• 제목/요약/키워드: pattern of care

검색결과 679건 처리시간 0.023초

문화간호를 위한 한국인의 민간 돌봄에 대한 연구 : 출생을 중심으로 (Study on Folk Caring in Korea for Cultural Nursing)

  • 고성희;조명옥;최영희;강신표
    • 대한간호학회지
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    • 제20권3호
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    • pp.430-458
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    • 1990
  • Care is a central concept of nursing. Nursing would not exist without caring. Care and quality of life are closely related. Human behavior is a manifestation of culture. We can say that caring and nursing care are expression of culture. The nurse must understand the relationship of culture with care for ensure quality nursing care. But knowledge of cultural factors in nursing is not well developed. Time and in - depth study are needed to find meaningful relationships between culture and care. Nurses recognized the importance of culturally appropriate nursing There are two care systems in culturally based nursing. The folk care system and the professional nursing care system. The folk care system existed long before the professional nursing care system was introduced into this culture. If the discrepancy between these two care systems is great, the client may receive inappropriate nursing care. Culture and subcaltures are diverse and dynamic in nature. Nurses need to know the caring behaviors, patterns, and their meaning in their own culture. In Korea we have taken some first step to study cultural nursing phenomena. It is not our intent necessarily to return to the past and develop a nationalistic of nursing, but to identify the core of traditional caring and relate that to professional nursing care. Our Assumptions are as follows : 1) Care is essential for human growth, well being and survial. 2) 7here are diverse and universal forma, expressions, patterns, and processes of human care that exist transcul - turally. 3) The behaviors and functions of caring differ according to the social structure of each culture. 4) Cultures have folk and professional care values, beliefs, and practices. To promote the quality of nursing care we must understand the folk care value, beliefs, and practices. We undertook this study to understand caring in our traditional culture. The Goals of this study were as follows : 1) To identify patterns in caring behavior, 2) To identify the structural components of caring, and 3) To understand the meaning and some principles of caring. We faised several questions in this study. Who is the care-giver? Who is the care-receipient? Was the woman the major care -giver at any time? What are the patterns in caring behavior? What art the priciples underlying the caring process? We used an interdisciplinary team approach, composed of representatives from nursing and anthropology, to contribute in -depth understanding of caring through a socicaltural perspeetive. A Field study was conducted in Ro-Bong, a small agricultural kinship village. The subjects were nine women and one man aged be or more years of age. Data were collected from january 15 to 21, 1990 through opem-ended in-depth interviews and observations. The interview focused on caring behaviors sorrounding birth, aging, death and child rearing. We analysed these data for meaning, pattern and priciples of caring. In this report we describe caring behaviors surrounding childbirth. The care-givers were primarily mothers- in -low, other women in the family older than the mother - to- be, older neighbor woman, husbands, and mothers of the mother-to- be. The care receivers were the mother-to-be the baby, and the immediate family as a component of kinship. Emerging caring behavior included praying, helping proscribing, giving moral advice(Deug - Dam), showing concern, instructing, protecting, making preparations, showing consideration, touching, trusting, encouraging, giving emotional comfort, being with, worrying about, being patient, preventing problems, showing by an example, looking after bringing up, taking care of postnatal health, streng thening the health condition, entering into another's feelings(empathizing), and sharing food, joy and sorrow The emerging caring component were affection, touching, nurtuing, teaching, praying, comforting, encouraging, sharing. empathizing, self - discipline, protecting, preparing, helping and compassion. Emerging principles of. caring were solidarity, heir- archzeal relationships, sex - role distinction. Caring during birth expresses the valve of life and reflects the valued traditional beliefs that human birth is given by god and a unique unifying family event reaching back to include the ancestors and foreward to later generations. In addition, We found positive and rational foundations for traditionl caring behaviors surrounding birth, these should not be stigmatized as inational or superstitious. The nurse appropriately adopts the rational and positive nature of traditional caring behaviors to promote the quality of nursing care.

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간호대학생의 자아탄력성 및 가족탄력성이 성공적 노화 인식에 미치는 영향 (Influence of Ego Resilience and Family Resilience on the Perception of Successful Aging in Nursing Students)

  • 양남영;송민선
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.278-287
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    • 2019
  • Purpose: This study aims to examine the relationship between ego resilience, family resilience, and the perception of successful aging in nursing students; additionally, specific factors relating to the perception of successful aging were identified. Methods: The participants comprised 154 nursing students. Data were collected through the administration of self-reported questionnaires. Data analysis was then performed utilizing a t-test, an ANOVA, Pearson's correlation coefficients, and a multiple regression analysis. Results: Family resilience differed significantly based on the type of residence (p=.020) (i.e., living with grandparents (p=.048)). Perception of successful aging differed significantly based on grade (p<.001). The perception of successful aging showed a positive correlation relative to mode of communication and organizational pattern. The mode of communication accounted for 4.7% of perception of successful aging. Conclusion: The significance of the study on the importance of mode of communication was confirmed by identifying the effects of the perception of successful aging. Nursing students may actively cope with crises through communication; thus, successfully recognizing aging in order to lead a healthy life. Furthermore, having a high perception of successful aging while treating an increasing number of elderly patients at the clinical practice is believed to have a positive effect on patient care.

