• Title/Summary/Keyword: Visiting Nursing Service

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Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly (빈곤층 노인의 건강상태, 건강인식 및 건강증진행위 실천 간의 관계 -보건소 방문간호 대상자 중심으로 -)

  • Lee Tae-Wha;Ko Il-Sun;Lee Kyung-Ja;Kang Kyeong-Hwa
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.252-261
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    • 2005
  • Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

Development and Effect of a Global Health Capacity Building Program for Nursing Students (간호학생을 위한 국제보건역량강화 프로그램의 개발 및 효과)

  • Hwang, Seon Young;Kim, Jin Sun;Ahn, Hyunmi;Kang, Sun Joo
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.209-220
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    • 2015
  • Purpose: This study developed a short-term education program aiming to strengthen global health capacity in nursing students, and examined the effects of the program. Methods: The subjects of this study were 83 students recruited from 29 nursing colleges. Domestic workshops and overseas training in the Philippines were offered. For data collection and analysis, the triangulation method was adopted. Results: Students' critical thinking disposition and global leadership capacity were significantly increased. Thematic content analysis derived fifteen themes: expansion of global health, understanding of cultural diversity, vision of being a global leader, cultivation of communication skills, open mind toward people with different culture, pride and vocation, understanding of nursing in foreign countries, understanding of visiting nurse service, sustainability, understanding of local needs and environments, and education methods with an emphasis on participants, broader view and thinking of the world, reflection on the characteristics of a nurse, development through cooperation, and development through programs. Conclusion: The global health capacity building program improved nursing students' view of global health and nursing care. It is needed to develop continuously diverse global health capacity-building programs for nursing students.

A Study on Model Development for Community based Health Life Enhancement Centers (일 지역 건강생활실천센터 모형개발을 위한 연구)

  • Choi, Song-Sil;An, Hye-Kyung;Kim, Young-Hee
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.520-532
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    • 2003
  • Purpose: The purpose of this study was to identify the health status and request of community residents. This study is part of development of efficient health life enhancement programs. Methods: The subjects of this study were 586 households in a rural community and well-trained interviewers visited every household in the designated area and individually interviewed heads of households for general information and health service utilization. The data were collected using a questionnaire for seven months from March 25 to September 24, 2002. The data were analyzed using frequency. percentage by SPSSWIN (v 10.0). Results: 1. 58.9% of subjects were above sixty, and 60.8% of them were women. 2. The most serious problems they identified were health problems (45.6%), and the second was(##-was+were) economic problems(22.0%). 3. Almost half of the study population regarded themselves as healthy (46.2%). The types of illness they had were neuralgia, arthritis, hypertension, diabetes, and heart disease. 4. Most of the study population answered that they didn't do anything special for health enhancement. 5. Among medical facilities, hospitals or medical clinics (55.3%) were most commonly utilized when they were sick. 6. The highest request of the subjects was 'Home visiting service (45.4%)', and 'free treatment connected to the service of hospitals' was the second. What they needed most regarding health enhancement programs in health life enhancement centers was 'free health examination (58.2%), and heath education programs (57.7%). 7. As a result of investigating the subjects' demand for nursing services in health life enhancement center, 'the clinical examination' was the most requested, and next was 'blood pressure check', 'emergency treatment', and 'rehabilitation service', in that order.

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A Study on Infant Temperament and Mother-Infant Attachment of Breast-Feeding Mothers (모유수유 영아모가 인지한 영아기질과 모아애착 정도)

  • Jang, Gun-Ja;Chung, Kwi-Ae
    • Women's Health Nursing
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    • v.15 no.3
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    • pp.224-230
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    • 2009
  • Purpose: This study was conducted to investigate infant temperament and mother-infant attachment of breast-feeding mothers with a $5{\sim}7$ month old infant. Methods: This study was descriptive research. The subjects were 258 infants and their mothers participating in 'Year 2007 Healthy Breastfed Baby Contest' on September 5, 2007 and visiting a community health service center from September 1 to December 30 in 2007, The data was gathered by structured questionnaires about the 'maternal attachment inventory (MAI)' and 'what my baby is like (WBL)'. Results: The mean score of WBL was 6.75 and that of MAI was 3.88. In addition, there was a significant positive correlation between the score of infant temperament and mother-infant attachment (r = .33, p < .01). Conclusion: Breast-feeding mothers perceived infant's temperament as more positive, therefore, breast-feeding should be encouraged.

