• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.031초

우리나라에서의 간호연구 우선순위 (Priorities of Nursing Research Areas in Korea)

  • 오의금;김조자;유지수;고일선;김미자
    • 대한간호학회지
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    • 제32권6호
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    • pp.803-811
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    • 2002
  • This study was to identify priority areas of nursing research in Korea. Method: A data analysis was done for the PhD subjects (n=133) who responded at the national level two-rounds delphi survey. Subjects were asked to assign a score from 1 to 7 for 29 nursing research areas regarding 3 aspects: the degree of nurses research leadership; the degree of contribution to nursing professions; and the degree of contribution to health and welfare of patients/clients. Result: For the overall three aspects, research area on clinical nursing practice was identified as the first priority, followed by nursing education, home health nursing, nursing research, and chronic disease. For nursing research leadership, research area on clinical nursing practice, nursing education, home health nursing, nursing research, and nursing diagnosis were identified. Concerning contribution to the nursing profession, the first priority was nursing education, followed by clinical nursing practice, nursing research, nursing policy, and home health nursing. Concerning contribution to the health/welfare of patients, clinical nursing practice, home health care, geriatric nursing, chronic disease, and symptom management were ranked as top 5 research priorities. Conclusion: The findings of this national survey will assist in building insights into the research needs of nurses practicing in Korea.

노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동 (Knowledge and Prevention Activity of Osteoporosis among Care Providers in Nursing Home)

  • 심하은;박미화;박명숙
    • 융합정보논문지
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    • 제9권12호
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    • pp.71-80
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    • 2019
  • 본 연구는 노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동을 파악하기 위한 서술적 조사연구이다. 연구대상자는 S시와 Y시의 노인요양시설 4곳에서 근무 중인 간호제공자 142명이며 자료 수집기간은 2019년 7월 1일부터 7월 20일까지이다. 연구 자료는 SPSS 24.0 Version을 이용하였으며 t-test, ANOVA, Pearson's correlation coefficient를 실시하였다. 연구결과, 간호제공자의 골다공증 관련 지식은 중간수준으로 간호제공자의 학력, 골다공증 관리 교육 경험, 입소자 수, 노인 뼈 건강 중요도 인식에 따라 차이를 보였으며, 골다공증의 예방활동은 골다공증 관리 교육 경험, 노인 뼈 건강 중요도 인식에 따라 차이를 보였다. 연구대상자의 골다공증 관련 지식과 골다공증 예방활동은 정적 상관이 있었다. 따라서 노인 요양시설 간호제공자의 노인 골다공증 관리와 노인 뼈 건강 중요도 인식을 향상시키기 위한 교육 프로그램의 개발과 그에 따른 교육이 필요하며, 향후 교육의 효과를 확인하는 추가연구가 필요하다.

가정 호스피스 대상자와 일반 가정간호 대상자에게 제공된 간호중재 비교 (A Comparison between Home Care Nursing Interventions for Hospice and General Patients)

  • 용진선;노유자;한성숙;김명자
    • 대한간호학회지
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    • 제31권5호
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    • pp.897-911
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    • 2001
  • The purpose of the study was to compare home care nursing intervention activities analyzed by the Nursing Intervention Classification (NIC) system for hospice and general patients. Method: For the descriptive survey study, data was collected by reviewing charts of 151 hospice patients and 421 general patients who registered in the department of home health care nursing at K Hospital. Results: According to the NIC system application, there were 2380 total nursing interventions used for the hospice patients and 8725 for the general home care patients. For both sets of patients (hospice vs. general), the most frequently used nursing intervention in level 1 was the Physiological: Complex domain (40.13 vs. 31.06 percent), followed by the Safety domain; in level 2, the Risk Management class (28.4 vs. 27.70 percent), followed by Tissue Perfusion Management; and in level 3, Vital Sign Monitoring (6.18 vs. 4.84 percent), followed by Health Screening. Conclusion: The study showed that there was a lack of specialized hospice nursing interventions such as emotional, family and spiritual support, and care for dying hospice patients.

