• Title/Summary/Keyword: Self Home Care

Search Result 553, Processing Time 0.027 seconds

Family Nursing Phenomena of High-risk and Frail Older Persons in the Community using the International Classification for Nursing Practice (ICNP (International Classification for Nursing Practice)를 이용한 재가 고위험 허약 및 허약 노인들의 가족간호현상)

  • So, Ae Young;Nam, Eun Woo;Shin, Dong Eun
    • Journal of muscle and joint health
    • /
    • v.28 no.2
    • /
    • pp.152-160
    • /
    • 2021
  • Purpose: This study, using the International Classification for Nursing Practice, aimed to identify the phenomenon of family nursing care, and the factors affecting it, for high-risk and frail older persons who have a significant need for home healthcare services. Methods: This study was conducted using secondary data collected by students who interviewed 93 healthcare subjects in a health center. The data was used to analyze the general characteristics, health-related characteristics, and confirmed problems of family nursing phenomena of the subjects. Independant t-test, Pearson correlation coefficient, and multiple linear regression were used for the data analysis. Results: The mean age of the subjects was 82.4±6.3 years. The most common problem of the family nursing phenomenon were unhealthy lifestyle, disturbance in family communication, and lack of family interaction in the community. People with greater family nursing phenomenon problems reported a higher degree of frailty and depression, lower quality of life and self-rated health. The factors that influence the family nursing phenomenon of frail older persons are the problems of mobility and hearing. Conclusion: Physical and psychological problems associated with aging can cause not only personal, but family functional problems as well. Therefore, a comprehensive family-oriented support program is required.

Effects of Anxiety and Infection Control Job Stress on Depression in Nurses (임상간호사의 불안과 감염관리 직무스트레스가 우울에 미치는 영향)

  • Ryu, Kyung Sun;Lee, Mi Hyang;Lim Hyo Nam;Lee, Kyung Hwa
    • Journal of Home Health Care Nursing
    • /
    • v.30 no.1
    • /
    • pp.5-14
    • /
    • 2023
  • Purpose: This study aims to identify the degree of anxiety and depression related to infection control and job stress in clinical nurses during the COVID-19 pandemic. Furthermore, it seeks to identify the effects of depression. Finally, it intends to develop intervention measures to prevent depression in clinical nurses during epidemics of new infectious diseases and prepare basic data for developing educational programs. Methods: Data were collected using a self-report questionnaire survey administered to 208 nurses. The data were analyzed using the IBM SPSS (Version 26.0) statistics program. Results: The correlation analysis between participant depression, anxiety, and infection control job stress found that depression had a positive correlation with anxiety (r=.63, p<.001) and infection control work stress (r=.26, p<.001). Anxiety (β=0.60, p<.001) was found to significantly affect participant depression with an explanatory power of 40.2%, confirming that higher anxiety levels induce increased depression. Conclusion: Based on the above results, anxiety is confirmed to be a factor that affects depression. Accordingly, education is required to strengthen individuals' physical and mental capabilities and promote a safe working environment, including providing sufficient personal protective devices and other appropriate gear to defend clinical nurses against outbreaks of emerging infectious diseases at medical institutions and through healthcare policies. Other considerations should include sufficient rest hours and paying additional benefits for nurses caring for patients with severe confirmed COVID-19.

The Influences of Second-victim Experiences and Positive Psychological Capital on Intention to Remain among Advanced Beginner Nurses (상급초보 간호사의 이차피해경험과 긍정심리자본이 재직의도에 미치는 영향)

