• Title/Summary/Keyword: 건강상태인지

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Quality of Life and Its Association with Physical and Mental Function in the Elderly People Affiliated with Long-term Care Insurance Services (노인 장기요양보험급여 이용자들의 삶의 질과 신체적 및 정신적 기능과의 관련성)

  • Kim, Hyeong-Seon;Park, Jae-Young;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3808-3819
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    • 2010
  • This study was performed to determine the levels of quality of life(QOL) according to the grade of long-term care service in the elderly people who were judged from long-term care insurance, and to reveal its association with related variables. The interviews were made to 958 elderlies in urban and rural areas from March 1 to May 31, 2009. The mean scores of QOL among all subjects were $55.4{\pm}15.62$(Grade I; $49.7{\pm}14.17$, Grade II; $56.8{\pm}14.62$, Grade III; $59.4{\pm}16.36$), and they were lower according to the higher grade of long-term care insurance. The multiple regression analysis was used to reveal the explanatory powers of factors influencing on the level QOL. Such factors as educational level, monthly income, subjective health status, depression and MMSE-K were shown to affect their QOL in Grade I, Grade II, and Grade III with explanatory powers of 45~62%.

Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students (간호학생의 셀프리더십, 비판적 사고성향, 임상실습만족도 및 임상수행능력)

  • Park, Hyeon-Sook;Han, Ji-Young
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.695-706
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    • 2015
  • The purpose of this study was to examine the relationship among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Participants were 199 baccalaureate nursing students (3rd and 4th grades) in 2 cities. The data was collected by questionnaires and were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, Pearson's correlation coefficient and multiple regression. Significant positive correlations were among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency. The regression model explained 30.4% of satisfaction of clinical practice. The significant predictors of satisfaction of clinical practice were clinical experience, satisfaction of major, self-leadership and critical thinking disposition. The regression model explained 23.7% of clinical practice competency. Health status, self-leadership and critical thinking disposition were factors influencing clinical practice competency. It should strengthen self-leadership and encourage critical thinking disposition to improve nursing students' satisfaction of clinical practice and clinical practice competency.

Factors Contributing to the Quality of Life of the Urban Homeless (도시 노숙자의 삶의 질 예측요인)

  • Yoon, Kyeong-A;Rho, Byeong-Il
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.219-243
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    • 2005
  • Homeless people have remained one of the most disadvantaged groups in Korea. Therefore this study aims at examining how the homeless evaluate their quality of life and which factors influence their quality of life. The subjects of this study were 185 homeless adults residing on the street, in the shelter, and in substandard housing in Daejeon Metropolitan City. With a view to collecting the data effectively, different approaches have been taken for each type of homelessness in this study. By using the Korean Version of WHOQOL-BREF(brief version of WHO quality of life measure), this study has examined the current circumstance of the homeless and identified the predictors of their quality of life. The results of this study reconfirm low quality of life of homeless people. Also the results of this study indicate that the important factors influencing their quality of life are age, receipt of public assistance, perceived health status, alcohol use, alcohol addiction, housing type, and recognition by others. Predictors of each domain of quality of life differ to some extent. Statistically significant predictors of physical health are receipt of public assistance, perceived health status, and housing type. Psychological health is significantly influenced by age, receipt of public assistance, perceived health status, housing type, and recognition by others. Significant predictors of social relations are alcohol use, housing type, and recognition by others. Environment is significantly influenced by perceived health status, housing type, and recognition by others. On the basis of the findings of this empirical analysis, some measures conducive to the improvement of quality of life of homeless people are suggested. Only a few studies have been conducted to delve into the quality of life of the displaced group in Korea. In such a context, the significance of this study lies in identifying the circumstances of the homeless as a basic work for upgrading their quality of life on the one hand, and in empirically testing the major predictors of each domain of their quality of life on the other.

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Study on Dental Care need of the Rural Residents (일부 농촌지역주민의 치과의료요구도에 관한 연구)

  • Chang, Bun-Ja
    • Journal of dental hygiene science
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    • v.6 no.2
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    • pp.85-91
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    • 2006
  • This study was conducted to analyze the dental care need and related factors of the rural residents. An interview and questionnaire survey was carried out for 524 people who lived in Seongju-gun county of Gyeongsangbukdo, from July 28 to August 8, 2002. The summarized results are as follows: 1. The rate of persons who experienced the oral disease was 52.5 per 100 persons during 1 year and it was highest in the age group of 40-49. Therefore the rate of persons who had experienced the oral disease was significantly higher the younger peoples, worse oral health status and being of the regular treatment source than the other groups. 2. Dental care user was 52.5 per 100 persons during 1 year 3. Yes or no of The dental care need was significant to age, the subjective oral health status, necessity of regular oral health examination 4. Perceived dental need of the Rural Residents was supplement 64%, dental caries 30.0%, peridontal disease 21.0%, extraction 15.7%, sensitive tooth 7.9%, and so on 1.9%.

