• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.029초

일부(一部) 농촌지역(農村地域) 여고생(女高生)의 영양실태(營養實態)및 혈액상(血液像)에 관(關)한 연구(硏究) (A Survey of Nutrition and Blood Pictures of Senior High School Girls in a Korean Rural Area)

  • 김정미;정국례
    • Journal of Nutrition and Health
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    • 제18권1호
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    • pp.5-13
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    • 1985
  • The purpose of this study was to provide the proper nutritional management, and help to improve the health of girl students in a rural area. The nutritional survey, and blood sampling was conducted for five days, from April 26 to 30, 1983. The subjects of this survey were 110 students of girl's high school in Cheongyang area. The results were summerized as follows; 1) The daily food intake was 842.3g and that of animal foods was 34.4g. The average intake of calorie, protein, Ca, Fe, thiamin, riboflavin and niacin except Vit. A and Vit. C was below the RDA. Total calorie intake was l,802kcal. The ratio of carbohydrate, protein and fat was 81:11:8. 2) The extent of malnutrition was explained in terms of the amount of calorie, protein, Ca, Fe, and Vit. C. The predicted percentage of deficiency was 47.3% in calorie, 46.4% in protein, 61.8% in Ca, 48.2% in Fe, and 15.5% in Vit C of total subjects. 3) The mean values of Hgb, Hct and MCHC were 13.15g/dl, 39.57% and 33.2%, thus, the anemic prevalences were 10.9%, 2% and 78.2% respectively. The mean values of SI.TIBCand TS were $109.86{\mu}g$/61, $317.11{\mu}g/dl$ and 34.59%. 4) The correlation between the economic levels and nutrients intake was significant. Correlation between weight and nutrients intake was also significant but nutrients intake was not significantly correlated to blood contents.

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초등학생의 비만도에 따른 체중 조절과 건강 관련 생활, 식습관 (Body Weight Control, Attitudes, Lifestyle and Dietary Habits in Elementary School Students According to the Obesity Index)

  • 박윤희;박은숙
    • 동아시아식생활학회지
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    • 제20권1호
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    • pp.175-186
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    • 2010
  • This study was conducted to investigate the body weight control, attitudes, lifestyles and dietary habits according to the obesity index of elementary school students. This study utilized questionnaires and body composition measurements collected with a bio- electrical impedance analyzer(Inbody 4.0). Specifically, differences between the underweight group, normal group, and overweight group were tested by a $x^2$-test or ANOVA and Duncan's multiple range test. The subjects consisted of 571 elementary school students residing in Chonbuk Province. The average age, height, weight, and BMI of the male subjects was 11.5 years, 150.0 cm, 45.2 kg and $20.0\;kg/m^2$, respectively. The average age, height, weight, and BMI of the female subjects was 11.5 years, 152.2 cm, 46.1 kg and $19.8\;kg/m^2$, respectively. Twenty percent of the subjects were in the underweight group, 52.2% were in the normal weight group, and 27.8% were in the overweight group according to the Korean Pediatrics Society standards. A total of 50.2% of the subjects were dissatisfied with their body weight, while 36.8% of underweight, 42.3% of normal weight, and 81.1% of overweight subjects were dissatisfied with their weight. Fifty two percent of the subjects had attempted to reduce their body weight, including 50% of the normal weight group. The main reason for wanting to reduce body weight was to maintain health. The percentage of subjects who had received body weight control education was 41.3%, but 77.6% of the subjects thought it was necessary. Poor time management, lack of physical activity, portion size of meals, unbalanced diet, frequent consumption of convenience foods, and frequent snacking all affected the obesity index. Overall, the results of this study indicate that it is necessary to develop weight control programs for all elementary school students who are underweight, normal weight, and overweight.

