• Title/Summary/Keyword: Care need

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Predictors of Breastfeeding in Adult Women: a Secondary Data Analysis of The Seventh Korea National Health and Nutrition Examination Survey(KNHANES VII-3), 2018 (성인 여성의 모유수유 예측요인: 국민건강영양조사 제7기 3차년도(2018)의 2차 자료 분석)

  • Seong, Ji-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.440-448
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    • 2020
  • This study was conducted to identify the factors affecting breastfeeding in adult women based on socio-demographic and health-related characteristics using the results of KNHANES VII-3. The data was analyzed by applying weights, using the complex sample analysis method of the SPSS Win 22.0 program. Breastfeeding was influenced significantly by age, education level, and the current smoking status. Women in the age group of 30-39 years had a breastfeeding rate that was 3.06 times higher than 19-29 year old women. Also, the breastfeeding rates for women with an education level under elementary school were 4.70 times higher than those with a college degree or higher education level and non-smokers and ex-smokers had levels 2.51 times higher than smokers. Therefore, for mothers under the age of 30, education on breastfeeding should be further strengthened. For mothers over 40 years old, lactation support to increase the milk supply should be provided as well as assistance toward care for other children in the family. Also, better-educated mothers will need to learn effective breastfeeding methods in limited environments such as work-life, and a social atmosphere needs to be established that is considerate to lactating women. Furthermore, education related to pregnancy and lactation should be provided for use in smoking cessation programs for female smokers.

The Effect of Converting Health Insurance Qualification on Medical Use (건강보험가입자의 의료급여 자격변동에 따른 의료이용행태 변화 연구)

  • Na, Young-Kyoon;Cha, Yerin;Kim, Nayoung;Lee, Youngjae;Lee, Yong-Gab;Lim, Seungji
    • Health Policy and Management
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    • v.30 no.4
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    • pp.460-466
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    • 2020
  • Background: The purpose of this study is to analyze whether there is a change in patterns of medical use among those likely to be converted their health insurance qualifications when the family support rule is alleviated. There is no empirical analysis that converting health insurance qualification will affect the increase in medical use. Methods: For analysis, data were extracted from the national health insurance eligibility and medical care database. To identify analysis targets similar to that of medical aids' characteristics among health insurance coverage, we compared income, property level, and medical use patterns through basic statistical analysis and used a difference-in-difference (DID) analysis to estimate the net effect of changes in medical use following the change of qualifications. Results: The main results are as follows. The results show that those who are under the 5% income group (1st income group) of health insurance coverage are the most similar to the medical aids group. DID analysis shows that changes in the medical use of people who maintain their national insurance qualification and who are not. As a results, the number of hospitalized days of converting group was reduced by 3.5 days while outpatient days were increased by 1.8 days. Conclusion: As a result, there was not much difference in the patterns of medical use for the under 5% income group who are likely to be eligible for expanded medical aids when the family support rule is alleviated. In addition, more than 30% of them are in arrears with their health insurance premiums, causing inconvenience in using medical services. These findings suggest the need of abolishing the criteria obligated to support family, and great efforts should be made to contribute to non-paid poor and remove their medical blind spot.

Factors Influencing in the Infection Control Performance of COVID-19 in Nurses (간호사의 COVID-19에 대한 감염관리 수행도에 영향을 미치는 요인)

  • Lee, Mi-Hyang;Kim, Min Young;Go, Young Jin;Kim, Doo Ree;Lim, Hyo Nam;Lee, Kyung Hwa;Yang, Sun-Yi
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.253-261
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    • 2021
  • This study was conducted to investigate the factors influencing in the infection control performance of coronavirus infection disease-19 in registered nurse. Data were collected using descriptive structured questionnaires to examine the factors of influencing in the infection control performance. General characteristics, knowledge of infection control, anxiety, fatigue, and coronavirus infection-19 (COVID-19) respiratory infection management performance were identified from structured questionnaire. Data were analyzed using independent t-test, ANOVA, correlation analysis, and multiple regression analysis were performed using the IBM SPSS 21.0 program. Anxiety and respiratory infection management performance was a negative correlation. Multiple regression analysis indicated anxiety was predicted component of performance of coronavirus infection-19 respiratory infection management. The results indicate a need to decrease degree of anxiety by developing educational programs to improve nurses' ability to manage coronavirus infection-19 respiratory infections. In addition, it is necessary to consider applying a role-play or simulation education method so that registered nurse can take care of patients with emerging infectious diseases in advance.

