Journal of Korean Academic Society of Home Health Care Nursing
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v.24
no.1
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pp.69-78
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2017
Purpose: The purpose of this study was to identify the frequency and duration of primary health practitioners' work, and their job satisfaction, and to confirm differences in work and job satisfaction by type of primary health care post. Methods: Work frequency, duration of work, and job satisfaction were estimated by 371 primary health practitioners. Chi-square test and t-test were used to identify the differences in working patterns and job satisfaction by type of primary health care post. Results: Primary health practitioners were found to spend more time working with the elderly population than with students, pregnant women, children, people with disabilities, and multicultural families. Those in costal areas were more concerned with students than those working inland. In the latter group of practitioners, more time was spent working with patients with chronic diseases, pregnant women, women, children, multicultural families, and mental health clients. Also, the job satisfaction of inland primary health practitioners was significantly higher than that of costal practitioners. Conclusion: It is necessary to identify the characteristics of primary health practitioners' work, focusing on changes in the medical service environment. Furthermore, it is necessary to provide job training according to type of primary health care post, as practitioners' approaches should differ between posts.
We analyzed the effects of regular Jjimjilbang(Korean sauna) exposure on the physiological responses in seven elderly farmers(Male=3, Female=4). Jjimjil training group took a bath in Jjimjilbang 8 times twice a week. Jjimjibang exposure was limited three times per day. Rectal temperature, total sweat rate, body fat (%), blood pressure, pulse, $Na^+$ concentration in sweat, and subjective sensation were measured during Jjimjil training exposure. The results are as follow: During Jjimjil exposure, changes of rectal temperature in male farmers were more stabilized than female farmers. The gradual decrease in total sweat rate and Na+ concentration in sweat was observed in both sexes. After Jjimjil exposure, the decrease in blood pressure was observed in both sexes, but not observed changes according to regular Jjimjil exposure. Subjective thermal comfort sensation was changed positively. In conclusion, the regular Jjimjil exposure has positive effects upon improvement in regulation of body temperature, blood pressure, and $Na^+$ concentration especially in heat tolerance.
This study investigated a path model in which men's and women's communication behavior escalating marital conflict (CBEMC) may be influenced directly and indirectly, via negative interpretations of their spouse, by their spouse's problem behavior, the couple's turning toward bids, and dyadic perspective-taking. Self-report data were collected from 498 married men and women who were living in Busan, Korea. Multiple-group analysis revealed that the path model was not equivalent for men and women. Their couple's turning toward bids and dyadic perspective-taking for men, and their spouse's problem behavior and dyadic perspective-taking for women, had direct effects on CBEMC. Further, their spouse's problem behavior and the couple's turning toward bids had indirect effects on CBEMC through negative interpretations in both men and women. The indirect effect of dyadic perspective-taking on CBEMC was significant only for men. Finally, considering total effects, dyadic perspective-taking was the strongest predictor of CBEMC for both genders.
Young Yool Chung;Sung Nyun Baek;Tae Gyu Park;Min Young Kim
Hip & pelvis
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v.35
no.4
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pp.253-258
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2023
Purpose: To figure out how complete control of family visits to prevent infection of coronavirus disease 2019 (COVID-19) affected the activity recovery of hip fracture patients admitted to nursing hospitals. Materials and Methods: Eighty-one patients with hip surgery in the two years prior to COVID-19 pandemic were classified as Group A, and 103 patients in the next two years were designated as Group B. The subjects' walking ability was evaluated by using the modified Koval index (MKI). In order to analyze the impact of the family visit control to the subjects, each group was classified into two different groups: (1) inpatients group who admitted to nursing hospitals and (2) home-treated patients. Additionally, statistical elements were processed in consideration of other factors that may affect the results of the experiment. Results: The MKI evaluated at 6 months postoperative was 3.31±1.79 in Group A and 2.77±1.91 in Group B, and it was meaningfully low after the pandemic (P=0.04). There was significantly low among both of Group A 2.74±1.76 and Group B 1.93±1.81 after the pandemic (P=0.03) among those treated at the nursing hospital. The rate of deterioration of the MKI was 35 (43.2%) in Group A and 57 (55.3%) in Group B, which increased by 12.1% after the pandemic. Conclusion: The pandemic had a negative effect on the recovery of postoperative activities of elderly hip fracture patients who admitted to nursing hospitals when family access was completely restricted to prevent infection.
Objectives: To investigate the patterns of unintentional home injuries in Korea. Methods: The study population was 12,382,088 people who utilized National Health Insurance services due to injuries (main diagnosis codes S00 to T28) during 2006. Stratified samples(n=459,501) were randomly selected by sex, age group and severity of injury. A questionnaire was developed based on the International Classification of External Causes of Injury and 18,000 cases surveyed by telephone were analyzed after being projected into population proportionately according to the response rates of their strata. Domestic injury cases were finally included. Results: Domestic injuries (n=3,804) comprised 21.1% of total daily life injuries during 2006. Women were vulnerable to home injuries, with the elderly and those of lower income (medical-aid users) tending to suffer more severe injuries. Injury occurred most often due to a slipping fall (33.9%), overexertion (15.3%), falling (9.5%) and stumbling (9.4%), with severe injury most often resulting from slipping falls, falls and stumbles. Increasing age correlated with domestic injury-related disability. Conclusions: The present findings provide basic information for development of home injury prevention strategies, with focus on the elderly.
