• 제목/요약/키워드: Home visits

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A Study on risk factors for senile dementia (노인성치매 발생요인과 돌보는 가족원의 스트레스에 관한 조사 연구)

  • 홍여신;이선자;박현애;조남옥;오진주
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.448-460
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    • 1994
  • This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

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Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients (뇌졸중 환자에 대학 지역사회 중심 사례관리 효과)

  • Kim, E.Y.;Kim, C.Y.;So, A.Y.;Shin, J.Y.;Lee, G.M.;June, K.J.;Choi, J.H.
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.18-28
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    • 2004
  • Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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Analysis of Time Taken for Visiting Nursing Activities by Visiting Nurses (방문 간호사의 방문 보건 활동 소요시간 분석)

  • Yang, Sook-Ja;Shim, Kyung-Rim;Kim, Ok-Soo;Kim, Hye-Young;Kim, Kyung-Hee;Kim, Eun-Ha
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.177-186
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    • 2004
  • Purpose: The purpose of this study is to analyse time taken for visiting nursing activities by visiting nurses in health centers. Method: A questionnaire was developed by a research team for the technological support of visiting nursing activities and visiting nurses. A total of 481 questionnaires were recovered by five visiting nurses from May to October 2003. Result: A visiting nurse's total length of time for visiting activities was 532.2 minutes per day and the number of households a visiting nurse visits a day was 4.5. A visiting nurse spent 133.3 minutes for actual nursing services and 119.1 minutes for travelling. Time for actual nursing activities was more than half of the total working hours. Time for travelling was 42.9 minutes on the average when using public transportation means and 25.6 minutes when using a car. Conclusion: The results of this study is expected to be used as basic data in establishing plans for the adequate supply of visiting nurses based on demands for visiting nursing services.

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Assessment of the Effects of Breast Cancer Training on Women Between the Ages of 50 and 70 in Kemalpasa, Turkey

  • Mermer, Gulengul;Turk, Meral
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10749-10755
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    • 2015
  • Background: In both developed and developing countries; breast cancer is the major cancer observed in women. The aim of this study was to assess the effect of nursing and mammographic intervention on women with breast cancer between the ages of 50 and 70. Materials and Methods: A training program, which was quasi-experimental and had a pretest-protest design, was applied in Kemalpaaa district of Izmir, between October 2008 and August 2010. The target population was women between the ages of 50 and 70, who were registered in the list of 3rd Family Medicine Unit in Izmir's Kemalpasa metropolis. A total of 106 women who were in conformity with the study criteria participated in the study. Research data were collected through home visits that included face-to-face interviews; Ministry of Health education material and video films were modified and used for the training. Data analysis was performed through 82 women who were paired at the first and the second phase. Results: It was observed that although the rate of breast self examination significantly increased after the training (p=0.022), the rate of clinical breast examination (p=0.122) and mammographic screening (p=0.523) did not. Differences in the stages of change after training were found to be statistically significant (p<0.001) and the group showed a progression in the stages of change in general (46.3%). In women mean scores of breast cancer awareness (p<0.000), severity (p<0.000), health motivation (p<0.000) and perception of the benefits of mammography (p<0.000) increased significantly and mean score of perception of mammography barriers decreased significantly (p<0.000) after the training. Conclusions: After the training on breast cancer and mammography it was determined that nursing interventions provided positive progression of stages of change of women, affected health beliefs positively and significantly increased BSE incidences. However, it did not have a significant effect on CBE and mammographic screening.

Community Participatory Neighborhood Park Design -In the Case of Yangi Park in Sadang-dong, Seoul- (주민참여에 의한 마을마당설계 -서울 동작구 사당동 양지공원-)

