• Title/Summary/Keyword: home health management

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The Development of a Retirement Home Model with Emphasis on Clothing, Nutrition, Housing, and Psychological Dimension (노인의 의.식.주생활 및 심리적 적응을 위한 이상적 모델개발 연구 -양로원을 중심으로-)

  • 윤복자
    • Journal of the Korean Home Economics Association
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    • v.27 no.4
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    • pp.167-191
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    • 1989
  • The present study was conducted to devlop and appropriate retirement home model for the elderly in terms of clothing and textiles; nutrition, health, and foodservice; housing and environment; and psychological adaptation. Specifically, the purposes of the study were: 1) to provide basic guidelines for clothing by comparing the clothing behavior of the elderly living in the retirement home and those living in their own homes with family, 2) to provide basic guidelines for balanced diet and effective foodservice, 3) to develop an ideal life space and facilities, and 4) to assess the psychological characteristics of the elderly. Questionnaires, observation, experimental method, and survey of literature were used for the study. Clothing behavior showed that the elderly were much concerned about clothing, and they preferred comfortable as well as fashionable designs. The elderly in the retirement homes complained of a lack of quantity and variety in clothing. They preferred natural fiber rather than blended fabrics. Flame resistance, thermal insulation, and flexibility of textile fabrics were found to be prime considerations in manufacturing and selecting clothing materials for the elderly. The health status of the surveyed elderly was generally good, but some poor eating habits were observed. Dietary nutrients intakes were generally sufficient, but several nutrients intakes were insufficient. The level of equipment in the kitchens of the institutions was low. Furthermore, the employment rate of dietitians in institutional settings was extremely low. This resulted in a lack of systematic foodservice management. Residents in the institution were generally satisfied with present life space and facilities but this was mainly because of abandonment, adaptation, and past experience. Optimal allocation of residents per bedroom and an adequate design for storage, bathroom, utility room, and dining room were recommended. The comparison of psychological status of the elderly living at home was more stable than those living in an institution. The emotional state of the elderly living in the institution was characterized by loneliness; they did not have close interpersonal relationships or future plans. An appropriate model for the elderly was developed on the basis of these findings.

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Status of Polypharmacy and Inappropriate Medication Use of the Elderly in Nursing Homes (노인요양시설 노인의 다약제 복용(Polypharmacy)과 부적절한 약물사용 실태)

  • Kim, Jeong-Sun;Kang, Sook
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.237-249
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    • 2013
  • This study was done to investigate status of polypharmacy and inappropriate medications use of the elderly of in nursing homes. The subjects of this study were 270 elderly people in the nursing homes of G city and K city, In this study, the medications were classified by Anatomical Therapeutic Chemical (ATC) code, polypharmacy was defined as taking medications more than five, and inappropriate medications use were identified by Beers criteria. Data was analyzed by using descriptive statistics, t-test and one-way ANOVA. Total number of drug types in this study was the average $6.1{\pm}2.6$. The subjects with polypharmacy were 193(71.5%), and with inappropriate medications use were 138(51.1%). There was a significant difference in the polypharmacy according to the number of diseases(p<.001) and in the inappropriate medications use according to age(p=.018). Baesd on this study, polypharmacy and inappropriate medications use of elderly people were main problems that need to carefully assess for safe and correct medication usage in nursing home. Therefore, an ongoing medication monitoring system is necessary to minimize the adverse drug reactions of elderly.

Lower Urinary Tract Symptoms among Community-Dwelling Older Adults (지역사회 거주 노인의 하부요로증상 실태)

  • Song, Hyo Jeong;Park, Min Jeong;Kim, Sung Joon;Huh, Jung Sik
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.2
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    • pp.256-264
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    • 2015
  • Purpose: This study aimed to identify the prevalence of lower urinary tract symptoms (LUTS), evaluate factors affecting LUTS among community-dwelling older adults, and provide basic data for a community-based LUTS management program. Methods: A community-based cross-sectional study was conducted from April to November 2010 by using a structured questionnaire. Participants were 157 individuals recruited from 5 community senior centers. Results: The mean LUTS score of the older adults was 9.4 (International Prostate Symptom Score range 0-35). For each LUTS (range 0-5), nocturia was the highest (2.3). Of all older adults, 24.8% had experienced urinary incontinence more than once a month during the past 6 months. Urinary incontinence was found to be an important factor associated with LUTS. Conclusion: A community-based management program for both LUTS and urinary incontinence in community-dwelling older adults should be implemented.

