• Research in Community and Public Health Nursing
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• v.16 no.2
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• pp.115-126
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• 2005

Purpose: The aims of this study were to describe general characteristics and needs of home health care, and to find the differences between home health care needers and non-needers. Method: In this study, 642 subjects participated who lived in Muan, Jollanam-do. Data were collected in August 2001 using a self-reported questionnaire. The questionnaire was a revised and simplified form of the Organization of Community Health System Program at the Seoul National University. Collected data were analyzed through Kruskal-Wallis test. t-test. and Chi-squire for cross-sectional analysis. Result: The average age of the subjects was 52.6 years and 33.3% of them aged over 65 years. Twenty six percent of them had chronic degenerative diseases. The percentages of hypertension patients and D.M. patients were 6.4% and 2.5%, respectively. The number of family members was 2.95 on the average, 2.19 in cases of families with the elderly and 3.33 in cases of families without the elderly. The rate of disability of the elderly was 10.5%. Marital status (p=.000), the number of family members (p=.000), education (p=.000), job (p=.000) and health insurance (p=.027) were significantly different between home care needers and non-needers. Home care needers had less living expenses (p=.001), more frequent hospital admissions (p=.004), higher chronic disease rate (p=.000) and more frequent visits to public health center (p=.027) than non-needers. Home care needers who wanted free service were twice as many as non-needers. Conclusion: Home care need was very high in rural areas and the needers had worse characteristics (low educational level. low income, no job and no family). Therefore, it is necessary to develop cheaper and more accessible services for home care needers in rural areas.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.3
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• pp.295-305
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• 2010

Purpose: This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities. Methods: The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit. Results: Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38. Conclusion: The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures.

• Journal of The Korea Institute of Healthcare Architecture
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• v.17 no.3
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• pp.17-26
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• 2011

Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.

• Journal of Digital Convergence
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• v.18 no.11
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• pp.409-415
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• 2020

Objective: This study is a descriptive research study aimed to identify the needs of self-reinforcement education by applying IPA(Important-Performance-Analysis) techniques to develop the health care empowerment programs for the elderly with hypertension. Methods: The subjects of this study were 128 elderly people with hypertension over 65 years of age in areas A and B, and data were collected from 6 researchers and research assistants from May 11 to June 26, 2020. The collected data were analyzed by frequency analysis, descriptive statistics, and t-test. Results: Although the question with the highest education demands were 'I try to get my health care providers to my preferences for my treatment.' and with the greatest difference between importance and performance is the question 'I take my commitment to my treatment seriously'. Conclusion: From the results of this study, it is considered that a strategy that reflects the components of educational needs and healthcare empowerment is necessary when developing healthcare empowerment programs for the elderly with hypertension.

• The Journal of Korean Physical Therapy
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• v.11 no.1
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• pp.179-185
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• 1999

The Purpose of this study was to review the necessity of home care service for the handicapped. The Present momentum for home care for the handicapped become when the circulating rehabilitation service center for the handicapped was designated by the government in Korea. That was 1992. Home care service is a burgeoning segment of Korea health Service, driven by factors which include an expanding elderly population and increasing the disabled persons. To ensure quality of life for the disabled persons with diminishing financial resources allocated to health me, it is essential that community based rehabilitation and home care service be extended.

• 한국노년학
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• v.30 no.4
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• pp.1345-1357
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• 2010

This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

• Journal of the Korean Home Economics Association
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• v.49 no.10
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• pp.15-27
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• 2011

The predominant concern of the study consists in:(1)the positive direct effects of both individual's intimacy toward parents and individual's self-efficacy of care-giving roles on individual's care-giving commitment; (2)the positive mediating effect of individual's self-efficacy of care-giving on individual's care-giving commitment; (3)the moderating effect of the degree of unhealthy condition of individual's elderly parents on each causal relationship. For conducting this study, a survey method was used on 318 males with parents at the aged of 45-60, residing in Daegu and KyungPook. In order for subjects to verify research questions, structural equation models were explored. The findings of the study supported the direct, indirect effect and moderating effects, which suggested in research questions. Participants with unhealthy parents showed greater tendency in terms of influencing their intimacy toward parents on care giving commitment than participants with healthy parents did. The above findings claimed our attention in that provided a range of practical implication.

• Journal of the Korea Society of Computer and Information
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• v.28 no.1
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• pp.103-110
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• 2023

The purpose of this study is to improve the operation and working environment of welfare centers through this study on emotional labor of Certified Nursing Assistants at home welfare centers for the elderly. For the study, 138 Certified Nursing Assistants belonging to the Home elderly welfare center in K-si and J-do were studied. For statistical analysis, Cronbach's α, t-test, ANOVA, Pearson correlation analysis, and multiple regression analysis were performed using SPSS/WIN 17.0. First, as a result of the study, the difference in emotional labor among Certified Nursing Assistants at home-based senior welfare centers was higher in the degree of emotional labor in the order of dementia education, work experience, employment type, education level, and age. Second, the degree of burnout of the survey subjects was highest in the order of work experience, dementia education, employment type, and age. Finally, work stress and emotional labor were found to have a significant positive effect on work burnout. In conclusion, it is necessary to study Certified Nursing Assistants' cases of systematic emotional control experience to prevent work burnout, dementia education, work feedback on how to cope with services, and work conditions improvement measures to relieve work stress.

• Journal of Korean society of Dental Hygiene
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• v.16 no.4
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• pp.559-566
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• 2016

Objectives: This research has executed a new oral health promotion program among the elderly residents of a long-term care center, which purpose was to verify its effectiveness of oral health promotion through the improvement of their oral function. Methods: This study has selected the elderly over the age of 65, capable of communication, who use a long-term care center over the period of two months between July and September 2014. The subjects who remained until the final analysis numbered 50 excluding the dropouts during the program session (experimental: 33, control : 17). The oral stretching program was exercised two days a week, for total of two months. Each function was assessed by the standardized methods and measurement equipment. Also the sum of each function was converted into the oral health grade. Results: The oral function score of the experimental group also showed a statistically significant difference after the execution of the program, where the oral function score of experimental group increased $6.70{\pm}1.30$ from $4.95{\pm}0.89$ after the execution of the program (p<0.05), while the comparison group showed no valid statistical difference with the score result of $5.00{\pm}0.87$ down from $5.11{\pm}0.93$ after the execution of the program (p>0.05). Conclusions: Therefore if the oral health promotion program is reflected to the welfare policy in the future, it can be said that it contributes to the improved health status of the elderly who reside in the long-term care centers.

• Women's Health Nursing
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• v.15 no.3
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• pp.196-204
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• 2009

Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.