11 research outputs found
The Relations between children`s prosocial moral reasoning, prosocial decision-making, and mothers` prosocial moral reasoning depending on the characteristics of tasks
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Evaluation of the case management utilizing the customized home health care program for the patients with hypertension
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λ‘€κ³Ό BMIλ μ½κ° κ°μνμμΌλ ν΅κ³μ μΌλ‘ μ μνμ§ μμλ€.3. λμμμ κ±΄κ° νμλ³νλ μ¬λ‘κ΄λ¦¬ ν κ³ νμ ν¬μ½ μ΄νμ¨μ ν΅κ³μ μΌλ‘ μ μνκ² μ¦κ°νμλ€(t=10.47, p=.000, t=10.04, p=.000). νμ¬ ν‘μ°μ¨μ κ°μνμμΌλ©°, λΉν‘μ°μλ μ μνκ² μ¦κ°νμκ³ (x2paired=5.04, p=.023), ν‘μ°λ λν λ§€μ° μ μνκ² κ°μνμλ€(t=4.79, p=.000). μνκ· μμ£Όνμλ μ μνκ² κ°μνμλ€(t=2.44, p=.000). μ 체νλκ³Ό μ΄λ νλͺ©μμ κ·μΉμ μ΄λ μΌ μ λν μ μνκ² μ¦κ°νμλ€(t=4.8, p=.000). μμκ΄λ¦¬μ λν μ μλ μ μνκ² μ¦κ° νμΌλ©°(t=12.87, p=.000), κ° νλͺ© λͺ¨λ μ μνκ² μμκ΄λ¦¬ μνκ° νΈμ μ 보μλ€. μμ£Όμ¨μ μμ£Όμκ° κ°μνκ³ λΉμμ£Όμλ μ¦κ°νμμΌλ ν΅κ³μ μΌλ‘ μ μνμ§ μμκ³ , μ€λ±λ μ 체νλμ μ€μ²νλ μ¬λμ μ¦κ°νμΌλ ν΅κ³μ μΌλ‘ μ μνμ§ μμλ€.4. μ¬λ‘κ΄λ¦¬ ν κ³ νμμ λν μ§μμ μ μνκ² ν₯μλμμΌλ©°(t=18.81, p=.000), λν κ° νλͺ©λ³ λΆμμμλ λͺ¨λ νλͺ©μμ μ¬λ‘κ΄λ¦¬ ν μ λ΅λ₯ μ΄ μ¦κ°νμμΌλ©° ν΅κ³νμ μΌλ‘ μ μνμλ€.μ΄μμ κ²°κ³Όμμμ κ°μ΄ 2007 λ§μΆ€ν건κ°κ΄λ¦¬μ¬μ
μΌλ‘ μνλ κ³ νμ 8μ£Ό μ¬λ‘κ΄λ¦¬λ λμμμ μ 체?μ리μ μμ€μ ν₯μμν€κ³ 건κ°νμμ κΈμ μ λ³νλ₯Ό κ°μ ΈμμΌλ©° κ³ νμμ λν μ§μμ΄ ν₯μλμμμ μ μ μλ€.
