• 지역사회간호학회지
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• 제23권2호
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• pp.117-126
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• 2012

Purpose: The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers. Methods: A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression. Results: The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was $6.33{\pm}6.49$ and the mean health-related quality of life score was $0.69{\pm}0.39$. It was found that the factors affecting the health-related quality of life of family caregivers included depression (${\beta}$=-.406, p<.001), home-visit nursing use (${\beta}$=.296, p<.001), and daycare use (${\beta}$=.178, p=.015), which accounted for 36.6% of their health-related quality of life. Conclusion: Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

• 대한물리치료과학회지
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• 제19권1호
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• pp.27-38
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• 2012

Background : In-home physical therapy program as a result of a study of the need for in-home physical therapy, most patients were needed. This study of patients who received physical therapy were surveyed, and patients need physical therapy for what I have found that factors. The purpose of this study is the in-home physical therapy program for patients to determine that how much needs were investigated. Methods : In this study, 469 people were involved with the patients who received physiotherapy. Surveys were returned to the questionnaire. The collected data was analyzed by Chi-square and one-way ANOVA. Results : The need for in-home physical therapy to 31 to 60 years suggests that the highest. In this paper, the female respondents was higher, the damaged parts Many times patients with musculoskeletal injuries, duration of treatment was 3-1 months there. 469 people need physical therapy visits of respondents that respondents were 423 people. qualification standards of physical therapy visits and asked questions of the state or local government public agencies or public health wad the highest with 40.3%, eligibility criteria for physical therapy visits a physical therapist trained in the regular 43.3%, per visit, treatment 10,000won 43.5% less than the cost of investigation into the health insurance coverage and should apply to questions about whether the response was 50.1%. Conclusion : Further, the study of in-home physical therapy services were the patient's perspective. This information, visit the home physical therapy program will contribute to the legalization.

• 가정간호학회지
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• 제7권1호
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• pp.26-38
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• 2000

The purpose of this study was to estimate home care nursing cost for the patient with Cerebrovascular Disease based on a bundle of home care nursing services This study was conducted through four steps. The first step was to investigate home care nursing activities that were offered to the patient with Cerebrovascular Disease(CD) by home care nurse. The second step was to investigate the time spent on home care nursing service and to calculate labor and manufacturing cost. The third step was to calculate home care nursing cost per minute. And at the fourth step, home care nursing cost for a patient with Cerebrovascular Disease based on a bundle of home care nursing service was calculated. The results of the study were as follows: 1) The number of direct home care nursing activities for the patient with CD was 108, and the time of each activity was spent from 1 to 10 minutes. 2) Average time per visit was 51 minute, and the firs visit time were spent 1.6 times higher than 2nd visit time. 3) Nursing cost per minute(cost per visit ${\\}\;22,565\;\div\;$ average time per visit 51 minutes) was ${\\}\;442$. The cost per visit was calculated on Basic visiting cost(nurse's labor cost ${\\}\;15,760$ + management cost ${\\}\;6,805$) divided by average time per visit(51 minutes). 4) Home care nursing cost to the patient with CD based on bundle of home care nursing service was consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit. and transportation fee. Basic home nursing cost(the time spent on basic home nursing service 20 minutes ${\times}$ nursing cost per minute ${\\}\;442$) was ${\\}\;8,840$. The cost of the bundle of home care nursing services to the patient with CD was calculated as self care ${\\}\;2.898$, Tracheostomy care ${\\}\;10,166$, immobility care ${\\}\;6,188$, sore care ${\\}\;6,188$. Foley care ${\\}\;6,630$, and Levin tube or Gastrostomy care ${\\}\;7.514$. Transportation fee which was composed of the labor cost for transportation(${\\}\;5,122$) and the car management cost(${\\}\;3.876$) was ${\\}\;8,998$. Home care nursing cost to the patient with CD based on bundle of home care nursing services consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit, and transportation fee. It will contribute to improve quality of home care service, because of giving appreciate incentives to home care nurses. And it will be more efficient than current cost of hospital based home care. But it need to management than calculation of the current fee-for-services of home care.

