• Title/Summary/Keyword: Home modification

Search Result 120, Processing Time 0.021 seconds

The Development of a Client Health Status Outcome Evaluation Instrument in Home Care (가정간호대상자의 건강상태 결과 평가도구 개발)

  • 박현태
    • Journal of Korean Academy of Nursing
    • /
    • v.34 no.3
    • /
    • pp.552-564
    • /
    • 2004
  • Purpose: This study was to develop a client health status outcome evaluation instrument, and examine content validity, reliability, construct validity, and the acceptability of this instrument. Method: A preliminary list was made of such key information as standards, criteria, indicators and measures, by means of a broad review of literature within the field. After determining the preliminary instruments, the study sought to obtain examination, consensus, and modification of two groups of experts in the home-care field. Finally, the instrument examined content validity, reliability, construct validity, and the acceptability of this instrument. Result: The tool was considered of 13 criteria, 48 indicators, and 167 detail measures. The content validity index of the tool was above 0.8 according to the expert group. Regarding the reliability of the evaluators of standards 1 and 2, the degree of agreement between evaluators was high(96.4% through 98.2%). Construct validity in this study, the difference in the mean score between the baseline point and the follow up point of each of standards 1 and 2 was significant, and the mean score of the follow up point was more than that of the baseline point. After examining the acceptability of this instrument with practice managers and home care nurses in home care institutions, a positive opinion was given of this instrument, and it was indicated that to be useful and applicable in home care practice. Conclusion: The results of evaluating client outcome will contribute to overall outcome-based quality improvement and service marketing in home care by providing a constant gauge of home care effectiveness.

Comparison of Sleep Patterns between Home and Institute Elderly People (재가노인과 시설노인의 수면양상에 대한 비교연구)

  • Kim, Kwuy-Bun;Sok, So-Hyune;Kim, In-Sook
    • Journal of East-West Nursing Research
    • /
    • v.5 no.1
    • /
    • pp.65-74
    • /
    • 2000
  • This study was attempted to show basic data for search of nursing intervention about sleep improving in home and institute elderly peoples. Research design was cross-sectional survey method for comparison of sleep patterns and another variables between home and institute elderly peoples. Subjects were sampled by purpose as home and institute elderly peoples at age of 65 or older in Seoul or nearly. The survey questionnaire was used by modification of sleep questionnaire which Kim, O, Song & Bak(1997) developed. Data were collected between December, 1999 and April, 2000. And data were analyzed by SPSS PC+ for purpose of research. Results are as follows: 1. Home and institute elderly peoples, all were change of sleep patterns and sleep pattern was showed early sleeping down. But institute elderly peoples slept earlier than home elderly peoples. 2. As rest of morning, difficulty of falling asleep and disturbance of re-asleep, subjective thinking and feeling were showed more negative thing home elderly peoples than institute elderly peoples. As frequency of falling asleep within 5 min in 1 week, frequency of falling asleep over 30 min in 1 week and frequency of awakening in a day, objective frequency were showed more insomnia institute elderly peoples than home elderly peoples. Home elderly peoples didn't nap most and institute elderly peoples napped on very short time. 3. Regarding sleep-disturbing factors, physical factor was popularly joint-disturbance in all, home and institute elderly peoples. Environmental factor was popularly noise, particularly institute elderly peoples. Emotional factor wasn't all. 4. Practiced strategies for better sleep was popularly TV/Radio in home elderly peoples and were popularly regular sleep and religious action in institute elderly peoples. From the results of this study, home elderly peoples need nursing intervention of improving self-satisfaction on sleep and institute elderly peoples need nursing intervention of decreasing falling asleep-disturbing and decreasing frequency of awakening in sleep.

  • PDF

A study on the Adoptability of the Bo-Son Construction Method Based on Teachng Materials (교수 자료에 나타난 버선 제도의 적합성 연구)

  • 정옥임
    • Journal of the Korean Home Economics Association
    • /
    • v.34 no.2
    • /
    • pp.129-142
    • /
    • 1996
  • This paper pursues a comparative study on the design and function of the ready-made Bo-Son and the Bo-Son Pattern based on teaching and learning materials. It intends to investigate whether the Bo-Son is designed to suit to Kinetics of foot or to give the ease of wearing and taking off. The following results came out through trial wearing. 1) The Bo-Son pattern suggested in teaching materials can not satisfy the wearers with partial modification due to design problem. On the other hand, the ready-made Bo-Son can satisfy them with partial modification. 2) The important factor in designing the pattern of Bo-Son is the posture of foot when putting on it, that is, the height of the heel of the foot from the floor, the length of the heel, the length of toe and the bending angle of toe. 3) As a result of this study, in the design of the improved Bo-Son pattern, it is most suitable when the size of foot is 230mm, the height of the heel of the foot is 12.5cm, and and angle of the front toe of a sock is 35$^{\circ}C$.

