Research in Community and Public Health Nursing

Original Articles

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM: Ji Eun Kim, In Sook Lee, Jin A Choo, Song Whi Noh, Han Na Park, So Hyeon Gweon, Kyung Hee Lee, Kyoung Ok Kim; J Korean Acad Community Health Nurs. 2022;33(1):13-31. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.13

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Purpose
This study conducted a job analysis of visiting nurses in the process of change.
Methods
Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM.
Results
Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks.
Conclusion
The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

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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

Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients: Jeong Yeon Ko, Ju Young Yoon; J Korean Acad Community Health Nurs. 2021;32(3):356-367. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.356

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Abstract PDF: Purpose
This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery.
Methods
A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives.
Results
There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p＜.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018.
Conclusion
Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services: Ae Young So, Sun Ah Park; J Korean Acad Community Health Nurs. 2021;32(3):243-253. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.243

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Abstract PDF

Purpose
The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services.
Methods
A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x² test, independent t-test, one-way ANOVA, Pearson’s Correlation, binary logistic, and multiple lineal regression.
Results
The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, c<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R² =.61).
Conclusion
The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

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A Multisite Study on the Effect of a Urinary Incontinence Self-Management Program on Community-Dwelling Older Women in Korea
Sunah Park, Aeyoung So
Journal of Wound, Ostomy & Continence Nursing.2024; 51(1): 61. CrossRef

Assessment of Long-Term Care Service Needs in the Baby Boom Generation: Song Yi Han; J Korean Acad Community Health Nurs. 2016;27(1):21-30. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.21

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PURPOSE
This research was conducted to identify long-term care service needs in the baby boom generation.
METHODS
Data were collected from September 3 to October 9, 2012 targeting 196 baby boomers residing in Seoul and Gyeonggi-do with the measurement of long-term care service needs having five domains. Collected data were analyzed using the SPSS 20.0 program.
RESULTS
Demand for long term care service in those who preferred nursing homes was highest as 4.40Â±0.69 in the safe environment domain. In case of those preferring home care services, demand was highest as 4.37Â±0.56 in the social interaction domain. People who preferred nursing homes had higher needs in personal health care and improvement of the service quality domains. Those who preferred home care services showed diverse needs according to their characteristics.
CONCLUSION
The baby boom generation had high needs in all the domains of long-term care services and such needs were diverse according to their characteristics. However, long-term care services had limitations that they provided standardized and uniformed services only. Therefore, health care services and improved quality services should be provided in a way of meeting the users' needs, and tailored services should be provided in consideration of the users' characteristics.

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An Analysis of the Effects of the Income Level of the Family Caregivers for the Recipients in Long-Term Care facilities on the Willingness to Pay for Use of Better Services: A cross-sectional study
Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 103. CrossRef

Relations of Job Satisfaction with Emotional Labor, Job Stress, and Personal Resources in Home Healthcare Nurses: Mi Mi Park, Suk Jung Han; J Korean Acad Community Health Nurs. 2013;24(1):51-61. Published online March 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.1.51

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29 Citations

Abstract PDF

PURPOSE
The aim of this study is to identify effects of emotional labor, job stress and personal resources on job satisfaction in home healthcare nurses.
METHODS
The subjects were 149 home healthcare nurses working for home healthcare centers at 61 hospitals. Data were collected using a structured questionnaire from November 22, 2010 to February 28, 2011 and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical multiple linear regression analysis.
RESULTS
The mean score of emotional labor level was 4.23+/-0.95, that of job stress level 3.39+/-0.57, that of personal resources 3.38+/-0.36, and that of job satisfaction 3.31+/-0.40. There were positive correlations among emotional labor, job stress, personal resources and job satisfaction. After age, educational level, job position, and work period in home health care, and traffic accident were controlled, the variables, emotional labor (beta=-.198, p = .034) and personal resources (beta=.236, p = .005) turned out to account for 13.3% of the job satisfaction. But job stress was not a statistically significant predictor.
CONCLUSION
Home healthcare nurses were needed to minimize emotional labor and revitalize personal resources in order to maintain a comparatively high level of job satisfaction. Furthermore, it is necessary to carry out systematic education and an organizational management scheme into practice.

