• 제목/요약/키워드: Care needs

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어린이집 재원 다문화 가정 영아의 양육 현황과 어려움 및 지원요구 (Present Status, Difficulties and Support Needs of Multi-cultural Families Raising Children under 3 Years Old Enrolled at Child Care and Education Centers)

  • 최호정;조윤경
    • 한국보육지원학회지
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    • 제14권4호
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    • pp.85-108
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    • 2018
  • Objective: This study intended to analyze parenting characteristics, difficulties and support needs of multi-cultural families that had children under 3 years old, in order to develop their supporting resources. Methods: This study performed semi-structured interviews with 7 mothers from multi-cultural families that had their young children enrolled at child care and education centers in Gyeonggi Do. The interview data transcribed were analyzed using the successive contents analysis, and led to 4 themes and 12 sub-themes. Results: First, the mothers from multi-cultural families were married without understanding the Korean language and culture. Second, the multi-cultural mothers didn't properly respond to their children's needs in interaction and language aspects. As a result, the multi-cultural support centers and child care and education centers gave help to them. Third, in the view of the difficulties facing mothers, parenting problems caused by the lack of information concerning child education, the biased burden of parenting, and the different parenting values of Korean families were all expressed by the mothers. Fourth, regarding support needs, providing individual professional support for children and child-raising support for mothers, customized language and employment support for mothers and parenting education for fathers and family education on multi-culturalism are needed. Conclusion/Implications: Suggestions for decreasing the difficulties facing multi-cultural families that had children under 3 years old were discussed.

노인 입원환자 병원서비스 분석 (Analysis of Hospital Services for Elderly Inpatients)

  • 장현숙
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.18-31
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    • 2000
  • Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

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가정간호서비스 이용 노인환자의 간호요양원(nursing home) 필요 예측에 관한 연구 (The needs of nursing home services for frail elderly people receiving home care nursing services)

  • 강임옥
    • 간호행정학회지
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    • 제5권3호
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    • pp.415-424
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    • 1999
  • The purpose of this study was to estimate the population requiring nursing home services for frail elders who received home care nursing services. This study identified the need of nursing home services and the proportion of elders over 60 years of age requiring nursing home services according to the admission eligibility including items with intensity of home care nursing services and the criteria for screening of patients requiring home care nursing services. In this study, survey research design was conducted. A total of 49 home care nurses were collected. They were asked to assess the need of nursing home services based on items with intensity of home care nursing services and the criteria for screening of patients requiring home care nursing services. Using secondary data analysis from the survey on 'The Evaluation of Home Care Nursing Service Program in 1994 in Korea', the proportion of elders requiring nursing home services was estimated. The estimated numbers and proportion of frail elders requiring nursing home services were 169 (86.2%) aged persons among community dwelling elders based on admission eligibility. However, the proportion of aged persons was 68% using the only criteria for screening of patients requiring for screening home care nursing services.

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보육시설 영유아의 건강관리를 위한 특수보육 요구조사 I - 부모의 요구를 중심으로 - (Parent's Needs for Center-based Child Care Health Program)

  • 한경자;김지수
    • Child Health Nursing Research
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    • 제13권1호
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    • pp.43-50
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    • 2007
  • Purpose: To investigate the actual conditions of health care management in child day care centers and parents needs for a Center-based Child Care Health Program. Methods: Study design was cross-sectional descriptive study. 937 parents from 33 day care centers in Seoul completed a structured questionnaire. Results: 73.0% of the parents experienced sick events with their child at least once or more every 1-3months. These events resulted in 35.2% of the parents having to leave work early or to be absent from their jobs. 30.4% were asked to drive a sick child from the child day care centers to their home. Most parents (76.7%) agreed on the need for a Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and growth & development evaluation from the CCCHP. Conclusion: These results show that there is a great demand for Center-based Child Care Health Program. They suggest that there is an urgent need to develop CCCHPs to promote children's health and to support parents. Also the results of this study can be utilized as a basis for the establishment of a childcare policy in Korea.

