• Title/Summary/Keyword: Adult health

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Factors Associated with Drug Misuse Behaviors among Polypharmacy Elderly (다약제 복용 노인의 약물 오용 행위에 영향을 미치는 요인)

  • Lee, Jong-Kyung
    • Korean Journal of Adult Nursing
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    • v.23 no.6
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    • pp.554-563
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    • 2011
  • Purpose: The purpose of this study was to investigate factors associated with drug misuse behaviors among polypharmacy elderly. Methods: This was a cross-sectional survey. Participants consisted of 116 polypharmacy elderly who were taking 5 or more medications each day. Data were collected via face to face interviews. Data were analyzed using the PASW 18.0 program. Data concerning predisposing factor (knowledge, benefit), enabling factor (communication with health care provider), and need factor (perceived health status, number of disease) were collected. Results: The total mean score of drug misuse behaviors among polypharmacy elderly was 3.04 out of 10 points. Communication with health care provider, perceived health status, and knowledge were found to be significantly correlated with drug misuse behaviors. In stepwise multiple regression analysis, a total of 42% of the variance in drug misuse behaviors was accounted for communication with health care provider, perceived health status, and knowledge. Conclusion: Therefore, education program for improving communication with health care provider, and knowledge should be designed and provided for polypharmacy elderly.

Health Literacy and Health Behaviors among Older Adults with Cardio-cerebrovascular Disease Residing in Rural Areas (농촌 지역 심뇌혈관질환 노인의 건강정보이해능력과 건강행위)

  • Lee, Myung Suk
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.256-265
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    • 2017
  • Purpose: The aim of this study was to identify levels of health literacy and reported health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas. Methods: A cross-sectional survey was conducted with a convenience sample of 134 older people (mean age=75.5 years, 71.6% Female) registered at seven health centers. The structured questionnaires were used to measure levels of health literacy and health behaviors. Results: The average functional health literacy score was $6.08{\pm}3.04$, and the health behavior score was $62.92{\pm}6.45$. Respectively health behavior was positively associated with health literacy. Education, economic status, number of family members, number of social activities and health literacy were contribution factors explaining 40.64% of the variance in health behavior. Health literacy specifically explained 12.5% of health behavior. Conclusion: These findings suggest that strategies for improving health behaviors and reducing health inequalities may benefit from adopting a stronger focus on health literacy within prevention, patient education, and other public health interventions. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health behaviors.

Public Health Nurses' Experiences of Public Health Services for the Aged (보건소 간호사의 노인보건서비스 업무 경험)

  • Kim, Jeong-Soo
    • Korean Journal of Adult Nursing
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    • v.22 no.4
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    • pp.408-417
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    • 2010
  • Purpose: The purpose of this study was to describe public health services for the aged in public health centers from the perspective of public health nurses. Methods: The interview data were collected from 11 public health nurses and analyzed by using Colazzi's (1978) descriptive phenomenology. The procedural steps was that described the phenomenon of interest, collected participants' descriptions of the phenomenon, extracted the meaning of significant statement, organized the meanings into theme clusters, wrote exhaustive descriptions and then incorporated data into an exhaustive description. Results: The results included 291 re-statements, 49 constructed meanings, 27 themes, 12 theme clusters, and 5 categories were deduced. The five categories were 'perception of obstacles for elderly health system', 'sense of burden in services of health', 'planning about diverse elderly health services', 'elderly clients-focused performance', and 'solidify community ground of elderly health services'. Despite obstacles, participants tried to diverse health services for elderly. Conclusion: This study has described public health nurses' experiences about public health services for the aged. These findings have important implication for the practice of public health services for the aged and must be considered to develop program for planning and practice of public health nurses for the aged.

