Kim, Young-Suk;Park, Jung-Ran;Park, Hyoung-Sook;Lee, Yun-Mi
Journal of Korean Academic Society of Home Health Care Nursing
/
v.11
no.1
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pp.23-32
/
2004
Purpose: The purpose of this research is to give basic data about a way of connection to individual centers and vitalization of visiting nursing program on Busan. Method: The research is done with survey for eight hospitals. sixteen public heath centers, forty-six social welfare centers to be practised visiting nursing program on Busan for actual condition of that. Results: 1. The average nursing career is below 5-10 years. But visiting nursing career is below 3 years(70%) in hospital. public, public heath center, and heath center. 2. Hospitals coverage of visiting nursing service is city as a whole. Whereas public heath center and social welfare center covered some local area. 3. Client of visiting nursing service possess in order of alone lived elderly, person in uncomplete movement, a disabled person, and a chronic disease person. 4. The main service in visiting is patient assessment, basic nursing activity, and treatment nursing activity with medication care, B.P check, dressing, bedsore care, catheter care and exchange, fluid therapy. Particularly, the hospital runs parallel to basic care and treat care in 100%. The social service center has 65.0% in a patient assessment and basic nursing activity. 5. The concern about services connecting with other center is very high. Conclusion: Actual conditions of visiting nursing program on Busan, which is presented in this study. The results of this study will become the pillar of visiting nursing program planning and application.
The purpose of this study was to validate a hypothetical path model of maternal childhood attachment, emotions, parenting behaviors, and child behavioral problems. The research was conducted with 240 sets or mothers and their children 70 mother-child teams from seven counseling organizations including the Children's Counseling Clinic, Community Social Welfare Service Center, and Welfare Service Center for the Disabled in Seoul, Incheon, and Pyeongtaek, and 170 elementary school children from Seoul and their mothers. Consequently, a total of 200 mother-child teams were selected for this study. The data in this study were analyzed with SPSS 12.0 program and LISREL 8.3 program. The result of this study is as follows: (1) Examining the path of paternal attachment and the internalizing and externalizing behavioral problems, it was noted that paternal attachment had the indirect effect of anxiety and over-protection on the path to internalizing problems and the indirect effect of anxiety also noted is that there is a full-mediation of anxiety and over-protection between paternal attachment and the internalizing problems. (2) Examining the path of maternal attachment and the internalizing problems, it was noted that maternal attachment has direct effect on the internalizing problems. Maternal attachment has the indirect effect of self-esteem depression, anxiety and over-protection on the Path, and the indirect effect of self-esteem, anxiety and over-protection. (3) Examining the path of maternal attachment and the externalizing problems, it was noted that maternal attachment has direct effect on the externalizing problems and on the path to the externalizing problems, and maternal attachment has the indirect effect of depression, the indirect effect of self-esteem and authoritarian control, and the indirect effect of self-esteem and depression.
The purpose of this study is to analyze the cause-and-effect relationships among positive verbal expressions from family members, social network, and disability identity as the determinant factors of intention to work. To achieve the goal, 453 persons with disabilities and with experiences of using facilities for the disabled were studied, who were recruited for the national survey of domestic violence in 2010. For the research subjects, the cause-and-effect relationships among the major factors were examined by using a structural equation model. According to the results, disability identity and intent to work tended to be higher as they had experienced more of positive verbal expressions from their families. Moreover, a more participation in social activities increased disability identity, but not intent to work. Lastly, disability identity was found to be a determinant of intent to work. Based on the results, we provide suggestions to achieve social inclusion of people with disabilities by raising the intent to work.
This study starts form the inequity of the spatial accessibility in social services. This study has purpose to descript and analyze the spatial accessibility of social service agencies. While analysing the spatial accessibility, this paper uses comparative method of distance and space-time measures. The results of research are as follows; It needs (1) to enhance the spatial accessibility of the aged and the disabled. (2) to facilitate the spatial accessibility of marginal area or community like rural community. (3) to recognize utilities of distance and space-time measures in the spatial accessibility.
The purpose of this study was to ascertain the multiple mediating effect of mental health, which is composed of depression, disability acceptance, social-economic position, life satisfaction, on the relationship between disability discrimination and job satisfaction against wage earners with disabilities. A data of 992 wage earners with disabilities which derived from the fourth wave panel data provided at Korea Employment Agency for the Disabled were utilized. SPSS 20.0 and SPSS Indirect macro was conducted, and the results were verified by SPSS 20.0 and SPSS Indirect macro. The results were as follows : (1) Depression influenced between disability discrimination and job satisfaction directly or indirectly. (2) Disability acceptance mediated between disability discrimination and job satisfaction. (3) Social-economic position mediated between disability discrimination and job satisfaction. (4) Life satisfaction mediated between disability discrimination and job satisfaction. Based on the results, Based on the results, it suggested some methods of ascent of job satisfaction for wage earners with disabilities.
