• Title/Summary/Keyword: Customized home visiting

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Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services (맞춤형 방문건강관리 대상 노인의 우울 및 삶의 질 영향요인)

  • Kwon, Yun-Hee;Kim, Chung-Nam;Kwag, Oh-Gye
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.262-271
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    • 2011
  • Purpose: The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services. Methods: A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0. Results: Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL. Conclusion: The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.

Customized Home Visiting Nurses' Experiences in Telephone Visiting (맞춤형방문간호사의 전화 방문 경험)

  • Kang, Young-Sil;Ha, Yeong-Mi;Eun, Young
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.223-233
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    • 2011
  • Purpose: The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting. Methods: Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes. Results: The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring. Conclusion: Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.

The Relationship of Functional Health Status, Satisfaction of Customized Home Visiting Health Service, and Quality of Life in Vulnerable Elderly (취약계층 재가노인의 기능적 건강상태와 맞춤형 방문건강관리 서비스 만족도 및 삶의 질과의 관계)

  • Park, Yeong-Sook;Lee, Haw-Yean;Kwon, Yun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5071-5078
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    • 2011
  • This study attempted to identify the relationship of functional health status, satisfaction of customized home visiting health service, and quality of life in vulnerable elderly. This research people 399 total in the object. Data gathering period was from June to September of 2010 and measurement tool used for this study was the house visiting health service recording sheet, recommended by the Ministry of Health and Welfare. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients with SPSS/WIN 17.0 version. Functional health status and satisfaction of customized home visiting health service positively correlated with quality of life. Functional health status not correlated with satisfaction of customized home visiting health service. Results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects.

An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center (보건소 방문간호사의 일반적인 특성에 따른 방문건강관리 서비스 수행도 분석)

  • Park, Jeong Sook;Oh, Yun Jung
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.381-393
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    • 2014
  • The purpose of this research was to analyze the work performance and the general characteristics influencing work performance of customized home health care nurse. Research participants were 204 nurses who worked in the customized home health care of 33 public health centers in Daegu city and Gyeong-Buk Province. The data were collected by self report questionnaires from July, 1 to August, 30, 2011. The highest degree of work performance was the diabetes mellitus service, while the lowest degree was pregnant women services. Age, marital status, education level, religion, career at public health center, visiting nurses career and work area were the significant factors related to work performance in these subjects. Customized home health care nurses management policy which includes assignment tasks and employment security considering general characteristics of visiting nurses should be established to enhance of activation and stable settlement of customized home health care service.

Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism (자원봉사 연계 유무에 따른 방문보건 노인대상자의 건강상태, 삶의 질 및 맞춤형 방문건강관리서비스 만족도)

  • Park, Ji-Eun;Kim, Chung-Nam;Kwon, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.448-457
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    • 2010
  • Purpose: This study attempted to identify differences in elders' health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism. Methods: A total of 400 subjects participated in this research. Data were collected from May to August of 2009 and the measurement tool used for this study was the house visiting health service recording sheet recommended by the Ministry of Health. Results: According to the results of this research on elders' health status in customized home visiting health service depending on connection to volunteerism, elders' connected to volunteerism positively showed a high level in functional health status areas such as daily life performance ability, instrumental daily life performance ability and Joint exercise capacity, and in the quality of life area. Conclusion: The results of this study can be utilized as complementary information when resources and networks are used for the effective management of house visiting health service subjects.

A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province (사회계층에 따른 영유아 맞춤형 방문건강관리사업 요구도)

  • Kim, Hee-Ja;Bang, Kyung-Sook;Yoo, Jae-Soon;Kim, Hyun-Sook;Tak, Yang-Ju;Huh, Bo-Yun
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.212-222
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    • 2011
  • Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

The Effect of Case Management for Clients with Hypertension.DM Registered in Customized Home Visiting Health Care Services (일 지역 맞춤형 방문건강관리사업의 고혈압.당뇨병 사례관리 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.135-150
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    • 2010
  • Purpose: To analyze the effects of customized home visiting health services on the health and health behaviors of clients with hypertension (n=107) and diabetes mellitus (DM: n=67). Methods: A one group pre and post-test research design was used. The subjects were registered in a customized 8-week, interventional, home visiting health services available in Daegu. Data was collected from November 17, 2008 to January 23, 2009. Analyses involved descriptive statistics, $x^2$ test and paired t-test. Result: Hypertension control rate was improved 25.2% and DM control rate was improved 3.0%. There were significantly beneficial hypertension-related differences in BP, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise, diet, BP monitoring and medication. Significantly beneficial DM-related changes included glucose, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise and glucose monitoring. But there were no significant hypertension-related differences in health belief (barrier) and health behavior including drinking and exercise length/frequency. Also, no significant DM-related differences were evident in health belief (barrier) and health behaviors including drinking, smoking, exercise length/frequency, diet and medication. Conclusion: Customized home visiting health service can provide effective, but not complete. Whether these benefits are maintained in the longer term is unknown.

