• Title/Summary/Keyword: Home-based program

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The Effects of a Community Psychiatric Nursing Program on the Rehabilitation of Home-based Long-term Psychiatric Patients

  • Lee, Sook
    • 대한간호학회지
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    • 제29권5호
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    • pp.1103-1112
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    • 1999
  • In the last few years, psychiatric nurse practitioners have shown a growing an interest in community psychosocial rehabilitation, caring for chronic psychiatric patients as case manager in South Korea. The purpose of this study was to evaluate the effectiveness of a community psychiatric rehabilitation nursing program on self-care activity and quality of life and to suggest this program as an effective nursing intervention in a group of chronic home-based psychiatric patients in a poor town. A nonequivalent control group, pretest-posttest design was used. Of the twenty women that started the program, sixteen finished it. The data were analyzed by the Wilcoxon Rank Sum Test. The program included the process of case management which consisted of four phases: the first was an active case finding and pre-test, the second was home visiting and contacted by phone. the third was group activity therapy of 12 sessions, and the fourth phase was terminal and post-test. The effects of the program were assessed by quality of life and self-care activity. The quality of life and the self-care activity, especially, area of nutrition. elimination, dressing. leisure activity, and follow-up clinic visiting showed greater improvement than those of the control group. The results of this study suggest that this program was effective in improving the quality of life of chronic home-based psychiatric patients.

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간호학생을 위한 Head Monted Display기반 재가방문 가상현실(Virtual Reality) 시뮬레이션 프로그램 개발 및 효과 검증 (Development and Effects of Head-Mounted Display-Based Home-Visits Virtual Reality Simulation Program for Nursing Students)

  • 안민권;이정미
    • 대한간호학회지
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    • 제51권4호
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    • pp.465-477
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    • 2021
  • Purpose: This study aimed to evaluate the effects of head monted display based home-visits virtual reality simulation (HVRS) program developed for undergraduate nursing students. Methods: A nonequivalent control group with a non-synchronized design was utilized and 84 participants (experimental group, 44; control group, 40) were recruited from August 31, 2020 to November 8, 2020 in Gwangju metropolitan city. The HVRS program consisted of scenarios of three nursing cases, hypertension, diabetes mellitus, and stroke. Data were analyzed SPSS version 25.0 for Windows. Results: At the completion of HVRS, significant differences were found between groups in knowledge of home-visits (t = 4.73, p < .001), self-confidence (t = 6.63, p < .001), self-efficacy (t = 3.13, p = .002), and clinical competency (t = 4.13, p < .001). No significant difference was shown between groups in nursing knowledge about strokes, a subcategory of knowledge pertaining to home visits. Conclusion: The HVRS program developed for undergraduate nursing students is effective in improving knowledge of home-visits, self-confidence, self-efficacy, and clinical competency for nursing students.

실과 가정생활 영역을 활용한 융합인재교육프로그램이 초등학생의 실과에 대한 태도와 학습몰입에 미치는 영향 (The Effect of STEAM Program Based on the 'Home Life' Area of the Practical Arts Education on Attitudes Toward Practical Arts and Learning Flow)

  • 금지헌
    • 한국가정과교육학회지
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    • 제24권1호
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    • pp.61-71
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    • 2012
  • 이 연구는 초등학교 5,6학년을 대상으로 2007 개정 실과교육과정의 가정생활 영역을 활용한 STEAM 교육프로그램을 개발하고 그 효과를 검증하는데 그 목적이 있다. 연구방법은 2007 개정 실과교육과정의 7개 가정생활 영역 중 STEAM을 적용하기 적합한 주제를 하나씩 선정하여 총 10차시의 교사용 교수-학습 과정안과 학생용 학습지를 개발하였다. 대구광역시 소재의 A초등학교 5학년 한 학급 21명을 대상으로 프로그램을 적용한 후 실과에 대한 태도와 학습몰입의 변화를 분석하였다. 연구의 결론은 다음과 같다. 첫째, 초등학교 실과 가정생활 영역은 STEAM을 적용하기에 적절한 주제로 이루어져 있으며, 이를 바탕으로 7개 주제의 10차시 STEAM 교육프로그램이 개발되었다. 개발된 프로그램은 교사용 교수-학습 과정안과 학생용 학습지로 구성되어 있으며, 교사용 교수-학습 과정안에는 선택적으로 활용할 수 있는 다양한 STEAM 교육 요소를 제시하였다. 둘째, 개발한 실과 가정생활 영역을 활용한 STEAM 교육프로그램은 초등학생의 실과에 대한 태도를 향상시키는데 효과적이다. 셋째, 개발한 실과 가정생활 영역을 활용한 STEAM 교육프로그램은 초등학생의 학습몰입 수준을 향상시키는데 효과적이다.

