• 지역사회간호학회지
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• 제18권1호
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• pp.165-176
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• 2007

Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

• 여성건강간호학회지
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• 제25권4호
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• pp.459-473
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• 2019

Purpose: The purpose of the study was to identify to identify the nursing needs and stress levels among spouses of women hospitalized with preterm labor, and to determine factors influencing spousal stress. Methods: Data were collected from 95 spouses of hospitalized pregnant women due to preterm labor at a hospital in Gyeonggi province from June to December of 2016. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results: The mean score of spouses' nursing needs was 3.06±0.42 and stress was 1.85±0.44 out of 4.00. The highest score of nursing needs was 3.37±0.51 in assurance and the highest score for stress was 2.26±0.72 for patient's illness and prognosis. There was a significant positive correlation between stress in spouse and nursing needs (p=.004). Stress was explained by nursing needs (β=.28) and hospitalization days (β=.21). Conclusions: The results of this study suggest that appropriate nursing interventions are required to address the nursing needs at the beginning of hospitalization and to reduce the stress among spouses of hospitalized pregnant women diagnosed with preterm labor.

• 대한임베디드공학회논문지
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• 제8권1호
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• pp.31-42
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• 2013

Considerations of how to facilitate aging-in-place(AIP) are becoming increasingly pertinent as care-givers are overwhelmed by an aging population. Aging friendly home-care services combined with IT can satisfy the needs of the elderly suffer from chronic diseases such as depression and dementia. Therefore, we propose future smart phone services and application technologies which can estimate emotional states of the aged and respond to the desire to be happy with mental health, connectedness and consolation from peoples. Firstly, we introduce depression measurement techniques to estimate the severity of depression using multiple sensors. At second, the emotional responding services are categorized to four parts and the details are described. Lastly, we propose the process to implement emotional communication and the application techniques(services) to fulfill the emotional satisfaction and mental healthcare for AIP using smart phone as a mediator.

• International journal of advanced smart convergence
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• 제8권3호
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• pp.87-94
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• 2019

IoT-based services are being released in accordance with the aging population and the demand for well-being pursuit needs. In addition to medical device companies, companies with ideas ranging from global ICT companies to startup companies are accelerating their market entry. The areas where these services are most commonly applied are health/medical, life/safety, city/energy, automotive and transportation. Furthermore, by expanding IoT technology convergence into the area of life care services, it contributes greatly to the development of service models in the public sector. It also provides an important opportunity for IoT-related companies to open up new markets. By addressing the problems of life care services that are still insufficient. We are providing opportunities to pursue the common interests of both users and workers and improve the quality of life. In order to establish IoT-based digital life care services, it is necessary to develop convergence technologies using cloud computing systems, big data analytics, medical information, and smart healthcare infrastructure.

• 한국치위생학회지
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• 제23권6호
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• pp.485-492
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• 2023

Objectives: The purpose of this study is to identify factors related to unmet dental care needs among Korean youth, enhance the utilization of dental services by adolescents, furnish basic data for youth-oriented dental projects, and improve access to medical care. Methods: The analysis utilized combined data from the basic and oral databases from the 6th (2013-2015), 7th (2016-2018), and 1st year of the 8th (2019) National Health and Nutrition Examination Survey. Results: The factors influencing unmet dental care needs were gender, age, household income level, and health insurance. Statistically significant results were observed in relation to the type of dental clinic, recent visits to a dental hospital, experiences of toothache within the past year, subjective oral health status, occurrences of permanent dental caries, and engagement in orthodontic treatment. Conclusions: When formulating future national policies and projects, it is imperative to consider the factors and underlying reasons for the unmet dental care needs of adolescents. It is also necessary to establish oral health policies and institutional measures tailored to the dental care of adolescents.

