• 기본간호학회지
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• 제6권2호
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• pp.228-239
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• 1999

In 1990 Home Care Education Programs started when legislation established certification for Home Care Nurses. The Ministry of Health and Welfare proposed a home care education curriculum which has 352 class hours and 248 hours of 'family nursing and practice'. Though Home Care Education Programs have been offered in 11 home care educational institutes, there has been no formal revision for the home care education programs. Also a first and second home care demonstration projects have been carried out, but there has been no research on outcomes for home care education as applied in home care practice. The purposes of this study were to identify the important content areas for home care nursing as perceived by home care nurses, and to identify their clinical competence in each of these areas, and from these to identify the education needs. The sample was 107 home care nurses who were working in home care demonstration hospitals and community-based institutions which have been offering home care services. Responses were received from 88 nurses, comprising a 82.2% return rate, and 86 were included in the final analysis. The instrument used was a modification of the instrument developed by Caie-Lawrence et(1995) and Moon's(1991) instrument on home care knowledge. The instrument's Cronbach's coefficient was 0.982. Among the respondents, 64% were working at home care demonstration hospitals and 36% were working at community-based institutions. Their home care experiences were from one month to six years, with a mean of 20.6 months. The importance rating for home care education content was 3.42 0.325, which means importance was rated relatively high. Technical aspects of home care were identified the most important. Five items 'education skill', 'counseling skill', 'interview skill', 'wound care skill', 'bed sore care skill' received 100% importance ratings. The competency rating was 2.87 0.367 and 'technical aspects of home care' was the highest, and 'application to home care skill' was the lowest. Home care nurses' education needs were identified and compared to the importance ratings and competency ratings. Eleven items were identified as the highest in the importance areas and eleven items were in the lowest competency areas. High importance ratings matched with low competency ratings determined training needs, but there was no matching items in this study. In the lowest competency areas four items were excluded, because of not being applicable in current home care practice. Therefore total eighteen items were identified as home care education needs. These items are 'bed sore care skill', 'malpractice', 'wound care skill', 'general infection control', 'change and management of tracheostomy tubes', 'CVA patient care', 'Hospice care', 'pain management', 'urinary catheterization and management', 'L-tube insertion and managements', 'Respirator use and management skill', 'infant care', 'prevention to burnout', 'child assessment', 'CAPD', 'infant assessment', 'computer literacy', and 'psychiatry patient care'.

• 지역사회간호학회지
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• 제22권3호
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• pp.223-233
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• 2011

Purpose: The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting. Methods: Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes. Results: The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring. Conclusion: Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.

• 한국임상약학회지
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• 제26권1호
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• pp.13-23
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• 2016

Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.509-516
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• 2022

Objective: This study investigated the effect of a video game-based home exercise program on the improvement of balance and muscle strength in the elderly. Design: Randomized controlled trial Methods: Participants were randomly assigned to two groups: a video game-based home exercise training group (experimental group, n=16) and a control group (n=17). The experimental group trained three times a week for 50 minutes per session for six weeks, and the control group did not perform any exercise. To evaluate postural balance, one leg standing test, Berg balance scale, functional reach test, and timed up and go test were performed, and five times sit-to-stand was performed to evaluate lower extremity muscle strength. Results: In the experimental group, there were statistically significant improvements (p<0.05) in one leg standing test, Berg balance scale, functional reach test, and timed up and go test, and five times sit-to-stand after the intervention, but in the control group, the difference before and after the intervention was not significant. The difference between the groups according to the experimental method showed a significant increase in the experimental group (p<0.05). Conclusions: These results suggest that a video game-based home exercise program effectively improves balance and muscle strength in the elderly. A video game-based exercise program can contribute to the rehabilitation of the elderly as a method of home remote rehabilitation.

• 한국치위생학회지
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• 제23권5호
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• pp.333-341
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• 2023

Objectives: This study aims to propose a standard protocol for oral health care intervention activities by dental hygienists. Methods: A narrative literature review of home visit oral health care intervention activities reported in Cheonan, South Korea was conducted to enable the proposal of a standard home visit protocol for dental hygienists in the context of community care. Results: Oral health management intervention activities contributed to improving the quality of life, as well as the oral health, of older adults living at home. This was a result of applying a protocol consisting of oral observation, oral massage, expert oral hygiene management, oral muscle function training, and final stages. Conclusions: The visiting oral health intervention protocol was effective in resolving oral health problems of older adults. In the future, customized programs and reimbursement systems should be developed to promote oral health care for older adults that can be provided at home.

