• Title/Summary/Keyword: Group homes

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Nurses' Perception and Experiences at Nursing Home Residents with Dysphagia: Focus Group Interviews (연하장애를 가진 노인에 대한 노인요양시설 간호사의 경험: 포커스 그룹 연구)

  • Park, Yeon-Hwan;Chang, Hee Kyung;Bang, Hwal Lan;Lee, Jin-Yi
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.2
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    • pp.112-121
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    • 2013
  • Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.

A Study on Drug Abuse and the Factors Affecting Drug Abuse Behaviors of Students Preparing College Entrance or Transfer Examinations (대입 재수생 및 편입준비생의 약물남용 실태와 이에 영향을 미치는 요인)

  • 조태현;남철현
    • Korean Journal of Health Education and Promotion
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    • v.17 no.2
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    • pp.57-73
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    • 2000
  • A study on drug abuse of young people who failed in college entrance examinations and preparing the next examination and those enrolled at colleges but trying to transfer to other colleges was conducted from February 3 to May 31, 1999 in order to determine current drug abuse status of them and factors affecting their behavior related to drug abuse. A total of 1,771 people were selected from college entrance preparation institutes in Seoul, Pusan, Taegu, Taejon and Kwangju and interviewed by using questionnaires. The results are summarized as follows; 1. 49.78% of them experienced drinking, 22.8% smoking, and 6.7% drug previously. More males smoked cigarettes than females. The young in the age group of 25 to 29 years old, and the young living in small towns, and subjects who finished junior colleges and those without religions drank more than those in other categories. The subjects in the age group of 20 to 24 years old and those with one parent, and those living in small towns used more drugs than those in other categories. 2. 60.1% of those with drug using experience used the drug in their or friends' homes. 53.6% of them used drugs with their friends, junior or senior classmates. 36.6% of them purchased drugs from drug stores. 76.0% of them spent their pocket money for buying drugs. 3. The drugs (excluding alcohol and tobacco) they used were bond and butane gas (29.6%), stimulants (20.6%), marijuana 02.0%) LSD (4.8%), cocaine, heroine and opium (4.2%), and others (28.8%). 4. 21.5% of those with drug using experience had detoxification treatment previously. The ajmor sufferings they experienced were distraction (42.6%), fear 01.7%), and others. 5. 51.0% of the subjects experienced drug related health education in schools, and 14.6% had that kind of education through social program. 6. 64.3% of the subjects got information about drug abuse through mass media, 16.4% through printed materials, and 11.4% through public health professionals. 7. The knowledge level of drug abuse was 16.48:1:2.76 points out of 24 (68.6 points out of 100).

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The relationship between social capital of adolescents in out-of-home care and their self-reliance: Focusing on the mediating effects of school adjustment (가정외보호청소년의 사회적자본이 학교적응을 매개로 자립의지에 미치는 영향)

  • Shin, Jee Hae;Kang, Hyunah
    • Journal of the Korean Society of Child Welfare
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    • no.58
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    • pp.77-102
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    • 2017
  • The objective of this study was to examine the mediating effects of school adjustment on the relationship between social capital and self-reliance of adolescents in out-of-home care(institutional care, foster care, and group homes). For this study, a total of 358 middle and high school students(13 to 19 years) were recruited among adolescents in care nationwide. Collected data were analyzed by using the structural equation modeling analysis. A bootstrapping method was utilized to examine the mediating effects. The results showed that social capital of the adolescents in out-of-home care was not directly related to self-reliance. However, complete mediation was found through school adjustment in the relationship between social capital and self-reliance. This indicates that social capital of the adolescents in care was significantly related to self-reliance only through school adjustment. Based on the results, policy and practice implications for increasing the levels of social capital, school adjustment, and self-reliance of adolescents in care were discussed.

Analysis of NIMBY Phenomenon in the Surrounding Areas of Seoul Happy Housing : Kangil, Cheonwang, Naegok and Samjeon (서울 행복주택 주변지역의 님비현상 분석 : 강일, 천왕, 내곡, 삼전지역 행복주택 주변거주자 인식조사를 바탕으로)

