• Title/Summary/Keyword: care-method

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The Effects of Biofilm Care on Subgingival Bacterial Motility and Halitosis

  • Kim, Yu-Rin
    • Journal of dental hygiene science
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    • v.19 no.3
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    • pp.162-169
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    • 2019
  • Background: Oral diseases are caused by various systemic and local factors, the most closely related being the biofilm. However, the challenges involved in removing an established biofilm necessitate professional care for its removal. This study aimed to evaluate and compare the effects of professional self and professional biofilm care in healthy patients to prevent the development of periodontal diseases. Methods: Thirty-seven patients who visited the dental clinic between September 2018 and February 2019 were included in this study. Self-biofilm care was performed by routine tooth brushing and professional biofilm care was provided using the toothpick method (TPM) or the oral prophylaxis (OP) method using a rubber cup. Subgingival bacterial motility and halitosis (levels of hydrogen sulfide, $H_2S$; methyl mercaptan, $CH_3SH$; and di-methyl sulfide, $(CH_3)_2S$) were measured before, immediately after, and 5 hours after the preventive treatment in the three groups. Repeated measures analysis of variance test was performed to determine significant differences among the groups. Results: TPM was effective immediately after the prevention treatment, whereas OP was more effective after 5 hours (proximal surfaces, F=16.353, p<0.001; smooth surfaces, F=66.575, p<0.001). The three components responsible for halitosis were effectively reduced by professional biofilm care immediately after the preventive treatment; however, self-biofilm care was more effective after 5 hours ($H_2S$, F=3.564, p=0.011; $CH_3SH$, F=6.657, p<0.001; $(CH_3)_2S$, F=21.135, p<0.001). Conclusion: To prevent oral diseases, it is critical to monitor the biofilm. The dental hygienist should check the oral hygiene status and the ability of the patient to administer oral care. Professional biofilm care should be provided by assessing and treating each surface of the tooth. We hope to strengthen our professional in biofilm care through continuous clinical research.

A Basic Study on the Development of a Mobile Data Sampling Method based on ESM to Examine Child-care Teachers' Emotional Experience (ESM기반 보육교사 정서 연구를 위한 데이터 표집기술 개발에 관한 기초연구)

  • Kim, Soojung;Lee, Yungil
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.6
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    • pp.199-206
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    • 2017
  • The experience sampling method (ESM) is an innovative research method to study the immediate real emotional experience experienced in real life through the immediate reaction of research participants. ESM, which has received significant attention in recent, is considered as the research method particularly for child care teachers' emotions and happiness. This method has been shown to be able to overcome the limitations in current research methods, based on teachers' recall or surveys, in assessing child care teachers' emotional states or stress levels. Despite the expectation that the need for further research on the increased stress and negative emotional experiences of child care teachers and its appropriateness as the alternative research method to study child care teachers' immediate emotional experience, ESM has deficiencies in that research participants need to have their pencil-and-paper survey packages on hand whenever their electronic beepers randomly beep. Furthermore, ESM demands much more researcher energy and efforts to handle the voluminous data collected from each participant in effectively creating a database. In this paper, in order to apply ESM successfully to the study of child care teachers' emotional experience, we aim to develop a software program that uses mobile communication technology. Given that traditional types of data collection methods in social science research can prove too burdensome to encourage participation in surveys in the first place or ensure the return of completed surveys, the present study adopts a convergent research approach to develop a software program that is able to obtain ESM participants' answers immediately on their personal smart phones. This study deals with system construction and prototyping for software development as a basic research and evaluates the research results through indepth interview with experts.

A Survey on the Health Examination of Child Care Centers (보육시설의 건강검진 현황에 관한 조사연구)

  • Kim Il-Ok;Kang Ran-Hye
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.308-315
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    • 2005
  • Purpose: This descriptive study was conducted to examine the status of the health examination in child care centers. Method: The participants in this study were 631 child care centers. A self report questionnaire on health examination which has been examined for content validity, was distributed by mail to 2,000 child care centers using randomized sampling. Result: Of the sample, $76.2\%$ child care centers had done health examination for children. Height & weight, urinalysis, dental check, anemia test and visual acuity were the most frequently performed items. The rate for maintaining a health record was highest in the national/public child care centers. Child care centers more closely related to community health centers, showed higher rates of health examination. Conclusion: Health care personnel and financial aids should be provided for child care centers to enhance the level of health management of children.

