• 제목/요약/키워드: Wellness Care

검색결과 79건 처리시간 0.027초

여성의 건강을 위한 간호전달체계 모형개발 - 조산원 중심으로 - (Model Development of Nursing Care System for Women's Health : Based on Nurse-Midwifery Clinic)

  • 박영숙
    • 여성건강간호학회지
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    • 제5권1호
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    • pp.133-145
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    • 1999
  • The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

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Exploring dietitians' views on digital nutrition educational tools in Malaysia: a qualitative study

  • Zahara Abdul Manaf;Mohd Hafiz Mohd Rosli;Norhayati Mohd Noor;Nor Aini Jamil;Fatin Hanani Mazri;Suzana Shahar
    • Nutrition Research and Practice
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    • 제18권2호
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    • pp.294-307
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    • 2024
  • BACKGROUND/OBJECTIVES: Dietitians frequently use nutrition education tools to facilitate dietary counselling sessions. Nevertheless, these tools may require adaptation to keep pace with technological advancements. This study had a 2-fold purpose: first, to identify the types of nutrition education tools currently in use, identify their limitations, and explore dietitians' perspectives on the importance of these tools; second, to investigate the features that dietitians prefer in digital nutrition education tools. SUBJECTS/METHODS: A semi-structured face-to-face interview was conducted among 15 dietitians from selected public hospitals, primary care clinics, and teaching hospitals in Malaysia. Inductive thematic analysis of the responses was conducted using NVivo version 12 software. RESULTS: Most dietitians used physical education tools including the healthy plate model, pamphlets, food models, and flip charts. These tools were perceived as important as they facilitate the nutrition assessment process, deliver nutrition intervention, and are time efficient. However, dietitians described the current educational tools as impersonal, outdated, limited in availability due to financial constraints, unhandy, and difficult to visualise. Alternatively, they strongly favoured digital education tools that provided instant feedback, utilised an automated system, included a local food database, were user-friendly, developed by experts in the field, and seamlessly integrated into the healthcare system. CONCLUSION: Presently, although dietitians have a preference for digital educational tools, they heavily rely on physical nutrition education tools due to their availability despite the perception that these tools are outdated, impersonal, and inconvenient. Transitioning to digital dietary education tools could potentially address these issues.

상황인식 기반의 u-Health Care 시스템 설계에 관한 연구 (A Study on u-Health care System Design based on Context-awareness)

  • 이강환
    • 한국정보통신학회논문지
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    • 제15권10호
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    • pp.2265-2271
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    • 2011
  • 본 논문에서는 인간의 신체와 관련된 상황정보를 기반으로 한 u-헬쓰케어 시스템 설계 연구이다. 최근 운동 클럽 에서 전문 트레이너와 함께 체계적인 운동을 하는 것이 웰빙에서 이슈가 되었지만, 그중에서 기존의 헬쓰케어 시스템은 단지 고정된 시스템에서 현재 자신의 혈압과 맥박, 심전도, 근전도 등의 일반적인 정보만 제공하기 때문에 장시간이나 장기간의 운동을 하기에는 시간이 지날수록 흥미도가 떨어지고, 사용자 자신에 맞는 관리를 하기가 어렵다. 본 논문에서 개발된 u-헬쓰케어 시스템은 센서 네트워크와 DB를 접목한 상황 인식 시스템을 이용하여 자신의 현재 상태와 운동 진행 상태를 분석한 맞춤 운동을 할 수 있는 상황인식 기반의 서비스를 제공하는 u-헬쓰케어 시스템을 설계 개발 하였다.

한의학 교의사업 시범시행 후 교사들의 교의만족도에 관한 연구 - 성남시 중고등학교를 대상으로 (A Study of Teacher's Satisfaction Regarding Oriental Medical Doctor's Student Health and Wellness Program)

