 본 연구는 재가노인복지서비스 이용자들 사이의 정보가용성이 서비스 만족과 품질에 미치는 영향력을 확인하였고, 이러한 결과는 재가노인복지서비스 이용자 중 정보취약계층에 대한 효율적이고 능동적인 정보제공 방안이 필요함을 시사한다.

보건소 맞춤형 방문건강관리사업 전문인력의 직무분석 (Task Analysis of Managers in the Customized Visiting Health Services)

  • 한영란;박영례;김영희;최희정;정미자
    • 지역사회간호학회지
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    • 제23권2호
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    • pp.165-178
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    • 2012
  • Purpose: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

취약계층 노인의 허약예방 프로그램 활성화를 위한 지역사회자원연계 사례: 노인맞춤돌봄서비스 생활지원사의 돌봄대상자 (Community Resource Linkage to Revitalize Frailty Prevention Programs for Vulnerable Seniors: Persons Receiving Care from Living Support Workers in the Elderly Customized Care Project)

  • 김선정;임은실;장현진
    • 한국농촌간호학회지
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    • 제19권1호
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    • pp.66-74
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    • 2024
  • Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.