• 한국노년학
• /
• v.29 no.3
• /
• pp.1043-1061
• /
• 2009

The purpose of this study is to evaluate cost side by type of long term care services economically, and then to discuss the findings and implications for the results of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 422 primary caregivers were used for this study. The subjects used in this study consisted of family caregivers from various settings that give care to the elderly. The results of this study can be summarized as follows. First, caregiver's household income level is low. Therefore, caregiving families with the elderly are likely to have financial difficulties. Second, under coverage of long term care insurance system, the direct cost caregiving households pay for the elderly is still very high. Third, indirect cost of caregiving households accounted for the larger proportion caregiving costs. Fourth, social cost burden for caregiving the elderly is very high. This cost amount is appropriately equal to household income of caregivers surveyed in the research. Fifth, service use cost of caregiving households is differentiated by type of long term care service. Sixth, direct cost of caregiving households is statistically significantly differentiated by type of long term care service, but is differentiated less than service use cost. Seventh, social indirect cost for caregiving the elderly is statistically significantly differentiated by type of long term care service. Eighth, social cost amounts for the elderly utilizing long term care service is very high, total social cost per capita by types of long term care service tend to converge on average social cost per capita of total service.

• 한국노년학
• /
• v.39 no.4
• /
• pp.903-920
• /
• 2019

This study was aimed to prepare the evidences for establishing policies on nursing manpower by identifying the relationship among delegation level of nursing activities, nursing professionalism and turnover intention in long-term care hospital nurses. The study was a descriptive survey research that used a structured questionnaire. 146 nurses agreed to take part in the research. They worked in six long-term care hospitals located in A and B province. Data were collected from July to August 2016 and analyzed through SPSS 20.0 program, using descriptive statistics, t-test, ANOVA and pearson's correlation coefficients. As a results, first, as for the delegation of nursing activities by long-term care hospital nurses, the levels of delegation of direct nursing activities were 34.63±14.12, and the level of delegation of indirect nursing activities were 1.71±1.75. Second, the mean score of nursing professionalism and the turnover intention of long-term care hospital nurses were 3.62±0.77 and 2.71±0.97, respectively. Third, the delegation of direct nursing activities by long-term care hospital nurses significantly differed depending on the number of nurses in the ward and the number of caregivers in the ward. The delegation of indirect nursing activities significantly differed depending on the number of nurses in the ward, the presence of conflicts and stress related to delegation. Forth, there was no significant correlation of the delegation of nursing activities by long-term care hospital nurses with nursing professionalism and with turnover intention. Most of nursing activities, were delegated to nurse aids, since there were no clear guidelines or legal procedures on nursing activities in long-term care hospital nurses. Therefore it is required to find how to clearly establish positive nursing professionalism and to develop a proper nursing manpower arrangement and the guidelines for the delegation of nursing activities in a long-term care hospital in terms of policy.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.5
• /
• pp.185-192
• /
• 2023

Currently, the number of Long-Term Care Hospital in Korea is continuously increasing with the increase in the elderly population. Patients admitted to Long-Term Care Hospital are mainly elderly with chronic diseases, and because they are for long-term care, they often die in Long-Term Care Hospital, and the importance of end-of-life care is gradually increasing. In spite of these characteristics Studies on end-of-life care for nurses in Long-Term Care Hospital are mainly quantitative studies, and there is a limit to in-depth understanding of end-of-life care experiences. Therefore, The purpose of this study is to understand the meaning of Long-Term Care Hospital nurses' nursing experienceof end-of-life patients through a phenomenological method, and to describe and understand the meaning of the phenomenon in depth. The subjects of this study were 7 nurses who had worked for more than 6 months at a nursing hospital located in C city. The research method was in-depth interviews, and data were collected from December 2021 to March 2022. The interview date were analyzed by Giorgi's phenomenological method. As a result of the study, 'nurses' attitude toward end-of-life care', 'ambivalence toward life prolongation', 'reality of end-of-life care in Long-Term Care Hospital', and 'reflection on life and death' were found. Therefore, it is thought that End-of-life nursing Continuing educationand interventional education programs should be developed to change Long-Term Care Hospital nurses' end-of-life care attitudes and improve coping skills.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.30 no.4
• /
• pp.308-316
• /
• 2024

