• 제목/요약/키워드: Nursing Services

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Factors Affecting Family Caregivers' Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System

  • Lee, Hung Sa;Kim, Chunmi
    • 지역사회간호학회지
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    • 제29권4호
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    • pp.530-538
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    • 2018
  • Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

청소년의 스마트폰 사용으로 인한 문제경험 관련요인 (Factors Related with Problems Experienced by Adolescents due to Smartphone Use)

  • 황경혜;조옥희
    • 가정∙방문간호학회지
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    • 제25권3호
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    • pp.191-203
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    • 2018
  • Purpose: The purpose of this study is to investigate the problems experienced by Korean adolescents due to smartphone use and related factors. Methods: The subjects were 57,463 middle school and high school students nationwide as the 13th The Korea Youth Risk Behavior Web-Based Survey, 2017. Data were analyzed using means, standard deviations, and composite sample multiple logistic regression analysis. Results: This study confirms that negative experiences were related to general characteristics of sex, academic background, socio-economic level, residential area and form, academic performance, and parental education; health behavior characteristics of subjective health cognition, depression, and stress; and characteristics related to smartphone use. Smartphone usage time amd use of services were factors related to the problems experienced from using smartphones. Conclusion: Based on the results of this study, it is necessary to plan for the use of smartphones in consideration of physical and emotional health and to educate adolescents to promote social communication between family and friends. It is also necessary to develop and apply a smartphone use management program to maintain a balance between smartphone use, academic performance, and school life.

정신질환 회복에 대한 환자와 가족의 인식: "함께하는 지속적이고 꾸준한 변화" (Patients' and Family Caregivers' Perception on Recovery from Mental Illness: "An Ongoing and Steady Change Together")

  • 남경아;진주혜
    • 가정∙방문간호학회지
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    • 제27권3호
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    • pp.344-355
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    • 2020
  • Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.

Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study

  • Yun, Eun-Ju;Kim, Tae-Im
    • Child Health Nursing Research
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    • 제28권1호
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    • pp.70-81
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    • 2022
  • Purpose: This study aimed to develop and evaluate the effectiveness of an educational program on developmental positioning (EPDP) for nurses in neonatal intensive care units (NICUs). Methods: The study utilized a non-equivalent control group pretest-posttest design. Sixty NICU nurses were recruited from two university hospitals in Daejeon, South Korea. The EPDP consisted of a 7-week program: 3 weeks of education and practice, followed by 4 weeks of encouragement messages using social networking services. Developmental positioning (DP) posters and DP aids were also provided during the intervention period. The intervention group (n=30) received the EPDP, but not the control group. The data were analyzed using the 𝜒2 test, the Fisher exact test, the independent t-test, and repeated-measures analysis of variance. Results: Participants' knowledge (t=7.49, p<.001), attitudes (t=1.99, p=.001), self-efficacy (t=2.99, p=.004), performance of DP (t=2.98, p=.004) and Infant Positioning Assessment Tool (IPAT) scores (F=29.50, p<.001) were significantly higher in the intervention group than in the control group. Conclusion: The EPDP can be an effective and useful program for improving the performance of DP among NICU nurses by increasing their knowledge, attitudes, and self-efficacy of DP. However, further research involving various NICU settings is needed to gather more empirical evidence.

도시 규모 별 청소년의 건강생활 실천 차이와 관련 요인 (Analysis of the Differences in Healthy Behaviors of Adolescents by Regional Size and Related Factors)

  • 진영란;양선이
    • 한국농촌간호학회지
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    • 제18권1호
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    • pp.11-18
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    • 2023
  • Purpose: This study is to compare adolescents' health behaviors by city size and to propose regionally tailored health promotion. Methods: We analyzed the data from the 17th Youth Health Risk Behavior Online Survey, national widly performed in 2021. Multi-sample descriptive and linear regression analysis was performed by city size. Results: The frequency of fruit consumption in the last week was 2.88 in the rural area, which is lower than 2.98 and 3.05 in other cities (F=10.98, p<.001). The number of high-intensity physical activity days in the last week (7 days) was 2.90 days in the rural area, higher than 2.74 and 2.73 days in other cities (F=3.36, p=.038). The number of days smoking cigarettes in the last 30 days was 3.23 days in the rural area, higher than 3.08 and 3.02 days in other cities (F=3.41, p=.035). BMI was 22.01 in the rural area, which was higher than 21.57 and 21.61 in other cities (F=4.19, p=.015). Conclusion: School health offices in the rural area districts need to operate to manage lack of fruit intake, smoking, and weight management programs in association with local healthcare institutions.

