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- 저자 : 이홍자(Lee, Hong Ja) (검색결과 28 건)
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이홍자,Lee, Hung-Sa 한국가정간호학회 2005 가정간호학회지 Vol.12 No.1
Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.
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이홍자,김춘미,윤순녕,Lee, Hong-Ja,Kim, Chun-Mi,Yun, Soon-Nyong 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1
The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.
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이홍자 ( Lee Hung-sa ),김현실 ( Kim Hyun-sil ) 한국노인의료복지학회 2016 노인의료복지연구 Vol.8 No.2
Purpose: It is widely felt the counseling needs of the elderly who received the long-term care service. There is not always match between elderly`s counseling need and actual experience of counseling in the service. The purpose of this paper is to find the subject`s counseling need and the factors related it. Methods: The data concerning 671 subjects were collected from June 2010 to July 2010. We measured the subject`s socio-demographic characteristics, physical and cognitive function, behavior problem, rehabilitation level and counseling need. The data were analyzed by mean and standard deviation, Pearson`s correlation coefficient and multiple regression using SPSS 20.0 program. Results: The 14.01% of subjects lived alone, 47.39% lived with their spouse. The score of counseling need was 2.38. The highest score of the counseling need was that about long-term care system(2.61), the next was about long-term care service itself(2.32), the last was about physical function(2.20). The needs of counseling was correlated with the number of the received counseling.(F=0,11, p=.005). Conclusion: There are highly counseling need for long-term care insurance in system and service. But the elderly received counseling, regardless of their needs. So it is important to establish counseling system appropriate by care management.
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에어로빅스가 본태성 고혈압 여성의 자기효능, 혈압 및 심폐기능 개선에 미치는 효과
이홍자 ( Hong Ja Lee ),강현주 ( Hyeon Joo Kang ) 한국스포츠정책과학원(구 한국스포츠개발원) 2002 체육과학연구 Vol.13 No.4
본 연구의 목적은 에어로빅스가 본태성 고혈압 여성의 자기효능, 혈압 및 심폐기능 개선에 미치는 효과를 살펴보고자 하였다. 본 연구를 위하여 10명의 본태성 고혈압 여성을 선정하여 12주간 가정운동과 병행된 에어로빅스 프로그램을 실시하였다. 참가자들은 운동프로그램 전 질문지를 통해 자기효능을 검사하고 혈압, 체중, 체지방, 허리둘레, 혈청 지질, 심폐기능을 총 운동기간 중 3회(사전-8주-12주)에 걸쳐 측정하였다. 운동프로그램은 운동부하검사 결과에 따라 최대심박수의 60-70% 강도로 주당 3회 50-60분간 실시하고 그 중 2회를 비디오로 제작된 에어로빅스 동작을 따라한 후에 연구자가 전화로서 운동 직후 심박수를 확인하였다. 자료처리는 자기효능, 생리적 지표, 및 심폐기능에 대한 평균치와 표준편차를 산출하였고 측정 기간에 따른 자기효능, 혈압, 체중, 체지방율, 혈청지질, 심폐기능의 기간별 변화 양상을 분석하기 위해서 반복측정에 의한 일원변량분석 후 사후검증으로 Contrast 검증을 실시하였다. 결과에 의하면 본 자기효능을 강화시키는 운동프로그램을 통해 운동을 통한 자신감에 유의한 향상은 보이지 않았으나 수축기혈압은 8주째 유의한 감소를 보였고 이완기혈압도 8, 12주째 유의한 감소를 보였다(p<.01). 허리둘레도 12주에 유의한 감소를 나타내었고(p<.05) 운동지속시간도 유의하게 증가하였으며(p<.001). 안정 시 심박수도 유의한 감소를 나타내었다(p<.05). 결론적으로 본태성 고혈압 여성들에 대한 최대심박수의 60-70% 강도, 주당 3회 50-60분간의 에어로빅스는 운동을 통한 자기효능은 증진되지 않았으나 혈압, 허리둘레, 운동지속시간, 안정 시 심박수에는 상당히 긍정적인 효과를 나타내었다. 따라서 체지방과 혈청 지질 변화를 위해 식이요법 병행이 필요하며 최대산소섭취량과 자기효능을 위해서는 장기간 더 많은 대상자를 가지고 다양한 운동프로그램에 의한 검증이 필요하다고 사료된다. The purpose of this study was to determine the benefits of aerobics on self-efficacy, blood pressure, and cardiopulmonary function in an essential hypertension female. The research design of this study was a one group pre test-post test design and the subjects are 10 essential hypertension females. The subjects participated in aerobics with home exercise for 12 weeks. The exercise program included a teaching program about the exercise`s effects on blood pressure control, an aerobics program and counseling by telephone. After participating in the teaching program, the group performed the actual exercise program, beginning with 10 minutes of warming-up, 30 minutes of aerobics, and a 10 minute cool-down for a total of 50 minutes per day, 3 times a week, for 8 weeks. The intensity of the exercise was increased from 60% HRmax to 70% HRmax, while the duration was extended to 10 more minutes. As a result, they performed exercise for 60 minutes per day, 3 times a week at from 9th week to the 12th week. Counseling and positive feedback about each individual`s exercise performance was given 2 times a week by telephone. Before and after self-efficacy enhancing exercise program, the variables measured were self-efficacy, blood pressure, blood lipids, and cardiopulmonary function variables. Maximal oxygen uptake(VO2max), ventilation and exercise duration were measured with a treadmill exercise test. In order to analyze the effects of the exercise program, one way ANOVA, with repeated measures design, was used to test differences between exercise duration. The results were as follow 1) After aerobics program, both systolic blood pressure (8th week) and diastolic blood pressure (8th, 12th week) in the group were significantly decreased (p<.01). 2) Waist circumference was significantly decreased after 12 week (p<.05). 3) Both exercise duration and resting heart rate in the group were significantly increased after 12 week (p<.001, p<.05). From these findings, it was confirmed aerobics program for essential hypertension females can: decrease systolic and diastolic blood pressure, and waist circumference, improve the exercise duration and resting heart rate.
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자아존중감, 스트레스 및 사회적 지지가 중년 여성의 우울에 미치는 영향
이홍자(Lee, Hung Sa),고영(Ko, Young) 한국보건간호학회 2017 韓國保健看護學會誌 Vol.31 No.1
Purpose: This study was conducted to determine if women’s depression is influenced by their self esteem, stress, and social support. Methods: This study was a descriptive survey, and data were collected from the November 1 to December 20, 2015 using a self-reported questionnaire. The measurements were SES for self esteem, and CES-D for depression. A total of 165 middle-aged women participated through convenient sampling. Results: There were significant difference in self-esteem according to education level and monthly income. Additionally, there was an inverse correlation between stress and self esteem, as well as a significant strong correlation between self esteem, stress, social support and depression. Finally, multiple regression showed that self-esteem and stress had significant effects on depression, and their explanatory power was △R2(%)= 47.9 (△F= 66.526, p<.001), p<.001). Conclusion: This study confirmed that depression was closely related to self-esteem and stress among middle-aged women. Based on these findings, we suggest that the health policies of reducing depression for middle-aged women should focus on reducing stress and reinforcing their self-esteem.
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