• Title/Summary/Keyword: Home Visits

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Analysis of the Korean Triage and Acuity Scale by type of ambulance (한국형 중증도 분류도구를 이용한 구급차별 중증도 분석)

  • Park, Joung-Je
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.71-80
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    • 2021
  • Purpose: The purpose of this study is to investigate the characteristics and appropriateness of the Korean-type severity classification by ambulance based on the medical records of 43,561 emergency patients who were brought to the emergency medical center via ambulance between January 1, 2015 and December 31, 2017. Methods: This study analyzed the classification characteristics of the Korean severity classification tool by applying them to emergency patients who visited the emergency medical center. Results: As a result of the study first, among the categories of home hospitals according to the results of visits, "other," "low consciousness," and "dyspnea" in the order of 129 ambulances were statistically significantly higher. In the order of "low consciousness" and "trauma," the "trauma" category was 5.3% higher than that of 129 ambulances. Conclusion: Among the classification items, "others," "low consciousness," and "dyspnea" were significantly higher in the group of patients who boarded 129 ambulances, and "others," "low consciousness," and "traumatic" were significantly higher in the 119 ambulances.

An Implementation Study of Marriage Checkups in Family Centers (부부 결혼검진의 가족센터 실행에 따른 탐색적 성과연구)

  • Woochul Park;Hyeseong Kang
    • Human Ecology Research
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    • v.61 no.4
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    • pp.505-520
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    • 2023
  • This study aims to assess the effectiveness of the Marriage Checkup (MC) in community settings. Participants (N=57) were recruited from family centers and participated in the MC, which consisted of assessment and feedback visits. Participants completed marital satisfaction assessments before and after the MC. Overall, the participants reported significant improvements in terms of marital satisfaction with a large effect size (d=0.87). Specifically, 77.2% of participants demonstrated an increase in marriage satisfaction. Among them, 30.6% experienced a clinically significant change (from a clinical state to a non-clinical state). The reliable change index (RCI) identified 15.8% of participants as showing reliable improvement. Changes in marital satisfaction were larger for men and participants who experienced more positive changes during the MC in terms of intimacy and understanding of how to improve their marital relationships. This study supports the MC as an evidence-based approach for improving relationship health in community settings.

Development of Strategies to Improve the National Nutrition Survey System (국가 영양조사에서 가구 방문 조사 체계의 개선 방안)

  • yang, Narae;Lee, Seungmin;Lim, Youngsuk;Park, Haeryun;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.23 no.5
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    • pp.444-455
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    • 2018
  • Objectives: The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES). Methods: To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated. Results: Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles. Conclusions: Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.

Role of the Third Place in Building Communities and Social Capital : Contributions of Coffee Shops as Third Places in Kuwait

  • Hissah Abdullah Kandari;Abdus Sattar Chaudry
    • International Journal of Knowledge Content Development & Technology
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    • v.13 no.1
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    • pp.59-74
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    • 2023
  • Third places are those that offer a space outside of work and home for people to escape the stress associated with the primary spaces of their lives. Through social interactivity these help in acquiring some emotional support provided by a close and intimate attachment. Such social support can turn into social resources for individuals and can lead to forming communities that may become incubators for social capital through regular visits to shared socializing places. This paper focuses on social interaction that takes place through the third place and the communities that are being created as a contributing factor to knowledge management. The study being reported in this paper investigated the role of coffee shops as third places in building communities and social capital in Kuwait. A mixed-method approach was used to conduct the study. These methods included qualitative methods such as extended conversations in the form of semi-structured interviews and quantitative methods of using questionnaires distributed to coffee shop staff and visitors. Results indicated that importance attached to providing facilities by coffee shops reflected that the owners perceived these as third places. The facilities attracted customers to coffee houses where interactions took place that helped to build communities. The pattern of visits by customers showed that mostly they come in groups and have meetings and gatherings that facilitated and encouraged interactions. The communities that are being built in the coffee shops are indicative of these being perceived as third places by owners, customers, and staff. This study shows the potential of coffee shops as a major sector of the food industry promising a valuable contribution in transformation and transition to a knowl- edge-based economy in Kuwait.

