• Title/Summary/Keyword: home health management

Search Result 999, Processing Time 0.025 seconds

An Evaluation of the Visiting Nursing Service Model Based on the District Management System - focused on stroke patients - (대도시지역 동단위 지역담당 방문간호소서비스 효과분석 - 뇌졸중 환자를 대상으로 -)

  • Ryu, Ho-Shin;Hwang, Rah-Il;Jin, Dal-Rae;Suk, Min-Hyun
    • Research in Community and Public Health Nursing
    • /
    • v.16 no.1
    • /
    • pp.5-12
    • /
    • 2005
  • Purpose: This study was conducted to examine the effect of visiting nursing of the visiting nursing services based on the district management system on the subjects of stroke patients. Method: A nonequivalent control group pretest-posttest design was applied to 50 stroke patients (31 from the experimental group, 19 from the control group). To evaluate the effects of visiting nursing services. health status(SF-36) and activity daily living(ADL/IADL) were measured from June 2003 to November 2004. Result: Health condition and the activities of daily living (ADL/IADL) of the subjects who received visiting nursing service were shown to be improved. Conclusion: Visiting health service model based on the district management system in public health center is considered to be an effective measure of visiting nursing services in large cities.

  • PDF

Concept Analysis of Uncertainty in Brain Tumor Patients (뇌종양 환자의 불확실성 개념분석)

  • Kim, Ji Hyun;Yang, Nam Young;Jeon, Mi Yang
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.30 no.1
    • /
    • pp.84-95
    • /
    • 2023
  • Purpose: This study aimed to clarify the concept of uncertainty in brain tumor patients. Methods: We used the Walker and Avant's concept analysis method. We searched RISS, MEDLINE, CINAHL, and EMBASE for published articles in Korean and English from January 2002 to December 2022. After applying the inclusion and exclusion criteria, 27 articles were selected for the final analysis. Result: "Uncertainty in brain tumor" was defined as a state in which related clues during the process of experiencing a disease after brain tumor diagnosis are unclear or difficult to understand, new experiences different from before, or a condition in which it is difficult to judge fragmentarily. Moreover, the empirical criteria for the attributes of uncertainty in brain tumor patients were ambiguity of the disease process, diversity of information, unpredictability of prognosis, and complexity of management. Conclusion: Brain tumor patients with uncertainty require strategic technology development so that brain tumor patients, their families, and health care providers can use reasonable coping methods.

Effects of an Empowerment Program on the Adjustment of Older Adults to Nursing Home Life (요양시설 노인의 시설적응을 위한 임파워먼트 프로그램의 효과)

  • Chang, Ae-Kyung;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
    • /
    • v.42 no.4
    • /
    • pp.559-567
    • /
    • 2012
  • Purpose: This study aimed to evaluate the effectiveness of the empowerment intervention on the levels of self-esteem, interpersonal relationships and adjustment to nursing home life of the Korean nursing home residents. Methods: Participants (n=47) whose period of stay was less than one year were purposefully selected from 3 nursing homes in Korea. The experimental group (n=21) attended 10 weekly hour-long empowerment sessions. The empowerment program comprised two components; group education and group discussion. The control group (n=26) received a two-hour education about health management. Results: Compared with the control group, the experimental group showed significantly higher mean scores of selfesteem (t=5.51, p<.001), interpersonal relationships (t=2.73, p=.009) and adjustment to nursing home life (t=2.10, p=.041). Conclusion: Findings of this study suggest that empowerment interventions may be effective in enhancing nursing home residents' self-esteem, interpersonal relationships and adjustment to nursing home life. Future research is needed to determine if such an empowerment program could be used with newly institutionalized elders to speed as well as enhance their adjustment to nursing home life.

Child Care Arrangement and The Needs of Day Care Programs of teaching Mothers with Preschool Children (교사직 취업모의 자녀위탁 실태 및 탁아 요구에 관한조사)

  • Choi, Jung-Mi;Lee, Sook
    • Journal of Families and Better Life
    • /
    • v.11 no.2
    • /
    • pp.134-146
    • /
    • 1993
  • The purpose of this study was to collect the datas about the child care arrangement and the needs of day care programs of teaching mothers with preschool children and to develop the more desirable day care programs for them. The objects were 255 teaching mothers with preschool children. The results were as follows: 1) Teaching mothers who didn't use the day care center tended to put their children in the care of the paternal or maternal grandmothers, Major contributions of those baby-sitters were to protect the children and make everyday life training (44.0%) 2) The first reason for the mothers who used the day care center was that they had no other hands for their children(43.7%) and next reason was that the concerns for their children's socialization(35.4%) 3) Teaching mothers did not want the day care service during the vacation except 20% of them. 4) Teaching mothers absolutely wanted the day care service center especially inside their jobsite(61.0%) than any other type of day care programs and also wanted supporting by the government(66.5%) About the choice criterions of the day care center nutrition health and safety were suggested as the most important factor. They also prefered the experience with other peers and the programs focusing on the emotional development of the children.

