• Title/Summary/Keyword: Adult Service

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Patient Satisfaction as an Outcome Indicator (결과지표로서의 환자 만족도에 관한 연구)

  • Hwang, Jeein;Park, Hyeoun-Ae
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.29-39
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    • 2001
  • The purpose of this study was to identify factors influencing patient satisfaction and to evaluate the utility of patient satisfaction as an outcome indicator. The study was conducted by mailed questionnaire. The subjects were 900 patients discharged from adult nursing units in a tertiary teaching hospital. On the discharge date, questionnaires were distributed by two trained research assistants. The questionnaire developed by the researchers was based on Larson(1996)'s study, and consisted of 71 items with the following components: overall satisfaction, domain-specific satisfaction(administration process, hospital facility and environment, nurses, and doctors), patients' loyalty(intention to use the health care service of the hospital in the future), recommendation to others, health benefits, and demographic characteristics. Each item was rated using a five point Likert scale ranging from '1=strongly disagree' to '5= strongly agree'. The response rate was 43%(387/900). The satisfaction level with the health care service was generally high. Perceived health status was the only significant factor influencing satisfaction level. Satisfaction with doctors contributed the most to explaining overall satisfaction. Overall satisfaction was significantly correlated with patient loyalty, recommendation, to other and perceived health benefit. It was found that the score of satisfaction was positively correlated with the score of loyalty, recommendation, and health benefit. Therefore, patient satisfaction seems to be a good outcome indicator.

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Family Solidarity between Old Parents and Adult Children, Welfare Distribution, and Suicidal Ideation of Elderly (노부모와 성인자녀간의 가족결속도가 노인의 자살생각에 미치는 영향 연구: 복지유통관점 중심으로)

  • Jung, Myung-Hee;Kim, Eun-Jeong
    • Journal of Distribution Science
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    • v.12 no.8
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    • pp.91-102
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    • 2014
  • Purpose - Today, the importance of the service industry has increased. Social welfare businesses that follow the non-profit principle have neglected the distribution of the service. However, an intangible service, when produced and consumed, has a similar service delivery system to common service distribution and social welfare. Therefore, the author has assumed the efficiency of the service delivery system of social welfare to be equivalent to the service distribution industry. Hence, various kinds of social welfare services for the prevention of elderly suicide, from the perspective of distribution, are discussed. Studies on generational relations have thus far investigated depression from parent-children conflict, and satisfaction with their lives. Studies on the relationship between family solidarity and elderly suicide by analyzing existing social problems are rare. This study investigated the effects of family solidarity between old parents and adult children upon elderly suicide by analyzing serious psychological and social problems. This study revealed basic measures for elderly suicide prevention through services that could elevate family solidarity from the perspective of social welfare service distribution. Research design, data, and methodology - The subjects were 468 elderly, 65 years or older, at 18 senior welfare centers and halls for the elderly at Seoul and Gyeonggi-do. Questionnaire surveys, excluding invalid answers, were analyzed. Convenience sampling was used from February 5, 2014 to March 5, 2014. The findings were: First, women and those having spouses with advanced educational backgrounds and social activities had primary solidarity such as contact solidarity, affectionate solidarity, functional solidarity (giving help), and functional solidarity (receiving help). In addition, those who had good health, from a subjective point of view, had more solidarity. Second, the elderly who were men and single, and who had poorer educational backgrounds thought of suicide, lacked social activities, and had poor health, from a subjective point of view. Third, family solidarity between old parents and adult children had significantly negative influence on the suicidal ideation of the elderly. Results - The study revealed the following implications. First, the preparation for old age should consider not only economic welfare but also the psychological welfare due to the relationship with children. Second, the phenomenon of elderly suicide because of a lack of family solidarity could increase national loss and have great influence upon welfare in old age. Therefore, planning of welfare services for the elderly should consider the value of relationships with children to improve the psychological welfare of the elderly. Third, the social expenses of government-oriented support for parents should be discussed from the people's point of view. Conclusions - The subjects of the study comprised the elderly at Seoul and Gyenggi-do; therefore, it would be difficult to extrapolate the findings to all the elderly in the nation. The subject visited senior welfare centers as well as halls for the elderly; therefore, it would be difficult to assume that the trends were representative of the elderly in the nation.

