• Title/Summary/Keyword: 선한 삶

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Symptom Clusters and Quality of Life in Patients on Hemodialysis (혈액투석 환자의 증상 클러스터와 삶의 질)

  • Cha, Jieun;Yi, Myungsun
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.123-133
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    • 2014
  • Purpose: The purpose of the study was to investigate symptom clusters experienced by patients on hemodialysis and to identify relations between symptom clusters and quality of life. Methods: Data were collected from 127 patients at 10 local hemodialysis clinics. Symptoms were measured using 10-item physical symptom checklist as well as the Hospital Anxiety depression Scale. Quality of life was measured with the Satisfaction with Life Scale. Data were analyzed using factor analysis, Pearson correlation, and stepwise multiple regression. Results: The most frequently reported symptoms included fatigue, itching, depression, numbness/tingling, and insomnia. Four distinct symptom clusters were identified: cluster 1 was comprised of dry mouth, headache, nausea (gastrointestinal); cluster 2 of decreased appetite, insomnia (basic need); cluster 3 of itching, numbness/tingling (sensory-comfort); and cluster 4 of fatigue, depression (mood-vitality). Among the clusters, the 'basic need' cluster and 'mood-vitality' cluster had a significant negative association with quality of life. The 'mood-vitality' cluster, explained 17.4% of the variance in quality of life. Conclusion: The results of the study indicate that comprehensive symptom assessment provides better symptom management for patients on hemodialysis. Further studies are needed to verify symptom clusters identified in this study.

A Comparison of Quality of Life between Patients with 12 Months after Coronary Artery Bypass Graft Surgery and General Population (관상동맥 우회술 후 12개월 환자와 일반인의 삶의 질 비교)

  • Song, Yeoung Suk;Lee, Jung Sun
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.25-32
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    • 2008
  • Purpose: The purpose of this study was to examine quality of life with patients in 12 months after coronary artery bypass graft surgery, compared with general population. Method: A cross-sectional comparative study was designed. Study participants were 90 adults who had undergone CABG surgery (n=45) in experimental group and general population (n=45) in control group. The subjects were asked the questionnaire (SF-36, Short Form-36) regarding the quality of life. The data were analyzed by the SPSS 13.0 program including frequency, percentage, $x^2$ test, t-test and One-Way ANOVA. Results: There were no significant differences in the quality of life between two groups including physical functioning (t=-.938, p=.351), role-physical limitation (t=-.322, p=.748), bodily pain (t=-.938, p=.351), general health (t=-.1418, p=.888), vitality (t=-.816, p=.417), social functioning (t=.720, p=.474), role-emotional limitation (t=-.710, p=.479), mental health (t=-.431, p=.667). Conclusion: Even though patients in experimental group had operation experience, the quality of life examined on the time of 1 year after bypass surgery is similar in that of general population. We suggest the study change the design as examination of quality of life before and after coronary artery bypass graft surgery.

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A Study on Environment-related Factors that Promote Psychological·Behavioral Health and Quality of Life for People with Dementia - Focused on the Context of Long-term Care Facilities for People with Dementia (치매 환자의 건강과 삶의 질 향상을 위한 치유환경 요소에 관한 연구 - 치매 환자를 위한 노인요양시설을 중심으로 )

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.4
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    • pp.7-20
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    • 2022
  • Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of environment-related factors on behavioral health and quality of life for people with dementia who reside in long-term care facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve behavioral health and quality of life for people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies and that link the design of dementia care facilities to health- and QOL-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, to nursing. Results: The review identified a growing body of literature that articulates environment-related factors that improve health and quality of life for people with dementia living long-term care facilities Implications: The findings of the review can be translated to design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

The Mediating Effect of Positive Body Image in the Association between Attitudes toward Aging and Life Satisfaction among Older Adults (노인의 노화에 대한 태도와 삶의 만족도 사이의 관계에 미치는 긍정적 신체 이미지의 매개효과)

  • Minsun Lee;Ki Hyang Han
    • Journal of the Korean Society of Clothing and Textiles
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    • v.46 no.6
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    • pp.1023-1038
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    • 2022
  • In societies emphasizing the importance of youthful appearance, attitudes toward aging are closely related to how individuals perceive their own bodies, which can be a major determinant of psychological well-being among older adults. The purpose of this study was to examine the associations between attitudes toward aging, positive body image, and life satisfaction among older Korean adults, based on relative deprivation theory and social identity theory. Employing an online survey questionnaire, data was collected from 408 Korean aged 65 and over. The proposed research model was examined via partial least square structural equation modeling (PLS-SEM). Results revealed that higher levels of psychosocial loss were associated with lower positive body image, while higher levels of physical change and psychological growth - a good example were associated with higher positive body image. Higher levels of positive body image were associated with higher life satisfaction. Overall, positive attitudes toward aging may increase positive body image and life satisfaction among older adults, controlling for subjective financial and health status. The results of this study emphasize that we should not overlook the importance of positive body image in psychological well-being among older adults.