Study on development of the remote control door lock system including speeker verification function in real time (화자 인증 기능이 포함된 실시간 원격 도어락 제어 시스템 개발에 관한 연구)

  • Kwon, Soon-Ryang
    • Journal of the Korean Institute of Intelligent Systems
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    • v.15 no.6
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    • pp.714-719
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    • 2005
  • The paper attempts to design and implement the system which can remotely check visitors' speech or Image by a mobile phone. This system is designed to recognize who a visitor is through the automatic calling service, not through a short message, via the mobile phone, even when the home owner is outside. In general, door locks are controlled through the home Server, but it is more effective to control door locks by using DTMF signal from a real-time point of view. The technology suggested in this paper makes it possible to communicate between the visiter and the home owner by making a phone call to tile home owner's mobile phone automatically when the visiter visits the house even if the home owner is outside, and if necessary, it allows for the home owner to control the door lock remotely. Thanks to the system, the home owner is not restricted by time or space for checking the visitor's identification and controlling the door lock. In addition, the security system is improved by changing from the existing password form to the combination of password and speaker verification lot the verification procedure required for controlling the door lock and setting the environment under consideration of any disadvantages which may occur when the mobile Phone is lost. Also, any existing problems such as reconnection to tile network for controlling tile door lock are solved by controlling the door lock in real time by use of DTMF signal while on the phone.

Effect of Home-visit Nutrition Education for the Elderly with High Fasting Blood Glucose Levels (가정방문 영양교육에 의한 공복 혈당 이상 노인의 영양상태 및 혈당 변화)

  • Yoon Hee-Jung;Lee Sung-Kook
    • Korean Journal of Community Nutrition
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    • v.11 no.3
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    • pp.346-360
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    • 2006
  • This study was conducted to evaluate the effects of home-visiting nutrition education for the elderly with high fasting glucose level in an urban community. The study subjects were 40 elderly people, whose information on general characteristics, anthropometric measurement, biochemical indices, nutrition knowledge, nutrition attitude, dietary habit, food intake and nutrient intake were obtained at baseline. The education group received 6 weekly visits of home-visiting nutrition education from 15 March to 25 April 2004. In the baseline-survey, the education group and non-education group showed no differences in their general characteristics, health-related characteristics, anthropometric measurements, biochemical indices, nutrition knowledge, nutrition attitudes, dietary habits, and food and nutrient intake levels. The difference of mean change of nutrition knowledge, nutrition attitude and dietary habit after home-visiting nutrition education had been studied. The nutrition knowledge score increased by 1.4 in the education group; however, those in the non-education group which increased by 0.4, thus, the differences of mean change were statistically significant (p < 0.05). The nutrition attitude score increased by 1.2 in the education group; however, those in the non-education group decreased by 0.4, thus, the differences of mean change were statistically significant (p < 0.01). The dietary habit score increased by 1.7 in the education group; however, those in the non-education group decreased by 2.8, thus, the differences of mean change were statistically significant (p < 0.01). The difference of mean change of anthropometric indices and biochemical indices in education group and the non-education group was not significant. Looking over the zcereals and their products, vegetables, seaweeds, meats and their products, and fish than the non-education group. The MAR increased by 0.06 in the education group; however, that in the non-education group increased by 0.01, thus, the differences of mean change were statistically significant (p < 0.05). The differences of mean change of fasting blood glucose and biochemical indices after home-visiting nutrition education were studied. Fasting blood glucose decreased by 7.6 mg/dL in the education group; however, in the non-education group which increased by 0.4 mg/dL, the difference of mean change was not significant (p = 0.051). The above findings suggest that home visiting nutrition education increases the nutrition knowledge and nutrition attitude, as well as, it is effective to change dietary habits. If the education period is extended, not fasting blood glucose improvement was insignificant, but fasting blood glucose improvement ability could be found by changing dietary habits.

