• Title/Summary/Keyword: Home health nursing

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Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients (뇌졸중 환자에 대학 지역사회 중심 사례관리 효과)

  • Kim, E.Y.;Kim, C.Y.;So, A.Y.;Shin, J.Y.;Lee, G.M.;June, K.J.;Choi, J.H.
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.18-28
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    • 2004
  • Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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VDT Syndrome according to the Types of Computer Use Among Elementary Students (초등학생의 컴퓨터 사용행태에 따른 VDT증후군)

  • Kim, So-Won
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.359-370
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    • 2005
  • The purpose of this study is to provide basic data for prevention of VDT syndrome by confirming VDT syndrome according to the type of computer use. The subjects recruited for the research were 518 students who were in the 4, 5, 6 grades from 5 schools in Seoul. The data were collected during the period from October 8 through October 18, 2004. The results were as follows; 1. The mean value of the VDT syndrome was 1.55 (SD=.52) for the 5th graders. 2. The degrees of VDT syndrome according to the characteristics of the subjects shows higher scores for the 5th and 6th graders, boys, students with more than 4 online friends, students with a low degree of school life satisfaction, and for students with parents who had a negative attitude for their children. 3. The degree of VDT syndrome according to the type of computer use showed higher scores when the students used computers for game more than for study, more than 11 hours in a week, more than 2 hours at one time, not having any rest, in dark places, with the monitor less than 40 an distance from the eyes, sitting with their legs crossed and when the keyboard was in a higher position than their elbows. The internet absorbed group showed higher scores than the unabsorbed group. 4. There was positive correlation between the hours of computer use and VDT syndrome. Also, internet addiction and VDT syndrome had positive correlation. Therefore, each home and society needs to pay consistent attention to correct computer use by their students. Especially, schools will have to educate about computer utilization and VDT syndrome.

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Factors Associated with Smoking Behaviors and Amount of Tobacco Consumption among Korean Adolescents (청소년 흡연 행위 및 흡연량 관련 요인)

  • Kim, Eun-Mi
    • Journal of the Korean Society of School Health
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    • v.34 no.1
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    • pp.62-75
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    • 2021
  • Purpose: Smoking among adolescents is a critical healthcare concern that needs to be tackled with respect to not only intrapersonal and interpersonal factors but also socio-cultural factors. This study was to identify the smoking behaviors and amount of tobacco consumption among adolescents, and to investigate the factors associated with the behaviors and amount. Methods: A cross-sectional study was conducted based on the theory of triadic influence using a nationally representative secondary data set, the 2018 Korea Youth Risk Behavior Survey (N=60,040). The analysis was performed by dividing smoking behaviors into lifetime, current, and daily smoking, and smoking amount into light, moderate, and heavy smoking. Descriptive statistics and multinomial logistic regression analyses were conducted. Results: Overall, 8.2%, 3.2% and 3.4% of the adolescents were involved in lifetime, current, and daily smoking, respectively. In addition, 5.3%, 0.8%, and 0.6% of the adolescents were involved in light, moderate, and heavy smoking, respectively. The factor associated with smoking behaviors and the amount of tobacco consumed were gender, academic achievement, depression, living with family, close friend's smoking, violent victimization, household economic status, and school level (all ps<.05). Conclusion: A considerable number of adolescents are engaged in risky smoking behaviors and consume large amounts of tobacco. Adolescents who said yes to peer smoking, violent victimization, not living with their family, and depressive emotions were more likely to engage in risky smoking behaviors and consume large amounts of tobacco. Tailored interventions to decrease smoking should be planed and provided, while considering the school and home environment and individual needs of adolescents.

A Study on Mental Health of Single Aged Persons in Home Perceived by Daughter-in-law (재가 독신노인을 부양하는 주부가 인지하는 노인의 정신건강에 관한 연구)