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가정.방문물리치료 및 학교물리치료의 필요성 및 유형실태에 대한 조사연구 (A Survey of Needs and Types of Home Physical Therapy, Visiting Physical Therapy and School Physical Therapy)

  • 권혜정
    • 대한물리치료과학회지
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    • 제18권4호
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    • pp.31-46
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    • 2011
  • The purpose of this survey was to give data and information about type and needs of Home Physical Therapy, Visiting Physical Therapy and School Physical Therapy for physical and nurse. The subjects were 154(99 physical therapists and 55 nurses) who were working at geriatric rehabilitation hospitals and children hospitals. The period of questionary collection was from the 15 of August to the 15th of September 2011. And data was analysis from 99 articles such as journals related to physical therapy, and searched with keyword 'home and visiting physical therapy' by web site and Korea National Assembly Library from 1991 to 2011. The data was analysis with percentage, mean, standard deviation and ANOVA by SPSS PC 12.0. The results were as follows; 1. The definition of 'Home Physical Therapy' has been community based on physical therapy service for the patient who had diagnosis by medical doctor, has been based on medical law. The definition of 'Visiting Physical Therapy' has been community based on physical therapy service at home for the patient who had diagnosis by medical doctor, for the national basic living security, and senior citizen over 65 years who lives alone, has been based on law for community health and law of long term health insurance. The definition of 'School Physical Therapy' has been school based on physical therapy service at school after class for the disabled children who are studying at school, has been based on special education law article 28. 2. As for the knowledge of the Home and Visiting and School Physical Therapy, both groups PT and nurse were 'I do not know'125(81.3%) of the difference the concept of 3 definitions, so it means to need education and information about the different concept of three physical therapy. As for the needs of home and visiting physical therapy, both groups of PT and Nurse were 'needs' 151(98.1%). Physical therapist showed of 'Needs' on visiting physical therapy 35(35.4%), home physical therapy 32(32.3%), and schole physical therapy 32(32.3%). Nurse showed of 'Needs' on home physical therapy 23(41.8%). visiting physical therapy 19(34.5%), school physical therapy 13(23.6%). Therefore it is necessary to have home and visiting physical therapy as for the elderly and disabled person. 3. As for the qualification of Home and Visiting physical therapist, both PT and nurse groups showed as follows; take post graduation education program for home and visiting therapy after became PT : home physical therapist 108(70.1%), visiting physical therapist 106(68.8%). So it means education center or university can be developed post graduation program for home and visiting physical therapist. 4. As for the 'Needs' of school physical therapy, both groups of PT and nurse showed as follows; 'Needs' 142(92.2%), 'Needs superviser education program' 148(96.1%), in PT group showed 'I will participate of education program' 92(92.9%). 5. As for the present states of research papers or report of home, visiting, and school physical therapy was as follows; the 103 papers for 8 fields about' the needs of home and visiting physical therapy' from 1991 to 2011, the 13 papers for 2 fields about school physical therapy from 2001 to 2011, so total papers were 114 articles.