Monitoring of Sacbrood virus from Korean native honeybees in Jeonbuk province, Korea (전북지역 토종벌에서 낭충봉아부패병 관찰)

  • Shon, Ku-Rye;Kim, Ji-Hyun;Chu, Keum-Suk;Lee, Jeong-Won
    • Korean Journal of Veterinary Service
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    • v.38 no.1
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    • pp.57-59
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    • 2015
  • This study was carried out to investigate the Sacbrood virus (SBV) of Korean native honeybees causing serious damage in Jeonbuk area. Korean native honeybees completing the after overwinter 60 farms and March to April active phase adult bees and larvae 52 farms were collected from farms in 7 counties. Active phase of the adult bees 39 (75.0%) and larvae 24 (46.2%) farms was infected with SBV in 52 farms. This result indicate that SBV was the highest in Imsil-gun than other areas.

Productivity Affected by Various Disease Conditions in Bovine (소의 질병감염이 생산성에 미치는 영향)

  • 이성재;이후식;노수일;김길수;이주묵
    • Korean Journal of Veterinary Service
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    • v.17 no.3
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    • pp.227-246
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    • 1994
  • Present investigations were undertaken in order to clarify the clinical status of Korean native cattle and dairy cattle(holstein). Blood, Feces and urine samples were collected from 247 Korean native cattle(222 adult and 25 calf), 224 dairy cattle(211 adult and 13 calf) at Chonbuk area and analyzed for clinical, serum chemical, hematological and urinary findings. In addition, we were examined the infection rate of Theileriosis, internal patasite and ring worm. The mean value for each component was calculated by statistical analysis using Excel computer program. From these investigations the following results were obtained. The mean values for RBC, PCV and etc in 433 adult cow(Korean native cattle and dairy cattle) were similar with other reports. But the mean values for MCHC of all species were lower than normal. Adult Korean native cattle and adult dairy cattle which showed hematologically normal levels were only 9.01% and 9.48%, respectively. Ahnormally high values for PCV, RBC and Hb were recorded in 7.66% of adult Korean native cattle, 20% of Korean native calf, 15.38% of dairy calf. Adult Korean native cattle and adult dairy cattle which showed hematologically anemia were 4.95% and 19.43% respectively, but all in Korean native calf and dairy calf showed normal values. Adult Korean native cattle, adult dairy cattle, Korean native calf and dairy calf which showed normal serum protein level were 84.0%, 90.8%, 50% and 44.4%, respectively. In present investigations, 50% of Korean native calf and 55.6% of dairy calf were decreased serum protein values under normal range. These abnormally decreased serum protein values mean the shortage of antibody, and these have a possibility to occrus to pneumonia and diarrhea. From these results, the economical loss caused by pneumonia was calculated as 124, 038, 833 won in the KNC and 742, 703, 430 won in the dairy calf rearing in Chonbuk area. Calculated economical loss caused by enteritis was 56, 658, 690 won in Korean native cattle. 476, 775, 799 won in dairy calf and the total loss amount to 533, 434, 488 won in Chonbuk area. Abnormally high values($21.7{\pm}4.0mg/dl) for serum calcium were recorded 49.6% in dairy cattle. The mean values of serum total cholesterol were $170.8{\pm}99.8mg/dl in Korean native cattle, $196.0{\pm}40.6mg/dl$ in Korean native calf, $202.9{\pm}86.0mg/dl$ in adult dairy cattle and $289.4{\pm}97.5mg/dl$ in dairy calf. The infection rate of internal parasite were as follows; adult Korean native cattle:21.2%, Korean native calf:80%, adult dairy cattle:67.8%. The estimated economical loss caused by internal parasites infection were 1, 120, 855, 837 won in Korean native calf, 4, 994, 959, 405 won in adult Korean native cattle, 3, 334, 751, 066 won in adult holstein, and the total loss amount to 9, 450, 566, 308 won. The infection rate of theileriosis were 1.4% in Korean native cattle and 6.6% in dairy cattle. The presumed Economical loss by T. sergenti infection were 154, 408, 482 won in Korean native cattle and 171, 577, 237 won in dairy cattle rearing at Chonbuk area. The infection rat of ringworm were 0.5% in Korean native cattle, 0.9% in adult dairy cattle and 7.7% in dairy calf. The presumed economical loss by dermatomycophyte were 12, 061, 532 won in Korean native cattle, 16, 895, 403 won in dairy cattle, and the total estimated loss amount to 28, 955, 935 won a year in Chonbuk area. The infection rate of ringworm were 0. 5% in Korean native cattle, 0.9% in adult dairy cattle and 7.7% in dairy calf. The presumed economical loss by dermatomycophyte were 12, 061, 532 won in Korean native cattle, 16, 895, 403 won in dairy cattle, and the total estimated loss amount to 28, 955, 935 won a year in Chonbuk area.

