• Title/Summary/Keyword: Needs survey

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Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy (혈액암 환자의 지지적 간호 요구도 예측요인)

  • Jung, Ah-Rang;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.5
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    • pp.460-471
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    • 2011
  • Purpose: This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs. Methods: The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%. Conclusion: These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.

Comparision of Priorities in Health Center Nutrition Service Needs between Provider and Consumer (보건소 영양서비스에 대한 공급자와 소비자의 요구도 분석)

  • 장경희;김영옥
    • Korean Journal of Community Nutrition
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    • v.5 no.3
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    • pp.529-536
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    • 2000
  • The major purpose of this study was to identify the differences in priorities of nutrition service needs between the service provider and consumers (general population). Identification of the personal characteristics which influence the priorities of nutrition service needs among the general population was also examined. An interview survey using a questionnaire was conducted to collect the data required for analysis. The questionnaire included the priorities of various nutrition service needs as well as the personal characteristics of the study subjects. The study subjects were 300 residents over 40 years of age, and 15 health workers representing health center service personnel in Kyounggi province. Wilcoxon Rank Sums test were adopted to analize the differences in priority between the service providers and consumers. The results showed that priority of nutrition service needs for provider were significantly different from that of consumer. Gender, age, family type, and education levels of the population were the significant factors affecting the differences in priorities for nutrition service needs among consumers (general population). Out of the results, it could be suggested that consumers need should be considered in developing nutrition services to promote nutrition services utilization in health centers. The results may also suggest that one of the causes for the low utilization rate of nutrition services in health centers was the provider oriented program development regardless of the needs of consumers.

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Testing an Irrational Model of Information Privacy Based on Competence Needs Satisfaction

  • Kim, Gimun;Yoon, Jongsoo
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.12
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    • pp.241-248
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    • 2018
  • Recently, there have been calls for approaching from the irrationality point of view to better explain the privacy paradox phenomenon. This study is a kind of response to them. The aim of the study is to investigate how satisfying competence needs, one of basic psychological needs suggested in self-determination theory, affects irrational information disclosure decision (i.e., risk-benefit assessment). To do this, the study builds an irrationality-based model in which competence needs satisfaction affects both perceived risks negatively and perceived benefits (i.e., relationship building and maintenance), which in turn determine a level of self-disclosure. Based on the data from Facebook users which is collected by a large sample survey (N=1050), the study analyzes it using Mplus, a powerful structure equation modeling tool. The study results reveal that while the relationship between competence needs satisfaction and perceived relationship building and maintenance is statistically significant, the relationship between competence needs satisfaction and perceived risks insignificant. These findings imply that people who is in a high level of competence needs satisfaction is more likely to respond to some opportunities for social benefits and in turn disclose more information about self.

The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures

  • Kang, Jeong-Hee;Kim, Chul-Woung
    • Research in Community and Public Health Nursing
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    • v.32 no.1
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    • pp.95-106
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    • 2021
  • Purpose: The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases (만성질환을 가진 성인의 미충족 의료 영향요인)

  • Han, Ji-Young;Park, Hyeon-Sook
    • Research in Community and Public Health Nursing
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    • v.32 no.2
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    • pp.131-139
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    • 2021
  • Purpose: In adults with chronic diseases, unmet healthcare needs are likely to increase the risk of worsening the illness and complications. This study was conducted to explore factors affecting unmet healthcare needs among adults with chronic diseases. Methods: A cross sectional study was performed using the data from the seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2017. The sample of this study consisted of 6,104 adults with chronic diseases. The data were analyzed by Rao-Scott 𝑥2 test and logistic regression using complex samples analysis. Results: The proportion of subjects who experienced unmet healthcare needs was 10.9% of adults with chronic diseases. The factors affecting unmet healthcare needs of adults with chronic diseases were age, gender, employment status, household income, subjective health status, activity limitation, and perceived stress. Conclusion: The findings of this study suggest that various factors may be associated with their unmet healthcare needs. Finally, the development of strategies to reduce unmet healthcare needs for people with chronic diseases should consider the associated factors presented in the study.

