• Title/Summary/Keyword: Health Care Environment

Search Result 1,240, Processing Time 0.032 seconds

Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk (방문간호를 받는 재가노인의 낙상위험)

  • Lee, Chong Mi;Cho, Bok-Hee
    • Journal of muscle and joint health
    • /
    • v.21 no.1
    • /
    • pp.36-45
    • /
    • 2014
  • Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

On-road Air Pollution Characteristics around a Day-care Center in Urban Area (도심 어린이집 주변 도로상 대기오염도 특징)

  • Woo, Sung Ho;Lee, Seung-Bok;Kim, Kyung Hwan;Lee, Gwangjae;Ryu, Sung Hee;Kim, Jong Bum;Bae, Gwi-Nam
    • Particle and aerosol research
    • /
    • v.10 no.2
    • /
    • pp.61-75
    • /
    • 2014
  • Five on-road measurements were made using a mobile laboratory (ML) to characterize spatial and temporal air pollutant distributions over roads around a day-care center in urban area on 30 August 2013. Fixed monitoring was also done near the day-care center using the ML during the periods between on-road measurements. On-road air pollution monitoring route was classified into seven sections and three zones to identify severe polluted roads among many roads having different traffic volumes and directions. Typical pollutants emitted from vehicles such as $NO_x$, black carbon, particle-bound polycyclic aromatic hydrocarbons, and submicron particles including nanoparticles were monitored using real-time instruments. Peak concentration episodes were frequently observed during the on-road measurements and most peaks were simultaneously monitored at four pollutants. Colored on-road air pollution map for each pollutant provides an insight on spatial air pollution distribution, showing heavily polluted roads and sections. Average on-road $NO_x$ concentration of each run was similar to that monitored at the nearest roadside air monitoring station.

A Structural Equation Model of Terminal Care Performance for Long-term Care Hospital Nurses (요양병원 간호사의 임종간호수행 구조모형)

  • Lim, Gui Yeon;Choi, So Young
    • Journal of Korean Public Health Nursing
    • /
    • v.37 no.2
    • /
    • pp.275-289
    • /
    • 2023
  • Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

Perceptions of School Health Care among School-aged Children and Adolescents with Chronic Disease: An Integrative Review (만성질환을 가진 학령기 아동·청소년의 학교 건강관리에 대한 인식: 통합적 문헌고찰)

  • Uhm, Ju-Yeon;Choi, Mi-Young
    • Child Health Nursing Research
    • /
    • v.26 no.2
    • /
    • pp.309-322
    • /
    • 2020
  • Purpose: The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases. Methods: This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles. Results: Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment. Conclusion: It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

Zigbee & PLC Integrated Gateway Development for U-Health Care Environment and Intelligent Home Network (유비쿼터스 헬스케어 환경 및 지능형 홈 네트워크를 위한 Zigbee & PLC 통합 게이트웨이 개발)

  • Son, Hui-Bae;Kim, Sung-Yun;Rhee, Young-Chul
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
    • /
    • v.2 no.4
    • /
    • pp.73-80
    • /
    • 2009
  • In this paper, we implemented the integrated gateway for health care and home network system based on PLC(Power Line Communication) and Zigbee. The designed system is consists of sensors, integrated gateway, Zigbee module and PLC modem. The integrated gateway will transmit the data which is collected by health care sensors to health care control system and control an appliance for comfortable environment to medical facilities. The implemented gateway can support various health care and home network service.

  • PDF

The Effect of Oral Environment and Self-care Behavior on Oral Health-related Quality of Life in the Elderly with Diabetes (당뇨병노인의 구강환경과 자가간호행위가 구강건강관련 삶의 질에 미치는 영향)

  • Sung, Kiwol
    • Journal of Korean Biological Nursing Science
    • /
    • v.22 no.3
    • /
    • pp.192-203
    • /
    • 2020
  • Purpose: The purpose of this study was to identify the influencing factors of oral environment and self-care behavior on the oral health-related quality of life in the elderly with diabetes. Methods: The participants were 110 elderly patients with diabetes and follow-up care on their outpatient clinic in D and G city. Data were collected September-December 2018, using questionnaires of the Oral Health Impact Profile (OHIP-49) and Kim's Self-care Behavior, measuring with the tooth-pick (Premiers Dental), Halitosis Checker (HC-212M), and Moisture Checker for Mucus (MCM) for oral environments. The data were analyzed the by independent t-test, oneway ANOVA, Pearson's correlation, and stepwise multiple regression analysis using an IBM SPSS Statistics 25.0 Program. Results: There was positive correlation between oral health-related quality of life and self-care behavior (r= .61, p< .001), negative correlations among halitosis (r = -.34, p< .001), gingival index (r = -.31, p= .001) and plaque index (r = -.32, p= .001). Self-care behavior (β= .46, p< .001), subjective health status (good) (β= .23, p= .002), halitosis (β= -.16, p= .030), and plaque index (β= -.15, p= .041) explained 46.0% of the variance in the oral health-related quality of life. Conclusion: It is necessary to develop nursing care for elderly patients with diabetes that can enhance the self-care behavior and subjective health status, and lower halitosis and plaque index, the factors influencing the oral health-related quality of life in elderly patients with diabetes.

