• 제목/요약/키워드: Hospital-based home care services

검색결과 98건 처리시간 0.023초

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

  • 양숙자;신경림;김옥수;김혜영;김경희;김은하
    • 지역사회간호학회지
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    • 제15권2호
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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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병원 호스피스센터-보건소 연계를 통한 지역사회 재가암환자 관리 프로그램 평가 (Evaluation of a Community-Based Cancer Patient Management Program: Collaboration between a Hospice Center and Public Health Centers)

  • 이해숙;박선희;정영순;이부경;권소희
    • Journal of Hospice and Palliative Care
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    • 제13권4호
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    • pp.216-224
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    • 2010
  • 목적: 본 연구는 말기 재가암환자 관리를 위한 병원호스피스센터와 보건소 간의 연계 프로그램을 평가함으로써 보다 효율적이고 효과적인 재가암환자 관리체계를 구축하고자 시도되었다. 방법: 호스피스센터-보건소 재가암관리 연계 사업은 1) 협약체결, 2) 재가 말기암환자 발굴 및 등록, 3) 가정호스피스 방문 서비스 제공, 4) 만족도 조사의 단계로 전개되었다. 일 호스피스센터와 지역의 3개 보건소가 협약을 체결하였고, 2009년 2월 1일에서 12월 31일까지 11개월 동안 43명의 환자에게 605건의 가정호스피스 방문을 실시하였다. 방문기록지 분석을 통해 서비스 대상자의 특성과 제공된 서비스의 종류와 내용을 분석하였고, 이 중 20명에게 서비스 만족도 조사를 실시하였다. 결과: 대상자의 76.7%가 60세 이상이었고, ECOG 전신 수행상태 점수는 0점과 1점이 각각 37.2%, 39.5%이었다. 환자가 병식이 있는 경우는 90.7%, 호스피스 동의서에 서명한 경우는 62.8%였다. 초기방문 시 환자의 주 호소는 전신쇠약감(86.0%)과 식욕부진(72.1%)이 가장 많았다. 평균 총 서비스 기간은 144.42일이었고, 총 605건의 방문 중 간호사 방문이 371회로 가장 많았다. 각 방문중 정서적 지지와 건강상담이 가장 빈번하게 제공되었고, 서비스 전반에 대한 만족도는 5점 척도로 측정하였을 때 평균 4.45점이었다. 결론: 본 연구는 지역사회 내에서 실제적이고 체계적인 재가 말기암환자 관리 프로그램 구축을 위한 중간평가로서의 의미가 있다. 본 연구에서 의뢰된 대상자는 입원형 호스피스보다 기능 상태가 양호하고 서비스 제공기간이 길었으며, 서비스에 대한 만족도, 특히 정서적지지와 환자상태 설명에 대한 만족도가 높았다. 그러나 방문횟수와 빈도, 임종기 관리, 병원입원 재입원하는 환자관리에 대한 기준과 서비스 표준마련은 앞으로의 과제로 제시되었다.

A Study on the Establishment & Functional Characteristics of Health Facilities for the Aged in Japan

  • Kim, Tae Il;Yoshida, Tomo Hiko
    • Architectural research
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    • 제8권1호
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    • pp.1-7
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    • 2006
  • Various housing measures are needed for the rapidly aging society of Korea. In particular, the welfare policy for the elderly has changed towards the community care. Taking this fact into consideration, it is necessary to have the establishment of a system that offers the elderly appropriate welfare services at their appropriate residence (ageing in place) for the effectiveness of the community care. In this aspect, there are a number of implications to Korea to study merits and demerits of the Health Facilities for the Aged (HFA) in Japan. The society of Japan has been rapidly aging since 1970, and Korea is to face the same situation. As for the data of this study, a total of 2,393 facilities (as of November 1999) mentioned in the annual report of the Japanese Ministry of Health, Labor and Welfare were classified based on types of their establishment: (1) free-standing structures (603 facilities); (2) annexes to hospitals (981 facilities); (3) annexes to welfare facilities (511 facilities); and (4) annexes to clinics (298 facilities). Next, 239 facilities were selected through taking a sample of 10 percent from each type of the HFA mentioned above. This was done through the random sampling method with the computer program of MS EXCEL. The Implications of the results of analyses are as follows. First, most of the health facilities were planned with the scale that was larger than the scale of standard special nursing homes in terms of the total floor area. Precise equations that were to obtain precise results of the scale of the HFA and the appropriate number of residents were obtained through the method of the regression analysis. Korea and Japan have similarities in terms of culture, society and family relations; however, the two countries also have differences in terms of the application of laws on the establishment of houses, hospitals, and welfare facilities. As for planning the scale of the HFA, the realities of Korea should be considered. Second, as for the functional aspect of the HFA with a condition of returning home, the place before and after the HFA showed the pattern of 'from a residential place to a residential place' and 'from a hospital to a hospital.' This reveals a close correlation with the types of the HFAs and operational ways of the facilities. Its cause is considered to be the aspect of the operation and management of the HFA rather than the aspect of its function of providing services in association with medical and health facilities. Therefore, when intermediate welfare facilities are considered in Korea, it is strongly advised to consider the problem of annexes to other facilities and efficiency of sharing of the facilities in terms of its operation and management.