• 한국산학기술학회논문지
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• 제21권8호
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• pp.160-169
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• 2020

이 연구는 공공 행정에서 서비스 전달 조직과 절차를 관리하고 재정을 지원하는 공공부문 사례관리 사업 중 방문건강관리 사업 실무자를 대상으로 타 사례관리 사업과의 연계협력 업무에 대한 경험을 파악하기 위해 실시하였다. 광역시와 시군 소재 보건소 방문건강관리사업 담당자 3명을 대상으로 포커스 그룹 인터뷰를 실시하였고, 자료 수집을 위해 사용한 인터뷰 질문들은 사전에 연구진간 논의를 거쳐 도출한 반구조화 질문지를 활용하였다. 연구 참여자들은 방문건강관리 업무를 수행하면서 경험한 연계협력의 성공과 실패 요인들을 심층적으로 기술하였다. 인터뷰 내용은 질적으로 분석되어 3개의 주제, 9개의 하위주제가 도출되었다. 연구결과, 공공부문 사례관리 사업 간 연계협력 업무안내서는 연계협력을 수행하는 데 있어 긍정적 성과요인이었지만, 방문건강관리 전문 인력의 불안정한 고용문제와 통합시스템의 부재는 연계협력의 장애요인이었으며, 성공적인 연계협력을 위해서는 인적 인프라 강화, 기능적 시스템 개선, 조직적 차원의 방안 마련 등 다각적인 접근이 필요한 것으로 확인되었다. 이에 명확한 연계협력 표준 및 절차 수립, 방문간호 전문인력의 처우 개선, 사례관리 통합정보시스템 개발을 제안한다. 또한, 지역 간 편차가 큰 방문건강관리 사업의 특성을 고려하여 다양한 지역을 대상으로 한 추후 연구가 필요함을 제안한다.

• Child Health Nursing Research
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• 제7권1호
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• pp.21-34
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• 2001

The impact of childhood experience has lifelong significance on subsequent health and development. Especially, the experience of infant is mostly affected by the quality of parental care and rearing environment. But the new mothers usually do not know what to do because of the lack of experience in these days. Therefore, an educational program regarding maternal role would be necessary. This study was conducted to evaluate the effectiveness of the maternal role education program for mother-infant interaction, child-rearing environment, and infant development. Non-equivalent control group time-series design was used, and Barnard's mother-infant interaction model was used as a conceptual framework of this study. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37 weeks, and their mothers. The final sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to September 3rd in 1999. For the intervention group, programmed education which focused on mother-infant interaction, breast feeding, and infant care was provided before discharge. Telephone counselling was provided within one week after discharge. Home visiting for maternal role education was provided twice, one month and three months postpartum. For the control group, home visiting was also conducted but only for data collection. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program was determined with repeated measure ANCOVA and t-test. The results were as follows: 1. Significant differences were found in mother-infant interaction between two groups(p=.000). It indicates that intervention program was effective in improving mother- infant interaction. In subscale analysis, four out of six subscale showed significant differences between the groups: sensitivity to cues (p=.000), social-emotional growth fostering (p=.000), cognitive growth fostering(p=.000) in mothers, and responsiveness to caregiver (p=.019) in infants. 2. The difference in the mean score of childrearing environment (HOME) between the intervention group and control group was significant(p=.003). When each subscale of HOME was examined individually, intervention group showed significantly higher scores in the diversity of stimulation(p=.000), and mother's involvement(p=.001). 3. Three-month-Infants of the intervention group showed higher GQ in the Griffiths mental development scale(p=.026). In subscale analysis, significant differences were found in the personal-social(p=.005), and the hearing and speech(p=.003). In conclusion, the maternal role education program proved to be effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results are very meaningful that we found maternal role education necessary for normal infants' mothers, and that nurses can make a great contribution in promoting health of infants and mothers.