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Environmental Factors Influencing the Prevalence of Falls in South Korea

  • Kim, Beomryong;Do, Kwangsun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.66-77
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    • 2022
  • Objective: This study is a systematic review conducted to analyze the environmental factors that cause falls in the older adult. Design: Systematic review Methods: The study was conducted by searching the Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), and Data Base Periodical Information Academic (DBpia) databases for literature published in South Korea up to July 2020. A total of 12 studies were selected for analysis based on the inclusion and exclusion criteria. Results: The results of the analysis revealed that all the selected literature were surveys and the study subjects were 65 years of age and above. The sample size ranged from a minimum of 95 subjects to a maximum of 3,278. A total of eight tools were used to measure the environmental factors associated with falls. The prevalence and recurrence of falls increase with age and deterioration of health. Older adult individuals who experience falls encounter difficulties in recovering from impaired physical function and disability; moreover, in severe cases, falls may lead to death. Falls are largely associated with a combination of intrinsic and extrinsic (i.e., environmental) factors. The purpose of this study was to assess potential extrinsic risk factors for falls. Falls occur in indoor environments, such as washrooms, bathrooms and living rooms, and outdoor environments, including roads and stairways, depending on the season, time of day, and use of ambulatory aids. In such environments, falls are mainly caused by slipping and stuttering. Conclusions: Therefore, as the rate of fall is influenced by several factors, extrinsic factors should be improved by developing comprehensive accident prevention programs that address the improvement of environmental risk factors around places of residence to reduce risk factors among the older adult, who, especially, are at a high risk for falls.

A Study on Changes of Primary Caregivers' Fatigue, Depression and Life Satisfaction by Using Dementia Day Care Service (치매노인의 주간보호서비스 이용에 따른 주부양자의 피로, 우울, 생활 만족도 변화)

  • Lee, Young-Whee;Park, Kyung-Hee;Seong, Yeon-Sil
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.443-451
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    • 2008
  • Purpose: This study is to examine how dementia day care service affects fatigue, depression and life satisfaction of caregiver. Methods: The study was conducted using a convenient sampling method from 6 Dementia Day Care Center in Incheon. Thirty nine primary caregivers answered the questionnaires. Pre-test was done before demented elders start using the dementia day care center and post-test was done five months after. Data were analyzed by using descriptive statistics and paired t-test. Results: There was a significant difference in caregivers' fatigue level after using dementia day care service(t=2.188, p=.035). Results of subcategories were as follows; There was a significant difference in caregivers' physical fatigue level(t=2.270, p=.029) and psychological fatigue level(t=2.277, p=.029) after using dementia day care service. However, there was not significant difference in caregivers' neurological fatigue level(t=1.312, p=.197). There was a significant difference in caregivers' depression level(t=3.066, p=.004) and life satisfaction(t=-2.131, p=.040) after using dementia day care service. Conclusion: The results indicated that dementia day care service is helpful for family with demented elders. Therefore it is necessary to expand dementia day care center in terms of its size and numbers in order to support increasing number of demented elders and their families.

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Influence of Military Service Experience on Sexual Knowledge, Attitudes, and Behavior of Male College Students (병역필 여부에 따른 남자 대학생의 성지식, 성태도 및 성행동에 관한 연구)

  • Shin, Kyung-Rim;Park, Hyo-Jung;Shin, Mee-Kyung
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.77-85
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    • 2009
  • Purpose: This study aimed to identify the difference of sexual knowledge, attitudes, and behavior of college students who fulfilled military service and those who did not, for providing basic data for developing nursing interventions for the college students. Methods: This study used a descriptive research design. The subjects of this study were 3,741 male college students. Data were collected through personal interviews using questionnaires from November to December 2007. The sexual knowledge, attitudes, and behavior measurement tool was used. The collected data were analyzed by descriptive statistics, t-test and chi-square test. Results: The major findings of this study were as follows: 1) There was a statistically significant difference in sexual knowledge of contraception / abortion(p = .002, t = 3.16), venereal disease(p = .006, t = .2.73), sexual attitude of sexual behavior(p = .002; t = 3.13) and sexual double think(p = .047, t = 1.98) according to military service 2) There was a statistically significant difference in sexual behavior experience frequency of 9 items(friendship with opposite sex, kiss / embracing, petting, porno magazine / porno video contact, masturbation, sexual intercourse via anus, sexual intercourse via mouth, cause pregnancy, cause abortion: p < .000, $x^2$ = 39.47; p < .000, $x^2$ = 55.88; p < .000, $x^2$ = 46.76; p = .034, $x^2$ = 6.77; p = .017, $x^2$ = 12.05; p = .003, $x^2$ = 14.24; p < .000, $x^2$ = 47.70; p < .000, $x^2$ = 23.86; p < .000, $x^2$ = 21.84) respectively according to military service. Conclusion: The results of this study indicate that sexual knowledge, attitudes and behavior differ before and after the experience of military service, so further study for detecting military sex culture character effecting difference in sex knowledge, attitudes and behavior is needed.

