• Title/Summary/Keyword: 간호결과분류

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The Effects of Maternal Adverse Childhood Experience Risk Factors on Children's Emotional and Physical Abuse and Neglect and Parenting Stress (어머니의 아동기 부정적 경험 위험군이 자녀의 정서적·신체적 학대 및 방임과 양육스트레스에 미치는 영향)

  • Cho, Eunjeong;Park, Inhee
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.13-26
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    • 2023
  • Objective : The purpose of this study is to examine the impact of maternal risk factors for adverse childhood experiences on children's emotional and physical abuse and neglect as well as parenting stress. Methods : This is a secondary data analysis study utilizing raw data from the 2017 National Survey of Child and Family Life Experiences. A total of 1,937 mothers with at least one adverse childhood experience were categorized into low-risk (1-3), moderate-risk (4-6), and high-risk (7 or more) groups to examine the differences in children's emotional and physical abuse and neglect and parenting stress and identify the influencing factors through regression analysis. Results : Maternal adverse childhood experiences were 50.4% in the low-risk group, 39.8% in the medium-risk group, and 9.7% in the high-risk group. Child emotional abuse was 45.0%, child physical abuse was 13.2%, child neglect was 3.5%, and parenting stress was 2.13 (±0.61) on average. Adverse childhood experiences were significantly more likely to be associated with emotional and physical abuse, neglect, and parenting stress in the medium- and high-risk groups than in the low-risk group. The regression analysis showed that the model explained 35% of child emotional abuse, 25% of child physical abuse, 19% of child neglect, and 16% of parenting stress. Conclusion : The higher the risk of adverse childhood experiences of parents, the more their children experience emotional abuse, physical abuse, child neglect, and parenting stress.

The Analysis of Research Trend about Hospice in Korea ($1991{\sim}2004$) (국내 호스피스 논문 분석($1991{\sim}2004$))

  • Kim, Sang-Hee;Choi, Sung-Eun;Kang, Sung-Nyun;Park, Jung-Suk;Sohn, Sue-Kyung;Kang, Eun-Sil;Lee, Young-Eun
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.145-153
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    • 2007
  • Purpose: This study was to analyze the research trend centering on the theses to hospice released in Korea. Methods: The researcher collected the academic degrees and theses published on the book of the academic society from 1991 to 2004, and examined 110 domestic papers of hospice. Results: 1) The number of articles increased 3 years after 1997, 52 (47%) theses were published in $2000{\sim}2002$. 97 (88%) articles were quantitative studies, and 13 (12%) were qualitative studies. 2) As for the subject, the results were: patients with end stage 44 (40%), nurse 18 (16%), hospice care system, facilities, and literature review 12 (10%). 3) As for main concepts of correlational studies 15 (13%), the results were: quality of life, activities of volunteers, suffering experience of nurse, and so on. 4) The subjects and contents of survey, the results were: pain control and need for nursing care in patients, need for spiritual and physical care in family, and so on. 5) The treatment of experimental research, the results were: hospice nursing, educational program, informational support, spiritual nursing, supportive nursing intervention, home hospice care, information services for control of cancer pain, and so on. 6) In the theme of the qualitative studies, the results were: experience of dying patients, perceive of hospice care and death, experience of family of terminal ill patients, meaning of dying in Korean. 7) In the instrument in studies, the results were: MQOL, EQOL, QOL, NIC, Need Scale, Spiritual Well-being Scale, Spiritual Perspective Scale, Coping for Grief Scale, K-CPAT, VAS, BPI, Depression Scale, Strait-anxiety Scale, Care-giver Burden Inventory, Burnout Inventory, Mental quality. Conclusion: More research needs to be encouraged in experimental and qualitative research fields. Researches should be conducted for the establishment of the basis of practical and theoretical framework and hospice polices.

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Improving The Formal Long-Term Care Workforce Caring for the Elderly: A Focus Group Interview (요양보호사 교육의 고도화 방안에 관한 초점집단 인터뷰: 직무 및 치매교육을 중심으로)

  • Kim, Hye Jin;Jang, soong nang
    • 한국노년학
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    • v.37 no.3
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    • pp.549-565
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    • 2017
  • A high-quality workforce is essential to delivering the high-quality care for the older people who are beneficiaries of long term care insurance. Providing adequate education and ongoing training opportunities could be one answer that may lead to the ultimate goal of improving the quality of long-term care services. Thus this study aimed to examine a workforce crisis and difficulties that care workers face in current education system, especially in contents and administration aspects and draw out suitable solutions or improvement measures. The focus group interview approach was chosen to reflect opinions of long-term care workers, directors of the education system in long-term care facilities and managers. The findings from the focus group interviews were analyzed by theme and classified into several categories by common subjects:'Training contents', 'Training environment', 'Administrator', 'Compulsory training', 'Care givers supply', 'Working condition'. Also, four content areas were presented as follows:'Job training', 'Dementia care training', 'Administration system', 'Workforce'. The caregivers demand very practical training programmes and trainers with a lot of field experience. Improving the working condition and treatments for them leeds to expand the opportunity of the on-going training.

