• 제목/요약/키워드: home health management

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노인장기요양보험 제도 하에 제공되는 방문간호 서비스의 중요도와 성과도 (Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly)

  • 변도화;현혜진
    • 지역사회간호학회지
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    • 제24권3호
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    • pp.332-345
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    • 2013
  • Purpose: This study was attempted to provide quality improvement and revitalization of visiting nurse services by Importance-Performance Analysis of persons being provided with the services. Methods: The subjects were 350 people being provided with visiting nurse services from a long term home care institution in the kangwon Province during the period of data collection between Aug. 16 and Sep. 15, 2011. Data analysis was conducted through t-test, ANOVA, and IPA by using the SPSS/WIN 12.0 program. Results: As a result of the Importance-Performance Analysis of visiting nurse services, it turned out that the strength on reliability, assurance, and empathy should be maintained with good work and the aspects of responsiveness appeared to be intensively improved, and the tangibility proved to be subject to improvement. Conclusion: For the activation of visiting nurse services, methods for improving the performance in the intensive care area and management strategy establishment which highlights the advantages of strength maintenance area are needed.

성공적인 노화 정의를 위한 문헌연구 (In Search of a Definition of Successful Aging: A Review of Literature)

  • 홍현방;최혜경
    • 가정과삶의질연구
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    • 제21권2호
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

주말부부 가계와 비주말부부 가계의 객관적, 주관적 경제구조분석 및 비교연구 (A Comparative Analysis on Objective Evaluation and Subjective Perception of Household Economic Structure for Commuting and Non-Commuting Couples)

  • 허경옥
    • 가정과삶의질연구
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    • 제21권2호
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    • pp.201-212
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    • 2003
  • This study analyzed the objective indicators of household economic structures, such as income, expenditure, and debts, as well as a subjective evaluation of economic standards, and compared the households of commuting couples (so called Weekend couples) with those of non-commuting couples. Findings of this study are as follows. First, both husbands and wives in commuter marriages had a higher level of education, were younger, had poorer health, and had shorter working hours than the couples in non-commuter marriages. Second, commuting couples had a significantly higher income than non-commuting couples. In addition, commuting couples had a greater amount of savings, had a higher cost of living, and lower debts than non-commuting couples. Third, commuting couples evaluated their status of household economy more negatively than non-commuting couples. Despite the fact that the commuting couples were more affluent in terms of the objective indicators, including income, savings, and assets, their level of health and psychological well-being were compromised. Lastly, factors determining commuter marriages were the number of years the husband has spent in his job, and the husband's level of education. The shorter the tenure of the husband's job, and the higher the level of husband's education, the more likely the couple was in a commuter marriage.

대구.경북지역 성인들의 약선에 대한 이용실태 및 인식도 (Utilization Status and Awareness of Adults Regarding Yaksun in Daegu and Gyeongbuk Region)

  • 임미경;김미라
    • 동아시아식생활학회지
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    • 제22권2호
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    • pp.208-218
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    • 2012
  • This study investigated the utilization status and awareness of adults living in Daegu and Gyeongbuk region. Frequencies, t-tests, ${\chi}^2$ tests, analysis of variance, Duncan's multiple range tests, and Spearman rank correlation were conducted by SPSS Windows V.18.0. Sixty-five percents of the respondents purchased Yaksun ingredients and cooked at home, 54% purchased cooked Yaksun at food shops of markets or department stores, and 82% purchased Yaksun at specialty stores. Many respondents answered that the main motivation for use of Yaksun was for improving health. Sixty-six percent of the respondents used Yaksun less than one time per month. Yaksun cooked with chicken was the most favorite Yaksun menu item. In addition, sanitary management of Yaksun ingredients was the most important item for distribution of Yaksun. Most respondents answered that Yaksun was more expensive than general foods. However, respondents demonstrated positive awareness regarding the function and efficacy of Yaksun for improving health.

한국노인들이 기대하는 성공적인 노화의 개념, 유형 및 예측요인 (Successful Aging according to Korean Elderly: The Definition, Types, and Predicting Variables)

  • 백지은;최혜경
    • 가정과삶의질연구
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    • 제23권3호
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    • pp.1-16
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    • 2005
  • This study explored the elements, types, and determining factors of successful aging for the Korean elderly. In order to examine the expectations of the Korean elderly, a sample of 377 elderly aged 65 and over living in Seoul and Kyunggi areas was selected and interviewed. The elements of successful aging that the Korean elderly pointed out in the interviews were: 'peaceful and comfortable life', 'self-maintenance,' 'secure social support,' and 'ostentation.' The expected elements of successful aging were further classified into three types of successful aging: 'idealized expectation.' 'self-centered expectation,' 'balanced self-other expectation.' The elderly groups sorted by the types exhibited significant differences in terms of demographic characteristics, self-evaluated economic status, and self-evaluated health status. The variables that affected the expectations were age, level of education, marital status, gender, and self-evaluated health condition. However, further analysis revealed that the factors that affected the expectation for successful aging were different for male and female elderly. The results suggest that the successful aging of Korean elderly should be understood in the context of Korean society and culture. The results could be used to better understand varied and unique life of Korean elderly, as well as in establishing a basis of intervention that meets the specific demands of the Korean elderly.