Activities of a Home Hospice Organization (가정호스피스기관의 활동에 관한 연구)

  • Kim, Jung-Hee;Choi, Young-Soon
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.28-38
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    • 2000
  • Purpose : This study examined characteristics of, problems of and services provided to hospice recipients and their family members at a home hospice organization. Methods : The subjects were 113 people who were discharged from one free-standing home hospice organization between November, 1994 and lune, 1999. Since the opening of the organization in November of 1994, it has provided hospice services at patients' homes with no charge. Data were collected from those subjects' records. Results : The average age of the subjects was 57.1 years; those aged 60 and over were 54%. Spouse was the most frequent(50.9%) primary caregiver followed by daughter-in-law and daughter. All the subjects were diagnosed as having cancer. Of those 41 subjects who did not know their terminal stage in the beginning, 31 subjects came to know their states. Of the subjects, 72.7% were referred from their physicians. On the average, the service duration and the number of home visits were 6.8 weeks and 7.2 times, respectively. Pain was the most prevalent problem of the subjects(89.4%). Medication management was the most frequently provided service followed by psychological supports. The reasons for discharge were death(88.5%) and refusal(8%). Home was the most frequent place of death(60%). Conclusion Home hospice service providers should be trained particularly in working with elders and in managing cancer pain. People need to be referred at an appropriate time for achieving goals of hospice. Community recognition of hospice services needs to be promoted.

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Foreign customers' recognition on DongDaeMun fashion market and products - Focused on the Doota-Mall zone - (동대문 패션시장의 이미지와 패션제품에 대한 외국인 소비자의 인식 - 두타몰 지역을 중심으로 -)

  • Ha, Oh-Sun;Kim, Hee-Ra;Shin, Hye-Won
    • Journal of Fashion Business
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    • v.14 no.2
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    • pp.42-56
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    • 2010
  • The purpose of this study is to provide the fundamental data through researching on the actual condition of foreign consumers, the image of DongDaeMun fashion market, the customer satisfaction measurement of DongDaeMun fashion market, and the degree of satisfaction of DongDaeMun market's products. The results of this study are as follows: 1. The analysis on gender who visits DongDaeMun fashion market reveals that female(77.6%) was more than male, and the each age group has a priority in orders of 30s, 20s and 40s. The Japanese shoppers has more willing to visit again and a number of visitors has visited more than twice and many of them came by for the purpose of shopping. Japanese shoppers get the information of DongDaeMun fashion market from families or advertisements by media, while Chinese customers get the information through travel agencies. 2. The image of DongDaeMun fashion market by foreigners is generally positive. They were satisfied with the facilities of DongDaeMun fashion market, the convenience of transportation, business hour and ambience of store, and fashion of clothes. Foreign customers who visited Korea on purpose to do shopping and frequent visitors to Korea have a similar image of DongDaeMun fashion market with that of domestic visitors. 3. The degree of satisfaction to the DongDaeMun fashion market for clothing was usually high. There were only few differences between Chinese shoppers and Japanese shoppers. The higher the satisfaction to the DongDaeMun fashion market was the more they had bought and high intention of visiting. And the more experiences of visiting to the DongDaeMun fashion market showed the higher degree of satisfaction.

Violent Experiences and Coping among Home Visiting Health Care Workers in Korea (보건소 방문보건인력들이 경험하는 폭력 실태와 폭력 후 반응 및 대처양상)

  • Lee, In-Sook;Lee, Kwang-Ok;Kang, Hee-Sun;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.66-75
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    • 2012
  • Purpose: The purpose of this study was to explore violent experiences of home visiting health care workers in Korea. Methods: This study was a cross-sectional survey. Data were collected using self-report questionnaires from 1,640 health care workers. Data collection was done between September 1, 2009 and June 30, 2010. Results: Of the respondents, 70.6% had experienced work-related violence. Shouting (51.9%) was the most common verbal violence, followed by verbalizing sexual remarks to the health care workers (19.0%) and touching the hands (16.5%), the most common acts relating to sexual harassment. Of the respondents who had experienced violence, 50.9% told their peers about the incidents. However, the major reasons why they did not report these incidents was due to the fact that they felt it was useless to file reports and that they expected such incidents to occur as part of their job. The majority of the respondents (86.4%) wanted education on how to deal with such violence at work. Conclusion: The results of this study indicate that efforts should be made to increase awareness and to minimize violence in the workplace. Also, educational programs should be designed to improve knowledge and to prevent workplace violence.

A Systematic Review on Nurse-Led Transitional Care Programs for Discharged Patients from Hospital to Home (퇴원환자를 위한 간호사 주도 전환 프로그램의 내용과 효과에 관한 체계적 문헌고찰)

  • Lee, Hyun Joo;Kim, Yukyung;Oh, Eui Geum
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.376-387
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    • 2017
  • Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.