홈헬스 환경에서 생체정보전송의 안전성을 고려한 랜덤유효세션기반의 상호인증 프로토콜 (Mutual Authentication Protocol based on the Random Divided Session for the Security of Medical Information in Home-Health)

  • 임헌철;박태현;권구인
    • 한국컴퓨터정보학회논문지
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    • 제17권10호
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    • pp.79-88
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    • 2012
  • 본 연구에서는 센서와 게이트웨이간의 응용레벨 전송 세션을 세분화하고 각 세션을 주기적으로 갱신하는 기법을 적용하여 모델화하였다. 또한 이 모델에서의 인증을 위한 전송오버헤드를 최소화하기 위해 생체정보의 측정주기에 따른 동적인 유효 세션기법을 적용하였고 비인가 게이트웨이가 유효세션 시간을 예측하지 못하도록 유효세션 시간을 랜덤화 하였다. 이 모델은 비인가 센서기기의 무결성 침해와 기밀성 침해를 차단하는 효과가 있다. 본 모델의 평가를 위해 TinyOS 2.1 환경에서 구현하여 실험하였다. 따라서 전송할 생체정보가 서로 다른 측정주기를 갖는 것을 통해 효율성을 제공하도록 하였다. 결과적으로 제안한 기법을 3가지 실험을 통해 유효성을 확인하였다.

간호대학생의 직업기초능력이 학과적응, 진로정체감과 진로탐색능력에 미치는 영향 (The Effects of Core Competencies on Adaptation of the Major, Career Identity and Career Search Ability in Nursing Students)

  • 윤영미;성경숙;김은주
    • 가정간호학회지
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    • 제22권1호
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    • pp.98-108
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    • 2015
  • Purpose: This study was designed to explore the effects of core competencies on adaptation of the major, career identity and career search ability in nursing students. Methods: A correlational research design was used with the convenient sample of 360 nursing students. After explaining the purpose of this study to the participants, those who signed the consent form were provided with a self-descriptive questionnaire. Results: The highest average score of leadership of core competencies was 5.5 on 7 point-scale. The lowest average score of problem-solving ability was 4.4. There were significant correlations between adaptation of the major, career identity, and career search ability and core competencies, with the exceptions of nursing students. Adaptation of the major could be explained 25% by the instrument application ability, leadership, organizational structure, teamwork and career development. Career identity could be explained 13% by leadership, responsibility, teamwork, and career development. Career search ability could be explained 12% by responsibility, conflict management, teamwork, communication ability and career development. Conclusion: Based on the results, core competencies showed statistically significant effects on adaptation of the major, career identity and career search ability in nursing students. Thus, it is necessary to develop an educational curriculum to improve core competencies, career identify and career search ability.

시뮬레이션 교육이 간호대학생의 교육실재감, 시스템사고능력 및 문제해결 적극성에 미치는 효과 (The Effects of Simulation-based Education on Nursing Students' Presence in Education, Systems Thinking and Proactivity in Problem Solving)

  • 조옥희;황경혜
    • 가정간호학회지
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    • 제23권2호
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    • pp.147-154
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    • 2016
  • Purpose: This study aimed to develop and apply simulation-based education, and to verify the effects of this type of education on nursing students' presence in education, systems thinking, and proactivity in problem solving. Method: Subjects were 69 senior college students recruited through convenient sampling. This study used a one-group pre-posttest quasi-experimental design. A structured survey was administered a week before and after provision of the simulation-based education once a week for 4 weeks. Data were analyzed using descriptive statistics and t-tests. Results: Teaching presence increased after the educational intervention; instructional design and organization, and aspect of direct facilitation subscales improved. Learning presence increased after the educational intervention; although cognitive presence did not change, emotional presence increased. With regard to emotional presence, perception and expression of one's emotional status increased, although emotional management did not change. Moreover, systems thinking increased. Among the subscales, team learning showed an increase after the educational intervention. However, there was no significant difference in proactivity in problem solving, although it showed an increase after the educational intervention. Conclusion: Based on the aforementioned study results, there is need to establish educational environments for qualitative teaching and learning presence, and devise strategies to increase learning effects with various teaching methods and type of content.