Maintaining the appropriate number of national seafarers is essential for securing the competitiveness of maritime industry and security in Korea. However, the number of national seafarers in Korea has been decreased continuously recently. The government recognizes the repercussion of this issue and has been attempting to solve it. One of the most significant reasons contributing to the rapid decrease in national seafarers is presumed to be the high initial turnover rate due to the decreased preference for maritime careers among people in the 20s and 30s. Therefore, plans have been devised to prepare various policies that allow young people to select long-term boarding. This study analyzed the determinants of long-term boarding decisions among students enrolled in the Maritime College of 'M' University and verifies the relationship with the desired boarding period. Additionally, the crew composition (CC), long-term planning (LP), work environment (WE), and family environment (FE) were derived as the determinants of long-term boarding recognized by prospective seafarers. Among them, LP and WE significantly affect the desired boarding period, thus suggesting that the stronger the perception toward long-term planning and the more insensitive one is to the work environment, the longer is the desired boarding period. In terms of group differences in the perception of long-term boarding, analysis results show that the several determinants of long-term boarding are recognized differently depending on gender. This study may facilitate the preparation of factors and group-specific policy measures to promote long-term boarding among prospective seafarers.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.2
• /
• pp.647-652
• /
• 2015

Background: Lung cancer was one of the most common cancers in both men and women all over the world. In this study, we aimed to clarify who could survive after long term chemotherapy in patients with advanced non-small cell lung cancer (NSCLC). Methods: We enrolled 186 patients with stage IV NSCLC after long term chemotherapy from Jun 2006 to Nov 2014 diagnosed in Jiangsu Cancer Hospital. Multiple variables like age, gender, smoking, histology of adenocarcinoma and squamous-cell cancer, number of metastatic sites, metastatic sites (e.g. lung, brain, bone, liver and pleura), hemoglobin, lymphocyte rate (LYR), Change of LYR during multiple therapies, hypertension, diabetes, chronic bronchitis, treatments (e.g.radiotherapy and targeted therapy) were selected. For consideration of factors influencing survival and response for patients with advanced NSCLC, logistic regression analysis and Cox regression analysis were used in an attempt to develop a screening module for patients with elevated survival after long term chemotherapy become possible. Results: Of the total of 186 patients enrolled, 69 survived less than 1 year (short-term group), 45 one to two years, and 72 longer than 3 years (long-term group). For logistic regression analysis, the short-term group was taken as control group and the long-term group as the case group. We found that age, histology of adenocarcinoma, metastatic site (e.g. lung and liver), treatments (e.g. targeted therapy and radiotherapy), LYR, a decreasing tendency of LYR and chronic bronchitis were individually associated with overall survival by Cox regression analysis. A multivariable Cox regression model showed that metastatic site (e.g. lung and liver), histology of adenocarcinoma, treatments (e.g. targeted therapy and radiotherapy) and chronic bronchitis were associated with overall survival. Thus metastatic site (e.g. lung and liver) and chronic bronchitis may be important risk factors for patients with advanced NSCLC. Gender, metastatic site (e.g. lung and liver), LYR and the decreasing tendency of LYR were significantly associated with long-term survival in the individual-variable logistic regression model (P<0.05). On multivariate logistic regression analysis, gender, metastatic site (e.g. lung and liver) and the decreasing tendency of LYR associated with long-term survival. Conclusions: In conclusion, female patients with stage IV adenocarcinoma of NSCLC who had decreasing tendency of LYR during the course therapy and had accepted multiple therapies e.g. more than third-line chemotherapy, radiotherapy and/or targeted therapy might be expected to live longer.

• The Bulletin of The Korean Astronomical Society
• /
• v.44 no.1
• /
• pp.52.3-52.3
• /
• 2019

We investigate a relative contribution from short to long-term flaring rate to predicting M and X-class flare probabilities. In this study, we consider magnetic parameters summarizing distribution and non-potentiality by Solar Dynamics Observatory/Helioseimic and Magnetic Imager and flare list by Geostationary Operational Environmental Satellites. A short-term rate is the number of major flares that occurred in an given active region (AR) within one day before the prediction time. A mid-term rate is a mean flaring rate from the AR appearance day to one day before the prediction time. A long-term rate is a rate determined from a relationship between magnetic parameter values of ARs and their flaring rates from 2010 May to 2015 April. In our model, the predicted rate is given by the combination of weighted three rates satisfying that their sum of the weights is 1. We calculate Brier skill scores (BSSs) for investigating weights of three terms giving the best prediction performance using ARs from 2015 April to 2018 April. The BSS (0.22) of the model with only long-term is higher than that with only short-term or mid-term. When short or mid-term are considered additionally, the BSSs are improved. Our model has the best performance (BSS = 0.29) when all three terms are considered, and their relative contribution from short to long-term rate are 19%, 23%, and 58%, respectively. This model seems to be more effective when predicting active solar ARs having several major flares.

