• 제목/요약/키워드: Home based

검색결과 5,612건 처리시간 0.028초

가정ㆍ방문간호사업의 확대 및 정착을 위한 시론(時論) (Discussion on Expansion and Establishment of Home Nursing Care)

  • 박정호;윤순녕;김매자;한경자;홍경자;박성애;황나미;허정순
    • 대한간호학회지
    • /
    • 제32권6호
    • /
    • pp.855-866
    • /
    • 2002
  • The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. Method: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. Result and Conclusion: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.

정보통신기술과 주거에 대한 중요 담론 분석연구 (Discourse Analysis on ICT and Home - From Electronic Cottage to Sharable Home -)

  • 한수연;김미정
    • 한국주거학회논문집
    • /
    • 제25권3호
    • /
    • pp.115-121
    • /
    • 2014
  • This paper draws the home into the stream of information and communications technology (ICT) development. Considering that homes and our home life are constantly affected by persistent change influenced by ICT, it is remarkable that ICT has been relatively neglected as an object of research in the field of housing studies. This study provides an overview of conceptual movements in ICT/home relationships and their design and social impact through a critical discourse analysis. The conceptual movements must be considered by professionals in the field of housing and built environment to stay attuned to changes in the 21st Century. Diverse debates took place in the discourse about ICT in relation to home. The stream of thought was started by futurists who saw the electronic cottage as a solution to the social problems caused by the separation of work and home life in industrial cities. ICT has now entered a new phase, with WiFi P2P networks and location-based social media that encourage sharable homes. Based on the analysis of the discourse on ICT and home, we drew from three issues related to the paradigm shifts in homes in the context of ICT development to provide future directions for housing studies: from space programming to time scheduling, from individual ownership to shared access, and from live+work dwelling to live+work+community.

우리 나라 가정.방문간호 사업을 위한 가정간호요구 사정도구 개발 - 자가간호개념에 근거한 가정간호진단을 중심으로 - (Development of a Home Care Need Assessment Tool - Focused on Home Care Nursing Diagnoses based on Self Care -)

  • 소애영;조병희
    • 지역사회간호학회지
    • /
    • 제13권3호
    • /
    • pp.433-443
    • /
    • 2002
  • Objectives; The purpose of this study was to develop a framework for home care and a Home Care Need Assessment Tool. Method 1. Identifying common domains in the provision of home care. 2. Charts of 253 home care clients were reviewed to obtain a classification of the nursing diagnoses. 3. A focus group methodology was used to develop the domains. 4. The tool was applied to 439 home care clients.(Kappa value=0.460-1.000, sensitivity, 0.444-1.000: specificity, 0.743-1.000). 5. Some refinements and extractions of the defining characteristics and related factors were made based on the results of the focus group. Results Home Care Need Assessment Tool consists of three parts; -Part I : factors related to basic conditions -Part II : a screening component that enables home care nurses to assess 30 multiple domains of 53 nursing diagnoses. -Part III : summative nursing diagnoses and nursing need intensity for the clients. Conclusion This tool provides a comprehensive assessment that helps the recognition of many strengths as well as problems of the clients. It will be usefully utilized in scheduling home care nursing plans and evaluating client outcomes.

  • PDF

고령자 친화형 유비쿼터스 주거환경 구축 연구 : 노인단독가구 유형별 유비쿼터스 홈 서비스 요구도를 중심으로 (The Development of Elderly-Friendly Ubiquitous Housing Environment : Focused on the Needs for Ubiquitous Home Services by Elderly Households without Children)

  • 권오정
    • 가정과삶의질연구
    • /
    • 제29권6호
    • /
    • pp.105-121
    • /
    • 2011
  • The purpose of this study was to propose ubiquitous housing environment based on older residents' needs for ubiquitous(UT) home services. For this purpose, at the previous study which was the first stage of this study, UT home services by each elderly household based on spouse, income level, and health status were identified and this study finally proposed UT home services by each elderly household type according to residents' level of needs for UT home services. One to one interview with a structured survey questionnaire and illustration was implemented and 204 older residents who were composed of one of six elderly household types were responded. Among 6 types of elderly households, type 2 and 6 were the groups which had higher needs for various kinds of UT home services. Economic status and their health status were the key factors to determine their needs for UT home services. Type 4 and 7 were the groups to express their lower needs for UT home services due to their lower income level and good health condition. Ultimately, two floor plans for type 4 and 5 elderly households were developed to show applicable UT home services in each room of the house.

