• Title/Summary/Keyword: tailored care

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The Effect of Tailored Health Care Program Based on Sasang Constitution for Vietnamese (사상체질에 기반한 베트남 맞춤형 건강관리 프로그램 효과)

  • Kwon, Ji-Hye;Kim, Yun-Young;Park, Ki-Hyun;Lee, Si-Woo;Yoo, Jong-Hyang
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.2
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    • pp.98-107
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    • 2013
  • Objectives This study aimed to develop the tailored health care program based on Sasang constitution for Vietnamese and evaluate the effect of them. Methods This research was executed from Sep. $1^{st}$ 2012 to Nov. $30^{th}$ 2012 in Vietnam Hanoi National Hospital of Traditional Medicine. All of 50 vietnamese subjects participated in the tailored health care program for 8 weeks after constitutional diagnosis. During the applicable period of the 8 weeks program, follow-up visits was conducted after 1 week, 4 week, and 8 week from the first visit, and Quality of life, Anxiety, Fatigue and Sleep Quality were measured. Results The tailored Health Care Program was applied to the subjects for eight weeks. The quality of life scores of Physical Functioning (p=0.006), Pain (p=0.003) and Physical Component Score (p=0.009) were significantly increased, and the sleep quality of subjects was improved after the tailored health care program is applied. Conclusions The tailored health care program based on Sasang constitution affected to some items about the quality of life and sleep quality of the subjects. however, this result can not be generalized to all Vietnamese, and various follow-up studies are needed.

The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care (맞춤형 당뇨교육이 인슐린요법을 하는 제2형 당뇨환자의 혈당조절과 자가간호에 미치는 효과)

  • Hyun, Kyung-Sun;Kim, Kwnag-Mi;Jang, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.720-730
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    • 2009
  • Purpose: The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and self-care for patients with type 2 diabetes on insulin therapy. Methods: The participants were 60 patients (experimental group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group diabetic education only was given to the control group. Data were collected before and three months after the education. $X^2$ test, t-test, and ANCOVA were used to analyze the data. Results: No significant differences in postprandial (PP2hrs) glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to those in the control group. Conclusion: The results indicate that tailored education for patients with diabetes on insulin therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored education can be applied in diabetic education to improve self-care.

Current Barriers of Obesity Management of Children Using Community Child Care Centers and Potential Possibility of Utilizing Mobile Phones: A Qualitative Study for Children and Caregivers (지역아동센터 이용 어린이의 비만관리의 한계점과 모바일폰의 잠재적인 활용 가능성: 어린이와 보호자 대상의 질적 연구)

  • Lee, Bo Young;Park, Mi-Young;Kim, Kirang;Shim, Jea Eun;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.25 no.3
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    • pp.189-203
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    • 2020
  • Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification (재가 치매가족의 휴식 돌봄: 개념명료화)

  • Chang, Sung-Ok;Song, Mi-Ryeong;Kong, Gye-Soon;Choen, Suk-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.23-34
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    • 2012
  • Purpose: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. Method: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. Results: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.

The Effect of Tailored Occupational Intervention on the Elderly with Mild Dementia using the Day Care Center (주간보호센터 이용 경도 치매노인에게 적용한 맞춤형 작업 중재의 효과)

  • Lee, Chun-Yeop;Kim, Ji-Hoon;Kim, Hee-Jung;Hong, Ki-Hoon;Jung, Hye-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.25-36
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    • 2020
  • Objective : This study identified the effect of tailored occupational intervention applied to the elderly with mild dementia using the day care center. Methods : This study applied the single-group experimental design to 29 elderly with mild dementia who use the day care center in B area, and conducted a total of 10 sessions once a week, 60 minutes. Intervention consisted largely of group activities and individual activities, and individual activities were conducted one-on-one with various activities necessary to select occupational goals and achieve the goals through consultation between the elderly with mild dementia and the person in charge. The effects of tailored occupational intervention were confirmed through CERAD, BBS, and GDS. Results : Significant differences were shown in the total score of MMSE-KC, time orientation, attention, constructional praxis delayed recall, and trail making test B in the cognitive function changes, and standing to sitting, standing unsupported with eyes closed of BBS in the physical function changes, and in the GDS score in the depression changes (p<.05). Conclusion : Tailored occupational intervention has been shown to be effective in improving cognitive and physical functions of the elderly with mild dementia and reducing depression. This provided a basis for proposing a tailored occupational intervention as an intervention that can be applied to the elderly with mild dementia.