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Improvement of Dementia Service through an Analysis of Dementia Knowledge of Care-givers at Adult Day Service Center (노인주간보호센터 돌봄 종사자의 치매지식 분석을 통한 치매서비스 개선 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.559-565
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    • 2022
  • As South Korea has become an aged society, the dementia rate has also been increasing. With the introduction of both de-institutionalization and community care in 2017, the importance of community-based care has increased. Perspectives on dementia have also been shifting from the medical model and social model to the person-centered model. This paper suggests ways to improve dementia service through analyzing the dementia knowledge of care-givers at ADS. The paper includes an FGI with the care-givers who have worked for more than 2 years. Based on such FGI, the paper draws sub-themes from 7 areas. Among the suggestions for improvement are: community-based service with daily routine practice, improving awareness of dementia for co-living, and person-centered service based on individuality and diverseness.

A Study on Family Life Education Programs for Caregiving Families (노인부양가족을 위한 가족생활교육 프로그램 개발에 대한 기초연구: 부양자 요구를 중심으로)

  • 옥선화
    • Journal of the Korean Home Economics Association
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    • v.32 no.2
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    • pp.61-78
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    • 1994
  • This study was to provide the basis for the development of family life education programs for caregiving families. The data were collected from 374 adult children who were giving care to their older parents in Seoul. Adult children reported experiencing more caregiving problems in the areas of personlities of older parents psychological burden and parents' health than in the areas of caregiver's health and financial burden Women were more likely to experience caregiving problems than men. Adult children indicated higher levels of perceived knowledge on planning for later life psychological characteristics of older parents and keeping good relationships with older parents. They reported more need for knowledge on physical change of older parents and planning for later life while there were less need for knowledge on sharing caregiving roles with others and social service programs. The needs for caregiving education were also identified in the aspects as to participation purposes methods times and agencies. Given these findings this study suggests some practical implications for the development of family life education programs for caregiving families. Further studies should help to advance the development and practice of family life education programs for caregiving families.

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An analysis of the relationship between Sex-role-identity and life adjustment among adult patients perceives (성인환자가 지각한 성역할 정체감과 생활적응과의 관계분석)

  • 모경빈
    • Journal of Korean Academy of Nursing
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    • v.18 no.3
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    • pp.245-256
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    • 1988
  • The purpose of this study was to examne the relationship between sex-role-identity and life adjustment which adult patients perceive by means of the analysis of the relationship between the sex-role-identity and life adjustment which are perceived by adult patients who are hospitalized. The primary purpose of this study is to investigate how the adult patients describe their own Sex role-identity. Sceondary purpose is to find out whether their Sex role-identity is related to life adjustment and which life circumstances. If any are associated with Sex role identity. 207 adult patients who were older than 30 years living under 65 years were admitted to the hospital in Seoul. Were interviewed with measures including the Bem Sex Role Inventory short Form. Life adjustment and current life situation. For data analysis, X$^2$-test, ANOVA, and Scheffe test were used. The results are summarized as follows ; (1) Most adult patients described androgynous Sex role-identity. (2) Sex role-identity differentiated significantly life adjustment. (3) Perceived Sex role identity was related to the Several dimension of life sityation such as marital status family construction activity. By the result of this study, the present writer is to suggest as follows ; Firstly, in the aspect of the study of nursing the many -sided and desirable study on the relation between the sex-role-identity life ajustment, and the study which a nurse can control and prevent the anxiety of adult patients by means of examining the measure and the cause of the emotional support on a patient must be accomplished. Secondly, in the aspect of the aspect of the practical affairs of nursing the practical effort which puts emphasis on the whole personal nursing in the performance of the duty, and the institutional support in the nursing administration must be planned in order to increase the efficiency of the nursing service by promoting the whole -personal nursing role of a nurse.

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