Effectiveness Evaluation of Web-Based Cognitive Training Program for the Elderly Registered in the Rural Dementia Center (농촌 치매안심센터에 등록된 노인을 위한 웹기반 인지훈련 프로그램의 효과성 평가)

  • Ahn, Eun Jung;Kim, Hyunli
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.38-49
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    • 2021
  • This study is single-group pretest-posttest design study to examine the effects of web-based cognitive training program using tablet on cognition and depression in the elderly with high risk of dementia or mild dementia living in a rural area, enrolled in dementia center. Intervention was provided to the 18 participants once a week for 10 weeks within 1 hour. Data was analyzed with SPSS 24.0 and interview data was categorized. The study result proves that after intervention, the participants' cognitive score increased significantly(Z=-3.35, p=.001) and the depression scores were significantly decreased(Z=-3.13, p=.002). Also, interview shows positive effect of the intervention on cognition and depression. It is necessary to improve access environment for smart devices so as not to be restricted by time and place, and to develop and apply various types of web-based programs for each cognitive level. Then, the intervention could be used as a cognitive training program incorporating information and communication technology for the prevention and management of dementia in rural areas.

Trend Analysis of Corona Virus(COVID-19) based on Social Media (소셜미디어에 나타난 코로나 바이러스(COVID-19) 인식 분석)

  • Yoon, Sanghoo;Jung, Sangyun;Kim, Young A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.317-324
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    • 2021
  • This study deals with keywords from social media on domestic portal sites related to COVID-19, which is spreading widely. The data were collected between January 20 and August 15, 2020, and were divided into three stages. The precursor period is before COVID-19 started spreading widely between January 20 and February 17, the serious period denotes the spread in Daegu between February 18 and April 20, and the stable period is the decrease in numbers of confirmed infections up to August 15. The top 50 words were extracted and clustered based on TF-IDF. As a result of the analysis, the precursor period keywords corresponded to congestion of the Situation. The frequent keywords in the serious period were Nation and Infection Route, along with instability surrounding the Treatment of COVID-19. The most common keywords in all periods were infection, mask, person, occurrence, confirmation, and information. People's emotions are becoming more positive as time goes by. Cafes and blogs share text containing writers' thoughts and subjectivity via the internet, so they are the main information-sharing spaces in the non-face-to-face era caused by COVID-19. However, since selectivity and randomness in information delivery exists, a critical view of the information produced on social media is necessary.

A Case Study on the Hospital Information Systems Usability (병원정보시스템 사용성에 대한 실증연구)

  • Park, Chan-Seok;Lee, Hyen-Uoo;Koh, Seok-Ha
    • Information Systems Review
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    • v.10 no.3
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    • pp.289-311
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    • 2008
  • This study is a development of quality scale and a measurement of quality levels for the Hospital Information System(HIS) used in the hospital industry. This study is to provide decision-making guidelines for hospital managers, system analysts, and software designers, and to provide feedback for the users' information needs. The target people of the study were medical doctors, nurses, pharmacists, and clerical staff. The service contexts of usability were diagnosis/treatment, nursing, medicine preparation, and treatment fee receipt/claim. The quality factors were the efficiency, effectiveness, and satisfaction of IS09241-11. This study shows that the current domestic HISs are mostly based on patient diagnosis/treatment and treatment fee accounting, and that other quality scales are necessary according to different job categories, specializations, positions, and service domains. Especially, the low quality of HIS was found in the abnormal service processing, information sharing by outside institutions, and standardization. It may be added that the HIS should be improved and developed in these respects.

Subjectivity on Health and Lifestyle among Middle-aged Women -Q Methodological Approach- (중년 여성의 건강과 생활양식에 대한 주관성 연구)

  • Lee, Si-Eun;Kim, Jin-Kyung;Kim, Boon-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4786-4797
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    • 2015
  • The purpose of this study was to understand the subjectivity on health and lifestyle of middle aged women and to explore the relationship between health and lifestyle. Q methodology was applied of the study. 29 statements for health and 27 statements for lifestyle were classified by 30 women of the age 40~60 years living in Seoul. The obtained data were analyzed by means of PC Quanl program. The result showed that the health and lifestyle of middle aged women were classified in 4 types and the characteristics and the relationship between health and life style have been identified. The types of health included 'health worrying type', 'daily living management type', 'discordance between one's words and action type', and 'early management type'. The types of lifestyle included 'occupation focused type', 'self norm value type', 'satisfying type', and 'religion focused type'. This study provided basic data to improve the health and life style of middle aged women, as well as to supply theoretical frame to prepare individualized nursing interventions.