  • Joo, Heesun
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.1
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    • pp.93-98
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    • 2019
  • Recently, the rise in the housing burden on young couples has led to a serious housing poverty among young people. The number of young people who move into public rental housing is very small because the eligibility for public rental housing is determined based on income, the status of housing subscription, and the size of the household. With this background, the government launched a public rental housing program called Happy Housing Project, which gives young people the priority to move in first. However, the program is facing an obstacle due to the opposition of local residents. The purpose of this paper is to examine whether public rental housing can induce the NIMBY syndrome through conducting a literature review, followed by an analysis of NIMBY syndrome around the currently supplied Happy House development areas, and finally analyzing the household characteristics in order to identify which households were prone to the NIMBY syndrome. To confirm the existence of the NIMBY syndrome, this paper comparatively analyzed the two groups using binary logit analysis. The first group consists of households that are against the Happy House policy, and the second group consists of households that are aware of the Happy House development taking place in their neighborhoods, and are against the development. This study considered the households against the Happy House development in their neighborhoods to have NIMBY tendencies, and focused on comparing the households with NIMBY tendencies with those who do not. To confirm whether the residents around the Happy House neighborhoods have NIMBY tendencies, this paper compared the two groups and confirmed that about 4% of the households have NIMBY tendencies. This paper subsequently analyzed the households with NIMBY tendencies, and found them to have a higher number of children, reside in apartments and reside in owned homes. The volume of the 2018 Happy Housing (35,000 households) is three times higher than that of 2017. The present study aims to analyze the tendency of residents who oppose the construction of Happy Housing so as to derive policy implications for the smooth provision of public rental housing.

Classification Model of Food Groups in Food Exchange Table Using Decision Tree-based Machine Learning

  • Kim, Ji Yun;Kim, Jongwan
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.12
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    • pp.51-58
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    • 2022
  • In this paper, we propose a decision tree-based machine learning model that leads to food exchange table renewal by classifying food groups through machine learning for existing food and food data found by web crawling. The food exchange table is the standard for food exchange intake when composing a diet such as diet and diet, as well as patients who need nutritional management. The food exchange table, which is the standard for the composition of the diet, takes a lot of manpower and time in the process of revision through the National Health and Nutrition Survey, making it difficult to quickly reflect food changes according to new foods or trends. Since the proposed technique classifies newly added foods based on the existing food group, it is possible to organize a rapid food exchange table reflecting the trend of food. As a result of classifying food into the proposed model in the study, the accuracy of the food group in the food exchange table was 97.45%, so this food classification model is expected to be highly utilized for the composition of a diet that suits your taste in hospitals and nursing homes.

The Study on the Perception Types of the Service Practitioners Working for Intellectually Disabled People on the Relationships with their Service Users (지적장애 이용자와의 관계에 대한 실천가의 인식유형)

  • Park, Sook-Kyung;Kim, Yong-Deug
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.367-389
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    • 2010
  • The purpose of this study is to find out perception types of service practitioners working for intellectually disabled adults on the relationships with their service users who use residential and domiciliary care services. For this purpose, this study adopted two research methods: Q-methodology and survey. This study found out three major types of practitioners' perception on the relationships with their service users. The first is the type of superficial orientation for equal relationship. The second is the type of reflective recognition on the driven relationships by practitioners. The third is that of compassionate at the advocacy for service users. In the result of survey in which respondents are practitioners working in residential care homes, small group homes and community service centers, 48.2% of respondents show the first type, 40.5% the second, 11.1% the third. Recently, in the area of personal social service for the intellectually disabled people, the importance of service users' participation and self-determination in the process of service provision is gaining higher concerns. In this context, making change on relationships between service workers and users is raised as important issue. In this environment, the results of this study could be useful to develop equal and supporting relationships.

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An Application Effect of Rhythmic Movement Program for the Health Promotion in the Elderly (노인의 건강증진을 위한 율동적 운동프로그램의 적용효과)

  • 이숙자
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.776-790
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    • 2000
  • Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups:33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

