• 제목/요약/키워드: home health management

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노인의 삶의 질과 영향요인에 관한 연구 (An Analysis of the Quality of Life and the Affecting Factors of the Elderly)

  • 홍성희
    • 가족자원경영과 정책
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    • 제20권1호
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    • pp.89-108
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    • 2016
  • The purpose of this study is to examine the demographic, economic, and psychological factors that influence the quality of life (QoL) of the elderly. The data in the 'Survey on the Elderly in 2011', were collected from The Ministry of Health & Welfare and the Korea Institute for Health and Social Affairs. The samples included 3,312 out of the total of 15,146 elderly people aged from 65 to 70 years. Multiple regression analysis and path analysis were used to analyze the research model. The findings are as follows. First, the most critical factor that affected the QoL of the elderly was "subjective standard of living" with other factors including "subjective physical condition level", "depression", "total annual income", "the number of chronic disease", "self-esteem", "economic supports from their adult children", "education level", "living with their adult children or not", "sex", and "home ownership", in that order. Second, based on the path analysis results, the QoL of the elderly was influenced by "subjective physical condition level", "subjective standard of living", "depression", "self-esteem", "total annual income", "education level", and "the number of chronic disease", in that order. In particular, "depression" had a negative direct effect and an indirect effect on the QoL of the elderly, whereas "self-esteem" had a positive direct effect and indirect effect on their QoL. Third, "labor force participation status" did not affect the QoL of the elderly. However, it implied the mediating effect of "self-esteem" and "depression" on their QoL. These results show that demographic, economic, and psychological factors heavily influence the QoL of the elderly. Specifically, "depression" and "self-esteem" turn out to be mediating variables that strongly influence the QoL of the elderly. Also, "labor force participation status" does not have a positive direct effect on the QoL of the elderly but has a positive mediating effect of "depression" and "self-esteem" on their QoL.

부산시민이 인식하는 좋은 죽음과 호스피스에 대한 연구 (A Study on the Perception of Hospice Palliative Care and what Constitutes a Good Death of the Citizenry of Busan)

  • 백정원;김숙남;최순옥;류지선
    • 보건의료산업학회지
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    • 제10권3호
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    • pp.85-97
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    • 2016
  • Objectives : In this study, the awareness of hospice and the perceptions on the need for visiting palliative care and what constitutes a good death of the citizens of Busan were investigated. The purpose of this study was to develop a hospice system based on the needs of the citizenry of Busan by seeking solutions for current hospice strategies. Methods : One thousand Busan citizens from 20 to 80 years of age were surveyed in this study. Results : Busan citizens defined a good death as spending less than one month of time in the actual process of dying at home between the ages of 80-89 years. They knew about hospice a little and were aware of its necessity. They also knew about the necessity of visiting palliative care and were interested in receiving it when appropriate but did not know much about it. Conclusions : First, there is a large difference between Busan citizens' expectations on what constitutes a good death and what a good death really is. Second, Hospice palliative care should be provided to the community. Third, the older the patient is, the more palliative care visits are necessary. Fourth, 40s and 50s must make preparations for hospice palliative care in their future.

Breast Cancer Survival at a Leading Cancer Centre in Malaysia

  • Abdullah, Matin Mellor;Mohamed, Ahmad Kamal;Foo, Yoke Ching;Lee, Catherine May Ling;Chua, Chin Teong;Wu, Chin Huei;Hoo, LP;Lim, Teck Onn;Yen, Sze Whey
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8513-8517
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    • 2016
  • Background: GLOBOCAN12 recently reported high cancer mortality in Malaysia suggesting its cancer health services are under-performing. Cancer survival is a key index of the overall effectiveness of health services in the management of patients. This report focuses on Subang Jaya Medical Centre (SJMC) care performance as measured by patient survival outcome for up to 5 years. Materials and Methods: All women with breast cancer treated at SJMC between 2008 and 2012 were enrolled for this observational cohort study. Mortality outcome was ascertained through record linkage with national death register, linkage with hospital registration system and finally through direct contact by phone or home visits. Results: A total of 675 patients treated between 2008 and 2012 were included in the present survival analysis, 65% with early breast cancer, 20% with locally advanced breast cancer (LABC) and 4% with metastatic breast cancer (MBC). The overall relative survival (RS) at 5 years was 88%. RS for stage I was 100% and for stage II, III and IV disease was 95%, 69% and 36% respectively. Conclusions: SJMC is among the first hospitals in Malaysia to embark on routine measurement of the performance of its cancer care services and its results are comparable to any leading centers in developed countries.

