• Title/Summary/Keyword: 방문건강관리

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Analysis of the Medication Adherence of Hypertensives and Influential Factors (고혈압 환자의 투약순응도와 이에 영향을 미치는 요인 분석)

  • Jeong, Mi-Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.207-209
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    • 2010
  • 본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남북)에 개설되어있는 전체 의료기관을 대상으로 진료일 기준 '08.7월~'08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 432,915명을 대상으로 하였다. 투약순응도와 영향 요인을 분석하였다. 투약순응도에 영향을 미치는 요인으로는 남성, 55~64세, 건강보험 가입자가, 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다. 본 연구 결과 투약 순응도가 낮은 환자에 대한 다양한 요인분석이 필요하며, 투약 순응도를 높이기 위한 고혈압관리사업의 정책적 검토 및 대안이 필요할 것이다.

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Factors Influencing Intent to Revisit of Health Screening Center Visitors (건강검진센터 이용자의 재이용 의도에 미치는 영향요인)

  • Bang, Eun-Pil;Kim, Jeong-Hee
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.147-157
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    • 2020
  • The purpose of this study was to investigate the factors influencing the intent to revisit among health screening center customers. The subjects were 195 customers of a health screening center. The intent to revisit was positively correlated with customer satisfaction and word-mouth communication. Multiple regressions showed that customer satisfaction and perceived health status explained 29% of the variance of the intent to revisit. In order to increase the intent to revisit, hospital and nursing managers should strive to improve customer satisfaction. In particular, strategies to arrange explanation of the result consultations, individual health management tailored to customers' needs, and customers-relationship management for continuing relations with the customer should be needed. In addition, it will be needed to expand the roles of nurses who are working in the health screening center from simple heath check or customer reception to active health education and continuous health screening plan after initial one.

성인병 뉴스 제314호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.314
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    • pp.1-26
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    • 2007
  • 강원도 횡성군 보건소 염경숙 소장/대대적 국가암관리사업 추진/노인장기요양보험 3차 시범 내달 시행/만성질환 예방의식 고취 총력/65세 이상 노인 30%가 당뇨 환자/성인 3명 중 1명 중증 안구건조증 환자/“감 잘못 먹으면‘위석’생긴다”/방문보건.재가복지통합사업 성과 커/자율방역봉사단 구성 맞춤형 모기방제 실시/보건의료투자 전략, 어떻게 추진되나/고령친화 모델지역 기본 구상/생명표 작성, 국민건강실태 분석/

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A Study on a PDA-Based Ubiquitous Healthcare System for the Management of Chronic Diseases (만성질환 관리를 위한 PDA폰 기반 이동형 방문건강관리 시스템 개발)

  • Son, Sung-Yong;Hwang, Won-Sook;Yee, Yang-Hee;Kim, Chang-Seob;Lim, Chae-Seung;Park, Gil-Hong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.1
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    • pp.18-22
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    • 2007
  • Purpose: The rapid change to an aging society generates an increase in the incidence of chronic diseases. Many chronic patients have been facing their illnesses without enough preparation. In order to solve these problems, we designed and tested a public healthcare service based on ubiquitous technology. Method: Telemedicine has emerged as new medical care system of chronic disease. However, public potential of its technology is difficult to know under current traditional health care system. In this work, we developed a Personal Digital Access (PDA) phone based healthcare system by trained visiting nurses for elderly patients. A field test was performed by SeongBuk Public Health Center in Seoul, Republic of Korea (ROK). Result: Surveys were generated to assess the effects of this system compared to conventional public health system. Findings of trials demonstrate that healthcare coordination enhanced by PDA phone technology is satisfactory to the patients and nurses compared to previous one because prompt responses arouse their recognition of health. Conclusion: Ubiquitous healthcare system applied to public health service proved to be efficient and time-saving to monitor and control the chronic illnesses of large population.

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The Relationship Factors Geriatric Syndrome of the Elderly Women in Poverty (빈곤층 노인여성의 노인증후군 관련요인 분석)

  • Hwang, Hye-Jeong;Lee, Moo-Sik;Kim, Nam-Song;Na, Bak-Ju;Bae, Seok-Hwan;Roh, Young-Soo;Hong, Jee-Young
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.669-672
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    • 2010
  • 본 연구는 방문건강관리사업 대상자 중 취약한 노인여성과 노인증후군 관련요인에 대한 인과관계 모형을 규명하여 취약한 노인 여성의 보건의료서비스 제공 시 효율적인 방안제시를 위한 기초자료로 활용하고자 시행하였다. 연구대상자는 2008년 7월 1일부터 9월 30일까지의 기간 동안 전국 보건소에 등록된 방문건강관리사업 대상자 중 동의된 65세 이상 노인여성 1,350명을 선정하여 훈련된 조사원이 직접면담을 통해 조사하였다. 수집된 자료 중 불충분한 29명을 제외한 1,321명을 최종 분석대상으로 하였다. 수집된 자료는 SPSS 17.0 프로그램을 이용하여 빈도분석 및 카이제곱 검정, t-검정, ANOVA, 사후검정은 Tukey를 이용하였으며, 유의한 변수들을 선정하여 로지스틱 회귀분석을 이용하여 분석 하였다. 연구결과를 요약하면 다음과 같다. 첫째, 허약과 관련 있는 노인증후군위험요인은 우울, 요실금, 낙상력, 일상적 수행활동(ADL)으로 나타났다(p<0.05). 둘째, 허약에 영향을 미치는 요인으로는 연령이 75세 이상의 고령일수록, 우울과 요실금의 증상이 있을 때, 최근 낙상경험이 있을 때 허약의 증가 위험이 높은 것으로 나타났다(p<0.05). 셋째, 노인증후군의 위험요인 증가에 영향을 미치는 요인으로는 평생 동안 담배를 5갑 이상 피웠을 때, 당뇨병이 있을 때로 나타났다(p<0.05). 이상 결과를 볼 때, 취약 노인 대상으로 노인증후군, 허약의 향상을 위해서는 만성질환관리 프로그램 뿐 만 아니라 체계적인 근력강화 운동 및 정신건강관리 프로그램의 충분한 확대보급이 반드시 필요하다.