Case Report of the Pityriasis Rosea Patient with Pruritus Treated by Korean Medicine Treatment alone (소양감이 동반된 장미색 비강진 환자의 한방단독치료 보고)

  • Lee, Kyoungeun;Kim, Jungpil;Jeong, Seonhyung;Ahn, Joon;Jeong, Hyein;Kim, Kyounghan;Jang, Insoo;Choi, Yoomin;Oh, Yongtaek
    • Herbal Formula Science
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    • v.30 no.1
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    • pp.27-36
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    • 2022
  • Objective : The purpose of this study is to present a case report with the adult patient who needed active treatment of pityriasis rosea with severe pruritus, and did not respond to steroid treatment in the preceding month. Methods : The subject is an adult patient with pityriasis rosea over the age of 40 without any other diseases. We administered Korean medicine treatment with Bangpungtongseong-san (防⾵通聖散) and acupuncture. The effects of the treatment were evaluated via scales including Pruritus score, Pityriasis Rosea Severity Score (PRSS), and picture. Results : After the treatment Pruritus score/PRSS index of the case changed from 8/20 to 0/0. No other severe adverse reactions were reported. No more recurrence or pruritus was confirmed in follow-up. Conclusions : Korean medicine treatment with Bangpungtongseong-san showed marked improvement in pruritus and skin symptoms of pityriasis rosea in need of active care. With the lack of existing clinical reports of pityriasis rosea, we found that Korean medicine treatment could be an effective way, and it is expected that Bangpungtongseong-san could be administered to pityriasis rosea patients. Randomized-controlled trial for further evaluation will be needed in the future.

Selection of Accident Frequency Area through Accident Cost Analysis (비용분석을 통한 교통사고 누적지역 선정방안)

  • Lee, Jung-Beom
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.2
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    • pp.33-43
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    • 2022
  • The number of car crashes increases along with the increasing number of vehicles. Hence, diverse initiatives on traffic accidents have been implemented, targeting zero crash fatalities. According to the 3rd Traffic Safety Master Plan of 2016, the current standard selecting road accident black spots prioritizes locations with the high cumulative death toll. While this standard is suitable for roads that a city government manages to some extent, it is not suitable for roads less than 20 meters that a borough (Gu) handles. The roads under the supervision of a borough do not have enough death toll, and thus improvements on its road accident black spots are highly limited. In addition, discovering the causes of traffic accidents is not easy when the number of car accidents is obtained by considering only fatal accidents, which are relatively low in number. Therefore, including all traffic accidents might identify causes of accidents and result in better advancements. Therefore, this research follows rational decision-making and suggests new National Traffic Safety Master Plan standards. These new standards are obtained by comparing accident costs between the location of fatal crashes and road accident black spots. The analysis result shows that considering all types of accidents yields better results. For example, a Three-way Intersection in front of Zion Day Care Center, one of the selected spots under the current standard, has lower road crash costs than Sinchon Intersection, a selected spot under a new standard. Therefore, the study concludes that the standards to select road accident black spots need to include traffic accident severity and road crash costs.

Factors Affecting the Retention Intention of the Emergency Room Nurse to Promote Life Care (응급실 간호사의 라이프케어 증진을 위한 재직의도에 영향을 미치는 요인)

  • Jung, Ji-Hyeon;Park, Huyn-Jung
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.4
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    • pp.287-297
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    • 2021
  • This study was to investigate the relationship of job stress, health status, and health promotion behavior, retention intention and to identify the influencing factors on retention intention of nurse in Emergency Room(ER). The subjects were 155 ER nurses working at 15 general hospital in Gwangju, Korea. The data were collected from October 15, 2020 to November 3, 2020. The result, there were negative correlation between job stress and health promotion behavior(r=-0.310, p=<.000), between job stress and retention intention(r=-0.220, p=.006), between health status, and health promotion behavior(r=-0.448, p=<.000), between health status and retention intention(r=-0.296, p=<.000), but there were positive correlation between job stress and health status(r=0.368, p=<.000), between health promotion behavior and retention intention(r=0.229, p=.004). Factors influencing retention intention were fatige and health status with R2 value 22.7%. Considering these results, it seems that important factors determining the retention intention of nurses in ER are Spiritual health status, heavy workload due to job stress, fatigue and social health status by nurse. Therefore, in order to increase the retention intention of nurse in ER, it is a need for strategies to improve the working environment and develop programs to reduce job stress and fatigue through work adjustment, and to maintain and promote health.

Experiences of Ageism and "Self-Ageism" (노인차별 경험과 자기연령주의(self-ageism))

  • Kim, Juhyun;Oh, Hyein;Ju, Kyonghee
    • 한국노년학
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    • v.40 no.4
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    • pp.659-689
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    • 2020
  • This study focuses on the process of internalizing the perception of negative discrimination among elderly people who have experienced age discrimination. The grounded theory method was used to identify the age discrimination experienced by the elderly in their daily lives and to explore the consequences of such discrimination through self-ageism. According to the analysis results, the elderly respond not only to explicit discrimination but also to implicit discrimination. In this process, the stronger the pain of old age (poverty, disease, ignorance, and solitude) and the stronger the memory of failing to respond to discrimination, the higher the level of self-ageism. "Self-ageism" has internalized the negative image of the elderly, who have been discriminated against by age, resulting in disadvantages in terms of quality of life through various reject/separate/suspension actions in reality. In the presence of supportive resources such as health, institutional support, and caregivers, the elderly have room to overcome self-ageism through more active ways. However elderly people who cannot motivate themselves and they lack these resources, elderly are trapped in negative reflux caused by self-ageism and sustained a depressed and shrinking life. In this state, it is not easy to motivate themselves and make physical, cognitive, emotional and social responses. Therefore, in this analysis, we specifically noted two aspects, contextual conditions and interventional conditions, and proposed programs for synchronizing senior citizens and improving resiliency from a microscopic point of view, and argued for the need to develop systems such as supplementing welfare and health service systems related to the entire life cycle, expanding accessibility and 'age-integration' through 'Community Care', awareness improvement and anti-discrimination laws.