유아기 자녀를 둔 부모의 원가족 경험이 양육효능감에 미치는 영향 (Influence of Parents' Family-of-Origin Experience on Parenting Efficacy)

  • 전주혜;박정윤
    • 가족자원경영과 정책
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    • 제14권4호
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    • pp.127-150
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    • 2010
  • The purpose of this study was to prove the effects of parents' family-of-origin experiences on their parenting efficacy among 260 parents with children aged between 3 and 7. The results were as follows. First, depending on parents' gender, with children aged between 3 and 7, both parents were found to positively perceive each factor in their family-of-origin experience and parenting efficacy. Second, fathers showed differences based on their income satisfaction and their mothers' employment status in their family of origin. Mothers showed differences in parenting efficacy according to their age, monthly average family income, and economic status in their family of origin. Third, both parents' experiences with their family of origin were correlated with their parenting efficacy. Fourth, family-of-origin health was found to be the most significant family-of-origin variable influencing parents' parenting efficacy. Wealth and experience of triangulation were found to be the influential factors common to both parents. Fathers' experiences of acceptance from their parents in their family of origin was a predictive factor of parenting efficacy. In contrast, in the case of mothers with more than two kids, when their family of origin was an extended family and when the mother in their family of origin had stayed at home, they showed higher parenting efficacy in their current parenting.

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일부 치과기공사의 여가만족도 및 관련요인에 대한 연구 (A Study of the relevant factors affecting the satisfaction of leisure activities among the dental technicians)

  • 권순석;김윤신
    • 대한치과기공학회지
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    • 제30권2호
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    • pp.105-119
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    • 2008
  • This study explored the status of free time activities among the dental technicians who are working at Seoul, Gyonggido, and Gangwondo. On the basis of this research, we aim to present needs and applicable solutions to improve the working conditions and enhance the quality of life through more effective time management in free time activities that lead to their self development and far more enriched life. 500 subjects were randomly chosen and the questionary sheets were provided. Among them, 305 sheets were returned to be analysed through SPSS Win 10.0 software and the results are as follows; First, mean in the satisfaction of leisure activities was 3.44(SD=.73). Mean in sub categories was as follows; psychological factor(M=3.65, SD=.71), social factor(M=3.54, SD=.75), rest factors(M=3.52, SD=.63), physical factor(M=3.43, SD=.88), other factors(M=3.40, SD=.66), circumstantial factor(M=3.33, SD=.63), educational factor(M=3.24, SD=.73). Second, the most relevant sub categories in the satisfaction of leisure activities were social, educational, physical, and other circumstantial factors by sequence. Factors that affect leisure activities satisfaction were career and status of health, which shows statistical significance(p<.001). That is to say, contention of this study is that the general characteristics are closely related with and affect the types and the level of satisfaction in leisure activities of the subjects. Considering these results, the dental businesses and the associations of dental technicians should recognize the needs to improve the time management through more efficient cooperations between dentists and back office dental team, systemized working time, and introduction of incentive system among others. On the basis of this appreciation, the dental business should provide more time and various opportunities with the dental technicians. Dental technicians also need to reconsider their appreciations of leisure activities, that is, leisure activities are not just spending time doing something but they refresh them and enable them to be more active and faithful to home and work.

