This study was intended to assess the need of home nursing care and analyze the effect of home nursing care, and find out the problems during the performance of home nursing care for the chronic patients among the low-income people in urban area. Data collection by interview was carried out from Nov. 1991 to Jul. 1992. The main results were as follows; 1) Total subjects for the need assessment of home nursing care were 123 households wi th 488 persons in a urban poor area. Over half of households $(57.7\%)$ was teenage family. The overall living conditions were poor and the average monthly income was 580 thousands won. $74.8\%$ of subjects was covered by medical care insurance and only $4.7\%$ was covered by public assistance. The morbidity rate was $8.2\%$ among 488 subjects and $27.5\%$ of them was not treated at all, $30\%$ was treated in utilizing pharmacies or local clinics. 2) The subjects of home nursing care were 46 with Hypertension or DM who agreeded the participation of study among registered patients at a public health center in Incheon. Home visiting was performed at intervals per one month for one year. Most of them were the elder(mean age=61 years) and long term patients(7.8 years continued). Home nursing care was effective. That is, blood pressure(including systolic and diastolic pressure) was significantly reduced (t(n=22)=2.31, P=.031, t(n=24)=4.16, P=.000 respectively) and knowledge of disease(t(N=46)=-7.63, P=.000), attitude of disease (t(N =46) = -4.92, P=.000), and self-care(t(N =46) = -4.89, P= .000) were significantly improved through home nursing care. But there was no difference in blood sugar for diabetics between the beginning and the end of visits. At the beginning of visit for home nursing care, sex$(\beta=-0414,\;t=-3.012)$ and nursing need({3=.310, t=2.164) were influencing self-care, and duration of disease$(\beta=.297,\;t=2.106)$ and nursing need $(\beta=.385, t=20417)$ were influencing blood pressure, blood sugar level. Namely, the subjects who were male and had higher nursing need showed better self-care and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. At the end of visit for home nursing care after one year, the blood pressure and blood sugar level was influenced by age $(\beta.320,\;t= 2.242)$, duration of disease ($(\beta.352,\;t= 2.395)$ and nursing need $(\beta=.350,\;t=2.623)$ and self-care had no influencing factor. The higher age and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. 3) The problems that were found out during the performance of home nursing care were the absent of useful protocols for services and the clear evaluation base, and the difficulty of teaching elders who were the major part of our subjects.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.15
no.4
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pp.303-315
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2020
The development of ICT is spreading various contents to enhance health care and management efficiency through convergence between mobile and healthcare, but it indicates consumer acceptance and imbalance of mobile healthcare, and there is a lack of empirical research on functions and acceptability required according to consumer behavior and characteristics. This study sought to understand whether users were aware of and how to address the risks associated with smartphone use, and to conduct research on the acceptability and function and price of healthcare applications. For the purpose of the study, the data prepared in depth 1:1 survey for those who participated in and attended the 'BIO 2018 in Boston' exhibition was used for the actual analysis. The collected sample data included frequency analysis, technical statistical analysis, speech only correlation, chi square test, one-way analysis, and accuracy test. As a result, the more you realize the wrong attitude, the higher the awareness of risk and willingness to take action to solve problems. Second, it is necessary to increase satisfaction with the functions of healthcare apps, as well as to utilize health care and healthcare apps. Third, focus should be placed on systems or functional implementations centered on user behavior changes. Fourth, it is necessary to develop services that can enhance visual motivation. This study is meaningful in that it identifies a variety of consumer characteristics and provides directions for development of functions, and can be used as a basis for providing efficient healthcare applications in the future.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.5
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pp.489-498
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2018
The purpose of this study is to examine whether there is a difference in the awareness of death based on happiness (since attitude or way of life differs among the general public, depending on the perception of death), and to investigate whether there is a difference in the interest in hospices between a group with a high happiness index and a group with a low happiness index. A survey was conducted on 200 men and women aged over 20 who participated in a walking event held in a metropolitan city on April 22, 2017. The survey consisted of eight demographic items: gender, age, education, occupation, marital status, family cohabitation, religion, and health status. It included 29 questions regarding happiness and nine questions regarding the perception of death. For the statistical tests, a chi-square test, an independent sample t-test, correlation analysis, and canonical correlation analysis were performed on the items of the survey based on a happiness index. The results of the study showed that, for a suitable place for death, medical institutions was the highest score (46.3%) for the group with a low happiness index, and own house was highest (59.4%) for the group with a high happiness index. This was a significant difference. It is thought that management systems should be supplemented by professional manpower, educating people so as to increase the utilization rates of home-based hospice as a way for patients to die in a comfortable and familiar place because, for Korea, death is much more common in hospitals. It is also necessary to increase the awareness of death and to make effective use of hospices through individual and various other approaches, considering the demographics of the subjects.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.1
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pp.300-310
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2018
The purpose of this study is to compare the change of Well-Dying awareness and decision of university student before and after taking the course of death study. A questionnaire survey was conducted for university students 93 before education, 117 after education who participated in the Death Studies related lectures at Daejeon Metropolitan City for 15 weeks from August to December 2016. The general characteristics of survey are gender, age. grade, major, marriage condition, religion, family member living together and health status. Four items on the perception aspect of death, five items on the aspect of acceptance of death, seven items of death decision and twelve items for death education's interest and importance were configured as a reference scale. The statistical method carried out the chi-square test, the independent sample t-test, and the decision tree analysis. Based on the decision tree, At the time of preparation for death(cancer patient, terminal patient, etc.) and the elderly(65 years old or older), the education transition rate was 66.7%. But After education, 65.3% of the respondents were in adult, middle and high school, under elementary school, university, and graduate school, which showed a significant difference. Therefore we are looking for death education's effectiveness and setting directions for education's period and contents. the negative viewpoints and worries about the implementation of death education at elementary, middle and high schools and universities are resolved and the death education will positively affect the change of attitude of students.