PAN (Personal Area Network) 기반 가상 홈 (Virtual Home) 지원을 위한 홈 네트워크 연동 모델 연구 (A Study on Home Network Functional Model for Personal Area Network based Virtual Home Network)

  • 강현중
    • 한국컴퓨터정보학회논문지
    • /
    • 제10권1호
    • /
    • pp.167-174
    • /
    • 2005
  • 다양한 차세대 PC 및 휴대폰과 같은 개인 휴대 기기의 발달로 인하여 PMG (Personal Mobile Gateway)를 기반으로 하는 PAN의 보급의 보편화와, 이를 기반으로 하는 다양한 서비스 출현이 예상된다. 이러한 휴대 게이트웨이를 중심으로 다양한 소형 단말로 구성된 PAN을 홈과 지속적으로 연결하여 가정내외 (家庭內外) 네트워크가 통합된 가상 흠 네트워크를 구성함으로써, 언제 어디서나 편리하게 흠 서비스를 이용할 수 있는 환경 구성 필요하다. 가정내기기 간 연동은 다앙한 표준화를 거쳐 서비스 단계에 접어들었지만, 휴대 게이트웨이 기반으로 하는 새로운 형태의 소규모 네트워크인 PAN과 연동을 위한 서비스 및 미들웨어에 대한 연구는 미약한 실정이다. PAN과 연동을 위하여 사용자의 위치나 네트워크 상황에 맞추어 중단 없는 최선의 서비스를 지원할 수 있는 서비스/연결 제어 방식 단말기 제어 방식, 그리고 확장된 미들웨어에 대한 연구가 절실하다. 본 논문에서는 휴대 게이트웨이와 소형 단말로 구성된 PAN을 흠과 연결하여 가정내외 네트워크가 통합된 가상 흠 네트워크를 구성함으로써, 언제 어디서나 편리한 가상 흠 서비스를 이용하기 위해 필요한 기능들을 비교 분석하였고, 기존의 흠 게이트웨이나 홈 서버에서 추가 되어야 할 내용별로 제안 하였다.

  • PDF

병원중심 가정전문간호사의 직무관련 사기(士氣) 정도 (A Study of Factors Influencing Morale of Hospital based Home Care Nurses)

  • 윤근애;김영숙
    • 가정∙방문간호학회지
    • /
    • 제13권1호
    • /
    • pp.16-23
    • /
    • 2006
  • Purpose: The purpose of this study was to examine morale and related factors of hospital based home care nurses. Method : The subjects were 159 home care nurses from 94 hospitals and clinics which were operating home care programs around the country. Data were collected for 40days from March 14, to April 24, 2005. The questionnaire consisted of 51 items including 12 general variables and 39 items of nurses' morale. The reliability of the questionnaire by Cronbach's ${\alpha}$, was .88. Result : The level of the morale was found as mean score 2.69 in 4 point scale The high ranks of morale were self actualization($3.05{\pm}0.43$) and job satisfaction($3.03{\pm}0.43$), the factors which showed lower points were evaluation of work ($2.47{\pm}0.53$), welfare($2.42{\pm}0.42$), promotion system ($2.35{\pm}0.45$) and wages($2.23{\pm}0.54$). The level of morale according to the general variables were significantly different in such variables ; home care nursing antecedent(p = .000), motivation for job selection(p= .030), intention to quit the job(P= .000). Variables of intention to quit the job(15.7%) and home care nursing antecedent; 6.7%(p=.001) showed 22.4% of explanatory persuasion effect on level of morale. Conclusion : To improve a morale of home care nurses, the arrangement of nursing department should be consider nurse's aptitude and interest and allow them to have longer period of work in that part. Also wages, promotion system and welfare should be reformed as relevant as their career.