Performance Management for Nursing Organization Using Data Envelopment Analysis: Literature Reviews and Usage Strategies (자료포락분석을 이용한 간호조직 성과관리: 문헌 분석과 활용 전략)

  • Lim, Ji Young;Ko, Gug Jin;Lee, Hyun Hee;Park, Yeon Hong;Yang, In Ja;Choi, Yun Jeong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.1
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    • pp.59-68
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    • 2015
  • Purpose: The purpose of this study was to analyze nursing research using data envelopment analysis and suggest directions for future research. Methods: We established -criteria literature search. e reviewed 45 from RISS, KISS, National assembly library and NDSL DB. Data were collected on December 17, 2013. developed analytic framework of literature reviews using Yun's study. This framework had 8 items related to approach of data envelopment analysis. Results: literature established -criteria. Average numbers of input and output variables were 2.4 and 4.2, respectively. All selected research conducted efficiency analysis, analysis, and inefficiency analysis. However only 3 research. Conclusion: he results of studysuggest that data envelopment are needed to enhance efficiencies of nursing organization as follows individual nurse's profiling to develop customized performance management plans; patient centered nursing interventions; and financial performance financial reports.

Pre-retirement Planning Programs for Male Salary Workers - Focus on Perception and Solving of Life Problems (남성 봉급생활자의 은퇴 전 생활설계프로그램 - 생활문제 인식 및 대처방안을 중심으로)

  • Hang Sung-Hee;Kim Soon-Mi;Kim Hye-Yeon
    • Journal of Families and Better Life
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    • v.24 no.3 s.81
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    • pp.95-115
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    • 2006
  • The purpose of this study was to analyze the affecting factors on male salary workers' pre-retirement plans and pre-retirement planning programs. The focus was on male workers' pre-retirement plans and programs for economy, housing, family relationship, leisure and health care in their elderly life. The major findings were as follows: First, the salary workers estimated their level of economic and health problems among their elderly life as relatively high. Second, the major factors affecting the level of planning for post-retirement were salary workers' age, job satisfaction, and reserved savings for their elderly life. Third, the major affecting factors on participation in pre-retirement planning programs were age, educational attainment, and spouse's job status. From these findings, it can be concluded that salary workers' level of pre-retirement planning and the needs of pre-retirement planning programs differed from their personal characteristics and preferences. Also, salary workers' characteristics related to job and retirement had more important effects on their pre-retirement planning than economic status.

Development of the Nursing Competency Scale for Outpatient Nurses in a Tertiary Hospital (상급종합병원 외래간호사의 간호역량 평가도구 개발)

  • Lee, Mi Kyoung;Jeong, Jeong Hee;Lee, Eun A;Oh, Kyung Hwa
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.3
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    • pp.259-270
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    • 2020
  • Purpose: This study aimed to identify nursing competencies of outpatient nurses, to develop a tool to assess the same, and to verify the validity and reliability of the tool. Method: Preliminary items of the scale were developed based on a literature review and nurses' interviews. The tool's content validity was verified by an expert panel and by conducting a pilot study. Subsequently, to verify the validity and reliability of the scale, data were collected from 233 outpatient nurses from 7 certified tertiary hospitals. Data were analyzed using exploratory factor analysis, independent t-test, and internal consistency and correlation analysis. Result: The factor analysis revealed the following 9 factors for the 48 items of the scale: organizational management, customer orientation, personality and ethics, problem solving, nursing practice, interpersonal relationships, communication, crisis management, and professionalism. The Cronbach's α coefficient of the final instrument was .97. Conclusion: The tool developed in this study exhibited adequate validity and reliability. It was effective in reflecting the changing roles of outpatient nurses. Therefore, in future, this tool is expected to help improve outpatient nurses' competencies and nursing quality.

