• Title/Summary/Keyword: care-method

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Review on the Approaches and Issues of the Hospice Care Program (호스피스 전개에 있어서 과제와 방향에 대한 모색 -호스피스 전개를 위한 교육적 측면에서-)

  • 조유향
    • Korean Journal of Health Education and Promotion
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    • v.11 no.2
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    • pp.146-159
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    • 1994
  • The conecpt of hospice care for the terminally ill is a development of relatively modern times, although it has its origins in antiquity. The hospice will be able to handle progressively more and more patient, to the limit of its resources. The purposes of this study were to review of demand and issues of the hospice care programes and to recommand the hospice care approaches in south Korea that using the book-review method. At this point, although at present there is a general unawareness of hospice throughout Korean society, the public will become gradually aware of hospice. This will thus aid the development of hospices. Awareness will come about because of the educational efforts of medical schools, nursing schools, allied health training programs, practicing hospice care giver, universities, and others interested in hospice education. At present, there are many issues of the hospice care program that are hospice resources problems of manpower, facilities, finances, and cost of hospice services, quality of care, and ethics. Additional studies are needed to determine the most efficacious organizational hospice models for varying conditions. They will insist upon reasonable regulatory agency regulations that will promote the hospice idea and. permit adequate remuneration for services provided. More research is needed on health professionals', patients', and others' attitudes towards death.

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Hypertension knowledge and Treatment compliance of Hypertensive Patients -Comparative analysis between groups treated at Primary Health Care Post in "H" Gun (country) and at other private Clinics·Hospitals. - (고혈압 환자의 고혈압지식 및 치료지시이행 -H군 관내 보건진료소와 병·의원 이용그룹 간 비교분석-)

  • Lee, Yang-Soon;Seo, Eun-ju
    • Journal of Korean Academy of Rural Health Nursing
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    • v.9 no.2
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    • pp.45-58
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    • 2014
  • Purpose: To determine the knowledge and treatment compliance with hypertension, directions for the aspects of implementation, and related factors to patients with hypertension using Primary Health Cares and Private Clinics Hospitals. Method: General characteristics and High blood pressure-related properties(17 questions), Hypertension knowledge measures(20 questions), and Treatment Compliance(22 questions) were used. Result: 1. The patients of Private Clinics Hospitals had statistically significantly higher drinking habits than Primary Health Care centers. The patients of Private Clinics Hospitals had statistically significantly higher rate of no family history of hypertension than Primary Health Care centers. 2. Primary Health Care centers had statistically significantly higher knowledge of hypertension than Private Clinics Hospitals. Primary Health Care centers had statistically significantly higher treatment compliance than Private Clinics Hospitals. Conclusion: Both Primary Health Care centers and Private Clinics Hospitals are high medication compliance but low lifestyle compliance with hypertension. We need to recognize the importance of lifestyle compliance, to apply proper programs and to provide therapists' aggressive intervention.

A Study of Nursing Students' Spiritual Care Experiences (간호 대학생의 영적 간호 경험 분석)

  • Koh, Myung-Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.175-185
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    • 2003
  • The purpose: This study was to describe the spiritual nursing care experiences of nursing students who were in a university, Seoul, Korea. Method: This study is based on descriptive analysis of case studies that were submitted by nursing students. Nursing students were 64 person who were sophomores in a university of the year 2000, 2001. Results: 1. The problems that students report for their subjects were: Loss of self-confidence, body image complex, health status problems, maladaptability, economic problems of home, guilty feeling, problems with dating, loneliness, uncertainty of their future, faith problem, accountability, stress and apart from intimate friends. 2. The methods which students use to solve the subjects's problems were: prayer with subjects, use the Scripture, conversation, meet frequently, listening, frequent phone call, explore problem solving methods together, write letters or E-mails, present with books or music CD etc. 3. After the students have experienced spiritual nursing care they feel that: satisfaction, lack of knowledge of spiritual care, understanding the importance of spiritual nursing care make a new resolution for others, understanding the importance of listening, understanding the power of prayer, the need of Bible study. Conclusion: Maintaining spiritual wellness is a important as maintaining physical fitness and essential for optimal well being. Therefore educating nursing students in developing and maintaining spiritual wellness is essential for the patient to achieve holism.

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A Study of Health Care Service Utilization and Health Behavior among Medical Aid Beneficiaries In Terms of Whether to Apply a Designated Doctor System (의료급여대상자의 의료이용형태와 건강행위에 관한 연구 - 선택병의원제 적용여부를 중심으로 -)

  • Choi, Jeong-Myung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.8 no.1
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    • pp.5-12
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    • 2013
  • Purpose: This research was a survey to ascertain whether there are differences in opinion about designated doctors and hospitals, type of health care service utilized and health behavior between people who have applied to be Medical Aid Beneficiaries, but not using the Designated Doctor System. Method: The participants were from three groups, application for two years, one year and non-appliers. Data collection was done by Medical Care Client Managers through in-depth interviews using a structured questionnaire. Results: The participants expressed no negative effect of the designated doctor system in relation to designated doctor, hospital or health behavior but there was a significant effect in type of health care service utilized. Conclusion: In the future, the commitment of Medical Care Client Managers is important, but the role of health care providers will be emphasized in order to sustain the effectiveness of the health care system under the Designated Doctor System.

