• Journal of Internet Computing and Services
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• v.11 no.2
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• pp.31-40
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• 2010

In this paper, we propose a service component based on active model for supporting a variety of u-healthcare application services. It implemented that component as a classification of function for developing healthcare application services. Especially we focus on the adaptive information service in integrated environment using a distributed object technologies of the various healthcare home service based on distributed object group framework. And we shows the service component applying to Healthcare application services such as healthcare home monitoring, mobile monitoring and web based monitoring. Also, we show the performance evaluation results such as response time, system load and network load.

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.2
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• pp.7-16
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• 2005

Recently, as the population of the elderly rapidly increases, the number of the special care facility for the elderly is a big social issue. Especially, special care facilities(nursing home, skilled nursing home, etc) for the elderly in Seoul are insufficient now. So this study quantitatively estimates nursing home beds needed in seoul in 2007, 2012 and 2017, and proposes an allocation of these facilities in Seoul. This study is to clarify problems in supply of long-term care facilities and present a solution for them. The main outcome of this study can be summarized into three parts; first, as architectural planning and supply estimation of long term care facility, an aged population of cities and countries in Seoul should be considered. Second, when the allocation of long term care facility in Seoul, the type of facilities, regional equilibrium etc. should be considered. Third, nursing home and residential care home are linked with the other area.

• Journal of Korea Society of Digital Industry and Information Management
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• v.5 no.3
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• pp.77-86
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• 2009

This paper proposes an ontology-based context-aware home healthcare platform employing environmental factors obtained from home. The proposed platform manages the health of home residents, and notifies relatives or a medical team of critical condition through context-awareness based on home ontology by using information sensed from various sensors. The ontology definition of context-awareness from the sensed information provides technically more precise decision for us. Therefore the platform can be aware of the health state of residents and environment by reasoning exactly from data gathered from various sensors and heterogeneous devices. The platform also can individually provide the customized service for users by setting priority for critical status that can be occurred in the health state of residents.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.15 no.2
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• pp.67-74
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• 2008

Purpose: We analyzed the need for home care services and awareness of U-healthcare in nurses of the Catholic Parish Home Care Center to link the ubiquitous health care system and the home care. Methods: We recruited 46 nurses from a home care center in the catholic parish of the C medical center from April 4th to June 8th, 2007. Results: The highest needs were 'assessment and diagnosis of the problem', 'management of hypertension & diabetes patients', 'counseling of the patient', and 'counseling of major caregiver and family problems'. Therapeutic nursing showed the highest needs in bedsore care. Nurses want hospital medical records available through the ubiquitous health care system. Conclusion: Home care services are supported from the agency, with high needs in assessing and diagnosing the problem, counseling, and managing of hypertension & diabetes patients. Education and public relations efforts on the U-healthcare system should improve system awareness.

• Research in Community and Public Health Nursing
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• v.24 no.1
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• pp.51-61
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• 2013

Purpose: The aim of this study is to identify effects of emotional labor, job stress and personal resources on job satisfaction in home healthcare nurses. Methods: The subjects were 149 home healthcare nurses working for home healthcare centers at 61 hospitals. Data were collected using a structured questionnaire from November 22, 2010 to February 28, 2011 and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical multiple linear regression analysis. Results: The mean score of emotional labor level was $4.23{\pm}0.95$, that of job stress level $3.39{\pm}0.57$, that of personal resources $3.38{\pm}0.36$, and that of job satisfaction $3.31{\pm}0.40$. There were positive correlations among emotional labor, job stress, personal resources and job satisfaction. After age, educational level, job position, and work period in home health care, and traffic accident were controlled, the variables, emotional labor (${\beta}$=-.198, p = .034) and personal resources (${\beta}$=.236, p = .005) turned out to account for 13.3% of the job satisfaction. But job stress was not a statistically significant predictor. Conclusion: Home healthcare nurses were needed to minimize emotional labor and revitalize personal resources in order to maintain a comparatively high level of job satisfaction. Furthermore, it is necessary to carry out systematic education and an organizational management scheme into practice.

