• Title/Summary/Keyword: Care needs

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Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM (변화의 과정에 있는 방문간호사의 직무분석: FGI와 DACUM을 적용하여)

  • Kim, Jieun;Lee, Insook;Choo, Jina;Noh, Songwhi;Park, Hannah;Gweon, Sohyeon;Lee, kyunghee;Kim, Kyoungok
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.13-31
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    • 2022
  • Purpose: This study conducted a job analysis of visiting nurses in the process of change. Methods: Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM. Results: Visiting nurses' job was derived as the theme of present versus transitional roles. The present role was categorized as 'providing individual- and group-focused services' and 'conducting organization management', while the transitional role was categorized as 'providing district-focused services' and 'responding to new health issues'. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks. Conclusion: The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

GIS-based Estimation of Climate-induced Soil Erosion in Imha Basin (기후변화에 따른 임하댐 유역의 GIS 기반 토양침식 추정)

  • Lee, Khil Ha;Lee, Geun Sang;Cho, Hong Yeon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.3D
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    • pp.423-429
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    • 2008
  • The object of the present study is to estimate the potential effects of climate change and land use on soil erosion in the mid-east Korea. Simulated precipitation by CCCma climate model during 2030-2050 is used to model predicted soil erosion, and results are compared to observation. Simulation results allow relative comparison of the impact of climate change on soil erosion between current and predicted future condition. Expected land use changes driven by socio-economic change and plant growth driven by the increase of temperature and are taken into accounts in a comprehensive way. Mean precipitation increases by 17.7% (24.5%) for A2 (B2) during 2030-2050 compared to the observation period (1966-1998). In general predicted soil erosion for the B2 scenario is larger than that for the A2 scenario. Predicted soil erosion increases by 48%~90% under climate change except the scenario 1 and 2. Predicted soil erosion under the influence of temperature-induced fast plant growth, higher evapotranspiration rate, and fertilization effect (scenario 5 and 6) is approximately 25% less than that in the scenario 3 and 4. On the basis of the results it is said that precipitation and the corresponding soil erosion is likely to increase in the future and care needs to be taken in the study area.

Factors Related to Housing Safety and Improved End-of-Life Care for Elderly People (노인의 라이프케어 증진을 위한 주거안전 영향 요인도출)

  • Kim, Ju-Hong;Oh, Myung-Hwa
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.341-351
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    • 2019
  • This study examines factors related to the safety of housing for elderly people. Because of the diverse problems that may occur due to aging, elderly residents may have special needs related to housing. To identify relevant factors, first, focus group interviews were conducted with six individuals aged 65 or older. Then, a Delphi survey was conducted on experts; this survey consisted of a questionnaire on factors related to the safety of housing for elderly people. Issues to address in the questionnaire were identified in the focus group interviews and also through an examination of literature published domestically and overseas. In the Delphi survey, opinions were collected from the experts; these opinions were then revised, collated, and analyzed. The factors identified in these steps were verified using a content validity index. As a result, a total of seven primary factors - outdoor environment, entrance, indoor environment, living room, bedroom, kitchen, bathroom, and restroom - and 23 sub-factors related to elderly people's housing safety were identified. The most frequently mentioned factors were indoor and outdoor stairs, safe flooring materials, and indoor thresholds. It is essential to identify the factors that most affect the safety of elderly people in their residences.

A Study on the Appropriate School Placement in Urban Development Area - Centerde on Sejong Special Self-Governing City - (도시개발지역 학교 적정배치 방안 연구 - 세종특별자치시를 중심으로 -)

  • Son, Byung-Gil;Lee, Yong-Hwan
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.22 no.4
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    • pp.9-17
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    • 2023
  • This study explores school location, school environment, educational conditions, and appropriate scale of schools in the context of Sejong City's development area and identifies effective school establishment plans based on the analysis of the needs of the educational community. The research questions for this study include, first, what is the change trend in the number of students as a result of the opening of schools in the development area of Sejong City to the present, and what differences are there between Sejong and other new cities? Second, what challenges arise in school location due to the occurrence of oversized schools and undergraduate institutions? Third, what challenges arise in school location that would limit the ability to create a safe school environment? Fourth, what aspects need to be improved in school location decisions to promote proper placement? A survey was conducted among parents and faculty members to collect data. The findings revealed that first, when establishing a school, identifying an appropriate location for the school was the top priority of the respondents. The second was the proximity of the school to dense housing, with a parent drop zone next to the school site. Third, to address the issue of lack of playgrounds and special class and care classes, respondents called for various measures such as securing school sites within a certain area. Finally, integrated operation schools and school facilities are required in preparation for decreasing school-age populations due to low birth rates.