  • Bae, Soohyun;Kim, Kyoung Ja;Song, Hansol;Lee, Yesung;Nam, Jooyoung
    • Journal of Home Health Care Nursing
    • /
    • v.30 no.3
    • /
    • pp.264-275
    • /
    • 2023
  • Purpose: The aim of this study was to examine the influence of second victim experiences following patient safety incidents and positive psychological capital on the intention to remain among advanced beginner nurses working at tertiary hospitals. Methods: The participants were 179 nurses with a clinical experience of 13 to 36 months at two tertiary hospitals. We collected data using questionnaires related to second victim experiences, positive psychological capital, and intention to remain. Data were analyzed using descriptive statistics, independent t-test, a one-way analysis of variance (ANOVA), Scheffé test, Pearson correlation, and hierarchical regression analysis. Results: The intention to remain in advanced beginner nurses was negatively correlated with second victim experiences and positively correlated with positive psychological capital. A hierarchical multiple regression model with control variables (subjective job satisfaction and self-assessed work proficiency), psychological capital, and second victim experience accounted for 26% of the factors that influenced advanced beginner nurses' intention to remain. Among the related factors, the most influential was subjective job satisfaction. Second victim experience and positive psychological capital also influenced the advanced beginner nurses' intention to remain. Conclusion: The results of this study suggest a need to develop a program that helps promote intention to remain for nurses at the advanced beginner stage by minimizing second victim experiences and improving positive psychological capital and the work environment.

Concerns of Home Economics Teachers on Ohio's Work and Family Life Curriculum (미국 오하이오주의 실천적 문제 중심 모형을 적용한“일과 가족생활 교육과정”에 대한 가정과 교사의 관심도)

  • 채정현
    • Journal of the Korean Home Economics Association
    • /
    • v.34 no.4
    • /
    • pp.327-343
    • /
    • 1996
  • The objective of this study were 1) to determine the stages of concern of HE teachers about the practical problem-based curriculum approach, as illustrated by the Ohio's Work and Family Life Curriculum (W&FLC); 2) to determine the relationships between home economics (HE) teacher's stages of concern about W&FLC and personal and professional characteristics of HE teachers; and 3) to determine aspects of interest about the practical problem-based curriculum approach, such as the Ohio W&FLC. Respondents in this study were 225 HE teachers. The data were collected during the in-service teacher training sessions after presentation about W&FLC. Concerns Based Adoption Model (CBAM) was modified to provide a conceptual framework for this study. Frequencies, SD, mean, mode, range were used to determine the stages of concern of HE teachers. To determine the relationships between stages of concerns and personal and professional characteristics of HE teachers, coefficient of Chi-Square contingency tables was used. Content analysis was used to determine aspects of interest about the practical problem-bsed curriculum approach, such as W&FLC. The median of the stages of HE teachers' concerns about W&FLC was Stage 1, Information Stage. About 60% of HE teachers were interested in learning more details about W&FLC. Chi-square revealed no statistically significant relationships between stages of concerns about W&FLC and characteristics of HE teachers. Content analysis was used to determine aspects of interest about W&FLC of HE teachers. Nine categories were found: content, teaching strategies, implementation of the curriculum, philosophical framework, how to adopt W&FLC, resource materials, students' outcomes, in-service teacher training, and HE teacher organization. The majority of HE teachers were interested in relationships with family and others, resource management, family relationships, personal development, communication skill, family life, creating a self-identity, life planning, roles of family members, homemaking management, child care, and parenting.

  • PDF

Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly (지역사회 거주 예비노인과 노인의 건강상태와 보완대체요법 사용정도)

  • Chung, Myung-Sill;Lim, Kyung-Choon
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.18 no.1
    • /
    • pp.46-56
    • /
    • 2015
  • Purpose: The purpose of this study was to identify health status and the use of complementary and alternative therapies in the community dwelling pre-elderly and elderly. Methods: A total of 193 subjects participated in this study. They were recruited from one senior welfare center, four senior citizen centers and subjects' home in two cities. Data were collected with self-reported questionnaires to measure health status and the use of complementary and alternative therapies. Data were analyzed by t-test, ANOVA using SPSS/WIN 22.0. Results: Health status in this subjects was different depending on their age, sex, education, religion, type of family, and average monthly living expenses. Most used items as complementary and alternative medicine are diet therapy, herbal medicine such as health supplement food therapy, vitamin therapy, and Korean folk remedies. There were statistically significant differences in using complementary and alternative therapies according to one's current health status (F=7.09, p<.001), comparing health status to peers (F=3.67, p=.013), and chronic disease having more than three months (t=-2.50, p=.013). Conclusion: This study suggest that individualized health care should be continued for the pre-elderly and elderly. Moreover, we need to prepare long term care plans such as educations for applying complementary and alternative therapies.

