• Journal of Preventive Medicine and Public Health
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• v.37 no.2
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• pp.150-156
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• 2004

Objectives : To investigate the utilization patterns of non-steroidal anti-inflammatory drugs (NSAIDs) among the elderly with osteoarthritis (OA) undergoing primary ambulatory care in Busan metropolitan city, Korea. Methods : OA patients, aged 65 years and over, were identified from the Korean National Health Insurance Review Agency drug prescription database. The subjects had at least one episode of claim for OA (ICD-10-CM: M15-M19) between August 1, 2000 and February 28, 2002. Trends in the determinations of NSAIDs utilization were identified using chi-squared tests for trend. Results : There were 47,711 osteoarthritic patients. The total number of visits by these patients was 177,443, with a total frequency for NSAID prescriptions of 214,952. Seventy-nine percent of the OA patients were female. NSAIDs were prescribed on 133,284 visits (75.1%) and the proportion of prescriptions was significantly increased with age. Only the proportion of visit when NSAIDs were prescribed decreased, from 65.1 to 43.5%, during the study period (p<0.001). However, the proportion of combined treatments with anti-ulcer drugs was increased. The use of NSAIDs injections was decreased. Of the individual NSAIDs, diclofenac (28.7% of total frequency of NSAID prescriptions), piroxicam (15.0%) and talniflumate (8.7%), were the most frequently prescribed. Among the NSAIDs prescribed OA visits, 45.7% used two or more NSAIDs. Conclusion : The total proportion of NSAIDs prescribed to the osteoarthritic patients was higher than in other studies. The decline in the use of NSAIDs during the study period, and the frequent selection of safer medications, such as combination therapy with anti-ulcer drug, may reflect the risk awareness of the use of NSAIDs.

• Journal of Hospice and Palliative Care
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• v.2 no.2
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• pp.109-113
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• 1999

Purpose : Because we don't have inappropriate health care system for the terminal cancer patients, there were abnormal behavior patterns of health care utilization. So, There were needs to develop the comprehensive care for terminal cancer patients. Increased attention is being paid to the futility of life-sustaining treatment and high cost of management of terminal cancer patients Materials and Methods : This study was performed on cancer patients, registered in 1996 Central Cancer Registry, who were as insured person of Korea Medical Insurance and died from January 1997 to June 1998. We studied the day of medical care and medical expenses of 151 cancer patients evaluable. Results : The mean day of inpatient care was 39 days, and the mean days of outpatient care was 14 days in study subjects. Mean expenses per day of medical care, day of inpatient, and day of outpatients care were 85,392 won, 105,908 won, and 40,173 won. 95% of medical expenses is paid to the general hospital, and 85% of medical expenses was paid for inpatient care. About half of all medical expenses in th last 6 months were incurred in the last 60 days of life, and about 30 percent were incurred in the last 30 days. Expenses of outpatients care increased between 6 month and 3 months, after which they decreased. Expenses of inpatients care increased during all last 6months Conclusion : The distribution or medical expenses during the last 6 months in our study is similar to the distribution of American Medicare costs. We need to study medical expenses during the last year of life with large scale and details in order to develop the plan about the management of terminal cancer patient.

• Journal of Convergence for Information Technology
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• v.11 no.9
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• pp.50-57
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• 2021

The purpose of this study was to typology the integrated care needs of communitydwelling elderly, explore the socio-demographic characteristics of each type, and determine their effects on depression. The secondary data analyses using the 2017 National Survey of the elderly were conducted. The research results are as follows: First, as a result of typology patterns of care needs of the elderly based on the number of chronic diseases, ADL/IADL, dwelling satisfaction, social activities, and social support networks, three clusters were derived; 'low care needs group (LCN), 'high social needs group (HSN)' and 'complex care needs group (CCN)'. Second, compared to HSN, CCN was characterized by older, women, low educational level and urban residence. Third, the level of depression in LCN was lower than that of the HSN, and the depression level of CCN was higher. The practical and policy implications of the results were discussed.

• Research in Community and Public Health Nursing
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• v.5 no.1
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• pp.53-63
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• 1994

Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

• The Journal of Korean Academic Society of Nursing Education
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• v.9 no.2
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• pp.310-319
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• 2003

The purpose of this study was to determine what effect reflection on clinical practice experience had students as learners and care providers. Qualitative research method was used to study a group of four-year undergraduate nursing course. Content analysis was done using the classification method of Carper's four patterns of knowing. Results of the study indicated that the use of the reflective process of clinical debriefing and journaling was impact on the aspect of nursing science, moral component of knowledge in nursing, personal knowing in nursing and the art of nursing. Especially, students moved from a passive to a more active mode of learning. The most significant finding was that over time, reflective processes resulted in the emergence of the client as the central focus of care. It was suggested that reflection was an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses.

