• Title/Summary/Keyword: Community Care Design

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A Case Study on the Residents' Sense of Community and the Needs and Satisfaction of Community Facilities in Apartment Complex (아파트 주민의 공동체 외식과 커뮤니티 시설에 대한 요구 및 만족도에 관한 사례조사 연구)

  • Shin, Hwa-Kyoung;Kim, Young-Joo;Lee, Soo-Jin;Jo, In-Sook
    • Journal of Families and Better Life
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    • v.29 no.1
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    • pp.83-93
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    • 2011
  • The purpose of this study is to the examine sense of community of the residents living in an apartment complex and the relevant features of the community facilities provided in the complex, such as actual facility conditions, needs and satisfaction. Five apartment complexes constructed after 2000, each containing more than 500 units were selected for this case study. The actual conditions of the community facilities regulated by current laws were inspected. Those facilities were the administration office, gym, multi-purpose room, sauna and shower room, indoor and outdoor children's play-grounds, study room, etc. 37 residents were interviewed to access their needs and level of and satisfaction with the provided community facilities. Based on the results, we suggest that basic community facilities for exercise, child care and children's recresion need to be provided regardless of the apartment complex size. The respondents revealed a medium level of sense of community, which was psychologically limited to their apartment complex. Indoor and outdoor children's play-grounds had great potential to encourage social interaction between the residents. The findings point to a need for improvement of the current relevant regulations with the perspectives of flexibility and application in terms of space size and mandatory types.

A Preliminary Study with the Objective of Developing a Community based Postpartum Women's Follow-up Program (지역사회 중심의 산욕기 산모 추후관리 프로그램 개발을 위한 기초조사)

  • Kim Myoung Hee
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.27-41
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    • 2001
  • The purpose of this study was to discern the level of satisfaction of postpartum care in hospitals. the level of importance of traditional postpartum care and the need for home health care for postpartum women. The study's design was to obtain data needed to develop a community-based postpartum care program and to improve the quality of nursing for postpartum care recipients. Data for the study was collected from 1 March to 31 June 2000 from 116 postpartum care recipients treated in Chung-Buk, Korea. Data analysis consisted of frequency, percentage, t-test, and ANOVA. using SPSS win program. The results the of analysis were as follows: 1) The level of satisfaction of postpartum care in the hospital (mean 1.31) was very low. The most laudable items of nursing care by category were: moderate satisfaction with 'perineal wound care' (2.04) and 'afterpain observation'(2.09). The overall level of satisfaction of postpartum care in the hospital. however, was very low. 2) Among other items of postpartum care in the hospital, 'postpartum exercise' $(25.9\%)$. 'assessment and support for postpartum depression' $(25.9\%)$, 'operation wound care for women who underwent Caesarean sections' $(24.5\%)$. and 'contraception and family planning' $(20.4\%)$ showed a need for home health care for postpartum care recipients above $20\%$. 3) The level of importance of traditional postpartum care (Sanhujori) was relatively high (mean 2.72). The importance of Sanhujori by category was as followed: 'the fourth principle: protecting the body from harmful strains' was the highest (2.88), 'the third principle: eating well', 'the first principle: invigorating the body by augmenting heat and avoiding cold', 'the second principle: resting without working', 'the fifth principle: keeping clean' and 'the sixth principle: handling with the whole heart' showed 2.85, 2.80, 2.70, 2.51 and 2.46 respectively. 4) The need for home health care with Sanhujori was very low. 5) The relationship between demographic factors and the level of satisfaction with postpartum care in the hospital was as follows: the satisfaction levels were significantly different among' delivery frequency' and 'health status' alteration after delivery'. 6) The relationship between demographic factors and the importance of the Sanhujori category was as follows: There were no significant differences in the level of importance of the first and the forth principle of Sanhujori. The level of importance of the second principle of Sanhujori was significantly different among 'income' and 'family type'. The level of importance of the third principle of Sanhujori was significantly different among 'having a boy'. The level of importance of the fifth principle of Sanhujori was significantly different among 'income' and 'feeding type'. The level of importance of the sixth principle of Sanhujori was significantly different among 'education background' and 'feeding type'. In conclusion. the findings of this study illustrate the nursing needs of postpartum care recipients. It provides a challenge to caregivers in the healthcare industry to develop a continuous postpartum care program and integrative postpartum care system that embodies the oriental and western paradigm for the promotion of women's health.