  • Yun Suk-Rye
    • Journal of Korean Public Health Nursing
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    • v.7 no.1
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    • pp.31-48
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    • 1993
  • Nowaday, there have a lot of changes in the demands of the aged persons. Their problems also came to the fore with diverse forms under the influences of industrialization, urbanization and nuclear family. To make the matter worse, the aged population is mounting rapidly. Also, such structure as nuclear family is widely disseminating uncomfortable to the aged. People is mainly being guided by self interest above everything else. Indeed, they had, all together, bad effects on our traditional value system regarding 'respect for the aged and devotion to patients'. It seems unfortunately obvious that the family responsibility is gradually weakening to support the old who is a dependent family. The result is that the aged must have suffered all sorts of hardships in lightenning psychological, physical and economical difficulties. First, to grasp the situations and conditions supporting for single aged persons from each view of psychological, emotional, family-relational, healthy, social and economical standpoints, and second, to analyze their own recognition levels thinking of their health conditions and the relationships between the supporting environments of old family dependants and their psychological healths and then finally, to propose suggestions being able to be helpful for living comfortably in an old age and thereby, building up good family relation. The statistical techniques used to analyze 115 respondents living in Puchun city are frequency, $x^2$ test, t-Jest, ANOVA, Pearson's Correlation Coefficiency and Regression analysis (SPSS package), pertnent to prove the hypothesis suggested in this paper. Of course, it is needless to say that more data are needed on this point. However, several main research findings can be summarized as follows: First, the better single aged persons may be in the habit of eating a meal and the higher they may think of their physical health conditions and movement, the more they want to participate in economic activities to be free from economical dependence upon their children and to overcome lonliness. Second, single aged women appear to have had higher ability to take care their health for themself than single aged men do. It is why signle aged women do not, in general, have big problems to manage their health. But, as shown in this paper, single aged person"s were more liable to the diseases of the aged and, thereby, requiring special medical treatment badly to be healthy. Third. single aged persons revealed potential desires to free themself from socio economic dependence upon their children even in simple labor Job which can draw a monthly salary of about W200, 000. Fourth, they are generally satisfied with their children's filial piety toward them. Nonethless, most of them appear to be reluctantly dependent upon their children and live lonly lives very much. Fifth, they seem to have some hesitation in expressing their candid opinions as that then are some others along with family environmental factors for psychological and emotiona stability. Accordingly, it is safe to conclude by saying that much attention should' be paid no only to socio-economic supports and better medical services for the aged but also to political supports of the society and towards their children for the aged's emotiona support, for improving the quality of their lives in old age and promoting efficiency in suporting for old family dependants.

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A Study on Non-smoking Education status through School Health Care Services (학교보건간호를 통한 금연 교육의 실태에 관한 연구)

  • Chung, Yeon Kang;Chang, Young Mee
    • Journal of the Korean Society of School Health
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    • v.7 no.2
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    • pp.135-143
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    • 1994
  • This study is aimed at providing basic information necessary to set up education program and strategies to prevent high school students from smoking by school health care service. The main groups of study are 814 third-grade male students, 557 parents and 362 teachers, who were randomly chosen at 8 high schools in Seoul. Date analysis consisted of Chi-square test and percentage. The findings of the study are as follows: 1. The less interesting family life is, the more increasing current smoking rate is, (ex-smoking rate 53.5%, re-smoking rate 40.3%, current smoking rate 24.3%) 2. According th the results of $x^2$-test for the school life and the smoking, the students above ranking 41 showed th increase as 48.7% for continuous smoking, 18.9% for re-smoking, 67.6% for the present smoker. But it turned out that the students belonged to ranking 10 were not experienced the smoking. So it showed that there was a correlation between score and smoking. 3. It is noted that 93.3% of students, 93.3% of parents and 96.1% of teachers recognize harmful effect of smoking. But less than 70% those have recognized only half of all smoking knowledge. 4. There is a significant difference in the contends and types of education between parents and teachers. 5. For the time of home education and school health education to prevent the smoking, it turned out that 44.9% of students, 42.4% of parents, and 47.4% of teachers considered the optimal time as a high school' days. In addition it appeared that 40.5% of students, 33.4% of parents, and 54.6% of teachers recognized the necessity of the early education before the elementart school. For the optimal time to begin school health education, it showed that the middle school days were indicated from 56.6% of students, 52.7% of parents, the elementary school days were 54.6% of parents, the elementary school days were 54.6% of teachers.

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Study on Perceived Symptoms and Preventive Behaviors during Asian Dust storms among Children, Adults and Elders (황사 기간 동안에 어린이, 성인, 노인에서의 자각증상과 예방행동에 대한 조사연구)

  • Lee, Bo-Eun;Ha, Eun-Hee;Park, Hye-sook;Kwon, Ji-Sook;Shin, Kyung-Rim
    • Journal of the Korean Society of School Health
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    • v.18 no.1
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    • pp.15-25
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    • 2005
  • Purpose: Recently there are scientific evidences for the health effects of Asian dust-storms. Particularly in 2002, the daily average of $PM_10$ exceeded 600 and 700 $\mu{g}/m^3$ in March and April respectively. We examined the effects of Asian dust‐storms on perceived symptoms and preventive behaviors among children, adults, and elders. Method: The subjects of this study were 425 children, 444 adults and 60 elders. A questionnaire survey was carried out on the children and the adults by teachers and on the elders by interviewers to obtain information on demographic variables, perceived symptoms and preventive behaviors, previous respiratory disease, environmental tobacco smoke, and proximity between the house and the road during Asian dust-storms. We analyzed using descriptive statistics, $X^2$ test and multiple logistic regression models. After adjustment for potential confounders, we estimated the odds ratios and 95% confidence intervals of the children and the elders for perceived symptoms and preventive behaviors. Result: The elders had a significantly higher prevalence of respiratory symptoms than the other groups. The children had a significantly higher prevalence than the adults in getting URI (1.51), coughing (1.68), rhinorrhea (1.46), fever (2.39) and medication for allergy or asthma (1.90). The children had better behaviors than the elders in closing windows (3.57), taking less outdoor recreational activity (2.59) and staying home (2.60). Conclusion: This study suggested that children and elders are susceptible to the effects of Asian dust on health. Health educators should inform these populations about the influence of Asian dust and provide health education for preventive behaviors.

