• Title/Summary/Keyword: 두려움

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Functional Status and Health Care Utilization among Elders with Hip Fracture Surgery from a Fall (낙상후 대퇴골절 수술 노인의 신체기능, 의료이용 및 낙상의 두려움)

  • Oh, Hee-Young;Im, Young-Mi
    • Korean Journal of Adult Nursing
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    • v.15 no.3
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    • pp.432-440
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    • 2003
  • Purpose: The purposes of this study were to examine 1) functional status at 2 months after hip fracture surgery 2) health care utilization after a fall episode and 3) fear of falling experienced during first 2 months after a fall episode. Method: With a convenient sample of 99 elderly from six university or general hospitals with hip fracture from a fall, data were collected at 2-3 days before discharge and at 2 months after hip fracture surgery. Result: 1) At 2 months after hip fracture from a fall, significant proportion (25.3%) of elderly was not able to walk indoors. 2) Average length of hospital stay was 27.6 days with a range of 8 to 86 days. About 51% subjects received physical therapy during hospital stay, and only 6.1% subjects received physical therapy following discharge from the hospital. 3) Significant proportion (72.7%) had fear of falling after the fall episode. About 51% reported that they restricted their activities because they had fear of falling. Conclusion: Fall is a dreaded event which result in loss of independence and restriction of activity. Development and application of fall prevention program is critical especially for those with risk factors of fall.

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Effects of Lidocaine Patch Application to Decrease Pain and Fear during Blood Sugar Test in Elderly Patients with DM (리도카인 패치 적용이 당뇨노인환자의 혈당검사 시 통증과 두려움에 미치는 효과)

  • Kim, Se Young;Kim, Jin;No, In Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.1
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    • pp.12-20
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    • 2016
  • Purpose: This study was done to examine the effects of lidocaine patch application to decrease pain and fear during blood sugar testing in elderly patients with DM. Methods: The participants were 56 elderly patients admitted to J geriatric hospital in G city, Korea. Of the elderly patient, 27 were assigned to the experimental group and 29 to the control group. Participants in the experimental group applied a lidocaine patch on the fingertip for 30 minutes before a blood sugar test. The control group applied a plaster on the fingertip. Pain was evaluated using a visual analogue scale and fear using the Procedure Behaviour Check List. The results were compared using paired t-test and t-test. Results: The scores for pain and fear were significantly lower in the experimental group compared to the control group. Conclusion: The lidocaine patch was found to be an effective local anesthetic to relieve pain and fear during blood sugar test in elderly patients with DM without any severe adverse events.

Factors Influencing Fear of Falling among Women in the Early Phase of Old Age by Assessing Level of Hand Grip Strength (노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인)

  • Noh, Jun Hee;Lim, Eun Ju
    • Journal of Home Health Care Nursing
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    • v.25 no.1
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    • pp.96-104
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    • 2018
  • Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

The Effects of Ego Strength, Stress Coping Styles and Fear of Negative Evaluation on Children's Peer Relationships (자아강도, 스트레스 대처방식 및 부정적 평가에 대한 두려움이 아동의 교우관계에 미치는 영향)

  • Kim, Se Young;Choi, Naya
    • Korean Journal of Child Studies
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    • v.34 no.4
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    • pp.37-52
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    • 2013
  • This study was performed to model the effects of ego strength, stress coping styles, fear of negative evaluation, and the effects these concepts have upon children's peer relationships. Data were collected from 580 fifth and six graders in Seoul and Gyeonggi province. In summary, the results indicated the following. Firstly, there were significant correlations between ego strength, stress coping styles, fear of negative evaluation, and peer relationships. Secondly, the ego strength of children was found to have direct influences upon their stress coping styles, fear of negative evaluation and peer relationships. Thirdly, out of stress coping styles of children affected by ego strength, only the negative coping style was found to significantly influence the fear of negative evaluation and peer relationships. Fourth, the fear of negative evaluation on the part of children was affected by ego strength and negative stress coping styles, and in particular, negative stress coping styles influenced peer relationships through the anxiety induced from interpersonal relationships.

Factors Influencing Fear of Dementia among Middle-Aged and Older Adults (중노년기 성인의 치매두려움 영향요인)

  • Kim, Bo Ram;Chang, Hee Kyung
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.156-165
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    • 2020
  • Purpose: This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults. Methods: Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%. Conclusion: The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

Effects of Fall Prevention Program on Muscle Strength, Postural Balance, and Fear of Falling in Elderly (낙상예방프로그램이 노인의 근력, 균형 및 낙상두려움에 미치는 효과)

  • Shin, Jung Soon;Kim, Yeong Kyeong;Kang, Mi Ae;Yeo, Hyung Nam
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.10-19
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    • 2016
  • Purpose: This study was to develop a fall prevention program and test the effects of the program on the muscle strength, postural balance and fear of falling for elderly. Methods: This study was conducted using a nonequivalent control group pretest-posttest design. There were 21 participants in the experimental group and 22 in the control group. Data were collected from July to September 2015. Questionnaires were completed three times (at pretest and after 8 and 10 weeks). Data were analyzed using $x^2$ test, Fisher's exact test, t-test, and repeated measure ANOVA. Results: Lower extremity muscle strength and postural balance scores were significantly improved in the experimental group compared to the control group. However, fear of falling was not significantly different between the experimental and control groups. Conclusion: The study results indicate that fall prevention programs for the elderly can be useful to improve muscle strength and postural balance.

