• Journal of Home Health Care Nursing
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• v.21 no.2
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• pp.156-165
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• 2014

Purpose: This study aimed to investigate the effects of a program for increasing self-care with activities of daily living among the elderly living at home. Methods: The study adopted a non-equivalent control group pretest-posttest design. The number of participants were 30 in the experimental group and 30 in the control group. Participants were persons aged 65 years and above in Busan. The experimental group was provided with for 16 different types of self-care behaviors by family nurses who made weekly home visits to these participants. Each visit lasted for more than 30 minutes, and the visits were conducted for 12 weeks. The research instrument used in this study was a scale developed by Shimanouchi et al. (2003) which assessed self-care behavior, activities of daily living, and depression. Results: The experimental group showed an increase in self-care behavior compared to the control group. Time and group variables were also found to have an interaction effect on the daily living activity level. The experimental group showed an increase in the activities of daily living compared to the control group. Depression scores dropped from 9.4 to 5.8 in the experimental group and from 8.6 to 7.0 in the control group. Conclusion: We found that the self-care behavior program improved the levels of independence and activities of daily living among the elderly living at home.

• Journal of Korean Academy of Nursing
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• v.30 no.2
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• pp.425-436
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• 2000

This study was carried out to assess home health care needs for welfare of solitude elderly person. The subjects of this study were 90 welfare solitude elderly person in Pusan City. Data were obtained by interview and observation using a structured questionnaire. The collected data were analyzed by t-test, ANOVA with SAS program. The results are as follows. 1. Among the home care nursing needs, environmental nursing needs topped the list, followed by spiritual, physical, psychological, communication & health knowledge and ADL nursing needs. 2. Home care nursing needs showed a significant differences by the general characteristic of the respondents. .In the age, there were significant differences in physical and communication & health knowledge nursing needs. .In the religion, there were significant differences in spiritual nursing needs. .In the marital status, there were significant differences in environmental nursing needs. .In the nursing provider, there were singificant differences in ADL, environmental and communication & health knowledge nursing needs. .In the medical benefit, there were significant differences in ADL, environmental, physical and communication & health knowledge nursing needs. .In the disease, there were significant differences in ADL nursing needs.. .In the household maintenance, there were significant differences in environmental nursing needs.

• Journal of Korean Academy of Nursing
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• v.31 no.5
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• pp.897-911
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• 2001

The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients. Method: For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital. Results: According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening. Conclusion: The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

• International journal of advanced smart convergence
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• v.12 no.1
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• pp.193-198
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• 2023

The rapid aging of the veterans has reached a level that cannot handle the demand for veterans care through the existing veterans care infrastructure. Therefore, it is urgent to improve the quality of the overall service of veterans due to the deterioration of the quality of nursing services for veterans with various underlying diseases compared to general patients and the long-term waiting for admission to the veterans care center. In this situation, about 640,000 people are admitted to veterans care institutions, but only about 5% of them can enter the veterans care center smoothly. As of June 2020, the number of people waiting to enter the veterans care center exceeds 1,000, including 520 at Suwon Veterans Nursing Home, 1 at Gwangju Veterans Nursing Home, 47 at Gimhae Veterans Nursing Home, 39 at Daegu Veterans Nursing Home, 86 at Namyangju Veterans Nursing Home.. Therefore, in order to predict those who want to enter the Veterans Nursing Home and wait for admission, and to find an important basis for resolving the long-term atmosphere, the ratio of future care providers is predicted in 2022-2050 and 2022-2024 to establish a cooperative system. As a result, 6,988 people in 2022, 6,797 people in 2023, and 6,606 people in 2024 can be admitted when 'preferred linkage', and 12,057 people in 2022 when 'expanded linkage'. It was found that 11,837 people in 2023 and 11,618 people in 2024 could be admitted. This was derived by estimating the percentage of people who wish to enter the Veterans Nursing Home when linking private nursing homes, and eventually "additional acceptance" of 22.5% in 2022, 20.9% in 2023, 19.4% in 2024, and 38.8% in 2023, 36.3% in 2023, and 34.1% in 2024 are most efficiently available.

• Journal of Home Health Care Nursing
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• v.24 no.2
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• pp.181-188
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• 2017

Purpose: The aim of this study was to compare between performance and requirements of visiting nursing care in long-term care insurance using the OMAHA system. Methods: The subjects were 72 nurses who had worked in a visiting nursing care center in long-term care insurance. Data were collected from December 5, 2016 to January 31, 2017 using self-recorded questionnaires. The collected data were analyzed using descriptive statistics and paired t-tests. Results: Four dimensions of the OMAHA system showed statistically significant differences between performance and requirements of visiting nursing care in long-term care insurance. The requirements of visiting nursing care were higher than was performance on all 40 items of the OMAHA system. The greatest difference was in environmental domain and then the psychosocial domain. Conclusion: Based on the results, we found that the environmental and psychosocial domains were the largest gap areas. Therefore, with the reality of elderly people living alone and the increase in elderly couples, active intervention connected with the community is needed in residential areas. Further, we suggest that the OMAHA system can be utilized as an integrated conceptual framework for developing and enhancing visiting nursing care in long-term care insurance.

