• Title/Summary/Keyword: CARE guidelines

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Knowledge on Sepsis among Nurses in Intensive Care Units (중환자실 간호사의 패혈증에 대한 지식 조사)

  • Na, Sun Gyoung;Yi, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.455-467
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    • 2013
  • Purpose: This study investigated some extent of nurses' knowledge level of sepsis in the intensive care units (ICUs). Methods: A total of 178 nurses from 5 ICUs at one hospital were asked to complete a structured questionnaire from September 10, 2012 to September 17, 2012. The questionnaire was composed of 30 items invented by Robson and colleagues and based on the guidelines published by Dellinger and colleagues. Independent t-test and ANOVA with post-hoc test were used for statistical analyses. Results: The mean score about sepsis of ICU nurses was $25.1{\pm}3.3$, and the average percentage who got correct answers was 83.8%. Of the participants, 25.3% thought they knew about understood sepsis well, and 89.1% wanted to have a sepsis screening tool. Conclusion: The ICU nurses' knowledge level on sepsis was low. Continuing education for ICU nurses is, therefore, required. For this, the development of educational programs and screening tools about sepsis should be preceded.

A Study on the Design Guidelines of the Private Zone for the Aged Care Residential Services in Australia (호주 노인간호 집합주거의 사적생활공간 계획 연구)

  • 김창국
    • Journal of the Korean housing association
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    • v.14 no.4
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    • pp.57-67
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    • 2003
  • The purpose of the study is to propose the basic data for an aged residential building suitable for Korean environment and it is based on the outcomes of investigation on The Aged Care Residential Service in Australia including the scale and arrangement of private zone and specific characteristics of each compartment. The brief outcomes of the research are follows as. - The Aged Care Residential Services have been functionally running divided into Nursing home, Hostel and Retirement Village by the classification standard of the residential classification scale. - Single bed rooms have 75% of total residential area and the square of single bed room is about $20\textrm{m}^2$and that of two-bed room is about $31\textrm{m}^2$. - There are two types of ensuite such as one single-bed room and one ensuite and bed room for two or three persons and ensuite type. The square of ensuite varies as single is 50∼60%, single for public is 25∼30%, and double for public is 15∼20%. - Assisted bathrooms are generally located in the middle of building and it is suggested to be occupied about $1.25\textrm{m}^2$ per person. Sitting rooms are two types such as room type whose square has about $12\textrm{m}^2$ and a lounge type has $16\textrm{m}^2$.

The Effects of Oral Care with Difflam Spray 0.3% and Sodium Bicarbonate-Normal Saline Solution on Postoperative Oral Comfort, Sore Throat, and Halitosis (디프람 스프레이(Difflam spray 0.3%)와 중조 생리식염수 분무요법이 전신마취 하 수술 환자의 구강 안위감, 인후통 및 구취에 미치는 효과)

  • Choi, Eun Hee;Lee, Hyun Su;Ko, Mi Suk
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.41-49
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    • 2021
  • Purpose: This study aimed to compare the effects of the Difflam spray 0.3% with the sodium bicarbonate-normal saline spray on oral care for postoperative patients. Methods: The participants were randomly allocated to either the Difflam (n=22) group or the saline solution (n=23) group. The data were collected at the 1-, 4-, 7-, and 10-hour marks after returning to the ward post operation using the Beck's subjective oral discomfort scale, Visual Analogue Scale for sore throat, and portable halitosis detector. Results: The sore throat (F=7.25, p=.001) score significantly decreased after oral care using the Difflam spray 0.3%. However, the difference in the scores of oral comfort (F=0.34, p=.797) and halitosis (F=0.91, p=.443) between the two groups was not statistically significant. Conclusion: These findings suggest that the Difflam spray 0.3% is effective in improving postoperative sore throat. A further study that explores the effect of various oral solutions for postoperative patients is needed to present systemic and effective evidence-based oral care guidelines.

Experiences of School Health Teachers in Special Schools for Students with Disabilities (특수학교 보건교사의 돌봄 경험)

  • Kim, Inyoung;Seo, Minjeong
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.3
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    • pp.111-120
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    • 2023
  • Purpose: The gradual increase in the number of children with disabilities in Korea highlights the necessity for further research on the role of school health teachers in their care. This study explored the specific experiences of school health teachers in special schools through individual in-depth interviews. Methods: In this study, 11 school health teachers participated, and data were collected through individual in-depth interviews. Thematic analysis was employed to analyze the collected data. Results: The experiences of health teachers at special schools were classified into 5 themes and 13 subthemes. These included "concerns about working in special schools and attachment after working," "management of diverse diseases and ongoing, careful observation," "ambivalence regarding students with disabilities," "competences needed to care for students with disabilities," and "enhancing care education for students with disabilities: demanding institutional support." Conclusion: Effective student health management depends on open communication channels and the establishment of strong connections among health teachers, school personnel, and parents of impaired students. To enhance the quality of care for children with disabilities, specialized education programs to improve teachers' healthcare competency should be developed. Additionally, specific guidelines for the range of medical treatments provided by health instructors, should be devised.

A Study on the Planning of Cohabitating Housing for the Elderly (고령자의 동거형 주택계획에 관한 연구)

  • 임만택;박경갑
    • Journal of the Korean housing association
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    • v.13 no.3
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    • pp.85-91
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    • 2002
  • The purpose of this study is to find out the effective planning guidelines of elderly housing fur the aged people living with their sons or daughters. To investigate the actual conditions and the problems of housing environments, two hundred and six old people in Gwangiu city, aged over sixty and living with their sons and daughters, were interviewed individually and they provided the useful answers to the questions. The houses for three generations need to have the proper degree of privacy fur each family member, by arranging rooms for their own independent living space while securing the sufficient common space. Therefore, independent and safe living environments are to be made for the elderly and the choice of various types be made according to their own demands. It is also necessary to guarantee the continuation of inhabitation by establishing health care systems and life support services.