Development of Health Assessment Tools and Tailored Home Visiting Nursing Service Model for Children in Poverty (신생아-학령전기 대상자의 맞춤형 방문건강관리 기록지 및 모형 개발)

  • Kim, Hee-Ja;Yoo, Jae-Soon;Kim, Hyun-Sook;Tak, Yang-Ju;Bang, Kyung-Sook;Huh, Bo-Yun
    • Korean Parent-Child Health Journal
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    • v.13 no.2
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    • pp.63-77
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    • 2010
  • Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.

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Mediating Effects of Perceptions Regarding the Importance of Patient Safety Management on the Relationship between Incident Reporting Attitudes and Patient Safety Care Activities for Nurses in Small- and Medium-sized General Hospitals (중소병원 간호사의 사건보고태도와 환자안전간호활동의 관계에서 환자안전관리 중요성 인식의 매개효과)

  • Park, Young Mi;Nam, Keum Hee;Kang, Ki Noh;Nam, Jeong Ja;Yun, Yeon Ok
    • Journal of Korean Critical Care Nursing
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    • v.12 no.2
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    • pp.85-96
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    • 2019
  • Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

Factors Influencing Geriatric Nursing Performance among Clinical Nurses (임상간호사의 노인간호수행에 영향을 미치는 요인)

  • Hong, Ye Ji;Lee, Youngjin;Bae, Sun Hyoung;Kang, Minkyung
    • Journal of Home Health Care Nursing
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    • v.31 no.1
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    • pp.89-98
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    • 2024
  • Purpose: This descriptive research study is intended to develop practical strategies for enhancing the quality of elderly care by evaluating the levels of ageism and compassion competence among clinical nurses and their impact on geriatric nursing performance. Methods: This study involved 162 nurses who provided direct care to elderly patients in a department with many such patients. Of the 161 returned questionnaires, 150 were analyzed, excluding 11 that had insincere or missing responses. To analyze the data, a comprehensive approach was employed using the IBM SPSS 27.0 program that included calculations of frequency and percentage, mean, and standard deviation, as well as more complex statistical tests such as the independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical linear regression analysis. Results: Compassion competence was significantly positively correlated with elderly care and negatively correlated with ageism. This study conclusively demonstrates that compassion competence among nurses in geriatric nursing situations plays a crucial role in provision of quality nursing grounded in understanding and respect for the elderly. Consequently, it is imperative to develop educational strategies tailored to each career stage of nursing practice to further enhance effective elderly care. Conclusion: This study conclusively demonstrates that compassion competence in geriatric nursing situations plays a crucial role in provision of quality nursing grounded in understanding and respect for the elderly. Consequently, it is imperative to develop educational strategies tailored to each career stage of nursing practice to further enhance effective elderly care.

Factors Affecting the Safety Care Practice of Childcare Teachers

  • Hyun Ye, Lee;Ju Young, Hong;Eun Young, Jung
    • International Journal of Advanced Culture Technology
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    • v.10 no.4
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    • pp.160-167
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    • 2022
  • In this study, an attempt was made to provide basic data for the development of programs that can improve safety care practices in the future by identifying factors that influence childcare teachers' safety care practices. 134 childcare teachers participated, and the survey results were analyzed using SPSS WIN 21.0 statistical program. As a result of this study, there was a significant positive correlation between safety knowledge and attitude. There was no significant correlation with knowledge and safety care practices. It was found that safety attitude had a significant positive correlation with safety care practice.. The factor influencing safety care practice was attitude toward safety, and the explanatory power of the model was 46.1%. In order to improve the level of safety care practices of childcare teachers, a program that can be practically utilized through customized education tailored to the needs of childcare teachers and each field rather than simply imparting knowledge is absolutely essential.

A Development of a Tailored Follow up Management Model Using the Data Mining Technique on Hypertension (데이터마이닝 기법을 활용한 맞춤형 고혈압 사후관리 모형 개발)

  • Park, Il-Su;Yong, Wang-Sik;Kim, Yu-Mi;Kang, Sung-Hong;Han, Jun-Tae
    • The Korean Journal of Applied Statistics
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    • v.21 no.4
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    • pp.639-647
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    • 2008
  • This study used the characteristics of the knowledge discovery and data mining algorithms to develop tailored hypertension follow up management model - hypertension care predictive model and hypertension care compliance segmentation model - for hypertension management using the Korea National Health Insurance Corporation database(the insureds’ screening and health care benefit data). This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and ensemble technique. On the basis of internal and external validation, it was found that the model performance of logistic regression method was the best among the above three techniques on hypertension care predictive model and hypertension care compliance segmentation model was developed by Decision tree analysis. This study produced several factors affecting the outbreak of hypertension using screening. It is considered to be a contributing factor towards the nation’s building of a Hypertension follow up Management System in the near future by bringing forth representative results on the rise and care of hypertension.