A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis (지역사회 케어코디네이터 교육과정을 위한 기초연구: 교육요구도 분석)

  • Park, Han Nah;Yoon, Ju Young;Jang, Soong-Nang;Nam, Hye Jin
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.153-163
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    • 2022
  • Purpose: A care coordinator is an emerging nursing professional role in South Korea. The purpose of this study was to identify educational needs and priorities for care coordinators among nurses. Methods: An online survey was conducted on 661 current or retired nurses from January 30 to February 28, 2021. A total of 17 essential competencies for care coordinators, recognized based on literature review, were used to analyze the educational needs. The data were analyzed using descriptive statistics, a paired t-test, and one-way analysis of variance with SPSS 25.0. The educational needs analysis was conducted by using a paired t-test, the Borich Needs Assessment Model, and the Locus for Focus Model. Results: Five contents were identified as the first priorities for educational needs: 'Health program planning and evaluation', 'Care planning', 'Coordinating community-based services', 'Case management', and 'Transitional care'. The second priorities for educational needs included 'Population health management' and 'Welfare resource linkages via communicating with social workers'. Conclusion: The priority items derived from this study offer underpinning insights for the development of care coordination training program.

A Study on Role Development for Social Workers Providing Health Center-based Health and Welfare Services for the Elderly in Community (사회복지사의 보건소 노인보건복지사업 참여를 위한 사회복지사 역할개발연구)

  • Cho So-Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.138-162
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    • 1997
  • This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

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Un-met Supportive Care Needs of Iranian Breast Cancer Patients

  • Abdollahzadeh, Farahnaz;Moradi, Narges;Pakpour, Vahid;Rahmani, Azad;Zamanzadeh, Vahid;Mohammadpoorasl, Asghar;Howard, Fuchsia
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.3933-3938
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    • 2014
  • Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.

Change of Stress and Nursing Needs after Hospitalization in Preterm Labor Women (조기진통 임부의 입원 후 스트레스와 간호요구 변화)

  • Kim, Min-Kyeong;Lee, Young-Whee;Cho, In-Sook;Lim, Ji-Young
    • Women's Health Nursing
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    • v.15 no.1
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    • pp.24-31
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    • 2009
  • Purpose: This study was to examine the change of stress and nursing needs in preterm labor women after hospitalization. Method: Forty seven women with preterm labor who were admitted in two university hospitals participated in the survey and they were completed the questionnaires on admission day and 5th day after admission. Questionnaires included in modified Antepartum Hospital Stressor Inventory (AHSI) and Nursing Needs for Preterm Labor. The collected data were analyzed by paired t-test and Pearson correlation test. Result: The stress level was not decreased significantly after hospitalization. Among them, the stresses about fetus and medical staff were decreased significantly after hospitalization, but those about pregnant women, husband and environment were increased significantly after hospitalization. The difference in the level of nursing needs between the two different days was not significant except the physical needs. The total level of stress and nursing needs were correlated significantly on the 5th day after hospitalization. Conclusion: These results indicate that stress and nursing needs of preterm labor women undergo changes after hospitalization. Therefore, development of the program being followed by stressors which change from day to day and further studies are required in order to examine the decreasing of the stress.

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A Study on the Housing Choice Behavior of Residents the Plan of Apartment in New Housing Area, Ulsan (울산시 신주거지의 아파트 계획을 위한 거주자 주거선택행동에 관한 연구)

  • Kim Sun-Joong;Kwon Myung-Hee
    • Journal of the Korean housing association
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    • v.17 no.4
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    • pp.1-13
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    • 2006
  • The purpose of the study was to identify the level of housing choice behavior by using the factors of residential satisfaction level, mobility motivation, and housing needs of potential purchasers in Bukgu New Housing Area, Ulsan. The survey used questionnaire from 326 households living in Bukgu and nearby area and analyzed using descriptive statistics. The research results showed low degree of residential satisfaction in storage space and neighborhood. The mobility motivations were improvement of physical environment improvement, education environment, walking road, view and lighting. The housing needs for indoor spaces showed to want more functional arrangement than the room size. The housing needs for outdoor spaces showed to want neighborhood environment in connection with the education or hospital facilities, the welfare facilities for pre-kindergarten children and elders and the leisure facilities. And the housing needs for facilities were floor furnishing for health, crime prevention system for safety needs, housekeeping appliance against environmental pollution, additional function for energy saving. The housing needs for common spaces showed that the residents preferred playing facilities by age group, exercise facilities, the community hall and the rest room which can do games or meetings.