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Effects of a Health Promotion Program on Perception of Health Behavior, Physical Fitness and Body Composition in Child Care Helpers (건강증진프로그램이 아이돌보미 여성의 건강행위에 대한 인지, 체력 및 신체조성에 미치는 효과)

  • Lee, Young-Ran;Chu, Min Sun;Park, Sun-Nam;Kim, Hong-In;Choi, Hee-Sook
    • Journal of Korean Public Health Nursing
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    • v.28 no.1
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    • pp.138-148
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    • 2014
  • Purpose: This study was conducted in order to determine the effects of a health promotion program on perception of health behavior, physical fitness, and body composition in child care helpers. Methods: The study had a one group pretest-posttest quasi-experimental design. Data were collected from 38 child care helpers from July 6 to November 9, 2013. The health promotion program consisted of health education, self-exercise, encouragement, and identification. The following data were collected perception(perceived benefit, barrier, and self-efficacy), physical fitness(balance, grasp power, and flexibility), and body composition(body mass index, body fat ratio, waist circumference, and basal metabolic rate) and analysis was performed using on SPSS WIN 18.0. Results: Self-efficacy showed a significant increased. Body mass index, body fat ratio, and waist circumference showed a significant decreased. No significant difference in perceived benefit, barrier, physical fitness, and basal metabolic rate was observed between pre-test and post-test. Conclusion: This health promotion program had an effect on self-efficacy and body composition in child care helpers. Therefore, this health promotion program for child care helpers can be recommended as an effective nursing intervention.

The Relationship between Sense of Loss and Suicidal Ideation among Rural Elders use Primary Health Care Post's Services : Mediating Effect of Depression (보건진료소를 이용하는 농촌노인의 상실감과 자살생각과의 관계: 우울의 매개효과)

  • Bong, Eun Ju
    • Journal of agricultural medicine and community health
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    • v.45 no.1
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    • pp.1-12
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    • 2020
  • Purpose: The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services. Methods: This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. Results: There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. Conclusions: Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.

The Effects of a Self-Management Course on Self-Efficacy, Fatigue, Coping Skills and Self-Care Activities in Patients with Systemic Lupus Erythematosus (자기관리과정이 루푸스 환자의 자기간호활동에 미치는 영향)

  • Sohng Kyeong-Yae;Kang Sung-Sil
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.324-333
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    • 2001
  • Purpose: A quasi-experimental study was conducted to identify the effects on Self-efficacy, Fatigue, Coping Skills and Self-care Activities by Korean patients following a Systemic Lupus Erythematosus Self-Management (SLESM) Course. Methods : A two group pre-test and post-test design was used. The participants in the study were forty-one people with Systemic Lupus Erythematosis of which 21 subjects were assigned to the experimental group and 20 to the control group The experimental group received six weekly 2-hour group sessions, while the control group did not receive any intervention Outcome measures included self-efficacy, fatigue, coping skills and self-care activities. Baseline demographic and clinical variables did not differ between the two groups. Results : Patients who Participated in the self-management course showed significant decrease in fatigue (p= .038), improvement in self-efficacy (P= .001) and coping skills (p= ,048), increase in self-care activities (p= .003), and in the number of types of self-care activities(P= .048). Conclusion: Self-efficacy, coping skills and self-care activities improved and fatigue was reduced following the SLESM course. This study showed that a SLESM course is a good nursing intervention that can be offered in community settings.