국내 방문간호 연구동향 분석 연구 (A Study on the Research Trends in Visiting Nursing in South Korea)

  • 변진이;김혜진
    • 융합정보논문지
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    • 제9권11호
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    • pp.71-80
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    • 2019
  • 본 연구는 국내에서 발표된 방문간호 관련 연구의 동향을 파악하기 위하여 1993년부터 2018년까지 학술지에 게재된 논문 282편을 분석하였다. 방문간호 연구는 1993년을 기점으로 시작되어 지속적으로 증가하였고, 2014년에서 2018년에는 67편(23.8%)으로 그 수가 다소 감소하였다. 또한 우리나라 방문간호 3가지 유형 중 의료기관 가정간호 관련 연구가 154편(53.5%)으로 과반수 이상을 차지하였으며, 연구주제는 주로 방문간호 서비스(40편, 13.8%) 및 방문간호 프로그램 및 기술 개발(38편, 13.1%)과 관련된 주제가 많은 것으로 나타났다. 연구방법으로는 양적연구가 269편(95.4%)으로 질적연구 9편(3.2%), 혼합연구 4편(1.4%)에 비해 높은 비율로 수행되었으며, 양적연구 중에서도 조사연구가 177편(65.7%)으로 가장 많았다. 본 연구는 방문간호 관련 연구의 동향을 파악함으로써 후속 연구의 방향을 제시하였고, 방문간호 관련 중재연구의 기초자료로 활용될 수 있다는데 의의가 있다.

요양원 입소노인 가족의 오명에 대한 문화기술지 (An Ethnography on Stigma of Families Having Old People Admitted to Nursing Home in Korea)

  • 이윤정;김정희;김귀분
    • 한국노년학
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    • 제30권3호
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    • pp.1005-1020
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    • 2010
  • 본 연구의 목적은 한국 노인 부양가족들이 자신의 부모님을 요양원에 입소시켜야 하는 입장에서, 요양원 입소 전 후 경험하게 되는 오명의 내면세계를 사회문화적 관점에서 확인, 기술 및 이해를 돕고자 하는 것이다. 정보제공자는 가족 내에서의 부양의 어려움으로 요양원에 입소한 노인의 주부양자 가족 총 12명으로 자발적 참여와 동의서 작성으로 선정되었으며, 참여관찰 및 심층면담을 통해 자료를 수집하였다. 자료의 분석은 Spradley의 분류분석 방법을 이용하였다. 연구결과 4개의 문화적 영역과 8개의 범주, 24개의 속성이 도출되었다. 본 연구결과 문화적 중심주제는 <자신의 무능력: 불가피한 현실 적응, 경제적 독립의 어려움, 주체적 자기주장의 어려움>으로 확인되었으며, 기타 문화적 영역은 <모순된 자기인식: 마음과 다른 행동, 가족 간 인식차이>, <의사결정의 자기합리화: 의사결정의 자기위로>, <책임전가: 가족요구와 차이나는 서비스, 관계책임기관의 무성의>로 나타났다. 요양원 입소노인 가족의 오명에 대한 이론적 모형은 노인부양의 과업을 성취하는 과정에서 자신의 무능력으로 인해 지속적으로 모순된 자기인식을 나타내고 의사결정을 자기합리화 시키며 책임전가를 하는 순환적 체계의 사고원형으로 표출되고 있음을 확인할 수 있었다. 이러한 결과를 바탕으로 요양원 입소 노인가족의 오명의 의미를 논의하고 후속 연구를 위한 제언을 제시하였다.

