• Title/Summary/Keyword: Health care need

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Belief, Knowledge, and Practice about Oral Health Care of Middle-aged Women (중년여성의 구강건강관리에 대한 신념과 지식 및 실태)

  • Park, Geum-Ja;Park, Chun-Hwa;Kim, Mi-Ok
    • Women's Health Nursing
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    • v.15 no.2
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    • pp.130-139
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    • 2009
  • Purpose: This study was performed to identify the relationship between belief, knowledge, and practice about oral health care of middle-aged women, and to prepare baseline data for developing a dental health education and promotion program, Method: For the survey, 120 individuals(middle-aged women) were chosen by convenience sampling and agreed to participate in the study. Their belief, knowledge, and practice about oral health care were measured, For descriptive statistics, t-test, ANOVA, Tukey and Pearson's correlation coefficient were used with SPSS Win 14,0. Result: The level of belief and practice about oral health care was middle for the subjects, However, the level of knowledge about oral health care was relatively high. The level of practice about oral health care related to characteristics of subjects showed significant differences according to level of education and oral health status. There was no significant correlation between the level of practice and the belief about oral health care, The practice about oral health care showed a significant positive correlation with knowledge. Conclusion: These findings demonstrate a need for the development of oral health care programs that is effective in improving belief, knowledge, and practice about oral health care reported by middle-aged women.

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The Continuum of Rehabilitation Care and the Rehabilitation Services that are Needed by People with Severe Disabilities (재가 중증 장애인의 지속적 재활 관리 실태와 재활 서비스 요구)

  • Jang, Soong-Nang;Kim, Wan-Ho;Lee, Kyu-Beom;Kim, Su-Kyung;Lim, Jae-Young;Rhee, Seon-Ja
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.263-269
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    • 2006
  • Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

Need Assessment of Home-based Cancer Patients (재가암환자 요구도 조사)

  • Kim, Tae-Sook;Yang, Byung-Guk;Jeong, Eun-Kyeong;Park, No-Rai;Lee, Young-Sook;Lee, Young-Sung;Lee, Sok-Goo;Kim, Young-Taek;Yun, Young-Ho;Huh, Gil-Ja
    • Journal of Hospice and Palliative Care
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    • v.2 no.1
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    • pp.36-45
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    • 1999
  • Purpose : Cancer, one of the major causes of death in Korea, tends to become chronic due to the rapid development of diagnostic and therapeutic methods. As a result, the number of home-based cancer patients is in the increasing trend. However, on account of the insufficiency of continuous and comprehensive cancer patient management system, a number of cancer patients are left in a defenseless state. This study was designed for need assessment of home-based cancer patient to establish the community-based health care system for the comprehensive and continuous health care service to improve the quality of life of cancer patients and reduce rare burdens of their families. Methods : Through making a survey for needs assessment toward the health care service, the 455 respondents among home-based cancer patients answered the given enquetes to analyze the management status and problems of home-based cancer patients Results : 1) Unsatisfaction rates of pain control is 25.5 percent for mild cases, 46.5 percent for severe cases. 2) According to the needs assessment of home-based cancer patients, most of the respondents want to receive economical support, alleviation for the pain and symptoms, and the information of health care and consultation. So these needs account for the main contents of the home-based cancer patient management plan. 3) In the aspect of the satisfaction rate for basic care need, most items account for $20{\sim}30%$ of satisfaction. And the proportion of need for special case is under 5%, satisfaction rate for special care need is about 50% of satisfaction. So the home-based cancer patients are not being cared sufficiently. Conclusion : According to the result of need assessment, many home-based cancer patients received inadequate pain and symptom management. And Satisfaction rate for basic and special care need is low. So development of comprehensive and continuous health care service to improve the quality of life of cancer patients and reduce care burdens of their families is very necessary.