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Research Trends in the Journal of Korean Academic Society of Home Health Care Nursing from 2010 to 2019: Using the Keyword Home Health Care (가정간호학회지 게재 논문 분석: 2010년부터 2019년까지 가정간호분야를 중심으로)

  • Jun, Eun-Young;Noh, Jun Hee
    • Journal of Home Health Care Nursing
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    • v.27 no.2
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    • pp.210-218
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    • 2020
  • Purpose: The purpose of this study was to analyze research trends, using the keyword home health care, in articles published in the Journal of Korean Academic Society of Home Health Care Nursing over the past 10 years. Methods: An analysis was conducted of 50 home health care-based studies chosen from among the 206 studies published in the Journal of Korean Academic Society of Home Health Care Nursing from 2010 to 2019. The analysis focused on research methodology and keyword. Descriptive statistics were used to examine the frequency distribution of research methods and keywords. Results: Study participation was mainly focused on nurses (52.0%). Most of the studies used quantitative methods (96.0%), and 43 studies (86.0%) used self-report structured questionnaires. The most commonly used data analyses methods were descriptive statistics, t-test, analysis of variance, correlation, and regression. Major keywords were home health nursing, elderly care facility, visiting nurse, home care service, home healthcare nurse, home care agencies, long-term care, and home care. Conclusion: The results of this study identified current trends and interests in the Journal of Korean Academic Society of Home Health Care Nursing. This study suggests that future studies include a variety of research methods and maintain appropriate standards of research ethics.

Development and evaluation of physical activity promotion program in the resident elderly (재가노인을 위한 신체활동증진 프로그램의 개발 및 효과)

  • Kwon, Sang-Min;Kwon, Mal-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.485-491
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    • 2016
  • The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

A Study of Occupational Health Nurses Activities in Small Scale Industries (소규모 사업장 산업간호사의 업무활동 분석)

  • Kim Hyun Li;Lee Myung Sook;Kim Myung Soon;Jung Moon-Hee
    • Journal of Korean Public Health Nursing
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    • v.12 no.2
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    • pp.1-11
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    • 1998
  • This study was performed to analyze the occupational health nursing of support-project of health management skill for small-scale industries. The 2 subject centers were under the umbrella of Korean Industrial Health Association and data collection period was 2weeks from September 1 to 13. 1997 and time and motion study method was used. Data was handled by SPSS win 7.5 program. results were worked out number. percentage. F-value. (1) The weekly time spending of occupational health nurses was distributed into indoor service 46.9%, outdoor service 26.6%, movement 26.5%. The mean visiting times were 2-3 times per week. and spending time was about 1 hour per industry. (2) There are statistically significant difference among the distribution of time spending according to industrial works(F=23.08. p=.000). and the special education for occupational disease prevention takes the most mean time. (3) There were statistically significant difference among the spending time for the health coach of occupational health nurses(F=188.79. p=.000). and the activity time for workers (58.4%) was more than that of for monitors(41.6%). The frequency of health coachs were 155 times for monitors during two weeks. but health coach for worker was 87 times. As a results. the contents of health coach for workers was proved to take more time than that for monitors. Perhaps we think that monitors has limitation for health management. therefore we should be consider flexible management of visiting time and health coach guidelines for occupational health nurses. (4) There were statistically significant differences among the distribution of time spending according to health coach methods for industrial health nurses(F=66.31. p=.000). The most frequent method of all was guide transmission. 159 times(65.7%), and the mean spending time for instruction was 19.78 min. the longest time. Our suggestion for occupational health nursing of support-project of health management skill for small-scale industry is that the need of each industry is very complex because of various conditions. therefore need assessment for industries should be conducted professionally. And occupational health nurses should apply occupational health nursing process autonomously. and their activities be guaranted by the guideline

