• 제목/요약/키워드: Elder care

검색결과 127건 처리시간 0.024초

A Study on Effectiveness of the Home Care Services for the Low Income Inhabitants (일부 지역사회 저소득층 주민을 대상으로 한 가정간호사업의 효과에 관한 연구)

  • Lee Kunja;Kim Myongsoon;Yang Younghee
    • Journal of Korean Public Health Nursing
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    • 제6권2호
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    • pp.70-107
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    • 1992
  • This study was intended to assess the need of home nursing care and analyze the effect of home nursing care, and find out the problems during the performance of home nursing care for the chronic patients among the low-income people in urban area. Data collection by interview was carried out from Nov. 1991 to Jul. 1992. The main results were as follows; 1) Total subjects for the need assessment of home nursing care were 123 households wi th 488 persons in a urban poor area. Over half of households $(57.7\%)$ was teenage family. The overall living conditions were poor and the average monthly income was 580 thousands won. $74.8\%$ of subjects was covered by medical care insurance and only $4.7\%$ was covered by public assistance. The morbidity rate was $8.2\%$ among 488 subjects and $27.5\%$ of them was not treated at all, $30\%$ was treated in utilizing pharmacies or local clinics. 2) The subjects of home nursing care were 46 with Hypertension or DM who agreeded the participation of study among registered patients at a public health center in Incheon. Home visiting was performed at intervals per one month for one year. Most of them were the elder(mean age=61 years) and long term patients(7.8 years continued). Home nursing care was effective. That is, blood pressure(including systolic and diastolic pressure) was significantly reduced (t(n=22)=2.31, P=.031, t(n=24)=4.16, P=.000 respectively) and knowledge of disease(t(N=46)=-7.63, P=.000), attitude of disease (t(N =46) = -4.92, P=.000), and self-care(t(N =46) = -4.89, P= .000) were significantly improved through home nursing care. But there was no difference in blood sugar for diabetics between the beginning and the end of visits. At the beginning of visit for home nursing care, sex$(\beta=-0414,\;t=-3.012)$ and nursing need({3=.310, t=2.164) were influencing self-care, and duration of disease$(\beta=.297,\;t=2.106)$ and nursing need $(\beta=.385, t=20417)$ were influencing blood pressure, blood sugar level. Namely, the subjects who were male and had higher nursing need showed better self-care and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. At the end of visit for home nursing care after one year, the blood pressure and blood sugar level was influenced by age $(\beta.320,\;t= 2.242)$, duration of disease ($(\beta.352,\;t= 2.395)$ and nursing need $(\beta=.350,\;t=2.623)$ and self-care had no influencing factor. The higher age and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. 3) The problems that were found out during the performance of home nursing care were the absent of useful protocols for services and the clear evaluation base, and the difficulty of teaching elders who were the major part of our subjects.

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Use of Smart Devices of Infants and Preschool-children and Their Mothers' Perceptions (영유아의 스마트기기 사용 실태 및 어머니의 인식)

  • Lee, Su Mi;Seo, Hyun Ah;Han, Hee Jung
    • Korean Journal of Childcare and Education
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    • 제10권2호
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    • pp.111-131
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    • 2014
  • This study aims to research the use of smart devices of infants and preschool children, and their mothers' perception about it. Moreover, the goal of this study is to collect preliminary data about problems from the use of smart devices, and to prevent the problems. Therefore, the questions of inquiry for this study are: 1. How do infants and preschool children use smart devices? 2. How do mothers perceive their children using smart devices? Four hundred and forty mothers, who send their child to a day-care center or kindergarten in Busan, participated in this research and data among 397 of them were analyzed using PASW 18.0 program. The answers to a multiple-choice question were converted into a frequency and percentage. To verify the difference of factors, Chi-squared Test and One-way Analysis of Variance methods were used. The following are findings of this study: 1. Most of the families owning smart devices allow their children to use a smart device when children want it, and children use it for entertainment purpose before their bedtime. Children start to use a smart device mostly around the age of 4. Compared to girls, boys spend a longer time on smart devices playing mobile game. In addition, the research indicated that the children of younger mothers tend to use smart devices in earlier ages than the children of elder mothers. 2. Mothers of preschool children have higher perception about the availability of their child using smart devices compare to the mothers of day-care center. However, the research showed that elder mothers have more positive perceptions about all the other five lower factors, (e.g. educational characteristic, entertainment characteristic, design, safety, and smart recognition).

