• Title/Summary/Keyword: home health management

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A Study on the Relation of the Later Personality Adjustment Types and the Aged Perception of the Conflict with their Married Children -Focus on the Relationships with their Eldest Sons and Wives- (노후 성격적응성향과 노인이 지각하는 기혼자녀와의 갈등관계연구 -장남부부와의 관계를 중심으로-)

  • 유영주
    • Journal of Families and Better Life
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    • v.15 no.2
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    • pp.155-172
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    • 1997
  • The purpose of this study is to examine the relation between the later personality adjustment types and the elderly percepted conflict with their married children. The subjects for this study are the aged over 60 years in Seoul both having the eldest sons' couples and perceiving their own economics level as the middle-upper. The results based on this are as followed: 1) The Active Integrated Coper is appeared in the higher educational level group in the better health condition in the 11-30 thousand won of personal expense in the professional and management occupation and in the more vigorous for social activity. The Failing Overcoper the Dependent Passive Coper and the Self-negating Undercoper is appeared in th female elder group in the later group of the older age in the lower educational level in the worse health condition in the group without spouse in one without income in the below 10 thousand won in the less preparation for the later life. 2) The problems of emotion and iew of values bring about the conflicts between them and theirs rather than the financial problem. when they are in the worse health condition in the group without religion in the group not cohabiting their eldest sons' couples and in the group not well-prepared for their later life as the socio-demographic variables the old recognized the seriousness of the conflict with their eldest sons' couples. 3) The lower the Active Integrated Coper is and the higher the Failing Overcoper is the more intense the conflict between them and their eldest sons' couples is. 4) The t-test to examine the difference in the old's conflict with their eldest sons' couples among the later groups shows that it is in the less the Active Integrated Coper and in the more the Failing Overcoper that the conflict is more surfaced. 5) The educational level the level of the later life preparation the contact frequency with their daughter the level of their social activity as the socio-demographic variables and the Failing Overcoper as the later personality adjustment type answer for 22 percentage of the conflict.

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The Correlation between Cognition, Depression and Leisure Activity of Elderly People (65세 이상 노인의 인지기능, 우울 및 여가활동 간의 관련성)

  • Lee, Jin-Wook;Lim, Gang-Hyun;Kim, Ha-Rin;Bang, You-Kyung;Lee, Ji-Young;Cho, Mi-Lim;Kim, Deok-Ju;Yang, Yeong-Ae
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.65-73
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    • 2014
  • The purpose of this study is to analyze the correlation between cognition, depression and leisure activity in elderly people above 65 years of age, and to improve their health and quality of life by providing baseline data for occupational therapy intervention. This investigation was performed on 118 elderly people above 65 years of age who lived in local community and two senior welfare centers. In order to collect the data, we used MMSE-K, KDS, Questionnaire for leisure activity. The depression of elderly people was negatively correlated with their cognition(p<.01) and leisure activity(p<.001), whereas cognition was positively correlated with their leisure activity(p<.01). In conclusion, the correlation between cognition, depression and leisure activity of elderly people appeared statistically significant. Therefore, leisure activity program should be designed through additional research and effectively provided in nursing home and community senior welfare center to prevent depression increase and cognitive decline.

The U.S. Experience of the DRG Payment System and Suggestions to Korea (DRG 지불제도에 대한 미국의 경험과 우리 나라에의 시사점)

