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

• Research in Community and Public Health Nursing
• /
• v.18 no.1
• /
• pp.165-176
• /
• 2007

Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

• Korean Journal of Adult Nursing
• /
• v.12 no.4
• /
• pp.606-618
• /
• 2000

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system. For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May, 1997 and July, 2000 at K hospital in Seoul. The average age of the clients was 66 years and the number of clients in their 70s ranked first with 28.2 percent(158 people). The mean length of home care service was 47 days with the highest frequency of less than four weeks (56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%, 271 people), followed by cerebrovascular disease (19%), and pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3,663 times (33%) among 11,107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological: Basic, and the Behavioral domains. In level 2, the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%), followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions, Vital Sign Monitoring was the most frequently used intervention, 569 times (5.1%), followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death (40%), followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing department as it was a University teaching hospital. Further research on analyzing nursing interventions performed in each institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.

• 제어로봇시스템학회:학술대회논문집
• /
• 2003.10a
• /
• pp.2235-2239
• /
• 2003

The aim of this research is to study and develop enabling technologies for home healthcare device with ubiquitous network. The motivation of this paper is to enable healthcare in home, to development the device for smart home health care. To achieve the aim, we must develop the prototype platform based on home gateways, distributed context user interface based on UPnP and support for information sharing with high speed power line communication and mobile infra-structures. And IPv6 is the base technology of this platform. In this paper, we concern that physical health, mental health and medical emergencies is all of home healthcare. With the smart device, we evaluate the connectivity, automatic information extraction and private data exchange and event driven message. The result of this paper is demonstration of smart device for ubiquitous communication in a healthcare application such as patient monitoring device and several information services. In conclusion, home healthcare will support more healthy and easy living for a human.

• Journal of KIBIM
• /
• v.11 no.3
• /
• pp.75-90
• /
• 2021

A smart home system improves the elderly's quality of life by monitoring and analyzing their movements and health conditions with better health-care and social support services. Therefore, there has been an effort to adopt a smart home system for the independently living elderly. However, to the best of our knowledge, no study has investigated the usability of a smart home system on actual independently living elderly housing in long-term settings. Thus, this study aims to demonstrate the usability of a smart home system on independently living elders in living lab conditions. The BLE smart band and the BLE receiver were chosen for the smart home system to monitor the movement of the participants in their homes as well as to monitor the heart rates, step counts, sleep index. Nine independent living elderly from the senior welfare center in Kimjae participated in this living lab demonstration experiment for ten months. This demonstration experiment confirmed the effectiveness of low-cost and easily adoptable IoT-based BLE sensor sets on independent living elders and discussed the troubles and limitations of the experiment. By grasping the pros and cons of IoT-based BLE sensor sets, this study seeks to improve the accessibility and usability of smart home systems for the elderly population in independent living arrangements.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2006.05a
• /
• pp.421-425
• /
• 2006

An ubiquitous healthcare system for the home care of elderly persons was designed and implemented using wireless sensor network technology. The wireless technology for home-care purpose gives new possibilities for monitoring of vital parameter with wearable biomedical sensors, and will give the patient the freedom to be mobile and still be under continuously monitoring and thereby to better quality of patient care. Emphasis is placed on recent advances in wireless ECG system for cardiac event monitoring with particular attention to arrhythmia detection in patient. This paper presents a diagnostic system for cardiac arrhythmias from ECG data, using wireless sensor technology. The system also provides an application for recording activities, events and potentially important medical symptoms. The hardware allows data to be transmitted wirelessly from on-body sensor to the base station and then to PC/PDA. Data is also transmitted to a back-end server for analysis using wireless internet connection. Experiments were conducted using the system for activity monitoring, exercise monitoring and medical screening tests and present preliminary data and results.