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Role function and job satisfaction of community nurses in China: A cross‐sectional study
Yuxin He, Yan Guo, Xiaoyuan Guo, Na Han, Bo Xin, Yixin Wu, Qiuyuan Wan, Panpan Shi, Shan Yang, Waleed Ksebe, Wenhui Jiang
Nursing Open.2024;[Epub] CrossRef
Examining Work Stress and Air Pollutants Exposure of Home Healthcare Workers
Thomas Gerding, Jun Wang, Nicholas Newman
Atmosphere.2023; 14(9): 1393. CrossRef
Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef
Health Promotion Behaviors, Subjective Health Status, and Job Satisfaction in Shift Work Nurses based on Type D Personality Pattern
Nah-Mee Shin, Young Ha Kim
Journal of Korean Academy of Nursing Administration.2021; 27(1): 12. CrossRef
Understanding the relationships among emotional exhaustion, job satisfaction, and emotional intelligence of hotel front desk employees
Kwang-Hi Park, Dae-Kwan Kim
Asia Pacific Journal of Tourism Research.2021; 26(5): 504. CrossRef
The Effects of Laughter Therapy for the Relief of Employment-Stress in Korean Student Nurses by Assessing Psychological Stress Salivary Cortisol and Subjective Happiness
Ji-Soo Lee, Soo-Kyoung Lee
Osong Public Health and Research Perspectives.2020; 11(1): 44. CrossRef
Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef
Effects of Dental Hygienists Job Stress on Somatization in an Area
Mi-Jeong Kim, Hyeon-Sun Kim, Cha-Young Lim
Journal of Dental Hygiene Science.2020; 20(1): 59. CrossRef
Effect of Emotional Labor on Somatization among Dental Hygienists in an Area
Mi-Jeong Kim, Cha-Young Lim, Ju-Lee Son
Journal of Dental Hygiene Science.2019; 19(2): 113. CrossRef
Experience of Hospital Administrative Nurses' Work Adjustment
Hyun-Ju Lee, Jae-Hyun Ha, Yun-Seo Jung, Jungmi Yun
Journal of Korean Academy of Nursing Administration.2019; 25(5): 424. CrossRef
Mediating Effects of Emotional Venting via Instant Messaging (IM) and Positive Emotion in the Relationship between Negative Emotion and Depression
Hannah Lee, Soontae An
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 571. CrossRef
The Effects of Work Performance, Perceived Organizational Support and Personal Coping Resources on Job Satisfaction among Infusion Nurses in Korea
Young Soon Cho, Young Im Kim
Journal of Korean Academic Society of Nursing Education.2019; 25(1): 148. CrossRef
The Effects of Emotional Labor on Job Satisfaction of Hotel Employees: Analyzing Moderating Effects of Emotional Intelligence
Kwang-Hi Park
Stress.2018; 26(3): 166. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
The Influences of Burnout on Job Satisfaction on School Health Teachers (School Nurse): Focused on the Mediating Effects of Self-leadership
Oh Yun Kwon, Kyung Sook Park
Journal of the Korean Society of School Health.2017; 30(1): 1. CrossRef
Professional interpreters’ job satisfaction and relevant factors
Jieun Lee
Translation and Interpreting Studies.2017; 12(3): 427. CrossRef
Relationships among Emotional Labor, Self Efficacy, and Burnout of Employees in Public Health Centers
Hyunkyung Choi, Yeongmi Ha, Seungkyoung Yang
Korean Journal of Occupational Health Nursing.2016; 25(1): 75. CrossRef
Effects of Work Environment, Organizational Culture and Demands at Work on Emotional Labor in Nurses
Ji Yun Lee, Hye Ri Nam
Journal of Korean Academy of Nursing Administration.2016; 22(2): 119. CrossRef
The Influence of Nursing Students' Emotional Labor, Clinical Practice Stress on Satisfaction of Clinical Practice
Nae-Young LEE, So-Hee KIM, Young-Sun KIM
Journal of Fisheries and Marine Sciences Education.2016; 28(3): 619. CrossRef
The Relations of Stress, Job Satisfaction, Organizational Commitment and Turnover Intention in Medical Technicians
Jong-Hyun Yang
Journal of Digital Convergence.2016; 14(7): 233. CrossRef
The Convergence Influence of Emotional Labor of clinical dental hygienist working on Job stress. -Focused on Mediating Effects of Self Esteem-
Da-Hae Hwang, Suk Eom
Journal of the Korea Convergence Society.2016; 7(6): 67. CrossRef
Impact of Job Stress, Depression and Perceived Health Status on Job Satisfaction among Child Care Teachers
Young-Ran Lee, Sun-Nam Park, Mi-Ran Lee
Korean Journal of Occupational Health Nursing.2016; 25(4): 259. CrossRef
The comparative study on changes in job satisfaction and turnover intention according to the convergence mediating factors and the level of emotional labor in dental hygienists
Mi-sook Choi, Dong-ha Ji
Journal of the Korea Convergence Society.2015; 6(6): 27. CrossRef
A Meta-analysis of the Variables related to the Emotional Labor of Nurses
Sin Hayng Kim, Younsuk Ham
Journal of Korean Academy of Nursing Administration.2015; 21(3): 263. CrossRef
Effects of Emotional Labor, Job Satisfaction and Organizational Commitment on Turnover Intention in Nurses
Jong-Hyun Yang, Kyu-Ho Jeoung
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7170. CrossRef
Influence of humor sense on job satisfaction and turnover intention in clinical dental hygienists
Ji-Hyun Jeon
Journal of Korean society of Dental Hygiene.2014; 14(6): 821. CrossRef
The Influence of a General Hospital Nurse's Emotional Labor, Emotional Intelligence on Job Stress
Yun-Jeong Kim
Journal of Digital Convergence.2014; 12(9): 245. CrossRef
The effects of emotional labor on burnout, turnover intention, and job satisfaction among clinical dental hygienists
Su-Bin Jeong, Eun-Mi Choi, Jun-Seon Choi
Journal of Korean Academy of Oral Health.2014; 38(1): 50. CrossRef
Employment Experiences of Nurses Caring for Foreign Patients
Hyoung-Sook Park, Su-Jung Ha, Jung-Ha Park, Ji-Hyoung Yu, Sang-Hwa Lee
Journal of Korean Academy of Nursing Administration.2014; 20(3): 281. CrossRef

Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services: Eun Young Kim, Jung Hee Yeo; J Korean Acad Community Health Nurs. 2012;23(2):117-126. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.117

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Abstract PDF

PURPOSE
The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers.
METHODS
A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression.
RESULTS
The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was 6.33+/-6.49 and the mean health-related quality of life score was 0.69+/-0.39. It was found that the factors affecting the health-related quality of life of family caregivers included depression (beta=-.406, p<.001), home-visit nursing use (beta=.296, p<.001), and daycare use (beta=.178, p=.015), which accounted for 36.6% of their health-related quality of life.
CONCLUSION
Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

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Predictors of Sleep Quality in Spouse Caregivers of Community-Dwelling People With Dementia Using Propensity Score Matching Analysis
Hyeon Sik CHU, Hye-Young JANG
Journal of Nursing Research.2023; 31(6): e299. CrossRef
Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling
Hye-Young Jang, Song Yi Han
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518. CrossRef
The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade
Mi-Kyoung Kim, Dahye Park, Okhee Ahn
Journal of the Korea Convergence Society.2014; 5(3): 7. CrossRef

The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses: Hee Kyoung Hyoung, Hyo Soon Jang; J Korean Acad Community Health Nurs. 2011;22(1):11-21. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.11

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Abstract PDF

PURPOSE
This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services.
METHODS
This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, chi2 test, t-test and ANOVA were used for the analyses.
RESULTS
BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group.
CONCLUSION
It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.