• 한국가정과교육학회지
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• 제30권2호
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• pp.77-102
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• 2018

본 연구의 목적은 가정과교사 문화의 특징과 가정과교육 발전의 저해 요소를 밝힘으로써 가정과교사 문화의 발전 방안을 제시하는데 있다. 이를 위해 집중면접의 주제 분석법을 실행하였으며, 각 지역 가정교과연구회 또는 한국가정과교육학회 소속 석사과정 이상인 가정과교사 14명을 대상으로 이루어졌다. 응답 자료 분석을 위해 주제 분석법을 실행하였다. 본 연구의 결과는 다음과 같다. 첫째, 가정과교사들은 가정과교육의 철학을 정립한 후 가정교과가 청소년 개인과 가정, 그리고 사회를 이롭게 하는 실천비판교과라는 신념을 확고히 가지고 가정과수업을 통해서 청소년과 그들의 가정, 더 나아가 사회에 유익을 주는 교육을 실천하고 있었다. 둘째, 가정과교사들은 대학원에 진학하거나 가정교과연구회에 가입하여 수업 방법, 평가 방법, 업무 능력을 향상시키고, 수업을 공개하는 등 지속해서 전문성을 향상시키기 위해서 노력하는 문화를 형성하고 있었다. 셋째, 가정과교사들은 가정과교육 패러다임을 실천비판 패러다임으로 전환하여 실천적 문제 중심 수업을 실행해야 한다는 문화를 자리매김하였다. 또한, 그들은 세 행동체계(기술적 행동, 의사소통적 행동, 해방적 행동)를 순환적으로 적용하여 삶의 질과 가치를 향상시켜야 한다고 보았다. 넷째, 가정과교육의 발전을 저해하는 요소에는 교육제도와 사회적 인식이 있었다. 하지만 가정과교사들의 노력으로 가정과교육은 학생과 사회적 요구를 반영한 교육, 학생의 적성을 찾아주며 가정교과의 목표를 잘 살린 교육으로 자리 잡고 있었고, 이를 통해 가정과교사들은 학생들이 가정교과가 개인과 가정의 행복을 위해 꼭 필요한 교과라는 인식의 전환을 가져올 수 있다고 믿었다. 가정과교사문화의 발전방안으로 가정과교사들은 각 지역의 가정교과연구회에서는 더 많은 가정과교사들이 연구회에 참여하고 활동함으로써 발전할 수 있는 기회를 마련해야 한다고 하였다. 또한 지역의 가정교과연구회끼리 협력적 네트워크를 활성화하고 이를 이끌 수 있는 컨트롤타워가 필요하다고 했다. 한국가정과교육학회는 각 지역의 교과연구회의 중심점 역할이 되어서 다가올 교육 변화에 더욱 신속하고 조직적으로 움직여 적극적으로 대처함으로써 가정과교사들의 힘이 될 수 있어야 할 것이다. 마지막으로 참여자는 가정과교육의 변화를 위한 기초적 틀을 마련하기 위해 실천 비판적 가정과교사 양성이 필요하다고 했다. 이를 위해 가정과교사 양성과정에서 학생들이 더욱 깊이 있는 가정교과교육철학을 수강함으로써 가정교육학의 본질을 이해하고 정체성을 확립하여 유능하고 성숙한 가정과교사로서의 자질을 갖출 수 있을 것이다.

• 농촌지도와개발
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• 제1권1호
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• pp.67-74
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• 1994

The objectives of this study were to review the present situations of computer use, computer education and training, and attitude to computer of agricultural extension agents. The research subjects were 279 agricultural extension agents in 15 City and Gun Rural Extension Offices Which were sampled by random sampling method among 182 City and Gun Rural Extension Offices. The major findings of the study were as follows; 1. Only 28% of the agricultural extension agents had personal computer in their home. 2. Agricultural extension agents mainly used word processor program, but hardly used data base, spreadsheet, and computer language. 3. About 40% of the respondents had not chance to be participated in computer education/training program yet. 4. Generally, rural change agents agreed that computer is very valuable for their job and that they should learn high computer technology. 5. Concludly, various contents of computer education/training program should be prepared for rural change agents and they should take full advantage of computer facilities.

