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A Study on the Needs of Health & Community Services Among the Disabled at Home in Rural Areas
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Hyeon Ok Kim, Kyoung Hwa Joung
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J Korean Acad Community Health Nurs. 2007;18(3):480-491. Published online September 30, 2007
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 Abstract
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- PURPOSE
This study was to investigate the needs of health & community services among the disabled at home in rural areas.
METHODS
The subjects were 146 persons with disabilities living in J-gun. The questionnaire was based on the needs of 8 categorical services. Data were analyzed using frequency, percentage, mean, standard deviation, minimum, maximum, t-test, one-way ANOVA and Scheffe test.
RESULTS
Among the respondents, 27.4% visited the public health center in community for rehabilitation therapy. The average score of need was 2.62+/-.79: education services (2.92+/-1.05); medical services (2.81+/-.82); nursing care services (2.75+/-1.08); connection services (2.62+/-1.20); housing services (2.60+/-1.09); emotional services (2.41+/-1.03); other services (2.24+/-1.06); and support of self-sustenance service (1.92+/-1.15). The items in highest need were medical checkup (70.7%), medication (62.1%), traditional oriental therapy (60.4%) and physical therapy (58.9%), and those of lowest need were device repair (8.7%) and guidance of facility admission (7.1%). Needs were significantly different according to age (F=4.751, p=.001), employment status (t=2.108, p=.037) and medical fee payer (F=5.061, p=.002).
CONCLUSION
The needs of education & medical services were relatively high. Demographic factors were statistically significant in determining needs. For the disabled at home in rural areas, more various services or programs should be executed based upon the needs and characteristics of based upon the needs and characteristics of the subjects.
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A Study on Activities of Daily Living and Perceived Health Status of Disabled Persons at Home in Rural Areas
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Hyeon Ok Kim, Kyoung Hwa Joung
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J Korean Acad Community Health Nurs. 2007;18(2):252-265. Published online June 30, 2007
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Abstract
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- PURPOSE
This study was attempted to provide basic data required to develop community-base rehabilitation program for disabled persons at home by investigating their characteristics, ADL, and perceived health status.
METHOD
The subjects were 146 disabled persons at home in rural areas. Data were collected from January 22 to January 31, 2004. Data were analyzed using frequencies, percentages, means, standard deviations, minimums, maximums, chi2-test, Fisher's exact test, t-test, one-way ANOVA, Scheffe test, Contingency coefficient, Pearson's correlation, Stepwise multiple regression.
RESULTS
The average score of ADL was 5.51+/-1.92: sphincter control (5.85+/-2.10), communication (5.66+/-2.02), transfers (5.67+/-2.21), self care (5.44+/-2.05), social cognition (5.33+/-2.08), and locomotion (4.85+/-2.32). This means that the respondents were in the state of dependence. The main items requiring others' help were 'bathing' (57.7%) and 'going up and down stairs' (51.1%). ADL was significantly different according to age, gender, occupation, medical fee payer, type, severity and duration of disability, BMI, and alcohol drinking. Among the respondents, 82.8% perceived that their health status was bad. Main factors influencing the perceived health status of disability were age and ADL(R2=.343).
CONCLUSION
Perception of health status among the disabled is related to their characteristics and ADL, so it is necessary to develop community-base rehabilitation programs in order to improve ADL and the perception of health status.
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KACHN