A Causal Model Analysis of the Family Health of Baby Boomer Parents and the Marital Preparation Skill of Eco-Boomer Children - Focusing on College-Aged Students - (베이비붐 부모세대의 가족건강성과 에코 자녀세대의 결혼생활준비기술에 대한 인과모형분석 - 대학생 자녀를 중심으로 -)

  • Lee, Sung Hoon
    • Journal of Korean Home Economics Education Association
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    • v.25 no.4
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    • pp.99-111
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    • 2013
  • The purpose of the present study was to examine the causal effects of the family health of baby boomer parents as a determinant of marital preparation skills of eco-boomer children. Subjects in this study consisted of 475 students born before 1992, and whose parents were born from 1955 to 1963. The programs of SPSSWIN 18.0 and LISREL 8.51 were used for data analysis. The result of this study showed that the financial management skills of saving and consumption were the lowest of marital preparation skills of echo-boomer generation. Besides, baby boomer parents' family health perceived by their children was found to be the determinant of the marital preparation skills of eco-boomers. Particularly, the effect of family health was shown to be high on parental role skill, conflict resolution skill, and parenting preparation skill of marital preparation skills, whereas it was revealed to be relatively low on financial management skill. Findings of this study can be used in developing educational programs of marital preparation skills for eco-boomers.

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Factors Related to Long-term Hospital Length of Stay and Opinions on Discharge-related Community-based Medical and Welfare Service on Elderly Patients with Chronic Diseases in Korean Veterans Hospitals

  • Yoon, Young Mi;Park, Jin Hee;Hwang, Moon Sook
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.357-371
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    • 2022
  • Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

The Relationship between Socio-Familial Status and Health Problems among the Younger Elderly (초기노년기 건강문제의 가족사회 속성별 비교)

  • 이인수
    • Journal of Families and Better Life
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    • v.20 no.3
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    • pp.1-12
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    • 2002
  • This study was conducted to examine the relationship between socio-familial characteristics and health status in early stage of elderly life. In this study, a total of 252 Korean males and females aged 55 to 74 were interviewed to obtain information on various socio-familial characteristics such as age, gender, residence, marital status, education, religion, distance with children, household size, and living arrangements. They were also examined for self-perceived depression and diagnosed health problems. The analysis of the results show that marital status, gender, and living arrangement were major characteristics differentiating health status; widowed women living apart from their children are at lower level for most items of hea1th status such as emotional, circulatory, respiratory, digestive, and muscle and skeletal function. Based on this analysis, suggestions are made for efficient health management. First, widowed females living without children are encouraged to participate in regular health promotion programs in self-organized groups. Second, usual welfare service programs need to be segregated for each age group, so that relatively young elderly are not frustrated from being treated together with extremely frail older elderly. Third, low education group living in rural area are offered preventive medical services for muscular and skeletal related health problems.

The Influence of Job Stress of Care Workers on Customer Orientation -The Moderation Effect of Self-Perceived Health Level- (요양보호사의 직무스트레스가 고객지향성에 미치는 영향 - 본인인지건강수준의 조절효과)

  • Lee, Gyu-Hee;Cho, Kyoung-Won
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.173-184
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    • 2016
  • Objectives : This research analyzed the general characteristics of care workers and verified the correlation among self-perceived health, job stress and customer orientation. Methods : We conducted a survey from May 1st, to May 31st, 2015 of 260 care workers who are affiliated with elderly care facilities or home care facilities in Busan, Korea. Results : The more the workers were stressed about their organizational culture, the more they recognized psychological difficulties. However, there was no correlation between organizational culture and their tendency to be oriented toward customers. It was verified that the recognized psychological health has a positive regulation effect between customer orientation and job stress such as job skill requirement(p<0.01), job autonomy(p<0.01), and organizational culture(p<0.01). Conclusions : Because both suppliers and recipients of care services are aging, it is necessary for elderly care facilities to make a greater effort to minimize the physical and psychological losses of recipients.