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The Determinants of Community Service Utilization Among Family Caregivers of the Impaired Older Persons (만성질환 및 기능손상노인 가족수발자의 재가복지서비스 이용 결정요인에 관한 연구)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.56 no.3
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    • pp.183-205
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    • 2004
  • This Study explored three issues in regard to the determinants of community service utilization among family caregivers of the dependent older persons. First, the differences between users and nonusers of community services were compared regarding to predisposing, enabling, need characteristics of the primary caregiver as well as the elder care recipient. Second, the variables which determined the contact of community services were examined. Third, the influence of the variables on duration of the community services among users was also examined. The data collected from 164 family caregivers were used for analyses. Findings suggest that community service users had higher education and higher emotional support, lower family income than nonusers. The level of cognitive impairment of the elder was also higher for users than nonusers. The entry into community services is more likely for elders cared for by caregivers who have higher educational attainment, lower family income and lower level of instrumental support. Once interaction terms for relationship between need factors and social support are entered, caregivers with poorer level of his/her perceived physical health and lower level of instrumental support are more likely to report use of community services. Among those reporting contact with services, more extensive use occurs for caregivers with lower emotional support and lower depression. The entry of interaction terms for relationship between need and support reveals that the combination of lower support(instrumental and emotional) and elder's greater physical impairment are associated with longer period of community service use. However, the effect of caregivers' depression followed the different pattern. For caregivers with greater depression, more supports are related with more service utilization. According to the results, implications for research and practice are discussed.

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A Research on the Health State According to Each of the Korean Constitution's Perceptual Level of Stress (한국인의 체질별 스트레스 인지정도에 따른 건강상태에 대한 연구)

  • Jeon, Eun-Young;Ko, Byung-Hee;Kim, Kwuy-Bun
    • Journal of Sasang Constitutional Medicine
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    • v.4 no.1
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    • pp.81-106
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    • 1992
  • The purpose of this study was to find out the causal relationship between perceptual level of stress and health state according to Korean constitutions and to analyze that effect on the Korean constitution's health state. Subjects of this study were 87 out patient department of constitution at Kyung-Hee Oriental Medicine Hospital. Data were collected by using interview with Questionaire during 6 months from Feb. 2 to June 31, 1991. The Measurement tools used by this researcher were Go's The Questionaire of Identify about constitution, Lee's stress scale and Go's modified Cornell Medical Index which were approved it's reliability and validity. All of the questionaires of were used after pre- test. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and Pearson correlation. And then this research's issue was tested by SAS program's ANCOVA. The findings of this study was summarized as follow. 1. There was significantly differences in stress perceptual level in Korean constitution. (F=9.68, P=.000). The So Em In (小陰人) were higher than the other constitution on stress perceptional level. 2. In health state, there was significantly difference among Korean constitution. (F=6.654, P=.002). Also the So Em In (小陰人) was lower than the other constitution at health state. Therefore, it was considerate that So Em In (小陰人) was higher perceptual level of stress than the other constitution and the resulting poor health state. 3. Stressful perception was effected on the health state, as a result inverted correlation was constructed between stress perception and health state. (r=-.6034, P=.0001) 4. After exclusion of stress perceptual level, each of the Korean Constitution's health state was not difference (F=1.01, P=.37). It was mean that differences of the Korean Constitution's perceptual level of stress effected on the health state. Bacause So Em In (小陰人) had higher perceptual level of stress than other constitution (F=9.687, P=.000), in proportion to that one's health state was poor. From the results of this study, it could be concluded that the higher stress perceptual level according to Korean constitution, the poorer health state. Further study in this area needs to be consideration that in order to coping with stress, researcher grope for quality nursing intervention with more accurative assessment about Korean constitution.

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A study on the factors influence on the family function of persons with mental illness - Comparison of the persons with recent onset and chronic mental illness - (정신질환자 가족기능에 영향을 미치는 요인연구: 발병초기와 만성 정신질환자의 비교)

  • Jo, Eun Jung;Kim, HyunSoo;Kim, Jong Chun
    • Korean Journal of Family Social Work
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    • no.57
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    • pp.99-124
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    • 2017
  • The primary objective of this study is to examine differences between the persons with recent onset and chronic mental illness in their family function; and analyze factors influence on the family function. The independent variables are divided into four sets: socio-economic, clinical, familial, and social characteristics. The subjects of this study are the 628 with mental disorders, and the sample was selected in Pusan and Gyeong-nam area. The findings of this study can be summarized as followed: The family with chronic mental illness showed higher family function in comparison with recent onset. Result of hierarchical multiple regression analysis show that age of onset, difference between ideal and reality in family function variable only influenced family function for the recent onset group, and activities of daily living, difference between ideal and reality in family function, caregiver's health, community support variables influenced family function for the chronic group. The results suggest a need for using different treatment approaches for recent onset versus chronic mentally disabled families. Implications for mental health social work practice for family with disabled are suggested.