Psychology and Quality of Life in Cancer Patients on Radiation Therapy (방사선치료 중인 암 환자의 심리와 삶의 질)

  • Yang Jong-Chul;Chung Woong-Ki
    • Radiation Oncology Journal
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    • v.22 no.4
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    • pp.271-279
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    • 2004
  • Purpose: The object of this study Is to investigate sociodemographic and clinical characteristics, psychology, self-esteem and quality of life in cancer patients on radiation therapy and to provide useful information for therapeutic approach to cancer patients on radiation therapy. Materials and Methods: The subjects were 36 patents who had been treated with radiation therapy and 20 normal people. Sociodemographic information and clinical characteristics of cancer patients on radiation therapy were investigated, and symptom checklist-90-revised, Rosenberg Self-esteem Scale for self esteem, World Health Organization Quality of Life Assessment Instrument for quality of life were administered to subjects. And Spearman's correlation analysis was used among these. Result : The tendency of somatization, depression, anxiety and hostility in cancer group were significantly higher than normal group. Self esteem and quality of life in cancer group were significantly lower than normal group. No significant difference was found in comparison of psychology, self esteem and qualify on life according to sociodemographic variables. Among clinical characteristics, in the presence of metastasis in cancer patients, the scores of anxiety, phobia and paranoid ideation were higher In patients with pain, the score of somatization was higher And in case of weight loss, the score of somatization was higher. The higher score of depression, anxiety and hostility were significantly associated with lower self-esteem. And higher score of somatization, depression, anxiety and hostility were significantly associated with lower quality of life. Conclusion: Understanding and management of psychological symptoms, such as somatization, depression, anxiety, and hostility, and pain control are necessary to improve quality of life in cancer patients on radiation therapy.

Relationship Between Depression and Quality of Life in Elderly Women Living Alone: The Moderating and Mediating Effects of Social Support and Social Activity (여성독거노인의 우울과 삶의 질과의 관계: 사회적 지지, 사회적 활동의 조절효과 및 매개효과)

  • Lin, Qin Lan;Kim, Hee Kyung;Ann, Jung Sun
    • 한국노년학
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    • v.31 no.1
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    • pp.33-47
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    • 2011
  • The purpose of this study was to examine the moderating and mediating effects of social support and social activity on the relationship between depression and quality of life in elderly women living alone. Subjects were 129 elderly living alone at K city in C province, from June to July, 2010. The data was analyzed using the SPSS program for descriptive statistics, Pearson's correlation coefficient and stepwise multiple regression. The degree of depression of elderly living alone was above the average(2.65), and that of quality of life was average(2.80). The correlated factors of quality of life among elderly women living alone included depression(r=-.745, p=.004), social support(r=.544, p=.000), leisure activity(r=.480, p=.024), and economic activity(r=.711, p=.001). Social support was an important mediator between the depression and quality of life in elderly women living alone. The moderating effects of social support and social activity between depression and quality of life in elderly women living alone were not significant. This study suggests that social support considered in enhancing the quality of life programs designed for elderly living alone. Further research needs to be done to refine moderating and mediating effects of social support, social activity including leisure activity, economic activity and volunteer activity.

Communitarian Liberalism and Controversial Issues in Moral Education (공동체적 자유주의와 도덕·윤리교육의 쟁점(I) : 교재관의 문제)

  • Moon, Sung-hak
    • Journal of Korean Philosophical Society
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    • v.130
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    • pp.47-77
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    • 2014
  • The purpose of this paper is to justify the following four points. 1) Both communitarianism maintaining perfectionism and liberalism maintaining state neutralism are wrong. Communitarian liberalism is right. 2) If we accept a standpoint of communitarian liberalism, every state must make its own moral textbook for the achievement of common good. Of course, it dose not mean that a government must be an author of moral textbook. 3) The subjects of unification education and democratic citizenship education must be included in moral textbook. The crucial difference between moral education and civic education lies not in the educational subject but in the educational method. In order to internalize communal values and virtue, moral education prefer reflective internalization to indoctrination. But civic education prefer indoctrination to reflective internalization. 4) An desirable Korean who shares Korean values and virtue, provisional moral truth of Korea is a citizen of two isms, namely nationalism and cosmopolitanism.