일차의료기관 혈액투석실 간호사의 간호근무환경, 환자안전문화 및 환자안전간호활동의 관계 (Relationship between Nursing Work Environment, Patient Safety Culture, and Patient Safety Nursing Activities in Hemodialysis Clinics of Primary Care Centers)

  • 홍인숙;배상현;조옥희
    • 가정간호학회지
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    • 제27권3호
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    • pp.250-258
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    • 2020
  • Purpose: This study aimed to investigate the relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis units at primary care centers. Methods: In this cross-sectional descriptive study, 116 nurses working in hemodialysis units at 22 primary care centers were enrolled as participants. They were selected them by the convenience sampling method. Data were collected using structured questionnaires that included questions on general characteristics, nursing work environment, patient safety culture, and patient safety nursing activities. Results: The nursing work environment was relatively good; however, the patient safety culture and patient safety nursing activities were poor. A positive correlation was found between nursing work environment, patient safety culture, and patient safety nursing activities. Factors that affect patient safety culture were rated high in the order of nursing work environment and patient safety nursing activities, and factors affecting patient safety nursing activities were rated high in the order of patient safety culture and age. Conclusion: This study showed that the development of tailored patient safety training for nurses in hemodialysis units working in primary care and administrative support from those institutions are needed. In particular, strategies accounting for nurses' characteristics such as age are required to strengthen patient safety nursing activities.

ADL에 의한 도움필요 노인의 건강과 식생활관리 -경기지역 농촌노인을 중심으로- (The Health and Dietary management of Impaired elderly by ADL in Gyeonggi, Korea)

  • 이승교;최미용;원향례
    • 한국지역사회생활과학회지
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    • 제17권3호
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    • pp.159-174
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    • 2006
  • The purpose of this study is to provide information searching for health promotion, nutrition improvement, and health care of the impaired elderly by ADL(Activity of Daily Living) and IADL(Instrumental Activity of Daily Living). The subjects were divided into the Assistant Needed Group and No Assistant Needed Group for living in line with the responses of ADL(10 items like dressing, washing, move etc.) and IADL(10 items like housekeeping, using transportation, shopping, Phone call etc.). Survey was made for health behavior, health risk habit, dietary management status and diet intake by 24 hr-recall and questionnaire method. 242 subjects were collected in 12 cities or Gun districts in Gyeonggi Province, S. Korea. Survey was carried out by regional home extension workers using interview method. Statistical analyses were made using SAS (Version 8.1). Chi-Square Tests and General Linear Models. The subjects of impaired ADL elderly was 26.5% and it composed 30% of the total male and 22.2% of the total female. The demographic status of the impaired ADL elderly showed no difference from that of the normal elders, elementary school educated (73.4%), with spouse (43.8%) or with adult children(37.5%), using monthly living cost of 500-1,000 thousand won(35.9%). Mean age was 74.05 years compared to 72.25 years of normal elders. However, there was no significant difference from the normal and impaired ADL group, regular exercise(60.0%), with walking (90.0%), no-smoke(54.7%) and no-drink(48.4%). Kind of disease was not different from the one in impaired and normal group, with cardiovascular disease(32.3%), with diabetes mellitus(8.1%), joint lumbago neuralgia(32.3%) and osteoporosis(9.7%). Gastrointestinal complaints of the impaired ADL group were nausea(57.8%), chronic indigestion (23.4%), constipation (14,0%) and vomiting(3.7%). Sleeping time required for the impaired was longer than that for the normal group by 10hours(4.7%) or 8-10hours(20.3%), which consisted 1.7% and 16.6% respectively. Nutrient intake of the impaired ADL group was low compared to normal range elders: Energy(1260kca1), Protein(52.75g). There was gender difference in nutrient intake; the male impaired group showed no significant difference from the normal group but it was significantly lower in female impaired group. These results suggest that low quality of life and low economic status of the impaired ADL elderly require congregate meal in village hall to cover the lack of side dishe variety. And nutrition education program including community assistance would be required for the impaired ADL elderly together with the sufficient food and exercise practice. By operating nutrition education program, the impaired ADL elderly would maintain more enhanced quality of life and ameliorate the ADL capability.

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노후 성격적응성향과 노인이 지각하는 기혼자녀와의 갈등관계연구 -장남부부와의 관계를 중심으로- (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-)

  • 유영주
    • 가정과삶의질연구
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    • 제15권2호
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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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65세 이상 노인의 인지기능, 우울 및 여가활동 간의 관련성 (The Correlation between Cognition, Depression and Leisure Activity of Elderly People)

  • 이진욱;임강현;김하린;방유경;이지영;조미림;김덕주;양영애
    • 보건의료산업학회지
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    • 제8권1호
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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.

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

  • 박은철;이선희;이상규
    • 한국병원경영학회지
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    • 제7권1호
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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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