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Health Problems and Support from the Health & Welfare Service in the Elderly at Home
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In Young Yoo
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Journal of Korean Academy of Nursing 2004;34(1):111-122. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.1.111
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Abstract
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Purpose
This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home.
Method
Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003.
Result
Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ ADL 1(Independence)’ 9.87, ‘ ADL 2(Partial independence)’ 12.78, ‘ ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘ meals on wheels’ 40.7%, ‘ home helper’ 38.2%, ‘ visiting of social welfare worker’ 21.0%, ‘ physical therapy’ 19.6%, ‘ day care center’ 12.3%, ‘ volunteer's service’ 9.9%, ‘ home visiting care’ 3.7%, ‘ occupational therapy’ 3.7%, and ‘ speech therapy’ 2.5%.
Conclusion
The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.
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Citations
Citations to this article as recorded by 
- The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society
Jai-Yon Lee, Jae-Young Lim Annals of Geriatric Medicine and Research.2017; 21(3): 95. CrossRef - Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC
Eun-Joo Bang, Soon-Young Yun Journal of Korean Academy of Community Health Nursing.2010; 21(2): 263. CrossRef
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A Study on Link of Health and Welfare Service and Barrier's Factors of Visiting Nurses and Social Welfare workers
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In Young Yoo
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Journal of Korean Academy of Nursing 2003;33(1):113-121. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.1.113
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Abstract
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Purpose
The purpose of this study was to explore the link between health and welfare service and barrier's factors by reviewing the connection between the public health center's visiting nurse and social welfare center's social workers
Method
A survey by mail or a face-to-face interview of 151 visiting nurses in 25 public health centers and 48 social welfare workers in general social welfare centers in Seoul, was preformed from Feb. 12, 2001 to Mar. 15, 2001. The data were analyzed with frequency, percentage, mean value, paired t-test and independent t-test using SPSS/WIN 7.5 program.
Result
1. ‘ The necessity and degree of cooperation with social welfare workers of visiting nurse’ scored average 4.49 and 3.19, and ‘ The necessity and degree of cooperation with visiting nurse and social welfare workers’ scored average 4.81 and 3.15 on the five-point scale ; there was a significant difference between the two variable in visiting nurse and social welfare workers. 2. In barrier's factors which health and welfare service offer to, visiting nurses showed statistically significant higher score than social welfare staff ; ‘ job factor’, ‘ resource factor’, ‘ clients factor’, ‘ individual ability factor’
Conclusion
In order to provide link system that hold clients in common in public health center and social welfare center, it is recommended a case management team should be constructed and educate visiting nurses for case manager.
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Citations
Citations to this article as recorded by 
- The Correlation between Nursing Professional Values and Job Satisfaction Depending on the Types of Visiting Nurses' Personality
Hae In Park, Kyung Min Park, Kyung Hee Lee Korean Journal of Occupational Health Nursing.2012; 21(2): 77. CrossRef
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A Comparison of Phenomenological Research Methodology: Focused on Giorgi, Colaizzi, Van Kaam Methods
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Boon Han Kim, Keum Ja Kim, In Sook Park, Keum Jae Lee, Jin Kyung Kim, Jeong Ju Hong, Mi Whang Lee, Young Hee Kim, In Young Yoo, Hee Young Lee
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Journal of Korean Academy of Nursing 1999;29(6):1208-1220. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.6.1208
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Abstract
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The purpose of this study was to describe the differences in three phenomenological research methods used to understand the experience of families of patients with cancer and so provide as guideline to novices first attempting qualitative research.
The subjects were 3 family members - spouse, daughter, daughter-in-law -of cancer patients at S-hospital. Unstructured deep interviews were carried out and taped for further analyzed. Interviews were analyzed using three phenomenological methods ; Giorgi's, Colazzi's, and Van Kaam's.
The results are as follows: The experience of family the analyzed using Giorgi's method showed different characteristics according to the family members' role. According to Colaizzi's method, they experienced burden, a willingness to care, role conflict, thanks to family and significant others, and ambivalence about treatment.
Using Van Kaam's methodology, two categories were identified ; change of family function and burden. Themes in change of family function were positive attitude(9), role conflict(6), negative attitude(5), active attitude(2), and passive attitude(2) ; Themes in burden were emotional burden, physical burden, and economic burden.
The result from using Giorgi's method were centered or individual characteristics and these results constituteds situational structured description and a general structured description. From Colaizzi's method the focus was on the common experience of all fo the subjects. In Van Kaam's method, subthemes (13), themes(8), and categories(2) were identified. So researchers should choose the qualitative method according to their research goals and methodological characteristics.
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