• Title/Summary/Keyword: Point-Of-Care

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Development of Audio-visual Aids of Death Education for Hospice Patients and Their Families (호스피스 환자와 가족을 위한 임종교육 시청각 자료 개발)

  • Seo, Mi-Suk;Kang, Yu Jung;Yoon, Ji Yoon;Kim, Tae Yeon;Cho, Hye Jun;Park, So Yeon;Lee, Si Yeon;Jang, Ji Hye;Kim, Yu Jin;Kang, Mi Teum
    • Journal of Hospice and Palliative Care
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    • v.19 no.3
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    • pp.240-248
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    • 2016
  • Purpose: Patients and their caretakers need to understand various problems and requirements in the dying process so that they may prepare for death for the rest of their remaining life. Accordingly, a systematic audio-visual resource was developed to educate hospice patients and their families at the palliative care ward about the process of dying. Methods: For the development of an audio-visual resource, a initial education material was produced in the form of simple and accessible Power Point handouts based on literature study. Then, the program was completed through five rounds of a process, including expert advice, revision, update and evaluation. Results: The final version of the program was filmed with cooperation of the medical literature information division. Using the program, patients and families were educated through five phases over three sessions for a total 26 minutes and 34 seconds. Conclusion: The significance of this study lies in the fact that it was conducted after the establishment of the palliative care ward, which made it easier for nurses provide the education. It is expected that the program may be used by hospice specialists as well as nurses as an education resource for hospice patients and their families.

The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis (이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과)

  • Kim, Jieun;Lee, Insook
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.89-99
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    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

A Study on subjective awareness and management status of Dental Implant Patients (임플란트 환자의 보철물에 대한 인식 및 관리 실태에 관한 연구)

  • Lee, Hye-Eun;Im, Joong-Jae
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.305-317
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    • 2019
  • Purpose: The purpose of this study is to provide basic data for the improvement of dental care service for patient care. Methods: The survey period was from December 10, 2018 to June 10, 2019. The subjects were 180 patients who were treated with dental implant in 20 dental hospitals and clinics in Daejeon and Gyeonggi province. A total of 145 questionnaires were analyzed except for 35 copies which were unreliable or difficult to analyze. Results: The most important care method for prolonging the life time of dental implant prosthesis was the highest rate of correct brushing (39.4%), and a majority in the subjects used oral hygiene products (91.0%). With regard to discomfort after dental implant prosthesis, food particles between the teeth showed the highest response (49.7%), and discomfort with gum infections and bleeding and reduced mastication increased significantly with age (p<0.05), whereas feeling of irritation decreased significantly with age (p<0.05). Conclusion: This study is meaningful in that it approached the perception and discomfort of prosthesis from the patients' point of view. It needs to establish the basic data to improve dental treatment service for patient care.

Perceived Parental Stress and Nursing Support for Fathers of High Risk Infants (고위험신생아 아버지가 지각한 스트레스와 간호지지)

  • Han, Soo-Yeon;Chae, Sun-Mi
    • Child Health Nursing Research
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    • v.22 no.3
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    • pp.190-198
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    • 2016
  • Purpose: The purpose of this study was to examine the paternal stress and nursing support as perceived by fathers of high risk infants admitted to Neonatal Intensive Care Units (NICU). Methods: The study participants included 88 fathers of high risk infants in NICUs. Their parental stress and nursing support were measured using a self-report questionnaire. Results: The parental stress level of the fathers was 3.57 of a possible 5. Among the parental stress items, 'Relationship with infant and parental role' had the highest scores. The perceived nursing support level was a relatively high, 3.90 on a 5-point scale. The lowest score was for the item 'showed concern about my well-being.' The parental stress was lower in fathers with low income, higher in fathers in nuclear families and when the infants' condition was serious. Conclusion: The findings indicate that fathers of high risk infants experience intense parental stress. Thus when designing care to provide support for these fathers and their infants, it is necessary to encourage the fathers' engagement, provide information on how to respond to the baby, and include supportive care to the fathers.

