• Title/Summary/Keyword: home health management

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Development of home nursing care classification and home nursing care costs of the free-standing home nursing care agency (독립형 가정간호시범사업소의 가정간호행위분류체계 개발과 수가 연구)

  • Yun, Soon-Nyoung;Park, Jung-Ho;Kim, Mae-Ja;Hong, Kyung-Ja;Han, Kyung-Ja;Park, Sung-Ae;Hong, Jin-Eui
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.6
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    • pp.19-32
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    • 1999
  • The purpose of this study was to develop of home nursing care classification and home health care costs of the free-standing home nursing care agency. This study was done through 3 steps The First stage, home nursing care classification was identified and classified by literature, review-committee and expert meeting. The second stage, cost elements for home nursing care visit were identified and accounted. That were divided into direct nursing care cost, indirect nursing care cost, management cost and transportation cost. Third stage, total cost of per visit was produced. Data were collected from 810 visits of 120 patients received home dare and from January. 1999 to November, 1999, and analysed with EXCEL program. The obtained results are as follows : 1. Home nursing care classification was consisted of 6 high level classification domain and 10 low level classification domain and 163 home nursing care behavior. 2. The cost of home nursing care per visit was 30,638 won which were direct and indirect nursing care cost(16.305won), management cost(5,255won) and transportation cost (9,098won). In conclusion. Home nursing behavior care classification developed in this study would be used as home health care standard. And the home nursing care costs can be used as a fundamental data for the further development of home health care costs in Korea.

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Oral health care intervention protocol for older adults at home in dental hygienists: a narrative literature review (치과위생사의 재가방문 구강건강관리 중재 활동을 위한 프로토콜 고찰 )

  • Jong-Hwa Jang
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.5
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    • pp.333-341
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    • 2023
  • Objectives: This study aims to propose a standard protocol for oral health care intervention activities by dental hygienists. Methods: A narrative literature review of home visit oral health care intervention activities reported in Cheonan, South Korea was conducted to enable the proposal of a standard home visit protocol for dental hygienists in the context of community care. Results: Oral health management intervention activities contributed to improving the quality of life, as well as the oral health, of older adults living at home. This was a result of applying a protocol consisting of oral observation, oral massage, expert oral hygiene management, oral muscle function training, and final stages. Conclusions: The visiting oral health intervention protocol was effective in resolving oral health problems of older adults. In the future, customized programs and reimbursement systems should be developed to promote oral health care for older adults that can be provided at home.

A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns (제왕절개분만 산욕부와 신생아의 가정간호 사례분석)

  • 김혜숙;최연순;전은미
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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Sustainable Meal Practices of Middle Aged Women at Home According to Their Lifestyles (중년 여성의 라이프스타일에 따른 가정내 지속가능한 식생활 실천)

  • Chang, Hye-Ja
    • Journal of the Korean Society of Food Culture
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    • v.33 no.1
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    • pp.1-10
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    • 2018
  • Sustainable meal management at home will be affected by the lifestyle of the housewife. This study examined the lifestyle of middle aged women and identified their practice levels of sustainable meal management at home. A total of 438 women, aged 35 to 59, managing the family's dietary life at home and living in Seoul, Gyeonggi Province, Daejeon, and Chonnan area participated in the survey. The middle aged women showed a higher performance level of hygiene-oriented (4.15) and health-oriented dietary life (3.59), but a less convenience-oriented dietary life (2.57). Based on their lifestyle, 3 clusters were extracted: Low-interest dietary life meal manager, health and quality pursuit meal manager, and convenience and eating-out pursuit active meal manager. Among them, the cluster of health and quality pursuit meal manager showed the highest sustainable practices in 7 dimensions of sustainable practices in the home except for the saving practices (p<0.001). The criteria suggested from the study can be applicable to the guidelines of sustainable meal management at home. The study can also be helpful for educators to identify the education themes for improving housewife's sustainable meal practices, having different lifestyle and sustainable meal practices.

The Husbands' Perception and Satisfaction about Wives' Home Management Behavior (부인의 가정관리 수행행동에 대한 남편의 인지와 만족)

  • 조미환
    • Journal of Families and Better Life
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    • v.14 no.3
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    • pp.47-62
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    • 1996
  • The purpose of this study is to investigate how the husbands perceive home management behavior performed by wives and how much they are satisfied with it. This study also is to find out the variables affecting husbands' perception and satisfaction of it. The major findings were as follows: 1) The husbands perceived that wives are somewhat efficiently performing the home management(mean score:3.84 out of 5) and they are rather satisfied with wives' home management behavior(mean score; 3.69 out of 5). 2) The variables which affect husbands' perception of home management bahavior performed by wives and their satisfaction of it are husbands' age family life cycle and wives' health status. 3) The husbands' satisfaction of home management are influenced more by the husbands' perception about wives' home management behavior than by the demographic variables

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Patterns of Unintentional Domestic Injuries in Korea (우리나라 주택 내에서 발생하는 비의도적 손상의 양상)