  • 김성균
    • Journal of the Korean Institute of Landscape Architecture
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    • v.29 no.3
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    • pp.61-69
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    • 2001
  • This paper presents a case of community participatory neighborhood park design. The site, Yangji park, is located in Sandang-dong, Dongjak-gu, Seoul and the area is about 1,870m. Neighborhood park is defined as an outdoor space which is close to people´s home and is considered to be their own, because of the residents´ collective responsibility, family association, and frequent shared use. It is a place for pleasant rest area for community, sharing a sense of nature and retaining a sense of tradition and culture which is disappearing in a city. It is related to the daily life of the people near the site and becomes a place to let the community increase dialogue and understanding between people. On the other hand, participatory design is a design in which people participate in the design process. Thus people can understand the project well, present their opinions better, and reconcile conflicts between the different interests of people. This design applied a community participatory design method to design a neighborhood park. The major strategies for participatory design were ´workshop´, ´card game´, ´walking site´, ´interview´, and ´questionnaire´. Eight workshops were performed for the participation design. The major spaces and facilities elected by participants were the ´main entrance plaza´, ´entrance symbol space´, ´children´s ´playground´, ´multipurpose sport ground´, ´grass land´, ´foot-pressure area´, ´spaces symbolizing a rock mountain and an old well´, ´space for youth´, ´a pavilion´, etc. From this selection, design concept alternatives were generated by participants. The aster plan was developed from these design alternatives with the help of landscape architects. It was revised by ist visits and community discussions. People were also involved in the construction process and left their own works, such as hand prints, on the site. After construction, residents continued to maintain the park by themselves. As a result, It was found that participatory design was very effective for people´s satisfaction and sustainable park management. By involving people more in the process they developed a sense of community, a sense of ownership, and attachment to the place. In conclusion, it is suggested that we need to develop an effective people´s participation method to Korean society.

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The Factors Associated with Changes in the Stage of Breast Cancer Screening Behavior among the Woman who are Eligible for the Korean National Cancer Screening Program (유방암 조기검진에 대한 단계별 행동과 관련 요인 -국가암조기검진 대상자를 중심으로-)

  • Son, Hyo-Kyung;Kam, Sin;Park, Ki-Soo;Kim, Jang-Rak;Kim, Rock-Bum;Park, Sun-Kyun
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.2
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    • pp.109-116
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    • 2009
  • Objectives : This study was performed to evaluate the relationships between psychosocial characteristics and changes in the stage of breast cancer screening behavior. Methods : The 474 study subjects were randomly sampled from 21,459 women(age range, 40-70 years) who were eligible for the Korean National Cancer Screening Program in 2006 in Jinju, Gyeongsangnam-do. The information, including behaviors and sociodemographic characteristics, attitudes, subjective norms and self-efficacy, was collected by trained interviewers via home visits. The breast cancer screening stages were grouped as precontemplation, contemplation, action, maintenance and relapse, according to Rakowski. Results : Of the 474 women, 18.8% were in the precontemplation stage, 23.3% were in the contemplation stage, 13.1% were in the action stage, 36.6% were in the maintenance stage, and 8.2% were in the relapse stage. The distribution of stages was associated with attitude, subjective norms and self-efficacy(p for trend<0.01). To investigate the overall relationship between the variables, we conducted a linear structural equation model analysis based on the theory of planned behavior. The subjective norms and self-efficacy influenced the stage of the women's screening behavior. Conclusions : We should target on self-efficacy about the screening behavior of women by performing timely, thoughtful interventions. The support from family members, friends and other people is crucial for women to undergo breast cancer screening and to improve the breast cancer screening rate.

A Study on the Spatial Composition Characteristics of Elderly Housing facilities in Korea (한국 노인주거시설의 공간계획 특성에 관한 연구)

  • Oh Hye Kyung;Hong Yi Kyung;Him Hyun Jee
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.133-142
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    • 2004
  • The purpose of this study was to investigate the spatial composition characteristics of elderly housing facilities in Korea, in order to refer them in establishing the basic plan for elderly housing in Korea. The case study performed in this study from October 16 to October 31 is based on ten housing facilities for the elderly in KOREA. During the site visits, the interview with the custodians, survey of the space, picture taking and diagram gathering were carried out. The results of this study were as follows; 1. The type of floor plan was classified into ㅁ type, L type, and ㅡ type. And they hadn't an outside space called a garden(courtyard). 2. The kinds of common spaces could be grouped as the space for basic living, for leisure, and for convenient living. Also it was all common that the housing facility had common diningroom laundry room once, and activity room. The type of the common spaces was categorized into three types, the centralized type where the shared space was located at the center of the housing facilities, the distributed type, depending on the degree of separation between common spaces and units, and another each building type. 3. The kinds of units was classified into studio, oneroom, one bedroom and two bedroom. 4. Elevator, safety grab bar, emergency bell, and the door handle of lever or bar type were placed in these facilities.

