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Factors Affecting Fear of Dementia of Aged in the Community (지역사회 거주 노인의 치매두려움에 미치는 영향 요인)

  • Kim, Min Suk;Kim, Jeong Sun
    • 한국노년학
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    • v.40 no.1
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    • pp.179-196
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    • 2020
  • The purpose of this study was to identify the factors impacting fear of dementia, targeting the aged in the community. The study targeted 258 seniors aged 65 or older attending the senior college or using the senior citizen community center in areas of Jeollannam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and a stepwise multiple linear regression. Fear of dementia of the aged showed significant positive correlations with dementia anxiety, and aged anxiety. dementia anxiety, aged anxiety, dementia experience, use of a hearing aid, religion, level of dementia interest were significant predictors influencing fear of dementia of aged in the community, and these variables accounted for 37.2% of the variance. Therefore, this study suggests that in order to p revent fear of dementia of aged people in the primary health care setting, it is necessary to have a nurse's assessment on the factors affecting dementia as well as a multi-faceted education strategy for proper recognition of dementia.

A Grounded Theory Approach to Person Centered Communication between People Living with Dementia and Their Caregivers (사람중심 치매커뮤니케이션에 대한 근거 이론적 연구)

  • Kim, Dong Seon;Shin, Soo Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.746-764
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    • 2022
  • Communication breakdown has been mentioned causing a heavy burden for dementia caregivers. This study aims to inspect and structure the process and results of communication between people with dementia and their caregivers. The impeding/facilitating elements of communication are also extracted. Interviews with 21 of dementia care experts about the direct and indirect experiences of communication with people with dementia were analyzed based on the grounded theory. Results show that combination of the cognitive and communication decline of the people with dementia, confusing environment and caregivers' inappropriate attitude and lack of communication skills leads to communication breakdown and relations severance. Minimal contacts and task-oriented conversation results in conflicts and people with dementia's increasing agitation, anxiety and violent behaviors while understanding of individuality and listening with heart lead to recovered lucidity in the state of serious dementia, recovered pleasure and voluntary participation in the daily activities for people with dementia. Core paradigm was defined as 'Person Centered Care through relation formation'. There are 4 types of communication with people with dementia : partnering, patronizing, conflicting, avoiding types. Researchers suggest that Person Centered based communication skills be educated and trained for dementia caregivers.

Infection and Mutation - On the H. P. Lovecraft's fiction and "Project LC. RC" (감염과 변이 -H. P. 러브크래프트의 소설과 『Project LC. RC』에 대하여)

  • Bok, Do-Hoon
    • Journal of Popular Narrative
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    • v.27 no.2
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    • pp.13-44
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    • 2021
  • This article describes the fear of infection through the Covid19 pandemic and the rapid phase change of human species with H. P. Lovecraft's fiction and "Project LC. RC". Pandemic and climate change, which can be called global weirding, fundamentally question the status and history of human species in the ecosystem. The horror creature and cosmological indifferentism in Lovecraft's weird fiction are contemporary in that they help shed light on today's global weirding. But Lovecraft's racism allows him to ask more fundamental questions about the logjam of his cosmic horror. "Project LC. RC" are a Korean writers's works of cultural variation that rewrites controversial racism and misogyny in Lovecraft's fiction. Such variation becomes the task of creating a mutation in Lovecraft as it becomes infected with the affection of Lovecraft's writing. This article first noted the creative power of Lovecraft's fiction that induces such a mutation. And under this premise, this article wanted to reveal the meaning of Lee Seo young, Eun rim, and Kim Bo young's recreates of Lovecraft's fiction through the analysis of images and motifs of abject, plant creature and symbiosis. Specifically, Lovecraft's creature, which evokes phallic fear, turns into an image of an abject embracing and comforting women's despair("I Want You to Stay Low"), a plant creature that provides women with refuge("Color in the Well"), and a creature of care and symbiotic life("A Sea of Plague"). This recreate/rewriting has contemporary significance in that it embodies values such as labor, care, and solidarity in their works. The conclusion noted another power of creative variation in Lovecraft's fiction, which is not reduced to recreate/rewriting.

