• Title/Summary/Keyword: Health care use

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A Study on Self-care among the Lymphedema Patients (림프부종 환자의 자가관리에 관한 실태 조사)

  • Cho, Myoung-Ok;Jung, Hyang-Mi;Jun, Jum-Yee;Sohn, Sue-Kyung;Yoo, Young-Ja;No, Mi-Young;Park, Soon-Ok
    • Korean Journal of Adult Nursing
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    • v.15 no.3
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    • pp.383-392
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    • 2003
  • Purpose: The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients. Method: The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage. Result: For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage, and 13.0% with exercise. 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy. Conclusion: From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

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Development of an Intervention List for Family Nursing Care (가족간호를 위한 중재목록 개발)

  • Kim, Young-Im;Kim, Hee-Gerl;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.123-133
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    • 2009
  • Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

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A Study on the Self-care In the Aged with Diabetus Mellitus (노년기 당뇨환자의 자가간호에 관한 연구)

  • Kang Hee Kyung;Jung Mhoon Hee
    • Journal of Korean Public Health Nursing
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    • v.1 no.1
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    • pp.5-16
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    • 1987
  • This study was carried out to assess the self-care ability of the adged diabetic patients. To achieve such a purpose, thirty cases of the adged patients were sampled the regular and' the irregular hospital visiting group respectively from 20th, Oct. to 29th, Oct. in 1985. The data were collected by means of personal & telephone interview, chart review, and home visiting, and analysed by use of percentage, t-test, $X^2-test$ and Pearson-correlation coefficient. The obtained results were as follows: the regular group scored more than the irregular one (1) on the knowledge of the D. M .. , (2) in expecting internal control on the Health Locus of Control, (3) on the self-care behaviors. The results show us that the self-care of the aged diabetic patient could and must be developed by the adequate nursing intervention.

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Implementation of a care coordination system for chronic diseases

  • Lee, Jung Jeung;Bae, Sang Geun
    • Journal of Yeungnam Medical Science
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    • v.36 no.1
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    • pp.1-7
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    • 2019
  • The number of people with chronic diseases has been increasing steadily but the indicators for the management of chronic diseases have not improved significantly. To improve the existing chronic disease management system, a new policy will be introduced, which includes the establishment of care plans for hypertension and diabetes patients by primary care physicians and the provision of care coordination services based on these plans. Care coordination refers to a series of activities to assist patients and their families and it has been known to be effective in reducing medical costs and avoiding the unnecessary use of the hospital system by individuals. To offer well-coordinated and high-quality care services, it is necessary to develop a service quality assurance plan, track and manage patients, provide patient support, agree on patient referral and transition, and develop an effective information system. Local governance should be established for chronic disease management, and long-term plans and continuous quality improvement are necessary.

Pre-home Health Nurses' Attitude and Cognition Toward Alternative Therapies (가정간호교육생의 보완요법에 대한 태도와 인지정도 조사 연구)

  • Park, Jee-Won;Lim, Nan-Young
    • Journal of Home Health Care Nursing
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    • v.9 no.2
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    • pp.90-102
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    • 2002
  • Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

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Factors Affecting Service Use Intention of Long-term Care among the Disabled: Focused on Age Differences of the Disabled (중고령 장애인의 장기요양서비스 이용의향 예측요인 연구: 중고령 장애인집단내 연령차이를 중심으로)

  • Moon, Yongpil
    • 한국사회정책
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    • v.25 no.1
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    • pp.125-159
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    • 2018
  • The purpose of this study is to analyze the factors affecting service use intention of long-term care among the disabled. This study conducts a longitudinal study using the modified Andersen model by the disabled age groups of the 50-64 group and the 65 over group. This study examined random effects panel logit analysis for the 50-64 group and the 65 over group by age variations. The results have shown that there are different factors Influencing factors for each specific age group of the disabled(50-64, 65 over). The results were as follows: there are differences of factors between the 50-64 group and the 65 over group. This study found that predisposing factors of the service use intention of long-term care were significantly related to age, residential area, education status, existence of spouses. Enabling factors of the service use intention of long-term care were significantly related to long-term care service recognition, saving, personal salary income level, housing status. Need factors of the service use intention of long-term care were significantly related to chronic diseases, psychological health, IADL. So, there are a need for a policy considerations such as service for the mid-old age disabled by age groups. Finally, implications and future research directions were discussed based on the finding of the study.