• 보건행정학회지
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• 제24권1호
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• pp.24-34
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• 2014

Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.249-258
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• 2019

보건의료서비스는 장애인을 포함한 국민의 건강을 위해 제공되는 가장 기초적인 사회제도이다. 그러나 언어장애가 있는 사람 중 언어치료 이용여부에 따른 보건의료서비스의 차이를 알아본 연구는 미흡하였다. 본 연구는 언어장애가 있는 장애인을 대상으로 언어치료 이용여부에 따른 특성과 보건의료서비스의 인식을 비교하고자 하였다. 연구자는 2017년 장애인 실태조사의 원시자료를 이용하여 언어장애를 가진 사람 229명을 선정하였다. 이 중 언어치료를 이용하는 자와 이용하지 않는 자를 구분하여 그들의 특성(사회인구학적 특성, 장애특성)과 보건의료서비스 인식(미충족 의료, 정부 또는 사회에서 강화해야할 보건의료 서비스)을 비교하였다. 229명의 언어장애가 있는 사람 중 언어치료를 이용하고 있는 사람은 37명(16.2%)이었다. 언어치료 이용자는 비이용자와 비교하여 나이가 젊었고, 미취학인 아동이 많았으며, 월평균 총 가구 소득이 높았으며, 장애등록유형에서 지적장애와 자폐성장애가 더 높은 비중을 차지했다. 언어치료 이용자는 비이용자에 비해 미충족 의료 경험의 비율이 낮았다. 미충족 의료 이유에서 언어치료 비이용자 49명의 분포를 살펴보면 '경제적인 이유'와 '의사소통에 어려움'이 13명(6.8%)과 12명(6.3%)로 1순위와 2순위를 차지하였다. 언어치료 비이용자와 이용자 모두는 정부(사회)에서 강화해야 할 보건의료서비스로 '장애관리'를 요구하였다. 본 연구의 결과는 언어장애가 있는 사람의 언어치료 이용의 장벽을 낮추기 위해서 보건의료서비스의 접근성을 증대시킬 필요가 있음을 시사한다.

• 한국치위생학회지
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• 제20권6호
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• pp.899-911
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• 2020

Objectives: This study aimed to analyze the educational needs for geriatric dental hygiene and provide basic data for developing standard curricula for geriatric hygiene. Methods: To investigate the educational needs for geriatric dental hygiene, 212 students from dental hygiene departments and 205 dental hygienists engaged in clinical practice were enrolled. Results: Among the educational needs for geriatric dental hygiene, Geriatric oral health issues category was the highest with 4.06 points for students and 4.05 points for dental hygienists. Students who completed a geriatric dental hygiene course had higher scores for the following sub-domains compared to those who did not: need for geriatric dental hygiene-related theoretical education (p=0.002), needs for practice education with elderly people (p=0.001), and confidence in performing oral healthcare for elderly people after graduation (p<0.001). Meanwhile, clinical dental hygienists who not completed geriatric-related courses had higher scores for, need for geriatric dental hygiene-related theoretical education, need for practice education with elderly people, and confidence in performing oral healthcare for elderly people. but, there was no significant difference (p>0.05). Conclusions: The results of this study showed that students and dental hygienists had high educational needs for geriatric dental hygiene. In particular, there was a high demand for education related to Geriatric oral health issues as well as Geriatric dental hygiene care and skills.

• 디지털융복합연구
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• 제13권1호
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• pp.67-76
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• 2015

본 연구의 목적은 독거노인의 욕구를 지원하기 위한 ICT기반 독거노인복지서비스의 역할을 정립하는 것이다. 독거노인은 고령화가 가속됨에 따라 2010년 102만 가구로 증가 추세이며 정신적, 사회적, 경제적인 어려움 등으로 인해 사회문제로 대두되었다. 본 연구는 기존 시행된 6개 부처의 85개 노인복지서비스와 향후 제공가능 한 114개 ICT기반 복지서비스를 조사하였다. 이들 서비스를 Maslow의 욕구분류체계에 따라 유형화하고 오프라인, 온라인, 온오프라인병행 서비스로 구분하였다. 연구의 결과는 안전욕구(의료 건강), 자아실현욕구(여가 문화) 서비스에 집중되어 있고 자존욕구 서비스는 저조한 것으로 나타났다. ICT기반 노인복지서비스를 통해 환경개선, 일자리 확대, 독립적인 일상생활지원 서비스는 개선이 가능하고 심리/정서지원 서비스 등은 추가 발굴이 필요하다는 것을 알 수 있었다. 본 연구결과로 현재 제공되는 서비스의 편중은 완화하고 부재는 보완하는 등 ICT기반 수요자 중심 노인복지서비스를 통해 독거노인의 삶의 질을 향상시킬 수 있을 것이다.

• 대한간호학회지
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• 제37권4호
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• pp.613-623
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• 2007

Purpose: The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea. Methods: The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006. Results: 48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of $7{\sim}8$ hours per day Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84 7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%). Conclusion: These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.