취약계층 노인의 허약예방 프로그램 활성화를 위한 지역사회자원연계 사례: 노인맞춤돌봄서비스 생활지원사의 돌봄대상자 (Community Resource Linkage to Revitalize Frailty Prevention Programs for Vulnerable Seniors: Persons Receiving Care from Living Support Workers in the Elderly Customized Care Project)

  • 김선정;임은실;장현진
    • 한국농촌간호학회지
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    • 제19권1호
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    • pp.66-74
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    • 2024
  • Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

South Korean first-time mothers' knowledge of digestive health problems in infancy and their utilization of health care facilities for digestive health concerns: a descriptive study

  • Yijin Lee;Kyung-Sook Bang
    • Child Health Nursing Research
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    • 제30권3호
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    • pp.199-209
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    • 2024
  • Purpose: This study aimed to assess the knowledge level of first-time mothers regarding digestive health issues in infancy and to examine the utilization of healthcare facilities for such problems. Methods: Data from 119 first-time mothers of infants under 6 months of age were analyzed. Descriptive statistics, t-test, and one-way analysis of variance (ANO-VA) were conducted using the SPSS software. Results: The average correct response rate for first-time mothers' knowledge of digestive health problems in infancy was 61.9%. The highest correct response rate was observed for infantile colic, while diarrhea had the lowest. Less than 50% of mothers received education on infant digestive health problems across all categories. Among digestive health problems in infancy, diarrhea exhibited the highest rate of healthcare utilization, whereas infantile colic had the lowest. First-time mothers' knowledge of digestive health problems in infancy varied based on maternal age (t=-3.66, p<.001), education level (t=-2.26, p=.026), and planned pregnancy (t=3.24, p=.002). Moreover, mothers who received education on infant digestive health problems demonstrated better overall knowledge of digestive health problems. Conclusion: The rate of education regarding digestive health problems during infancy among first-time mothers was < 50%. Furthermore, mothers educated on infant digestive health issues exhibited improved knowledge. Therefore, it is necessary to provide appropriate pre-education to primiparous common gastrointestinal health issues in infants.

간호사가 인식한 간호 조직문화가 고객지향성에 미치는 영향에 대한 융복합 연구 (Convergence Study of The Effects of Nurses' Perceived Nursing Organization Culture and on Their Customer Orientation)

  • 이민정;한진숙;장영미
    • 디지털융복합연구
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    • 제13권11호
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    • pp.303-311
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    • 2015
  • 이 연구는 종합병원에 근무하는 간호사를 대상으로 간호사의 고객지향성을 파악하고 간호사가 인식한 간호조직문화와 고객지향성이 어떤 관계가 있는지를 분석하고자 한다. 2014년 10월 1일에서 15일까지 442부의 설문지를 선택하였고 SPSS 21.0 프로그램을 통해 분석하였다. 연구결과는 간호사가 인식한 각 간호조직문화 유형과 고객지향성은 양의 상관관계가 있는 것으로 나타났다. 책임 간호사, 비교대 근무형태에서 유의한 결과가 나왔다. 또한 관계지향적 문화, 혁신적조직 문화, 위계지향적 문화 순으로 유의하게 나타났다. 따라서 병원 관리자들은 간호 조직 문화내의 내부 고객인 간호사에 대한 관심과 관리가 필요할 것이다.

간호사의 근거중심실무역량에 대한 영향요인 (Factors Influencing Competency in Evidence-based Practice among Clinical Nurses)

  • 김연숙;김지미;박미미
    • 간호행정학회지
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    • 제21권2호
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    • pp.143-153
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    • 2015
  • Purpose: The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting. Methods: With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province. Results: The overall mean score for competency in EBP was $3.03{\pm}0.53$. Factors influencing competency in EBP were education (${\beta}=0.23$, p<.001), attendance at lectures on EBP (${\beta}=0.18$, p<.001), intellectual eagerness & healthy skepticism (${\beta}=0.27$, p<.001) among CTD, and hierarchy-oriented OC (${\beta}=0.14$, p=.005), which explained about 35% of the total variance. Conclusion: Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

보건 간호 실습 계획을 위한 실태 조사

  • 김모임;김의숙;조원정
    • 대한간호학회지
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    • 제1권1호
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    • pp.3-26
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    • 1970
  • That's an attempt to study about knowledge, attitudes and practice of the residents with regard to maternal child health, family, planning, and tuberculosis in rural area which was chosen to be a demonstration area for nursing students of College of Nursing, Yonsei University for their public health nursing practice. In addition, it is designed to collect information on population of the area such as age and sex distribution, mobility, and other characteristics also be sought by doing a census. The purpose of study is to obtain data which are needed for planning student learning experiences in the community. The information which was obtainable through this study is as follows; 1. In demographic aspect a. Population structure was a typical rural type in terms of population pyramid. b. Distribution of age and sex of residents showed more female in the older ages. c. Population has not moved much. Majority of them have been living in the area since their births. 2. In sociological aspect a. The level of education of female was comparatively lower than male. b. The residents of the area did not have any special religion. c. The economic status was found low or middle class. 3. In health practice In general health knowledge, attitudes and practice appeared to be poor. As a result of this study, it could be summararized that there are a great public health nursing needs in the community. According to these needs found and to it's nature, severity and massiveness, the nurse instructors with students were able to set up a priority system in services. Meanwhile student case load can be logically figured out in consideration of variety of experiences need for each student. The study helped student not only to find out resident characteristics and their health problems in terms of family and community problem but also to provide a good learning experience by participating in the interviewing. In sum this type of study is necessary for planning of student field experience when no data are available where students are going to have field experiences in public health nursing.

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