  • Park, Eun-Cheol;Lee, Sun-Hee;Lee, Sang-Gyu
    • Korea Journal of Hospital Management
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    • v.7 no.1
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    • pp.105-120
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    • 2002
  • In the United States, the prospective payment system(PPS), under which diagnosis related groups (DRGs) are used to reimburse hospitals for the care of Medicare patients since 1983, Study results showed that the PPS is having a major impact on the quantity of services especially of hospital length of stay. The PPS has increased the likelihood that a patient will be discharged home in an unstable condition and the use of nursing homes or long term care facilities increased. Still, it is insufficient to conclude that the PPS has decreased the Medicare total expenditure, but relatively sufficient to conclude that the quality of care hasn't changed. The maintenance of the quality resulted from the systemic "check-and-balance" composed of three factors; (1) The doctors are reimbursed based on the fee-for-service system, (2) hospitals contact with doctors under the attending system, and (3) there are some public hospitals. In Korea, the reimbursement for hospitals and doctors are not divided, the hospitals have doctors as employees, and 90% of hospitals are private. These differences may weaken the "check-and-balance" existing in the U.S. system. And there are few long term care facilities and the diagnostic coding system using in pilot test are not suitable for Korean situation. In conclusion, for successful implementation of the DRG payment system in Korea, the government should establish the "check-and-balance" system in the health sector to make sure the quality of care before the implementation.

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Survey on community occupational therapy awareness in occupational therapy majors (작업치료 전공자의 지역사회 작업치료 인식도 조사)

  • Lee, Sun-myung
    • Journal of Korean Clinical Health Science
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    • v.12 no.1
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    • pp.1668-1677
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    • 2024
  • Objective: This study investigated the awareness of occupational therapy in the community in occupational therapy majors through a survey. This purpose is to investigate the awareness of occupational therapy in the community among occupational therapy majors and establish a theoretical foundation. Methods: The research subjects were surveyed among occupational therapy majors at M University living in Gyeongsangnam-do, and analyzed 141 questionnaires from September 2023 to December 2023. Results: The results of this study that education and awareness improvement are needed to increase awareness of occupational therapy in the community, and it was found that continuing education and case sharing are effective. Activation of home rehabilitation and continuous health management. This institutional development can induce employment activity through community rehabilitation, and activate programs in connection with adult day care centers. For the development of community occupational therapy, participation in education and development of customized treatment are necessary, and patient It should be developed to help with movement and movement, and it has been shown that it can also affect the quality of life of patients. In addition, cutting-edge technologies such as artificial intelligence are expected to be applied to remote support, telemedicine, etc., and are applied to dementia, cognitive patients, and central nervous system patients. In order to institutionalize occupational therapy in the community, it is helpful in daily life, nursing, and management. It was said that this would be helpful for community participation. Conclusion: This study investigated the awareness of occupational therapy in the community among occupational therapy majors. Education and awareness improvement are needed to increase awareness of occupational therapy in the community. Education to improve the professionalism of occupational therapists, strengthening connectivity with other majors, and local organizations. It is believed that collaboration with the local community and institutional supplementation tailored to the needs of the local community were necessary.

Analyzing the Operational Differences of Foodservice Center for Homebound elderly by the Presence of the Dietitian (영양사 유무에 따른 재가노인 급식서비스 제공기관의 실태 분석)

  • Jeong, Hyeon-Yeong;Yang, Il-Seon;Chae, In-Suk;Lee, Hae-Yeong
    • Journal of the Korean Dietetic Association
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    • v.10 no.2
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    • pp.197-204
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    • 2004
  • The purposes of this study was to analyze the operational difference of foodservice center for homebound elderly by the presence of the dietitian. The questionnaire was developed to measure all variables for menu management and distributed to 103 meal service centers in charge of congregate meal service program and 57 centers for home-delivered meal service program. The data of 160 centers in charge of congregate meal service and home-delivered service centers were usable for analysis. Statistical data analysis was completed using the SAS 8.1 package program for descriptive analysis and chi-square test. Only 21.9% meal service centers had dietitians, what is more, they were not professionals who did menu management but foodservice managers, volunteers, cook or social workers. The current foodservice programs for the homebound elderly were operated without professional. In the part of menu managemet, dietitians were more actively involved in menu planning in the elderly foodservice center in the presence of the dietitians. The performance level of healthcare service was not significantly different, but the nutrition education in the elderly foodservice center with the dietitians was more frequently performed than that without the dietitians(p<0.05). In the food purchasing and food production management, the significant differences were shown that in the elderly foodservice centers in the presence of the dietitians, the proportion of the contract purchasing was significantly higher than that of direct purchasing(p<0.01). In food sanitary management, the significant differences were not shown in the part of management of keeping meal for identifying the cause of food-borne illness and left-over, but the sanitation education for the foodservice employees was performed more frequently by the presence of the dietitians(p<0.01). In conclusion, the foodservice management was more systematically conducted in the elderly foodservice centers in the presence of the dietitians than that without dietitians. The elderly foodservice program has offered the health-related support for homebound elderly. Although there were several problems in elderly foodservice management, the program delivered well-targeted, effective, and efficient nutrition services and wide range of supportive service to the at-risk older population. It needs to be managed by professional for the improvement in the elderly foodservice.

