• Title/Summary/Keyword: care policy

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Factors Affecting the Life Satisfaction of the Mentally Ill People in Mental Care Facilities (시설거주 정신장애인의 삶의 만족에 영향을 미치는 요인)

  • Lee, Sun-Young;Lee, Jeong-Sook
    • Journal of Digital Convergence
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    • v.13 no.3
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    • pp.231-239
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    • 2015
  • The purpose of this study was to identify the factors affecting the life satisfaction of the mentally ill people in mental care facilities. The data were collected by a self-reported questionnaire form 215 mentally ill people in mental care facilities from July 1 to 28, 2014. The instruments for this study were depression, self-esteem, social support, insight and life satisfaction. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchial multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing life satisfaction were social support (${\beta}=.518$, p=.000), go out (${\beta}=.155$, p=.001), self-esteem (${\beta}=.155$, p=.013), depression (${\beta}=-.147$, p=.015), gender (${\beta}=-.125$, p=.011). The study reveals that it is necessary to develop a program that increases social support and self-esteem and decreases depression.

The convergent influence of Perceived Stress and the Empowerment on Rehabilitation motive of Stroke patients (뇌졸중 환자가 지각한 스트레스와 임파워먼트가 재활동기에 미치는 융복합적 영향)

  • Kang, Hyo-Jeong;Kwon, Suhye;Youn, Soon-Chul
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.291-303
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    • 2016
  • The purpose of this study has been done to identify the influencing factors on rehabilitation motive of stroke patients. A sample of 138 stroke patients in Long-term Care and rehabilitation hospitals completed questionnaires through face - to - face interviews. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. Rehabilitation motive of stroke pacients was correlated with empowerment (r=.467, p<.001), but not with perceived stress(r=.-.186, p=.029). In a multiple regression, empowerment (${\beta}=.432$, p<.001) and primary care-giver (${\beta}=.175$, p=.023) were associated with rehabilitation motive. These factors attributed to 24% of the total variance in rehabilitation motive. Therefore, the study finding suggests that these significant factors should be considered when developing and implementing convergent care strategies for stroke patients in order to promote their rehabilitation motive.

The Effect of Self-efficacy Promotion Exercise Program for the Elderly Hypertensives (자기효능증진 운동프로그램이 고혈압 노인에게 미치는 영향)

  • Kim, Yu Jeong;Kim, Su Mi
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.487-497
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    • 2014
  • This study was to examine the effect of the Self-efficacy Promotion Exercise Program to the elderly hypertensive with Stage 1. This research was the quasi-experimental study. The Self-efficacy Promotion Exercise Program combined to Aerobic exercise which is incrementally at a level of 40~60% HRmax and the source of the Self-efficacy Promotion Exercise. This research was carried out to experimental(33 patients) and control(32 patients), 60 minutes per day, 3 times a week for 12 weeks. The Self-efficacy Promotion Program was effect on enhancing the general(p<.001) and exercise self-efficacy(p<.001), the self-care behaviors(p<.001) and decreasing the systolic blood pressure(p<.001) to the elderly hypertensives. The 12 weeks Self-efficacy Promotion Exercise Program will be considering to useful for various care settings to the elderly hypertensives.

E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care (한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사)

  • Kim, Mikyung;Han, Chang-ho
    • The Journal of Korean Medicine
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    • v.38 no.3
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    • pp.143-159
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    • 2017
  • Objectives: The aim of this study was to investigate the current status of and seek for measures to activate Korean medicine in stroke care. Methods: This is an e-mail survey targeting the members of Korean medical doctors registered at the association of Korean medicine. The project team of the society of stroke on Korean medicine for the development of clinical practice guideline for stroke has devised the items for the questionnaire. The survey was conducted for 15 days in November 2016. Results: The percentage of the respondents who have treated patients with stroke for the past month was 11.2% in the acute phase, 20.5% in the convalescent phase, and 32.4% in the chronic phase. Approximately 80% of the respondents answered they had a decrease in the number of patients compared to 10 years ago, regardless of the stroke phase. Most of the respondents were using Western medicine together with traditional Korean medicine for physical examination. Acupuncture and herbal medicine were the main therapeutic interventions. The two measures chosen by the most respondents to activate the Korean medicine usage for stroke care were the expansion of the insurance coverage (34.9%) and the generation of evidence on the effectiveness of traditional Korean medicine (25.1%) Conclusion: It is necessary to actively show the role of the Korean medicine through the establishment of the evidence on the effectiveness of Korean medicine and the promotion based on the evidence. In addition, optimal treatment methods should be derived based on the traditional knowledge and modern scientific research and the methods should be educated to every Korean medical clinics and hospitals so that they can be implemented in clinical practice. At the same time, the government should provide policy support to ensure that the optimal treatment can be timely and appropriately implemented.

