ABSTRACT
Purpose@#The purpose of this study was to analyze the nursing activities of registered nurses working in rehabilitation units, and to investigate the application of the health insurance fee for each nursing practice. @*Methods@#Using the Delphi survey method, nursing activities were analyzed as job-task-task elements. Then, the status of the application of health insurance fees was investigated for the task elements according to National Health Insurance Benefit. @*Results@#15 jobs, 61 tasks, and 290 task elements were derived as nursing activities in rehabilitation units.According to the opinion by the expert panel, Among the 290 task elements, 166 (57.2%) out of 290 take elements should be accepted as insurance fees (fee agreement CVR≥0.56). However, the health insurance was applied to only 40 items (24.1%) for nursing management fees, 25 items for nursing care (15.1%), and 26 items for other rehabilitation related medical fees (15.7%). 82 items (49.4%) were not covered by insurance, and most educational interventions were not covered. @*Conclusion@#To provide high-quality nursing services in rehabilitation units, it is essential to apply an appropriate level of health insurance coverage. Further research to expand the application of medical fees related to rehabilitation and institutional arrangements to obtain recognition of the fees for nursing services are necessary.
ABSTRACT
Purpose@#This study aims to investigate factors associated with depression during Coronavirus disease 2019 (COVID-19) quarantine. @*Methods@#An online survey was done to assess depression of the individuals living in Seoul, who were under quarantine due to COVID-19 between October and December 2020. A total of 1,139 individuals were included in our analysis. Logistic regression analysis was performed to investigate factors contributing to depression during COVID-19 quarantine. @*Results@#The prevalence of depression among the participants was 8.5% (women 11.1%, men 5.8%). Our regression analyses showed that pre-existing depression, women, perceived support, correct understanding of the rationale for quarantine, and understanding of quarantine instructions were significantly associated with the likelihood of depression during quarantine due to COVID-19. @*Conclusion@#The findings suggest that it is necessary to develop and implement a preemptive measure focusing on vulnerable groups such as women or people with pre-existing depression to prevent depression during quarantine. In addition, this study confirmed that active and efficient communication by the health authorities is essential to better understand the purpose and instructions of quarantine, which is also effective in preventing depressive symptoms during quarantine.
ABSTRACT
Purpose@#This study was intended to analyze the contents and effects of Respiratory Rehabilitation Programs (RRP) in Spinal Cord Injury (SCI) through a systematic review. @*Methods@#We analyzed English studies across PubMed, CINAHL, and MEDLINE and also analyzed Korean studies across DBPia, NDSL, KISS and RISS from 2009 and 2018. In the paper analysis, two researchers independently analyzed the selected literature and examined the RRP of SCI in 15 elements. @*Results@#Thirteen papers included in this study, which were met the inclusion criteria, were analyzed by classifying the participant's characteristics, types and contents of RRP, indicators of respiratory function, and training tools. The types of RRP were classified into inspiratory muscle training, expiratory muscle training, and combined training. The operation time was basically 4 weeks or more, and the RRP effect was significant when it applied more than 1,000 minutes. Respiratory function test was divided into lung function and respiratory muscle strength. In most studies, lung function index was commonly evaluated, and Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1 second (FEV1) were used most frequently. The training tools were shown as portable devices and equipment. @*Conclusion@#This study detailed the contents and effects of RRP for SCI. This finding can help clinical research and development.