신체상과 부모와의 의사소통이 남녀 중학생의 소외감에 미치는 영향 (The Influences of Adolescents' Body Image and Communication with Their Parents on the Alienation of Male and Female Middle School Students)

  • 김경화
    • 가정과삶의질연구
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    • 제30권5호
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    • pp.121-134
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    • 2012
  • The purpose of this study was to investigate the influences of adolescents' body image and communication with their parents on the alienation of male and female middle school students. The subjects were 253 middle school students. The data were analyzed with SPSS win 18.0 using Cronbach's ${\alpha}$, t-test, one-way ANOVA, Scheff$\acute{e}$ test and stepwise regression. The findings showed that problematic communication with the father was the strongest factor in explaining the alienation of male middle school students. The second strongest factor was the middles school student's open communication with the mother, and the third strongest factor was the middle school student's perception of physical health. Unlike male students, open communication with the father was the strongest factor in explaining the alienation of female middle school students. Problematic communication with the mother was the second strongest factor. Perception of physical appearance was the third strongest, and perception of physical health was the fourth strongest factor. Based on the results of the study, implications were discussed in terms of the alienation of male and female middle school students.

방문간호사의 생애말기 환자 간호사례: 오마하시스템을 활용하여 (End of life Nursing Care Through a Visiting Nurse in Long-Term Care Insurance: A Case Report using the OMAHA System)

  • 송연이;박은진
    • 한국농촌간호학회지
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    • 제16권2호
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    • pp.60-68
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    • 2021
  • Purpose: This case report was attempted to present the process of the end of life nursing care provided by the visiting nurse. Methods: The subject was a person who was decided the long-term care Grade 1 and received a visiting nursing service, and the service was terminated on the death, and then was selected as a case with the consent of his family. The data were collected through long-term care benefit provision records and interviews with the visiting nurse. The nursing process was presented by applying the Omaha System. Results: The subject had digestion-hydration problems and respiration problems in the physiological domain, and the problems of role change, caretaking/parenting, spirituality, and grief in the psychosocial domain were identified. Depending on the problem, the end of life nursing care was provided to the subject and family members through activities on physical symptoms/signs, dietary management, end-life care, and coping skills. Conclusion: We expect that if the visiting nurse provides anticipatory guidance on the death process, the subject will be able to prepare for death comfortably with the family at home instead of vague fear of death.

정례적 결혼검진의 가족센터 적용에 관한 효과성 연구 (Effectiveness of Repeated Marriage Checkups in a Family Center)

  • 박우철
    • Human Ecology Research
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    • 제60권1호
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    • pp.69-86
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    • 2022
  • The present study examined the effectiveness of repeated marriage checkups at intervals of six months in a Family Center in Seoul. To achieve this, the pilot study protocol (Park, 2019) was adapted, emphasizing strength-based, counseling-oriented approaches. Two couples and family therapists with master's degrees were trained and their practice was monitored to ensure program fidelity. The methods employed for the assessment of marriage checkup were an online survey, a video recording of couple problem-solving, and a clinical interview. A total of 14 couples participated in the 1st checkup, 10 of whom also completed the 2nd checkup. Couples with varying levels of marital satisfaction participated in the program. Descriptive statistics indicated gradual increases over 8-9 months in diverse indices such as marital satisfaction and relationship strength, while other indices fluctuated slightly but converged to higher levels over time. A non-parametric analysis appropriate for small samples demonstrated statistically significant increases over the 8-9 months in marital satisfaction among couples. The current study evidenced the effectiveness of repeated marriage checkups in the Family Center, which is the primary public institution for family policy and services in Korea. Repeated marriage checkups are therefore a promising way to enhance couples' relationship health and improve the family management system of the Family Center.

중.노년기 여성의 배우자사망에 대한 적응:사회적 지지와 자기복합성의 중재적 효과 (The coping Process to the death Spouse among Middle and Old-Aged Widows; The Moderating Effect of Social Support and Self-Complexity)

  • 최혜경
    • 가정과삶의질연구
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    • 제16권3호
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    • pp.1-10
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    • 1998
  • The study attempts to examine the moderating effects of social support and self-complexity in coping to the death of spouse among middle and old-aged widows. The important findings from the data based on the sample of 161 widows are (1) age differentiates the types of stress experienced by widows (2) social support and self-complexity may either buffer or intensify depending on the circumstances in which widows reside in the negative effects of stress on psychological health among widows and (3) the moderating role of social support and self-complexity differs according to age of widows with older widows being more affected by these coping resources The results of the study support the assumptions drawn from Life-Course Perspective to explain the coping process to the death of spouse.

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노인이 인지하는 주거문제와 주거만족도에 관한연구 (The Perception of Residential Problems and Satisfaction of Korean Elderly in Urban Area)

  • 곽인숙
    • 가정과삶의질연구
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    • 제16권3호
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    • pp.95-110
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    • 1998
  • The purpose of this study was to analyze contributing factors to the perception of elderly's residential problems and satisfaction. The sample in this study consisted of 556 elderly husband and wives over 55 years old living in Seoul Daejeon Jeonju and Daegu. Statistics employed for the analysis were frequencies means one-way anova and umltiple regression analysis. The results could be summarized as follows. Deficiency of privacy was the worst status and then noise and air-pollution and the level of facilties in residential space. And the perception of residential problems could be affected by age health the type of family the number of family the ownership of house the type of house location and the economic status The significant variable positively related to the residential satisfaction were the healthy conditon of eldely ownership of house living in multihousing the perception of privacy and high level of facilities in the house.

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