Mobile Health Interventions for Community-Dwelling Patients with Heart Diseases: An Integrative Review (지역사회 거주 심장질환 환자들을 위한 모바일 건강중재: 통합적 문헌고찰)

  • Ko, Ji Woon;Kang, Hyunwook
    • Journal of Korean Critical Care Nursing
    • /
    • v.13 no.1
    • /
    • pp.63-75
    • /
    • 2020
  • Purpose : The purpose of this study was to review mobile health (mHealth) interventions based on studies from online databases for community-dwelling patients with heart diseases. Methods : Six databases (RISS, KISS, PubMed, CINAHL, EMBASE, and SCOPUS) were searched to select studies conducted from January 1 to September 30, 2010. After this, quality appraisals were carried out using the Scottish Intercollegiate Guidelines Network checklist and a total of 11 studies were selected. Results : The selected 11 studies included 7 randomized controlled studies, 1 quasi-experimental study and 3 pilot studies. The main components of mHealth interventions included symptom monitoring at home, provisions for individualized messages for health management using text messaging, telephone or smart phone applications, and running websites for symptom monitoring or health education. Intervention periods varied from 6 weeks to 12 months. The findings of the studies suggested that the mHealth interventions were effective in improving self-management of heart diseases, quality of life, and decreasing symptoms. Conclusions : The results of the review suggested that mHealth interventions had positive effects on community-dwelling patients with heart diseases. More mHealth intervention studies need to be conducted in Korea to aid community-dwelling patients with heart diseases.

Maternal Role Development in Neonatal Intensive Care Unit Graduate Mothers of Premature Infant (신생아 집중 치료실 퇴원 후 미숙아 영아 어머니의 모성 역할 발달)

  • Kim, Ah Rim;Tak, Young Ran
    • Women's Health Nursing
    • /
    • v.21 no.4
    • /
    • pp.308-320
    • /
    • 2015
  • Purpose: The aim of this study was to determine the predictive factors for maternal role development for mothers of premature infants. Methods: A descriptive correlational study was conducted. A total sample of 121 mothers of premature infants following discharge from the neonatal intensive care unit were recruited using two strategies; an internet-based survey and an in-person data collection in a tertiary university hospital in Korea. A self-report questionnaire was used to collect data regarding personal, birth variables, marital intimacy, maternal attachment, maternal identity and maternal role development. Results: A hierarchical multiple regression analysis indicated that parity, maternal attachment, marital intimacy and maternal identity were predictors for maternal role development for mothers of premature infants, accounting for 70% of the variance. Among these variables, maternal attachment is the most powerful predictor for maternal role development. Conclusion: Nursing interventions during hospitalization to post-discharge education that includes parents of premature babies with positive interaction between couples strengthening marital intimacy and promotes maternal attachment that leads to integrate maternal identity should be considered by priority. Community-based family services such as home visits should be focused on maximizing the predictive factors for maternal role development in transition to motherhood that can contribute to maternal health as well as optimal growth and development of premature infants.

A Review of Discharge Education Needs of Children after Musculoskeletal Surgery (근골격계 수술 아동의 퇴원교육 요구에 대한 고찰)

  • Lim, Suk Jin
    • Perspectives in Nursing Science
    • /
    • v.18 no.1
    • /
    • pp.10-15
    • /
    • 2021
  • Purpose: The purpose of this study is to evaluate the current status of discharge education and nursing needs of children after musculoskeletal surgery. Methods: The literature from research databases was reviewed and analyzed (using PubMed, RISS review, KISS, and Dbpia). Results: Children who have undergone musculoskeletal surgery face physical challenges due to the effects of splints and immobilization, and experience pain for a long time. Therefore, home care after discharge is of paramount importance in these cases. The discharge education needs of each patient vary with regard to the topic and period. Discharge education should be systematic and consistent, with an emphasis on understanding the needs of the patients and parents. Conclusion: While there are studies on the nursing needs of adult musculoskeletal surgery patients at discharge, studies on discharge nursing needs in children who have undergone musculoskeletal surgery are still insufficient. It is necessary to specifically identify the educational needs of parents of children undergoing musculoskeletal surgery. Interventions that improve the voluntary participation of patients and parents in active self-care need to be developed.

