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The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults
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Keun Joo Yoo, Jin Hee Shin, Eun Hee Cho, Seok Won Hong
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J Korean Acad Community Health Nurs. 2022;33(1):1-12. Published online March 31, 2022
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DOI: https://doi.org/10.12799/jkachn.2022.33.1.1
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 Abstract
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- Purpose
This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults.
Methods
This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program.
Results
After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life.
Conclusion
The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.
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Citations
Citations to this article as recorded by  - Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef
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Influence of the Meaning in Life, Depression, and Social Support on the Suicidal Ideation of Old Adult Hemodialysis Patients
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Jin Hee Shin, Hye Been Sim, Eun Hee Cho
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J Korean Acad Community Health Nurs. 2020;31(3):279-289. Published online September 30, 2020
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DOI: https://doi.org/10.12799/jkachn.2020.31.3.279
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803
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15
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2
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Abstract
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- Purpose
This study is to identify how the meaning in life, depression, and social support influences the suicidal ideation of old adult hemodialysis patients.
Methods
A cross-sectional design was used. A descriptive correlative study was conducted through an organized and structured self-administrated questionnaire survey for 120 sampled old adult renal dialysis patients. The collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using the Stata 13.0 program.
Results
The suicidal ideation of participants was positively correlated with the meaning in life, and social support, and the depression was negatively correlated with the suicidal ideation. Significant factors influencing the suicidal ideation included the meaning in life, depression, social support, age, caregiver, monthly income, and smoking. These factors explained 68% of the variance.
Conclusion
The depression of old adult hemodialysis patients was a major risk factor that increased suicidal ideation, and the meaning in life and social support was a protective factor that reduced the suicidal ideation. These results suggest that health professionals should provide old adult hemodialysis patients with proper management of suicidal ideation, and depression as well as its meaning in life, and social support.
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Citations
Citations to this article as recorded by - Evaluation of Self-Sufficiency, Perceived Social Support, and Meaning in Life in Individuals Diagnosed with Serious Mental Illnesses
İlknur KARAARSLAN, Yüksel CAN ÖZ
Kocaeli Üniversitesi Sağlık Bilimleri Dergisi.2023; 9(1): 100. CrossRef - Mediating Effect of Health Behavior between Meaning in Life and Happiness Related to Aging among Commuity-dwelling Older Adults During COVID-19: A Cross-Sectional Study
Eun-Ju Mun, Jin-Hwa Park
Journal of Korean Gerontological Nursing.2022; 24(3): 311. CrossRef
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The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
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Jung Hee Kim, Hyeon Kyeong Lee, Chung Yul Lee, Eun Hee Cho
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J Korean Acad Community Health Nurs. 2014;25(4):237-247. Published online December 31, 2014
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DOI: https://doi.org/10.12799/jkachn.2014.25.4.237
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675
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10
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4
Citations
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Abstract
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- PURPOSE
The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH).
METHODS
A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression.
RESULTS
Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas.
CONCLUSION
CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.
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Citations
Citations to this article as recorded by - Influence of cognitive function and social support on health-related quality of life of elderly men in partial medically underserved rural areas: A cross-sectional study
Min Hye Hwang, Hye Kyung Lee
Journal of Korean Gerontological Nursing.2023; 25(2): 163. CrossRef - A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis
Jungmi Yun, Yeongsuk Lee, Hyun-Ju Lee
Quality of Life Research.2022; 31(9): 2631. CrossRef - The Effects of Health Behavior and Health Status on Heath-related Quality of Life in Older People: Gender Analysis by using the 2012 Korea Health Panel Data
Min-Jeong Park, So Eun Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 118. CrossRef - Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital
Eun-mi Kim, Jin Kwon
Journal of the East Asian Society of Dietary Life.2015; 25(4): 631. CrossRef
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Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
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Eun Hee Cho, Chung Yul Lee, In Sook Kim, Tae Wha Lee, Gwang Suk Kim, Hyeon Kyeong Lee, Ji Sook Ko, Kyong Eun Lee
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J Korean Acad Community Health Nurs. 2013;24(4):419-426. Published online December 31, 2013
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DOI: https://doi.org/10.12799/jkachn.2013.24.4.419
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767
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2
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8
Citations
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Abstract
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- PURPOSE
The purpose of this study is to examine factors influencing medication adherence in patients with hypertension.