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아동의 발열에 대한 부모의 인식 및 대처방법 (Parent's Knowledge and Cope of Their Child Fever)

  • 정용선;이용화;박기원;이자형
    • 부모자녀건강학회지
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    • 제11권2호
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    • pp.105-114
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    • 2008
  • Purpose: The purpose of this study was to identify parent's knowledge and cope with their child's fever. Confirmed data provide source and it based on parent's education program and nursing intervention. Method: The research design was a descriptive study by questionnaire. Data were collected from July, 16, 2007 to August, 6, 2007. A total 165 parents who visited the children's hospital in Gwangju. Data were analysed using the SPSS WIN 12.0 program. Results: The results of this study were as follows: 1. Fever was major cause which to visit hospital among children(50.3%). 2. Parents main concerned by child fever were convulsion(52.7%) and brain injury(46.7%). 3. When cause fever most parents checking interval are 30 minutes (38.8%), the most fever management was used antipyretics with tepid water massage(59.4%). 4. Antipyretics used interval was 4hours(56.4%). 5. When visit to hospital by fever, most treatment was antipyretics. 6. The method to get fever information, first by doctor(68.5%), second by family-relative(41.8%) and last by nurse(22.4%). Conclusion: It is necessary to provide information about management of fever. Development and distribution for effective education program for child fever at home are also necessary. Therefore we suggest the education program on the internet.

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노인의 삶의 질 향상을 위한 노인일자리사업 참여의사에 영향을 미치는 요인에 관한 연구 (Policy Suggestions for Senior Employment Promotion Programs for Improving Life Quality for the Elderly)

  • 박경순
    • 가족자원경영과 정책
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    • 제19권4호
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    • pp.1-17
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    • 2015
  • This study is aimed to discover the deciding factors in senior employment programs for improving the quality of life for the elderly. The dependent variable used in this study was the quality of elderly persons. Personal and familial characteristics, and the community involvement of the elderly were used as independent variables in a Multiple Regression analysis. First, the most influential factor encouraging the elderly to participate in a senior employment promotion program was previous experience of senior employment programs. Second, health condition, residence in city areas, experience of volunteer work, and knowledge of senior employment programs had positive effects on the continuous participation of the elderly men and women. However, living arrangements had an effect solely on elderly men, and home ownership and participation in economic activities had effects solely on elderly women. Third, the life quality of the elderly was affected differently by sex. Health condition had the greatest effect on male elderly persons, whereas, the effective variable, the composition of the family had the most effect on female elderly persons. Thus, active campaigns through various mass media and information sessions are needed to promote participation in senior employment programs, according to the above mentioned deciding factors. In particular infrastructure providing the elderly with more volunteer work opportunity needs to be built for baby boomers to improve their quality of life. In addition, diversified senior employment programs are needed. Because the elderly living in city areas are more willing to participate in senior employment programs, specialized programs suitable for the elderly in city areas are needed. The government should also prepare programs that help the elderly stay healthy while they are working.

부산 시내 중.고등학교 축구선수의 운동손상에 관한 연구 (A Study on the Sports Injuries for Middle and High School Football Players in Pusan)

  • 김용권
    • 대한물리치료과학회지
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    • 제3권1호
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    • pp.919-927
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    • 1996
  • Recently sports injuries are increasing due to the development of sports leisure industries as well as the increase of exercising population, and the study for sports injuries is needed more than before. Then the author studied the reasons for injuries, incidence rate, sites and sorts of sports injuries for the middle and high school football players during one year period from Jan. to Dec. 1994. The study subjects were 319 middle and high school players in Pusan and the method was questionnaire method. The results were as follows; 1. The average injury rate due to football play was 3.3 times per person for the 319 subjects during the last one year, and it was highest in goalkeeper as 4.6 times by position. 2. 68 % of the subjects did not receive periodic health examination, 74.9 % wore body protectors. The sports injuries due to football play occurred most commonly in soil play-ground(79.6 %), during training(52.3 %), and in winter time(33.7 %). 3. The commonly occurred injuries by motion were coalition(39.2 %), tackle(12.9 %), dribble (11.4 %) in order; those by sorts were contusion(34.4 %), sprain (32.9 %), spasm(9.0 %) ; and those by body portions lower extremities(82 %), trunk(17.6 %), upper extremities(12.5 %). 4. The frequently used treatment area was home care as in 42.7 % ; treatment methods were physical therapy, acupuncture/moxacautery, rest, operation in order; choices of treatment method were recommendation by coach/manager, and that by medical professional was the lowest as in 2.2 %. 5. If sports injury occurred during play, coach or manager let the players take rest in 56.2 %, but emergent management by medical professional was done only in 1.9 %. The return to play was decided mostly by the player himself(52.8 %), but that decided by a doctor was only in 1.0 %. In conclusion, to lessen the sports injuries due to football play, annual physical check-up, strengthening of play rules, improvement of playground, conditioning exercise, regulation of body protectors, and preventive training for expected injuries behaviors should be done and the decision to return to play and emergent management should be done by a medical professional as well. Football player, sports injury, injured body portions, sorts of injury, treatment method.

