• Title/Summary/Keyword: Home setting

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Development of validated Nursing Interventions for Home Health Care to Women who have had a Caesarian Delivery (조기퇴원 제왕절개 산욕부를 위한 가정간호 표준서 개발)

  • HwangBo, Su-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.135-146
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    • 2000
  • The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

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Home Range and Daily Activity of Nutria(Myocastorcoypus) Using Radio Tracking in South Korea (원격무선추적을 이용한 한국 정착 뉴트리아(Myocastor coypus)의 행동권 및 활동성 연구)

  • Kim, Areum;Kim, Young-Chae;Lee, Do-Hun
    • Journal of Environmental Impact Assessment
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    • v.29 no.3
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    • pp.182-197
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    • 2020
  • This study investigated the home range and characteristics of activities to contribute to the improvement of management techniques and the successful promotion of management policies of invasive nutria, which is a representative invasive species of South Korea. Six individuals were captivated for the study. Remote radio tracking on three of them was carried out followed by the analysis of the results. The average home range of the follow-up individuals were confirmed to be 0.043 ㎢ at MCP 95%, 0.085 ㎢ at K 95%. It was 0.018 ㎢ at K 50%, which is the core space. In 95% MCP, males exhibited the home range with 0.058 ㎢, showed wider home range 0.046 ㎢ than females who showed 0.012 ㎢, and showed a wider home range 0.015 ㎢ more at night than during the day. As a result of comparing the results of this study with the case studies of overseas studies, it is determined that the magnitude of the derived home range is the result of a stable habitat in which the procurement of food resources is smooth and human interference is limited. The daily moved distance of males was larger than that of females, with a maximum moved distance of 1,278 m per day. Activity at the study site is high from around sunset to around 6 A.M., 10 P.M., 7 P.M., 1 A.M., and 5 A.M., and high around sunrise and low during the daytime such as 2 P.M., which reflected the propensity of nocturnal animals to act. The results of this study on the home range and activity in nutria can be used as useful data forimproving the management of invasive alien species for the installation and operation of traps, the spatial setting of controlled areas, and the calculation of the amount ofresources together with a basic understanding of nutria's behaviors in South Korea.

Residential Crowding and Adoptation Behavior of the Urban Households (도시 가구의 주거 과밀 지각과 주거 적응 행동에 관한 연구)

  • 문숙재;이경희
    • Journal of Families and Better Life
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    • v.4 no.1
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    • pp.109-125
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    • 1986
  • In recent years, conoeptualizations of the residential crowding phenomena have developed form deterministic approaches to functionalistic ones which emphasize the interaction of environmental , social, and personal variables. The influences of each variables which are believed to mediate the crowding perception have been tested. This study examines the association of the influence of socio-demographic variables, residential setting and previous residential experience with the residential crowding. Futhermore, the residential adoptation behavior in response to the crowding phenomena is analyzed. The results of a survey are as follows; 1)The most important variables which influence residential crowding are the residential setting variables such as the floor space and the measure of persons per room. Also the household income and the family structure influence the residential crowding. No previous residential experience effects were found. 2)The residential adoptation behavior is influenced by sex, age and socio-economic status of the family. Female and the age group of 20s and 30s tend to prefer such alternatives as moving or residential alterations and additions. On the other hand, male and the age group of 40s and 50s tend to prefer staying without nay alternatives or structural family adoptation. The group of higher socio- economic status tend to show higher preference to moving and alterations, and the lower ones tend to stay or take the alternative of the structural family adoptation. Years of education and the family structure do not influence the residential adopation behavior.

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Influence of Parents' Family-of-Origin Experiences on Parenting Behaviors : Focusing on Parents with Young Children (부모의 원가족 경험이 양육행동에 미치는 영향 : 유아기 자녀를 둔 부모를 대상으로)

  • Jeon, Joo-Hye;Park, Jeong-Yun;Kim, Yang-Hee;Chang, Young-Eun;Auh, Seong-Yeon
    • Journal of Families and Better Life
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    • v.28 no.2
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    • pp.1-15
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    • 2010
  • This purpose of study is the effects of parents' family-of-origin experience on their parenting behaviors of 260 parents with child(ren) aged between 3-7. The results were as follows: First, father's with higher monthly average income showed more frequent responsive parenting behaviors. Mothers with different age, income, employment status, employment of their mother in the family of origin, and current family types showed different levels of limit-setting, intimacy, and responsivenss in their parenting. Second, both parents' experiences from their family of orgin were correlated their parenting behaviors. Third, regression analysis revealed that mothers were found to give their children more reasonable guidance if they experienced more independence from their parents and more acceptance from their mothers, if they raise more than two kids, and if their family of origin was an extended type. Fathers who perceived higher family of health, more acceptance by their mothers showed more limit setting parenting behavior.

Smart Thermostat based on Machine Learning and Rule Engine

  • Tran, Quoc Bao Huy;Chung, Sun-Tae
    • Journal of Korea Multimedia Society
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    • v.23 no.2
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    • pp.155-165
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    • 2020
  • In this paper, we propose a smart thermostat temperature set-point control method based on machine learning and rule engine, which controls thermostat's temperature set-point so that it can achieve energy savings as much as possible without sacrifice of occupants' comfort while users' preference usage pattern is respected. First, the proposed method periodically mines data about how user likes for heating (winter)/cooling (summer) his or her home by learning his or her usage pattern of setting temperature set-point of the thermostat during the past several weeks. Then, from this learning, the proposed method establishes a weekly schedule about temperature setting. Next, by referring to thermal comfort chart by ASHRAE, it makes rules about how to adjust temperature set-points as much as low (winter) or high (summer) while the newly adjusted temperature set-point satisfies thermal comfort zone for predicted humidity. In order to make rules work on time or events, we adopt rule engine so that it can achieve energy savings properly without sacrifice of occupants' comfort. Through experiments, it is shown that the proposed smart thermostat temperature set-point control method can achieve better energy savings while keeping human comfort compared to other conventional thermostat.