METHODS
This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, chi2 test, t-test, and logistic regression.
RESULTS
Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence.
CONCLUSION
Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.
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Citations
Citations to this article as recorded by - Factors Influencing the Control of Hypertension According to the Gender of Older Adults
Hye Young Choi, Eunha Kim
Healthcare.2023; 11(11): 1595. CrossRef - Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
Ho-Hyoun Yim, Hwan-Sik Hwang, Hoon-Ki Park, Kye-Yeung Park, Miso Park
Korean Journal of Family Medicine.2021; 42(2): 116. CrossRef - Medication Adherence and Effective Management of Hypertension
Seung-Won Oh
Korean Journal of Family Medicine.2021; 42(2): 89. CrossRef - Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef - Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospective, Cohort Study
Sung-Ji Park, Si Jae Rhee
Advances in Therapy.2020; 37(8): 3500. CrossRef - Factors Associated with Awareness, Treatment, and Control Rate of Hypertension among Korean Young Adults Aged 30–49 Years
Yong Woo Jeon, Hyeon Chang Kim
Korean Circulation Journal.2020; 50(12): 1077. CrossRef - Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis
Jiyeon Kang, Yeon Jin Jeong
Korean Journal of Adult Nursing.2020; 32(2): 124. CrossRef - Health Behaviors and Quality of Life in the Elderly with High Blood Pressure
So-Youn Bang, Sa-Sang Hyeon
Journal of Digital Contents Society.2018; 19(11): 2159. CrossRef
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A Study on the Effect of Physician Characteristics on the Cesarean Section Rate
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Eun Hee Cho
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J Korean Acad Community Health Nurs. 2000;11(2):499-512. Published online December 31, 2000
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Abstract
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- The number of deliveries by cesarean section has increased internationally. However, The cesarean section rate is different by country to country. It is because each country has different social and cultural background and. practices its unique delivery policies. Hence, it is very important to understand the uniqueness that one country faces related with the cesarean section. In Korea, there have been many researches on the clinical. maternal. hospital and community factors and so on. However, few studies have attempted to reveal the physician factors in Korea because it is difficult to approach hospital records. So, in this study, the physician factors that influence the increase of cesarean section rate in Korea was investigated, and preliminary research agenda for policy establishment to keep the cesarean section rate from excessive increase was provided.
In this study, all 2744 cesarean section deliveries performed by 36 physicians at the hospital was considered. and detailed delivery records of 12 months selected randomly from January 1996 to August 1998 was reviewed retrospectively. Chi-square analysis is used to examine the homogeneity of distribution of maternal, fetal, and clinical factors. In addition, multiple regression analysis is used to examine the effect of physician characteristics on the cesarean section rate. Physician characteristics as independent variable and the cesarean section rate as dependent variable was put in this analysis.
Follows are the results of this study.
1) Total cesarean section rate is 34.8%. primary cesarean section rate is 12.5 % and repeated cesarean section rate is 22.3 %. Among the indications for the primary cesarean section, 15.6 % is for breech presentation. 40.2 % is for dystocia. 7.6 % is for fetal distress. and 36.6 % is for others.
2) There is positive correlation between physician's age and the cesarean section rate (p<0.001). And statistically significant correlation is found between the physician's educational attainment and the cesarean section rate (p<0.001). A physician with Ph.D degree has lower cesarean section rate than a physician with B.A only and M.A. degree (p<0.001). However. physician's gender, location of graduated university. position at the hospital, and the religious belief were not shown statistically significant relations with the cesarean section rate.
3) Among all cesarean sections in this study, only 15.4 % is performed during weekend. While 18.2 % is performed on monday only. This suggests that physicians may not prefer weekend operation of cesarean section. In addition, 86.1 % among all cesarean section operations is performed from 6 a.m. to 6 p.m. So the cesarean section rate could be related with a day of the week and a time of the day. From this results. there is a possibility that the physicians' personal comfort may influence the cesarean section rate.
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