• Title/Summary/Keyword: Care behavior

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Subjective Fatigue and Coping Types between Middle Aged Adults and Elders (중년기 성인과 노인의 피로와 대처유형)

  • Chon Mi Young;Ryu Eun Jung;Yeon Eun Ja
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.387-397
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    • 2001
  • Fatigue is a ubiquitous symptom and is a part of many acute and chronic health conditions. This complex symptom is so prevalence in contemporary society that it motivates a large percentage of the health care-seeking behavior among late-middle aged adults and elders. The purpose of this study was to examine perceptions of fatigue. to identify coping types of fatigue, and to explore factors affected fatigue between middle aged adults and elders who have no critical health problems. The results are as follows: 1. The elderly that manifested high level of fatigue revealed more fatigue than adults. 2. There are three coping types of fatigue. The three types were analyzed by Q-methodology. These three are action-evading, action-limited, and action-oriented. 3. The levels of fatigue manifested by the participants varied significantly according to age, vocation, education, present disease, and income. By identifying the nature of each of the coping types of fatigue, it is recommended to develop an effective nursing interventions for middle aged adults and elders.

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Factors Influencing Fundus Examination in Patients with Diabetes (당뇨병 환자의 안저검사 수검 영향요인)

  • An, Soodeuk;Yu, Jungok
    • Journal of Korean Public Health Nursing
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    • v.32 no.1
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    • pp.44-55
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    • 2018
  • Purpose: This study was conducted to identify factors influencing fundus examination to prevent diabetic retinopathy in diabetes patients to provide basic data to improve screening rates of fundus examinations. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey, which is a cross-sectional and nationally representative survey, were used in this study. The subjects of the study were 1,029 adult diabetes patients over the age of 19 years who had been diagnosed with diabetes. The demographic characteristics, diabetes and disease-related characteristics and health behavior characteristics according to the fundus examinations were analyzed by the chi-squared test and logistic regression analyses were used to examine the factors influencing fundus examination. Results: A total of 333 patients underwent fundus examination at a screening rate of 32.2%. We identified factors influencing fundus examination in patients with diabetes as level of education, type of diabetes care, period of diabetes, and smoking. Conclusion: A multiple approach is required to raise the low screening rate of fundus examination, including specialized education for low-education groups. Moreover, nursing intervention should focus on subjects who do not engage in insulin and oral hypoglycemic agents and with diabetes for a long period.

A Study on the Environmental Effect due to Tunnel Excavation (터널굴착이 환경에 미치는 영향에 관한 연구)

  • Lee, Yong-Soo;Kwon, Yong-Wan;Bae, Gyu-Jin
    • Journal of the Korean GEO-environmental Society
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    • v.5 no.4
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    • pp.81-91
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    • 2004
  • In present study, the effect of tunnel excavation on groundwater was investigated by a case study and numerical analysis. The case study revealed that groundwater can be one of environmental impacts resulting from tunnel excavation. To examine variations in groundwater level due to tunnel excavation, numerical analysis was performed. The analysis result indicated that tunnel excavation could affect the groundwater behavior as the groundwater adjacent to tunnel flows in it. Also, it was found that, for the case where groundwater flowing though fractured zone passes tunnel exacvation area, a special care with the excavation would be needed to avoid any tunnel instability due to a large qunatity of goundwater flowing in it.

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Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities (농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과)

  • Yoo, Jae-Soon;Jeon, Mi Yang;Kim, Chul-Gyu
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.613-625
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    • 2013
  • Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

Update on Irritable Bowel Syndrome Program of Research

  • Heitkemper, Margaret;Jarrett, Monica;Jun, Sang-Eun
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.579-586
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    • 2013
  • Purpose: This article provides an update and overview of a nursing research program focused on understanding the pathophysiology and management of irritable bowel syndrome (IBS). Methods: This review includes English language papers from the United States, Europe, and Asia (e.g., South Korea) from 1999 to 2013. We addressed IBS as a health problem, emerging etiologies, diagnostic and treatment approaches and the importance of a biopsychosocial model. Results: IBS is a chronic, functional gastrointestinal disorder characterized by recurrent episodes of abdominal pain and alterations in bowel habit (diarrhea, constipation, mixed). It is a condition for which adults, particularly women ages 20-45, seek health care services in both the United States and South Korea. Clinically, nurses play key roles in symptom prevention and management including designing and implementing approaches to enhance the patients' self-management strategies. Multiple mechanisms are believed to participate in the development and maintenance of IBS symptoms including autonomic nervous system dysregulation, intestinal inflammation, intestinal dysbiosis, dietary intolerances, alterations in emotion regulation, heightened visceral pain sensitivity, hypothalamic-pituitary-adrenal dysregulation, and dysmotility. Because IBS tends to occur in families, genetic factors may also contribute to the pathophysiology. Patients with IBS often report a number of co-morbid disorders and/or symptoms including poor sleep. Conclusion: The key to planning effective management strategies is to understand the heterogeneity of this disorder. Interventions for IBS include non-pharmacological strategies such as cognitive behavior therapy, relaxation strategies, and exclusion diets.

Effects of Distraction using Balloon Art on Pain during Intravenous Injections in Preschool Children (풍선 아트를 이용한 관심 전환이 학령전기 아동의 정맥 주사 삽입 시 통증에 미치는 효과)

  • Koo, Hyun-Young;Lim, Jung-Hae;Park, Ho-Ran
    • Child Health Nursing Research
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    • v.13 no.1
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    • pp.66-72
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    • 2007
  • Purpose: This study was done to evaluate the effects of distraction using balloon art on pain experienced by preschool children when undergoing an intravenous injection. Methods: Participants were 40 hospitalized preschool children. Children in the experimental group (20) were distracted by balloon art while undergoing an intravenous injection. Children in the control group (20) received regular care. Pain experienced by the children was measured using self-report, observation tools, heart rate and oxygen saturation. The data were analyzed using the SAS program. Results: Compared with the control group, children in the experimental group showed significant difference in pain as shown by pulse rate. However, children in the experimental group did not show a decrease in pain in the self-report or behavior observation when compared with children in the control group. Conclusion: Distraction using balloon art can be used to reduce pain for preschool children when undergoing an intravenous injection. Further nursing interventions need to be developed and provided to preschool children when undergoing painful procedures.