Assessment of Food Service Management Practices in Child Care Centers Operated by Various Types of Foundations in the Chonbuk Area of Korea (전북지역 보육시설의 시설유형에 따른 급식운영관리 실태 조사)

  • Rho, Jeong-Ok;Lee, Eun-Pa;Lee, Jin-Sook
    • Korean journal of food and cookery science
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    • v.25 no.1
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    • pp.74-83
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    • 2009
  • We investigated the food service management practices in child care centers operated by various types of foundations in the Chonbuk area of Korea. Self-administered questionnaires were collected from 125 child care center directors. The statistical analysis was completed using an SPSS v11.5 program. Approximately 82.4% of the directors were women with an the average age of 45 years old. The average number of children in each public and private child care center was 84.7 and 88.8, respectively (P<.001), and the difference in time of operation was significant(P<.001). Only 20.8% of the centers employed a dietitian, whereas 92.0% of the centers employed a cook, thus, food service was not managed by professionals in most centers. In approximately 99.2% of the centers, meals were prepared in a conventional manner. The difference in daily meal frequency was significant(P<.05), with approximately 85.6% of the centers serving snacks twice a day primarily to supplement the intake of nutrients(4.44 point) and to add fun to the daily lives of the children(4.12 point). Approximately 40.7% of the directors of public centers and 57.6% of the directors of private centers responded that the most difficult aspect of food service management was financial management. Overall, 56.8% of the directors responded that the details of financial management had the greatest effect on their ability to improve the quality of food service. In most centers, the center director was also the purchasing manager and half of them purchased food every day. Approximately 97% of the directors responded that they do not include instant foods in their menu plans but they would use them if the children wanted to eat them. These results indicate that the food service management in child care centers in the Chonbuk area is relatively inadequate. We strongly recommend that they hire dietitians for food service administration and focus on strengthening sanitation management.

A Study about Hospice Perception of Nursing University Student (간호대학생의 호스피스 인식에 대한 조사 연구)

  • Kim, Jeong-Hee;Lim, Cheong-Hwan;Jung, Hong-Ryang
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.391-396
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    • 2014
  • This study was conducted to be helpful to the expansion and development of hospice and to provide the basic data for Hospice palliative care by identifying the general characteristics of curriculum of hospice perception, level of perception, practice experiences, routes, times, meanings, needs, targets, supply, types, organizations, experiences, use of hospice and physical, emotional, social and spiritual aspects of hospice services. Study tools which were used in this study were composed of three sections. Survey paper is 3-point Likert scale which is composed of 6 questions of general characteristics, nominal scale of 24 questions about hospice perception and hospice service contents. Respondents can reply with 3 answers of Necessary (1), Mediocre (2), and Not necessary (3), in physical, emotional, social and spiritual aspects. Score ranges of this tool are from minimum of 24 points to maximum of 72 points and higher scores mean higher perception of Hospice. Hospice is a behavior to take care of terminal patients who are waiting for death and their family and it should be conducted physically, emotionally, socially and spiritually in order that the patients could meet their last moments of life by maintaining a high quality of life, human dignity and peace for the rest of their lives. Hospice could be mentioned to be a comprehensive care to relieve the pains and grieves of bereaved family.

Demands of Illness in Cancer Patients in Outpatient Settings (퇴원 후 암환자의 간호요구에 관한 연구)

  • Ham, Mi-Young;Choi, Kyung-Sook;Eun, Young;Kwon, In-Soo;Ryu, Eun-Jung
    • Asian Oncology Nursing
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    • v.1 no.2
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    • pp.147-156
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    • 2001
  • This study was designed to describe the most common and most intense demands of illness in people with cancer in outpatient settings. The sample for this study who were at least 21 years old and had been treated for cancer. They recruited from outpatient setting in Seoul and Kyungsangnam-do. The questionnaire was a Likert type 5 point scale with 55 items on four need categories; informational, physical care emotional care and socioeconomic care. There were significant differences in degree of care need according to gender, religion, marital status, economic status, public insurance status, and the past regimen. In conclusion, emotional needs perceived by patients with cancer and family members were higher than the others. Based upon this result, it is recommended that the research to compare needs between cancer patients who have a same illness and family member are necessary.

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A Study of Early Child Care Center Teachers' Attitudes for Meal and Snack Guidance between Sweden and Korea (스웨덴과 한국 유아교육기관 교사의 급식 지도 태도 비교 연구)