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An Analysis of Suicidal Accidents on Psychiatric In-patients (입원중 정신병 환자의 자살사고 요인 분석)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.5 no.2
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    • pp.11-22
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    • 1975
  • Suicides have been considered to be one of the grave problems of modern societies. According to recent police statistics of Republic of Korea, 28.6 suicides in every 100, 000 were reported. Psychiatric Patients are believed to be predisposed to suicidal tendencies. This study was performed to investigate the characteristics of suicidal attempts and to analyse the environmental factors involved in the suicidal accidents of patients admitted to psychiatric hospitals. Records of 66 suicidal accidents from three psychiatric hospitals during the period of January 1971 through June 1971 were sampled. Data were analysed by percentile score. Results are as follows; 1. The age group of 21~30yrs. was revealed to be the highest in frequency of suicidal attempts (50.0%) Among the unsuccessful suicides; the age group of 31~40yrs. in men and the age group of 21~30 yrs. in women revealed to be the highest in frequency-Among the unsuccessful suicides; the age group of 21-30 yrs. in both sex revealed to be the highest in frequency. 2. Suicidal accidents occurred more frequently to the unmarried(63.6%)- Among the successful suicides; higher frequency was shown to unmarried in men and the frequency is contrasted in women. Among the unsuccessful; the unmarried in both sex were revealed to be highest in frequency. 3. Schizophrenia was revealed the highest of suicidal attempts in frequency (81.8%). 4, Suicides were most frequently attempted in the spring(46, 9%). Among the successful suicides; highest frequencies were shown in men in tile winter and in women in the summer season. Among the unsuccessful suicides :highest frequencies were shown in men in the winter and in women in the spring. 5. Suicidal attempts were most frequently occurred in hospital wards (40.9%), In women, unsuccessful attempts were found to be the highest on authorized leave at their homes. 6. The hanging was revealed to be the most frequently adopted methods for suicidal attempts (31.8%). Among the successful suicides; hanging was the most frequent method adopted in men white in women the drug over-dose, Among the unsuccessful suicides ; stabbing by sharp devices while in women drug-overdosage was adopted as well 7. The most frequently adopted instrument of different suicidal attempts were: house-hold wrapper (26.3%) in cases of hanging, knives (31.8%) in cases of stabbing, and drugs. 8. The suicidal attempts have occurred most frequently at dawn through early morning (2-6A. M.) (34.8%). Among the successful suicides i most frequent time of occurrence on week-days were revealed to be dawn, while on holidays the occurrence were in the evening as well Among the unsuccessful; the most frequent time of occurrence was the day hours while on holidays at dawn. 9. Suicidal attempts within the hospital ward were first noticed by nurses most frequently (42.2%). 10. Manifestations such as restlessness, depression, self-depreciation were revealed to be the most frequent pre-suicidal attempt behavior characteristics. 11. Among the successful suicides ; manifestations of physical damage were found on the neck while among unsuccessful attempts, the damages were found on exterminates.

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The Effects of Lifestyle Redesign Program on Time Usage and Quality of Life for Elderly with Stroke (라이프스타일 재설계 프로그램이 뇌졸중 노인의 시간 사용과 삶의 질에 미치는 효과)

  • Kim, Hyeong-Min;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.3
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    • pp.21-30
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    • 2019
  • Objective : This study was designed to identify the effects on the time usage and quality of life of seniors with stroke by applying lifestyle redesign programs on the theoretical basis of the Occupational Balance. Method : A pretest-posttest control group design was conducted for a total of 40 stroke elderly people living in nursing homes(20 experimental and 20 control groups). Prior assessment was conducted for two weeks before the application of the lifestyle redesign program. For the next 10 weeks, the lifestyle redesign program was applied seven times a week. After that, a week of post-evaluation was conducted. The time usage for the subjects was analyzed by Life Time Survey Table of the National Statistical Office(2009) and life quality for them was analyzed by World Health Organization Quality of Life-BRIEF (WHOQOL-BRIEF). Result : The comparison of time usage before and after application of the program demonstrated that for the experimental group, rest and sleep(t=-4.89, p<.001), and leisure(t=-4.67, p<.00b1) showed significant differences. In addition, intergroup comparison results showed that there were also significant differences in rest and sleep(t=-2.24, p<.01) and leisure(t=3.57, p<.01). The comparison of life quality showed a significant difference between two groups(t=6.80, p<.001). If you look at the sub-area of quality of life, a significant difference was identified in physical health(t=6.08, p<.001), psychological health(t=5.21, p<.001), living environment area(t=3.60, p<.01). Conclusion : Lifestyle redesign program actually reduced the time usage for rest and sleep for elderly with stroke living in nursing homes, and increased the time for participating in leisure life resulting in improved quality of life.

A Study on Modern People's Consciousness and Wearing Practice of Korean Costumes (우리나라 옷에 대한 현대인(現代人)의 의식(意識)과 춘용실태(春用實態)에 관(關)한 연구(硏究) - 서울 지역(地域)을 중심(中心)으로 -)