Reality of Kawasaki disease epidemiology

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • 제62권8호
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    • pp.292-296
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    • 2019
  • Epidemiologic studies of Kawasaki disease (KD) have shown a new pattern or change of its occurrence suggestive of its pathophysiology or risk factors from the first patient with KD reported in 1961. The incidence of KD in Northeast Asian countries including Japan, South Korea, China, and Taiwan is 10-30 times higher than that in the United States and Europe. Knowing the true epidemiology of KD in each country and the availability of publications of KD epidemiology also could benefit general health care providers and general population. This would enable the early detection and treatment of KD, ultimately reducing the incidence of coronary artery complications and mortality. Therefore, efforts to investigate the true epidemiology of KD should be continued in every country using a questionnaire survey, National Health Insurance system data, or combined methods depending on each country's medical environment to ensure high-quality care of patients with KD.

종합병원 병동부의 복도공간에 관한 건축계획적 연구 (A Study on the Architectural Planning of Corridor Space on the Ward in General Hospitals)

  • 박창우;김길채;김광문
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제3권4호
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    • pp.17-26
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    • 1997
  • The construction of the health care facilities in terms of medical institutional source cost much and affect on management of another sources like staffs for the health care delivery systems and the medical service. For it is hard to change the physical component of the facilities, the reasonability and the efficiency of the facilities should be the major considering point. Consequently, the purpose of this study is to represent the basic data for determining the size and type of corridor space in ward by investigating the design pattern of existing facilities and analyzing several model according to corridor type.

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생명정보학과 유전체의학 (Bioinformatics and Genomic Medicine)

  • 김주한
    • Journal of Preventive Medicine and Public Health
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    • 제35권2호
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    • pp.83-91
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    • 2002
  • Bioinformatics is a rapidly emerging field of biomedical research. A flood of large-scale genomic and postgenomic data means that many of the challenges in biomedical research are now challenges in computational sciences. Clinical informatics has long developed methodologies to improve biomedical research and clinical care by integrating experimental and clinical information systems. The informatics revolutions both in bioinformatics and clinical informatics will eventually change the current practice of medicine, including diagnostics, therapeutics, and prognostics. Postgenome informatics, powered by high throughput technologies and genomic-scale databases, is likely to transform our biomedical understanding forever much the same way that biochemistry did a generation ago. The paper describes how these technologies will impact biomedical research and clinical care, emphasizing recent advances in biochip-based functional genomics and proteomics. Basic data preprocessing with normalization, primary pattern analysis, and machine learning algorithms will be presented. Use of integrated biochip informatics technologies, text mining of factual and literature databases, and integrated management of biomolecular databases will be discussed. Each step will be given with real examples in the context of clinical relevance. Issues of linking molecular genotype and clinical phenotype information will be discussed.

한복생산 분야의 국가직무능력표준 개발에 관한 연구 (The Study on NCS Development for the Production of Hanbok)

  • 서승희;김정숙
    • 복식
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    • 제65권2호
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    • pp.62-74
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    • 2015
  • The purpose of this research is to analyse the process of development and verification of 'National Competency Standards' of Hanbok production, which was carried out in 2013 for the fashion industry. As the result of this research, the definition of the duty in Hanbok production is 'to conduct a series of step-by-step processes of planning and developing fabric and design, then making pattern, cutting fabric and sewing.' The competency unit for Hanbok production is analyzed in 10 categories: analysis of market trends, design plan, production and manipulation of fabric, production process plan, sample making, pattern making, cutting out, sewing, finishing sewing, inspection of the product quality. Competency unit elements of each competency unit are as follows. 1) analysis of market trends: to research market trend resources, to analyse consumers' buying trend, to analyse industry changes, 2) design plan: to develop design, to plan fabrication, to draw flats, 3) production and manipulation of fabric: to develop fabric planning, to prepare fabric manipulation, to conduct fabric manipulation, 4) production process plan: to grasp design, to plan sewing method, to prepare a specification sheet, 5) sample making: to make a sample pattern, to cut sample fabrics, to sew sample, to finish sample making, 6) pattern making: to measure body, to make production pattern, to adjust production pattern, 7) cutting out: to care fabrics, to lay out patterns, to cut out fabrics, 8) sewing: to sew a garment, to sew a lining, to attach a lining, 9) finishing sewing: to neaten edges, to attach trims, to press to finish, 10) inspection of the product quality: to confirm correspondence with the specification sheet, to inspect appearance.