A Study on Emotional Labor of Home Elderly Welfare Center Certified Nursing Assistants

  • Jung Seo, Lee
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.1
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    • pp.103-110
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    • 2023
  • The purpose of this study is to improve the operation and working environment of welfare centers through this study on emotional labor of Certified Nursing Assistants at home welfare centers for the elderly. For the study, 138 Certified Nursing Assistants belonging to the Home elderly welfare center in K-si and J-do were studied. For statistical analysis, Cronbach's α, t-test, ANOVA, Pearson correlation analysis, and multiple regression analysis were performed using SPSS/WIN 17.0. First, as a result of the study, the difference in emotional labor among Certified Nursing Assistants at home-based senior welfare centers was higher in the degree of emotional labor in the order of dementia education, work experience, employment type, education level, and age. Second, the degree of burnout of the survey subjects was highest in the order of work experience, dementia education, employment type, and age. Finally, work stress and emotional labor were found to have a significant positive effect on work burnout. In conclusion, it is necessary to study Certified Nursing Assistants' cases of systematic emotional control experience to prevent work burnout, dementia education, work feedback on how to cope with services, and work conditions improvement measures to relieve work stress.

The Effects of Older Persons' Inclination to Choose Aging in Place(AIP): Focusing on Living Arrangements (노인의 지역사회 내 계속거주(AIP) 의향에 영향을 미치는 요인: 동거형태를 중심으로)

  • Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.9
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    • pp.131-139
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    • 2022
  • The purpose of this study was to ensure that the elderly do not enter a facility even if their health deteriorates, but continue to live in the community and receive necessary care. According to the survey of the elderly, the cohabitation type of the elderly in Korea was that they lived with married adults and/or unmarried children in addition to single and married households. Therefore, in this study, using the SPSS 25 program, the effects of the elderly's socio-demographic characteristics and cohabitation type on the intention to continue living in the community was analyzed using the 2020 elderly welfare status survey data. The main research results are as follows. First, gender, age, and residence type of the demographic characteristics of the elderly were found to be statistically significant. Second, single households, married households, and households living with the eldest son revealed the statistical significance level of the elderly. Based on this, we were intending to provide basic data necessary for establishing welfare policies for the elderly, such as strengthening care and an age-friendly environment, in order to improve the continued residence of the elderly in the local community.

An exploratory study of financial abuse among older adults (노인 경제적 학대에 대한 탐색적 연구)

  • Lee, Hyunjoo;Kim, Hyojung
    • 한국노년학
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    • v.41 no.3
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    • pp.327-351
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    • 2021
  • This study was motivated by the awareness that little attention has been paid to this issue both theoretically and empirically, despite the fact that financial abuse causes serious problems which are difficult for the elderly to recover from. This study intends to explore what the patterns of financial abuse targeting the elderly are, what causes and sustains these abuses, and what makes it difficult to counter such financial abuses. Data analysis was based on individual and group interviews of ten professionals expected to encounter the most financially abused elderly in social welfare institutions. The thematic analysis shows that financial abuse is often caused and maintained in a trusting relationship through care and protection. Because financial abuse was inflicted on the vulnerable elderly in a state of reinforced psychological dependence based on a long and trusting relationship, it appears that it has been made with tacit acknowledgement and consent. Despite those complex dynamics, it is noted that financial abuse can be judged as such only when the elderly claim to suffer from harm. Rather, intervention without victims' acknowledgement tends to be perceived as violating their right to self-determination. This reality naturally leads to the termination of the necessary interventions with the victims in an abusive situation. Based on these results, discussion focused on more realistic and diverse approaches to the issue of financial abuse of older adults.

Factor affecting Unplanned Readmissions after Cardiac Valve Surgery: Analysis of Electric Medical Record (심장판막수술 환자의 비계획적 재입원 영향요인: 전자의무기록분석)

  • Lee, Jung Sun;Shin, Yong Soon
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.794-802
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    • 2022
  • This retrospective study was to investigate the characteristics of unplanned readmission and factors affecting readmission within 30 days of discharge in patients who underwent heart valve surgery through electronic medical records. The participants were 423 unplanned re-hospitalization within 30 days after heart valve surgery at a tertiary hospital in Seoul from January 2018 to August 2019. A total of 48 patients (11.3%) were unplanned readmissions, and the most common causes were atrial fibrillation in 13 cases (27.1%) and pain at the surgical site in 13 cases (27.1%). Other causes were: 10 cases (20.8%) of warfarin inappropriate treatment concentration, 7 cases of general weakness (14.6%), 5 cases of hypotension (10.4%), 4 cases of pericardial effusion (8.3%), 3 cases of surgical wound infection (6.3%), 3 cases of hemorrhage (6.3%), 3 cases of high fever (6.3%), and 1 case of cerebral infarction (2.1%). Variables influencing readmission were history of cancer (OR = 2.60, 95% CI 1.13-6.03, p = .025) and the patients who went to a home rather than a hospital after discharge (OR = 2.91, 95% CI 1.33-6.36, p = .008), as a type of valve surgery, mitral valve valvuloplasty had a higher readmission rate than aortic valve replacement (OR = 1.21, 95% CI 1.21-4.98, p = .012). In order to reduce unplanned readmissions, an tailored education program is needed to enable patients and caregivers to manage their comorbid chronic diseases before discharge and assess risk factors for readmission in advance.