Survey on Health Care and Household Safety Management for Vulnerable Children (취약계층 영유아의 건강과 안전관리 실태조사)

  • Nam, Hye Kyung
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.246-254
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    • 2014
  • Purpose: This study aims to provide baseline data on children's health care and household safety management in one region and to support implementation of customized visiting health care services for children. Methods: 51 children and their caregivers from socially vulnerable group and 69 children and their caregivers from general group are selected as research participants. Data were collected through home visiting survey by 10 professional nurses. Results: Children from socially vulnerable group are at higher risks of poor health care and safety accidents in households than general group. Rates of taking developmental screening tests, medical check-up remain considerably low in vulnerable social group. Regarding home safety, vulnerable children are more likely to be exposed to unsafe conditions. Conclusion: These results indicate that in order to promote health care and safety conditions for vulnerable children, it is necessary to implement customized visiting health care programs which actually can reach vulnerable households and meet their demands. These findings can be used as baseline data to develop customized visiting health care programs for children.

Comparison of Health-related Characteristics and Self-care Behavior between a Hypertension Controlled Group and a Non-Controlled Group of Hypertension Patients in a Customized Home Visiting Health Service (맞춤형 방문건강관리 고혈압 대상자의 혈압 조절군과 비조절군의 건강관련 특성 및 고혈압 자가관리 행위 비교)

  • Jang, Hyo-Soon;Hyoung, Hee-Kyoung;Kim, Kyoung-Huy
    • Research in Community and Public Health Nursing
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    • v.20 no.4
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    • pp.483-492
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    • 2009
  • Purpose: This study was conducted to compare health-related characteristics and self-care behavior between a controlled group and a non-controlled group of hypertension patients in a customized home visiting health service. Methods: This study was conducted as cross-sectional research. The subjects were 1,317 hypertension-controlled patients and 555 non-controlled ones. Data were collected using a structured questionnaire and analyzed by descriptive statistics, $x^2$-test, and t-test using the SPSS WIN 15.0 program. Results: Sociodemographic characteristics and self-care behavior were not significantly correlated between the groups. According to health-related characteristics, the health status was significantly higher in the hypertensioncontrolled group than in the non-controlled group. The cholesterol level was significantly lower in the hypertension-controlled group than in the non-controlled group. Conclusion: Attention should be paid to patients who are not in good health status in order to control their hypertension. Also, it is necessary to educate the patients in order for them to manage their hypertension and cholesterol.

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Factors Influencing Empowerment of Customized Home Visiting Health Care Services Beneficiaries (방문건강관리사업 대상자의 자기역량 정도)

  • Park, Jeong Sook;Oh, Yun Jung
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.491-503
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    • 2012
  • Purpose: The purpose of this study was to measure empowerment and to identify factors influencing empowerment. Method: Subjects included 767 clients registered with the customized home visiting health services in Daegu. Data collection was performed from June 3 to July 30, 2011. Descriptive statistics, ${\chi}^2$ test, ANOVA, and stepwise multiple regression were used in this study. Results: The mean score for total empowerment was 3.01(${\pm}0.28$). In subscales of total empowerment, the score for individual empowerment was 2.97(${\pm}0.36$), the score for interpersonal relationship empowerment was 3.09(${\pm}0.34$), and the score for political-social empowerment was 2.96(${\pm}0.48$). Job, education, economic status, living arrangement, and client classification were significant factors related to total empowerment in these clients. Job, education, economic status, types of health insurance, living arrangement, age, and client classification were significant factors related to individual empowerment, interpersonal relationship empowerment and political-social empowerment. 4.4 percent of the variance in total empowerment can be explained by education and living arrangement (Cum $R^2=0.044$, F=13.207, p<.001). Individual empowerment, interpersonal relationship empowerment, and political-social empowerment can be explained by education, job, economic status, and living arrangement. Conclusion: An empowerment intervention that includes general characteristics of clients is essential to improving empowerment of customized home visiting health care services beneficiaries.