• 제목/요약/키워드: home visiting

검색결과 495건 처리시간 0.021초

재가노인의 포괄적 건강문제 평가와 관리방안 (Management Strategy by Evaluation on Comprehensive Health Problem in the Community-dwelling Elderly of Korea)

  • 이재창;김은경
    • 간호행정학회지
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    • 제12권3호
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    • pp.464-472
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    • 2006
  • Purpose: The aim of this study was to define the health problem in the community-dwelling elderly of Korea and to compare differences of CAPs(Client Assessment Protocols) by characteristics. Method: Data was collected by visiting nurse from 556 elderly over 65 years in selected metropolitan areas. To evaluate the functional state of elderly in the community, I used "RAI-MDS HC; Residental Assessment Instrument Minimum Data Set-Home Care(2.0 version)" and established information exchange system among resources, by developing the data into a computer program. Results: The health problem of 'preventive health measures' was the largest(99.6%), and then 'health promotion(85.3%)', 'visual function(75.5%)', 'psychologic drug(68.9%)', 'pain(68.5%)', ‘social function(59.2%)', 'communication disorders(56.2%)', 'environmental assessment(53.2%)', 'depression & anxiety(46.9%)', 'oral health(43.4%)' followed. The number of health problems was average 10.16 in the community-dwelling elderly. Conclusion: The results suggest the need to emphasize the importance of assessment of the health problem of the elderly. We can apply it in the distribution of community resources and the development of service providing programs by figure out the health problem and resource in need for the elderly in the community.

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초산모의 감각자극 프로그램이 영아의 성장 및 수유시 모아 상호작용에 미치는 효과 (Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant)

  • 김미예;장군자;김선희
    • 대한간호학회지
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    • 제34권5호
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    • pp.820-828
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    • 2004
  • Purpose: The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy. Method: Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting. Result: Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group. Conclusion: These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

항산화 비타민과 미네랄 보충이 고혈압 노인의 혈압과 혈중 지질에 미치는 효과 (Effects of Antioxidant Vitamins & Minerals Supplementation on Blood Pressure and Lipids in the Elderly with Hypertension)

  • 양숙자
    • 지역사회간호학회지
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    • 제17권4호
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    • pp.461-471
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    • 2006
  • Purpose: The Purpose of this study was to evaluate the effects of antioxidant vitamins and minerals supplementation on blood pressure and lipids in the elderly with hypertension. Methods: This study adopted a unequivalent control group pretest-posttest design. For this study, 79 subjects with hypertension were selected among the home visiting clients of public health centers. The experimental group received 12-weeks' treatment with antioxidant vitamin A, C, E, carotene, magnesium and selenium and the control group did not take any antioxidant vitamin and mineral. Results: There were statistical differences in systolic blood pressure and diastolic blood pressure between the experimental group and the control group after the intervention. In the experimental group, systolic blood pressure decreased from 145.4mmHg before the intervention to 135.7mmHg after the intervention, and diastolic blood pressure decreased from 88.3mmHg before the intervention to 81.9mmHg after the intervention. However, there were no statistical differences in total cholesterol and triglyceride between the experimental group and the control group after the intervention. Conclusions: A short-term supplementation with antioxidant vitamins & minerals can reduce blood pressure in the elderly with hypertension. The continuous effects of the supplementation and its beneficial effects on the prevention of cardiovascular diseases still need to be studied further.

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대도시 저소득층 지역사회 노인의 영양 위험도와 관련 요인에 관한 연구 (Nutritional Risk and Its Contributing Factors in the Low-income Elderly in Urban Areas)

  • 양숙자
    • 지역사회간호학회지
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    • 제16권4호
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    • pp.392-403
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    • 2005
  • Purpose: This study was to evaluate the nutritional status of low-income elders in urban areas and factors affecting their nutritional risk. Methods: A cross-sectional analysis was conducted. The subjects were 300 elders selected from home visiting clients of DongJack Public Health Center. Data were collected using a questionnaire containing questions on socio-demographic characteristics. health behavior and disease. dietary pattern. Nutritional Screening Initiative. Geriatric Depression Scale and Barthel Index for ADL. Collected data were analyzed through descriptive statistics. $X^2-test$ and multiple regression analysis using SPSS. Results: Of the subjects, 63% had high nutritional risk, 21.3% moderate nutritional risk, and 15.7% good nutritional risk. NSI score was significantly different according to economic status, subjective health condition, medication, dental health, depression. regularity of diet and meal with family. Multiple regression analysis revealed that depression, subjective health condition, dental health and regularity of diet and meal with family explain 38.1% of nutritional risk. Conclusion: It is necessary to evaluate nutrition status and to control nutritional risk factors such as depression, dental health, regularity of diet and meal with family for improving the health of the low-income elderly.

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추후관리를 받은 저출생체중아 어머니의 양육자신감, 사회적지지 및 자아존중감 비교 (The Effects of Follow-Up Care on Social Support, Self-esteem and Maternal Confidence in Low Birth-weight Infant's Mothers)

  • 이광옥;이자형;백윤미
    • 지역사회간호학회지
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    • 제15권4호
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    • pp.628-638
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    • 2004
  • Purpose: The purpose of this study was to examine the effect of follow-up care on the social support, self-esteem and maternal confidence in mothers of low birth weight infants. Method: This study applied a quasi-experiment study method to examine the pre-post intervention effects. Eighty-eight mothers whose infants were below 2.5kg of Low birth weight were studied. The period for the data collection was from July to December in 2003. Self Reported Survey and Face to Face Interview by the highly trained home Visiting Nurses were used for this study. Result: Most of the participants reported statistically significant improvements in the score of social support, self-esteem and maternal confidence after they received the intervention. Conclusion: Longitudinal study for the mothers of low birth weight infants might reveal more comprehensive findings. Moreover, follow-up care, which is linked with community health care services, is needed to continue the post hospital care services. Additionally, qualified and professional intervention programs should be provided to consider the characteristics of mothers of low birth weight infants.

