• Title/Summary/Keyword: 행동중재

Search Result 417, Processing Time 0.024 seconds

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.1
    • /
    • pp.260-269
    • /
    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

Risk Factors for Recurrent Falls Among Community-dwelling Elderly in Rural Areas (농촌지역 재가노인의 낙상 재발 위험요인 분석)

  • Jeon, Mi-Yang;Yang, Sun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.12
    • /
    • pp.6353-6363
    • /
    • 2013
  • This study examined the factors associated with recurrent falls among the community-dwelling elderly. The participants were 329 community-dwelling elderly. The data was collected from February 5, 2010 to February 14, 2010. Over the past 1 year, 14.3% of the 329 participants fall once, and 4.0% experienced recurrent falls. There was a significant difference among the non fallers, single faller and recurrent fallers with regard to the static balance(F=5.86, p=.003), dynamic balance(F=24.32, p<.001), risk of fall(F=9.94, p<.001) and compliance of prevention behavior related to falls(F=3.09, p=.047). The analysis results for the correlation between variables showed that the number of falls had a negative effect on the knee flexors muscular strength(r=-.15, p=.008), static balance(r=-.16, p=.004) and compliance of prevention behavior related to falls(r=-.12, p=.030) and a positive affect for the dynamic balance(r=.26, p<.001), depression(r=.13, p=.019) and risk of falls(r=.30, p<.001). The variables explained 36.0% of the variants in the occurrence of recurrent falls. Therefore, an effective recurrent fall prevention program should focus on multiple risk factor intervention.

Social Interaction of Caregivers and Their Children with Down Syndrome or Without Disability (다운증후군 아동과 정상아동의 보호자와의 사회적 상호관계에 대한 비교연구)

  • Cho, Mi-hyun;Cho, mi-suk
    • Proceedings of the Korea Contents Association Conference
    • /
    • 2009.05a
    • /
    • pp.1076-1082
    • /
    • 2009
  • This study investigated caregivers' communication styles and children's emotional development. Emotion-laden puzzle tasks were used to elicit caregivers' communication styles while interacting with their children. Participants included children with Down syndrome (N=10) and typical children (N=15) and their caregivers. As expected, caregivers of children with Down syndrome (DS) used more behavior and attention directives with their children, and caregivers of typical children used more conversation-eliciting prompts with their children. Parents of children with Down syndrome also used a unique communication style in which they asked a question and immediately answered it themselves. Additionally, caregivers of typical children focused more on emotion concepts in their communications with their children and caregivers of DS used more cognitive concepts such as labeling colors and shapes. The results revealed that caregivers of children with Down syndrome usually tried to educate children by emphasizing cognitive concepts to compensate for their delayed development. Because the children are delayed in their emotional development, parents may need help in intervening on the area of emotional development.

  • PDF

A Phenomenological Study on Experience of Attempted Suicide by Maladjusted soldiers (복무 부적응 병사들의 자살 시도 경험에 관한 현상학적 연구)

  • Lee, Eun-Joo;Yoo, Eun-Kwang
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.4
    • /
    • pp.329-341
    • /
    • 2018
  • This study was a qualitative study performed to understand the nature and structure of the suicide attempt process experienced by maladjustment soldiers. The survey participants targeted 10 soldiers who entered 'Camp Green' due to lack of duty by the 00 Corps of ${\bigcirc}{\bigcirc}$ Prefecture. Data were collected by individual in-depth interviews from October 2016 to September 2017 and analyzed using Colaizzi's phenomenological method. The suicide attempt process by maladjusted soldiers was delineated into four categories such as 'A prison without bars', 'Walk on eggshells', 'A pretentious series of life', and 'A life of desperation'; 9 theme clusters; and 25 themes. As a result, maladjusted soldiers had a generally negative experience related to military culture. Soldiers who fail to adapt to military culture will show extreme behavior unless they are able to overcome their depression. Unless specific understanding of the suicide attempt process is attained, the suicide prevention policies of mission-maladjusted soldiers will be ineffective. The results of this study hope to serve as the basis for a suicide prevention and nursing intervention program.