Salinity of Representative Korean Foods High in Sodium from Home Meals, Foodservices, and Restaurants (가정식, 급식, 외식 고나트륨 한식 대표 음식의 염도 분석)

  • Jiang, Lin;Shin, Damin;Lee, Yeon-Kyung
    • Korean Journal of Community Nutrition
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    • v.23 no.4
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    • pp.333-340
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    • 2018
  • Objectives: This study was conducted to analyze the salinity of representative Korean foods high in sodium to generate data for use as a fundamental resource for setting salinity standards in foods. Methods: A total of 480 foods from 16 representative Korean foods high in sodium were collected from 10 households, 10 industry foodservice establishments, and 10 Korean restaurants in four regions (Capital area, Chungcheong Province, Gyeongsang Province, and Jeolla Province) and analyzed for salinity. Results: Among the foods, stir-fried anchovies (4.07~4.45%) showed the highest salinity, followed by pickled onion (1.86~2.62%), cabbage kimchi (1.83~2.2%), braised burdock and lotus root (1.79~2.17%), and sliced radish kimchi (1.78~1.89%) (p<0.001). The salinity of kimchi from home meals (2.2%) was significantly higher than that of foodservice (1.83%) and restaurant (1.93%) kimchi (p<0.05). Salinity in each group of food was highest in kimchi (1.83~2.04%), followed by braised dishes (1.54~1.78%), steamed dishes (1.0~1.22%), stir-fried dishes (1.02~1.18%), and soup or stew (0.74~1.02%) (p<0.001). The salinity of soup and stew from restaurants (1.02%) was significantly higher than that of home meal (0.84%) and foodservice (0.74%) soup and stew. Conclusions: Determination of the salinity of representative Korean foods known to be high in sodium by eating place is expected to be useful to establishing guidelines for reduction of salinity.

Needs Analysis for Home Rehabilitation Services by Disabled Person in the Rural Areas (농촌 재가 장애인의 가정방문 재활서비스 욕구도 분석)

  • Yi, Chung-Hwi;Lee, Hyun-Ju;Park, Kyoung-Hee;Ahn, Duck-Hyun
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.61-81
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    • 2002
  • The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

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A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association (지역사회중심 가정간호 시범사업 성과평가를 위한 기초연구- 서울시 간호사회 주관 -)

  • 유호신;이소우;문희자;황나미;박성애;박정숙;최행지;정기순;한상애
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1488-1502
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    • 2000
  • This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

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The Effects of Group Art Therapy on Maternal Parenting Stress and Self-Efficacy (부모교육이론을 적용한 집단미술치료가 초등학생 어머니의 양육스트레스와 부모효능감에 미치는 효과)

  • Seo, So-Hee;Choi, Wai-Sun
    • Journal of the Korean Home Economics Association
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    • v.46 no.6
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    • pp.61-73
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    • 2008
  • The purpose of this study was to examine the effects of group art therapy on maternal parenting stress and self-efficacy. The subjects of the study included 16 parents of elementary school students who participated in a group art therapy program offered at B Education Center, Pusan. Eight parents who wanted to receive parental education were allocated into an experimental group, While the other eight parents were regarded as the control group. Mothers in the experimental group participated in the group art therapy program which discussed parent education theories. This Program was composed of 17 sessions, performed once a week for one and a half hours. Research tools employed included parent stress test and parent self-efficacy test. The following results were obtained: Group art therapy was found to bring about a statistically significant decrease in parenting stress. Group art therapy was also found to bring about a statistically significant increase in parent self-efficacy. These results suggest that a program which integrates various parents education theories, within a group art therapy setting, can become an effective parent education tool which decreases maternal parenting stress and increases parent self efficacy.

The influence of children's and mothers' emotional expressiveness in mother-child interaction settings on children's social competence (모자 상호작용에서 정서 표현성이 아동의 사회 능력에 미치는 영향)

  • Song, Ha-Na;Choi, Kyoung-Sook
    • Journal of the Korean Home Economics Association
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    • v.44 no.11
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    • pp.51-65
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    • 2006
  • This study examined the influence of mothers' and children's emotional expressiveness on children's social competence. Sixty-five kindergarten children and their mothers were observed in a lab setting which included 5 free play and 5 task episodes. The children's and mothers' behaviors during these episodes were videotaped and rated by two coders in terms of emotional expressiveness, sociability to others, ability to regulate frustration, compliance, and autonomy. Intercoder reliability between the two coders for each behavioral category ranged from .84 to .99. The results showed that children's social competence was significantly influenced by their positive expressiveness, indicating that children with higher expressiveness were more sociable to others and less frustrated in a stressful situation. Significant relationships were also found between mothers' and children's negative expressiveness, and children's compliance and autonomy. In particular, the consistency between mothers' and children's levels of negative expressiveness significantly predicted the children's compliance and autonomy. The socialization of emotion between mothers and children was discussed, as was the relationship between emotional and social competence. Suggestions for future study were also presented.