  • PDF

Application of a PERT-Type System on Work Management in Home-Delivered Meals Service Program for Elderly (가정배달 노인급식서비스 작업공정관리 모형개발을 위한 PERT-Type System의 적용)

  • 양일선;채인숙;유일근
    • Journal of Nutrition and Health
    • /
    • v.34 no.6
    • /
    • pp.701-714
    • /
    • 2001
  • The purpose of this study was to apply a PERT-type system, a combination of the project evaluation and review technique(PERT) and critical path method(CPM) on the employees' work time management of flood preparation, assembly, transportation and cleaning in home-delivered meals program for elderly The resources allotment heuristic program was developed by considering the number of employees and cooking utilities, being limited resources of home- delivered meals program. This program could assign the employees to perform the works included in flood preparation, assembly, transportation ind cleaning. Critical path and activities ware identified by PERT-type system on the basic of work time investigation in five senior centers. Work sheets were invented to perform the work by the shortest path with flexible employees'maximum flow As a result of the work time investigation, the most prevalent activities were ones of preparation in center C and E. Besides, the preparation(over fifty percent) was the most proportion among flood preparation, assembly, transportation and cleaning in center C and E. Critical path and activities of 'C'center were cucumber in sauce preparation path and assembly, wrapping in assembly path and case delivery in transportation path. Critical path and activities of 'E'center were Pan-fried Potato Preparation Path and assembly, case covering, wrapping in assembly Path. The work sheet invented by the heuristic program and PERT-type system reduced the work completion time and man hours in both centers.

  • PDF

Development of a Home-Based Multimedia Tutoring System for Postpartum Depression Management (산모의 산후우울 간호관리를 위한 멀티미디어 재택관리 시스템 개발)

  • 배정이
    • Journal of Korean Academy of Nursing
    • /
    • v.29 no.1
    • /
    • pp.9-20
    • /
    • 1999
  • Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs maternal -infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Thus this study in conducted to development of a Home-Based Multimedia Tutoring System for postpartum depression management. With this computerized system, mothers in the postpartum periods can check the level of postpartum depression using a personal computer. This system will go through each mother's data and screen those who have abnormal values. In addition this system includes intervention programs -education for nutrition, hygiene care, sleep, postpartum exercise, methods of relaxation, deep breathing, visualization, music therapy and family therapy-to relieve postpartum depression. Using this system, a mother who has a minor level of depression can manage it by herself. Computer language used in this study were html 3.2, OS used was Microsoftware NT Server 4.0, the graphic tool was Adobe Photoshop 4.0, and the Webpage tool was Notepade. The results of this study are show at internet “URL : http : //203.241.225.42/”. Finally, the author suggests that this system could be adequately applied to assessing postpartum depression and as a intervention strategy for mothers during the postpartum period. Further this study contributes to designing an appropriate postpartum depression prevention strategy.

  • PDF

Study on Building Smart Home Testbed for Collecting Daily Health Condition based on Internet of Things (사물인터넷 기반의 일상 건강정보 수집을 위한 스마트 홈 테스트베드 구축)

  • Chae, Myungsu;Kim, Yongrok;Kim, Sangsik;Kim, Sangtae;Jung, Sungkwan
    • KIISE Transactions on Computing Practices
    • /
    • v.23 no.5
    • /
    • pp.284-292
    • /
    • 2017
  • With the development of Internet of Things (IoT) technology, the combination of ICT and medical services has been increasing to improve the quality of medical services. Using the IoTs, we can collect personal health information continuously in a patient's everyday life. We expect that this will improve the quality of medical service through analysis. However, the problem of ensuring the protection of personal information within the personal health information has been hampering the research, development, and application of such services. Other problems include lack of IoT devices and lack of user convenience for collecting health information about a patient's everyday life. Therefore, in this study, we construct a daily health information management service that can collect the health related information at any time and store this data in personal storage. This data is then only provided to the healthcare worker when necessary. We built a test bed for an IoT-based smart home platform and are currently conducting user experiments. Based on the results of this study, we are attempting to provide a high quality medical trial service based on daily health information through linkage with medical device manufacturers, medical clinics, insurance companies, etc. We expect the proposed health information management service will contribute to the revitalization of smart health care services via activating various health related IoT devices and analyzing daily health information.