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Factors Affecting Job Satisfaction of In-Home Child Care Helpers: Focusing on Child-Care Efficacy, Job Efficacy, and Health Promoting Lifestyle (아이돌보미의 직무만족에 영향을 미치는 요인: 보육효능감, 직무효능감, 건강증진 생활양식을 중심으로)

  • Yoo, Hana
    • Child Health Nursing Research
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    • v.22 no.2
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    • pp.71-78
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    • 2016
  • Purpose: The purpose of this study was to investigate the influence of child-care efficacy, job efficacy, and health promoting lifestyle on the job satisfaction of in-home child care helpers who are called Idolbomi. Methods: Participants for this survey were 153 in-home child care helpers who worked in Seoul. Data were collected from May 23 to October 17, 2014 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 18.0 program. Results: There were significantly positive correlations between child-care efficacy, job efficacy, health promoting lifestyle, and job satisfaction. Stepwise multiple regression analysis revealed that the predictors of job satisfaction were spiritual growth, education level, job efficacy, effect of income. Conclusion: Therefore, we need to develop strategies to enhance the job efficacy and health promoting lifestyle of in-home child care helpers to improve their job satisfaction.

An Analysis of Research on Health Care Organizations in Korea (우리나라 보건의료 조직 연구의 현황과 과제)

  • You, Myoung-Soon
    • Health Policy and Management
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    • v.20 no.1
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    • pp.155-182
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    • 2010
  • This study reviews 302 articles on health care organizations (HCOs) from 33 Korean Research Foundation registered journals. Articles are classified by criteria, focusing on study topics and methods. Key findings: (1) 'health care' journals are the major source of research on HCOs, (2) there has been a rapid increase in the amount of articles since the 1990s, (3) the majority of the studies deals with micro issues such as job attitude or motivation, (4) approximately 17% of the articles does not provide hypotheses based on theoretical assumptions, (5) few studies attempt to propose a new concept or theoretical framework, (6) most of the studies consider 'individual' as a level of analysis, (7) the use of cross-sectional data collected by survey questionnaire is general, and (8) individuals in a single occupation from multiple organizations are the main data source. Based on the findings, some directions for future research are proposed. Most of all, having more opportunities to introduce theories of organization and organizational behavior in health care need to be made in order to enhance understanding of HCOs. Next, sophisticated methodologies to guide empirical investigations should be developed to reduce deficiencies in research. Finally, efforts to encourage interdisciplinary approaches to the study on HCOs also need to be increased.

Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design (산모 집중치료실에 입원한 고위험 임부의 건강관리 요구: 혼합적 연구방법 적용)

  • Kim, Hyunjin;Park, Horan
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.196-208
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    • 2018
  • Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

Testing for Self-care Ability Measurement in an Aged Health Center - A Delphi Technique - (일개 노인보건센터에서의 자가관리능력 측정도구 검증 - 델파이기법을 중심으로 -)

  • Kwon, Myung-Soon
    • Research in Community and Public Health Nursing
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    • v.17 no.4
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    • pp.573-582
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    • 2006
  • Purpose: To find out whether the self-care ability measurement used for visiting health care provide an appropriate standard to select service methods using a Delphi survey and to offer basic data that can improve the measurement. Method: A Delphi survey was done with 39 people consisting of theoretical professionals, field managers, and practitioners engaged in visiting health care. Result: It was found that items and weighted points in the currently used self-care ability measurement needed adjustment. Therefore, a modified evaluation standard was presented by domains, items and detailed items. Finally, the self-care ability measurement is composed of 4 domains, 11 items and 19 detailed items. Conclusion: This study is significant in that it presented an evaluation standard applicable directly to business practice by supplementing problems in the existing self-care ability measurement. This study suggests the need to develop various measurements for elderly households based on community.

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Needs for Pediatric Palliative Care among Parents of Children with Complex Chronic Conditions (복합만성질환을 가진 자녀를 둔 부모의 소아청소년 완화의료 요구도)

  • Yun, Hyeseon;Hwang, Ae Ran;Kim, Sanghee;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.527-536
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    • 2018
  • Purpose: The purpose of this study was to investigate the needs for pediatric palliative care (PPC) among parents of children with complex chronic conditions (CCCs) and to investigate differences in the needs for PPC according to their general characteristics. Methods: A cross-sectional survey was conducted between March 28 and May 18, 2018. Parents (N=96) who had a child under 18 years with a CCC were recruited. Data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Results: The overall average need for PPC was $3.58{\pm}0.33$ out of 4.00. In terms of care for the subjects' children, the highest need was physical care, followed by psychosocial and spiritual care. In the sub-dimensions, preservation of physical function received the highest score. Of the items, the highest need was for seizure control. In terms of care for the subjects themselves, the highest need was for psychosocial care, followed by bereavement and spiritual care. In the sub-dimensions, communication received the highest score. Of the items, the highest need was for smooth communication with medical staff. Differences in needs for PPC according to participants' general characteristics were not statistically significant. Conclusion: Medical staff should provide PPC according to the priorities of parents' perceived needs.