Interest in Health and Hygiene of Hairdressers and Their Awareness of COVID-19 (헤어 미용인들의 보건위생 관심과 COVID-19에 대한 인식정도 연구)

  • Shim, Sang Hee;Lee, Keun Kwang
    • Journal of Naturopathy
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    • v.10 no.2
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    • pp.93-107
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    • 2021
  • Background: The need for an investigation into the hygiene and awareness of hairdressers regarding Corona infection has emerged. Purpose: To investigate the level of interest in health and hygiene of hairdressers and their awareness of COVID-19. Methods: A questionnaire survey was conducted with hairdressers located in Daejeon Metropolitan City. The SPSS 26.0 program analyzed a total of 260 collected questionnaires. Results: The interest in the health and hygiene of hairdressers showed a statistically significant difference according to age, educational background, job title, type of hairdresser, and years of service. The hairdresser's risk and degree of awareness of COVID-19 were higher in those in their 30s or older, managers, medium-sized stores, and ten years of service. In terms of optimism about Corona, it was found to be high among those in their 20s, assistant staff, large stores, and less than five years of service. In addition, there was a positive (+) correlation between health care concerns, hand hygiene and mask hygiene, and awareness of corona risk and optimism. Conclusions: The level of health and hygiene interest and awareness of hairdressers significantly increased according to age, educational background, job title, type of hairdresser, and length of service. Therefore, it evaluated that this result would serve as primary data for research in this field.

Critical Review and Alternatives to the Decriminalization of Tattooing (문신시술의 비범죄화에 대한 비판적 검토와 대안)

  • Shim, YoungJoo;Lee, Sang-Han
    • The Korean Society of Law and Medicine
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    • v.23 no.1
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    • pp.149-176
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    • 2022
  • South Korean law strictly prohibits engagement in medical activities by non-medical practitioners. In the country, tattooing is classified as a medical practice, and non-medical practitioners who engage in it are penalized because they are unauthorized to carry out this procedure. In reality, however, people rarely seek tattooing services from medical personnel. Arguing that their freedom of job selection is violated, non-medical personnel who make a living as tattoo artists reject the characterization of the procedure as a form of medical treatment and demand the decriminalization of tattooing by non-medical practitioners. Nevertheless, tattooing can cause health- and hygiene-related dangers when it is not performed by medical professionals because it involves penetration into the skin using needles. Hence, stringent management is necessary for infection prevention. The gap between reality and the law gives rise to the need for proactive thinking about the institutionalization of tattoo practice by non-medical personnel. Policymakers should reflect on the fact that only minimal tattooing services are currently performed by medical staff while also accounting for health and safety. On this basis, this study examined tattoo-related legislation in South Korea to determine whether the procedure corresponds to medical practice and identify ways to solve problems that occur from the perspective of health care. As a response that promotes safety and reflects reality, this research proposed a three-phase approach.

A Study on the Management of Non-Communicable Disease in Fiji (피지에서의 만성병 관리)

  • Kim, Daeseon;Romakin, Pablo;Rafai, Eric;Lee, Chulwoo
    • Journal of Appropriate Technology
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    • v.6 no.2
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    • pp.163-173
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    • 2020
  • For the successful execution of an ODA project, it is necessary to know what areas are weak and necessary to the country of demand exactly. The health sector is also a top priority in most of developing countries. This study was carried out to introduce non-communicable disease (NCD) in Fiji for ODA projects planning. The major causes of death in Fiji in 2016 are diabetes, ischemic heart disease, cerebrovascular disease, chronic kidney disease, lower respiratory infect, asthma in ranking. The major causes of death in Korea in same year are cancer, ischemic heart diseases, cerebrovascular diseases, pneumonia, suicide, diabetes in the order of ranking. The chronic disease as non-communicable disease (NCD) has been increasing continuously due to changes in lifestyle and consumption patterns and population aging in prevalence rate. This global trend is also apparent in Fiji and Korea, reflected in increasing mortality and personal costs for the treatment and management of NCD. The need for a sustained comprehensive treatment tailored for individual patients has suggested from many studies and the development of a systematic program to manage NCD patients to provide such care have been recommended. The Fiji government developed Non-communicable Diseases Strategic Plan 2015-2019 and has tried to reduce the prevalence rate of non-communicable diseases by factors. The WHO global action plan guiding national-level NCD policies requires an NCD prevention and control model at the community level, presenting strategic goals and detailed options for the introduction and application of the approach to communities. It is necessary to develop an NCD prevention and control model, consisting of a strategy of community intervention, education for students and NCD patients, and the legal enactment of NCD that adequately meets the needs of community members.