• Title/Summary/Keyword: Care needs

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Needs of Home Care Nursing Services for Hospital Patients (재원환자의 질환군에 따른 가정간호 요구도)

  • Han, Sung-Suk;Kim, Soon-Lae;Lee, So-Young;Kwon, Eun-Ha
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.165-176
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    • 2007
  • Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

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DENTAL STUDENTS' PERCEPTIONS AND BEHAVIOR INTENTIONS TOWARDS PATIENTS WITH SPECIAL CARE (치의학대학원 학생의 장애환자에 대한 인식 조사)

  • Park, Sang-Euk;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.91-97
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    • 2013
  • The objective of this study was to explore perceptions of dental student of patients with special care. Their satisfaction with education, and their professional attitudes and behavioral intentions concerning treating these patients were the issues of this paper. Paper-and-pencil survey data were collected from 289 dental students at the school of dentistry, Seoul National University. Most respondents agreed that it is important to be educated about providing care for patients with special needs at the school. The higher grade students they are, they got the higher degree of understanding about treating these patients and the more satisfaction with the education. However, their intentions to treat these patients in their future professional lives were negatively correlated with degree of students. Based on these findings, it is recommended that school curriculum about treating patients with special care be reconsidered to develop students' comfort level in treating special needs populations.

The Effect of a Decrease Indwelling Catheter Size and Preoperative Education on Bladder Discomfort and Patient's Nursing Needs (유치도뇨관 크기 감소 및 정보제공이 수술 후 유치도뇨관으로 인한 불편감과 간호요구도에 미치는 효과: 회복실에 입실한 성인남자 환자를 중심으로)

  • Baek, Hyun Ju;Lee, Hye Mi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.21 no.2
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    • pp.120-126
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    • 2014
  • Purpose: This study was carried out to investigate the effect of a decrease in indwelling catheter size and preoperative education on bladder discomfort and nursing needs. The study was conducted on patients in the recovery room after their surgery. Methods: This study is a randomized control trial. Data were collected from September 2011 to February 2012 at a university hospital in Bundang, Korea. The sample consisted of 75 patients, excluding one patient from the experimental group 2. From among the patients that were sent to the ICU, 24 were in experimental group 1, 24 were in experimental group 2, and 27 were in the control group. Data were collected and analyzed using a chi-square test, t-test, and one-way ANOVA. Results: There were significant differences between the bladder discomfort experienced by patients in experimental group 1 and the control group, and experimental group 2 and the control group. Then nursing needs of the control group were higher than those of the experimental groups 1 and 2. Conclusion: The decrease in indwelling catheter size and preoperative nursing education is an effective nursing intervention in perioperative care.

Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students (시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발을 위한 요구도 조사)

  • Yoo, So-Young;Kim, Sung-Hee;Lee, Ja-Hyung
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.170-176
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    • 2012
  • Purpose: The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. Methods: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. Results: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. Conclusion: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

Health Status and Health Care Service Program Needs of Senior Welfare Center Users (노인복지관 이용자의 건강상태 및 건강관리서비스 프로그램 요구도)

  • Chong, Hyun-Chong;Sohn, Tae-Yong
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.201-214
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    • 2019
  • Objectives: The purpose of this study was to identify the needs of the senior welfare center users of the health service program, and to establish a plan to adjust the health service functions of the senior center. Methods: A survey of 2,130 users of the Gyeonggi-do Senior Welfare Center was conducted from May 28 to June 30, 2018. Results: The major results of the study are as follows. First, 66.8 percent of senior welfare center users were willing to participate in health care. The requirement for health service programs was 3.87 points out of 5 points followed by cognitive ability improvement programs, senior movement programs, and chronic disease programs in lower areas. Second, the factors affecting the needs of health care service programs of senior welfare center users had a significant impact on women; the younger the age, the better the subjective health condition; the higher the number of medical conditions, the lower the out-of-patient experience; the longer the welfare center isused, the more people are willing to participate in healthcare. Conclusions: We believe that there is a need for social service policies and management to better understand the situation of senior citizens who are demanding various services due to illness and to integrate health and welfare services.