• 동의생리병리학회지
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• 제21권5호
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• pp.1356-1363
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• 2007

The purpose of the study was to identify the general status of Kigong organizations introduced on Internet. We have used www.naver.com, the biggest portal site in Korea and www.nice114.co.kr, which has the longest list of the telephone numbers to look up the organizations with the index of "Kigong and Danhak" and "Mediation". Among them we screened the organizations to have the list of organizations which have been established for more than 5 years, with more than 100 trainees and whether they published books or booklets regarding Kigong by the means of telephone conversation or home page access. The number of organizations identified by telephone and Internet with the indexes of Kigongdanhak and mediation was 852. The number of organizations that passed the primary criterion was 22, and that passed the secondary criterion was 8. Among the primarily screened organization, there are 5 focusing on mediation, 5 focusing on breathing, 3 focusing on Haenggong, 4 focusing on mediation and Haenggong, 4 focusing on breathing and Haenggong and 1 focusing on mediation and breathing. In secondarily screened organizations, they called their training method as Seondo, Shinseondo or Seonhak and origin of the training method as Dangun and Hwangwung. As Sambeop training of Jigam, Josik and Geumchok provide training methods which are a little different each other, the utilization rate was low although there are some organizations that have special training using Three Bibles. It was identified that there were many texts and writings that they took as training methods other than Three Bibles. Kigong training organizations based on Korean traditional ideologies are grounded on the Three Textbooks such as , , and and the concept of Hongikingan. This ideological ground is the study of Completion of Human Beings through physical and mental training and goes with Seondo, Pungryudo and Hyunmyojido.

• 한국보건간호학회지
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• 제24권2호
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• pp.285-301
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• 2010

Purpose: The study was aimed at qualitatively enhancing and promoting a home visiting nursing program established in Korea on July 1, 2008, as part of the Long-Term Care Insurance for the Elderly program. Methods: Structural, procedural and consequential aspects of home visiting nursing care wereclassified on the horizontal axis by applying the standard notions for the evaluation of medical care (Donabedian, 1998). At the same time, the home visiting nursing care service support system and the service provision system weredivided on the vertical axis with reference to the accreditation standards for home visiting nursing care organizations suggested by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO, 2008). The data were collected from June 4, 2008 to October 27, 2008, and were analyzed using SPSS ver. 15.0. Results: Twenty-two (proposed) standards, centered on the standard elements under the conceptual framework of the study, were developed, and comprised structural aspects (n=10), procedural aspects (n=6) and consequential aspects (n=6). Those criteria and indicators underwent two content validity surveys among groups of home visiting nursing care research and training experts. The research produced 22 proposed standards, 50 proposed criteria and 166 proposed indicators. Conclusion: The home visiting nursing care standards developed pursuant to the Long-Term Care Insurance for the Elderly Act and the applicability of these standards need to be verified by home visiting nurses. These proposed standards should prove useful in developing an assessment tool to encourage the qualitative enhancement of visiting nursing care in Korea.

• 한국의류학회지
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• 제13권1호
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• pp.13-33
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• 1989

The purpose of this study is to obtain the effects on clothing weight in the health state of the kindergartners. So 1 divided 140 kindergartners into 3 groups. A not trained of light wearing in the control group, B the semi-experimetnal group, C the experimental group. In the field surveys conducted their monthly clothing weight and anthropometric measurements, physique index (obesity index) and motor-ability and rate of cold contraction and of absence, Cornell Medical index from Jun, 1986 to Feb, 1987 in Seoul. 1) The experimental group was even less clothing than the control group in clothing weight during the training period. 2) All the experimental group droped conspicuosly the rate of cold contraction and absence during this period. 3) After this training, the experimental group was better than semi-experimental group and control group in motor-ability especially in standing broad jump, flexibility and tennis ball throw, 25 meter dash. 4) But, 1 could not find the different of anthropometric-measurements, physique-index about this train.