Convergence Approach about the Knowledge, Attitude toward the Elderly, and Competence of Carers (요양보호사의 노인에 대한 지식정도, 태도 및 요양업무 능숙도에 대한 융복합적 접근)

  • Park, Kyongok
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.399-406
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    • 2016
  • This study aimed to identify the level of knowledge, attitude toward the elderly, competence of carers, and the correlation between these variables. Research design employed a cross sectional descriptive study using structured questionnaires. Data were collected from 145 carers who have worked in long term care facilities from June 2014 to September 2014. Descriptive statistics, ANOVA, independent t-test, and Pearson correlation coefficient were performed to identify the relationship among variables. The competence of carers was related to a positive attitude and a higher knowledge of caring for the elderly. Therefore, educational content that considers improvement among carers who have a low level of educational status should be developed. It should require carers to have a positive attitude toward the elderly through improving the job environment in order to increase the quality of long term care.

The Present Condition of Nursing Home & Accessibility to Health Center and Hospital from Nursing Home in Rural Area by Web GIS Analysis (노인장기요양시설의 현황 및 Web GIS 분석에 의한 농촌지역 요양시설과 보건소·병원간의 접근성)

  • Nam, Yun-Cheol;Park, Kyoung-Ok
    • Journal of the Korean Institute of Rural Architecture
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    • v.12 no.4
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    • pp.29-36
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    • 2010
  • The purpose of this study is to have detailed data of the distribution, locations, and the amount of people in the waiting line of the nursing home. Also, we studied the accessibility to the facilities by using Web GIS to analyze the transit time it takes from the nursing home to health center and hospitals. We can provide the basic data that could contribute when future plans for the nursing homes' locations, health and medical policy are made. The results are as follows. 1. The nursing homes are stiffly concentrated in regions of Seoul and Gyeongi-do where large number of the elderly covered by long-term care insurance and the waiting line was very long for the elderlies to enter the nursing homes. In these cities of Ulsan and Jeju where number of the elderly covered by long-term care insurance is relatively small, there were less facilities. 2. The nursing homes located in urban areas had higher occupancy rate and higher number of people in the waiting line. 3. The average time taken by driving from the nursing homes and health center was 10 minutes and there was not a noticeable difference between the cities. Driving from the nursing homes to hospitals in rural areas took 22 minutes which is 2.5 times of the time taken for urban areas. Daegu-si and Incheon-si had relatively short distance from the nursing homes and the hospitals while Jeju-do had the furthest. For rural areas, it is needed for health center to be equipped with a wider medical coverage, have closely connected with hospitals to minimize the differences they have from ones in rural areas. It is also needed to have ambulances equipped for tele-medical examination and treatment system.

Relationship of Colorectal Polyps and Fatty Liver Disease Diagnosed by Ultrasonography (초음파로 진단된 지방간 질환과 대장 용종과의 연관성)

  • Lee, Hye-Nam;Lim, Cheong-Hwan;Jung, Hong-Ryang
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.345-352
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    • 2014
  • This study proposes a more comprehensive approach for FLD by analyzing the relationship of colorectal polyps, which are precursors of colorectal cancer. In Chi-Square tests of FLD and colorectal polyps, the prevalence of colorectal polyps was significantly high in cases of FLD. The polyps and correlation of each factor showed a positive relationship with all factors, and the correlation coefficient with FLD was highest (r = 0.39, p <.001). In multiple regression analysis, FLD(OR 3.80 95% CI 1.93.-7.50), FBS (OR 2.51; 95% CI 1.12-5.62), and older age (OR 2.12; 95% CI 1.27-3.54) were independent risk factors for colorectal polyps. FLD was associated with the prevalence of colorectal polyps. These results show a meaningful influenceof FLD by ultrasonography in the occurrence of colorectal polyps, and that positive consideration of colonoscopy is needed for diagnosed FLD.