• International Journal of Contents
• /
• v.11 no.4
• /
• pp.25-30
• /
• 2015

The objective of this study is to identify the current state of usage and needs for Smart Technology (ST) in the elderly care facilities based on the point of view of staff members. Using survey via mails, data were analyzed with responses from top- or middle-level staff members working in 171 elderly care facilities located in Seoul, Gyeonggi-do, and Chungcheongnam-do. Results indicated that the most needed smart technology was home automation, followed by nurse call system and health monitoring. The technology with the highest feasibility was health monitoring, followed by nurse call system and video phone. Staff members in higher positions working in the elderly care facilities had the highest expectation in improving the image of their facilities by using ST, while they had low expectation for the fact that ST may increase the locus of control of the elderly. This study implies that ST implementations may vary depending on the level of responsibility of staff members and ST how people responsible for the elderly care facilities subjectively perceive the ST.

• International Journal of Human Ecology
• /
• v.12 no.1
• /
• pp.1-14
• /
• 2011

This study examined the features of maternal involvement in Korean children's early education and their relation to contextual variables and three forms of parental cognition. For this study 333 Korean mothers with 5 to 7 year-old children completed questionnaires that covered aspects such as demographical characteristics, three forms of involvement in their children's education, and three forms of parental cognition. Descriptive analysis indicated that mothers who were more involved in monitoring homework paid more monthly activity fees for supplementary classes and engaged more in cognitively stimulating activities at home. Financial investment in supplementary classes for children was not associated with engagement in cognitively stimulating activities at home. Stepwise regression analysis found that mothers who were more involved in monitoring their young childrens homework expressed higher aspirations for their childrens future occupation. Korean mothers who paid more for their child's supplementary classes had higher family incomes. Korean mothers who engaged more often in cognitively stimulating activities at home expressed higher parental self-efficacy, had a higher educational level, had a younger child, and had an earlier birth order or only child.

• 제어로봇시스템학회:학술대회논문집
• /
• 2003.10a
• /
• pp.1968-1970
• /
• 2003

In this paper we propose a system to forecast the dangerous behavior of the dementia patients. Basic idea of our approach is to measure the body movements of the dementia patients using the acceleration sensor. Based on the data measured, warning the care-givers about possible dangerous actions like falling down from the bed and slipping down onto the floor to some extent. The signals measured by the acceleration sensor are processed by a one-chip computer. Based on the diagnosis of the one-chip computer , alert signal is generated to the care-giver by a wire-less signal. The sensor is implemented in a compact body . Applicability of the system is now being examined at a nursing home.

• Korean Parent-Child Health Journal
• /
• v.3 no.2
• /
• pp.81-93
• /
• 2000

The role of the neonatal nurse specialist has been well established over the past decade and now reform in 21st century. Neonatal nurse specialists responsibilities in caring for critically and long-term chronically ill infants and their families are very important. Neonatal nurse specialists have a two fold responsibility in caring for these infants. First, through acquiring advanced practice education in complex neonatal care and diagnostic skills, neonatal nurse specialists meet the physiologic needs of the infant. Second, neonatal nurse specialists provide a more holistic approach to their care through evaluating the family in treatment plans and involving the family in discharge planning for the infant. In some institutions, neonatal nurse specialists are directly involved in institutional and/or home follow-up care and case management also. It is the neonatal nurse specialists responsibility to function collaboratively with the multidisciplinary team in managing critically or chronically ill infants from admission to discharge. The role of the neonatal nurse specialist case manager can be described as one that focuses on individualized care of the infant, while providing continuity of care to both the infant and family. The neonatal nurse specialist's role will vary depending on the neonatal intensive care unit(NICU). Therefore, the multidisciplinary collaborative approach to long-term management of infants in the NICU is extremely important to provide successful transition to home or to long-term rehabilitative care facilities because care for the chronically ill infant is complex and multifaceted. I suggest the role of neonatal nurse specialist in 21st century are as follows. 1. Diagnostic/patient assessment 2. Management of patient health/illness 3. Administering/monitoring therapeutic interventions and regimens 4. Monitoring/ensuring quality of health care practices 5. Organization and work role 6. Helping role 7. Teaching/coaching role 8. Management of rapidly changing situations 9. Consulting role The advanced practice nursing model of care delivered by neonatal nurse specialist's in the NICU incorporates medical and nursing role functions and emphasizes holism, caring, and a health perspective for critically and chronically ill neonates and their families.