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일부 가톨릭교회와 연계된 병원중심 가정간호사업의 평가 (An Evaluation of the Home Care Nursing Services Conducted jointly by Catholic Churches and Hospital)

  • 김혜단;김순례
    • 가정∙방문간호학회지
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    • 제12권1권
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    • pp.41-69
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    • 2005
  • Purpose: This study was performed to evaluate the outcomes of the home care nursing program conducted jointly by thirty two catholic churches and C hospital in Seoul. Method: The subjects included 173 patients who registered for the program during a 4 month-period from November 1, 2004 to February 28, 2005 and received home care services for more than 4 times and 32 professional nurses participating in the program. Using the concept of medical outcome study (MOS), the structure, process, outcome elements were analyzed. Result: 1) A Catholic homecare nursing center and nurses of the C hospital played a central role in providing nursing care, and each church operated its own vehicle from its own office. Home care nurse's job satisfaction was 2.8 out of total score of 4. The major illness was cerebrovascular disease including stroke followed by skeletomuscular disease including degenerative arthritis cancer, and diabetes. Among reasons for accessing the home care nursing program, hypertension management was most prevalent. More than half of the registration was done through catholic churches. Most people who referred the patient to the program was through the church. Most patients received home care nursing 1-2 times a week for 30 to 60 minutes in average and the most frequent type of service provided was basic nursing. 3) The most frequent reason for terminating home care services was death. The change in PPS(Palliative Performance Scale) level from the time of registration and after 4 visits was the same in 45%, decreased in 30%, and improved in 25%. Patient satisfaction was very high, showing 3.4 out of total score of 4. Conclusion: These results proved that the home care nursing program was highly appreciated by subjects and nurses were providing professional care. Thus the two parties involved in the program were actively supporting the program to fulfill their mission. However, several areas needed to be improved such as relating with local community, relating with family doctor, and issue of improving the working conditions for home care nurses.

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만 3세 유아 부모의 수학적 상호작용 증진을 위한 가정연계 프로그램의 개발 및 적용 (Development and Application of a Home Connection Program on the Improvement of Mathematical Interaction of Parents of 3-year-olds)

  • 배진희;김지현
    • 한국보육지원학회지
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    • 제15권3호
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    • pp.83-113
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    • 2019
  • Objective: This study aimed to develop and apply the home connection program for promoting the mathematical interaction of parents of 3-year-olds. Methods: We surveyed questionnaires for 36 parents and interviewed 3 parents of 3-year-olds for the development of the program. Twenty-one 3-year-olds were selected as participants in the program. Quantitative data from a checklist for parent's mathematical interaction were analyzed using repeated measures ANOVA. Qualitative data from self-evaluation of teachers and parents were categorized and analyzed in terms of meaning. Results: Based on the home connection program, the session were provided in the following order [educare center activities ${\rightarrow}$ home-linked activities ${\rightarrow}$ home+educare integrated activities] and in each session, the three-step course [sharing of thinking ${\rightarrow}$ gathering of thinking ${\rightarrow}$ broadening of thinking] was applied. Implementation of this program led to promoting parental mathematical interaction. Conclusion/Implications: This study will lead to follow-up studies that reveal positive effects of our program.

The Effect of Video Game-Based Home Exercise on Balance and Muscle Strength in the Elderly in the COVID-19 Era

  • Myung Joon Kim
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.509-516
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    • 2022
  • Objective: This study investigated the effect of a video game-based home exercise program on the improvement of balance and muscle strength in the elderly. Design: Randomized controlled trial Methods: Participants were randomly assigned to two groups: a video game-based home exercise training group (experimental group, n=16) and a control group (n=17). The experimental group trained three times a week for 50 minutes per session for six weeks, and the control group did not perform any exercise. To evaluate postural balance, one leg standing test, Berg balance scale, functional reach test, and timed up and go test were performed, and five times sit-to-stand was performed to evaluate lower extremity muscle strength. Results: In the experimental group, there were statistically significant improvements (p<0.05) in one leg standing test, Berg balance scale, functional reach test, and timed up and go test, and five times sit-to-stand after the intervention, but in the control group, the difference before and after the intervention was not significant. The difference between the groups according to the experimental method showed a significant increase in the experimental group (p<0.05). Conclusions: These results suggest that a video game-based home exercise program effectively improves balance and muscle strength in the elderly. A video game-based exercise program can contribute to the rehabilitation of the elderly as a method of home remote rehabilitation.