  • Han You-Mi;Yee Young-Hwan;Lee Jin-Sook;Oh Youn-Joo;Kwon Jeong-Yoon;An Kyung-On;Park Eun-Sook
    • Korean Journal of Community Nutrition
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    • v.9 no.6
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    • pp.706-715
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    • 2004
  • The objective of this study was to compare early child care center teachers' attitudes for meal and snack guidance between Sweden and Korea. Participants were 251 early child care center teachers (Sweden: 134, Korea: 117) working in Goetebory, Sweden, and Seoul, Korea. The survey was conducted from December in 2003 to February in 2004. SPSS programme was used for statistical analysis. Sixty five point eight percent of the Korean early child care center teachers provided a certain amount of foods for children. But $20.9\%$ of Swedish provided a certain amount of foods for children, $79.1\%$ of them provided the amount a child wanted. Sixty one point seven percent of Korean teachers allowed a child leave foods on the plate, but $95.5\%$ of Swedish teachers asked a child eat all food on the plate. When a child didn't want to eat, $61.1\%$ of the Korean teachers fed him/her, but $11.0\%$ of the Swedish teachers did. Only $42.4\%$ of the Swedish teachers allowed a children eat sweets, but $92.9\%$ of Korean did. The Swedish teachers' perception for food guidance were eating by child himself/herself > washing hands before eating > having appropriate table manner > eating as talking with friends > not playing during the meal time, while the Korean teachers' was taking various food > having appropriate table manner > eating by child himself/herself, not playing during the meal time > washing hands before eating. The Swedish teachers thought 'eating as talking with friends' and 'eating by child himself/herself' is important, where as the Korean's did 'eating without making noise', 'not playing during the mealtime' in the eating behavior. For 'brushing teeth after meal' the Swedish teachers' score (1.5) was lower than the Korean (4.2). The results is necessary to improve meal and snack guidance for Korean early child care center teachers' education.

Implementation of Medical Care System based on Home Network (홈 네트워크 방식의 헬스 케어 시스템 구현)

  • Kim, Jeong-Lae;Lee, Woo-Chul;Ko, Yun-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.6 no.6
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    • pp.987-991
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    • 2011
  • In this paper, a health care system is implemented which can identify the parameter for moving body after exercising based on home network. This system has catched a signal for physical condition of body data using data acquisition mechanism such as a data acquisition module, a data signal processing module and a feedback module. The composition has a functions of displacement point for a BMI and WDI, that the basic parameter measure to base on the heart rate, temperature. There are checked physical condition of body exercising to compounded a physical condition of sensory organ. There are to keep the lookout for the body condition that to estimate a health care with a physical organ through a exercise.

An Analysis of Effects on Vision Care Program Including Traditional Korean Treatment for Elementary School Students (초등학생에서 한의학적 치료를 접목한 시력증진 프로그램의 효과 분석)

  • Kim, Chang-Hun;An, Jong-Min;Kim, So-Hi;Seol, Jong-So;Kim, Hyo-Jin;Park, Jee-Hyun
    • The Journal of Korean Medicine
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    • v.32 no.2
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    • pp.92-101
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    • 2011
  • Purpose: To evaluate the effects on vision care program including traditional Korean treatment for elementary school students. Methods: 172 eyes of eighty-six older elementary students underwent a vision care program, including traditional Korean treatment, for 3 months between March 2010 and June 2010. The vision care program included health education, such as lifestyle modification, vision strengthening exercises and a course of treatment with traditional Korean methods. Traditional Korean treatment covered periocular acupuncture point stimulation, periauricular acupuncture point stimulation and herbal drug therapy. All patients were examined for visual acuity and auto-refraction and filled out a satisfactory questionnaire about ocular discomforts and quality of life before and after treatments. Results: Patients with mild myopia (-0.75~-2.00) were 61 (35.5%), and 46 (26.7%) were emetropia (${\pm}0.50$ or less). After treatment, uncorrected visual acuity in both eyes was $0.77{\pm}0.46$, which was lower than that before treatment ($0.82{\pm}0.51$), but corrected visual acuity was $0.98{\pm}0.21$, which was higher than that before treatment ($0.93{\pm}0.28 $). About the refractive change, the emetropia group showed a slightly myopic shift while the mild myopia group intended to reduce the myopic error. However, this was not statistically significant. The scales of eyeball pain or discomfort decreased significantly from $17.59{\pm}22.5$ before treatment to $10.28{\pm}17.80$ after treatment, and the scales of the quality of life increased from $1.85{\pm}1.25$ before treatment to $2.25{\pm}1.30$ after treatment. Most patients (90.7%) were satisfied with their treatment results. Conclusions: The vision care program including traditional Korean treatment for elementary school students was effective to improve corrected visual acuity in both eyes and delay the progression of school myopia. In addition, it helped to reduce eyeball pain and discomfort and ultimately to enhance quality of life. Long-term follow-up studies will be needed.