Resource Transfers from Adult Children to Their Elderly Parents (미국 성인자녀의 노부모에 대한 자원이전행동에 관한 연구)

  • Koh Sun-Kang
    • Journal of Families and Better Life
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    • 제23권1호
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    • pp.187-195
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    • 2005
  • The purpose of this study is to examine the influence of parent-to-child financial transfers and economic resources on financial transfers, caregiving, and time donated from middle-aged adult children to their elderly parents. Analyzing data from the Wisconsin Longitudinal Study, which provides long-term observations of financial reciprocity and recent reports about elder care, the current study finds strong positive effects of prior parent-to-child financial transfers in the models of caregiving and time; which indicates the importance of reciprocity. In terms of determinants of resource transfers, the findings of logistic regression analyses suggest that the economic resources of parents and adult children are strong determinants of child-to-parent financial resource transfers. Sociodemographic characteristics of parents and respondents were observed as strong determinants of caregiving or time. In addition, caregiving responds more to the health and income levels of parents whereas donated time is responsive to the net worth of parents and parents' status. For adult children, gender is a strong determinant of both caregiving and time donation. The long-term health problem of adult children is a statistically significant predictor of caregiving, while the employment status of adult children and the number of siblings have statistically a significant association with time donated to care for the parents.

Suggestion on Senior Housing Policy with Consideration of the Features of Service and Housing Alternatives for the Senior of the U.S.A. (미국의 노인을 위한 주거대안과 서비스의 특성을 통해 본 한국의 노인주거 정책에 대한 제안)

  • 곽인숙
    • Journal of Families and Better Life
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    • 제21권6호
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    • pp.81-95
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    • 2003
  • While Korean traditional culture considers it necessary that children support their parents, a new trend of silver support is expanding by the recent social change, the increase of women's working, and the reluctance to support the old people. However, the number of silver welfare facilities in Korea is short for the demand with limited selections of them. Based on the situation, the following results of the study what kind of policies Korea service for the old people in the USA where early stepped into the aging society: 1. provide specific and proper social-supporting service and facilities with charge or free for the old people to be able to select one of them, according to economic, physical and psychological situation of the old people; rather to prepare service and facilities for all the old people. 2. increasing community service support for the home-staying old people 3. the development of support program for the family of the old 4. the improvement of housing environment for the home-staying senior 5. prepare the housing alternatives for the senior would be home-like environment.

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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    • 제27권2호
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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.

A Study on ADL, IADL, and Cognitive Function of Low-income Community Dwelling Elderly (도시 저소득층 노인의 ADL, IADL 및 인지기능과의 관계)

  • Yoo, Moon-Sook;Kim, Hye-Kyung;Jo, Eun-Mi;Kim, Yong-Soon
    • Journal of Home Health Care Nursing
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    • 제14권1호
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    • pp.5-10
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    • 2007
  • Purpose: The purpose of the study was to analyze the ADL, IADL and cognitive function of low-income elderly who are receiving the visiting nurse service in the community. Method: Study participant were 2,413 community-dwelling elderly who live in S City. The data were collected from 5th Jan. to 28th Feb. 2006. The cross-sectional descriptive survey was done using a structured questionnaire through interviews by visiting nurses. Result: The average scores of ADL and IADL was respectively high, which indicates a relatively independent everyday life. However, the score of cognitive function was 21.87(normal range is over 23). There was a significantly positive correlation among ADL, IADL and cognitive function with the pearson correlation coefficients. Conclusion: It is concluded that elder subjects who are women, old aged, and live alone should be watched carefully for the cognitive impairment. In addition, the government should apply early detection and management system for cognitive impaired people who live in the community.

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Student Nurses' Knowledge and Attitude Related to the Elderly (간호학생의 노인관련 지식 및 태도조사)

  • Lee, Eun-Ja;Kang, Ik-Wha
    • Journal of Korean Public Health Nursing
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    • 제20권2호
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    • pp.183-194
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    • 2006
  • Purpose: The purpose of this study was to investigate student nurses' knowledge and attitude related to the elderly. Method: The data were collected from 519 student nurses studying in university by means of a structured questionnaire. The data were analyzed using descriptive analysis, t-test, one-way ANOVA, and Pearson correlation analysis by SPSS version 10. Results: The average score of the respondents' knowledge of the elderly was 12.02(${\pm}2.77$) out of 25. The average score of the respondents' attitude toward the elderly was 80.09(${\pm}11.69$) out of 140. There was a statistically significant difference in the respondents knowledge of the elderly depending on their degree of preference for giving nursing care to the elderly (F=7.534, p=.001). There was a statistically significant difference in the respondents attitude toward the elderly depending on their degree of preference for giving nursing care to the elderly (F=23.167, p=.000), possession of living grandparents (F=6.174, p=.002), and degree of interaction with elderly (t=5.661, p=.000). Student nurses' knowledge and attitude related to the elderly were significantly correlated. Conclusion: It is necessary to develop a program for continuous teaching and education that will help increase student nurses' knowledge of the elderly and thereby positively change their attitude toward the elderly.