Is this New Paradigm to International Information Order in 21th Century?: The Review of Historical Context and Agenda of World Summit on the Information Society (21세기 국제정보질서의 새로운 패러다임?: 정보사회 세계정상회의(WSIS)의 역사적 맥락과 의제 검토)

  • Kim, Eun-Gyoo
    • Korean journal of communication and information
    • /
    • v.34
    • /
    • pp.34-62
    • /
    • 2006
  • The World Summit on the Information Society (WSIS) was held in two phases. The first phase took place in Geneva, December 2003, and the second phase took place in Tunis, November 2005. The objective of the WSIS was to establish the foundations for an Information Society for all, reflecting all the different interests at stake. In relation to, this article explore the vision and paradigm of WSIS. For this, this article review the historical context of International information order and International agreements, and examine the issues of WSIS. As a result, I recognize, It is valuable that the process of WSIS for Global governance was held among governments and other stakeholders, i.e. the private sector, civil society and international organization. In addition, developing countries's voice are deeply reflected on the WSIS. It is noticeable that ITU played key role as coordinator. However, we are anxious that WSIS's vision for Information society have a bias toward Technology determinism. Eventually, this article argue that WSIS discourse is the lack of any serious and critical structural analysis of the politico-economic context.

  • PDF

Health Status of Vulnerable Preschool Children and Their Mothers' Health Management (취약계층 학령전기 아동의 건강상태와 어머니의 아동 건강관리실태)

  • Kang, Young-Sil;Kwon, In-Soo
    • Child Health Nursing Research
    • /
    • v.19 no.3
    • /
    • pp.159-167
    • /
    • 2013
  • Purpose: The purpose of this study is to find out preschool children's health status and their mothers' health management in the vulnerable classes. Methods: The assessment tool was developed, taken into consideration existing studies, materials produced by the customized visiting health care system, and review of visiting nurses of health centers and related experts. Data were collected January to February 2010 from 259 mothers by visiting nurses, and analyzed using SAS program for descriptive statistics. Results: Body weight less than 3 percentile was found for 5.0% children and over 97 percentile for 7.7%. Atopy was found in 17.8% children, no hand-washing after toileting and before meal in 30.9% and 36.7% respectively, no breakfast in 15.8%, and irregular meal in 32.0%. Sex education was made by 45.7% mothers, regular dental check by 56.6%, and hearing and eyesight test by 61.1% and 66.8% respectively. Home environment for upbringing is 34.3 in the scale of 41, and accident prevention 17.5 in the scale of 22. Conclusion: It is necessary to make an intervention on children's weight, personal sanitation and meal time in the vulnerable classes. Mothers need to be educated for appropriate health care, and home environments to improve upbringing and accident prevention.

The Level of Fatigue and Motor Performance During Drum Playing Depending on Co-Presence of Singing Tasks in Patients With Chronic Stroke (전자 드럼 연주 시 노래부르기 유무에 따른 만성 뇌졸중 환자의 피로도 및 운동 수행력 비교)

  • Kim, Hyun Ji
    • Journal of Music and Human Behavior
    • /
    • v.14 no.2
    • /
    • pp.71-90
    • /
    • 2017
  • The purpose of this study was to compare immediate differences in fatigue and motor performance during instrumental playing in patients with chronic stroke depending on whether singing task was concurrently presented. A total of 12 patients with chronic stroke were recruited from community and daycare centers for older adults in Seoul. Six subjects were randomly assigned to the experimental group and six to the comparison group. The experimental group was asked to sing while playing the electronic drum, and the comparison group only played the drum. The results of this study showed that statistically significant differences in perceived fatigue and exertion were found between the two groups, while no significant group differences were found in level of engagement in playing or force of tapping during drum playing. This study supports the inclusion of a singing task in instrument playing rehabilitation to effectively decrease perceived fatigue and level of intensity of exercises, although this may not lead to immediate changes in motor function or level of target exercises. The results indicate that singing while instrument playing may help stroke patients shift their attention from the executed motor movements to singing and alleviate the attentional and emotional load from intense movements. This study presents implications for how to select and pattern target movements in music therapy intervention for better motor outcomes.