• The Korean Journal of Rehabilitation Nursing
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• v.18 no.1
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• pp.1-10
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• 2015

Purpose: This study attempted to adapt evidence-based oral health care guidelines for nursing home residents in South Korea. Methods: The manual for guideline adaptation, version 2.0, developed by the Korean National Evidence-based Healthcare Collaborating Agency was applied. On the basis of a comprehensive literature review of current research and multidisciplinary panel discussion on adapting such guidelines, we developed evidence- based guidelines for oral health at nursing homes. Results: The guidelines have three domains: oral assessment, oral hygiene care, and support and facilities. Oral assessment includes recommendations on the frequency of and tools for conducting oral health assessment. Oral hygiene care involves recommendations for care of natural teeth, denture care, xerostomia, and behavioral problems. Support and facilities refer to six components of the support system provided by facilities to encourage oral hygiene care among nursing home residents. Conclusion: These adapted guidelines could be an effective method to improve oral hygiene among nursing home residents.

• Journal of Home Health Care Nursing
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• v.22 no.2
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• pp.187-195
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• 2015

Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.

• Journal of Home Health Care Nursing
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• v.18 no.2
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• pp.108-117
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• 2011

Purpose: The purpose of this study is to develop a homecare nursing assessment tool for terminal cancer patients, testing the validity and reliability of the tool. Methods: This was a methodological study. The tool was developed in four stages: first, preliminary items were developed based on Gordon' functional health pattern model; second, a panel of specialists reduced the number of preliminary items using validity tests for content; third, final items were selected from the results of a pre-test. Finally, from August 4th, 2011 to August 26th, 2011, reliability and validity were tested using a sample of 125 terminal cancer patients in Seoul and Gyeonggi-do. Results: The final tool consisted of 39 items, with Cronbach's ${\alpha}$ 0.70. Using factor analysis, 10 factors were extracted; the correlation coefficient of these was over 0.3. Conclusion: The tool developed in this study was identified as having a high degree of reliability and validity. Given this, the tool can be effectively utilized for implementing and improving home care for patients with terminal cancer.

• Journal of Home Health Care Nursing
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• v.10 no.1
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• pp.52-57
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• 2003

The purpose of this study was to evaluate appropriateness of home health care travel cost. For the evaluation, investigated the operating costs of vehicles used by home care nurses and then were components of home care nurses's annual salaries. Travel costs were then calculated based on actual travel expenses of home health care service. Actual data of 23 hospital-based home care agencies between July, 2002 to December, 2002 were collected for the analysis of the travel costs. The results of this study are : 1) For home visit, 65% of home care agencies turned out to be using only hospital owned cars, and 17.1% be depending purely on home care nurses' cars. On average, 1.9 cars used for home visit. 2) Out of 89 agencies, 23 agencies responded to the travel cost survey. Total maintenance cost of a car per month was 381,457 won. 3) Average per visit personal expenses of home care nurses during travel time turned out to be 7,124won assuming 8 working hours per day, 4 visits per day, and 30 minuets of travel time for each visit. 4) Total home health care travel cost per visit was 12,069 won, which was the sum of actually paid travel cost of 4,945 won and personal expenses during travel time of 7,124. In conclusion. we reckon that current compensation price of home care nurses' travel is inappropriate because total home health care travel costs of 12,069 won per visit turned out to be 2.1 times of currently prevailing standard compensation price of 5,830 per visit.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.1
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• pp.13-25
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• 2008

Purpose: The study aimed at providing better understanding of the way of carrying out nursing practice tailored to meet patient's individuality, and types of customized care in home care settings. Method: This study was conducted with qualitative design, using a grounded theory method. The directors of the home care department at three general hospitals nominated 12 staff nurses who had the experience of customized care. The data were collected using interview and field observation, and analyzed line-by-line with steps of coding. Result: The core category of customized care was 'caring in a precise manner suited to patient's individuality'. The central phenomenon was 'desire to do more for patient'. The action and interactions were: (a) knowing a patient all the more, (b) making a special relationship to a patient, (c) designing care alternatives reflecting individuality, and (d) performing the care alternatives reflecting individuality. Three types of customized care were the following: (a) completion of customized care, (b) an attempt to customized care, and (c) abandonment of working for customized care. Conclusions: The knowledge of customized care would be based on development of nursing practice program focusing on patient' individuality, and instrument development necessary for further research on care customization.