• 제목/요약/키워드: Community Care Design

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The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes (취약계층 당뇨병노인을 위한 건강멘토링프로그램의 효과)

  • Sung, Ki wol;Kang, Hye Seung;Nam, Ji Ran;Park, Mi Kyung;Park, Ji Hyeon
    • Journal of Korean Academy of Nursing
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    • v.48 no.2
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    • pp.182-194
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    • 2018
  • Purpose: This study aimed to estimate the effects of a health mentoring program on fasting blood sugar, total cholesterol, triglyceride, physical activity, self care behavior and social support changes among community-dwelling vulnerable elderly individuals with diabetes. Methods: A non-equivalent control group pre-post-test design was used. Participants were 70 community-dwelling vulnerable elderly individuals with diabetes. They were assigned to the experimental (n=30) or comparative (n=30) or control group (n=28). The experimental group participated in the health mentoring program, while the comparative group participated in health education program, the control group did not participate in any program. Data analyses involved a chi-square test, Fisher's exact test, a generalized linear model, and the Bonferroni correction, using SPSS 23.0. Results: Compared to the control group, the experimental and comparative groups showed a significant decrease in fasting blood sugar, total cholesterol, and triglyceride. Compared to the comparative and control groups, the experimental group showed significant improvement in self care behavior. However, there were no statistical differences in physical activity or social support among the three groups. Conclusion: These findings indicate that the health mentoring program is an effective intervention for community-dwelling vulnerable elderly individuals with diabetes. This program can be used as an efficient strategy for diabetes self-management within this population.

Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area (농촌지역 대사증후군 위험집단의 질병에 대한 지식, 인지도 및 생활습관 관련 건강 행위)

  • Oh, Eui-Geum;Bang, So-Youn;Hyun, Sa-Saeng;Chu, Sang-Hui;Jeon, Justin-Y.;Kang, Myung-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.790-800
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    • 2007
  • Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

Analysis of Apartment Design Elements for Applying the Health Care Service System according to the Degree of Independence of Elderly People (고령자 자립정도에 따른 헬스케어서비스 제공을 위한 공동주택 계획요소 분석연구)

  • Lee, Ji-Eun;Yoon, Young-Ho;Park, Jung-Ah;Kwon, Yoon-Ji
    • Land and Housing Review
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    • v.3 no.2
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    • pp.147-157
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    • 2012
  • The Korean government required the mandatory ratio of public housing including the housing unit for elderly in February 2012 and the number of them is expected to increase accordingly. To prepare for an aged society, these enabling ubiquitous technology will be able to support efficient health care services, which was mentioned in various studies. Therefore, the aim of this study is to draw the design elements for an apartment for providing health care services according to the degree of independence of elderly people and to grasp the current situation and work out tactics by the evaluation of four actual cases. In housing unit in the elderly housing project, design elements supporting amenity improvement was rated to the highest importance, however, in reality, was reflected at lower rate while the risk management plan for public space was applied at the highest rate. Design elements required by new technology such as health monitoring and community management with outside world are still not reflected, however, in order to realize the concept of 'aging in place', health care services in various aspects should be considered in housing planning.

The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City (일 지역 이동형 방문보건 전산시스템의 재구축과 활용의 효과)

  • Park, Nam-Hee;Jang, Rang;Kim, Jung-Young;Kim, Myoung-Soo
    • Research in Community and Public Health Nursing
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    • v.23 no.1
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    • pp.71-81
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    • 2012
  • Purpose: The aim of this study was to evaluate the process and outcome of a mobile computerized system for individual home visiting healthcare. Methods: A nonequivalent control group non-synchronized design was employed for this study. The newly constructed system was administered to 80 healthcare providers in the experimental group for 8 weeks. Data were analyzed using descriptive analysis, t-test, and ANCOVA with the SPSS 18.0 program. Results: In the process stage, the difference in the frequency of computerized information usage between the experimental and control groups was significant as $8.88{\pm}3.20$ and $7.08{\pm}2.92$, respectively (t=3.90, p<.001). In the outcome evaluation stage, all kinds of healthy lifestyle such as alcohol use, nutrition, weight management and mental health were not improved. Conclusion: The findings of this study showed that the revised mobile computerized system was an effective device for individual visiting healthcare providers. Further advanced strategies for using this system should be developed and applied in a broad range of community healthcare.

A Study on Skin Care Program Development by Talent Donation for Community Together (지역사회융합을 위한 재능기부 피부미용 프로그램개발에 관한 연구)

  • Yoon, Jin-Suk;Lee, Jae-Ha
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.403-411
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    • 2017
  • In recent years, various activities have been carried out in terms of talent donation for community together. This study suggests curriculum model about talent donation program centered on beauty majors. The key elements revealed in previous literature studies were used as educational contents of this study. The program presented in this study can be used to expand talent donations by beauty talent. The curriculum of the program for community together consisted of talent donation goals, teaching and learning methods, and evaluation items. This training program is divided into understanding area of talent donation and technique area of skin beauty.