• Korean Journal of Adult Nursing
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• v.12 no.4
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• pp.507-516
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• 2000

This study examines that North American Nursing Diagnosis Association(NANDA) and Home Health Care Classification(HHCC) is appropriate to classify home health care client's nursing problems and suggests a modified nursing diagnosis classification system. Two hundred and forty-nine clients' records at a general hospital were reviewed and nursing problems were diagnosed according to each classification system. Results of this study are as follows. The major client's medical diagnosis are pregnancy, childbirth and puerperium, malignant neoplasm, and benign neoplasm. Of four hundred and sixty-three nursing problems, all nursing problems made a diagnos according to HHCC, while three hundred and eighty-five made a diagnosis according to NANDA. The HHCC diagnosis included 78 more nursing problems than NANDA. The discrepancy in the results may indicate a significant advantage to HHCC diagnosis because HHCC nomenclature was created empirically from hard data. However, this may be due to limitations in the data collection method so determination of which classification system is more useful is difficult to judge. However, nursing components of the HHCC are more concrete and clearer than human response patterns of the NANDA. Also the HHCC facilitates the documentation of patient care by computer, while using a conceptual framework consisting of 20 Care Components based on the nursing process: assessment, diagnosis, outcome identification, planning, implementation and evaluation. Accordingly, the practical application of HHCC is more useful than NANDA. Limitations of this study include a retrospective data collecting method and universality of samples. Further research for various samples that use prospective data collection method is recommended.

• Perspectives in Nursing Science
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• v.16 no.1
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• pp.35-44
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• 2019

Purpose: The aim of this study is to analyze the characteristics of family interventions based on a philosophy of family-centered care conducted in neonatal intensive care units through an integrative literature review. Methods: We searched the PubMed, CINAHL, RISS, KISS, and DBpia databases; a total of 20 studies, published between January 2013 and May 2018, was selected according to our criteria. Results: Mothers accounted for a greater proportion of participants in family interventions than did fathers. Family interventions described in the studies were categorized into four educational and sixteen non-educational interventions. Among non-educational interventions, skin-to-skin-contact interventions, such as kangaroo care, accounted for the highest proportion. Only one paper employed a theoretical framework. Conclusion: More family interventions based on theoretical frameworks should be conducted as these frameworks serve as guidelines for nursing research. As the stress patterns experienced by parents in neonatal intensive care units showed gender differences, more programs tailored for fathers are needed. Moreover, further research should be conducted to evaluate feasibility as an outcome variable, and studies of family interventions based on a philosophy of family-centered care should be performed more actively in the neonatal intensive care units in Korea.

• Korean Journal of Child Studies
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• v.31 no.1
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• pp.47-64
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• 2010

The purpose of this study was to investigate the overall daily life patterns of young children and to compare the lives of children using a center-based care center with those of children raised at home by their mothers. The subjects, 364 mothers of young children (aged 7~48 month olds), completed questionnaires consisting of items on their children's daily activities. Data were analyzed by descriptive statistics, chi-tests, and t-tests. Our primary findings indicated that on the average children slept for 10 hour 22 minutes and they usually played with their mothers at home. The young children mostly played outdoors two or three days per week and their outings were most commonly visits to relatives on weekends. 45.5% of the total children who participated in this study made use of at least one private education service, and they began to watch TV from 12.22 month olds. Furthermore, the mothers reported that their spouses participated in child rearing less than 1 hour a day.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.5-14
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• 2004

Purpose: The purpose of this study was to explore adjustment pattern of illness process of people with hemophilia in Korea. Method: 23 people with hemophilia had participated for this study. The data were collected through in-depth interviews and analyzed using Strauss & Corbin's grounded theory method. Results: 'would be free from' was emerged as a core category and it reflects that all participants wanted to be free from the constraints of the disease. The adjustment process was categorized into two stage, the ‘unstable stage’ and the ‘stable stage’. In the process of 'would be free from' four different patterns were identified: hopelessness type; appreciation type; challenge type; and transcendence type. These types were identified based on the degree of pursuing normal life and managing the disease, and social support. The most frequently occurring type was hopelessness type but the participants of this type suffered the most. The transcendence type was the most ideal type, but it occurred the least. Conclusion: The results of this study indicate that people with hemophilia in Korea still suffer from the disease and they need supports. The results would be useful for health care professionals in establishing education and counseling program for the people with hemophilia.

• Journal of the East Asian Society of Dietary Life
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• v.24 no.5
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• pp.614-620
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• 2014

This study was conducted to evaluate menu pattern and nutritional contents of snack menus provided by child care information centers in Seoul. Snack menus during March 2013 (morning snack : 125 cases, afternoon snack : 100 cases), including information on portion size, were collected from five child care information centers, after which the number of menu items, menu patterns, and nutritional contents were analyzed. About two-thirds of total snack menus included two menu items. There were significant differences in service time (morning & afternoon snacks). 'Beverage+Food' pattern (66.7%) was the most commonly used; 'Beverage' pattern was significantly higher in morning snacks (10.4%) than in afternoon snacks (1.0%). Morning and afternoon snacks provided 124.5 and 170.6 kcal of energy and 116.4 and 90.9 mg of calcium, respectively, which are 8.9% and 12.2% as well as 19.4%, and 15.2% of children's daily energy and calcium requirements. To improve the quality of food and nutrition offered to children through snacks at child carre centers, a more detailed snack menu plan as well as nutritional guidelines for institutions should be developed.