A research study on the necessity of school oral health education (학교구강보건교육의 필요성에 관한 조사 연구)

  • Kwag, Jung-Suk;Woo, Seung-Hee;Kim, Eun-Ju
    • Journal of Korean Dental Hygiene Science
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    • v.1 no.1
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    • pp.47-55
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    • 2018
  • The purpose of this study was to examine the influence of oral health education experience on needs for oral health education in children and adolescents in elementary and secondary schools. A self-administered survey was conducted on the students in elementary, middle and high schools located in the city of Mokpo, South Jeolla Province, from October 1 to 31, 2018. The data that were collected from 327 students were analyzed by SPSS 21.0. Statistical data on frequency, percentage, mean and standard deviation were obtained, and t-test, one-way ANOVA, correlation analysis and logistic regression analysis were carried out. The findings of the study were as follows: First, the subjects got 2.25 on a three-point scale in self-rated oral health status. This score was above average, which indicated that the students thought they were in good oral health. As for problems with oral health, dental caries was given the highest score of 2.48 on a five-point scale, followed by oral malodor with 2.35. Second, the students who experienced oral health education accounted for 69.1 percent, and the students who felt the need for this education represented 82.6 percent. As for educational content desired, the biggest group of 57.8 percent hoped to learn about how to prevent and manage dental caries, and the second largest group of 17 percent wanted to learn about how to take care of oral health during orthodontic treatment. Third, as a result of investigating the state of oral health education by the grade of school, the elementary school students had more oral health education experience than the middle and high school students, and the middle school students placed the most importance on the necessity of oral health education. The differences were statistically significant. Fourth, as a result of analyzing the correlation between oral health education experience and the necessity of oral health education, the students who had more oral health education experience asked more for this education, which implies that there was a statistically significant positive correlation. The findings of the study ascertained that oral health education should be provided for students in childhood and adolescence to boost the level of their oral health knowledge and change their oral health attitude in a positive manner. If oral health practice programs that connect schools, local communities and families with one another are developed to guide the oral health behaviors of teenagers in the right direction, it will make a contribution to the promotion of oral health.

Awareness and Expectation of Social Robots Used for Treatment and Social Adaptation of Children with Developmental Disabilities: A Focused Group Interview Study Focusing on Parents (발달장애아동의 치료와 사회적응에 활용되는 소셜로봇에 대한 인식 및 기대: 주양육자를 중심으로 한 포커스 그룹 인터뷰)

  • Jun-Seo Lim;Eun-Young Jeong
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.868-880
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    • 2023
  • This study is a qualitative study conducted to analyze the functions and needs of social robots for parents of children with developmental disabilities in order to utilize care robots for treatment of children with developmental disabilities. The subjects of the study were 11 primary caregivers with children under the age of 18 whose children were diagnosed with developmental disabilities or who had been receiving special education for more than one year. The interview questionnaire was composed of a semi-structured questionnaire and consisted of awareness, necessity, expectation, concern, and other opinions about social robots. The interview was conducted as a non-face-to-face online video interview due to COVID 19. As a result of the study, 4 themes and 7 sub-topics were derived. The four topics were derived from the unfamiliar but soon-to-be-faced reality, social robots with active functions, opinions on the appearance and materials of social robots, and concerns about social robots. Through this study, it was possible to identify the expectations and suggestions of the main caregivers for social robots, which could not be identified in quantitative studies, and if these can be reflected in social robots to be developed in the future, it is expected that positive results with higher acceptance will be derived.