  • 김동수;박장경;양나래;이주아;이혜림;고재언;박재만;김효선;최석훈;고호연;성현경
    • 대한한방소아과학회지
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    • 제31권4호
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    • pp.71-77
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    • 2017
  • Objectives This study aims to build the baseline data for school health care program by analyzing the questionnaires about satisfaction regarding Oriental Medical Doctor's (Korean Medicine) student health and wellness program. Methods The association of Korean medicine doctor in Sung-nam city conducted Oriental Medical Doctor's student health and wellness program for 12 middle schools and 8 high schools in Sung-nam from August to December, 2015. The participating Oriental Medical Doctor visited each school for 8 times during 5 months period, and conducted health consultations, health education classes and Korean medicine treatment for the school students and school employees. Teachers and administrators from the participating schools answered the self-reported satisfaction questionnaires and the satisfaction questionnaires results were analyzed. Results 85 people responded the program satisfaction questionnaires; 69% responders were very satisfied and 28% were satisfied about the program specifically about the student's health check-ups, informatory brochures for the parents, good participation enrollment process. Responders were pleased about doctor's consultations regarding 'Advising students about their general health', 'Ways to cure sick students fast', 'Providing students with useful information about health', and 'Teaching students how to manage their health in a good shape'. 92.94% of participants agreed to the needs of the school health and wellness program. Conclusions One of the fundamental national health policies is to provide students opportunities to maintain their good health. We have developed a successful pilot program called, "Oriental Medical Doctor's student health and wellness program". We got positive feedback from the participating school teachers regarding our program. Further studies based on this study are needed to show the benefit of the program to broaden its use.

안드로이드 기반 휘트니스 시스템에서의 데이터 공유 메커니즘 설계 (A Study on the Data Sharing Mechanism Design in Android-Based Fitness System)

  • 강희범;장재명;이종원;정회경
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2015년도 춘계학술대회
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    • pp.614-616
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    • 2015
  • 현재 U-Healthcare는 헬스, 치료중심의 건강관리 개념에서 향후 예방중심의 Wellness로 전문화 되고 있다. 그 중 Wellness는 U-Healthcare의 핵심 분야로 발전됨에 따라 휘트니스 시스템 분야의 개발이 대두되고 있다. 기존의 휘트니스 시스템에서는 트레이너와 사용자 간의 1:1 상담만이 가능했고, 트레이너의 수가 제한되어, 특정 시간대에 코칭을 받을 수 있는 사용자의 수가 늘어남에 따라 개인이 받을 수 있는 코칭 시간이 줄어드는 문제점이 존재하였다. 이에 본 논문에서는 휘트니스 시스템에서의 사용자의 BMI(Body Mass Index) 지수를 DB 테이블의 필드 값으로 그룹화 하여 관리하고, 트레이너가 BMI 지수가 상이한 다수의 사용자를 효율적으로 코칭할 수 있도록 하는 메커니즘을 설계하고자 한다.

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피부관리 애플리케이션 수용에 대한 설문조사 연구 (An Empirical Research on Skin Care Application Adoption)

  • 정은영;노주영;박동균
    • 반도체디스플레이기술학회지
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    • 제15권4호
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    • pp.51-60
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    • 2016
  • Consumers who use mobile applications for their skin care are increasing due to increasing interest in skin care and smart phone use. A survey was conducted to select popular skin care mobile applications to be installed in the smart phone targeting 1,000 men and women in South Korea who are interested in their skin care. Questioned items included skin care awareness and recognition, skin care type, and the intention of using skin health care mobile services. The respondents thought the best skin as 'Flawless skin (52.3%)'. Also, 'Skin trouble' and 'Skin aging' were their major concerns. 47.1% of the respondents used mobile skin care applications, and 56.6% intended to try new mobile skin care services. The results on interesting field of skin care showed significant difference depending on gender, marital status, and annual average household income. Moreover, the results on effort made for skin care showed significant difference depending on age, gender, and marital status. They wanted the functions such as 'Review on cosmetic products by brand (23.8%)', 'Self skincare method (16.8%)', 'Continuous monitoring service (16.2%)', 'Information on cosmetic products (13.4%)'. The result of this study would be reliable as basic material for skincare mobile service area. Further studies could be focused on developing application in accordance with needs and how it should be applied.

토픽모델링과 에고 네트워크 분석을 활용한 스마트 헬스케어 연구동향 분석 (Research Trend Analysis on Smart healthcare by using Topic Modeling and Ego Network Analysis)

  • 윤지은;서창진
    • 디지털콘텐츠학회 논문지
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    • 제19권5호
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    • pp.981-993
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    • 2018
  • 스마트 헬스케어는 ICT 분야와 의료서비스 분야가 융 복합 된 분야로 다양한 분야에서 학제 간 융 복합 연구가 활발히 이루어지고 있다. 본 연구는 토픽모델링(Topic Modeling)과 에고 네트워크 분석(Ego Network Analysis)을 활용하여 스마트 헬스케어 연구동향을 살피는데 그 목적이 있다. 이를 위해 2001년부터 2018년 4월까지 Scopus에 게재된 2,690편을 대상으로 텍스트 분석, 각 기간별 빈도분석, 토픽모델링, 워드 클라우드, 에고 네트워크 분석을 수행하였다. 토픽 모델링 분석 결과 8개의 주요 연구토픽이 도출되었다. 8개 주요 연구토픽은 "AI in healthcare", " Smart hospital", "Healthcare platform", " blockchain in healthcare", "Smart health data", "Mobile healthcare", "Wellness care", "Cognitive healthcare" 순으로 나타났다. 토픽모델링 결과를 보다 심도 있게 살펴보기 위해 연구토픽별 에고 네트워크 분석을 하였다. 이를 통해 스마트 헬스케어 연구동향을 파악하고, 향후 연구의 방향성을 수립하는데 시사점을 제시하고자 한다.