Family Decision-Making to Withdraw Life-Sustaining Treatment for Terminally-Ill Patients in an Unconscious State (의식 없는 말기환자 가족의 연명치료 중단 결정 경험)

  • Kim, Myung-Hee;Kang, Eun-Hee;Kim, Mi-Young
    • Journal of Hospice and Palliative Care
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    • v.15 no.3
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    • pp.147-154
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    • 2012
  • Purpose: The purpose of this study is to understand family members' experience of deciding to withdraw life-sustaining treatments for terminally-ill patients in an unconscious state. Methods: Data were collected by performing an in-depth interview with eight terminally-ill patients' family members who decided to withdraw life-sustaining treatments. Colaizzi's phenomenological method was used for data analysis. Results: Questions were classified into 12 groups and finally into five categories. The five categories were about family members' frustration with patient's condition, emotional preparation for the patient's death upon medical professionals' recommendation, patient's wishes, exhaustion due to caring and past experiences related to life-sustaining treatment. Conclusion: Using the five categories, hospice and palliative professionals could better understand family members' decision making experience of withdrawing life-sustaining treatments for terminally-ill patients. Based on that, the family members could be provided with appropriate counseling and care, which in turn could improve hospice and palliative care intervention.

Evaluation of e-learning in the anatomical education : The correlation between utilization frequency, satisfaction and academic achievement (해부학 가상강의에 따른 가상강의실 활용도, 만족도, 학업성취도 간의 상관관계)

  • Kim, Kwang-Hwan;Kim, Jee-Hee;Park, Jeong-Hyun
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.901-903
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    • 2010
  • 본 연구에서는 2007-2009년에 간호학과 및 스포츠과학부 해부학 강의에 있어 가상강의를 실시하였고 이에 따른 학생들의 가상강의 컨텐츠의 만족도와 가상강의실 활용빈도에 따른 학업성취도와의 상관관계를 분석하였다. 2007-2009학년도 1학기 해부학 강의를 가상강의 방식으로 수강한 2개 학과 231명을 대상으로 강의 종료 후 가상강의실 게시판 및 컨텐츠 활용 빈도, 개별 설문조사, 학기말 성적을 확보하여 상호간의 상관관계를 분석하였다. 각 학과별 일반 특성을 보기 위하여 연속 변수의 경우 평균과 표준오차를, 범주형 변수의 경우 그 분포 퍼센트를 이용하여 제시하였다. 학과별로 모든 학생들의 총점을 3분위수로 구분하여 낮음, 중간, 높음으로 분류하였으며, 조사된 모든 변수들의 일반 선형성을 GLM 모델을 이용하여 검증하였다. 사후 검증은 최소자승법을 이용하여 실시하였으며, 이를 이용하여 각각의 세부 집단별 점수 차이에 대한 유의성을 평가하였다. 관련 항목들 간 상관성 분석을 위하여 스피어만 상관계수를 이용하여 p 값 0.05를 기준으로 유의성 검증을 실시하였다. 모든 통계분석은 SAS 9.12 버전을 이용하여 분석하였다. 설문 대상자들은 학과와 해부학 성적에 상관없이 가상강의 전반에 대해 높은 만족도를 가졌다. 해부학 성적이 좋을수록 가상강의실 접속횟수가 유의하게 높았다. 아울러 해부학 성적이 좋을수록 난이도가 낮고 흥미도는 높게 나타났다. 또한 평가 요인들 간의 상관관계를 분석한 결과, 가상강의의 만족도는 흥미도와 전공과의 연계성과 밀접한 관련이 있었다. 가상강의 게시판을 통한 과제물 관리, 질의응답에 대한 적절성에 대해서는 성적에 따라 일부 유의한 차이가 나타났으나 높은 만족도를 나타내었다. 결론적으로 건강 및 의료 전공자들을 위한 해부학 강의에 있어 가상강의의 도입과 적용은 성공적이었으며, 이는 해부학 전공 교수진이 매우 부족한 현실에서 해부학 강의의 질적 저하를 막고 효율적인 교육을 위한 대안이 될 것으로 판단된다. 단, 해부학 가상강의 컨텐츠의 개선, 자료 보강 및 가상강의의 접근성 확보는 시급히 개선해야할 과제로 남아 있다.

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Comparison of Depression and Life-stress by Values in University Students (대학생의 가치관에 따른 우울과 생활스트레스의 비교)

  • Jeon, Hae-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2148-2155
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    • 2012
  • The purpose of this study was to investigate the relationship of depression and life-stress by values in Korean university students. Data were collected by structured questionnaires form 212 students by convenient sampling methods from August to November 2011. The type of values were classified into: personal oriented values, 64.6%; social oriented values, 35.4%. There were no significant differences in depression by values. But there were significant differences in frequency of experiences and importance of life-stress by values. Also, there were significant differences for correlation between depression and life-stress by values. These results suggest that for the university student, the nursing strategies should be developed in order to improve ability to reduce life-stress and depression considering such differences by values. Especially, it is necessary to attention in management of stress and depression for students with personal oriented values.