  • PDF

Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients (유방암 수술 환자에 대한 가정간호서비스의 경제성 평가)

  • Ko, Jeong Yeon;Yoon, Ju Young
    • Research in Community and Public Health Nursing
    • /
    • v.32 no.3
    • /
    • pp.356-367
    • /
    • 2021
  • Purpose: This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery. Methods: A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives. Results: There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p<.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018. Conclusion: Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

A Research of FS-VDSL Adaptation in Home Network (홈네트워크에서 FS-VDSL 적용방안에 관한 연구)

  • Lee Sang-Jae;Jun Yong-Il;Lee Hyoung-Ho
    • 한국정보통신설비학회:학술대회논문집
    • /
    • 2003.08a
    • /
    • pp.349-352
    • /
    • 2003
  • In this paper, we introduce the concept, architecture, and service areas of FS-VDSL specification. We mainly focused on FS-VDSL CPE architecture, which consists of two different types, concentrated architecture and distributed one. We also provide the possibility of CPE adaptation in domestic in-home environment. As a result of our study, distributed CPE architecture is a better candidate to our in-home environment. Another important point of consideration in FS-VDSL adaptation in Korea is the protocol stack of FS-VDSL. Recently, Ethernet-based VDSL technology is more populated than ATM-based VDSL, which is originally adopted in FS-VDSL specification. So, we must deeply think about the modification of protocol stack of FS-VDSL when deploying it in Korea.

  • PDF

The Effect of a Convergence Approach of Home Environment Modification and Task-oriented Intervention on Fall Efficacy and Activity Level of Person with Stroke in the Community (가정환경 수정과 과제기반 중재의 융복합 접근이 지역사회 뇌졸중 환자의 낙상 효능감 및 활동 수준에 미치는 영향)

  • Kim, Su-Kyoung
    • Journal of the Korea Convergence Society
    • /
    • v.13 no.2
    • /
    • pp.39-46
    • /
    • 2022
  • The purpose of this study is to determine the effect of a convergence approach, which applies both home environment modification applied with assistive technology and task-oriented intervention using a fall safety checklist, on the fall efficacy and activity level of stroke patients. 41 persons with stroke(21 experimental groups and 20 control groups) were divided into experimental and control groups. The experimental group was applied environmental modification and the task-oriented intervention using the fall safety checklist for 4 weeks. The control group was provided only the environmental modification. Before and after the intervention, the Korean Activity Card Sort (KACS) and the Korean Falls Efficacy Scale-Korean version (FES-K) were used for evaluation. There was no significant difference in fall efficacy and activity level change between the experimental group and the control group. Both the experimental group and the control group significantly improved the fall efficacy and activity level after the intervention. By applying the results of this study to the clinical field, it will be possible to support stroke patients to live safely and actively participate in the community.

Education Needs for Home Care Nurse (가정간호 교육요구도 조사 연구)

  • Kim Cho-Ja;Kang Kyu-Sook;Baek Hee-Chon
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.6 no.2
    • /
    • pp.228-239
    • /
    • 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'.

  • PDF

A License Audit Model for Secure DRM System in Home Network Environment (홈네트워크 환경에서의 안전한 DRM 시스템을 위한 라이센스 감사 모델)

  • Jang, Ui-Jin;Jung, Byung-Ok;Yeo, Sang-Soo;Shin, Yong-Tae
    • Journal of Advanced Navigation Technology
    • /
    • v.13 no.3
    • /
    • pp.438-447
    • /
    • 2009
  • Digital home devices aims at providing the multimedia service which is not limited at time and space in home network environment. However, it is incapable of the fair use of consumers who legally buys contents, and causes damage to the contents providers owing to the indiscriminate distribution and use of illegal contents. DRM system appeared to solve this problem cannot protect the license stored on digital home devices and manage license by redistribution. This paper proposes a license audit model which makes an inspection of illegal access, modification and redistribution and reports alert logs to server.

  • PDF

A Study on Design of Interconnection Middleware Adaptor for Intelligent Home Network Devices (지능형 홈네트워크 디바이스간의 상호연동 미들웨어 Adaptor 설계에 관한 연구)

  • Hwang, Gi-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.18 no.7
    • /
    • pp.1727-1733
    • /
    • 2014
  • In this paper, an intelligent home network middleware interconnection adapter between devices was designed. Home network middleware interconnection adaptor is present in UPnP, LonWorks, LnCP, HAVi, etc. Various types of middleware and for use of a number of middleware is required to modify an existing system. But this study designed by middleware interconnection adaptor a number of existing middleware systems without modification was designed to allow interlocking. The Performance evaluation of designed interconnection middleware adaptor produced by various companies was used devices, experimental device was implemented. And mobile application was developed by using developed interconnection middleware adaptor. Also the performance was evaluated in a mobile application.

Surface Modification of Zinc Oxide Nanorods with Zn-Porphyrin via Metal-Ligand Coordination for Photovoltaic Applications

  • Koo, Jae-Hong;Cho, Jin-Ju;Yang, Jin-Ho;Yoo, Pil-J.;Oh, Kyung-Wha;Park, Ju-Hyun
    • Bulletin of the Korean Chemical Society
    • /
    • v.33 no.2
    • /
    • pp.636-640
    • /
    • 2012
  • We modify ZnO nanorods with Zn-porphyrin to obtain the improved characteristics of energy transfer, which is further investigated for the applicability to photovoltaic devices. A nitrogen heterocyclic ligand containing a thiol group is covalently grafted onto the surface of finely structured ZnO nanorods with a length of 50-250 nm and a diameter of 15-20 nm. Zn-porphyrin is then attached to the ligand molecules by the mechanism of metalligand axial coordination. The resulting energy band diagram suggests that the porphyrin-modified ZnO nanorods might provide an efficient pathway for energy transfer upon being applied to photovoltaic devices.