Factors Affecting the Conflict between Grandparents Raising Grandchildren and Adult Children: Focusing on Grandparents' Characteristics (손자녀 양육 조부모와 자녀와의 갈등에 영향을 미치는 요인: 조부모의 특성을 중심으로)

  • Kim, Mee-hye;Seong, Ki-ok;Paeng, Kyoung-hee;Choi, Hee-jin;Choi, So-young
    • 한국노년학
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    • v.31 no.4
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    • pp.905-923
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    • 2011
  • The purpose of this study is to examine factors affecting the conflict between grandparents raising grandchildren and adult children. The data were based on the panel survey to explore korean retirement and income study conducted by National Pension Service in 2009. For this study, 287 parenting grandparents rearing grandchild are selected from the survey. Included variables are a demographic factor, a economic factor, a caregiving-related factor, a health factor, and a family relationship factor. The data were analyzed using descriptive statistics, t-test, co-relation and logistic regression, with SPSS WIN 18.0 program. The results are as follows: First, when grandparents are male, older, highly educated, having no religion, and unemployed, a conflict with their adult children grows. Second, when grandparents do not have earned income or financial income, but have private income transfers, a conflict with their adult children is high. Third, when grandchildren are younger, there are no caregiving rewards, economic activities suspension or reduction because of caregiving, a conflict with their adult children is strong. Also, when grandparents' physical health is good, but their mental health is poor, a conflict with their adult children increases. Fourth, when grandparents' satisfactions with family relationship and spouse relationship are low, but their satisfaction with adult children relationship is high, a conflict with their adult children rises. This study suggests that unlike in the past, grandparents raising grandchildren can no longer make sacrifice themselves for their adult children, but they expect proper exchange between parents and children. Therefore, there needs to be understanding of grandparents raising grandchildren and further studies of a conflict between grandparents raising grandchildren their adult children.

Finding factors on employment by adult life cycle using decision tree model (의사결정나무모형을 사용한 성인 생애주기별 취업 영향요인 분석)

  • Kwak, Minjung;Rhee, Sung-Suk
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.6
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    • pp.1537-1545
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    • 2016
  • Due to global economy recession with low oil price, Korea has stepped into a stage of sluggish development, and the unemployment has become a major issue. Hence, we study various risk factors influencing on unemployment using the Korean labor and income panel data of 2014. We first divide the adult life cycle into three categories, such as young adult, adult, and old adult. Then we consider demographic variables, occupational variables and health related variables as risk factors. The decision tree models have shown that education and gender are the most important factors respectively in young adult group and in adult group. Gender, health status, and education are influential factors in old adult group.

Effect of a Smoking Cessation Program on the Stop-smoking Rate and Nicotine Dependency for the Adult Smoker (금연프로그램이 성인 흡연자의 금연 및 흡연행위 변화에 미치는 영향)

  • Kim, Hyun-Ok
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.5-16
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    • 2002
  • Purpose: This study was to compare the stop-smoking rate and nicotine dependency for an adult smoker after implementing the smoking cessation program. Method: Fourty-six adult smokers participated. Self report questionnaire and telephone interview were conducted at the pretest, 6 months later, 1 year later, 2 years later, 3 years later. Result: 1. Stop-smoking rate of smoking cessation program participants was 43.5% 6 months later, 35.6% 1 year later, 24.4% 2 years later, 45.5% 3 years later. 2. The mean of nicotine dependency for continuing smokers was significantly decreased 6 months later(paired-t=4.719, p=.000). 3. The mean of nicotine dependency for continuing smokers was significantly decreased 1 year later(pired-t=4.296=.000). 4. The mean of nicotine dependency for continuing smokers was significantly decreased 2 years later(paired-t=2.778. p=.000). 5. The mean of nicotine dependency for continuing smokers was significantly decreased 3 years later(paired-t=2.795. p=.000). Conclusion: The smoking cessation program was effective to induce cessation in the adult smoker, and to decrease nicotine dependency in the continuing adult smoker.

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Development of a Conceptual Framework of Nursing from Selected Concepts of Nursing Diagnoses (간호진단 분류체계에 근거한 간호개념틀 개발)

  • 김조자
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.177-193
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    • 1996
  • For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.

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Lived Experience of the Mother's Caring of Adult Children with Persistent Vegetative State (식물인간이 된 성인자녀를 돌보는 어머니의 체험)

  • Yang, Young-Mi;Kim, Jeung-Im
    • Women's Health Nursing
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    • v.23 no.4
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    • pp.287-298
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    • 2017
  • Purpose: The purpose of this study was to deepen understanding the nature of the care experience by the mothers with adult children in persistent vegetative state. Methods: Participants were 7 mothers caring for their adult children in persistent vegetative state. Data were collected individually through in-depth interviews on their lived experiences. Also texts were included as data from literary works, novels, movies, essays, and arts containing on patients with persistent vegetative state and their mothers. Data were analyzed by van Manen's phenomenological methodology. Results: The essential themes of caring experiences of the mothers were as follows. The theme in relation to lived time has shown as back to the past and caring experience related lived body has emerged as locked the body in children. The theme related lived space was getting into the swamp and the theme in lived others was derived as lonely struggle into. Conclusion: The nature of mothers' caring experiences for adult children in persistent vegetative state is summarized as 'Do not off hand of hope in a locked state'. This study suggests long-term supports are necessary for mothers to care persistent vegetative state children.