Citations

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Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
Depression and Cognitive Function of the Community-dwelling Elderly
Seong Ok Seo, Ae Young So
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 1. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise
Ji Eun Cha, Soon Nyung Yun
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 31. CrossRef
Effects of an Extreme Heat Adaptation Program in Hypertensive Patients
Seong Hee Jeong, Nam Soon Kim, Sumi Chae, Eun Ju Lee
Journal of Korean Biological Nursing Science.2014; 16(3): 164. CrossRef
Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus
Yeon Yi Song, Kang-Sook Lee, Hyun-Young Cho, Binna Lee
Korean Journal of Health Education and Promotion.2014; 31(4): 93. CrossRef

Influencing Factors on the Need of Community Care Services in the Family Caregivers of Hospital-based Home Care Patients: Mee Young Jang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2009;20(4):443-452. Published online December 31, 2009

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Abstract PDF: PURPOSE
The purpose of this study were to examine the need of community care services and the influencing factors of the need in the family care givers of hospital-based home care patients.
METHODS
Data were collected from 256 family caregivers, who were recruited from 10 hospitals in a metropolitan city. A structured questionnaire on the characteristics of caregivers, resources, and patients was administered. Also, questions on the need of community care services were added. Logistic regression analysis was used to identify the influencing factors of the need for community care services.
RESULTS
The participant needed more transportation service, lease of health care devices, visiting bath, caring, visiting hair dressing than that of housekeeping, short-term care, and day care service. Various variables from the three factors were found to be influenced on the need of community care services.
CONCLUSION
The accessibility of the higher need of community care services should be increased for hospital-based home care users. Also, the factors of Family care giver, Resource, and Patient might be considered to provide community care services of hospital-based home care users.

A Study for Evaluating the Performance of a Community-based Home Care Services Model: Se Young Kim, Sung Ae Park; J Korean Acad Community Health Nurs. 2008;19(4):673-683. Published online December 31, 2008

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Abstract PDF: PURPOSE
This study was aimed to evaluate the performance of a community-based home care services model.
METHOD
The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation.
RESULT
A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists.
CONCLUSION
Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies: Chong Rye Song, Im Ok Kang, Yun Ok Kim, Hea Sook Jo, Moon Sook Hwang; J Korean Acad Community Health Nurs. 2008;19(4):660-672. Published online December 31, 2008

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Abstract PDF: PURPOSE
To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly.
METHOD
The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%.
RESULT
The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated.
CONCLUSION
This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.

Use of Home Nursing Therapy and Need of Home Care Equipments: Ho Sihn Ryu, Chai Soon Park, In A Kim, Young Dae Kwon, Sung Wook Kang; J Korean Acad Community Health Nurs. 2008;19(2):157-166. Published online June 30, 2008

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Abstract PDF: This study was conducted with whole home care nurses nationwide to provide secondary analyzed data to understand on their usage of medical equipments and their need of them for a month. This study found that treatments given by home care nurses were nelaton catheterization, bladder washing/urethral washing, newborn care, exchange and care for nasogastric tube and suction in that order of frequency. Second, instruments and equipments used for home care were reported to be stethoscope, patient monitor, blood pressure measuring equipment, air flotation mattresses, beds for patients, mattresses, suctioning device sets, enteral feeding equipment and dressing set in that oder of frequency. Moreover, need assessment of medical instruments and equipments showed renal dialysis was most needed and patient monitor, blood pressure measuring equipment, enteral feeding equipment, solution and other supplies for renal dialysis and beds for patient were necessary in that order. In conclusion, the results of this study investigating special treatments and medical instruments and equipments used for home care patients and analyzing patients' need, were expected to be useful for expansion of application of long-term care insurance for the elderly and health insurance as well as for quality control of home care and development of medial instruments and equipments used at home.

The Effects of Customized Home Visiting Health Service in Gangwon-do: Focused on Hypertension and DM Clients: Soon Ok Yang, Soo Yeon Ahn, Eun Shil Yim, Myung Soon Kwon; J Korean Acad Community Health Nurs. 2008;19(1):88-100. Published online March 31, 2008

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Abstract PDF: PURPOSE
This study was to present the effects of home visiting health service on hypertension and DM clients.
METHOD
The one-group pretest-posttest design was applied to 127 hypertension and 116 DM clients. To evaluate the effects of visiting nursing service, biological indexes and self-care abilities were measured from April to July, 2007.
RESULT
Biological indexes and self-care abilities were improved in the hypertension and DM clients who received visiting nursing service. Especially, blood pressure and fasting blood sugar showed a dramatic decrease.
CONCLUSION
Home visiting health service by public health centers is considered to be an effective nursing service in Gangwon-do. Therefore, case management is demanded not only for hypertension and DM but also for other chronic diseases.

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