Survey on Ethical Issues, Ethical Dilemma, and Needs for Ethics Education in Healthcare Providers (의료인의 윤리적 이슈, 윤리적 딜레마와 윤리교육 요구도 조사)

  • Je, Nam-Joo;Park, Mee-Ra;Bang, Sul-Yeong
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.285-296
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    • 2020
  • The purpose of this study is to provide basic data for developing future ethics education programs by surveying healthcare providers working at institutions of various sizes, using Ethical Issues in Clinical Practice tool. Data were collected from 149 healthcare providers working at medical institutions in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/21.0. Needs for ethics education was inversely correlated to end-of-life treatment issues (r=-.22, p=.007) and patient care issues (r=-.28, p<.001). The most influential factor on the subjects' needs for ethics education was patient care issues (β=-.246, p=.035), followed by Buddhism (β=.208, p=.010). The explanatory power was 13.4% (F=5.596, p<.001). Therefore, when organizing the contents of ethics education program, patient care issues should be included to meet the needs of the subjects. Also, a customized program regarding the subjects' religion is necessary.

Competencies of Dental Hygienists for Oral Care Service for People with Disability

  • Lee, Jae-Young;Kim, Young-Jae;Jin, Bo-Hyoung
    • Journal of dental hygiene science
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    • v.20 no.1
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    • pp.16-24
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    • 2020
  • Background: Dental treatment has shifted to the center of the community, and the public policy of the country has expanded to support the vulnerable classes such as the disabled. The dental profession needs education regarding oral health services for persons with disabilities, and it is necessary to derive the competencies for this. Therefore, we conducted this study to derive the normative ability to understand the role of a dental hygienist in the oral health service for persons with disabilities and improvement plans for education. Methods: We conducted a qualitative analysis for deriving competencies by analyzing the data collected through in-depth interviews with experts in order to obtain abilities through practical experience. Based on the competency criterion, relevant competency in the interview response was derived using the priori method, and it was confirmed whether the derived ability matched the ability determined by the respondent. Results: The professional conduct competencies of dental hygienists, devised by the Korean Association of Dental Hygiene, consists of professional behavior, ethical decision-making, self-assessment skills, lifelong learning, and accumulated evidence. Also, core competencies of the American Dental Education Association competencies for dental hygienist classification such as ethics, responsibility for professional actions, and critical thinking skills were used as the criterion. The dental hygienist's abilities needed for oral health care for people with disabilities, especially in the detailed abilities to fulfill these social needs, were clarified. Conclusion: To activate oral health care for people with disabilities, it is necessary for dental hygienists to fulfill their appropriate roles, and for this purpose, competency-based curriculum restructuring is indispensable. A social safety net for improving the oral health of people with disabilities can be secured by improving the required skills-based education system of dental hygienists and strengthening the related infrastructure.

The Differences in Job Stress, Teacher Efficacy, Emotion-Focused Coping Strategies and Depression, and Their Influences on Depression (보육교사의 직무스트레스, 교사효능감, 정서중심 스트레스 대처방식 및 우울의 차이와 우울에 미치는 변인들의 영향)

  • Lee, Kyung-Sook;Chae, Jin-Young;Kim, Myung-Sik;Park, Jin-Ah;Lee, Jeong-Min
    • Korean Journal of Childcare and Education
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    • v.12 no.4
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    • pp.23-40
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    • 2016
  • The purposes of this study were 1) to examine the differences in job stress, teacher efficacy, emotion-focused coping strategies and depression of teachers in early childhood education and care according to their demographic backgrounds, 2) to investigate the influences of these variables on depression. 586 teachers in ECEC answered the questionnaires and the collected data were analyzed through frequence, percentages, Pearson's correlations, One-Way ANOVA, Bonferroni post hoc test, and stepwise regression using SPSS 21.0. The findings are as follows. First, job stress was significantly different according to ECEC teachers' ages and types of centers they were employed at teacher efficacy was significantly different according to their ages and education levels, emotion-focused coping strategies and depression were respectively significantly different according to ages, types of centers and education levels. Second, ECEC teachers' depression was influenced by undercontrolled expressionof emotion-focused coping strategies, home connection and promotion of positive learning environment of teacher efficacy, undercontrolled thinkingof emotion-focused coping strategies and work overload and job stress in order. These results imply that a support system and a policy should be established for ECEC teachers to express and understand their emotions in a positive way and related information should be provided to them through workshops.