• 농촌의학ㆍ지역보건
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• 제39권2호
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• pp.94-103
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• 2014

본 연구의 목적은 방문간호사의 이직의도와 직무만족도와의 관련성과 이직의도의 예측요인을 분석하여 맞춤형 방문건강관리사업의 안정적인 정착과 활성화에 도움이 되고자 시도되었다. 조사대상자는 대구시와 경상북도의 방문간호사를 대상으로 총 237명의 조사결과를 최종적으로 활용하였다. 방문간호사의 이직의도는 3.12점(5점 만점)이었고 직무만족도는 2.41점(4점 만점) 이었다. 직무만족도 하위영역에서는 운영요인의 점수가 가장 낮았고, 인간관계요인 점수가 가장 높았다. 방문간호사의 이직의도와 관련이 있는 일반적인 특성은 결혼상태, 종교, 방문건강관리업무 근무경력, 고용형태, 근무지역이었으며, 이직의도와 직무만족도간에는 부적인 상관관계를 보여주었다. 이직의도를 설명하는 주요변수로는 직무만족도, 결혼상태, 고용형태로 나타났고, 방문간호사 이직의도를 19.8% 설명하였다. 방문간호사들의 이직의도를 감소시키기 위해서는 직업 만족도 향상 방안과 각 지자체마다 방문간호사의 연속고용이 보장될 수 있도록 실효성 있는 제도적 장치 마련이 이루어져야 할 것이며, 이로 인해 방문보건사업의 정립과 함께 질적인 성과도 향상될 수 있을 것이다.

• 대한간호학회지
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• 제2권1호
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• pp.189-199
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• 1971

Author Studied on a few as Pacts of clinical psychology of 274 patients with chronic pulmonary tuberculosis by simple question are, who had been admitted in national Maison for a long time Feb. 1971, Hospital. The results obtained were Summarized as follows: 1. The attitude and state of understanding to their diseases were somewhat different between males and females, That is, rather scientific and intellectual in males but rather unscientific and despairing in females. 2. The attitude to their doctors and nurses were rather more discontent in males and younger age group. 3. Attitude to hospital life what was some different between males and females, that is, more agreeable and obedient to their circumstances in females and older age group than in males and younger age group. 4. The most anxious problem and the Persons who Eave best consolation during hospital life were family members in their home. 5. The home visiting of the nurses seemed under whole net welcomed.

• 가정과삶의질연구
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• 제8권2호
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• pp.135-146
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• 1990

The purpose of this study is to investigate the relation between the conflict perceive by daughters-in-law and their coping behavior. The statistical procedures used were frequency, t-test, multiple regression, and factor analysis. The major finding are as follows; 1) The conflict perceived by daughters -in-law is not very high, but , in terms of scolding, discrimination, objection to visiting the parent home there are some conflict found. 2) The coping scale is composed of 9 factors by 27 items and adaptation to reality is the main factor. 3) Collision with mother-in-law, avoidance, self-blame, age, the attitude of mother-in-law about her son's marriage are proved to be influential variables of the degree of the conflict perceived by daughters-in-law. 4) Reanalysis is perhaps the significant coping pattern to improve the relation with mother-in-law.

• 대한가정학회지
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• 제32권4호
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• pp.85-95
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• 1994

Today the occurrence and world-wide transfusion of the AIDS has brought about new problems related to family relations. The AIDS is more threatening than any other disease because of the special processes of infection trough sex and intravenous injections high care cost and terminal death. The AIDS causes conflicts among family members economic destitution and family dissolution. In the U.S Marriage without noticing of the AIDS may lead to divorce like injuries abandonment and misfeasance during marriage. But the AIDS victims should not be rejected from the rights of parental decision divorce beneficiaries and visiting rights. More discussion is needed about such issues as the pregnancy rights rongful birth action and selective nontreatment by doctors. The AIDS may influence the every party involved and interdisplinary studies should be required to solve the problem including family science laws psychology sociology and medical research as well.

• 한국생활과학회지
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• 제7권2호
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• pp.161-169
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• 1998

The purpose of this study is to find some major factors which can be used as basic design guideline for the elderly housing as the comfortable dwelling circumstances to keep life as self-reliant and secure as possible in their life. The subjects for this study were 200 elderly women in Taegu, data were collected through an individual visiting interview from 29th, Oct. to 15th, Nov., 1997. The major findings are as follows: 1) The elderly women preferred to live 30.3 pyung as the house size, and they desire to live with the married son's family in urban areas. 2) The evalution for the dwelling circumstance was unsatisfatory on the whole. All the preferred housing characteristics were different from the current housing characteristics. The comfortability of dwelling was least satisfied while the space size was most satisfied.