  • Lee, Eun-Jung;Lee, Jin-Seok;Kim, Yoon;Park, Kun-Hee;Eun, Sang-Jun;Suh, Soo-Kyung;Kim, Yong-Ik
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.1
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    • pp.84-92
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    • 2010
  • Objectives: To investigate the patterns of unintentional home injuries in Korea. Methods: The study population was 12,382,088 people who utilized National Health Insurance services due to injuries (main diagnosis codes S00 to T28) during 2006. Stratified samples(n=459,501) were randomly selected by sex, age group and severity of injury. A questionnaire was developed based on the International Classification of External Causes of Injury and 18,000 cases surveyed by telephone were analyzed after being projected into population proportionately according to the response rates of their strata. Domestic injury cases were finally included. Results: Domestic injuries (n=3,804) comprised 21.1% of total daily life injuries during 2006. Women were vulnerable to home injuries, with the elderly and those of lower income (medical-aid users) tending to suffer more severe injuries. Injury occurred most often due to a slipping fall (33.9%), overexertion (15.3%), falling (9.5%) and stumbling (9.4%), with severe injury most often resulting from slipping falls, falls and stumbles. Increasing age correlated with domestic injury-related disability. Conclusions: The present findings provide basic information for development of home injury prevention strategies, with focus on the elderly.

Development of a Home Health Care Nursing Intervention List through Analysis of Home Health Care Nursing Records (가정간호대상자의 간호기록 분석을 통한 가정간호중재 목록구축)

  • Park Hyoun-Kyoung;Kim Cho-Ja;Kang Kyu-Suk;Shin Hye-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.402-415
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    • 2001
  • The purpose of this study was to identify nursing diagnoses and nursing interventions that are found in the home health care patients, and to establish a basis for a standardized Nursing Intervention List that would help nurses doing home health care nursing. For this study, the records of 150 home health care clients who were discharged, from the Home Health Care Center at Yonsei Medical Center, between January to July. 2001 were analyzed. Of the 43 nursing diagnoses recorded for these clients are 43, the most frequent diagnoses were in the area of Exchanging. There were 2.814 nursing interventions which is a mean of 4.73 nursing interventions Per diagnosis. We confirmed that most of the interventions were related to 'education' and 'advice'. We present a Home Health Care Nursing Intervention List that was developed based on the results of this study. It has the five 5 criteria of the ICNP classification, Observing, Management, Performance, Caring, and Informing.

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A Curriculum Strategy for Advanced Practice Nursing; Home Health Care and Hospice (간호대학원의 교육운영전략 : 가정전문간호사와 호스피스전문간호사 중심으로)

  • Lee, Won-Hee;Kim, Cho-Ja;Kang, Kyu-Sook;Oh, Eui-Geum;Kim, Soyaja;Kim, Eun-Jeong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.11 no.1
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    • pp.57-70
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    • 2004
  • Purpose: This study was to develop a cost-effective and efficient curriculum for advanced practice nurse (APN) programs in home health care and hospice. Method: The process was to: (1) compare and analyze the present curriculum in home health care and hospice programs, (2) identify the needs of 7 expert nurses in home health care and hospice, and (3) develop a common curriculum structure and contents between home health care and hospice specialty courses. Result: Out of the 10 credits constituting the home health care and hospice specialty courses respectively, 6 credits were identified the common courses, Common content areas included introduction to hospice, communication skills, pain control. symptom control. teaching methods, and agency management. Conclusion: These results can be utilized in the development of APN programs for home health care and hospice in terms of qualified and cost-effective aspects of education.

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Design and Implementation of an Ontology-based Context-Aware Platform for Home Healthcare (홈 헬스케어를 위한 온톨로지 기반 상황인지 플랫폼의 설계 및 구현)

  • Jo, Jung Won;Cha, Si Ho;Ahn, Byung Ho;Cho, Kuk Hyun
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.5 no.3
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    • pp.77-86
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    • 2009
  • This paper proposes an ontology-based context-aware home healthcare platform employing environmental factors obtained from home. The proposed platform manages the health of home residents, and notifies relatives or a medical team of critical condition through context-awareness based on home ontology by using information sensed from various sensors. The ontology definition of context-awareness from the sensed information provides technically more precise decision for us. Therefore the platform can be aware of the health state of residents and environment by reasoning exactly from data gathered from various sensors and heterogeneous devices. The platform also can individually provide the customized service for users by setting priority for critical status that can be occurred in the health state of residents.

Current Status of Home-Based Cancer Patients Management in Jeju (제주지역에서의 호스피스.완화의료기관과 보건소의 재가암 관리 현황)

  • Huh, Jung-Sik;Kim, Hyeon-Ju
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.76-80
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    • 2010
  • Purpose: As a part of analysis of home-based cancer patients management of public health centers, regional cancer center, and hospice institution in Jeju, this study was undertaken to establish their role. Methods: We investigated current status of hospice palliative care, especially home-based cancer patients management and summary demand of public health centers. Results: Services provided through the home-based cancer patients management project included physical, emotional, spiritual and education/informative services, even though there was little difference between them. The result showed that in the view of patients there was little relationship between public health centers, regional cancer center and hospice palliative institution. Conclusion: The relationship between home-based cancer patients management and institutions should be reinforced. Patients in acute state and difficulty care of patients should be referred to regional cancer center whereas maintenance state of patients should be referred to public health center.