• Title/Summary/Keyword: Home visiting

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The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression (복합 프로그램을 적용한 방문건강관리가 재가허약노인의 체력, 허약, 및 우울 개선에 미치는 영향)

  • Kim, Hee Gerl
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.405-414
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    • 2015
  • Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

The Effects of a Community Psychiatric Nursing Program on the Rehabilitation of Home-based Long-term Psychiatric Patients

  • Lee, Sook
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1103-1112
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    • 1999
  • In the last few years, psychiatric nurse practitioners have shown a growing an interest in community psychosocial rehabilitation, caring for chronic psychiatric patients as case manager in South Korea. The purpose of this study was to evaluate the effectiveness of a community psychiatric rehabilitation nursing program on self-care activity and quality of life and to suggest this program as an effective nursing intervention in a group of chronic home-based psychiatric patients in a poor town. A nonequivalent control group, pretest-posttest design was used. Of the twenty women that started the program, sixteen finished it. The data were analyzed by the Wilcoxon Rank Sum Test. The program included the process of case management which consisted of four phases: the first was an active case finding and pre-test, the second was home visiting and contacted by phone. the third was group activity therapy of 12 sessions, and the fourth phase was terminal and post-test. The effects of the program were assessed by quality of life and self-care activity. The quality of life and the self-care activity, especially, area of nutrition. elimination, dressing. leisure activity, and follow-up clinic visiting showed greater improvement than those of the control group. The results of this study suggest that this program was effective in improving the quality of life of chronic home-based psychiatric patients.

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A study on changes in the food service industry about keyword before and after COVID-19 using big data

  • Jung, Sukjoon
    • International Journal of Internet, Broadcasting and Communication
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    • v.14 no.3
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    • pp.85-90
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    • 2022
  • In this study, keywords from representative online portal sites such as NAVER, Google, and Youtube were collected based on text mining analysis technique using TEXTOM to check the changes in the restaurant industry before and after COVID-19. The collection keywords were selected as dining out, food service industry, and dining out culture. For the collected data, the top 30 words were derived, respectively, through the refinement process. In addition, comparative analysis was conducted by defining data from 2018 to 2019 before COVID-19, and from 2020 to 2021 after COVID-19. As a result, 8272 keywords before COVID-19 and 9654 keywords after COVID-19, a total of 17926 keywords, were derived. In order for the food service industry to develop after the COVID-19 pandemic, it is necessary to commercialize the recipes of restaurants to revitalize the distribution of home-use food products that replace home-cooked meals such as meal kits. Due to the social distancing caused by COVID-19, the dining out culture has changed and the trend has changed, and it has been confirmed that the consumption culture has changed to eating and delivering at home more safely than visiting restaurants. In addition, it has been confirmed that the consumption culture of existing consumers is changing to a trend of cooking at home rather than visiting restaurants.

Needs Assessment of Elderly for Community-based Long-Term Care (요양보호 대상노인의 서비스 요구도 평가)

  • Lee, Jae-Chang;Kim, Eun-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.1
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    • pp.67-77
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    • 2005
  • Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

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The Health service performance frequency and educational needs among the visiting nurses of public health centers (보건소 방문간호사의 서비스 수행빈도 및 교육요구)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.22 no.1
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    • pp.22-37
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    • 2015
  • Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

Health Care and Health Status of Immigrant Women Married to Koreans in the Visiting Care Center (방문간호를 받는 결혼이민여성의 건강관리와 건강상태)

  • Yoo, Moon-Sook;Park, Jin-Hee;Oh, Sook-Hee;Kim, Yong-Soon
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.75-81
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    • 2008
  • Purpose: We analyzed the health care and health status of immigrant women married to Koreans in our community. Methods: We recruited 204 women who live in S Cityfrom 1st August to 30th September, 2008. A cross-sectional descriptive survey was done using a questionnaire through interviews and physical assessment by visiting nurses. Results: The average age of the subjects was 29.8 and most of them were housewives. Sixteen percent of them obese as measured by BMI. Moreover, most participants (86%) did not exercise at all. Over 13% complained of physical discomfort that was left untreated, and only 50% participated in cancer screening. Conclusions: Young, obese immigrant women require further health care monitoring. Caregivers also should ask about physical discomfort and cancer screenings. However, caregivers should do so in a culturally sensitive manner. In addition, the government should support cancer detection programs for immigrant women.