Content Analysis of the Nursing Interventions and Telephone Calls to the Pediatric Nursing Unit (외래 및 퇴원환아 부모의 전화상담과 간호중재의 내용분석)

  • 한경자;최명애;강화자;박승현;김영미;권원경;안혜영
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.515-530
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    • 1996
  • A descriptive study was conducted to describe the content of nursing interventions and incoming telephone calls from the parents whose child was discharged to home or who has planned immunization during the period from March 15, 1995 to November 30, 1995. Detailed notes on 145 telephone calls and 243 nursing interventions were recorded by head nurses on pediatiric nursing units were entered to data collection and content analysis. The results of the study are as follows : 1. Six analysis categories for the records on incoming telephone calls were identified judgement-dependence, dependent -coping, self-initiated coping, support, adjustment and intermediation need. 2. Five analytic categories for the records on telephone interventions were identified : guidance, mediation, facilitating self -care abilities, support, instrumental use. 3. Problems related to physical signs and symptoms, medication, immunization, and vital signs were most often cited as concerns by parents and caregivers. 4. Instruction, suggestion, provision knowledge and information, reassurance related to physical problems, medication, immunization and clinic visits were most often used as an nursing interventions by head nurses on pediatric nursing units. In spite of the fact that the telephone calls were initiated by the parents, dependency of parents during the telephone calls was remarkable. The dependency of parents on judgement and decision making of the pediatric nurses should be understood in terms of the psychosocial content as well as cultural characteristics. Therefore, it is suppested that telephone interventions focus on facilitating the self-care ability of the parents whose children have chronic conditions. The results of this study will be useful as an essential reference in providing effective for children and their families after discharged from the hospital. The results can also be used as reliable data for extended pediatric nursing service in the health care delivery system as well as for the development of telephone intervention service program in responding to the current health care environment.

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Which Couple Has More Shared Leisure Time? : The Exploration of Shared Leisure Time and Marital Relationship in Korea (어떤 부부가 함께 여가시간을 보내는가? : 부부공유여가시간의 현황과 부부관계의 질에 관한 탐색)

  • Lee, Jiyeon;Chung, Grace H.
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.149-164
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    • 2015
  • In recent years, leisure time has received increasing attention in Korean society. Despite the growing interest, however, there are very few studies that explored shared leisure time, especially among married couples. In this light, the present study examined variations in shared leisure time by demographic characteristics and associations between shared leisure time and quality of marital relationship. We used the third wave of the national data KLoWF (Korean Longitudinal Survey of Women and Families, 9,997 19-64 years old women). The study sample included 5,965 married women with no prior history of divorce. Results showed that Korean wives reported very little shared leisure time with their husbands. Given that the mean of the shared leisure time reported by employed women was significantly lower than that of the un-employed, we speculated that the time constraint may be one of the major barriers to having leisure time with one's spouse among Korean married couples. Married women in their 30's had the most frequent couple leisure time. The younger wives in their 20s had more cultural leisure time with their husbands, but sharing outdoor leisure time was not related to their age. The higher level of education for women was associated with greater shared active leisure time. However, visiting a husband's family often took place regardless of the wives' education level. After controlling for age, years of education, job status and annual family income, shared active leisure time (i.e., cultural activity and exercise) was positively related to marital satisfaction. Visiting one's own family, however, was not considered a leisure activity for Korean wives. Rather, frequent family visits were related to lower marital satisfaction. Findings shed light on how leisure life of married women with spouses are intertwined with not only their socioeconomic status and but also marital relationship in culturally unique ways.

Perceptions and Attitudes of Housewives on Scalp and Hair Management (전업주부들의 두피모발 관리에 대한 인식 및 태도)

  • Kim, Myung-Woo;Kim, Sung-Nam
    • Fashion & Textile Research Journal
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    • v.9 no.3
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    • pp.336-340
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    • 2007
  • In this study, "housewives" are defined as married women who take care of housework mostly and do not work outside of home. Changing family types and higher education level of housewives enable them to be more interested in heath, beauty, and appearance. Increased interest and more frequent visits to hair salons cause scalp damage as well as hair damage, which results in hair loss. Moreover, some women suffers from scalp and hair damage due to childbirth, but many of them are not aware of it. Therefore, this study tries to find out the following; housewives' perceptions on hair and scalp management, and how such perceptions are formed. In addition, this study will present the direction for beauty marketing taking into account the characteristics of housewives and provide data necessary for them to keep their hair and scalp healthy. For these purposes, a survey was carried out after modifying the questionnaire through a presurvey. The survey tried to find 1) perceptions on hair and scalp management according to demographic characteristics, and attitude toward hair and scalp management according to demographic characteristics. Data were analyzed using frequency analysis, cross tabulation, t-test, factor analysis, and Analysis of Variance. The results were as follows, most recognize the importance of hair and scalp management but do not receive management because of the high cost, most of them receive information about hair and scalp management from people around them, and the higher the education level and health status, the more active the attitude toward hair and scalp management. These differences were all statistically significant.