한국 HIV 감염인의 치료 순응경험 (Experience of Treatment Adherence in Korean Patients with HIV)

  • 박윤희;서민정;김상희;박순영
    • 대한간호학회지
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    • 제44권4호
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    • pp.407-417
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    • 2014
  • Purpose: The purpose of this study was to explore the subjective experience of Highly active Antiretroviral therapy (HAART) adherence in Korean patients with HIV. Methods: A phenomenological methodology was used for the study. Data were collected from March to December, 2013 using open-ended questions during in-depth interviews. Participants were taking HAART for HIV, and were contacted through purposive techniques. Results: Four men and 4 women whose average treatment period was 5.9 years participated in this study. Seven themes emerged from the analysis using Colazzi's method: (a) Seizing life in a deep sense of despair, (b) Struggling with medication, (c) Facing harsh treatment from health care providers, (d) Spoiling healthy pattern, (e) Hungering for communication and emotional support, (f) Turning to accepting HIV, (g) Becoming adherent to HIV treatment. Conclusion: Prejudice from health care providers and lack of emotional support were barriers to HAART in Korea. Intervention strategies are needed to decrease prejudices from health care providers and to increase family support.

거동 불편 노인의 가족관계와 의.식생활에 관한 연구 -(제2보) 거동 불편 노인의 가족 관계 및 지지 실태 연구- (Studies on Family Caregiving, Clothing and Nutrition of Disabled Elderly -(Part 2) Family Relationship and Caregiving of Disabled Elderly-)

  • 박충선
    • 대한가정학회지
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    • 제29권3호
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    • pp.71-83
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    • 1991
  • This study examines a pattern of family caregiving and its effect on life satisfaction of disabled elderly people. Data were gathered through the use of face-to-face interview method from a sample of 135 elderly aged over 60. One-third of the elderly respondents have no family caregiver. Most of caregivers provide routine household chores and physical help, but persnal care such as bathing and changing clothes was taken by elderly people themselves. The caregiver in an elderly couple is most likely the wife. When a spouse is unavailable, daughters-in law usually assume the role of a primary caregiver. Sex difference has been found in the most comfortable caregiver for the elderly. The most comfortable caregiver for the elderly men is shown to be their spouse, whereas the one for the elderly women is show to be their daughter-in-law. Most of the disabled elderly are emotionally dependent on their son(usually their eldest son), but physically dependent on their spouse, daughter-in-law, or daughter. The caregivers are dominated by women. Among those elderly receiving care from their children, the relationship between the aged their caregiver is found to be closer than the past when the aged were healthy: however, this relationship is found to be almost the same as the past among those elderly receiving care from their spouse. Finally, the degree of family solidarity, satisfaction with received cares, and the relationship with caregivers are found to be closely related to life satisfaction of the elderly respondents.

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지역에 따른 의료이용의 차이 분석 (An Analysis Of The Differences In Medical Use By Region)

  • 서우순;김재현;이옥희
    • 한국병원경영학회지
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    • 제25권1호
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    • pp.13-20
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    • 2020
  • Purposes: This study has the purpose to the improvement of health promotion for local residents through delivery of high-quality medical service by improving imbalance of medical use and seeking an improvement plan for accessibility of effective medical service by understanding the pattern of medical use by region. Methodology: As for the method, this study derived results at the significance level of p<0.05 through chi square test(χ2 test) and Generalized Estimating Equation(GEE) SAS 9.4 version by using the data of the 7th Korean Longitudinal Study of Ageing 2018. Findings: Study results show that local residents use medical service such as hospitalization care and outpatient visit more as compared to the residents in Gyeonggi-do/large or medium-sized cities. The more the number of chronic disease, the more they select hospitalization care rather than outpatient visit. Results also show that patients engaged in labour tend to select outpatient treatment rather than hospitalization treatment. Meanwhile, severity of disease turned out to be higher amongst medical care beneficiaries than that of national health insurance patients when comparing the types of medical security. Practical Implications: In stead of solving the problem of the difference in medical use by region from the aspect of income and economic level, an integrative solution shall be provided putting viewpoint on the social phenomenon suited to the changes of the times. This study suggests a plan for using a health and medical community care center that acts as a gate keeper of regional medical service.