• The KIPS Transactions:PartD
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• v.12D no.6 s.102
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• pp.905-914
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• 2005

This paper suggests a healthcare home service system based on the distributed object group framework that can not only provide healthcare application services using the information obtained from the physical healthcare sensors and devices, and but also monitor and control these services remotely. The distributed object group framework supports the object group service, the interaction service between object groups and the real-time service in order to execute the healthcare application. Here object group means the unit of logical grouped objects or healthcare sensors and devices for a service. Our suggested system consists of 3 layers. The first layer presents the physical sensors and devices for healthcare, as a physical layer. The second layer lays the distributed object group framework, and the third layer, the upper's one, implements healthcare applications based on lower layers. With healthcare applications providing for this system, we implemented the location tracking service, the health information service and the titrating environment service. Also the integrated executing results of these services can be monitored and controlled via remote desktop systems or PDAs.

• Journal of Industrial Convergence
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• v.17 no.4
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• pp.77-86
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• 2019

The purpose of this study was to identify the effect of Home Health Nursing based Respiratory Management Program (HHNbRMP) on unmet healthcare need and healthcare resource utilizations of patients applying the home mechanical ventilator in the home with amyotrophic lateral sclerosis. The subjects of this study were 40 patients placed in an experimental group(n=19) and a control group(n=21), respectively. This HHNbRMP based on Cox's interaction model was consisted of cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic and air accumulated exercise) and psychological response (meditation & active listening). The intervention was applied to experimental group during 12 weeks. As variables was measured at baseline, twelve, twenty-four weeks and healthcare unmet need, resource utilizations (admission, out patient department, emergency room) was measured at 24 weeks. The data were analyzed by t-test, ANOVA and Repeated Measures ANCOVA. This intervention was not effective the unmet healthcare need. But the admission in to the hospital among the healthcare resource utilizations variables showed a significant difference at twenty-four weeks(t=4.17, p=.049). This results suggest that applying this program tailored to patients condition, utility of medical resource would be decreased, specially admission.

• Perspectives in Nursing Science
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• v.8 no.1
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• pp.32-41
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• 2011

Purpose: This study sought to determine the possibility of developing the data-sharing infrastructure of an integrated information system to improve the quality of home and visit-based healthcare services. Methods: The articles of study here were the forms used by a visiting healthcare agency, a home healthcare system of a home healthcare agency, and those used in long-term care insurance for elderly. We visited a visit-based healthcare agency and a home healthcare agency to survey their forms and interviewed relevant practitioners, and we searched for forms associated with long-term care insurance for the elderly on the Internet. We then organized the terms in each form and mapped them among the form after analyzing the concepts as a whole to inquiry into the possibility of integration. Results: The mapping procedure divided the terms into those related to personal information, problems and interventions. Mapping between the standard system (Omaha system) and the type of form was also done. Conclusion: In this study, we found that programs were configured differently depending on the objectives of the service. It is necessary to develop the program with an integrated information system by comparing the three services in terms of their distinct advantages, after which such a service should be utilized. The results of this study can serve as a database for the creation of a new integrated system.

• Research in Community and Public Health Nursing
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• v.26 no.4
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.9
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• pp.1793-1798
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• 2007

Recently there are some trends to construct smart home system infrastructure depending upon the development of Information and Communication Technology. Also requirements of the Ubiquitous Healthcare Systems at home which can monitor the status of health continuously are increased rapidly comparing with hospitals. Healthcare service can be divided into two categories. The first one is Alarm Service that can be used for the emergency status and the other one is Remote Support Service which can monitor the patient including home environments and give those diagnosis information to medical office or to his family. Generally wired networks and fixed healthcare measuring system have some limits to transmit reliable realtime based information for both categories described above comparing with portable monitoring system. Getting over the inefficiency we will design and implement portable healthcare system under the wireless Zigbee network environments.