Effectiveness of parenting education program for adolescents (청소년 대상 예비부모교육 프로그램 효과성 연구)

  • Jun, Mikyung;Lee, Eun Joo;Yu, Nan Sook;Wang, Seok-Soon;Choi, Saeeun
    • Journal of Korean Home Economics Education Association
    • /
    • v.29 no.4
    • /
    • pp.31-47
    • /
    • 2017
  • The purpose of this study was to evaluate the effectiveness of parenting education program for adolescents. Parenting education program for adolescents was developed and implemented at three secondary schools in Seoul, Chungcheong province, and Gwangju metropolitan city with focus on the following topics respectively 'parent-child communication', 'understanding fatherhood', and 'preparation for parenting based on self-understanding'. Data were collected from self-reported inventory and 97 data copies for pre- and post tests were used for analyses. Data were analyzed for frequency, percentage, paired t-test and One way ANOVA using SPSS/PC 21.0 program. The results from mean comparison of pre- and post tests were as follows. First, perception of necessity for parenting education and needs for including parenting program into regular secondary school curriculum increased statistically, which means that parenting program must be implemented regularly to meet the demands of adolescents for parenting program. Second, the main reason for not having children was 'burden for rearing children', which means that enough child-care skill and information need to be included. Third, the mean difference between pre- and post tests regarding perception of performing parents' roles was statistically significant, which means that the participants' perception of performing parents' roles became positive. Fourth, the 32 high school students participating in parenting education of 'understanding fatherhood' did not have significant difference in gender role. The 29 middle school students participating in parenting education of 'parent-child communication' had significant difference in perception of communication. The 36 high school students participating in parenting education of 'preparation for parenting based on self-understanding' had significant difference in self-esteem. This results identified the effectiveness of parenting education for adolescents. Therefore, Home Economics subject must be selected to give the opportunity of parenting education to high school students.

Comparison of Oral Health Related Living Quality of the Elder with Physical Debilities & Ones Capable of Living at Homes (Using GOHAI Grouping) (거동불편노인과 자가 활동 가능노인의 구강건강관련 삶의 질 관련 비교 - GOHAI 군집화를 활용하여 -)

  • Park, Nam-Gyu;Ko, Young-Gyu
    • Journal of Technologic Dentistry
    • /
    • v.34 no.3
    • /
    • pp.273-281
    • /
    • 2012
  • Purpose: This study conducted a survey on the elderly of 65 years and over with physical debilities and ones capable of living at home residing in Jeju Special Self-Government Province to compare and analyze demo-sociological characteristics and factors influencing on oral health related living quality. And also this study intended to provide basic data for developing effective public medical policies and health promotion programs to increase oral health related living quality of the elder. Methods: The elderly of 65 years and over living in Jeju Special Self-Government Province were interviewed individually from 7 February 2011 to 18 April and interview results of a total of 220 subjects were analysed for this study. Results: Current status of the elderly including ones with & without physical debilities influenced functional limitation and behavioral aspects of GOHAI criteria used in this study. The elderly with physical debilities experienced less limitation in food chewing and swallowing, and pronunciation than ones capable of living at home. On the analogy of the previous study(by Park, N. G., 2010) in which oral health related quality and satisfaction of life of the elderly with physical debilities were different due to their physical, circumstantial and psychological limitations, the former's oral health conditions are worse than the ones capable of living at home and because of medical care accessability limitation they suffer from deteriorated oral condition. By the comparison of factors influencing on the living quality relating to the oral health of the elderly with physical debilities and ones capable of living at home, 2 factors, age and living area, were meaningful factors commonly influencing on the oral health related living qualities of both. The elderly of 75 years and over were more affected by psychological and behavioral aspects of oral health related living quality than the ones of 65-74 years, and the ones living in country suffered from functional limitations, pains and discomfort more than ones in city. Additionally, being different from the elderly capable of living at home, the ones with physical debilities were influenced by the factors of average monthly income and medical security type. Conclusion: Improvement of programs and systems to increase oral health related quality of life needs to be carried out preferentially for the elderly of 75 years and over, and dwelling in country. Also this study suggests that the policy of paying the denture insurance allowance in 2012 need effective planning considering the elderly's current status, age, living area, medical security type.