자기역량강화프로그램이 저소득층 재가 암환자의 암증상, 자기효능감, 자아존중감 및 자기역량에 미치는 효과 (The Effects of a Program on Cancer Symptoms, Self-Efficacy, Self-esteem, and Empowerment in Home-based Cancer Patients)

  • 박정숙;오윤정
    • 한국보건간호학회지
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    • 제27권1호
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    • pp.50-63
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    • 2013
  • Purpose: The purpose of this research was to develop and evaluate the effects of an empowerment program. Method: We developed an 8-week empowerment program to decrease cancer symptoms and increase self-efficacy, self-esteem, and empowerment. This program includes aspects concerning self-knowledge and management, self-help groups, self-advocacy, resource network, and laughter therapy. We evaluated the effects of this program on 32 home-based cancer patients (one group pretest-posttest design). The data collection was performed from August 22, 2011 to October 13, 2011. Data were analyzed using the SPSS/WIN 18.0 program. Result: There were significant differences in self-esteem derived from the empowerment program. However, there were no significant differences in cancer symptoms, self-efficacy, and empowerment after the program. Conclusion: More research, using a control group pretest-posttest design that considers an appropriate intervention duration, is needed to more accurately examine the effects of the program. We expect this intervention to improve the empowerment of home-based cancer patients.

강원도 지역 초기 치매환자에게 적용한 가정방문 인지작업치료의 효과 (Effects of Home-based Cognitive Occupational Therapy Applied to Dementia Patients in the Initial Stages in Gangwon-do)

  • 이기대;전병진
    • 대한지역사회작업치료학회지
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    • 제4권2호
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    • pp.75-83
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    • 2014
  • 목적 : 본 연구는 강원도 태백지역에 거주하는 초기치매환자를 대상으로 실시한 방문 인지 작업치료 프로그램의 효과를 알아보고자 하였다. 연구방법 : 초기치매환자 30명을 대상으로 작업치료학과 학생 30명과 자원봉사자들이 주 1회 총 8회기의 가정방문 인지작업치료 중재를 실시하였다. 프로그램 전후의 대상자들의 인기기능의 변화를 알아보기 위해 MMSE-K를 사용하여 측정하였다. 또한 가정방문 인지작업치료에 대한 초기치매 환자들의 인식과 만족도를 확인하였다. 결과 : 초기 치매환자에게 가정방문 인지작업치료 적용한 결과 전반적인 인지기능의 향상이 나타났으며 특히 지남력, 기억회상, 주의집중력, 언어력의 경우 통계학적으로 유의한 향상이 나타났다. 결론 : 인지기능의 향상과 일상생활능력의 향상을 위한 가정방문 작업치료 프로그램이 치매환자의 중재에 있어 유용하게 적용될 것으로 사료되며 향후 가정방문 작업치료 서비스 도입을 위한 다양한 가정방문 작업치료 중재 프로그램 개발이 필요하다.

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학교폭력 예방을 위한 가정과 AI 기반 문제중심학습 수업 사례연구 (A Case Study of the Use of Artificial Intelligence in a Problem-Based Learning Program for the Prevention of School Violence)

  • 심재영;최새은
    • Human Ecology Research
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    • 제61권1호
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    • pp.15-28
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    • 2023
  • The aim of this study was to develop, implement, and evaluate the use of Artificial Intelligence in the prevention of violence among middle-school students. The sample for this study consisted of 20 first-year middle-school students who participated in theme selection activities in a free semester program as part of their home economics studies. The data for the study consisted of nine class observation logs, four group activity outputs, 30 class results, an online survey, and in-depth interviews with three students. A program called "R.U.OK" was developed by setting problematic situation for school violence prevention linked to the contents of the Home Economics Education(HEE) curriculum. After the program was implemented, the survey on the students' class satisfaction content elements, with AI-based learning activities and PBL and interest, displayed high points, with an average of 4.0 or higher. Our qualitative analysis produced four significant results. First, students' concerns about school violence had increased and they showed a change in attitude, having more empathy with friends and more interest in their surroundings. Second, digital and AI literacy had improved, and students' interest in digital media learning had increased. Third, there had been an improvement in problem-solving ability in terms of being able to think more critically and independently. Fourth, the results also demonstrated that there had been a positive effect on self-direction and an improved capacity for teamwork. This study was significant in demonstrating the effectiveness of a program for the prevention of school violence based on the use of digital technology in the educational environment.