Artifice of the Spider 'Kacou Ananzè' in The Black Cloth (Le Pagne Noir) by Bernard Dadié - Black African Morality and Satire (베르나르 다디에의 『검정 파뉴』에서 거미 카쿠 아낭제의 계략을 통해서 본 흑아프리카 도덕과 사회 풍자)

  • Yu, Jai-myong
    • Cross-Cultural Studies
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    • v.52
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    • pp.195-222
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    • 2018
  • Bernard $Dadi{\acute{e}}$ expresses virtue, justice, and goodness by mixing reality and fiction through the life of the spider Kacou $Ananz{\grave{e}}$ in The Black Cloth (le Pagne noir). In Black Africa folktale, especially $Co{\hat{o}}te$ d'Ivoire, virtue, justice, and goodness are important factors. The spider's life is full of imagination and tricks that reveal a variety of lessons: i) material abundance and frustration in the 'Spider and the Tortoise', ii) an autistic life that refuses to separate from the mother in the 'Spider's Hump', iii) leaving a trace of violating the taboo on the sheep in the 'Spider's Ox', iv) the failure of a ploy by hurting others to satisfy individual desire in 'The Dowry'. These diverse stories enable us to understand human characteristics and imperfections by questioning customs of society and value of customs, reinterpreting folktale, and clarifying instructional intentions.

폐업기업 대표의 불안과 우울 및 회복탄력성이 삶의 질과 재창업 의지에 미치는 영향

  • Jeong, Geum-Jong
    • 한국벤처창업학회:학술대회논문집
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    • 2019.04a
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    • pp.45-49
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    • 2019
  • 매년 수많은 기업이 폐업하고 있으며 그 숫자만큼 폐업 기업의 대표가 실패하고 있다. 중소기업연구원의 재기성공요인 분석을 통한 중소 벤처기업의 재도전 활성화 연구(백필규,2011)에 의하면 폐업이나 부도의 형태로 실패하는 기업이 급격하게 증가한 시점은 외환위기가 발생했던 1997년과 1998년의 사이로 보고 있다. 부도 기업의 숫자가 외환위기때는 약 4만사, 1999년부터 2010년까지도 평균 4만 7천여사가 발생하였고 폐업기업수는 부도기업보다 훨씬 많아 매년 80~90만개 전후의 기업이 실패하고 있다. 최근 IBK경제연구소의 실패기업인의 재창업 지원제도 설문조사 결과(김나라,2017)에 의하면 최근 5년간 창업기업은 연평균 77만개사, 폐업기업은 69만개사로 조사되었으며 창업기업의 5년 생존율은 27.3%로 OECD 주요회원국 17개국중 최하위를 차지했다. 오랜시간 대한민국 사회는 사업실패는 곧 패가망신이라는 인식이 깊게 자리잡고 있다. 연대보증이나 재기가 어려운 구조로 인하여 폐업기업의 대표가 실패하면 가족들도 모두 힘들어지고 본인은 경제적, 심리적 어려움에 직면하고 있는 현실이다. 정부와 민간 기관들이 실패기업인들의 재기를 지원하기 위하여 다양한 제도를 운영하고 있지만 아직 시행 초기 단계라 보다 재기를 원하는 기업인들에게 맞춤형으로 도움을 줄 수 있는 실질적이고 효과적인 시스템이 구축되었다 할 수 없다. 창업강국인 미국과 중국의 기업가들은 평균 2.8회의 실패 경험을 가지고 있으나 한국의 기업가는 1.3회의 실패 경험을 보유 한다.(중기청, 2014) 폐업기업 대표의 재무적 손실의 규모와 관계없이 불안과 우울이 낮고 회복탄력성이 높은 기업가가 본인과 가족의 삶의 질과 재창업의지에 긍정적인 효과가 있음으로 나타났다. 연구 대상은 재기중소기업개발원의 재기 기업인과 정부 재창업 지원 프로그램에 지원한 재기 기업인을 대상으로 조사 하였으며 본 연구를 통해 폐업기업 대표에게 필요한 사회적 안전장치와 국가의 창업지원이 고용창출, 매출증가로 이어질 수 있는 선순환 구조의 재기 창업 생태계를 만드는 데 일조하고자 한다.

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The Effects of a Memoir Writing Program for the Elderly Using Cognitive Enhancement Techniques (기억 향상 요소를 강화한 노인 집단 자서전 쓰기 프로그램의 효과)

  • Jin, Young Sun;Kim, Young Kyoung
    • 한국노년학
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    • v.31 no.2
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    • pp.401-417
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    • 2011
  • The life review means a process of appraising life of oneself and it is essential for finding the meaning of life in old age. The memoir writing is a kind of method of life review. The memoir writing program used in this study focused especially on enhancing the cognitive skills by providing priming and retrieval support for memory performance in reminiscing past experiences. All fourteen participants were healthy and normal community dwellers and attended four-month long programof memoir writing classes which are consisted of different themes for each week. The aim of this study was to examine if the memoir writing program would render the positive effect on mental health and cognitive ability of the elderly. The results were that quality of life, life satisfaction, ego integrity of the participants showed positive change and the level of depression was significantly reduced compared to that of the control group. The findings in the present study suggest that the memoir writing can serve as one of the community initiative program to the growing population of the elderly for their emotional and cognitive challenges that they face everyday. To warrant the validity of the program, further study is needed for other sectors of elderly population, such as elderly living alone or those with both physical and/or cognitive disadvantages.