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Neuroimaging in Nuclear Medicine: Drug Addicted Brain (약물 중독 환자의 뇌신경계 핵의학 영상)

  • Chung, Yong-An;Kim, Dae-Jin
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.1
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    • pp.1-8
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    • 2006
  • Addiction to illicit drugs is one of today's most important social issues. Most addictive drugs lead to irreversible parenchymal changes in the human brain. Neuroimaging data bring to light the pharmacodynamics and pharmacokinetics of the abused drugs, and demonstrate that addiction is a disease of the brain. Continuous researches better illustrate the neurochemical alterations in brain function, and attempt to discover the links to consequent behavioral changes. Newer hypotheses and theories follow the numerous results, and more rational methods of approaching therapy are being developed. Substance abuse is on the rise in Korea, and social interest in the matter as well. On the other hand, diagnosis and treatment of drug addiction is still very difficult, because how the abused substance acts in the brain, or how it leads to behavioral problems is not widely known. Therefore, understanding the mechanism of drug addiction can improve the process of diagnosing addict patients, planning therapy, and predicting the prognosis. Neuroimaging approaches by nuclear medicine methods are expected to objectively judge behavioral and neurochemical changes, and response to treatment. In audition, as genes associated with addictive behavior are discovered, functional nuclear medicine images will aid in the assessment of individuals. Reviewing published literature on neuroimaging regarding nuclear medicine is expected to be of assistance to the management of drug addict patients. What's more, means of applying nuclear medicine to the care of drug addict patients should be investigated further.

Study of Body Pressure for Adjustable Beds for Elderly (노약자를 위한 조절침대의 체압분포 연구)

  • Lee, Sae-Hwan
    • Journal of the Korea Furniture Society
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    • v.25 no.4
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    • pp.304-318
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    • 2014
  • Bed for elderly and disabled, including the United States developed the industry Americas, and European countries, mainly in the production of products has dominated the world market. In large hospitals, and dependent products are sold at high prices. On the other hand, improvement of living standards of our country and to the advancement of residential culture of the demand for luxury products is increasing. The study of elderly Edition mattresses have been developed mainly in Europe to maximize the use of sleep can increase the efficiency of products has been studied. Due to the increase in elderly population Elderly Hospital, which is installed in the elderly silver town Edition requires the dissemination of the mattress in the bedroom several times a day resting and sleeping, eating, etc. Designing a variety of actions are needed. Edition of the elderly in Korea developed the design of bed with bed design and the manufacturer and the Institute for Ergonomics, welfare agencies and to build organic cooperation system under the direction of a professional designer to develop and you need to configure the space and the results of such actions by the distribution of cheap materials, ergonomic mattress for optimal development of behavior analysis to the need to promote the convenience of the user.

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The Study of Bed Mattress for the Elderly (노약자를 위한 침대의 매트리스에 관한 연구)

  • Lee, Sae Hwan
    • Journal of the Korea Furniture Society
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    • v.24 no.2
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    • pp.191-207
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    • 2013
  • Bed for elderly and disabled, including the United States developed the industry Americas, and European countries, mainly in the production of products has dominated the world market. In large hospitals, and dependent products are sold at high prices. On the other hand, improvement of living standards of our country and to the advancement of residential culture of the demand for luxury products is increasing. The study of the elderly Edition mattresses have been developed mainly in Europe to maximize the use of sleep can increase the efficiency of products has been studied. Due to the increase in elderly population Elderly Hospital, which is installed in the elderly silver town Edition requires the dissemination of the mattress in the bedroom several times a day resting and sleeping, eating, etc. Designing a variety of actions are needed. Edition of the elderly in Korea developed the design of bed with bed design and the manufacturer and the Institute for Ergonomics, welfare agencies and to build organic cooperation system under the direction of a professional designer to develop and you need to configure the space and the results of such actions by the distribution of cheap materials, ergonomic mattress for optimal development of behavior analysis to the need to promote the convenience of the user.

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A study on development of health indicator system in Korea (한국의 보건지표 체계 개선에 관한 연구)

  • 윤치근;윤병준;이준협;김윤신
    • Health Policy and Management
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    • v.13 no.2
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    • pp.44-66
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    • 2003
  • I. Background and Purpose Health Indicator system and measurement of health status are an important fields in national health fields. This study reviewed the overall concepts of health and health indicators, health indicator system. The purposes of this study are to build the conceptual health framework, and suggest a health indicator system, in order to correspond to the situation of national health and the demand of International organizations. II. Scope and Contents The scope of this study ; - Review of tile conceptual health framework, health indicators, and health Indicator system - Selection and development of tile new individual health indicators - Suggestion of tile revised health indicator system III. Results of Study This study intented to build the conceptual and framework of national health and provide the measurement tools of health status. This study developed the health indicator system through the conceptual and hierarchial approach to national health. The health indicator system contains 6 concern: areas and each sub-areas. The major concern areas are health state and behavior, deathㆍdiseaseㆍdisability, health care utilization, health resources, health expenditure and finance, other affecting factors on health. This health indicator system is corresponding to the situation of health status patterns and the demand of international organizations. And this health indicator system is considering the present health data production system and the availability of health data.