Listening to the Voices of Grandparents Raising Primary-Grade Grandchildren Using a Qualitative Study (조부모의 학령 초기 손자녀 대리양육 경험에 관한 질적 연구)

  • Song, Seung-Min;Lee, Woon Kyung;Lee, Yoon Hyung;Kang, Hyunah;Kim, Eun Hye;Kang, Hara
    • Korean Journal of Child Studies
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    • v.38 no.1
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    • pp.185-203
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    • 2017
  • Objective: The present study examined the perspectives of grandparents raising their grandchildren in an attempt to better understand grandparents' child-rearing experience while providing kinship foster care to their primary-grade grandchildren. Methods: Data were collected through individual in-depth interviews with eight grandparents who have raised one or two primary-grade (ages 8-10) grandchildren using a qualitative approach. Results: First, the participants viewed the reason for their kinship foster care as a failure for caring for their own children and accepted the present grandparent-care provision as their responsibility. Second, the participants communicated constant struggles with their own health and grandchild-care as well as positive/negative emotions associated with the care provision. Third, most of the participants did not fully understand the developmental needs of their primary-grade grandchildren. Fourth, the participants articulated concerns for their primary-grade grandchildren's learning, peer interactions, school adjustment, and extra-curricular activities. Lastly, the participants all agreed on hoping to raise grandchildren with good personality traits as members of a society and to have them fill the gap from the loss of their parents. Conclusion: Although most participants accepted the current circumstances as their obligation, they still noted difficulties in child-care provision. Given the developmental needs of grandchildren and the resource needs of grandparents, proper and continuous intervention approaches should be developed/provided.

A Study of the Elderly's Needs for the Development of Elder Care Programs in Rural Communities (마을공동체 중심의 노-노(老-老) 돌봄 개발과 활용을 위한 농촌노인의 욕구 조사)

  • Park, Jeong-Yun;Park, Gong-Ju;Yoon, Soon-Duck;Chae, Hye-Seon;Han, Eun-Joo
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.3-20
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    • 2007
  • The purpose of this study was diagnosed to grasp the needs for the elderly-elderly care activity in rural areas. The research was conducted in questions and case studies in 7 farming villages. The major findings of this study as follows: First, the senior citizens in rural areas were not in good health, and the illnesses were revealed to be arthritis, high blood pressure, and diabetes. At the occurrence of an illness, they complained about the discomfort in doing daily life routines and expected eir spouses or offsprings to te care of them. Elders in the rural community responded that they had difficulty and financial problems in family maintenance. Leisure activities included watching TV, playing card/board games, or spending time without any specific activities. Second, recipients of elderly-elderly care expected to receive services from a woman in her 50s $1{\sim}2$ hours, once to twice a week. Third, the service providers wanted to be elderly-elderly care takers, hoping to work once a week for $2{\sim}3$ hours. They wanted the education for the elderly-elderly care to be once a week for 3 hours, with understanding the elderly, consultation, preventing senile dementia, and health as the contents.

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Determinants of Amount of Service Use in Community-Based Long-term Care for Elders (노인장기요양보험 재가서비스 이용량 결정요인)

  • Lee, Taewha;Kim, Bok Nam
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.4
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    • pp.402-413
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    • 2012
  • Purpose: This study was done to explore factors related to amount of service use for elders with long-term care needs. Methods: A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed. Results: There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001). Conclusion: The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

Development and Effect of a Web-based Child Health Care Program for the Staff at Child Daycare Centers (보육교사를 위한 웹기반 영유아 건강관리 프로그램 개발 및 효과)

  • Kim, Ji-Soo
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.213-224
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    • 2010
  • Purpose: The purpose of the study is to develop a web-based program on child health care, and to identify the effect of the program on knowledge of, attitudes towards child health care, and health care practice in staff of daycare centers. Methods: The program was developed through the processes of needs analysis, contents construction, design, development, and evaluation. After the program was developed, it was revised through feedback from 30 experts. To identify the effect of developed program, onegroup pretest-posttest design study was conducted with 64 staff members from 12 daycare centers in Korea. Results: The program was developed based on users' needs and consisted of five parts: health promotion, disease and symptoms management, oral health, injury and safety, sheets and forms. This study showed that the total score of staff who used the program was significantly higher in terms of knowledge, attitudes, and their health care practice compared with pretest score (p<.05). Conclusion: These results suggest that this Web-based program can contribute to the child health promotion as well as can provide the staff with the insightful child health information. Therefore, it is expected that this program will be applied to staff of other child care settings for children's health.

Use and educational needs of auxiliary oral care products in a large enterprise employees (일부 대기업 근로자의 보조구강관리용품 사용실태와 교육 요구도 조사)

  • Park, Sin-Young;Lee, Heung-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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    • pp.223-230
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    • 2014
  • Objectives : The purpose of the study is to develop a program of oral health education by investigating the use and educational needs on auxiliary oral care products in employees. Methods : A self-administered questionnaire was filled out by 321 employees in the heavy industry in Youngam-gun. Results : Most of the employees used the dental floss. Approximately 72.6% answered that they did not receive the education on auxiliary oral care products and 81.3% of subjects did not participate in the education for the auxiliary oral care products. If free education is provided, 66.5% would receive the auxiliary oral care products use education. The best ways of education were expert lecture and brochure. Conclusions : The employees want the continuing education for the use of auxiliary oral care products. The oral health promotion program must be focused on the active practice of oral health behavior.