• Title/Summary/Keyword: home care use

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The Effects of the Expansion of Formal Home Care Services for the Elderly on Time Allocation of Family in Korea (노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용)

  • Lee, Seungho;Byun, Geumsun;Shin, Yumi
    • 한국사회정책
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    • v.23 no.1
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    • pp.227-256
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    • 2016
  • This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.

A Comparison of Time Use between Korean and the USA Families (한.미 양국간 가족의 시간사용 비교 연구)

  • 이연숙;이기영;김외숙;조희금;주인숙
    • Journal of Families and Better Life
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    • v.20 no.3
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    • pp.139-156
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    • 2002
  • The purpose of this study is to compare the patterns of time use between Korean and USA families. The data for 353 Seoul-based Korean families with two children living in Seoul and 130 USA families with two children living in the State of Utah were collected using a structured questionnaire and time diary. The major findings were as the following: 1. The Korean couples spent more time at personal care, paid work, and travel than the USA couples did, while the USA couples spent more time at housework and social-cultural activities than the Korean couples did. 2. The Korean wives spent more time doing food and clothing related housework than the USA wives did. Compared with the Korean wives, however, the time spent at house cleaning and management, family care and shopping and home management were longer than USA wives. The time U.S. husbands engaged in housework was much greater than by the Korean husbands. 3. Regardless of sex and school level, the Korean children spent less time at sleeping/rest, housework and socio-cultural activities and more time at eating and learning than those of U.S. These time use patterns of the families in both countries may reflect the differences of the cultural contexts, social norms, life styles, and the degrees of urbanization. To fully explain the findings, further study on the differences in social and cultural factors between the two countries is needed.

Mothers' Perception on Antibiotic Use for Their Children Under Six Years Old (6세 이하 아동 어머니의 항생제 사용인식)

  • Kim, Tae Im;Kim, Kyung Wha;Kim, Mi-Jong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.51-63
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    • 2019
  • Purpose: The objective of this study was to investigate mothers' perception of antibiotic use for their children. Methods: A cross-sectional survey was conducted of a convenient sample of 210 mothers who visited the two pediatric hospitals in D city. Descriptive statistics, t-test, analysis of variance, Kruskal-Wallis test, Mann-Whitney U test, and Pearson correlation coefficients with SPSS WIN 24.0 were used to analyze the data. Results: The perception of mothers on antibiotic use for their children was relatively low (3.28/5) and showed a statistically significant difference based on the mothers' educational background (${\chi}^2=15.30$, p<.001). About 57-77% of participants discontinued or reduced the dosage of the antibiotics if their children's symptoms were relieved, and about 60% of them perceived that antibiotics treat viral infections. Mothers' adherence to specific doses of antibiotics in their children was positively correlated with their knowledge and beliefs (r=.17, p=.014) and their attitude regarding the use of antibiotics (r=.17, p=.014). Only 1.4% of the participants had educational experience regarding the correct use of antibiotics. Conclusion: Based on the results, it can be concluded that an educational program for mothers should be developed and to verify its effects in order to induce proper use of antibiotics among mothers.

Application of NANDA and HHCC to Classification of Nursing Diagnosis in a Hospital-Based Home Health Care (일개 종합병원중심 가정간호 간호진단분류를 위한 NANDA와 HHCC의 적용 비교)

  • Lee, Jin Kyung;Park, Hyeoun Ae
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.507-516
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    • 2000
  • This study examines that North American Nursing Diagnosis Association(NANDA) and Home Health Care Classification(HHCC) is appropriate to classify home health care client's nursing problems and suggests a modified nursing diagnosis classification system. Two hundred and forty-nine clients' records at a general hospital were reviewed and nursing problems were diagnosed according to each classification system. Results of this study are as follows. The major client's medical diagnosis are pregnancy, childbirth and puerperium, malignant neoplasm, and benign neoplasm. Of four hundred and sixty-three nursing problems, all nursing problems made a diagnos according to HHCC, while three hundred and eighty-five made a diagnosis according to NANDA. The HHCC diagnosis included 78 more nursing problems than NANDA. The discrepancy in the results may indicate a significant advantage to HHCC diagnosis because HHCC nomenclature was created empirically from hard data. However, this may be due to limitations in the data collection method so determination of which classification system is more useful is difficult to judge. However, nursing components of the HHCC are more concrete and clearer than human response patterns of the NANDA. Also the HHCC facilitates the documentation of patient care by computer, while using a conceptual framework consisting of 20 Care Components based on the nursing process: assessment, diagnosis, outcome identification, planning, implementation and evaluation. Accordingly, the practical application of HHCC is more useful than NANDA. Limitations of this study include a retrospective data collecting method and universality of samples. Further research for various samples that use prospective data collection method is recommended.