Episode Analysis of the Habit and Phase Changes of Snow Crystals in the Wintertime Yeongdong Region (겨울철 영동지역 눈 결정 습성과 성상 변화 에피소드 분석)

  • Young-Gil Choi;Byung-Gon Kim;Ji-Yun Kim;Tae-Yeon Kim;Jin-Heon Han;GyuWon Lee;Kwonil Kim;Ki-Hoon Kim;Byung-Hwan Lim
    • Atmosphere
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    • v.34 no.2
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    • pp.139-151
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    • 2024
  • The Yeongdong region has suffered from severe snowstorms and the relevant damage such as traffic accidents on slippery roads, and the collapse of greenhouses and temporary buildings. While a lot of research on snowfall has been conducted, the detailed study of snow crystals' phase and habit through intensive observations and the relevant microphysical analysis is still lacking. Therefore, a snowflake camera, PARSIVEL, and intensive radiosonde soundings were utilized to investigate phase and habit changes in solid precipitation. Two remarkable episodes of phase and habit changes were selected such as 19 March 2022 and 15 February 2023. Both events occurred in the synoptic condition of the High in the north and the Low passing by the south, which was accompanied by rapid temperature cooling below 2.5 km. During the events of a short period between 3 to 6 hours, the temperature at 850 hPa decreased by about 4 to 6℃. This cooling led to a change in the main habit of snow particles from riming to aggregate, identified with both MASC and PARSIVEL. Meanwhile, the LDAPS model analyses do not successively represent the rapid cooling and short-term variations of solid precipitation, probably by virtue of overestimating low-level equivalent potential temperature during these periods. The underlying causes of these the low-level temperature variations within 6 hours, still remain unclear. It might be associated with mesoscale orographic phenomenon due to the mountains and East Sea effects, which certainly needs an intensive and comprehensive observation campaign.

A Study of Community Residents' Consciousness of Taking Herb Medicine (지역사회 주민의 한약복용에 대한 의식 조사 연구)