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직장어린이집의 공간구성현황과 개선방향에 관한 연구 - 서울지역을 중심으로 - (A Study on the Space Program of the Day-Care Centers in Workshop Area)

  • 이광옥
    • 한국실내디자인학회논문집
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    • 제14권1호
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    • pp.109-117
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    • 2005
  • The women's roles In 21s1 century in Korea is increasing as the industry, economy is growing and changing rapidly; thus raising the necessity and importance of early learning. Naturally the importance and needs of children's day-care center is increasing both in quantitative and quality matters, there needs for much improvements. This study selected 8 workshop day-care centers in Seoul area, where most day-care centers are located, and analyzed interior spaces; thus presenting the appropriate model of interior space in child day-care center. Starting with, examining theologically, this study focused on the history of child day-care center and the 8 selected day-care centers in Seoul. By analyzing the operation status, blue prints, and picture, this study focused on improving the interior spaces in day-care centers. The presented improvement in spaces are the fellowing, First, half of day-care centers in workshops had independent buildings and most were multi-storey building. Second, running status vary. The open hours and number of teachers were fine but the budgets ratio of the employer and the worker ratio needed improvements. Third, there is need for detailed more improvement In managing area, educational area, and service area. It recommendable for spaces of day-care centers in workshops to be a single-storey building with managing and service space placed In center with educational rooms on each sides, with single hall way.

지역사회 노인의 건강정보이해능력과 미충족 의료가 건강증진행위에 미치는 영향 (Effects of Health Literacy and Unmet Health care Needs on Health Promotion Behavior among Elderly in the Community)

  • 이승주;심문숙
    • 한국보건간호학회지
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    • 제34권2호
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    • pp.238-250
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    • 2020
  • Purpose: The purpose of this study was to investigate the effect of health literacy and unmet health care needs on health promotion behaviors among elderly people receiving visiting health care services at community health centers. Methods: The subjects of this study were 180 elderly people over 65 years old who were receiving health care services at public health center The subjects fully understood the purpose of this study and voluntarily agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffé test and Hierarchical Regression Analysis using the SPSS 23.0 program. Results: Hierarchical regression analysis was used to identify factors influencing health promotion behaviors of the subjects. The results were as follows: presence of occupation (β=.26, p<.001), social activity status (β=.26, p=.001), and health literacy (β=.16, p=.023). Conclusion: Therefore, in order to improve health promotion behaviors, it is necessary for visiting nurses to administer health education and programs by considering the level of health care understanding.

Needs for Home Care Nursing in the Vulnerable Elderly

  • Lee, Ji-Hyun;Jeong, Youn-Hee;Park, Geum-Ja;Kwon, Sook-Hee
    • 대한간호학회지
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    • 제37권2호
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    • pp.201-207
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    • 2007
  • Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

입원노인환자의 사례관리 프로그램 개발 연구 (Nursing Case Management Program Development for the Elderly at Hospital)

  • 신은영
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.444-455
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    • 2002
  • Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

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자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형 (A Structural Model of Health Behavior Compliance in Patients with Percutaneous Coronary Intervention based on Self-Determination Theory)

  • 박애란
    • 동서간호학연구지
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    • 제24권2호
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    • pp.101-109
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    • 2018
  • Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

Analysis of the supportive care needs of the parents of preterm children in South Korea using big data text-mining: Topic modeling

  • Park, Ji Hyeon;Lee, Hanna;Cho, Haeryun
    • Child Health Nursing Research
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    • 제27권1호
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    • pp.34-42
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    • 2021
  • Purpose: The purpose of this study was to identify the supportive care needs of parents of preterm children in South Korea using text data from a portal site. Methods: In total, 628 online newspaper articles and 1,966 social network service posts published between January 1 and December 31, 2019 were analyzed. The procedures in this study were conducted in the following order: keyword selection, data collection, morpheme analysis, keyword analysis, and topic modeling. Results: The term "yirundung-yi", which is a native Korean word referring to premature infants, was confirmed to be a useful term for parents. The following four topics were identified as the supportive care needs of parents of preterm children: 1) a vague fear of caring for a baby upon imminent neonatal intensive care unit discharge, 2) real-world difficulties encountered while caring for preterm children, 3) concerns about growth and development problems, and 4) anxiety about possible complications. Conclusion: Supportive care interventions for parents of preterm children should include general parenting methods for babies. A team composed of multidisciplinary experts must support the individual growth and development of preterm children and manage the complications of prematurity using highly accessible media.