The Definition of Frail Elderly and the Frailty Screening Assessment Tool: A Systematic Review (허약노인의 정의 및 허약 선별 평가도구에 관한 체계적 고찰)

  • Lee, Gyeong A;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.43-56
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    • 2021
  • Objective : The objective of this study was to present the components of frailty by organizing the definitions of frail elderly and analyzing the tools used to screen them. Methods : This study searched for articles at involved frailty screening assessments in the elderly. Databases including CINAHL, Embase, Medline Complete, and PubMed were searched. The search terms were "assess" AND "frailty" AND "screening" AND ("frail elderly" OR "elderly"). Results : A total of 539 articles were identified by the search and 11 articles were selected. Frailty occurs due to the depressed function of multidimensional factors, and a frail elderly person is defined as one at high risk of health degeneration, functional impairment, and occurrence of disability, and having a high level of threat to life. Seven tools were selected from 11 articles. The most frequently used tool was the frailty phenotype, which was used in five articles (45.4%). The identified components of frailty were physical, activity participation, nutrition, psychological, social, overall health, and age. Conclusion : The results confirmed the definition and components of frailty. This study is expected to contribute to the future development of standardized evaluation tools for screening frail elderly individuals and intervention programs for the management of the frail elderly.

Experiences of Ageism and "Self-Ageism" (노인차별 경험과 자기연령주의(self-ageism))

  • Kim, Juhyun;Oh, Hyein;Ju, Kyonghee
    • 한국노년학
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    • v.40 no.4
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    • pp.659-689
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    • 2020
  • This study focuses on the process of internalizing the perception of negative discrimination among elderly people who have experienced age discrimination. The grounded theory method was used to identify the age discrimination experienced by the elderly in their daily lives and to explore the consequences of such discrimination through self-ageism. According to the analysis results, the elderly respond not only to explicit discrimination but also to implicit discrimination. In this process, the stronger the pain of old age (poverty, disease, ignorance, and solitude) and the stronger the memory of failing to respond to discrimination, the higher the level of self-ageism. "Self-ageism" has internalized the negative image of the elderly, who have been discriminated against by age, resulting in disadvantages in terms of quality of life through various reject/separate/suspension actions in reality. In the presence of supportive resources such as health, institutional support, and caregivers, the elderly have room to overcome self-ageism through more active ways. However elderly people who cannot motivate themselves and they lack these resources, elderly are trapped in negative reflux caused by self-ageism and sustained a depressed and shrinking life. In this state, it is not easy to motivate themselves and make physical, cognitive, emotional and social responses. Therefore, in this analysis, we specifically noted two aspects, contextual conditions and interventional conditions, and proposed programs for synchronizing senior citizens and improving resiliency from a microscopic point of view, and argued for the need to develop systems such as supplementing welfare and health service systems related to the entire life cycle, expanding accessibility and 'age-integration' through 'Community Care', awareness improvement and anti-discrimination laws.

Is 'Life Satisfaction' satisfactory?: Complementing the measurement of subjective well-being ('삶의 만족'은 만족스러운가: 주관적 웰빙 측정의 보완)

  • Jung-Ho Kim;Jhe Min You;Kyung Hyun Suh;Seong Kyeon Lim;Sun-Joo Kim;Mirihae Kim;Suja Gong;Tae-Young Kan;Jee-Sun Lee;Jungeun Hwang
    • Korean Journal of Culture and Social Issue
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    • v.15 no.1
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    • pp.187-205
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    • 2009
  • Based on the Motivational States Theory(MOST), the present research expanded and complemented Kim(2007)'s proposal to add the Life Satisfaction Expectancy Scale(LSES) to Diener et al's Satisfaction With Life Scale(SWLS) to measure subjective well-being(SWB). In the present study, the Life Satisfaction Motivation Scale(LSMS) was introduced to measure the strength of motivation for life satisfaction in general. Two hundred and eighty six college students participated in this study. Factor analyses revealed a two-factor structure, with the factors corresponding to life satisfaction and life satisfaction expectancy. Measures of internal and temporal reliability show the LSMS to be a good complement for the measure of SWB(The LSMS showed high internal and test-retest reliability). It was found that the addition of the LSES provided a significant increment in predictive power over the SWLS in the prediction of various factors related with well-being prediction. Exceptionally, in the prediction of anger the LSMS had the most predictive power. There were some differences between male and female students in the correlations among life satisfaction, life satisfaction expectancy and life satisfaction motivation and well-being-related factors. The merits of including LSES in the measurement of subjective well-being and the limitations of this study are discussed.

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