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건강가정 및 건강가정실천방안에 대한 인식연구 (A Study of the Awareness of Healthy Families and Practical Plans to Promote Health)

  • 김혜연;서종선
    • 가족자원경영과 정책
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    • 제11권3호
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    • pp.81-105
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    • 2007
  • This research aimed to understand the awareness of married couples who have children over the age of elementary school age. What do they perceive as a wholesome and healthy family? What are they doing to promote the wholesomeness of the family? What are their demands of society and the government? Twenty-five people, 13 husbands and 12 wives, comprised the total number of subjects. The data were analyzed after in-depth interviews. The results of the research were as follows. First, all the subjects had no clear idea about the basic laws of a wholesome and healthy family although they were in the class belonging to the educational sector. Their awareness of what constituted a wholesome and healthy family included such things as physical, mental, ethical, and even spiritual health. Second, the married couples mostly answered that they were trying their best to promote the health of their families. This was basically related to the promotion of physical and mental health.

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간호대학생의 건강증진행위와 정신적 웰빙 (Health Promotion Behavior and Mental Well-Being in Nursing Students)

  • 이경민;안은선;전원희
    • 가정간호학회지
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    • 제25권3호
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    • pp.164-172
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    • 2018
  • Purpose: The purpose of this study was to investigate levels of health promotion behavior and mental well-being and to analyze the factors affecting mental well-being in nursing students. Methods: A total of 164 nursing students participated in the study. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS 25.0 software. Results: The mean scores for health promotion behavior and mental well-being were found to be above and below average, respectively. There were significant mean differences in health promotion behavior and mental well-being according to satisfaction with major and perceived physical health status. Health promotion behavior positively correlated with mental well-being. The significant predictors of mental well-being included self-actualization, stress management, and exercise of health promotion behavior. The regression model explained 49.1% of mental well-being. Conclusion: Improving self-actualization capability and stress management skills and developing a habit of regular exercise will increase mental well-being among nursing students.

안드로이드 기반 비만 관리 애플리케이션 개발 - BMI 및 운동량 산출을 중심으로 - (Development of Obesity Management Application Based on Android -Focused on BMI and Calculate Momentum-)

  • 현동림;송경철;김은길;김종훈
    • 수산해양교육연구
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    • 제23권4호
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    • pp.568-581
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    • 2011
  • This thesis is the study about application development for management obesity and personal health matters systematically based on Android smart phone system. Growing obesity problem for students organized by the lack of a device or program to manage at home has been favored as a serious problem. Currently developed smart phones has come into wide use by portable features and many applications. And to support populations of these features smart phones will be available for obesity management in your home without any equipment using. Accordingly, this paper is the study about application development for management obesity for growing students at home based on the latest smart phone platform Android.

가정간호실무에 적용가능한 이론적틀 (Appling Nursing Theory to Clinical Practice of Home Health Care)

  • 우선혜
    • 가정간호학회지
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    • 제11권1호
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    • pp.5-13
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    • 2004
  • The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

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일부 농촌지역 맞춤형 방문건강관리 대상 취약계층 노인들의 건강 관련 삶의 질 (EQ-5D) 수준 및 관련요인 (Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas)

  • 김종임
    • 지역사회간호학회지
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    • 제24권1호
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    • pp.99-109
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    • 2013
  • Purpose: The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Methods: The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county. Results: Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support. Conclusion: To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.

역량강화 건강관리 프로그램이 도시독거노인의 자아존중감과 삶의 질에 미치는 효과 (The Effect of an Empowerment Health Management Program on Self-esteem and the Quality of Life for the Urban Elderly)

  • 박경민
    • 지역사회간호학회지
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    • 제19권2호
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    • pp.226-233
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    • 2008
  • Objectives: The purpose was to test the effect of an empowerment health management program on self-esteem and the quality of life for the elderly who live in cities. Methods: Forty-three elders were randomly assigned to either the experimental group that received the intervention to participate in one year's empowerment practice (one home visiting per week and phone counselling) (n=21) or to the control group that got home visiting only (n=22). The data was analyzed using ANCOVA. Results: There was no significant difference in the self-esteem score between the two groups after the intervention. But the quality of life score of the experimental group was significantly different from that of the control group after the intervention. Conclusions: The health management intervention using empowerment for the elderly living alone with chronic diseases in urban areas had positive effects on the quality of life. Therefore this intervention can be broadly applied to other elders living alone with chronic diseases in urban areas.

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한국과 독일 방문요양의 등급별 급여 비교 연구 (A Comparative Study on the Care Services According to Care Levels in the Korean and German Home Care System)

  • 박종덕
    • 가정간호학회지
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    • 제23권2호
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    • pp.243-252
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    • 2016
  • Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.