  • Kim Sung-Jin;Nam Chul-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.3 no.2
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    • pp.25-53
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    • 1999
  • This study was conducted to provide basic data for policy of Oriental medicine by analyzing community residents' consciousness of taking herb medicine and its related factors. Data were collected from 1478 residents from March 2, 1999 to May 31, 1999. The results of this study are summarized as follows. 1. According to general characteristics of the subjects, 52.3% of the subjects was 'female'; 25.0% 'fifties of age'; 21.4% 'forties of age'; 20.9% 'thirties of ages'; 69.1% 'married'; 60.1% 'resident in a big city'; 12.1% 'residents in a small town or village'; 39.0% 'highschool graduate'; 35.9% 'above college graduate'; 23.4% 'housewife'; 23.4% 'professional' 34.1% 'Buddhist'; 81.1% 'middle class'. 2. The rate of experience of taking herb medicine was 85.2%(88.2% of 'male'; 82.5% of 'female'). It appeared to be significantly higher in the groups of 'the married', 'housewife', and 'Buddhist'. As the age increased, so the rate of experience of taking herb medicine was significantly high. 3. In case of purpose of taking herb medicine, taking herb medicine as a restorative(66.8%) was much higher than taking it as a curative medicine. Taking herb medicine as a curative medicine appeared to be significantly higher in the groups of 'male', 'thirties of age', 'resident in a town or village', 'above college graduate', 'professional technician', 'Christian', and 'the upper class'. 4. 52.1% of the respondents satisfied with the effect of herb medicine. The groups of 'male', 'older age', 'residents in a big city', 'insurant in company', and 'the employed' showed significantly high rate in satisfying with herb medicine than the other groups. 5. According to the reason for preferring herb medicine, 36.7% of the respondents preferred herb medicine because the herb medicine was effective, while 27.8% preferred it because its side effect was low. 16.7% preferred it. because persons around them recommended it. The preference for the herb medicine displayed significantly higher rate in the groups 'sixties of age', 'the unmarried', 'resident in a big city', 'office clerk', and 'the lower class'. 6. 42.6% of the respondents did not want to take the herb medicine because the price of the herb medicine was high. Also 20.6% of the respondents did not want to take herb medicine because it is uneasy to take herb medicine. 15.8% did not want to take it because certain foods should not be taken during the period of taking it. 9.4% did not want to take it because it tasted bitter. 7. In case of opinions on side effects of herb medicine, 40.8% of the respondents thinks that herb medicine is free from side effects, while 37.5% thinks that it causes side effects. There were significant difference in the opinions on side effects by sex, age, marital status, resident area, education level, occupation, and type of health insurance. 8. 60.7% of the respondents thinks the price of herb medicine is not resonable, while only 10.9% thinks it is resonable. 9. 14.2% of the respondents thinks health foods which contain herbs are good, while 16.8% thinks it is bad. 76.7% thinks that medicinal herbs in packages must be included in health insurance coverage, while only 3.0% thinks it needs not be included in health insurance coverage. 10. 45.2% of the respondents uses packs of decocted herbs although they think the packs of decocted herb are a little low effective because decocting herbs in home is bothersome. 45.2% uses packs of decocted herbs because they are convenient, being not related to the effect. 7.6% takes medicinal herbs after decocting them in a clay pot because they think the packs of decocted herbs have low effect. 11. According to the level of satisfaction with Oriental medical care, the respondents marked $3.47{\pm}0.64$ points on the base of 5 points. It was significantly higher in the groups of 'male', 'the married, resident in a big city', 'highschool graduate', 'the unemployed', 'office clerk', 'growing up in a big city', 'insurant in region', and 'the middle class'. 12. According to the result of a regression analysis of factors influencing preference for herb medicine, the factors displayed significant difference by sex, age, education level, health status, and times of receiving Oriental medical care. As shown in the above results, the community residents satisfy with the effect of herb medicine. Therefore, the method of taking herb medicine without difficulty must be devised. The medicinal herbs in packages need to be included in health insurance coverage and resonable price of herb medicine must be set. Also, education program for community residents must be developed in order to provide right information in herb medicine. Therefore, related public authority, associations, and professionals must make efforts, forming organic cooperative system.

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Factors upon revisit and intention of recommendation for dental care service (치과의료 재이용 및 권유의사 관련 요인)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.317-326
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    • 2012
  • Objectives : This study aims to examine satisfaction of dental treatment and revisit and intention of recommendation to dental patients and to supply as a basic resource for dental management improvement. Methods : 645 dental patients to dental hospitals in G City were subjects of this study. 27 dental hospitals were randomly chosen per 5 or 6 in 5 Districts. The intention of the survey was explained to 645 patients and it was agreed to have questionnaire survey. Questionnaire survey was carried out for 2 weeks in April 2011. Total 593 were used for the analysis except for insufficient answer sheets. The analysis was executed by using SPSS 18.0 and the results are as follows. Results : 1. The highest figures are as follows: female was 53.29% in sex, 20-29 age group was 44.52%, graduates of university were 38.62%, students were 28.50%, monthly family income with 300-399 million won was 31.70%. As to the treatment, dental caries were highest with 46.21% followed by scaling with 40.81%. As to the number of visit, 39.80% were over 5 times, and as to the opportunity to use, 29.34% answered it because it is close to home. 2. As to satisfaction, male was 4.15, over 60years old was 4.58, self-employed was 4.33, friendship with dentist as opportunity to use was 4.37. And as to revisit intention, over 60 years old was 4.60, over postgraduate in education level was 4.38, self-employed was 4.43, over 5 times visit was 4.32, and fame as opportunity to use was 4.39 which were the highest. As to the intention of recommendation to others, female was 4.24, over 60 years old was 4.65, self-employed was 4.36, friendship with dentist as opportunity was 4.43 which were the highest and showed significant differences (p<0.05). 3. As to patient satisfaction, there were strong relevance between revisit intention and intention of recommendation with 0.769 and 0.744 respectively. And, as to revisit intention, it had significant relation with revisit intention with 0.791. 4. The explanatory power of the regression analysis on the factors affecting revisit intention was 61.20%. The revisit intention was high when the satisfaction of dental hospital was high (${\beta}$=0.767, p<0.001), the number of visit (${\beta}$=0.026, p<0.01), reason for a visit (${\beta}$=0.070, p<0.01), education level (${\beta}$=-0.063, p<0.05) and occupation (${\beta}$=0.078, p<0.05). 5. The explanatory power of the regression analysis on the factors affecting intention of recommendation was 59.9%. The intention was taken patients satisfaction(${\beta}$=0.601, p<0.001), dental hygienist's kindness (${\beta}$=0.218, p<0.001), female (${\beta}$=0.079, p<0.05), reason for a visit(${\beta}$=-0.059, p<0.05), dissatisfaction treat(${\beta}$=0.084, p<0.05), dentist's kindness (${\beta}$=-0.080, p<0.05), age (${\beta}$=0.054, p<0.05). Conclusions : To improve revisit rate of patients, the refurbishing hospital facility, treatment and kindness of dental hygienists and satisfaction of treatment must be improved. And it also needs to accept complaint from female patients in a positive manner, and understand and correct complaints actively from the perspective of patients.