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ICNP의 후향적 방법에 의한 한국가족현상의 실무타당성 검증연구 (Validity Field Testing of Family Nursing Phenomen in Korea by the Retrospective Method of ICNP)

  • 김현숙;권영숙;박경민;이지현;고영애;소애영;양순옥;김영임;김희걸;오진주;왕명자;김순례;윤순녕
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.423-432
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    • 2002
  • This study was conducted to test the validity of characteristics of family nursing phenomena in Korea identified in a previous study by Yoon, S. Y, et al. (1999). Data for this study were collected from 355 (first measurement 186, second measurement 169) nurses whose family nursing careers were more than one year using a cross sectional survey method. The distribution per one characteristic ranged between 0 to 5. The phenomena that had two or more characteristics and had a score of 3.0 points or more included disturbance in marital role', 'disturbance in family communication', 'inappropriate family coping', 'lack of family intimacy', 'unhealthy life style', 'deficit of financial management skill and support', 'inadequate care management sick member', and' inadequate home-making'. The essential characteristics of the 8 phenomena presented above included 27 items. Further studies on family nursing phenomena in Korea are needed to support the evidence through surveys of families in the field. A reconfirmation study, as well as qualitative research on the low validity of the characteristics, needs to be more performed in the future.

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노인의 자녀와의 상호간 지원 교환이 성공적인 노후생활에 미치는 영향 (The Effect of the Mutually Supportive Relationship with their Children on the Successful Lives of the Elderly)

  • 곽인숙
    • 가족자원경영과 정책
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    • 제15권4호
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    • pp.107-127
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    • 2011
  • The purpose of this study is to examine demographic characteristics, psychological characteristics and patterns of supportive relationships with their children that affect the successful lives of the elderly. A survey was conducted of 410 people aged between 65 and 85, and 405 samples were used for the analysis. First, the supportive relation between the elderly and their children was categorized into four groups depending on the total amount and direction of support. The four groups consisted of the elderly who exchanged little or no support, those who only received support from their children, those who only gave support, and those who both gave and received support. Second, the more the elderly exchanged support and gave emotional support to their children, the better the chance that the elderly would lead a successful life in later years. Third, subjective health conditions most significantly affected the successful lives of the elderly who exchanged little or no support. The level of education was most significant for the elderly who only received support. The level of housing satisfaction mostly affected the elderly who only gave support. Mutual support primarily affected the elderly who both gave and received. Thus, we should provide health programs for the elderly who exchange little or no support to encourage a healthier lifestyle. In addition, opportunities for continuing education should be provided for the elderly who only receive support to make up any deficiency in education. Because spouses are mostly affected for those elderly who exchange little or no support and the elderly who only receive support, we should provide educational programs about how to be better lifetime companions to each other and also provide medical and in-home care for the remaining spouse even after the other partner is gone. Because housing satisfaction greatly affects the elderly who only give support, improvements in the residential environment are essential. Since the level of mutual support is crucial to the elderly who both give and receive support, programs on the development of human resources are needed for the elderly to interact dynamically and intimately with their children.

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