The Effect of Oral Care Products usage on Oral Health Status in Korean Adult (한국성인의 구강건강용품 사용이 구강건강상태에 미치는 영향)

  • Park, Myung-Ho;Park, Mee-Yong;Lee, Hee-Sung
    • Journal of Technologic Dentistry
    • /
    • v.36 no.3
    • /
    • pp.197-203
    • /
    • 2014
  • Purpose: The purpose of this study was to evaluate oral health status according to use of oral care products in the adult population and determine methods for improving oral health status. Methods: The date of 'The fifth korean national health and nutrition examination survey 2011' was analyzed for this study. The questionnaire was measured regarding oral care products, Oral health status and socio-economic characteristics. For statistical analysis, the Statistical Package for Social Sciences version 19.0 for Windows was used. We determined frequencies, percentage and determining statistical significance using multiple regression analysis. Results: General characteristics and oral care products showed differences in DMFT associated with residence, gender, age, education, dental floss, etc(waterpic, hi-tech toothbrush, denture care products), in FS-T associated with residence, gender, age, income level, education, health insurance, dental floss, Interdental brush, etc, in T-health associated with residence, age, education, health insurance, Interdental brush, etc. Conclusion: In conclusion, in order to promote oral health status of the adult have to suitable selection and accurate usage of oral care products. Education and program in oral care products for the adult should be needed.

The Physical Environment and Behavioral·Psychological Health and Quality of Life for the Elderly People with Dementia - A Follow-up Study of Empirical Research, conducted on the Context of Long-term Care Facilities for the Elderly People with Dementia, to Identify Healing Environmental Factors and to Expand the Understanding of Related Clinical Outcomes (물리적 환경과 치매거주노인의 행동·심리적 건강과 삶의 질 - 노인요양시설 치유환경 디자인 요소 도출과 연계된 중재적 의료성과의 이해확장을 위한 후속연구)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.29 no.4
    • /
    • pp.7-20
    • /
    • 2023
  • Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of physical and environmental factors on behavioral·psychological health and quality of life for the elderly people with dementia who reside in long-term care facilities. This follow-up study of the previous literature review aims to further identify physical and environmental factors, that improve health and quality of life for the elderly people with dementia, published in recent five years and to expand the understanding of clinical outcomes as mechanism that mediate the effect of physical environmental factors on improving behavioral·psychological health and quality of life for the elderly people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies that link the design of dementia care facilities to health- and quality of care(QOL)-related outcomes and this follow-up review scrutinized peer-reviewed articles published in recent five years (from January 2018 to December 2022), filling the gap between the previous literature review and the current state of research. Results: The review identified a growing body of literature that articulates environment-related factors that improve behavioral·psychological health and quality of life for the elderly people with dementia living long-term care facilities. Implications: The findings of the review can be translated to design implications and design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

Impact of Working Environment, Job Identity, and Job Satisfaction on Turnover Intention among Child Care Providers (아이돌보미 여성의 근무환경, 직업정체성, 직무만족도가 이직의도에 미치는 영향)

  • Lee, Young Ran;Park, Sun Nam;Chu, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.23 no.1
    • /
    • pp.62-70
    • /
    • 2016
  • Purpose: This study examined the impact of working environment, job identity, and job satisfaction on turnover intention among child care providers. Methods: Data were collected from a sample of 146 child care providers using self-administered questionnaires from May 1 to July 20, 2014. The data were analyzed with SPSS 18.0. Results: Child care providers had a middle level of job identity, job satisfaction, and turnover intention. Turnover intention among child care providers was significantly predicted by age, job satisfaction, and income satisfaction. Conclusion: These results suggest that intervention and strategy development are needed to decrease turnover intention among child care providers. Exploration of strategies to increase the job satisfaction and income satisfaction are needed, in order to reduce turnover intention.

Antibiotic Resistance of Food-Borne Pathogens Isolated from an Indoor Environment of a Lunchroom in a Child Care Center (보육시설 급식실 실내 환경에서 분리된 식중독 미생물의 항생제 내성 특성)

  • Kim, Jung-Beom;Kim, Jong-Chan
    • Journal of Environmental Health Sciences
    • /
    • v.38 no.5
    • /
    • pp.415-423
    • /
    • 2012
  • Objectives: This study was performed in order to evaluate antibiotic resistance and analyze the multiple antibiotic resistance of food-borne pathogens isolated from indoor air and an air cleaner at a lunch room in a child care center. Methods: An antibiotic test of food-borne pathogens, including four Staphylococcus aureus and 23 Bacillus cereus was conducted through the disk diffusion method from Clinical and Laboratory Standard Institute. Results: All Staph. aureus was resistant to Ampicillin and Penicillin, while B. cereus was also resistant to Ampicillin, Cefepime and Penicillin. All isolates showed Vancomycin susceptibility but three out of four Staph. aureus and all B. cereus were resistant to Oxacillin. Staph. aureus and B. cereus presented two or more multiple antibiotic resistances. Conclusions: The results indicated that food-borne pathogens isolated from indoor air and an air cleaner at a lunch room in a child care center showed multiple antibiotic resistances. The repeated control of indoor environment quality is required and continuous surveillance of antibiotic resistant strains is demanded.