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An Analysis of the Characteristics of Accredited Childcare Centers in Chungbuk Province (충청북도 어린이집의 평가인증에 영향을 미치는 특성 분석)

  • Yoo, Jaeeon
    • Journal of Families and Better Life
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    • v.32 no.5
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    • pp.15-30
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    • 2014
  • This study aims to analyze what factors are associated with child care accreditation in Chungbuk province. This study examined three questions about which factors influence the accreditation of childcare centers: 1) if they passed the accreditation criteria, 2) the total score on the accreditation criteria, and 3) the domain scores for the six domains of environment, management, process, interaction and teaching, health and nutrition, and safety. The characteristics of 1,212 childcare centers, the independent variables, were commit management, type, specialized service, maximum capacity of children, registration ratio, target age groups of children, duration, and city size. The formal expert committee evaluated objective scores for 952 childcare centers. I derived the data for this study from the i-sarang Childcare Information Portal site (http://info.childcare. go.kr/). Frequency, descriptive statistics, binary logit model, and OLS model analysis were used to examine the accreditation and scores by factors of childcare centers. The findings of the present study are as follows. First, about 80% of the 1,212 childcare centers in Chungbuk province were accredited. Second, the accreditation of the child care center was affected by the specialized service, registration ratio, and duration. Finally, the total score of accredited childcare centers was associated with the maximum capacity of children, registration ratio, and duration. The factors of childcare centers influencing sub-area scores were different by environment, interaction and teaching, health and nutrition, and safety. The present study is important because it offers preliminary data identifying accreditation characteristics that can judge problems related to the quality of service of childcare centers and suggest childcare policy implications.

Effects of an Integrated Stress Management Program(ISMP) for the Elders in a Rural Community (농촌 재가노인을 위한 통합적 스트레스관리 프로그램 적용효과)

  • Kim, Joo-Hyun;Park, Mi-Jeong;Kim, Hyun-Sook;Oh, Jin-Joo;Han, Kyu-Ryang;Yu, Su-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.257-268
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    • 2006
  • Purpose: This study was done to develop and evaluate the Integrated Stress Management Program (ISMP) for elders in rural communities. Method: ISMP consists of 6 educational programs to improve self-management behavior and therapeutic recreational activities and was developed by analyzing the published reports and through multidisciplinary cooperation. Effectiveness of the ISMP was evaluated by implementing the program with 53 rural elders living at home, one session a week of, 2 hours per session over, 6 weeks from March 14 to April. 22, 2005. Results: After participating in the program, participants' perceived levels of stress decreased(t=2.940, p<.05), and mood state (t=4.229, p<.001), life satisfaction(t=-4.911, p<.001), and perceived social support (t=-2.891, p<.05) increased significantly. Conclusion: The results of this study demonstrated that the ISMP is an effective program for relieving stress level, and increasing positive mood, life satisfaction, and social support for elders in a rural community.