Oral care status and periodontal disease of middle aged diabetic patients (중장년층 당뇨병환자의 구강관리실태와 치주질환)

  • Kim, Myeong-Seon;Kim, Keon-Yeop;Moon, Bo-Ae
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.1-9
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    • 2016
  • Objectives: The purpose of the study was to identify the oral care status and periodontal disease of middle aged daibetic patients in Korea. Methods: The primitive data were taken from 238 diabetic people in the 5th Korea National Health and Nutrition Examination Survey(KNHANES) in 2010 - 2012. The variables included general profiles(gender, age, occupied area, education, and smoking), oral care status(brushing time, brushing time, use of oral hygienic supplies, availability of oral hygienic supplies, oral examination, and recognition of oral health state), and diabetes management(morbidity period, treatment, education, and glycosylated hemoglobin levels). Results: Most of the subjects took gargling more than twice a day and it accounted for 73.5%. Oral hygienic supply users accounted for 24.8%, and most of them used floss brush. Oral examination was done in 19.3% of the respondents and 55.0% thought that their oral health status were very poor. The prevalence rate of the periodontal diseases was 46.6%. Female tended to have a higher rate of periodontal disease than the male. Oral hygienic supply users had lower rate of periodntal disease than those who did not use. Those who had poor subjective oral health status had higher prevalence rate of periodontal disease than those who did not. Conclusions: Periodontal disease is closely related to good oral care of middle aged diabetic patients. It is necessary to develop the program for the prevention of the periodontal disease for the diabetic patients.

Differences of e-commerce system satisfaction by hospital and health care managers' characteristics (병원 및 개인의 특성에 따른 전자상거래 시스템 만족도의 차이)

  • Park, Jae-Sung;Kim, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.3 no.1
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    • pp.59-65
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    • 2009
  • This study was trying to find the differences of the levels of e-commerce system satisfaction and a relationship between system satisfactions and behavioral intention to use e-commerce system continuously. Based on the previous studies, we identified the factors of system satisfaction that were consist of system readiness, accuracy, content, ease of use, timeliness and IT Support. The system satisfaction levels of martial status and the training status of hospitals had significant differences. In martial status, un-married managers had higher levels of ease of use and timeliness than the married. In this result, we might consider an age effect for younger persons are more likely to use IT and have more satisfaction perceptions. Rather than training hospitals, non-training hospitals had higher level of ease of use and IT support, which could be interpreted as e-commerce systems of training hospitals might not match their own managerial purposes and need an improvement of their system functionalities. This study also identified that the factors of system satisfaction has a relationship with behavioral intentions. Except accuracy and IT support of all six system satisfaction factors, four factors were significantly correlated with system usage intentions in their e - commerce works.

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Relationship between dental checkups and unmet dental care needs in Korean adults (성인 구강검진과 미충족 치과의료와의 관련성)

  • Kim, Ji-Liang;Kim, Jae-Hyun;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.581-591
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    • 2020
  • Objectives: Oral diseases can be prevented, and early treatment through dental checkups is important. This study was investigated the relationship between dental checkups and unmet dental care needs in Korean adults. Methods: From the data of the 7th Korean national health and nutrition survey (2016-2017), the final 9,300 of the 16,277 participants selected as the method for extracting stratified colonies by complex sample design. A structured questionnaire interview was used, and chi-square test and multiple logistic regression analysis were performed. Results: The relationship between dental checkups and unmet dental care needs for the last one year was analyzed by controlling demographic characteristics, variables related to health conditions, and "use of dental clinics for the last year." The unmet dental care needs were 7.57 times higher (CI: 6.49-8.83) for non-users of dental clinics for 1 year, and 1.32 times (CI: 1.13-1.54) for dental checkups for 1 year compared to non-dental checkups patients. Conclusions: As described above, there was a close relationship between adult dental checkups and unmet dental care needs. Therefore, it is suggested that it is necessary to expand educational publicity and prepare policy strategies such as visiting dental checkups to improve the adult dental checkups.