• Journal of Nutrition and Health
• /
• v.55 no.1
• /
• pp.188-199
• /
• 2022

Purpose: This study investigated the relationship between 3 major constructs of the theory of planned behavior (TPB), i.e., attitude, subjective norms and perceived behavioral control (PBC) and past experience of healthy eating and intentions of healthy eating in the short-term and long-term in adults living in Shanghai and parts of Anhui Province, China. Methods: The online study questionnaire for this cross-sectional study was based on previously validated items. A total of 408 Chinese adults (aged 18-64 years) residing in Shanghai and parts of Anhui Province, China were included to examine relationships between 3 major constructs of TPB and past experience of healthy eating, and short-term and long-term intentions of healthy eating. Multiple linear regression model adjusted for age and body mass index (BMI) was employed to test relationships. Results: Only PBC among 3 major constructs of TPB was significantly related to short-term (p < 0.001) and long-term (p = 0.002) intention of healthy eating after adjustment for age and BMI. Past experience of healthy eating was more significantly related to long-term intention (p < 0.001) compared to short-term (p = 0.020) intention of healthy eating. The short-term and long-term intention models explained 70.5% and 48.8% of the variance, respectively. Conclusion: PBC is a potential determinant of both short-term and long-term behavioral intention of healthy eating regardless of past experience of healthy eating in adults residing in Shanghai and parts of Anhui Province, China. Our results indicate that programs promoting healthy eating to Chinese adults incorporate PCB to perform healthy eating under his or her control.

• Journal of Families and Better Life
• /
• v.11 no.1
• /
• pp.107-118
• /
• 1993

A dimension of well-being economic security was analyzed and compared with economic adequacy. Again it was tested whether two indicators of economic security(short-term vs. long-term) yield same distribution across all household groups. Economic Security was defined as the household ability to sustain a given level of consumption in the case of economic emergency; specifically loss of income. Measure of 8 different kinds of economic security were constructed from household net worth including and excluding home equity. Data were taken from the 1988 U.S. Consumer Expenditure Survey and 2148 households were selected to test hypotheses concerning the economic security of American households Empirical results showed a very low level of economic security in general. The first hypothesis that distribution of economic adequacy and economic security are same across all population groups was rejected. On the average security measure rather than adequacy measure was favor to white female-headed households and households who have old and highly educated house-holder. The second hypothesis that the indicators of long-term and short-term economic security yield the same results across all household was not rejected. In general the level of economic security was relatively higher when long-term indicator was used than short-term indicator was however the direction and relative size of effect of income and each control variable was almost same.

• Journal of The Korean Society of Agricultural Engineers
• /
• v.46 no.5
• /
• pp.41-52
• /
• 2004

In this study, parameters of long and short term runoff model were optimized using genetic algorithm as a basic research for integrated water management in a watershed. In case of Korea where drought and flood occurr frequently, the integrated water management is necessary to minimize possible damage of drought and flood. Modified TANK model was optimized as a long term runoff model and storage-function model was optimized as a short term runoff model. Besides distinguished parameters were applied to modified TANK model for supplementing defect that the model estimates less runoff in the storm period. As a result of application, simulated long and short term runoff results showed 7% and 5% improvement compared with before optimized on the average. In case of modified TANK model using distinguished parameters, the simulated runoff after optimized showed more interrelationship than before optimized. Therefore, modified TANK model can be applied for the long term water balance as an integrated water management in a watershed. In case of storage-function model, simulated runoff in the storm period showed high interrelationship with observed one. These optimized models can be applied for the runoff analysis of watershed.

• Journal of the Korean Solar Energy Society
• /
• v.33 no.5
• /
• pp.1-8
• /
• 2013

Wind resource data of short-term period has to be corrected a long-term period by using MCP method that Is a statistical method to predict the long-term wind resource at target site data with a reference site data. Because the field measurement for wind assessment is limited to a short period by various constraints. In this study, 2 different MCP methods such as Linear regression and Matrix method were chosen to compare the predictive accuracy between the methods. Finally long-term wind speed, wind power density and capacity factor at the target site for 20 years were estimated for the variability of wind and wind energy. As a result, for 20 years annual average wind speed, Yellow sea off shore wind farm was estimated to have 4.29% for coefficient of variation, CV, and -9.57%~9.53% for range of variation, RV. It was predicted that the annual wind speed at Yellow sea offshore wind farm varied within ${\pm}10%$.