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The Demands on Parish Nursing Services by Pastors in Busan (부산지역 목회자의 교구간호사업 요구조사)

  • Sohn, Sue-Kyung;Kang, Kyung-Ja;Lee, Jj-Hyun;Lee, Young-Eun;Park, Choon-Hwa
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.182-196
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    • 2002
  • The purpose of this study was to provide the basic resources for developing a parish nursing program. We did this by investigating what demands were made on the parish nursing service by the parishes or churches under review. The subjects of this study were 96 pastors located throughout the City of Busan. NP (New paragraph) $\gg$ We conducted our research by utilizing a modified version of the study created by Hwang (2000) and by using the help of prior research and professionals gathered from the parish nurse questionnaire by Djupe (1990). The data in this study were collected from July 1 to Oct. 31, 2001, using the questionnaire method. The Data were analyzed by: (a) frequency: (b) percentage: (c) mean: (d) standard deviation, and x^2-test$ with SPSS/PC program. The study has found the follows: 1. For subjects making demands on the parish nursing service, 95.8% were in need of using the services of parish nurses. On the demands of parish nursing service for the subjects, 95.8% the necessity of parish nursing services. And they answered by their intention of asking for parish nursing service practice. 2. Of the subjects under review, 71.9% were part-time workers and 28.1% were full-time employees 71.9% of part time and 28.1% of full times duty. In terms of the method of pay for work, 41.8% were pay free or freelance while 51.2% were on salary. And engagement intention of parish nurse as preacher was 88.5%. 3. The demand for nursing services in various categories were as follows. (a) hospice care: (4.02 1.11), (b) health screening: (3.98 1.09), (c) home visiting: (3.97 1.16), (d) group health education: (3.81 1.12), (e) organization of volunteer groups: (3.75 1.12), (f) individual health education: (3.75 1.14), (g) advice on choosing hospital or hospital consultation: (3.69 1.21) and (h) individual counseling: (3.51 1.31). 4. In terms of the specific services rendered by parish nurses. our study found that services were needed for the following: physical symptom management; preparation before death in spiritual preparation for death, blood pressure check in health examination, home visiting where the patient makes phone call, management of chronic disease in group health education, disease management in individual health education, advice on choosing hospital, or hospital consultation: and physical problems in individual counseling. 5. With respect to whether there was a correlation between what church a pastor came from and the types of demands made, there was NO significant difference found. 6. In relation to the characteristics of the subjects and their church and the hope demands (duty pattern and method of payment and engagement intention of parish nurse as preacher) for parish nurses, these had non significant differences. In conclusion, the perception of parish nursing service is very high. Moreover, we found that there is a great demand for well ordered parish nursing services to promote the health of each congregation. Before doing so, it would be better to make things known and to consider the relevant characteristics shown in the researched results.

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Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea (전국 의료기관 가정간호이용 및 가정간호비용)

  • Ryu, Ho-Sihn
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1193-1203
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    • 2006
  • Purpose: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. Method: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. Result: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequoia of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (${\fallingdotseq}$ 48 $, 1 $=960 Won). The costs ranged from 74,523 Won (${\fallingdotseq}$78 $, loss of chronic kidney function, N18) to 32,270 Won (${\fallingdotseq}$34 $, other cerebrovascular diseases, 167). Conclusion: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

A Study for Evaluating the Performance of a Community-based Home Care Services Model (일개 지역사회 중심 가정간호시범사업소의 성과평가 연구)

  • Kim, Se-Young;Park, Sung-Ae
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.673-683
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    • 2008
  • Purpose: This study was aimed to evaluate the performance of a community-based home care services model. Method: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. Result: A significant number of patients were bed ridden(63.8%) and unconscious (27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. Conclusion: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

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