Space Design Based on the Behavioral Characteristics of the Elderly with Dementia (치매노인의 행동특성을 고려한 공간디자인)

  • Oh Chan-Ohk
    • Journal of the Korean housing association
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    • v.15 no.5
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    • pp.59-67
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    • 2004
  • This study was intended to suggest the design guidelines of the space for the elderly with dementia. To achieve this, the behavioral characteristics of the elderly with dementia were grasped, and the design cases which were considered and reflected of the behavioral characteristics of the elderly with dementia were examined. Then, the effective space design guidelines which met the behavioral characteristcs of the elderly with dementia were suggested. The behaviors of the elderly with dementia were categorized into cognitive, emotional, and functional behavior. The positive influences of space design on dementia symptom were founded in the planned living environments, accessible and visible location of common space such as living room, soft and homelike interior finishes and lighting, and healing garden. Therefore, the space design for the elderly with dementia should be done on the basis of the dementia symptoms and healing effects.

Education in traditional acupuncture in Italy: The oldest Italian private school of acupuncture adopts WHO guidelines

  • Roberti di Sarsina, Paolo
    • CELLMED
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    • v.3 no.1
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    • pp.4.1-4.3
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    • 2013
  • Times are changing in Italian healthcare and Traditional and Non Conventional Medicine has become increasingly relevant to medical practice. With this comes an increasing need for guidelines. As the use of Traditional and Non Conventional Medicine has increased in Italy, so has the need for high standards in education in this field (outside of biomedicine and the dominant health system) among medical students, medical doctors and medical educators. The rise of Traditional and Non Conventional Medicine is so relevant for medical practice and health care in Italy; the time calls for a change. The article describes this new setting in regards to education in Acupuncture within the field of Traditional Chinese Medicine in Italy's oldest private school.

Development of a Korean Medicine Online Program on Mental Health

  • Hye In Jeong;Kyeong Han Kim
    • Journal of Pharmacopuncture
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    • v.26 no.1
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    • pp.77-85
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    • 2023
  • Objectives: The coronavirus disease 2019 has deteriorated mental health, particularly in mothers with elementary school children. Although the country has developed several health promotion programs to preserve mental health, no program has incorporated Korean medicine. Thus, this study focuses on developing vital Korean medicine mental health care programs. Methods: The program follows the Korean medicine health promotion program principles. Guidelines, reports, research, and previous programs were analyzed to form interventions and lecture content. Results: Pellets, hot packs, meditation, lavender oil, and green tea were selected as final intervention strategies. Mental health-related guidelines were analyzed to produce stress management lecture materials. In addition, an operational methods and evaluation tool manual was created. Conclusion: We designed a health promotion program capitalizing on Korean medicine to improve mental health. This program will be assessed and accordingly improved through practical applications.

Exacerbation Prevention and Management of Bronchiectasis

  • Joon Young Choi
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.3
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    • pp.183-195
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    • 2023
  • Bronchiectasis, which is characterized by irreversibly damaged and dilated bronchi, causes significant symptoms, poor quality of life, and increased economic burden and mortality rates. Despite its increasing prevalence and clinical significance, bronchiectasis was previously regarded as an orphan disease, and ideal treatment of this disease has been poorly understood. The European Respiratory Society and British Thoracic Society have recently published guidelines to assist physicians in the clinical field. Guidelines and reports suggest comprehensive management that includes both non-pharmacological and pharmacological treatment. Physiotherapy and pulmonary rehabilitation are two of the most important non-pharmacologic therapies in bronchiectasis patients; long-term inhaled antibiotics and macrolide therapy have gained significant evidence in reducing exacerbation risk in frequent exacerbators. In this review, we summarize recent updates on bronchiectasis treatment to prevent exacerbation and manage clinical deterioration.

Current State and the Future Tasks of Home Visit Nursing Care in South Korea (우리나라 가정방문간호의 현황과 향후 과제)

  • Park, Eunok
    • Journal of agricultural medicine and community health
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    • v.44 no.1
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    • pp.28-38
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    • 2019
  • Objectives: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in South Korea. Method: We searched and reviewed the literature including the laws or acts, statistics, guidelines, papers and conference proceedings related to home visit nursing care in Korea. Results: There are three types of home care nursing in Korea. Public health center provides home visit nursing to vulnerable population by registered nurses for free, based on community health act in public health center. As of 2017, 1,261,208 people were enrolled in the visiting health program of public health center. Health behavior and disease management has been improved and showed having cost-benefit effect among the enrolled people in visiting health program. Visiting nursing care in long-term care services is provided by registered nurses or nurse aid, based on long-term care act. The cost is paid as the unit price according to service time. 1,095,764 older people used long-term care services in 2017, only 0.2% of total cost used for home visiting nursing. Even though the number of user of home visiting nursing, it was reported that users spent less medical cost and hospitalized shorter. Hospital-based home care nursing is provided to patients and their families under the prescription of a doctor by family nurse specialists who are employed by medical institute based on medical law. Four hundred sixty family nurse specialists worked for hospital-based home care nursing and hospital-based home care services accounted for 0.038% of total medical expenses in 2017. Conclusion: Even though home visit nursing care services are different in aspect of legal basis, personnel, running institutes, and cost basis, home visit nursing care showed cost-benefit effect and good health outcomes. In order to advance home visit nursing care, the integrated home visiting care, improvement of working condition, and revision of legal basis should be considered.