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Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
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Woon Sook Jung, Eun Shil Yim
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J Korean Acad Community Health Nurs. 2016;27(4):388-398. Published online December 31, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.4.388
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- PURPOSE
To compare the changes in activities of daily living (ADLs) in older adults with stroke in different modalities of long term care (LTC) services, which include home care and institutional care.
METHODS
This is a comparative study using secondary data from the Korean national LTC insurance. Home care (HC) services users (n=3,494) and institutional care (IC) users (n=1,428) were extracted and compared in terms of ADLs and changes in ADLs to investigate the effects of HC and IC services in LTC.
RESULTS
All of the ADLs and LTC services benefit levels for 2 years had improved in both HC and IC services. The ADLs of older adults with stroke who received HC improved, while those who received IC experienced deterioration. The LTC services benefit levels of the HC and IC groups were significantly different after 2 years.
CONCLUSION
The study has found that HC services may lead ADLs better for older adults with stroke. We recommend LTC policy makers to further develop HC and IC service programs to deliver quality LTC services.
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Citations
Citations to this article as recorded by  - Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef - Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan
Chia-Mei Shih, Yu-Hua Wang, Li-Fan Liu, Jung-Hua Wu
International Journal of Environmental Research and Public Health.2020; 17(8): 2649. CrossRef
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Literature Review on Adolescent Runaways
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Woon Sook Jung, Shin Ae Park
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J Korean Acad Community Health Nurs. 2001;12(1):105-114. Published online March 31, 2001
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Abstract
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- It was orginally thought that runaway adolescents needed to improve their ability to cope with personal problems based on their own understanding of them. As a result we exchanged theoretical background on the matter as follows: 1. Generally adolescency is a transitional period from childhood to adulthood and characterized by a dramatic conversion period with unique phenomena relative to other periods. Futhermore it is the key transitional moment in the development of an adult personality.
2. Runaway adolescents are defined as "adolescents who leave impulsively or intentionally their homes without permission of their parents for at least 24 hours." 3. The reason for this behavior are generally regarded as complex interdependent and dynamic including a cast-away factor seducing factors and other action-provoking factors. There is also another view to explain the adolescent run-away as a combination of personal domestic academic peer or socal factors.
4. We found that adolescent runaways have different attitudes dependent on the reasons and procedures of runaways lifestyles of adolescents and results of their runaway experience.
In conclusion runaway adolescents are in a very important period in their development and growth of bodies and minds but are in a great crisis for various complex reasons.
Therefore we propose that nursing should provide effective nursing interventions to improve the ability of the runaway adolescents address these problems by themselves.
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