• 제목/요약/키워드: day care quality

검색결과 298건 처리시간 0.024초

중환자실 가족면회 시간 연장의 효과 (The Effects of Extended Family Visiting Hours in the Intensive Care Unit)

  • 이영옥;강지연
    • 중환자간호학회지
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    • 제4권1호
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    • pp.51-63
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    • 2011
  • Purpose: This study aimed to examine the effects of extended family visiting hours in the intensive care unit (ICU). Methods: The subjects were 168 ICU patients and their family members. Two 30-minute visits a day were allowed to the control group according to current policy, while four 30-minute visits a day were allowed to the experimental group. Patients' state anxiety was measured at the first day of ICU admission, and on the third day of ICU admission patients' anxiety and family satisfaction were measured. For the infection rate, comparison was made between the experimental and control data-collecting periods. Results: The patients' state anxiety significantly decreased in the experimental group. Family satisfaction of experimental group was significantly higher than that of control group. There was no significant difference in the infection rate. Nurses positively evaluated extension of visiting hours because it could stabilize patients, reduce the number of arrangements for additional visits, and help establish trust relationship with families. Conclusion: Extended family visiting hours in the ICU reduced patients' anxiety and improved family satisfaction but had no effect on the infection rate. Extended family visiting hours in the ICU is expected to improve the quality of critical care.

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낮보호 시설에 대한 차세대 노인들의 인식에 관한 연구 (A Study on Elderly People's Needs in Daycare Centers in the Next Generation)

  • 정연강;염순교;권혜진;김경희;김인국
    • 지역사회간호학회지
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    • 제9권2호
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    • pp.324-335
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    • 1998
  • This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

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노인데이케어센터의 지역융합형 발전방향 (Development of Daycare Center for Senior Users as Community-Cohesive Facility)

  • 한정원
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1489-1495
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    • 2014
  • 고령화시대를 맞아서 한국은 2008년부터 노인장기요양보험을 실시하면서 노인부양부담을 가족으로부터 국가의 책임으로 인식하기 시작하였다. 데이케어센터(주간보호센터)는 사회적 보살핌을 제공하는 시설 중의 하나로 입소생활시설과는 다른 주간이용시설인데 설립초기 자원부족 및 서비스 질 향상 등의 문제가 지적되어 왔다. 본 논문에서는 데이케어센터를 지역을 중심으로 접근하면서 그 발전방향을 논의하였다. 또한 전문가심층면접분석을 통해서 데이케어센터의 차후 비전을 제시하였다. 심층분석 결과로는 데이케어센터에서 제공하는 건강케어 프로그램은 지역사회의 문제 및 특성을 반영하여야 하고, 사용자 중심이어야 하며 지역통합적 방식을 취해야 함이 제시되었다.

회상요법을 적용한 집단미술치료가 주간보호시설 경증치매노인의 삶의 질과 정서에 미치는 영향 (The Effect of the Group Art Therapy using Recall on the Quality of Life and Emotion of the Elderly with Mild Dementia in Day Care Center)

  • 오영이;이숙민
    • 산업진흥연구
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    • 제1권2호
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    • pp.79-86
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    • 2016
  • 본 연구는 회상요법을 적용한 집단미술치료가 주간보호시설 거주 경증 치매 노인의 삶의 질과 정서에 어떠한 영향을 미치는가를 검증하고자 하였다. 연구 대상은 전라북도 I시에 소재한 노인전문 주간보호시설의 노인 중 75세에서 96세 까지 MMSE-K 점수가 15 ~ 23점의 경증치매노인이며, 실험집단에게는 6개월간 주 1회 60분씩 사전 사후 포함하여 30회기로 구성하여 집단미술치료 프로그램을 실시하였고 처치기간 동안 통제집단은 무 처치하였다. 연구결과 회상요법을 적용한 집단미술치료가 경증치매노인의 삶의 질, 정서, 질적분석 바디이미지에 긍정적 효과가 있는 것으로 나타났다. 집단 간 정서측정도구에 대한 시간의 경과에서는 유의한 차이가 있는 것으로 나타났다. 본 연구의 회상요법을 적용한 집단미술치료가 주간보호시설 거주 경증치매노인의 삶을 보다 적극적으로 받아들이고 좀 더 안정적인 정서를 표현하며 생을 살아갈 수 있도록 하는데 의의가 있다고 본다.

주간보호시설의 서비스품질이 고객만족, 추천의향 및 재이용의사에 미치는 영향 (The Effects of the Quality of Elderly Day Care Services on Customary Satisfaction, Referral Intention, and Repurchasing Intention)

  • 이진용;손의성;윤경아
    • 한국노년학
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    • 제32권3호
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    • pp.715-727
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    • 2012
  • 본 연구에서는 주간보호서비스 이용노인들을 대상으로 서비스품질을 조사하고, 서비스품질과 고객만족, 추천의향 및 재이용의사 간의 인과관계 및 고객만족의 매개효과를 분석하였다. 구체적으로, 대전과 충남북 군 단위 지역에 위치한 주간보호시설을 이용하는 노인 208명을 대상으로 조사를 실시하였으며, 서비스품질은 Parasuraman 등(1985)이 제시한 SERVQUAL 모형에 따라 다섯 가지 요인 즉 유형성, 신뢰성, 응답성, 확신성, 공감성으로 측정하였다. 주요 연구결과는 다음과 같다. 첫째, 서비스품질의 하위요인 중 유형성과 응답성이 고객만족에 직접적인 영향을 미치는 것으로 나타났다. 둘째, 서비스품질은 추천의향 및 재이용의사에 직접적인 영향을 미치지 않았으나 고객만족을 통하여 영향을 미치는 것으로 조사되었으며, 고객만족의 매개효과가 검증되었다. 셋째, 고객만족은 추천의향과 재이용의사에 직접적인 영향을 미치는 것으로 나타났다. 연구결과를 바탕으로, 주간보호시설의 전반적인 서비스품질 및 고객만족도 제고 방안과 시설운영의 안정성 확보 방안 등을 제시하였다.