Purpose: This study was conducted to investigate newly admitted nursing home resident's experience and adjustment problems in the early stage of institutionalization. Method: In depth interviews was done on 6 elderly residents who were newly admitted. Data from the interview were analyzed using theme analysis method. Results: Results showed that reasons for Institution admission were decreasing physical health and cognitive functioning. Residents reported that difficulties they experienced in institution life were lack of individualized care, loss of autonomy and privacy associated with the demands of group living, and loss of control over activities of daily living. Conclusion: Efforts need to be made to maintain the residents' decision-making and autonomy. Listening intentionally, offering choices, and promoting personal identity might be utilized to reduce relocation stress and enhance adaptation to nursing home living.
The purpose of this study was to investigate the attitude of the middle and old age about the elderly housing and the planning elements according to the types of silver town. For this study, a pre-interview and a survey method were used for data collection. A questionnaire survey of 372 women over 45 years old was carried out. Among the data, 321 cases were analyzed by SPSS for Windows V12.0. The major findings were as follows: 1) Regarding the elderly housing, While the couple cohabitation type preferred the existing housing and the general housing, the single habitation type preferred the apartment and silver town. Some people wanted silver town occupancy due to the decrease of children support burden, the other did not want it due to economical burden and the absence of homelike affection. When they move into silver town, they wanted to take money, clothes, and photo album. 2) In silver town development, while the couple cohabitation type preferred the apartment, independent house, the single type preferred the apartment, housing complex and group-home. The unit housing sizes of them were around 82.6 and 49.6 square meters respectively. In the space composition of unit housing, while the couple cohabitation type preferred bath room, kitchen, living room and two of bed room, the single type preferred one of bed room and bath room at least. On the other hand, this study found out that it was possible to plan the space for eating and washing as the common space. 3) According to single or couple, and ages, there were significant differences in preferred spatial planning elements, which needs to be reflected in the silver town development. These results can provide improvement guidelines for the development of the silver town with the differentiation of design factors for the silver town planners.
The purpose of this study was to gain understanding about residential satisfaction and preference of the members of the future elderly generation who have an intention to develop senior congregate housing. The data for this study were collected from 600 participants who were in their 40s to 60s, residing in Seoul, and who have an intention to develop senior congregate housing. The data collection spanned from December 1st to 20th, 2004. The results of this study were as follows: Firstly, the respondents who had a higher level of education, higher income, and a high-ranking job showed relatively higher residential satisfaction with their present house. Similar satisfaction level came between their present house and expecting ones in their later life. Financial responsibility was the most serious expected problem when they continue living in the present house in the later life. It means that the economic ability is the primary factor that determines whether they will have a stable life later. Secondly, as for the preference for the senior housing developer type, the group who preferred collectively developed senior congregate housing far outnumbered the other who preferred independent developer type. Also, the group who preferred collective developer type had higher economic ability than that of the other. These results indicate that above all, economic competence is the must significant variable, which should be considered in the future life and residential planning for the elderly. Korean senior congregate housing models should be developed based upon elaborate research. It is also necessary to develop different types of housing, such as a more practical type and a high quality type, as well as to respond to different kinds of developmental objectives, such as marketability and public benefit.
The purposes of this study were compare the leisure attitudes, leisure activities, and leisure constraint among three different generations - teenagers, adults, and elderly adults. Data were obtained from a Questionnaire completed by both male and female lived metropolitan, and aged over 13. Using the factor analysis, this study classified the types of leisure attitudes. The leisure attitude was divided to 4 factors - reducing stress, self-realization, family activity, and surplus time. In order to compare the attitudes, activities, and constraints of leisure among three different generations, ANOVA was used The findings of this study are as follows: First, there were significant differences between teenager group and the others. The teenagers (n=107) recognized the leisure as a mechanism of reducing stress, or as just surplus time. They liked sports, computer games, travels, and reading books, but were not likely to like leisure activities shared with family members. Their leisure constraints were significantly larger than those of the other groups. Teenagers' constraints of time, money, and skills could be leisure barriers. Second, adults group (n=123) attached importance to the family leisure activities. They liked to spend time with their family members, but they seemed to be relatively passive in most types of leisure activities. They like to read newspapers and magazines, and to participate in religious activities. Third, elderly adults' (n=86) purpose of leisure activities was to improve the health condition, and to develop relationships with their friends. They liked sports such as swimming and aerobic dance, travels, religious activities and community service activities. Their good health condition and economic resources could decrease the leisure constraints.
The purpose of this study was to investigate the general tendency of family/kin ritual transition and to find out related variables. For this purpose, 593 subjects of rural family were interviewed with questionnaires. The major results of the study were summarized as follows: 1. It was discovered that the characteristics of the ritual transition among the rural families is same as the urban families, i.e. westernization, commercialization, and socialization. But the speed of rural area was relatively slow. 2. In contemporary family/kin rites, traditional structure coexisted with external westernized aspects by the group who were elderly, lowly educated, lowly earned and Buddhist. 3. The family/kin rites were more significantly different depending on the age than gender, and the religion was the significant variable to the family/kin rites. So the family/kin ritual management education programs were needed.
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