Analysis of Telephone Counseling Service on Child Health (전화 아기건강상담을 통해 나타난 우리나라 어머니들의 육아문제 분석)

  • Song Ji-Ho;Han Kyung-Ja;Oh Ka-Sil;Cho Kyoul-Ja;Lee Ja-Hyung;Park Eun-Sook;Cho Kap-Chul;Tak Young-Nan;Ahn Young-Mee
    • Child Health Nursing Research
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    • v.7 no.2
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    • pp.245-257
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    • 2001
  • This study analyzed the services as operated by the Child Health Telephone Service Center. The Center is a toll free service operated as part of the community services of the Korean Academic Society of Child Health Nursing. The aim of the study was to describe the concerns of child caregivers regarding child health care as discussed during telephone counseling. Specific objectives were as follows: 1. To analyze the activities of the Center. 2. To describe the characteristics of caregivers who made phone calls for counseling services and also the characteristics of their children. 3. To analyze the content of the counseling sessions. 4. To analyze counseling content according to the characteristics of the caregivers and their children. Data used for the study were obtained from the counseling records for the period from Sept. to Dec. 1999, as kept by the three counselors at the Center. The total number of calls was 8,261 and that consisted of 15,150 questions. The total questions were merged into 13,236 by eliminating those questions which overlapped or were of similar content. The final 13,236 questions were used for the final analyses. Almost of the callers (98.4%) were mothers. Among them 89.6% were between 25 and 35 years of age. Geographical distribution of the callers covered the whole nation. The largest numbers who made the calls were from the Seoul metropolitan area (36%), followed by 28% from Kyung Gi Province, and 20% were from the Kyung Sang area. Among 8,261 callers, 72.8% were first users. Sex of the babies and children in question for counseling was about even for males and females and ages ranged from one month to six years. The largest group (62.5%) was the less than six month age group. The finalized 13,236 questions/problems were categorized into 11 problem areas. They were in order of frequency, physical problems, feedings and nutrient concerns, information on child rearing, growth and development, guidance on utilization of child care facilities, elimination problems, sleeping concerns, immunization related concerns, behavior problems, injury and accidents, and safety measures. The most frequent problems for counseling were physical signs and symptoms (27.3%), followed by feeding and nutrients, information on child rearing, and growth and development. Of physical problems, abnormal gastrointestinal signs and symptoms were the most frequent concern and skin problems were next at 25% and 23.3% respectively. Loose bowels, vomiting and constipation were the most frequent gastrointestinal problems. Atopic dermatitis had the highest frequency at 53.3% with diaper rash being the second highest among the skin problems. About 80% of the growth and developmental category were physical development concerns related to physiological, body growth, and motor and sensory development. This study constitutes the activity report for the first year of the Center. The findings correspond with literature reports on child health problems and parents educational needs. One recommendation from this study is that since the services of the Center are carried out only by telephone, the psychology of the counselees and the counselor relationship must be considered for better services.

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