The purpose of this study is to investigate the association of functional disability, ego integrity and depressive symptoms, and analyze the mediating effect of ego integrity among the elderly, residing in the long-term care facilities. The data were collected by using non-random purposive and convenient sampling methods and 247 elderly who reside in the nursing home care, located in Daegu city and Kyungpook provinces participated in this study. Findings of this study indicates that there are statistically significant relationships among functional disability, ego integrity and depressive symptoms of participants. In addition, the mediating effect of ego integrity on the relationship between functional disability and depressive symptoms is statistically significant and shows partial mediating effect. Based on the findings of this study, possible practice implications for improving functional and mental health of the elderly in residential care home and recommendation for further study were provided.
This study is to find ways to improve the daily life satisfaction of people with disability through interpersonal relation and self-efficacy. Descriptive statistics, correlation analysis and regression analysis by SPSS 21.0 were applied to 1,483 out of 4,400 of Penal Survey of Employment for the Disabled 2nd Wave. The study show that the interpersonal relation had a positive effect on self-efficacy and daily life satisfaction. Self-efficacy influenced positive effect to life satisfaction and played a mediating role between interpersonal relation and daily life satisfaction. Based on the conclusion that daily life satisfaction can be enhanced through the improvement of interpersonal relations and self-efficacy, this study made policy suggestions to improve interpersonal relations and self-efficacy.
The purpose of this study was to verify whether strengthening family competency plays a mediating role in the influence of parents' parenting efficacy on the independent life of children with developmental disabilities. The subjects of the study were 146 parents with developmental disabilities, and data analysis using the SPSS 22.0 program was conducted. The mediating effect was Baron and Kenny Hierarchical regression analysis and sobel-test were conducted. As a result of the study, the positive effect of parents' parenting efficacy on the level of self-reliance and strengthening family competency of children with developmental disabilities was verified. In addition, the positive mediating effect of strengthening family competency was verified between the parenting efficacy of parents and the level of independence of children with developmental disabilities. As a result of the study, it is important to support parents' parenting and family capacity enhancement to support the independence of children with developmental disabilities.
This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.
To find out the actual status of treatment of physically handicapped who were stayed of home, 320 physically handicapped persons were selected among total 6,264 physically handicapped registered in Taejon city, surveyed from January 1st to March 30, 1997. Following are the results ana lysed of collected data from 201 samped persons. 1. For the cause of physically handicapped, 36.3% was congenital, 26.9% was cerebralvascular acciednt(CVA). and 14.9% was infectious diseases and others in that orders. The must frequest cause of below 20 years age group was congenital cause, but that of $20{\sim}30$ years age group and $40{\sim}50$ years age group were accident and CVA repectively. 30.0% of respondents caused by infection and others earned household living expenses. Household living expenses were higher among the respondents caused by congenital cause but those were lowest in the accidental couse group. Handicap durations were longer in the accidental cause group and infections and others group than the congenital cause group and CVA group. 2. 54.7% of studied handicapped were under treatment. But 36.3% of them were stopped treatment, and 8.9 % of them answered not treated. Most handicapped, coused by congenital and CAV, were under treatment, but most of them caused by accidental and others were stopped treatment. 3. For the medical facilities, 54.5% of them utilized welfare facility, but 25.5% utilized general hospital and 20.0% of them utilized oriental medical hospital and health centers. Congenital cause group frequently selected welfare facility for the treatment facility. But accidental cause group frequently seleced general hospitals and CVA gruop frequently selected oriental medical hospital and others. The medical cost of welfare facility, oriental medical hospitals and others were lower than that of general hospitals. 4. The proportions of under treatment were higher among yonger age higher monthly living expenses group shorter handicapped duration groups, congenital cause group and handicap grade II group. But that of stop treatment were higher among congenital cause group, infectious and others cause group, and handicap grade I & then III group. 5. For the feelings satisfacion about medical treatment, only 35.3% of under treated group responed satisfation. 55.5% of them responded so-so, but 9.1 % responed dissatisfaction. The proportion of satisfaction was higher among shorter handicap duration group.
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