The Homecare Needs of Cancer Patients (암환자의 퇴원 후 가정간호 요구)

  • Kwon, In-Soo;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.743-754
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    • 1999
  • The purpose of this descriptive study was to identify the homecare needs of patients with cancer and to provide a basis of interventions. One hundred and two patients at one general hospital in Gyeongnam responded to a questionnaire developed on the basis of care needs perceived by nurses caring for hospitalized patients with cancer. The questionnaire was a Likert type 5 point scale with 56 items on five need categories ; 1) informational 2) physical care : 3) emotional care 4) socioeconomic care and 5) special care needs. Internal consistency of this questionnaire was Cronbach's $\alpha$=.9101 for total items. The data was collected from March 1st to May 31th, 1998, by two graduate nurses. In the data analysis, mean & standard deviation were calculated to identify the degree of care need of each item, and the t-test & ANOVA were done to determine the effects of patients' demographic background on their care needs. The findings are summarized as follows ; 1) The mean score of total of need items was 3.048. Of the four need categories the highest score was informational at 3.4, followed by emotional care, 3.063, physical care, 2.623, and socioeconomic care, 2.599. 2) In the informational need category there were four subcategories with 19 items. Medication and pain control had the highest score, 3.755 ; second was diet and exercise, 3.613 ; third was disease and treatment process, 3.337 ; and last was personal hygiene and infection prevention at 2.687. 3) In the physical care need category there was nine items, IV infusion for nutrition and management of treatment complication was above 3.2 points and the remaining items were in the 2.847-2.070 score ranges. 4) In the emotional care need category there were seven items. The highest need was in support for relationships with health personnel, 3.673. The need for support of religions beliefs and support for having a religion were low at about 2 points. 5) In the socioeconomic care need category there were six items. Support for medical insurance expansion and financial support were above 3 points. Legal support and support for caring of children were low in the care needs. 6) In the special care need category the there were 15 items. Informational need about immunization and informational need about effects of disease on growth and development were high, above 4.1 points. Need for decubitus care and prevention, sitz bath and incontinence care were low, below 2 points. 7) There were significant differences in degree of care need according to admission rate, education level, marital status, religion and caregiver's religion. In conclusion, homecare needs perceived by hospitalized patient's with cancer was moderate, but informational need was higher than direct care need, leading to the conclusion that the provision of sufficient information to patients with cancer at discharge is needed. Nursing interventions should be developed considering the patient's background.

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A study on the school dental health care in rural area (비도시지역 학교인구의 구강보건진료소비실태에 관한 조사연구)

  • 김진범
    • Korean Journal of Health Education and Promotion
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    • v.2 no.1
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    • pp.107-112
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    • 1984
  • In order to develop the school dental health care in rural area, the author collected data about the population of all 6-17 year students living in Young dong-gun county, and Surveyed their dental health cares during one year of 1982. From the collected data, several dental health indices such as percentage of students of all population, percentage of students who visited dentists once or more during one year, average annual dentist visit and average annual dental treatment case were calculated and discussed. The obtained results were as follows; 1. The percentage of students of all population in Young dong-gun county was 29.65%. 2. The percentage of students who visited dentists once or more during one year was 4.67%. 3. The average annual dentist visit per student was 0.11. 4. The average annual dental treatment case per student was 0.16. 5. The oral examination case was 0.05, intraoral radiograph 0.01, oral prophylaxis 0.00, filling of dental carious lesion 0.02, pulp treatment 0.02, extraction of teeth 0.04, and others 0.02 annually in the average. In comparison with detectable need for dental treatment cases, oral prophylaxis was not supplied at all, filling of dental carious lesion was supplied about 1% and extraction of teeth was supplied about 10% of detectable need. 6. It was recommended that school incremental dental care project should be developed for school dental health programme in order to supply all of the detectable need for dental treatment.

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