Mycobacterium intracellulare Pleurisy Identified on Liquid Cultures of the Pleural Fluid and Pleural Biopsy

  • Lim, Jong Gu;O, Sei Won;Lee, Ki Dong;Suk, Dong Keun;Jung, Tae Young;Shim, Tae Sun;Chon, Gyu Rak
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.3
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    • pp.124-128
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    • 2013
  • Pleural effusion is a rare complication in non-tuberculous mycobacterial infection. We report a case of Mycobacterium intracellulare pleuritis with idiopathic pulmonary fibrosis in a 69-year-old man presenting with dyspnea. Pleural effusion revealed lymphocyte dominant exudate. M. intracellulare was identified using a polymerase chain reaction-restriction fragment length polymorphism method and liquid cultures of pleural effusion and pleural biopsy. After combination therapy for M. intracellulare pulmonary disease, the patient was clinically well at a 1-month follow-up.

Development of a Tool to Measure the Need for Child Hospice Care in Families of Children with Cancer (암 환아 가족의 아동 호스피스 요구 측정도구 개발)

  • Kang Kyung-Ah;Sim Songyong;Kim Shin-Jeong
    • Child Health Nursing Research
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    • v.11 no.1
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    • pp.72-82
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    • 2005
  • Purpose: The purpose of this study was to develop a tool to assess the need for child hospice care in families of children with cancer. Method: The research design was a methodological study. The tool was developed in 4 stages : first, preliminary items were developed based on a questionnaire about the needs for child hospice care that was given to 20 families of children with cancer; second, a panel of specialists reduced the number of preliminary items using 3 validity tests for the content; third, final items were selected from the results of a pre-test. Finally, from February to July 2004, reliability and validity were tested with a sample of 104 families who had a child with cancer. Results: The final tool on the need for child hospice care consisted of 22 items and Cronbach's alpha coefficient for internal consistency was .93. Using factor analysis, 5 factors were extracted and these factors explained 69% of the total variance. Conclusion: The instrument, for assessing the need for child hospice care in families of children with cancer, developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for implementing and improving hospice care for children with cancer.

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Grounded Theory Approach to Health Care of Older Adults at a Doctorless Farm Village (일부 무의농촌 지역 노인의 건강관리경험: 신체적 변화를 스스로 견뎌내기)

  • 한영란;김영희
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.771-780
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    • 2004
  • Purpose: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. Method: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. Result: The Core Category of health care of older adults was identified as 'enduring physical changes by themselves'. The process of this could be divided into 4 stages: the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. Conclusion: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

The management effect of TDC(Total Dental Care) internship program (일개 대학 치위생과 대학생들의 TDC(Total Dental Care) 인턴십 프로그램의 운영효과)

  • Cho, Min-Jung;Kim, Eun-Mi;Ha, Myung-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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    • pp.147-154
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    • 2014
  • Objectives : The purpose of the study is to identify the efficiency of total dental care(TDC) internship program. Methods : Dental hygiene students participated in the total dental care(TDC) internship program for 4 weeks in dental clinics practice. A self-reported questionnaire was filled out from June to July in 2012. The questionnaire consisted of oral health condition and dental care services by the students, dentists, and dental hygienists after TDC internship program. Results : Satisfaction degree of the students was $3.92{\pm}0.68$ points. The patients satisfied with TDC internship program and it was helpful to their dental health care(4.0 points). There were significant changes in tooth brushing method, frequency and O'Leary plaque index. Satisfaction degree of the dentists was 4.09 points and that of the dental hygienists was 3.80 points. Conclusions : TDC internship program is very helpful for the students not only to play an outstanding role in their dental care activities after employment but also to establish the real identity of the dental hygienist.

Home Care Support and Support Requirements According to Health Condition in the Poor Elderly People Living Alone (일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구)

  • Park, Ji-Won;Kim, Yong-Soon;Kim, Ki-Sook
    • Journal of Home Health Care Nursing
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    • v.16 no.2
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    • pp.89-97
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    • 2009
  • Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

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Survey of Home Healthcare Nursing Services to Establish Quality Assessment Standards (가정간호 서비스 질 평가기준 설정을 위한 조사연구)

  • Kim, Su-Ol;Shin, Hye-Sun;Kim, Gwang-Suk
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.85-94
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    • 2010
  • Purpose: The study aimedto provide basic data to improve the quality of home healthcare nursing services by evaluating quality of care in representative nationwide sites. Method: The current quality of home care service in 104 nationwide sites was evaluated in terms of structures, processes, and outcomes based on published standards of the Joint Commission on Accreditation of healthcare Organizations. Results: The mean score for three dimensions of quality of home care service was as follows in descending order: structures (77.6), outcomes (60.4), and processes (38.7). Additionally, by specific item compared level of quality of home care servicein each site, the highest score was 97.3 and the lowest score was 42.3 out of 100, with a mean score of 74.7. Conclusions: These findings provide a base for establishing the quality management system and to develop a tool for evaluating the quality of home healthcare nursing. The result should be continuous management and improvement of home healthcare nursing quality.

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