의료 센서 네트워크에서 휴대폰을 이용한 사용자 인증 및 안전한 데이터 통신 방안 (User Authentication and Secure Data Communication Based on Mobile Phone for Medical Sensor Network)

  • 김지현;도인실;박정민;채기준
    • 정보처리학회논문지C
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    • 제19C권1호
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    • pp.19-28
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    • 2012
  • 무선 센서 네트워크는 언제, 어디에서든, 때와 장소를 가리지 않고 사용자가 원하는 서비스를 제공해주는 시스템이다. 특히, 바이오 센서를 이용한 의료센서네트워크는 생명공학, 의료공학 분야에서 활발하게 활용이 되고 있다. 의료센서네트워크에서는 사용자가 시간적이나 공간적 제약을 받지 않고 집에서 건강을 모니터링 할 수 있는 환경이다. U-healthcare환경에서 긴급 상황이 발생 했을 때 빠르게 환자를 도와줄 수 있으며, 병원에서도 손쉽게 환자를 관리 할 수 있다는 장점을 갖는다. 이 환경에서는 개인의 건강과 생명에 직결된 데이터가 송수신되므로 개인의 프라이버시 보장과 데이터의 보안이 가장 중요한 요소이다. 본 논문에서는 휴대폰을 이용한 사용자 인증 방안과 데이터의 종류에 따라 긴급모드와 일반모드의 구분을 두어 안전하면서도 빠르게 데이터를 전송하는 방안을 제안하였다.

코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
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    • 제8권1호
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

농촌여성(農村女性)의 건강실태(健康實態)에 관한 연구(硏究) (The Health Status of Rural Farming Women)

  • 박정은
    • 농촌의학ㆍ지역보건
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    • 제15권2호
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    • pp.97-106
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    • 1990
  • 1. Background Women's health and their involvement in health care are essential to health for everyone. If they are ignorant, malnourished or over-worked, the health &-their families as well as their own health will suffer. Women's health depends on broad considerations beyond medicine. Among other things, it depends upon their work in farming. their subordination to their families, their accepted roles, and poor hygiene with poorly equipped housing and environmental sanitation. 2. Objectives and Contents a. The health status of rural women : physical and mental complaints, experience of pesticides intoxication, Farmer's syndrome, experiences of reproductive health problems. b. participation in and attitudes towards housework and farming c. accessibility of medical care d. status of maternal health : fertility, family planning practice. induced abortion, and maternal care 3. Research method A nationwide field survey, based on stratified random sampling, was conducted during July, 1986. Revised Cornell Medical index(68 out of 195 items). Kawagai's Farmers Syndrome Scale, and self-developed structured questionnaires were used to rural farming wives(n=2.028). aged between 26-55. 4. Characteristics of the respondents mean age : 40.2 marital status : 90.8% married mean no. of household : 4.9 average years of education : 4.7 yrs. average income of household : \235,000 average years of residence in rural area : 36.4 yrs average Working hours(household and farming) : 11 hrs. 23 min 5. Health Status of rural women a. The average number of physical and mental symptoms were 12.4, 4.7, and the rate of complaints were 22.1%, 38.8% each. revealing complaints of mental symptomes higher than physical ones. b. 65.4% of rural women complained of more than 4 symptoms out of 9, indicating farmer's syndrome. 11.9 % experienced pesticide overdue syndrome c. 57.6% of respondents experienced women-specific health problems. d. Age and education of respondents were the variables which affect on the level of their health 6. Utilization of medical services a. The number of symptoms and complaints of respondents were dependent on the distance to where the health-care service is given b. Drug store was the most commonly utilized due to low price and the distance to reach. while nurse practitioners were well utilized when there were nurse practitioner's office in their villages. c. Rural women were internalized their subordination to husbands and children, revealing they are positive(93%) in health-care demand for-them but negative(30%) for themselves d. 33.0% of respondents were habitual drug users, 4.5% were smokers and 32.3% were alcohol drinkers. and 86.3% experienced induced-abortion. But most of them(77.6%) knew that those had negative effects on health. 7. Maternal Health Care a. Practice rate of contraception was 48.1% : female users were 90.9% in permanent and 89.6% in temporary contraception b. Induced abortions were taken mostly at hospital(86.3%), while health centers(4.7%), midwiferies(4.3%). and others(4.5%) including drug stores were listed a few. The repeated numbers of induced abortion seemed affected on the increasing numbers of symptoms and complaints. c. The first pre-natal check-up during first trimester was 41.8%, safe delivery rate was 15.6%, post-natal check-up during two months after delivery. Rural women had no enough rest after delivery revealing average days of rest from home work and farming 8.3 and 17.2. d. 86.6% practised breast feeding, showing younger and more educated mothers depending on artificial milk 8. Recommendations a. To lessen the multiple role over burden housing and sanitary conditions should be improved, and are needed farming machiner es for women and training on the use of them b. Health education should begin at primary school including health behavior and living environment. c. Women should be encouraged to become policy-makers as well as administrators in the field of women specific health affairs. d. Women's health indicators should be developed and women's health surveillance system too.

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