[μλ¬Έ]The purpose of this study was to evaluate the case management utilizing the customized home health care program for the patients with hypertension in community.Secondary data of the first and 8th home visit records were extracted from 70 Public Health Centers in Kyeonggi Province and Seoul. The subjects were 357 elderly people who received the case management utilizing the customized home health care program for the patients with hypertension. Systolic and diastolic blood pressure, total cholesterol, triglyceride, HDL, LDL, abdomen circumference, body weight, BMI, health behaviors and knowledge of hypertension were measured.The study results are as follows;1. This sample had a mean age of 73years, 68.3% were female. 73% were ele-mentary school graduates and 82.6% were at poor financial status without jobs.2. Systolic blood pressure and diastolic blood pressure were decreased signifi-cantly (t=8.07, p=.000, t=17.48, p=.000). Total cholesterol, triglyceride, low density cholesterol were decreased significantly (t=5.00, p=.000, t=3.09, p=.001, t=3.09, p=.002). High density cholesterol and body mass index were also decreased with no significant differences.3. Health behaviors had improved significantly. Compliance rate of medication was significantly increased (t=10.47, p=.000, t=10.04, p=.000). Current smoking behaviors were also significantly improved (x2paired =5.04, p=.023, t=4.79, p=.000). Drinking frequency was significantly decreased (t=2.44, p=.000). The rate of regular exercise was also significantly increased (t=4.8, p=.000). Nutrition management scores were significant increased (t=12.87, p=.000). The number of drinkers was decreased, nondrinker was also increased but, there were no significant differences.Moderate activity was increased but, there were no significant differences.4. The knowledge of hypertension had significantly improved (t=18.81, p=.000).As a result, the case management utilizing the customized home health care program for the patients with hypertension in community made blood pressure, total cholesterol, triglyceride and LDL decreased and contributed to change the health behaviors positively. The knowledge of hypertension was also improved.prohibitio
Satisfaction with care among patients in geriatric hospitals and nursing homes since the implementation of the
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[μλ¬Έ]Many elderly people are hospitalized in geriatric hospitals or nursing homes because they feel it difficult to live their everyday life alone due to diseases or for other reasons. The purpose of this study was to compare users' satisfaction between these two facilities and determine the factors affecting their satisfaction. For this purpose, the researcher sampled 136 elderly users of 3 geriatric hospitals and 2 nursing homes near Seoul and Busan and thereby, conducted a structured questionnaire survey for 2 weeks from October 15 through 28, 2008. The questionnaire was designed to survey elderly users' demographic variables, background of their choices between hospitals and nursing homes and their satisfaction with the facilities.
The results of this study can be summarized as follows;
First, as a result of chi-square test for elderly users' demographic variables and background of their choices, the two elderly groups differed significantly in terms of 'rating of the elderly long-term care insurance' and 'benefits from the insurance'.
Second, 78.1% of the geriatric hospital users and 77.5% of the nursing home users answered that they were satisfied with their facilities in overall terms.
Third, as a result of analyzing the satisfaction by factor, it was found that users of the geriatric hospitals were more satisfied than those of the nursing homes. As a result of the t-test for the average values of the two types of the facilities, it was found that the factor 3 'physical exposure and respect of users' were significantly different at the geriatric hospital (p=0.007).
Fourth, as a result of the multiple regression analysis, only three factors of satisfaction out of five ones were significant. In terms of 'satisfaction with facilities and environmental factors', the satisfaction was affected by whether a paid tender was present or not and by the types of the former facilities. In terms of 'satisfaction with the service factors', the satisfaction was affected by the palsy among the current diseases, and in terms of 'satisfaction with respect of users', the satisfaction was affected by types of the facilities available and frequency of their family members' visit.
As discussed above, geriatric hospital and nursing home users were more satisfied with their facilities since July, 2008 when the national long-term care insurance system began to be operated, while both groups differed significantly in terms of recognition of the system and benefit therefrom. As a result of comparing the satisfaction between two groups, users of the geriatric special hospitals were more satisfied in terms of average overall satisfaction and particularly 'respect of users'. And their satisfaction was affected by 'frequency of family members' visits,' 'types of the facilities available,' 'types of diseases' and 'former facilities.' It is deemed that the data provided for by this study about problems of and satisfaction with the national long-term care insurance system would be useful to future studies about assessment of the service quality of the geriatric medical facilities.
This study may well have been limited because it sampled a small number of the elderly patients in certain regions (Seoul and Busan). Moreover, since the number of users between geriatric hospitals and nursing homes differed greatly and since respondents were mixed between elderly patients and their guardians, the results of this study may not well be generalized as far as the comparison between two types of facilities and between their user groups is concerned. Hence, it is hoped that this study will be followed up by future studies which will use a long-term observation and a larger sample, differentiating the respondentsope