Main Reasons for Choosing to Stay in a Paid Elderly Residential Facility (유료 노인주거복지시설에 거주하게 된 이유에 관한 연구)

  • 이인수
    • Journal of the Korean housing association
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    • v.14 no.2
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    • pp.121-132
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    • 2003
  • This study has been performed to explore main reasons for staying in paid elderly residential care facilities among the residents. In this study, five males and seven females aged 65 to 82 were asked about main reasons for staying in the facilities. The answers of the qualitative interview were drawn as follows; first, some residents had suddenly decided to move into the facility due to critical life events such as bereavement, serious illness, or supporting problems. Second, some residents had taken a long period of considerations on whether staying home or in the facilities, because their health and family supports gradually diminished over the long life span. On the other hand, a few of them voluntarily chose to stay at the facilities, because they recognized supervised group activities, nutritionally well-planned meals, and health care as major inconveniences. In this study, suggestions were made as follows: first, guiding and settlement programs should be developed for the residents of the sudden events, particularly at early stage of admission. Second, intensive nursing care units should be in separation from healthy independent groups, so that the residents are relieved from stressful contacts with extremely ill patients in the residential area.

Development and Effects of Nocturnal Emission and Menstruation Education Program using CAI for Korean Elementary School Children (CAI (컴퓨터 이용학습)를 활용한 후기 학령기 아동의 몽정과 월경 교육 프로그램 개발 및 효과)

  • Lee, Yong Hwa
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.27-36
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    • 2013
  • Purpose: The purpose of this study was to develop a nocturnal emission and menstruation education program using CAI for Korean elementary school children. Methods: The research design was methodological study a ISD model 4 fields into sub contents in each field of the nocturnal emission and menstruation by CD titles. And to verify the effect of the education program, performance evaluation of the educational program for structured questionnaire was conducted on 120 late school-age children on June, 2010. Results: The results of this study were as follows; Through this, developed program was proved its effectiveness in enhancing knowledge level on nocturnal emission and menstruation in late school-age children(t=14.03, p<.001, t=11.52, p<.001). Conclusion : Accordingly, this program is expected to be an educational program to be used in various educational institutes, communities, and home as well as self-study that allows children themselves to study repeatedly, choosing the contents they want, whenever they hope as an educational program on nocturnal emission and menstruation in school-age children. In addition, it is suggested that various fields of programs should develop in consideration of early sexual maturity.

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Obesity Rate and Sexual Knowledge in Menarche and Non-Menarche among 6th Grade Elementary School Girls (초등학교 6학년 여학생 월경군과 비월경군의 비만도와 성지식)

  • Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.11 no.1
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    • pp.25-36
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    • 2008
  • The purpose of this study was to investigate the level of obesity and sexual knowledge between age-matched 168 postmenarcheal and 168 premenatcheal girls among 6th grade elementary school girls in Busan. Anthropometric measurements were taken for height and body weight of subjects for obesity and a questionnaire for sexual knowledge representing 5 categories was developed by researcher. For the statistical analysis of the collected data, frequency, Chi-square, t-test, ANOVA, and Pearson correlation were performed by SPSS WIN Vesion 12.0 program. These measurements of menarcheal grils were significantly higher than those of non-menacheal girls in height, body weight, BMI and obesity level. The sexual knowledge was low, expecially they didn't know well about sexual disease and contraception. There was no significant difference between two groups, but there was significant difference among obesity level, obesity group had sexual knowledge than others. And there were significant positive relations between the menarche and the obesity. The most important findings in the study showed that is needed the systemic and concrete sexual education in home, school and community, and especially by the professionals in the sex education field.

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Confirmatory Analysis of Infant Temperament Inventory (WBL; What my baby is like) (영아기질 측정도구(WBL)의 신뢰도 및 타당도 평가)

  • Bang, Kyung-Sook
    • Korean Parent-Child Health Journal
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    • v.4 no.2
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    • pp.32-42
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    • 2002
  • This study was conducted to test the reliability and validity of "What my baby is like(WBL)" that was developed by Pridham et al. for measuring infant temperament. 37 subjects were participated four times-1, 3, 6, and 12months, and 146 cases were analyzed. The construct validity for the scale was tested by factor analysis with four factor loading solution based on the previous study. One item was excluded because total-item correlation was too low, so that the number of total items were eighteen. The analysis yielded four well defined factors: amenability and persistence, activity, reactivity, and adaptability. These four factors explained 57.62% of the variance in the infant temperament. The criterion related Validity was confirmed by the relationship between the infant temperament and HOME, and between the infant temperament maternal confidence in childrearing. The reliability of the scale was determined with Cronbach's alpha coefficient and Guttman split-half coefficient. Cronbach's alpha was .86, for 18 items, and Guttman split-half cofficient was .81. In subscale analysis, Cronbach's alpha was .56~.84. In conclusion, WBL showed a high degree of validity and reliability, suitable in Korean infants for measuring temperament. In the further study, it would be necessary to refine the concept of temperament and to analyze the correlation between WBL and other temperament inventory.

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