  • Hwang, Chun-Sub
    • Journal of the Korean Society of Costume
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    • v.1
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    • pp.119-129
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    • 1977
  • It is significant for developing the future for us to know our present age. In order to preserve our Korean costume as a fola clothes retaining our distinguished independent characterisitics and to help design the tomorrow of our Korean costume playing a role as a racial to develop the world clothing culture, a survey was conducted to investigate modern people's conscious-ness and wearing practumes of Korean costume by questionaire and interviewing methods. The results of the survey were analyzed as follows: (1) At present, Korean costumes were purchased as customtailored(64.0%) and as ready-made(17.8%) and most of them were not made at individual homes. The laundry and ironing of them were carried out at laundry shops(68.8%). Considering our present economic, social and cultural aspects, sowing, laundryand ironing will not be carried out at homes again in the future and ready made costumes seen to be produced in a large scale in the future. Garment makers and laundry shop operators should be trained how to make our Korean costumes retain our traditional beauty in the course of their production and laundry and the makers of ready-made costumes must make research how to efficiently produce ideal ready-made costumes by adopting the synchro system in their wrk odisivion. (2) The age group wearing Korean costumes most frequently was the aged people over 60 (their wearing rate; 45%-50%) and the group wearing them most frequently next io the aged people over 60, was housewives(their wearing rate; 15%-20%). Excludign aged people and housewives, other respondentsdid not wear Korean costumes very frequently. Men's wearing rate was lower their wearing rate was the younger their ages were and the less their monthly incomes were. Korean costumes were used for holiday and festival(60%), wedding and funeral ceremonies (52%), visiting and working(22%), casual wear(12.8%) and home wear(9.2%). The use of Korean costumes as casual and home wears, was lower than the use for holday, festival, visiting and working, Under our present circumstances in which our Korean people use both Western style clothes and Korean costumer, our Korean costume has lostits position as a basic and necessary requiement in Korean people's daily life and become a ceremonical and fancy costume. It is natural that the times and life change everything in our daily life. Our costume has to be made as good ceremonial and fancy clothes satisfying modern sensibility according to its new role. In order for us to get close with our clothes, a keen study must be carried out to cleat the color, material, style, function and harmony of the Korean costume matching the of the times. (3) The 47.8% of the respondents answered that they were proud of our Korean costume as our folk clothes, 47.6% replied that thought them just common and 1.1% responded that they were ashamed of it. Most of them were affirmative in feeling pride with our Korean costume. (4) Considering the functional aspect of Korean costumes, their strong points were symetric beauty, rhythmical beauty, unity feeling, harmonical beauty and detailed decorations. Their common shortcomings were lack of individuality and inadequateness for active life. The shortcomings of woman costumes were suppressing breast, making resperation difficult and in adequnteness in summer time. The main reason not to wear our Korean costumes, was due to the fact that they are incomvenient for active life. As a measure to eliminate such shortcomings, 1) the suspension system of skirt to remove the suppression of breast should be generally adopted. 2) they should be simplified in their structure to make them convenient for active life and adepuate in wearing them in hot weather in an extent to which the traditional beauty of the costume may not be lostand 3) a new technique must be explored for showing individuality by wearing method and new arrangment of colors and decorations. (5) The reasons desiring to wear Korean costumes were classifide as follows: A. Korean costumes are our traditional clothes(43.4%). B. Korean costumes are noble and beautiful(26.8%). C. They are accustomed to wear Korean costumes by habit(19.5%). D. Korean costumes are necessary for attending ceremoneis(9.5%). E. Miscellaneous reasons(0.8%). Classifying these reasons into age groups, the high age group over 40 wore them because they were easy to wear by habit and the low age group of 10-30 never thought that they were east to wear by habit. Considering that even those who were accustomed to wear Korean costumes showed a low wearing rate and that the young generation were accustomed to wear Western style clothes rather than Korean costumes, the wearing rate of Korean costumes will be reduced in the future if such trend continues. It is urgent for us to make our best efforts in order to enhance the interest of young generation in Korean costumes and not to make them lose the strong points of Korean costume in the future. (6) Conicering the plan of the respondents on what kind of clothes they were going to wear in the future, among the age group over 50, those who wanted to wear only Korean costumes were 24.8%(men) and 35.1%(women), those who wanted to wear 49.7%(men) and 47.4(women), those who wanted to wear chiefly Western style clothes were 20.7% (men) and 14.4%(women) and those who wanted to wear only Western style clothes, were 2.4% (men) and 2.1%(women). This shows that the general tendency to wear only or chiefly Korean costumes is more prevalent than that to wear only Western style. Among the age group under 50, the tendency to wear Western style clothes was conspicuous and most of the respondent answered that they would wear chiefly Western style clothes and Korean costumes occasionally. Only 5.4% of the respondent answered that they would wear only Western style clothes and this shows that meny respondents still wonted to wear Korean costumes. Those who wanted their descendants to wear what they desire, were 50.1%(men) and 68.8% (women) and those who wanted their descendants to wear Koran costumes occasionally, were 85.8%(men) and 86.3%(women). This shows that most of respondents wanted their descendants to wear Korean costumes. In order to realize, it is necessory for us to make ourdescendants recognize the preciousness of our traditional culture and modify our Korean costumes according to their taste so that they may like wearing them.

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