Fashion savvy II: The influences of fear of negative evaluation by others, self esteem, and consumer confidence in fashion decisions on fashion savvy (Fashion savvy II: 타인의 부정적 평가에 대한 두려움, 자아존중감과 의복구매 자신감이 fashion savvy에 미치는 영향)

  • Park, Hye-Jung;Jeon, Kyung Sook
    • The Research Journal of the Costume Culture
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    • v.21 no.4
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    • pp.562-575
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    • 2013
  • The purpose of this study was to test the determinants of fashion savvy. As determinants, this study examined fear of negative evaluation by others and self esteem as subject-related variables and consumer confidence in fashion decisions as the product-related variable. It was hypothesized that fear of negative evaluation and self esteem influence fashion savvy both directly and indirectly through consumer confidence in fashion decisions. Data were gathered by surveying university students in Seoul metropolitan area, using convenience sampling, and 311 questionnaires were used in the statistical analysis. In analyzing data, factor analysis and path analysis were conducted. Tests of the hypothesized path show that one factor of fear of negative evaluation and self esteem influence fashion savvy directly and indirectly through consumer confidence in fashion decisions. More specifically, 'fear of negative impression and judgment' factor negatively influences 'marketing literacy' and 'consumer selfefficacy' of fashion savvy, whereas self-esteem positively influences 'consumer self-efficacy' of fashion savvy. In addition, consumer confidence in fashion decisions influences all six factors of fashion savvy. The implications of these findings and suggestions for future study are also discussed.

Knowledge and Attitudes toward AIDS among Dental Hygiene Students in a College (일개 대학 치위생과 학생들의 후천성 면역결핍증에 대한 지식과 태도)

  • Kim, Hye-Young;Park, Ji-Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.5
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    • pp.1905-1911
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    • 2010
  • This study was conducted to investigate knowledge and attitudes about AIDS among dental hygiene students in a college. The study population surveyed by means of a self-administered questionnaire consisted 265 of them. The converted score of knowledge of AIDS among all respondents was $76.4({\pm}13.4)$ point if 100 point for all statements were correctly answered. More than half of them said they were afraid of getting AIDS. The majority of them had a reluctance toward HIV infected patients. Almost all said that they felt the fear of infection if they had to treat HIV infected people. In conclusion, dental hygiene students should be educated more about AIDS.

Relationships among Attachment with Parents, Self-Differentiation and Fear of Intimacy among College Students (대학생이 지각한 부모애착과 자기분화 및 친밀한 관계에 대한 두려움)

  • Na, Bo-Young;Chung, Hye-Jeong
    • Journal of Families and Better Life
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    • v.26 no.2
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    • pp.155-168
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    • 2008
  • The purpose of this study was to investigate the relationships of parental attachment and self-differentiation with fear of intimacy perceived by college students. The data of the study were collected through self-administered questionnaire method with 187 male and 159 female college students. The major results of this research were as follows. First, there were significant differences in the level of attachment with parents according to parent's marital statue, living standard, and father's education level. Second, there were significant differences in the level of self-differentiation across sex, age, parent's marital statue, living standard, and parental's education level. Third, the level of attachment with parents was positively correlated with self-differentiation, indicating that the greater the level of attachment with parents, the higher the degree of self-differentiation. Fourth, fear of intimacy was negatively associated with parental attachment and self-differentiation, showing that the greater the degree of fear of intimacy, the lower the lever of attachment with parents and self-differentiation. Finally, multiple regression analysis result reported that emotional cutoff among the four self-differentiation subscales was the most powerful variable predicting the fear of intimacy. The results were shortly discussed in terms of some implications for education and counseling with college students.

Fear of Falling, ADL and Physical Functioning among Senior Citizens (지역거주 노인의 낙상에 대한 두려움과 일상활동, 신체기능간의 관계)

  • Park, Jee-Won;Yoo, Hye-Ra
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.2
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    • pp.117-125
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    • 2006
  • Purpose: The objectives of this study were to explore the relationships between the fear of falling and daily activities, and physical functioning of older people in community. Method: A descriptive study design was used in this study. 295 people aged over 65 and living in community participated. Data of demographic characteristics, fear of falling, activity daily living, physical functioning were collected. Result: 13.2% of the participants reported that they have falling accident last one year. 75.6% of participants reported fear of falling. 67.7% of them expressed restricting activity because of fear of falling. There were no significant relationship between fear of falling and BADL(Basic Activity Daily Living) but fear of falling and IADL(Instrumental Activity Daily Living) were related. It was also found that older people with higher fear of falling expressed more pain and uncomfortable feelings especially on their lower body and had higher scores of morbidity of neurologic diseases such as neuralgia and cerebrovascular diseases. Conclusion: There were significant relationships between fear of falling and IADL, and physical functioning on lower body, and morbidity of neurologic diseases such as neuralgia and cerebrovascular diseases.

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