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취약계층 독거노인의 우울에 미치는 영향변인 (Factors Affecting Depression in Elderly Vulnerable People Living Alone)

  • 김현미;최연희
    • 지역사회간호학회지
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    • 제22권4호
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    • pp.355-364
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    • 2011
  • Purpose: The purpose of this study was to investigate factors that influenced depression of the elderly vulnerable people living alone in the public home visiting health service center. Methods: The participants for this study were 491 Korean elderly men living in G city. Data were collected from February to July, 2011 using structured questionnaires. ${\chi}^2$-test, t-test, Pearson's correlation coefficient and multiple regression with the SPSS/WIN program were used to analyze the data. Results: The levels of ADL and IADL of the elderly living alone were higher, and the levels of social support and life satisfaction were lower than the normal elderly. Depression was positively related to ADL and IADL and negatively to social support and life satisfaction in the elderly living alone. In addition, age, fall experience, ADL, IADL and life satisfaction had influence on the depression. Conclusion: The elderly living alone are in a more serious health status, especially in depression than the normal elderly. It is necessary to develop depression controlling intervention programs in order to promote healthy lifestyles for the elderly vulnerable people living alone.

극소저출생체중아 어머니를 위한 병원중심의 추후관리프로그램의 효과 (Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants)

  • 김민희;지은선
    • 대한간호학회지
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    • 제46권1호
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    • pp.79-89
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    • 2016
  • Purpose: This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants. Methods: The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using ${\chi}^2$-test, t-test, and ANCOVA with IBM SPSS statistics 20.0. Results: Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group. Conclusion: The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

재가 뇌졸중 환자의 삶의 질에 영향을 미치는 요인 (Factors Affecting the Quality of Life in Stroke Patient at Home)

  • 김정화;강현숙;김원옥;왕명자;장정미
    • 재활간호학회지
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    • 제9권1호
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    • pp.49-55
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    • 2006
  • Purpose: The purpose of this study was to identify factors affecting the Quality of Life of the Stroke Patients. Method: The subjects were 249 Stroke Patients who had visiting at the hospital and health care center. The research tools were FIM, CES-D, ATD PA, Quality of life Scale. Data were analyzed with SPSS WIN program in which frequency, percentage, Pearson's correlation and stepwise regression were used examination the factors affecting the quality of life. Result: There were positive correlation between patient's FIM and Quality of life, depression and physical disability, and negative correlation between FIM and depression and physical disability. Depression was the most important factor with influence on quality of life. Conclusion: Based on the results, Active nursing intervention to decreased depression and to improve patients physical functional status in needed.

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The Approaches of Positive Experience Design on IoT Intelligent Products

  • Wu, Chunmao;Xu, Huayuan;Liu, Ziyang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권5호
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    • pp.1798-1813
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    • 2021
  • This paper proposes a positive experience design approach for Internet of Things (IoT) intelligent products to improve users' subjective well-being in the fields of artificial intelligence and big data. First, the authors selected six target users and taking the Xiaomi IoT intelligent products for the research objects and conducted a thorough observation on how the target users used IoT intelligent products in their own homes over two weeks via a home-visiting interview, group diary, and focus group. Second, they constructed an individual activities table for the participants' IoT intelligent product experience using a hierarchical task analysis (HTA). Third, two researchers sorted out the sub-tasks of happiness in the HTA table. Finally, the authors found the positive experience design approach of IoT intelligent products. The positive experience design approach of IoT intelligent products is proposed from focusing on the personal pleasure experience to individual life meaningful design and group social relationship design, including individual pleasure experience, personal goal realization, group needs satisfaction and the harmony of group relations. The paper uses the two design examples of an interactive kettle and a harmonious chair to further discuss the feasibility of the design approach. In the era of big data, it is helpful for designers to use this design approach to improve the users' sense of sustainable pleasure, achievement perception of their future goal realization, and the well-being of the group's social relationships.

사고로 소아응급실을 내원한 아동에 대한 실태 고찰 (Characteristics of Children Admitted to a Pediatric Emergency Department Following an Accident)

  • 윤오복;강혜숙
    • 임상간호연구
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    • 제15권1호
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    • pp.79-91
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    • 2009
  • Purpose: The purpose of this study was to describe the characteristics of children who visited the pediatric emergency department (PED) following an accident. Method: Data were obtained from the medical records of 4,010 children who visited the PED from January 1, 2004 through December 31, 2006. Data were analyzed using SPSS WIN 13.0 version. Results: The percentage of children who visited the PED for treatment following an accident was 14.9%. There were more boys (63.5%) than girls. The largest age group for children visiting the PED was preschool aged children. Slip downs were the most frequent accident (37.1%). The face was the most frequently injured area of the body (26.0%). Most (93.3%) of the children who visited the PED were classified as non-emergency, 6.5% as emergency and 0.2% as urgent. About 70.0% of children were examined and 50% of children were medicated. Fifty percent stayed in the PED department for less than 2 hours, and 88.0% of children were discharged to home. Nine percent were admitted, and 2.2% were transferred to other hospitals. Conclusion: The results of this study suggest the need for accident prevention education for parents, and the need to develop effective education for clinical nurses working in PED.