Among current health-related issues, obesity is considered one of the foremost, and the importance of this subject has fostered a national interest in body weight loss. In this study, the differences in recognition of body weight loss according to age and gender are investigated. The subjects of the study were 720 (male: 360 and female: 360) aged between 10-60 years, who had experienced to try body weight loss during 6 months prior to this study. Anthropometrics, general characteristics, personal reasons for body weight loss, comprehension of body weight loss, and a knowledge of diet-related issues were assessed through a questionnaire. The anthropometric measurements showed significant differences in height, body weight (present and desired) and BMI (p < 0.05) by age and gender. The difference between desired body weight and actual body weight was greater for younger subjects or female, regardless of whether they had under- or normal body weight (p < 0.05). Reasons for body weight loss varied; younger subjects and female tended to lose body weight "to enhance their appearances", whereas the older subjects and male desired "to improve their health" (p < 0.05). Subjects had different concepts concerning body weight loss; younger subjects and female considered body weight loss as "maintenance of a slender figure, or becoming more lean". On the other hand, older subjects and male thought body weight loss to be "effects approaching normal body weight" (p < 0.05). From our studies, it can be concluded that attitude on concerning body weight loss varied according to a age and gender. Thus, consideration of this individual differences would be vital in developing contents of a particular nutritional education program for body weight loss.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.7
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pp.2886-2894
/
2012
This study is intended to research female university students' concern with beauty care, their skin condition, knowledge and treatment comparing the majors with the non-majors in Seoul. This comparative study between them focused on their educational and behavioral differences in beauty care in the same living space, and the results were as follows: The majors' average point on the concern with skin health care was higher than the non-majors(p<.01). There were more combination skin type in the major group, and more dry skin type in the non-major group. Also, there were meaningful differences among the two groups in frequency of double cleansing after makeup, exfoliating, massaging or applying mask packs, using sunscreen(p<.01, p<.001, p<.01, p<.01). Further, intake rates of instant food and moisture were meaningfully different between them(p<.001, p<.05). In addition, the majors more tended to purchase cosmetics efficiently through lots of channels, and showed more active attitude to buy high-price cosmetics with outstanding properties although they have financial burden(p<.001). It was hoped that the results of this study would be used in skin care industry and education area in the future.
This descriptive study was done to investigate the proportion of mothers breast feeding and identify factors which influence breast feeding. The subjects were 320 mother who child under five years of age, living in WonJu and their children who numbered 530. Data collection was conducted at various places in the WonJu area using survey questionnaire. The results were as follows : 1. The proportion of children receiving breast feeding was 23.3%, mixed feeding 31.7%, milk feeding 45.1%. The most frequent duration for breast feeding was one month, the mean duration was six months. 2. The major reasons for breast feeding were for the health of the child 52.5%, for emotional attachment with the child 34.2%, and as the expected way of feeding 29.5%. 3. The major reasons for interrupting breast feeding were jobs 26.1%, illness of the child or mother 16.1% abnormality of the breast of nipple 12.7% others 31%. 4. The major reasons for quitting breast feeding were insufficient breast milk 34.5%, job 19.6%, diarrhea in the child 9.9%. 5. The factors influencing breast feeding were educational status and the presence of a job. 6. The husband's attitude to breast feeding was very positive 82.3% and the subjects were supported by their mothers and husbands. But the major information sources about breast feeding were the mass media 30.4% and relatives 22.0%. 7. The breast feeding mother reported experiencing positive and satisfactory feelings, but the milk feeding mother reported experiencing negative and guilt feelings. Also the breast feeding mothers perceived their children as very healthy with a stable emotional status. The results showed the breast feeding ratio in WonJu to be very low and problematic and the subject mothers strongly need information about breast feeding and support while breast feeding. Therefore it is recommended that an education program for community women and other people, like husbands, and grandmothers, be developed along with an education program for university students and other young people to provide them with preparatory information as they begin to think about marriage and families.