An Exploratory Study on the Learning Community: Focusing on the Covid19 Untact Era (배움공동체에 대한 탐색적 연구 : covid19 언택트시대를 중심으로)

  • Jeong, Su-Jeong;Im, Hong-Nam;Park, Hong-Jae
    • Journal of Convergence for Information Technology
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    • v.12 no.5
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    • pp.237-245
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    • 2022
  • This study examines the social discourse on the characteristics of the learning community in the untact era, and discusses the directions that learning communities for children could explore and consider in the pandemic situation and beyond. For this purpose, big data for one year, from January 20, 2020 to January 20, 2021, were collected through internet portal sites (includingincluding Google News, Daum, Naver and other News surfaces), using two keywords "untact" and "learning community", and analyzed by employing a word frequency and network analysis method. The analysis results show that several important terms, such as 'village education community', 'operation', 'activity', 'corona 19', 'support', and 'online' are closely related to the learning community in the untact era. The findings from this study also have implications for developing the learning community as an alternative model to fill the existing gaps in public care and education for children during the prolonged pandemic and afterwards. In conclusion, the study findings highlight that it is meaningful to identify key terms and concepts through word frequency analysis in order to examine social trends and issues related to the learning community.

Predicting Ripple Effect Affects Difficulty of Decision-Making: The Mediating Effect of Perceived Accountability for Results of Decision-Making (파급효과 예측과 의사결정의 어려움: 의사결정 결과에 대한 책임감과 부담감의 매개효과)

  • Minjo Lee;Hyekyung Park
    • Korean Journal of Culture and Social Issue
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    • v.23 no.4
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    • pp.557-585
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    • 2017
  • In this research, it was examined whether predicting the ripple effects of events influences decision-making difficulty. In addition, it was examined whether perceived accountability for decision-making results mediates the relation above. In Study 1, participants were presented with policy decision-making vignettes and were asked to report on the ripple effects of their policy decisions as well as on the difficulty of making the decision. Consistent with the hypothesis, the bigger the expected ripple effects, the greater difficulty participants felt in making policy decisions. In Study 2, ripple effect magnitudes were experimentally manipulated such that participants were led to predict big ripple effects in one condition and relatively small ripple effects in another condition. It was investigated whether participants predicting bigger ripple effects would perceive decision-making to be more difficult than participants predicting smaller ripple effects. Whether this relation would be mediated by perceived personal accountability for the results of decision-making was also examined. Consistent with expectations, it was found that in the moral domains of Harm/care, Fairness/reciprocity, and Ingroup/loyalty, participants predicting bigger ripple effects reported more difficult decision-making than their counterparts. The relation above was mediated by perceived personal accountability for decision-making results only in the domain of Ingroup/loyalty. In combination, these results showed that bigger predicted ripple effects contributed to greater decision-making difficulty. In addition, participants felt more responsible for the results of their decisions when predicting bigger ripple effects, which led them to feel greater decision-making difficulty in the domain of Ingroup/loyalty. The implications of these results and future directions for research are discussed.

Study on User Characteristics based on Conversation Analysis between Social Robots and Older Adults: With a focus on phenomenological research and cluster analysis (소셜 로봇과 노년층 사용자 간 대화 분석 기반의 사용자 특성 연구: 현상학적 분석 방법론과 군집 분석을 중심으로)

  • Na-Rae Choi;Do-Hyung Park
    • Journal of Intelligence and Information Systems
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    • v.29 no.3
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    • pp.211-227
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    • 2023
  • Personal service robots, a type of social robot that has emerged with the aging population and technological advancements, are undergoing a transformation centered around technologies that can extend independent living for older adults in their homes. For older adults to accept and use social robot innovations in their daily lives on a long-term basis, it is crucial to have a deeper understanding of user perspectives, contexts, and emotions. This research aims to comprehensively understand older adults by utilizing a mixed-method approach that integrates quantitative and qualitative data. Specifically, we employ the Van Kaam phenomenological methodology to group conversations into nine categories based on emotional cues and conversation participants as key variables, using voice conversation records between older adults and social robots. We then personalize the conversations based on frequency and weight, allowing for user segmentation. Additionally, we conduct profiling analysis using demographic data and health indicators obtained from pre-survey questionnaires. Furthermore, based on the analysis of conversations, we perform K-means cluster analysis to classify older adults into three groups and examine their respective characteristics. The proposed model in this study is expected to contribute to the growth of businesses related to understanding users and deriving insights by providing a methodology for segmenting older adult s, which is essential for the future provision of social robots with caregiving functions in everyday life.