• Title/Summary/Keyword: Visiting nursing Care

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Quality of Life, Frailty and Depression in Elderly in Rural Area (일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질)

  • Kang, Hee Gyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.1
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    • pp.13-27
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    • 2017
  • Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

A study on the Accidental Patients in Emergency Room (사고환자 응급실 이용 실태와 만족도)

  • Park Ho-Ran;Moon Jung-Soon
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.70-83
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    • 1999
  • This study was designed to evaluate the prevalence and significant features of accidental patients and to evaluate the degree of satisfaction on emergency care who visited emergency room. The subject of this study was a total of 243 accidental patients and 249 patients with disease visiting emergency room of 4 university hospitals in Seoul. The data was collected from guestionnaire during the period of January to february 1999. The results were summarized as follows. 1. Distribution of the general characteristics (age, sex, educational status, marrital status and job) in the accidental patients were significantly different from that of the control group. The most common group of age was 20-30 years of age and males predominated over female. 2. CD Fourty two $\%$ of accidental patients arrived within 30 mins. (2) Fifty seven $\%$ of patients was first-aided one. (3) An ambulance was the most frequently used transportation. (4) The time interval from arrival to initial emergency care was 10 mins. (5) Admission rates of the patients after treatment was $72.0\%$. (6) Time interval from arrival to completion was 3-4 hours. 3. The Mean score of the accidental patents' degree of satisfaction on emergency services was $3.26\pm0.64$ which was not significantly different from that of control group.

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Validation of the Korean Version of the General Practitioner Assessment of Cognition (한국형 주 보호자용 노인우울 간이척도(KGDSI-15)의 신뢰도와 타당도 분석)

  • Kim, Yong-Soon;Park, Jee-Won
    • Journal of Home Health Care Nursing
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    • v.17 no.1
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    • pp.5-11
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    • 2010
  • Purpose: The study examined the psychometric properties of the Korean Geriatric Depression Scale Informant-15 (KGDSI-15), an instrument measuring geriatric depression through their primary caregivers. Methods: The participants were 370 Korean older adults $\geqq$65-years-of-age registered in a visiting health center in S city. The Korean version of Geriatric Depression Scale-Short Form (GDSSF-K) was used for comparison. Internal consistency measured tool reliability and Pearson correlation coefficient measured validity. One-way ANOVA was used to determine the clinical usability of the instrument: depression levels were classified as normal, mild depression, and severe using GDSSF-K, and the depression scores of these three groups were comparatively measured by KGDSI-15. Results: The Cronbach's alpha coefficient was .831. The correlation coefficient with GDSSF-K was r=.616 (p<.001). KGDSI-15 results showed the depression level of older adults with severe depression was highest followed by those with mild depression and normal. The group differences were also statistically significant, which indicated the clinical usability of the instrument. Conclusion: KGDSI-15 is suggested to be reliable and valid to measure the geriatric depression through the primary caregivers of older adult.

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Factors Affecting the Practice of Taegyo in Pregnant Women Visiting a Regional General Hospital (일지역 종합병원 내원 임부의 태교실천 영향요인)

  • Kim, Hye Bin;Lee, Insook
    • Journal of Home Health Care Nursing
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    • v.30 no.2
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    • pp.183-193
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    • 2023
  • Purpose: This study was aimed at identifying the factors influencing the practice of taegyo in pregnant women. Methods: A descriptive survey-based study design was used. The study included 210 married pregnant women aged 19 years or higher, excluding pregnant women from multicultural families, who attended the outpatient obstetrics and gynecology departments of a general hospital and a tertiary hospital in C City, from June 29, 2022, to September 8, 2022. Independent t-test, analysis of variance, and multiple regression analysis were used to determine the factors influencing the practice of taegyo. Results: The mean of the subjects' practice of taegyo was 3.49 ± 0.47. The factors influencing the practice of taegyo among pregnant women were perception of taegyo and spousal support. The higher the perceptions of taegyo and the greater the spousal support, the higher the practice of taegyo. The explanatory power of the regression model was approximately 49.2%. Conclusion: The factors influencing the practice of taegyo among pregnant women were confirmed to be the perception of taegyo followed by spousal support. The findings of the study confirmed that efforts to improve the perception of taegyo and spousal support are necessary to improve the adoption of the practice of taegyo among pregnant women.