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Effectiveness of a Comprehensive Health Promotion Program based on the Primary Health Care Post for Rural Elders (농촌 노인을 위한 보건진료소 중심의 포괄적 건강증진 프로그램의 효과 검증)

  • Kim, Yeongsug;Kang, Young-Sil;Ha, Yeongmi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.30-37
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    • 2019
  • Purpose: This study was done to develop a comprehensive health promotion program based on the primary health care post, and then to examine the effectiveness of the program for rural elders. Methods: A single group pre-test post-test design was used, for 3 months and the 51 participants received the comprehensive health promotion program based on the primary health care post. Effectiveness of the intervention was measured immediately after the comprehensive health promotion program. Results: There were significant differences between pre-test and post-test on cognitive function (p=.001), depression (p=.001), systolic blood pressure (p=.001), blood sugar (p=.013), and cholesterol (p=.018). Conclusion: The comprehensive health promotion program based on the primary health care post was found to be effective for rural elders by improving cognitive function and physiological indicators and decreasing their depression.

Importance-Performance Analysis (IPA) of Agro-Healing Services Quality for Mental Health Care (정신건강 치유를 위한 치유농장 서비스품질의 중요도-만족도 분석(IPA))

  • Choi, Na-Yoon;Kim, Seon-Ok;Kim, Yun-Jin;Park, Sin-Ae
    • Journal of Agricultural Extension & Community Development
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    • v.28 no.4
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    • pp.203-213
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    • 2021
  • This study aimed to examine the policy priorities to enhance the service quality of the agro-healing for mental health care using Importance-Performance Analysis (IPA). The subjects were 67 people working in mental health institutions. The result of the IPA for the design of the agro-healing policy, in a total of 5 policy areas, the importance and performance were found to be 'above average', and it was confirmed that 'Keep up the Good Work' level. This is thought to have had a positive effect on raising the policy awareness of experts in mental health related institutions as the government's support for agro-healing and R & D increased according to the enactment of the act. Therefore, the results of this study provided basic information on the development and revitalization of agro-healing service quality for mental health care.

Systematic Review on Outcome and Trends of Community Care Pilot Project in Korea (국내 지역사회 통합돌봄 선도사업 성과 및 동향에 관한 체계적 문헌고찰)

  • Kim, Kyoung-Beom;Heo, Min-Hee;Jang, Ha-Eun;Noh, Jin-Won;Kim, Jang-Mook
    • Journal of Convergence for Information Technology
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    • v.12 no.5
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    • pp.159-167
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    • 2022
  • At the present time, no systematic review has been conducted to report the project's outcomes or trends. This study systematically reviewed existing evidence related with community care pilot project. A total of 61 articles, including 18 original literatures and 43 review literatures were finally selected. For original literatures, the most frequent literatures focused on demand surveys (n=4) and model proposals (n=4), the utilization of touchpoint (n=3), space design and architectural model (n=3), manpower training and role establishment (n=2), followed by prioritizing objectives (n=1) and research trend study (n=1). For review literatures, the most frequent literature focused on the elderly (n=12) and relatively few literature on the disabled and mental illness (n=2). Since the pilot project for community care has been implemented for only about one year, the present study indicates that more future research is needed to the disabled, mental illness, and homeless should be conducted as well as elderly.

A Study on the Factors Affecting Self-Regulation Program for Hypertensives (본태성 고혈압환자를 위한 자기조절 프로그램 관련요인 연구)

  • Park, Young-Im
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.234-249
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    • 1995
  • Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

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Elderly Care System in the U-Health Environment (U-Health 환경에서의 노인 Care 시스템)

  • Jang, Hyeon-Suk;Ban, Tae-Hak;Jang, Se-Cheol;Jung, Hoe-Kyung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.11
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    • pp.2693-2698
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    • 2013
  • As our country is currently facing "aging society," people demands for qualitively and quantitatively better social welfare services. In particular, the abruptly rapid increase in the elderly population requires various welfare services and medical care related to the elderly. It is urgent to resolve these demands. Also, IT technology in Korea is developing rapidly, and U-Health, a part of the Ubiquitous field is under the actively ongoing researches. In this paper, we studied the Elderly care system model suing U-Health technology. We designed the care system of the residential environment designed specific for the elderly. Additionally, based on that design, we studied the elderly care system using the ubiquitous technology. Since this elderly care system combines the existing community-based model and IT technology in conjunction with other mobile devices, we may supply a new care service application, thus solving the problems of the existing care and medical services.