재가 호스피스환자 가족의 삶의 질과 가족부담과의 관계 (A Study of the Relation between Quality of Life and Family Burden of Home-based Hospice Patient Families)

  • 이은주;김향동
    • 호스피스학술지
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    • 제6권2호
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    • pp.69-78
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    • 2006
  • Purpose: This study was conducted to analysis relationship about quality of life and family burden of the home-based hospice patient families. Method: The subjects consisted of 94 families with home-based hospice patient. The ages of the subjects were 17-73 years with hospice patient who receivedhome visiting care and registered at 4 hospitals in Daegu and Kyung-Buk. The data was collected from March to November 2004. The instruments used for the study were Quality of Life Scale (GLS) and Family Burden Questionnaire (FBQ). The analysis was done using frequency, mean, standard deviation, correlation and stepwise multiple regression with SPSS WIN 11.0. Results: The results were as follows: 1. The mean score of family burden was 3.36 ($\pm0.55$). The highest mean score of family burden 6 factors were wellness of future 3.85($\pm1.10$), and the second was economic family burden 3.63($\pm0.97$). 2. The mean score of quality of life was 3.09 ($\pm0.48$). The lowest score of quality of life 6 factors were economic status 2.86($\pm0.54$), and the second was physical state and function 3.01($\pm0.62$). 3. In the home-based hospice patient families, family burden had significant negative correlation with quality of life(r=-0.25, p=0.012). 4. Emotional status accounted for 11% of family burden in the home-based hospice patient families by means of stepwise multiple regression. 5. Economical status accounted for 18 and age accounted for an additional 11% of quality of life in the home-based hospice patient families by means of stepwise multiple regression. Conclusion: The finding showed that family burden and quality of life of home-based hospice patient families were significantly negative correlation and the highest factor of family burden was wellness of future and the most important factor of quality of life was economic status.

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요양병원 간호사의 간호역량 영향요인 (Influential Factors Associated with Nursing Competency of Nurses in Long-term Care Hospitals)

  • 김연정;박정숙
    • 동서간호학연구지
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    • 제25권1호
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    • pp.81-89
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    • 2019
  • Purpose: This study aimed to investigate influencing factors on nursing competency of nurses in long-term care hospitals. Methods: A descriptive research design was used with a convenience sample of 150 nurses. Data were collected from Feb 15 to Mar 8, 2017 using self-reported questionnaires and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 18.0 program. Results: The mean scores of self-efficacy, organizational citizenship behavior and nursing competency were 3.84 out of 5, 3.77 out of 5 and 3.80 out of 5, respectively. Nursing competency was positively correlated with self-efficacy (r=.63, p<.001) and organizational citizenship behavior (r=.64, p<.001). Factors influencing on nursing competency were self-efficacy (${\beta}=.38$, p<.001), organizational citizenship behavior (${\beta}=.37$, p<.001) and Clinical career(${\beta}=.14$, p=.011), which explained 51% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to increase the nursing competency for nurses in long-term care hospitals.

근거중심의 보완의학 (Evidence Based Complementary Medicine)

  • 이성재
    • Clinical and Experimental Pediatrics
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    • 제48권9호
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    • pp.915-919
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    • 2005
  • The increasing use of complementary and alternative medicine(CAM) in Korea as well as in U.S.A. and Europe seems to lead to a growing integration of CAM with conventional medicine. By using conventional mainstream medicine with CAM(integrative medicine) proved in efficacy and safety, integrative medicine seeks to treat the whole person, to assist the innate healing properties of each person and to promote health and wellness as well as the prevention of diseases. Also in pediatric diseases, especially for cancer patients, integrative medicine serves as an interdisciplinary, comprehensive, and children-centered care which results in more effective care by synergistically combining therapies. But the research to prove the efficacy and safety of CAM and the education for CAM in the medical school should proceed before applying them to patients.