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A Study on Satisfaction of Service by the Models of Informal-formal Resources Linkages for Long-term Care Elder (장기요양대상노인의 비공식적·공식적 자원연계 유형에 따른 서비스 만족도 연구)

  • Kim, Geum-Yeol
    • 한국노년학
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    • 제30권4호
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    • pp.1027-1044
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    • 2010
  • This study is to examine the effective system for providing services for long-term care elders, despite the expansion of formal care, informal care still is needed. Thus, this study's purpose is to classify the informal-formal resources linkages types of long-term care elders and looks into service satisfaction by these types and discover effective informal-formal resources linkages models. For that, this study is to divide informal-formal resources linkages types by the degree of providing services of informal and formal caregivers and discover the informal-formal resources linkages types using cluster analysis and explores the effectiveness of service satisfaction using multiple regression. The study's results is to suggest four models, such as family care, complementary, separation, formal service and complementary type was founded to be the most effective and then based on the result, we discuss as follows. First, we must strive to combine informal resources into formal service systemto the system for providing of service is made up the complementary type. Second, the system for providing services of long-term care elders is required integrated care system to alining of medical and long-term care services. Third, we have to consider a measure to improve of formal service type, for the satisfaction of formal service appears low relatively. Based on research findings, this study propose that the informal-formal resources linkages models are subdivided into the dimension of quantity and quality of care for improving the effectiveness of long-term care services.

Related Factors between Health Status, Health Behaviors, Health-related Quality of Life by of Elderly (거주 지역에 따른 노인의 건강수준, 건강행태, 건강관련 삶의 질 관련 요인)

  • Ryu, Jung Im;Choi, Hye Seon
    • Journal of Korean Academy of Rural Health Nursing
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    • 제9권2호
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    • pp.59-70
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    • 2014
  • Purpose: The present study was to done ascertain variables related to health-related quality of life (HRQOL) and their related factors in elders from urban or rural areas. Methods: Data were collected from raw material of the 2009 community health survey. Participants were 2,140 elders. Health related quality of life (HRQOL) was measured using EQ-5D. Data were analyzed with SPSS 13.0. Results: Mean EQ index score for urban elders was $0.78{\pm}0.23$, Mean EQ index score for rural elders was $0.82{\pm}0.16$. Rural elders had significantly higher EQ-5D index value compared to urban elders. The urban elder HRQOL model accounted for 33.6% of the variance due to depression, age, stress perception. The rural elder HRQOL model accounted for 23.5% of the variance due to exercising walking, skipping breakfast, depression in that order. In comparison, depression, skipping breakfast, livelihood, arthritis, stress perception, hours of sleep and age are strongly associated with HRQOL in both groups. Conclusion: Results indicate that significant differences in HRQOL between elders from the two areas and thus, confirm claims that welfare services for elders should be provided with consideration of the different needs of elders in the two areas, and in particular for addressing depression in elders.

A Study on the spatial configuration & Use Characteristics of the Elderly Nursing Institutions (노인요양시설의 이용특성 및 공간구성에 관한 연구)

  • Chu, Yeon-Cheol;Lee, Dong-Suk;Youn, Chung-Yeul
    • Journal of the Korean Institute of Rural Architecture
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    • 제12권3호
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    • pp.57-65
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    • 2010
  • The graying of population is not only a significant problem in developing countries, but also in a small country which is passing industrialization and urbanization. Industrialization and urbanization has raised a number of nuclear family. Moreover, changes in the environment and development in science such as a medical development and improving standard of health and hygiene have raised an average life expectancy. Considering these factors, average age of population is going up continue. Developed countries such as Europe, US and Japan have already experienced the graying and some countries have entered aged society. Korea is expected to be reached post-aged society in 7 years which is faster than developed countries that started aging society earlier than Korea. The purpose of this study is a analysis of resident's opinions and preference and using space of elders facilities and seeking a plan to construct the facilities through suggesting standard of use space. Firstly, this report will classify current situation of spacial organization on elder facilities focusing on major sectors and will compare in size. Moreover, standard of area distribution through an analyzing characteristics of each spacial organization. Secondly, The report will compare and analyze between space and main traffic line through classifying traffic lines between staffs and residents of elder facilities and understanding characteristics and problems of each traffic line. Lastly, this will study perception and preference on staffs at elders facilities and middle old aged people who are potential demander, and compare between these people.