The effects of dental hygiene students' adult attachment, self-respect, and sociable support on their interpersonal competence (치위생과 학생의 성인 애착, 자아존중감 및 사회적 지지가 대인관계 유능성에 미치는 영향)

  • Eun-Ji You;Hee-Hong Min
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.6
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    • pp.493-499
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    • 2023
  • Objectives: This study sought to identify dental hygiene students' adult attachment, interpersonal competence, self-respect, and sociable support, and to identify factors that affect interpersonal competence. Method: A self-administered survey was conducted on 180 students attending dental hygiene schools nationwide from 14 February to 30 May, 2023. Descriptive statistics, t-test, one-way ANOVAs, Pearson correlation coefficient, and stepwise multiple linear regression analys were used, as determined by the SPSS 26.0 program. Results: Dental hygiene students' interpersonal competence measured 3.61 points, adult attachment measured 3.44 points, self-respect measured 3.44 points, and sociable support measured 4.00 points. In terms of general characteristics, significant differences were found in satisfaction with college life and club membership. Interpersonal competence was positively correlated with adult attachment, self-respect, and sociable support. The factor that had the greatest impact on interpersonal competence of dental hygiene students was sociable support, with an explanatory power of 37.3%. Conclusions: In order to improve the sociable support for dental hygiene students, a social activity support network within and outside of school is needed.

Consumption of Weight-control or Health Functional Foods, Dietary Habits, and Weight Perceptions According to the Body Mass Index of Adult Women in the Chungcheong Area (충청지역 일부 성인 여성의 체질량지수에 따른 체중조절용 식품과 건강기능식품 섭취 실태 및 식습관과 체중 관련 인식)

  • Seong, Gayoung;Pae, Munkyong
    • Korean Journal of Community Nutrition
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    • v.27 no.2
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    • pp.81-93
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    • 2022
  • Objectives: This study was conducted to investigate the experience and perception among adult women regarding weight control and the consumption of weight-control foods or health functional foods based on their body mass index (BMI). Methods: The subjects were 634 adult women from the Chungcheong province, Korea, and data were collected through a self-administered questionnaire from July 2021 through September 2021. The subjects were divided into four groups based on their BMI status: underweight (< 18.5 kg/m2, 7.6%), normal weight (18.5 ~ 22.9 kg/m2, 53.3%), overweight (23 ~ 24.9 kg/m2, 19.7%), and obese (≥ 25 kg/m2, 19.4%). Results: Over the past 3 years, almost two-thirds (68.6%) of the adult women had tried weight control measures, despite the fact that a significant proportion of them were normal or underweight. More importantly, 57.6% of subjects reported the consumption of weight-control foods, with a lower proportion in the underweight (35.4%) group compared to the normal (56.2%), overweight (62.4%), and obese (65.0%) groups. The food items used for weight control were mostly salads, chicken breasts, low fat (soy) milk, slimming tea, protein shakes, low-calorie cereals, and energy/protein bars among others. In addition, one-third (31.1%) of the subjects reported the use of health functional foods containing ingredients for fat reduction. A significantly higher proportion of these was from the overweight (36.0%) and obese (38.2%) groups compared to the underweight (20.8%) and normal weight (28.1%) groups. Products containing Garcinia cambogia extract, green tea, or Cissus extract, were popular among users. Subjects who were obese had a poorer perception of their health and body. Most subjects felt the need for correct information regarding weight control, but this number was significantly more in the higher BMI groups. Conclusions: Our results suggest that the use of weight-control foods or health functional foods is popular among adult women, especially those who are obese. Thus, nutrition education courses covering facts about weight control and practice need to be developed and provided based on the BMI status of subjects.