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특별취재 - 환자의 눈높이에 맞게 서비스를 제공하는 '당뇨식 선택식단제'

  • Kim, Min-Gyeong
    • The Monthly Diabetes
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    • s.238
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    • pp.54-56
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    • 2009
  • 먹는 즐거움이야말로 얼마나 크던가! 당뇨병을 관리하는데 빼놓을 수 없는 것이 먹는 일 즉, 식사요법이다. 잘 먹는 것이 곧 병을 치료하는 일이고 나아가 건강한 삶을 사는 데 있어 중요한 일이기도 하다. 이번 달에는 최근 당뇨식 선택식단제를 도입해 호응을 얻고 있는 가톨릭대 성모병원을 방문해왔다. 당뇨인들을 위한 남다른 배려가 느껴지는 '당뇨식 선택식단제'를 소개 해보고자 한다.

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Effects of Low Intensity Exercise Program with Telephone Coaching on Physical Fitness (전화코칭을 동반한 저강도 운동 프로그램이 방문건강관리 노인의 체력에 미치는 효과)

  • Kim, Sang-Hee;Lee, Ji-Hyun;Koh, Kwang-Wook;Ha, Hyun-Bo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.4
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    • pp.457-466
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    • 2008
  • Purpose: The purpose of this study was to determine the effects of low intensity exercise program with telephone coaching on the physical fitness of elderly people who are receiving home visiting nursing care. Method: This study was conducted using a non-equivalent control group pretest-posttest design. The participants were 61 elders. Elders (34) in the experimental group performed low intensity exercise and of these 16 received telephone coaching. The low intensity exercise program consisted of stretching, muscle strengthening with an elastic band, massage, and ball exercise, five days a week, for sixteen weeks. Data were collected from July 2007 to December 2007. $x^2$-test, ANCOVA with SPSS WIN 11.0 program were used to analyse the data. Results: There were statistical differences in the right grasping power in the right hand (p=0.021), Raising behind of right arm (p=0.006), Raising behind of left arm (p=0.007). Conclusion: These results indicate, that a low intensity exercise program with telephone coaching can help improve physical fitness in elders receiving served home visiting nursing care.

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Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services (맞춤형 방문건강관리 대상 노인의 우울 및 삶의 질 영향요인)

  • Kwon, Yun-Hee;Kim, Chung-Nam;Kwag, Oh-Gye
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.262-271
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    • 2011
  • Purpose: The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services. Methods: A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0. Results: Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL. Conclusion: The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.

Health Zone_4050 주치의 - 금연 폐암에서 멀어지는 지름길

  • Kim, Gi-Eop
    • 건강소식
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    • v.36 no.2
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    • pp.20-22
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    • 2012
  • 응급실에 30대 젊은 남자가 숨차다고 방문하였다. 흉부방사선 검사에서 검게 보여야 할 오른쪽 폐가 하얗다. 물이 차서 보이는 현상이라 단순하게 폐렴인가? 결핵인가? 정밀검사를 하였다. 흉부컴퓨터 단층촬영, 오른쪽 폐에 덩이가 보이고 물이 차있다. 기관지 내시경 검사를 하고 고인 물을 뽑았다. 핏물이다. 암이 강력히 의심된다. 너무 젊다. 자세한 병력 청취에서 15세부터 흡연을 시작했다고 한다. 보건복지부 중앙 암 등록본부의 자료에 의하면 우리나라 2008년 통계에서 평균 수명으로 계산하였을 때 30% 정도는 암이 발생한다고 보고되고 있다. 그 중 폐암은 남자에게서 위암 다음으로 많은 빈도를 차지하고, 여자에게는 다섯 번째이다.

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Oral Health Knowledge According to Police Officers' Oral Health Behaviors (경찰공무원의 구강건강관리행태에 따른 구강보건지식)

  • Lee, Mi Hak;Lee, Hye-Jin;Oh, Han-Na
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.165-172
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    • 2021
  • This study was carried out in order to identify oral health knowledge according to police officers' oral health behaviors. The questionnaire survey was conducted targeting 237 police officers in Gwangju. A tool used general characteristics, oral health knowledge, oral health behavior and oral health education needs. The analysis was processed with descriptive statistics, t-test, Anova and regression analysis. As a result, the oral health knowledge was high in a person of using oral hygiene products and in a person of experiencing a visit to dental clinic(p<0.001). The desired the oral health education were a specialist's direct verbal explanation and the correct tooth-brushing method. Also, marital status, educational level, smoking status, using oral hygiene products and Dental visit experience were identified to have influence upon a oral health knowledge (explanatory power, 40.5%). Hence, the results of this study will be able to be applied to basic data in case of developing an oral health education program and planning a dental health project for enhancing oral health in police officers.