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The Preferences of The Elderly for Their Care Types and Contributing Factors (노인의 부양유형 선호와 영향요인)

  • 김혜연;김성희
    • Journal of the Korean Home Economics Association
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    • v.37 no.2
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    • pp.85-98
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    • 1999
  • The purpose of this study is to identify the preferences for care type among the elderly and to analyze contributing variables. The sample in this study are 485 elder people who are age 55 and over. The independent variables are divided into five factors according to their characteristics, and the dependent variables fall into two categories of private and public care types. The descriptive statistics and Logistic Regression method are employed for the analysis. The results can be summarized as follows. The elderly prefer individual care paid for by their own support to the other types like the care by children or institution. However, the elderly stiff like and expect family care by their children. The variables that haute affected the preferences of the care types among the elderly are whether they are employed or not, household's the amount of debt, whether they currently live with the oldest child, their level of self esteem and their degree of satisfaction in life. The results show that the elderly don't have various wants or alternatives to their care and regard public care as negative support for the financially incapable or the elderly who have no relatives.

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Nutritional Assessment of Patients Receiving Hospital-based Home Care Services (가정간호대상자의 영양상태 평가)

  • Kim, Kyoung-Rye;Kim, Mi-Ye;Kim, Gwang-Suk
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.99-105
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    • 2008
  • Purpose: We evaluated patient nutritional status in a home care setting. Method: We recruited 81 patients who received in-home care using a screening sheet. The level of nutrition-related serum marker (albumin) was checked via medical records and data analyzed using descriptive analysis, t-tests, and $X^2$-test. Results: Nutritional status varied according to the primary medical diagnosis. Poor nutritional status was significantly higher in cancer patients than in other diseases. Serum albumin levels were significantly lower in the malnutrition group than the good nutrition group. Conclusions: Nutrition screening can determine the nutritional status in home care patients. Home care nurse practitioners should consider nutritional status when assessing patient health.

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Quality of Pediatric Nursing Care: Concept Analysis (아동간호의 질에 대한 개념분석)

  • Choi, Mi-Young;Bang, Kyung-Sook
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.757-764
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    • 2010
  • Purpose: This paper is a report of a concept analysis of 'quality of pediatric nursing care', Methods: Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Results: Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.' Conclusion: 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

Adaptation of Evidence-based Surgical Wound Care Algorithm

  • Han, Jung-Yeon;ChoiKwon, Smi
    • Journal of Korean Academy of Nursing
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    • v.41 no.6
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    • pp.768-779
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    • 2011
  • Purpose: This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit. Methods: This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75. Results: A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ${\leq}$.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations. Conclusion: The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.

Effects of a Newborn Care Education Program on Newborn Care Confidence and Behavioral Accuracy of Primiparas in a Postpartum Care Center (신생아 돌보기 교육프로그램이 산후조리원 이용 초산모의 양육자신감과 양육행위 정확도에 미치는 효과)

  • Kim, Hyun-Kyung;Jeong, Ihn-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.125-134
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    • 2007
  • Purpose: The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Method: This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the $X^2-test$, Fisher's exact test, t-test and ANCOVA. Result: The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group. Conclusion: The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.

A Structural Equation Model of Terminal Care Performance for Long-term Care Hospital Nurses (요양병원 간호사의 임종간호수행 구조모형)

  • Lim, Gui Yeon;Choi, So Young
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.275-289
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    • 2023
  • Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

Comparison of Evaluation Methods for Disinfection Efficacy of Contact Lens Care Products (콘택트렌즈 관리용품의 살균력 효능 검사법 비교)

  • Sung, Hyung Kyung;Byun, Hyun Young;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.59-67
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    • 2014
  • Purpose: The present study was aimed to compare the results of disinfection efficacy tested by membrane filtration method with dilution-neutralization method to develop the standard methods for evaluating disinfection efficacy of contact lens care products and to provide the result of disinfection efficacy of commercially available contact lens care products in domestic market. Methods: The results of disinfection efficacy against Staphylococcus aureus, Pseudomonas aeruginosa, Serratia marcescens, Candida albicans evaluated by membrane filtration method as a FDA standard and dilution-neutralization method as newly being a KFDA standard were compared and the disinfection efficacy of 16 multi-purpose solutions was further evaluated. Results: The disinfectants and contact lens care products having strong disinfection efficacy showed same results in both membrane filtration method and dilution-neutralization method. In case of contact lens care products having weak disinfection efficacy, the number of micro-organisms was not able to count since the colony was aggregated when evaluated by membrane filtration method. However, the number of micro-organisms was able to exactly count when evaluated by dilution-neutralization method. In addition, some commercially available contact lens care products did not meet disinfection standard and especially, their disinfection effect was often weak against Serratia marcescen and Candida albicans. Conclusions: It is concluded that dilution-neutralization method will be useful to evaluate disinfection efficacy since it is possible to count micro-organisms more precisely even with small amount of sample and check the results faster compared with membrane filtration method.