The Research Analysis About Assistive Technology Application for Vocational Ability Improvement of People with Intellectual Disabilities : Centered Single Subject Design (지적 장애인의 직업능력 향상을 위한 보조공학 활용 연구 분석 : 단일대상 연구를 중심으로)

  • Park, Eun-Young;Kim, Eun-Joo;Kim, Se-Yun
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.3
    • /
    • pp.204-214
    • /
    • 2010
  • This research was intended to provide a basic data on the study of utilization of assistive technology to improve vocational ability for people with intellectual disabilities. As this study was literature review, it was analyzed the qualitative level, methodology contents, and general characteristic of a study, related assistive technology application for improvement of vocational ability in people with intellectual disabilities. The results of this study were as follows; Firstly, experimental environments mostly consisted of separated experimental conditions and design employed multiple probe design; Secondly, all of studies were involved in the standard of selection of subjects, but the proportions of study describing the contents related to subjects was low. The proportions of study describing the behavior-control and exterior-variable control method was low; Thirdly, most study evaluated independent variable and presented fidelity of treatment but, the presentation of social validity was proved to be insufficient. In order to effective application of assistive technology in vocational rehabilitation, it is need a evidence that the application of assistive technology is evidence-based practice in vocational rehabilitation. We also need a supplementation between methodology contents and qualitative level of study in more study.

Financial Hardship Factors affecting the Cancer Patient's Quality of Life (암 환자의 삶의 질에 영향을 미치는 재정 관련 어려움 요인)

  • Rhee, Young-Sun;Kim, Su-Yeon;Park, Jeong-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.10
    • /
    • pp.299-307
    • /
    • 2020
  • Purpose: The purpose of this study was to investigate the financial hardships affecting the quality of life of cancer survivors. Method: Data were collected from five convalescent hospitals using self-administered questionnaires, and 422 questionnaires were used for the final analysis. We used a 5-step hierarchical multiple-regression analysis by entering each sociodemographic variable, medical variable, and three types of financial hardship (a material situation, the psychological response, and coping behavior coming from cancer treatment cost) into each step. Results: The results of statistical analysis indicate that the most influential factor in the quality of life was the financial difficulty, which was the frustration that they could not work as usual or support their family financially. In addition, the performance of physical activity, accompanying diseases, women patients, psychological burden on cancer treatment cost, the satisfaction of communication with medical staff for medical expenses, and the feeling unsuccessful financial coping strategy were predictors for the quality of life of cancer survivors. Conclusion: This study provides a blueprint for the development of intervention programs in practice to improve the quality of life of cancer patients, clinical intervention plans, and health policies.

Effects of Song Discussion on Depression and Rehabilitation Motivation in Stroke Patients (노래 가사 토의가 뇌졸중 환자의 우울 및 재활동기에 미치는 효과)

  • Jung, Yong Ra
    • Journal of Music and Human Behavior
    • /
    • v.12 no.1
    • /
    • pp.43-64
    • /
    • 2015
  • This study investigated the effects of song discussion on depression and rehabilitation motivation in stroke patients. Older adults with chronic stroke participated in this study: nine for the experimental group and eight for the control group. The experimental group was divided into three subgroups and participated in 12 sessions over 6 weeks. Target lyrics were selected by the investigator among popular songs from the participants' young adulthood. The song-based discussion was facilitated to address issues targeted at supportive, insight-focused, or reconstructive stage. The control group was provided with delayed intervention. At pre and posttest, the short form of Geriatric Depression Scale and the Rehabilitation Motivation Scale were measured. The experimental group showed significantly decreased depression and significantly increased rehabilitation motivation (p < .01), while the control group showed no significant changes. Positive changes were also observed in all subcategories of rehabilitation motivation in the experimental group, particularly in significantly increased task-oriented motivation and decreased amotivation. This study suggests that song discussion will be effectively applied in rehabilitative settings to address psychological issues of older adults with stroke.