전주시 노인주간보호센터 건축적, 물리적 환경 및 만족도 조사 (A Study on the Architectural, Physical Environment and Satisfaction of the Senior Citizens' Day Care Center in Jeonju)

  • 포위;진민희;정인수
    • 한국농촌건축학회논문집
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    • 제26권2호
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    • pp.47-56
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    • 2024
  • Through an examination of future societal development, it was found that the demographic structure is gradually aging, thus placing higher demands on elderly welfare centers. This study conducted surveys on three elderly day care centers in the entire region, aiming to enhance the pivotal role of elderly day care centers in the welfare facilities for the elderly. The current usage status, interior architectu/ral evaluations, and questionnaire surveys of these centers were analysed. The results of investigation into the architectural environment of the elderly day care centers showed that in terms of physical environment, smaller-scale centers did not lag behind larger ones in internal facilities, but larger-scale centers excelled in spatial utilization. Furthermore, the results of questionnaire survey results revealed correlations between family relationships, health status, level of assistance required, and satisfaction with facility usage, while no correlation was found between usage time, health status, and satisfaction with facility usage. This study conducted basic investigations such as architectural and physical surveys, and questionnaire surveys on elderly day care centers. Based on the survey results, future design practices should continuously explore and innovate to meet the needs of an aging society, further improve the community care system, provide more comprehensive and meticulous services for the elderly, and lay the foundation for enhancing the quality of life for the elderly and providing comfortable services.

영유아 보육시설 어린이들의 영양, 건강상태 (Nutrition and Health Status of Day-Care Center Children)

  • 조미숙
    • 한국식생활문화학회지
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    • 제15권4호
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    • pp.313-323
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    • 2000
  • Although it is rapidly increasing the number of day-care centers in Korea, the quality of food and nutrition services is not improved sufficiently. The purpose of this study was to investigate the nutrition and health status of children in day-care center. Menus for lunch of 253 centers were collected and the content of nutrients was analyzed. Nutrient intakes from lunch and snacks of 90 children were investigated using weighing method and those from breakfast and dinner by 24-hour recall method surrogated from their mothers. Anthropometric indices of height, weight, skinfold thickness, the ratio of fat were measured. The lunch menus for children contained $437.0{\pm}138.9\;Kcal$, $17.6{\pm}6.7gr$ protein, $153.9{\pm}87.7mg\;Ca$, $3.63{\pm}1.6mg\;Fe$, $164.5{\pm}158.2RE\;Vit\;A$. and $4.46{\pm}3.04mg\;Vit\;B_1$. Energy, Ca and Fe supplied were below one third of RDAs. Mean daily calorie intake of children aged 3 years was $1303.0{\pm}474.0Kcal/day$, $1322.3{\pm}442.4Kcal$ in aged four, $1307.0{\pm}545.9Kcal$ in aged five and $1497.1{\pm}93.5kcal$ in six year of age. Intake of iron, vitamin A and vitamin $B_1$ were below RDAs.

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자연기흉으로 폐기포절제술을 받은 환자를 위한 표준진료지침서 개발 (Development of a Critical Pathway of Bullectomy for Spontaneous Pneumothorax Patients)

  • 김미경;유승흠;이두연;손영모
    • 한국의료질향상학회지
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    • 제9권1호
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    • pp.34-51
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    • 2002
  • Background : The purpose for this study is to develop a critical pathway of bullectomy for spontaneous pneumothorax patients. Methods : For this study a conceptual framework of critical pathway was developed through a review of the literature including five critical pathways which are currently being used in USA, and opinions of the critical pathway development team members at Y university hospital. In order to identify the service contents required by these patients and to draw up a preliminary critical pathway, 33 cases of medical records of patients who had received bullectomy for spontaneous pneumothorax between September, 2000 to August, 2001 at the Respiratory Center of Y university hospital in Seoul was analyzed. Results : In order to test the clinical validity of the preliminary critical pathway, it was applied to ten patients who had received bullectomy for spontaneous pneumothorax from October, 2001 to December, 2001. The average discharge day was 4.89th post operation day, six patients discharged on the fourth post operation day which was the expected day, one patients discharged one day earlier than the expected day, one patient discharged three days later than the expected day, and one patient discharged six days later than the expected day. There were variances between the critical pathway and the actual practice. The variances came from tests, medications, and treatments. One item that showed variance in clinical applications was complemented, and three items were decided not to be corrected for the final determination of the critical pathway. Conclusion : This critical pathway is applicable to the care of patients with bullectomy for spontaneous pneumothorax, but it needs more clinical applications to grasp varied variances.

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보육시설 유형과 이용시간에 따른 취업모의 취업에 대한 태도 및 보육서비스 질에 대한 인식 (Working Mothers' Attitudes Toward Maternal Employment and Beliefs Regarding Child Care Quality According to the Operating Modalities and Hours of Child Care Centers)

  • 김혜금
    • 대한가정학회지
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    • 제48권7호
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    • pp.111-118
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    • 2010
  • This study investigated working mothers' attitudes toward maternal employment and beliefs regarding childcare quality according to the childcare centers' operating modalities and hours. Participants were 261 mothers sending their children to full day, nighttime, or 24-hour childcare centers. We conducted the data analysis two-way ANOVA using SPSS. The results revealed significant differences among the groups in these working mothers' attitudes toward maternal employment and their beliefs regarding childcare quality and childcare centers' operating modalities and hours.