  • PDF

Influence of Home Based Exercise Intensity on the Aerobic Capacity and 1 Year Re-Hospitalization Rate in Patients with Chronic Heart Failure

  • Ryu, Ho Youl;Kim, Ki Song;Jeon, In Cheol
    • The Journal of Korean Physical Therapy
    • /
    • 제30권5호
    • /
    • pp.181-186
    • /
    • 2018
  • Purpose: This study investigated the effects of home-based exercise intensity on the aerobic capacity and 1 year re-hospitalization rate in patients with chronic heart failure (CHF). Methods: Forty seven patients with CHF (males 33, females 14, age $61.3{\pm}9.8years$) participated in this study. The patients were allocated randomly to 3 groups in accordance with home-based exercise intensity: no home based exercise (NHE, 40%, n=19), moderate intensity home-based exercise (MIHE, 43%, n=20), and high intensity home based exercise (HIHE, 17%, n=8). All patients completed the symptom-limited cardiopulmonary exercise (CPX) test safely at the cardiac rehabilitation hospital. Results: The NHE group significantly showed lower peak $VO_2$ and a higher $VE/VCO_2$ slope than the MIHE (p<0.05) and HIHE (p<0.01) groups. On the other hand, the NHE group did not show significant differences in the other hemodynamic responses, such as heart rate (HR) max, HR reserve, maximal systolic blood pressure (SBP), and SBP reserve. Nine out of 19 NHE patients (47%) were re-hospitalized related to heart disease and two out of 20 MIHE (10%) patients were re-hospitalized, but nobody in the HIHE group were re-hospitalized within 1 year from the CPX test. Conclusion: In patients with CHF, home-based self-exercise is one of the important factors for reducing the re-hospitalization rate. In addition, improved aerobic capacity is strongly associated with a lower re-hospitalization rate. In particular, re-hospitalized CHF patients showed significant differences in respiratory parameters and hemodynamic parameters compared to the non-re-hospitalized patients.

재가 호스피스환자 가족의 삶의 질과 가족부담과의 관계 (A Study of the Relation between Quality of Life and Family Burden of Home-based Hospice Patient Families)

  • 이은주;김향동
    • 호스피스학술지
    • /
    • 제6권2호
    • /
    • pp.69-78
    • /
    • 2006
  • Purpose: This study was conducted to analysis relationship about quality of life and family burden of the home-based hospice patient families. Method: The subjects consisted of 94 families with home-based hospice patient. The ages of the subjects were 17-73 years with hospice patient who receivedhome visiting care and registered at 4 hospitals in Daegu and Kyung-Buk. The data was collected from March to November 2004. The instruments used for the study were Quality of Life Scale (GLS) and Family Burden Questionnaire (FBQ). The analysis was done using frequency, mean, standard deviation, correlation and stepwise multiple regression with SPSS WIN 11.0. Results: The results were as follows: 1. The mean score of family burden was 3.36 ($\pm0.55$). The highest mean score of family burden 6 factors were wellness of future 3.85($\pm1.10$), and the second was economic family burden 3.63($\pm0.97$). 2. The mean score of quality of life was 3.09 ($\pm0.48$). The lowest score of quality of life 6 factors were economic status 2.86($\pm0.54$), and the second was physical state and function 3.01($\pm0.62$). 3. In the home-based hospice patient families, family burden had significant negative correlation with quality of life(r=-0.25, p=0.012). 4. Emotional status accounted for 11% of family burden in the home-based hospice patient families by means of stepwise multiple regression. 5. Economical status accounted for 18 and age accounted for an additional 11% of quality of life in the home-based hospice patient families by means of stepwise multiple regression. Conclusion: The finding showed that family burden and quality of life of home-based hospice patient families were significantly negative correlation and the highest factor of family burden was wellness of future and the most important factor of quality of life was economic status.

  • PDF

Ubiquitous Home Computing and Networking

  • Zhang, Feng;Kim, Yong-Deak
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2005년도 추계종합학술대회
    • /
    • pp.273-276
    • /
    • 2005
  • This paper proposes an OSGi Gateway based framework for ubiquitous computing home networks, presents an example of a service discovery procedure based on this architecture, and identifies some key challenges for the implementation of ubiquitous computing home networks.

  • PDF