Task Analysis of Managers in the Customized Visiting Health Services (보건소 맞춤형 방문건강관리사업 전문인력의 직무분석)

  • Han, Young Ran;Park, Young Rye;Kim, Young Hee;Choi, Hee Chung;Chung, Mi Ja
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.165-178
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    • 2012
  • Purpose: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

Development and Effect of a Global Health Capacity Building Program for Nursing Students (간호학생을 위한 국제보건역량강화 프로그램의 개발 및 효과)

  • Hwang, Seon Young;Kim, Jin Sun;Ahn, Hyunmi;Kang, Sun Joo
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.209-220
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    • 2015
  • Purpose: This study developed a short-term education program aiming to strengthen global health capacity in nursing students, and examined the effects of the program. Methods: The subjects of this study were 83 students recruited from 29 nursing colleges. Domestic workshops and overseas training in the Philippines were offered. For data collection and analysis, the triangulation method was adopted. Results: Students' critical thinking disposition and global leadership capacity were significantly increased. Thematic content analysis derived fifteen themes: expansion of global health, understanding of cultural diversity, vision of being a global leader, cultivation of communication skills, open mind toward people with different culture, pride and vocation, understanding of nursing in foreign countries, understanding of visiting nurse service, sustainability, understanding of local needs and environments, and education methods with an emphasis on participants, broader view and thinking of the world, reflection on the characteristics of a nurse, development through cooperation, and development through programs. Conclusion: The global health capacity building program improved nursing students' view of global health and nursing care. It is needed to develop continuously diverse global health capacity-building programs for nursing students.

Analysis of Nursing Records for Elderly Patients with Abdominal Pain in the Emergency Medical Center (응급의료센터에 내원한 복부통증 노인 환자에 대한 간호기록 분석)

  • Lee, Hyeo Ki;Kim, Jong Im
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.27-34
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    • 2019
  • Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing records for the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptive study based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominal pain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysis of nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits (58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of the elderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; the average pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). There was no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed that improving knowledge and nursing practice for pain management is much of necessity. In particular, development of the non-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluate record systems for pain management that can be used in the emergency room.

A Study on the Development of a Database for a Health Care System - Focusing on Health Care Management for Hypertensive Patients and Middle-aged Women - (보건소 건강증진사업을 위한 데이터베이스 시스템 구축 - 고혈압과 갱년기 여성건강관리를 중심으로 -)

  • Lee, Hae-Ja;Kim, Chun-Mi;Choi, Jeong-Myung
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.365-375
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    • 2004
  • Purpose: This study intends to make a database for hypertensive patients and middle-aged women who are visiting the Yeojoo County Health Center. While building up the database, the study reviewed the current assessment tools used in the health center, developed appropriate health care programs, and designed a computerized health care system. Method: The modeling of a database for the system was constructed by MS-Access for DBMS (Database Management System) and Visual Basic. The system is to be used only in the health center by being designed as a client server method, making it possible for many public employees to be interconnected, and enables them to retrieve and search data from the database simultaneously. Results: The health management system systematically follows nursing processes including assessment, diagnosis, intervention and evaluation. Diagnosis. once it is done according to the self determined criteria, saves time and provides appropriate health information for the members. Also, the health education program was developed to follow up on the health status of the members on a continuous basis. Conclusion: Based on these results, it is required to evaluate health care programs provided for the members by using the database system and to develop more practical health care programs. It is also necessary to connect the system to other databases. which contain information about members.

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The Analysis of Activities of Volunteers for Hospice Care (일 지역 호스피스 자원봉사자의 활동분석)

  • Choi, Sang-Soon;Hur, Hye-Kyoung;Park, So-Mi
    • Journal of Hospice and Palliative Care
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    • v.3 no.2
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    • pp.136-143
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    • 2000
  • Purpose : The purpose of this study was to identify the characteristics of hospice volunteers and care-takers and analyze activities of volunteers. Methods : First, to identify the characteristics of hospice volunteers and care-takers, 87 records that registered in for the hospice volunteer education program in Wonju C.C.C from 1997 to 2000 were analyzed. Second, to analyze activities of volunteers, 30 volunteers were participated in this study. The data were collected through a self reporting questionnaire developed by research team. Results : 1) Hospice volunteers were mostly female(93.1%) with an average age of 45 years. 32.4% of persons who completed the hospice volunteer education program has been participated hospice care continuously. 2) The care-takers average age was 50 years and mostly with cancer. The majority(13.6%) of cancers was lung cancer. 3) The mean frequency for visiting was 10 and the mean duration for offering hospice care was 49.4 days. 4) The highest score of activity was spiritual area(mean=1.97) and next activity was emotional area(mean=1.49). Conclusion : The findings in this study have an important basic data to develope program for hospice volunteers in W city.

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Development and evaluation of physical activity promotion program in the resident elderly (재가노인을 위한 신체활동증진 프로그램의 개발 및 효과)

  • Kwon, Sang-Min;Kwon, Mal-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.485-491
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    • 2016
  • The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.