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Adolescent Health Promotion and Development of School Health Education (청소년기의 건강증진과 학교보건교육의 발전방향)

  • Yoo, Jae-Soon
    • Journal of the Korean Society of School Health
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    • v.11 no.1
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    • pp.27-50
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    • 1998
  • Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make It better, in terms of man-power development and life-health promotion for nation development The purposes of this study are as follows First, to look into a variety of adolescent health problems Second, to find out the situation and problems of current adolescent health promotion and school health education Third, to make an effort to find, based on the current situation, various developments of adolescent health promotion and school health education in terms of practical, political and environmental change There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data The results and suggestions are as follows Teenagers have a great variey of health problems including most Important physical, mental and social developments Recently, chronic diseases, emotional problems, health-risk behaviors linked With adolescents are on increase The complicated disorders of physical, mental, social health rather than paricular aspects of health or health-behavior problems influence adolescent health problems adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would he assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health Current school health services have had lots of systemic, constitutional, administrative and educational flaws Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans Will he threatened someday We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to Improve adolescent health. CSHC is an organizational and costant process. CSHC means an Important part of overall curriculums. In addition, I could say that it's an Important school health education acivity including current school health services-health care service and school health environment. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

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The Effects of the Using Motivation Type for Mobile Phone and the Degree of Loss Perception on Mobile Phone Consumption Consciousness in Adolescent (휴대전화의 사용동기 유형과 손실지각 정도가 청소년의 휴대전화 소비의식에 미치는 영향)

  • Ku, Hyo-Jung;Jang, Yoon-Ok
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.3
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    • pp.281-305
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    • 2009
  • The purpose of this study was to investigate the effect of use motivation type for mobile phones and the degree of loss perception related to mobile phone consumption consciousness in adolescents. The subjects of this study were 503 students in middle and high school in Daegu. A questionnaire was used for the survey. Factor analysis, cluster analysis, and MANOVA were employed for the data analysis and the $Scheff\acute{e}$ test was used for post-hoc analysis. The results are as follows: First, there are significant differences in mobile phone consumption consciousness in all sub-dimension areas according to use motivation type for mobile phone. Second, adolescents with high economic loss perception for mobile phones show high consumption consciousness in sub-dimension area, and adolescents with high academic loss perception show high relation-oriented consumption consciousness. Adolescents with high physical loss perception show high health-oriented, relation-oriented, and function-oriented consumption consciousness. Adolescents with high psychological loss perception, on the other hand, show high relation-oriented consumption consciousness. Third, there are significant differences in mobile phone consumption consciousness according to use motivation type for mobile phones and the degree of overall loss perception. However, there are no significant differences in the mobile phone consumption consciousness according to use motivation type for mobile phones and the degree of overall loss perception.

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A survey of the training of student for future dietitian at various food-service institutions (단체급식실습생 훈련에 대한 조사연구)

  • 심영자
    • Journal of the Korean Home Economics Association
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    • v.32 no.1
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    • pp.199-210
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    • 1994
  • My purpose in the paper is to research on what is the most productive education method for the Students for Future Dietitian(SFD) to be applied during there field training & practice. Furthermore it is an attempt to elucidate what is the most necessary education program for the field training & practice for SFDs. Five questionnaires were given to SFDs dealing with nutrition purchase hygienic facilities and official management in order to check and evaluate the current situation and problems on the education of field training & practice for SFDs Also I chose 140 SFD's who had been working in the field for at least one week or one month in 1992 and statistical processing were utilized and analyzed by SAS package. One of the most notable problems SDFs faced with during meal planning it is the fact that they had been educated and requested for the cut of food expenditure rather than the supply of scientifically balanced-nutrition meals for working people, SFDs also faced with of information on the quantity and facilities management from the dietitian in the company. my research revealed that dietitian's teaching method for SFDs still remains in a very primitive way and accordingly the efficient way to solve these problems shall be established by a computerized education program through which dietitians can provide well-balanced meals for working people when they are assigned to the company. In this regard we must consider that we have to enact certain law to be applied to a dietitian. In another words we should emphasize actual experiences of SFDs' knowledge accumulated through the field training & practice before they work at the company. Consequently it is a time to reconsider the importance of well-balance dietitian program offering an opportunity for SFD which can contribute to improvement of health's condition for the working people.

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