This study was to compare the functional status. complication and readmission rates. and client satisfaction with nursing care of home-based care and hospital-based care for clients with Coronary Artery Bypass Graft. Raw data were collected by interviewing and reviewing charts of 41 clients with Coronary Artery Bypass Graft between June 2001 and July 2002 at an university hospital located in Seoul. Korea. Out of 41 clients. 15 were in home care group and 26 were in hospitalization group. The baseline characteristics of the groups were almost identical. Mean age was 61.7 and 75.6% of clients being male. For home care group. the data collection was made at discharge and at termination of home care. and for hospitalization group. at discharge and at the first visit of outpatient department. Complication and readmission rates were investigated at one month after operation. Collected data were then analysed by conducting Chi-square test. Wilcoxon rank sum test. and Wilcoxon signed ranks test with SPSS program. The level of significance was .05. The results of the study are summarized as follows: 1. Postoperative length of stay of the home care group was shorter than that of hospitalization group by 1. 14 days(8.45 days vs. 9.59 days). On average. 1.8 home visits per client were observed. 2. The functional status (Barthel Index) at the termination of home care was significantly increased from that at discharge. For hospitalization group. a significant increase was observed between the functional status at the discharge and that at the first visit of outpatient department. The differencies in incremental of the scores. between the groups. were however not significant. 3. Complication and readmission rates; no statistically significant difference between the groups was observed. 4. The client satisfaction with nursing care (CSS) at termination of home care was significantly higher than that at hospital discharge. In conclusion. the outcomes of the analysis suggest that the home care benefits clients with Coronary Artery Bypass Graft. Client satisfaction with nursing care rises at termination of home care as compare to that measured at hospital discharge. Meanwhile. there was no significant differences in functional status. and complication and readmission rates. Further. home care reduced the length of stay in hospital.
The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.
Purpose: The aim of this study was to compare the activities of daily living, mental status, and life satisfaction of elderly persons living in home with those in institutions and to investigate the factors influencing life satisfaction and mental health. Methods: Data was collected through interview with persons over 60 years of age in a nursing home and in a community elderly center in Daegu City and Kyoungsang buk-do. Subjects were included 32 persons in the nursing home and 41 persons in the community elderly center. Data collection was undertaken 11 - 22 September 2007. Results: Elderly persons living at home showed higher dependency in instrumental activities of daily living, lower cognitive function, higher depression, and higher life satisfaction than elderly persons living in institution. The two groups were significantly different in this regard. Conclusion: As the age of the general population advances, we must prioritize quality of life in elderly persons by undertaking depression prevention through various means.
Purpose: This study was aimed to investigate direct care stress and job satisfaction in home care nurses. Method: Subjects were 139 home care nurses of hospitals in urban cities. Data was collected by a self report questionnaire. Direct care stress was measured by Community Health Nurses Perceptions of Work-Related Stressors Questionnaire. Job satisfaction was measured by a visual analogue scale. Results: The average score of direct care stress was 60.4. There were significantly high direct care stress in those who had less than that 3 years experience than in their counterparts. The average score of job satisfaction was 79.5. There were significant high job satisfaction in those who willingly chose to work. Direct care stress negatively correlated with the length of office experience of the home care nurse. Conclusion: A direct care educational program should be developed for those who have less than 3 years experience to decrease their stress level.
The purpose of this study was to investigate the effects of personal, family, and job characteristics on married male postal delivery workers' overall life satisfaction. For this purpose, we surveyed 263 married male postal delivery workers between October 1st to 21st, 2008, and analyzed the data with multiple regression analysis. The results of this study were as follows: First, postal workers earned a low level of income, and their quality of health was not good relative to their age. They had severe work-family conflict, but could support and communicate with colleagues well. Second, even though they felt little opportunities and difficulties in lives, they moderately satisfied with everyday lives. Third, 43% of their satisfaction was explained by personal, family, and job related variables. Levels of workfamily conflict (${\beta}=-.31^{***}$), work support with colleagues (${\beta}=.25^{***}$), family sharing time (${\beta}=.14^*$), and health (${\beta}=.12^*$) were especially important variables affecting their satisfaction.
This study examined the effect of homeownership and homeownership desirability on residential satisfaction. By using the '2016 Korea Housing Survey', we categorized households into four types: 1) those who own a home with homeownership desirability; 2) those who own a home without homeownership desirability; 3) those who do not own a home with homeownership desirability; and 4) those who do not own a home without homeownership desirability. The study area is the whole country and the sample size is 19,219. By running t-test analyses and multiple regression analyses, we found that the level of residential satisfaction and the influences of factors affecting residential satisfaction differ among the four types. In particular, the results shows that homeownership desirability can lead to differences in factors affecting residential satisfaction. This study is limited by not analyzing homeownership desirability more systemically and not using physical data for residential environment. Nevertheless, this study provides insights on designing housing policy to consider homeownership desirability.
The study attempts to explore factors which affect life satisfaction of the elderly, and thereby to identify the most efficient strategy to enhance their happiness and satisfaction with life by means of a family support system. Previous research suggests that the family is the main origin from which emotional and ecionomic satisfacton of the aged evolves, and satisfaction is facilitated by societal assistance for the family to financially support old persons. These theoretical antecedents are incorporated into a causal model for empirical verificatio. To this end, interviews were conducted in Seoul with 300 individuals who are 60 years old or over. The major findings of this study support the theoretical assertions of previous studies. They are summarized as follows : 1. Family solidarity is highly correlated with life satisfaction of the elderly. 2. Family solidarity is raised by the intensity of their social association, satisfaction with housing, and financial resources. 3. Eduation, income and marital status as exogenous variables do not directly affect life satisfaction and family solidarity, despite their strong overall correlation. Casual effects of each variable are linked to family solidarity and then to life satisfaction through a family support system for the elderly.
The purpose of this study was to explore the well-being attitude and use the expectation-disconfirmation model to assess consumer satisfaction with well-being products. The consumer expectations, performance and disconfirmation scales were composed of 7 items of 5-likert scales. Consumer satisfaction with well-being products was measured with one-item-measurement scale. The results of this study are as follows. 1. The well-being attitude consists of 4 factors. : consumption of the well-being products, pursuit of mental well-being, criticism of commercial fashion, and pursuit of harmony with natural life. 2. Well-being attitude influences the consumers' expectation, performance, and satisfaction with well-being products. 3. Consumer expectation for well-being products has no influence on satisfaction, but performance and disconfirmation have a high degree of influence on satisfaction.
The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).
The purpose of this study is to investigate that how much do middle and high school students feel stress and life satisfaction in usual life : how much do stress affect their life satisfaction : and which variables affect their stress and life satisfaction. The samples are 235 middle and high school students in Kangneung, The results of this study are summarized as belows; First. In the case of student’s stress, it is perceived that the degree of school life stress is higher than that of family life stress. And the level of family life satisfaction is higher than that the level of school life satisfaction. Second. the students who perceived a lower level of stress showed the higher life satisfaction. The family life stress is a more influential variable than school life stress to life satisfaction Third, the variables that affect the student’s life satisfaction are sex, the school achievement, the perception on the level of living, communication with the family. the relationship with the teacher and the family life stress. These variables account for about 58.8% of the variance of the student’s life satisfaction.
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