This study was conducted to identify the factors influencing toothbrushing behaviors of elementary school students by adding the variable of 'self-efficacy' to the behavioral model based on the theory of planned behavior. To collect the data for an analysis, the self-administered questionnaire was distributed to 443 students in 4th to 6th grades of elementary school placed in Inchon Metropolitan City. The statistical package of PASW 18.0 was employed for the analysis. Results of the analysis revealed that the toothbrushing intention was explained by the subjective norm (${\beta}=0.343$), the self-efficacy (${\beta}=0.171$), the perceived behavioral control (${\beta}=0.163$), and the attitude toward the tooth-brushing behavior (${\beta}=0.135$). The toothbrushing behavior was explained by the toothbrushing intention (${\beta}=0.355$) and the self-efficacy (${\beta}=0.113$). The synthesis of such results suggested that both parents and teachers in school who would be influential to students should guide elementary school students to be habituated to the right toothbrushing. Also it was estimated that the students should understand the importance of toothbrushing through proper oral health education, and they should also become confident in spontaneous toothbrushing by providing them with an environment that could help them practicing the toothbrushing easily.
Kim, Ae-Ran;Choi, Min-Gew;Noh, Jae-Hyung;Sohn, Tae-Sung;Bae, Jae-Moon;Kim, Sung
Journal of Gastric Cancer
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v.9
no.3
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pp.117-127
/
2009
Purpose: Adequate health-related information provided by health professionals may help cancer patients overcome their uncertain situation and manage their healthcare. To provide information effectively, there is a need to understand the content of the patients' essential information. The purpose of this study was to identify recent informational needs of postoperative gastric cancer patients. Materials and Methods: Data were collected from 190 postoperative gastric cancer patients who attended the Stomach Cancer Patients' Day ceremony (18 November 2008) held by the Stomach Cancer Center of Samsung Medical Center with the use of a questionnaire which measured informational needs. A questionnaire with 37 items was comprised of domains of diagnostic tests, cancer therapy, prognosis, follow-up, sexual activity, stomach cancer-related information, and 7 single items. Results: The priorities of informational needs were the domains of prognosis, ways of healthcare during treatment (a single item), follow-up, stomach cancer-related information, cancer therapy, and diagnostic tests (in descending order). Items related to prognosis, diet, and management of their healthcare ranked in the top 10 informational need scores. As age decreased, the degree of informational needs about diagnostic tests, cancer therapy, sexual activity, and stomach cancer-related information increased. Conclusion: We suggest that prognosis-related information based on the accumulated institutional therapeutic outcomes and objective prognosis data should be incorporated in the current education program. Health professionals should provide comprehensible information content to cancer patients and caregivers and encourage patients to participate in their therapy with a more positive attitude.
Patients with chronic disease have various treatment patterns because it shows a progressive degenerative feature. Especially various physical and emotional problems of the rheumatoid arthritis patients leave them shopping around various types of treatment. According to previous studies, over 70% of patients with arthritis experienced the traditional oriental medicine or folk remedies simultaneously with medical treatment within one year after the onset of disease. The purposes of this study are 1) to compare the patterns of treatment-seeking behaviors between Korean arthritis patients and Americans ; and 2) test two models of treatment-seeking behaviors by path analysis, one for early treatment-seeking behavior model(ETBM) and the other is chronic treatment-seeking behavior model (CTBM) in Korean sample. The interview survey was performed to 133 RA patients with structured questionnaire at out-patient clinic or public health center. Patients characteristics such as age, duration of disease were similar in two countries except higher educational background in Americans. There were no patients using only alternative therapies or no medical treatment in the US. Most of the American patients have chosen both medical treatment and alternative therapy, while the Koreans less than American. In Korea, combined treatment group usually consists of the people who are younger, more educated and higher economic status than the characters of other groups in early or chronic stages. In early stage, they tend to have strong belief of curing from the disease, satisfy the relationship with their physicians and comply with direction of the medical professional. The paths of two models were explained by 70% in ETBM and 33% in CTBM. When the models were modified, almost all paths of the CTBM were the same as the previous one, but direct determinant factor was changed from the relationship with physicians to the lay referral system in chronic model. These two models' explanation powers became 94% and 88%, respectively. The attitude or perception of disease, lay referral system and the relationship with medical personnel are the main determinants of treatment-seeking behaviors.
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