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A Study on the Income Class Differences in Early Childhood Care and Education and the Policy Implications (소득계층을 중심으로 본 영유아 자녀 돌봄 및 교육 실태와 정책적 함의)

  • Lee, Seong-Lim;Sung, Miai
    • Journal of Families and Better Life
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    • v.30 no.6
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    • pp.23-37
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    • 2012
  • Using data from the 2008 Korean Longitudinal Survey of Women and Families, this study investigated the income class differences in the modes, amount of time, and expenses for caring and educating a child in early childhood. The sample consisted of 1,849 households with a child aged 6 years or less. The major findings were as follows. First, the lower-income class was more likely to rely on child care centers and less likely to use services provided by kindergarten or private education. Their total amount of time required to provide care and education for their child was about 4 or 5 hours less than that of the other income classes; this result was due to the fact that they consumed less hours for home care, kindergarten, and private education. Second, we found there were more similarities than differences between middle-income and upper-income classes in the modes, amount of time, and expenses to care for and educate their young children; however, the middle-income class used less private education than the upper-income classes in terms of usage rate and length of time. Lastly, the other variables which were significantly related with the amount of time and expenses for child care and education included mother's employment, age of the child, and having siblings, and the family size. Based on the results, implications for public policy on early childhood care and education were suggested.

Analysis of Time Use of Mother and Father in Single-Parent Family (한부모가족 부 .모의 생활시간 분석)

  • 조영희
    • Journal of Families and Better Life
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    • v.22 no.1
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    • pp.139-151
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    • 2004
  • The purposes of this study were to examine the time use on weekdays and weekends by the time amount of each activities and compare time amounts of single parent with that of two parents family. So two methods were applied, one was secondary data analysis ,the other was deep-interview. The major findings of analysis of time use were as follows; 1) Mothers in single parent family used significantly less time amount of household labor and family care than them in two parent family 2) Fathers in single parent family used significantly more time amount of household labor but used significantly less time amounts of family care than them in two parent family And 3) Mothers in single parent family used significantly more time amounts of household labor and family care than fathers in single parent family. The results of deep-interview were as follows; roughly the amounts of household labor time, family care time, leisure time were of little quantity and absence of spouse, family size, family life cycle stage, economic condition, sex role identity, psychological factor maybe seemed important.

Hospital-based home care reinbursement and service use for the elderly (노인의 의료기관 가정간호 급여청구 및 서비스 이용 현황)

  • Chin, Young-ran
    • 한국노년학
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    • v.29 no.2
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    • pp.645-656
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    • 2009
  • The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

A Study on the Composite Attribute of Elementary School and Elderly Welfare Facilities (초등학교와 재가노인복지시설의 복합화 특성에 관한 연구)

  • Jung, Young-Soo;Lee, Jong-Kuk
    • Journal of the Korean housing association
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    • v.24 no.3
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    • pp.65-72
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    • 2013
  • The old couple household is also growing up with the growth of the aged so this is problem that needs to consider the home welfare service aspect. Otherwise, by the decrease of the number of the child and facilities' space availability, the government searching for proper usage of that kind of space in terms of financial and administration. So this study have combining of elementary school and home care for the aged facility especially for the increase of home care for the aged service facilities and improvement of using elementary school's space. That will increase the elderly cares and have need the homewelfare-service in the future, we select study elderly welfare facilities. We use analysis that analyze the trend of an elderly and social changes and conclude for the complexation of elderly welfare facilities, compound form of an elementary school, traffic line, space organization and interaction space organization.

Dietary Supplement use among Elderly Women with Self-perceived Musculoskeletal Problems (지각된 근골격계 문제를 가진 여성노인의 건강기능식품 이용행태)

  • Kim, In Kyung;Ko, Young Ji
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.20 no.1
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    • pp.24-32
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    • 2013
  • Purpose: This study aimed to clarify the characteristics of musculoskeletal problems in elderly Korean women and their actual and current use of dietary supplements by conducting a descriptive survey. Methods: The 1-month study began on April 3, 2012. A total of 150 elderly women from City D responded to the survey questionnaire used in this study. Results: Among the respondents, 55.3% used dietary supplements, although they had not consulted a physician for a definitive diagnosis of their condition but reported a self-perceived musculoskeletal problem instead. In addition, they engaged in healthy behaviors such as exercising and dietary supplement intake, without receiving any medical treatment. Compared with the nonusers, the dietary supplement users self-perceived a relatively more serious musculoskeletal problem (t =4.566, p<.001). Among the most commonly used supplements, multivitamins ranked first, followed by glucosamine and omega-3. Conclusion: Nurses should thoroughly monitor and maintain a positive attitude toward their patients' use of dietary supplements in order to appropriately educate them about the proper use of supplements.

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Effects of Abstinence Self-efficacy and Social Support on Relapse Risk in Community-dwelling Adults with Alcohol Use Disorder (지역사회에 있는 알코올 사용 장애자의 금주 자기효능감, 사회적 지지가 재발 위험성에 미치는 영향)

  • Kim, Mi Hye;Hyun, Myung Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.2
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    • pp.194-203
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    • 2022
  • Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.