A Study on Intensive Major Course of Department of Nursing in College (전문대학 간호과 전공심화과정 운영방안)

  • Park, Song-Ja;Je, Mi-Soon
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.10 no.1
    • /
    • pp.64-74
    • /
    • 2004
  • This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

  • PDF

A Study on Abandoned Children through the Analysis of Medical Records in a Public Hospital (공공기관 의무기록부에서 관찰된 기아(棄兒)에 관한 고찰)

  • Chang Jung-Ja
    • Journal of Korean Public Health Nursing
    • /
    • v.12 no.1
    • /
    • pp.75-89
    • /
    • 1998
  • It is the purpose of this study to provide the basic data to stimulate the social understanding of an abandoned child from the medical viewpoint and the viewpoint of administrative management. The data are based on the medical dossier of 305 patients which were hospitalized in 'A' hospital (of Seoul municipal hospital) between 1992 and 1996. The method of analysis is SPSS statistical package and the following results can be obtained 1. The abandoned children were frequently found in the Spring by season, in April by month, on Friday by day, and especially in the night and before an individual home and an medical institution in many cases. 2. The children found in an individual home were younger, handicapped smaller, and hospitalized for shorter period. As they were healthy relatively, parents might hope that they were accepted as foundling foster children. Contrary to above case, the children found in an medical institution were worse, handicapped more, and hospitalized for longer period. Accordingly, parents might hope that they were protected in an public institution. 3. The $69.8\%$ of abandoned children had caught a disease at that time and the $53.8\%$ of them had been handicapped. The most serious disease and handicap were the heart-lung trouble and the cerebral palsy, respectively. 4. The only $60.8\%$ of them were adopted and the most of them were healthy relatively. The $10.2\%$ which have been dead had caught four diseases on the average. As the results of above, the followings can be proposed : 1) It is required that the system connected to administrative management, which can provide the abandoned children turned for the better with the family relations to voluntary servants, be developed. 2) It is required that the system of registration management and plan for support economy, which can support the handicapped birth as the congenital malformation in national aspect, be developed. 3) It is required that to protect abandoned children, the health educational program for childbirth-people be prepared in the unit of a public health center.

  • PDF

Estimation of Willingness to Pay for Long-Term Care Insurance Using the Contingent Valuation Method (조건부가치측정법을 이용한 노인장기요양보험에 대한 지불의사금액 추정)

  • Lee, Tae-Jin;Lee, Sue-Hyung
    • Health Policy and Management
    • /
    • v.16 no.1
    • /
    • pp.95-116
    • /
    • 2006
  • According to rapid increase of the population of senior citizens, there has been growing concern of Long-Tenn Care(LTC) services recently. Long-Tenn Care services, however, haven't been established systematically in Korea and the supply of LTC services is not sufficient despite the increase in the current social demand. This study aims to estimate the 'Willingness to Pay(WTP)' for LTC insurance which the government plans to introduce by means of social insurance, using Contingent Valuation Method(CYM). In addition, this study analyzes the factors affecting WTP for LTC insurance. An interview survey was carried out to derive WTP for LTC from 450 people who lived in Seoul aged 20 and above during the period from 16th to 21st of June 2003. Double-Bounded Dichotomous Choice Method was applied among several CVMs available to estimate both use value and no-use value of goods. There was pilot survey carried out prior to the main survey. The results show that the average monthly. WTP for LTC provided in home and residential setting is 18,192Won and 19,293Won, respectively. In the case of home care, WTP goes higher depending on reliability of LTC insurance policy and need for LTC insurance, as well as marital status, education and average monthly income. On the contrary, WTP is conversely affected by higher age and higher bids. In the case of institutional care, the factors affecting WTP are similar to those of home care, except age. This study followed NOAA's suggestions generally and the value derived through survey could be reliable. However, there can be the least bias in the process of survey because the CVM should be used under the supposed circumstances. Despite those limitations, it can be concluded that the amount the citizens are willing to pay for LTC is high enough to meet the costs needed to provide LTC.