A Mixed Methods Study of the Successful Aging of Older Adults in Korea

  • Kim, Eun-Ha;Kim, Kye-Ha
    • Journal of Integrative Natural Science
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    • v.13 no.2
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    • pp.47-57
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    • 2020
  • The purpose of this study was to understand experiences of successful aging of community-dwelling elderly living in the Korean community using mixed methods. This study is a mixed methods research using convergent parallel design. 483 elderly people living in the 2 cities were selected as subjects to collect quantitative data. For qualitative data collection, 6 elderly people participated. The level of successful aging for elderly people living at home scored an average of 4.30 ± .59 out of 5 points (4.46 ± .64 for self-efficacy, 4.31 ± .65 for good self-control, 4.29 ± .70 for satisfaction with children's success, and 4.26 ± .61 for partnership with spouses). The main themes of successful aging derived by interview were as follows: 1) fulfill responsibilities of raising children as parents, 2) establish a stable life to overcome difficulties, 3) accept the body being different from the past, and 4) live in harmony with people around them. Based on these results, it is necessary to provide useful health care services that can be used in the local community and to provide service utilization information through various routes in order to achieve a successful aging.

Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis (만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과)

  • Baek, Hee Chong;Lim, WonJi
    • Journal of Home Health Care Nursing
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    • v.26 no.1
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

The Effects of Customized Home Visiting Health Service in Gangwon-do - Focused on Hypertension and DM Clients - (강원도 맞춤형 방문건강관리 사업 효과 - 고혈압.당뇨 사례관리 중심 -)

  • Yang, Soon-Ok;Ahn, Soo-Yeon;Yim, Eun-Shil;Kwon, Myung-Soon
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.88-100
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    • 2008
  • Purpose: This study was to present the effects of home visiting health service on hypertension and DM clients. Method: The one-group pretest-posttest design was applied to 127 hypertension and 116 DM clients. To evaluate the effects of visiting nursing service, biological indexes and self-care abilities were measured from April to July, 2007. Result: Biological indexes and self-care abilities were improved in the hypertension and DM clients who received visiting nursing service. Especially, blood pressure and fasting blood sugar showed a dramatic decrease. Conclusion: Home visiting health service by public health centers is considered to be an effective nursing service in Gangwon-do. Therefore, case management is demanded not only for hypertension and DM but also for other chronic diseases.

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Educational Status and Needs of Premature Birth Prevention and Its Association with Preconception Health Behavior among Women of Childbearing Age in Korea

  • Kim, Sun-Hee;Hong, Ji-Yeon;Park, Mi Kyung
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.372-384
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    • 2022
  • Purpose: The aim of this study was to investigate the educational status and needs of premature birth prevention, and to identify factors associated with preconception health behaviors. Methods: The study design was a crosssectional descriptive study. Data were collected through an online questionnaire survey, and the subjects were 192 women of childbearing age in Korea. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's correlation coefficients, and multiple regression. Results: The proportion of subjects who received education on premature birth prevention was 8.9%, and 75.5% of subjects answered that they needed education on premature birth prevention. They demanded education through online media, small groups, cases, cartoons (webtoon) with stories, pictures, and videos. A related factor of preconception health behavior was self-efficacy for high-risk pregnancy health care (β=.20, p=.012), which accounted for 8.2% of the total variance related to preconception health behavior. Conclusion: There was a need for more development of education programs to prevent premature birth for women of childbearing age. Its education programs should be applied with online, small group activities using various educational media. It is also required to promote preconception health behavior through self-efficacy for high-risk pregnancy health care.

Evaluation System for Selecting Residents of Supportive Housing in Seoul

  • Yuhyun SUNG;YounJae LEE
    • The Journal of Economics, Marketing and Management
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    • v.11 no.2
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    • pp.57-68
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    • 2023
  • Purpose: This study aims to improve the evaluation system for selecting supportive housing applicants, addressing inconsistency, lack of health and care evaluation, and the need for a quantitative evaluation tool. Proposed improvements include a consistent evaluation index and items for each resident type, selecting suitable residents for independent living and community integration. Research design, data and methodology: This study analyzed the supportive housing selection checklist provided by the Seoul Metropolitan Government, the supportive housing ordinance, and the SH Corporation's operation guidelines. Results: Study finds current supportive housing tenant selection system lacks consistency and proposes improvements. The same terms should be used for the same evaluation items, health and care evaluation items should be added for all tenants, and a quantitative evaluation tool should be used. Consistent evaluation index and items should be created for each resident type in the same evaluation area. The aim is to select suitable tenants with potential for independent living and community integration. Conclusions: This study improves the evaluation system for selecting supportive housing applicants by addressing inconsistencies and adding essential evaluation items related to health and care. While the study is significant, future research should focus on developing quantitative evaluation tools for all detailed items.