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Selected Problems in the Korean Family Planning Program (우리나라 가족계획사업(家族計劃事業)에 있어서의 문제점(問題點)에 대(對)한 고찰(考察))

  • Oh, Chan-Young
    • Journal of Preventive Medicine and Public Health
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    • v.7 no.2
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    • pp.343-347
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    • 1974
  • An examination of avalable data relevant to several problems in the Korean family planning program led us to the following conclusions: 1. The high incidence of discontinuance in the use of IUD appears to be one of the foremost problems which effectiveness of the family planning program in Korea. Thus, the development of technologies and program strategies to decrease the discontinuance rate is badly needed to increase effectiveness and efficiency of the program. 2. The monthly supply of oral pill was found inadequate in terms of timing at the end and beginning of the year. 3. The frequency of home visiting showed discrepancy between service statistics and survey result. Evidences indicate that the latter figure is more correct. Program strategies should be developed to make home visiting activities more effective. 4. It was observed that the unit cost of the family planning program was increased fairly rapidly. It calls for the necessity of increasing cost efficiency of the program.

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다양한 조사방법을 통한 소비자의 일상 생활 행동 이해

  • 최현자;박유경;안용일
    • Proceedings of the Korean Association for Survey Research Conference
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    • 2001.11a
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    • pp.135-147
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    • 2001
  • 본 연구는 소비자의 일상생활 행동을 다각적이며 심층적으로 파악하기 위한 하나의 방법으로 다양한 조사방법론을 활용하였다. 본 연구는 디지털 제품 선도 소비자(lead consumer)를 대상으로 구조화된 설문조사법 이외에 심층면접(In Depth-Interview), 쉐도우 서베이(Shadow Survey), 홈비지팅(Home-Visiting) 등의 방법론을 사용하였다. 즉, 일반 소비자와 선도 소비자의 일반적 특성을 파악하기 위해 질문지를 이용한 설문조사방법과 선도 소비자의 일상생활 행동, 행동의 원인, 행동의 결과 등을 심층면접, 쉐도우(Shadow) 관찰조사 방법, 가정 생활을 관찰하기 위한 홈비지팅(Home-visiting) 조사를 실시하였다. 그 결과 의사소통관련 행동은 가족 및 친구를 위한 활동, 정보처리관련 행동은 사회(3차집단)을 위한 활동, 엔터테이먼트 관련 행동은 개인을 위한 활동 목적이 많은 것으로 나타났다. 추후 연구는 상황(Situation)-차이(Gap)-사용(Use)이라는 Sense-Making Theory로 활용되어지며, 이러한 결과는 신상품 컨셉 개발을 위해 활용되어질 것이다. 그러나 본 연구는 견고한 이론적 틀 보다는 목적 지향적이며 실천 지향적 성격이 강하다. 따라서 추후 연구들은 체계적이며, 다학제적인 연구를 통해 조사방법의 체계를 다져야 할 것이다.

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A Study on the Family Life and the Work of Informal Sector Female workers in Taegu -Centered on the Visiting Part-time Workers- (대구지역 비공식부문 취업여성의 가족생활과 일에 대한 연구 -파출부의 생활실태를 중심으로-)

  • 현정혜
    • Journal of the Korean Home Economics Association
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    • v.30 no.4
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    • pp.183-202
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    • 1992
  • This study was undertaken to evaluate the living condition and the reality of visiting part-time workers through the survey. On the matter of living condition, the most difficult problem is financial problem followed by residential problem. On the matter of female's household labor, there was a considerable difference according to the houseband's age and academic background, and family monthly income. On the question of family relationship, it was found that there was rare communication between children and father because father was rigid to talk with. In the case of mother and children, they could not find time to talk with each other. In the group of the old aged, they work to make their living. On the other hand, in the group of younger generations and the higher educated, they replied that they should work whatever the work is. It was found that they were subjected to their work because of their financial situation and that they were under the double yoke of family and work because there were no legal protection and organizational devices.

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A Study for the Enhancement of Accessibility to Community Home Nursing Care Services - The Home Nursing Care Program of Seoul Nurse Association - (지역사회에서의 가정간호 접근성 제고 방안 - '서울시간호사회' 가정간호사업 분석을 토대로 -)

  • Hwang, Na-Mi;Park, Sung-Ae;Kim, Yun-Ok;Moon, Young-Im;Park, Jeong-Sook;Ryu, Ho-Sihn;Rhee, Kae-Sook
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.5-14
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    • 2003
  • Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

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