• Title/Summary/Keyword: Chronic Illness

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Factors Associated with Social Isolation in Older Adults using Senior Welfare Centers (복지회관 이용 노인의 사회적 고립감 예측요인)

  • Park, Yeon-Hwan;Kang, Hee-Sun
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.712-719
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    • 2008
  • Purpose: The purpose of this study was to investigate the factors associated with social isolation in older adults using a senior welfare center. Methods: This study was a cross-sectional survey. Data was collected from June to August 2006 using a questionnaire. A total of 248 older adults responded. Results: About one third (34.9%) of participants responded they felt socially isolated. There were statistically significant differences in living, religion, family and belongingness social support, loneliness, depression, family function, perceived health status, and number of chronic illnesses between socially isolated and non isolated groups. However, factors influencing social isolation were family function (OR=0.954, CI=0.926-0.982), loneliness (OR=1.042, CI=1.002-1.083), depression (OR=1.041, CI=1.002-1.081), and number of chronic illness (OR=1.657, CI=1.153-2.382). Conclusion: We found that some older adults were feeling socially isolated even though the senior welfare center was a good place to meet people. The findings of this study indicated that older adults suffering from social isolation need special attention and may benefit from interventions which promote health and social interactions. Further studies are needed to develop and evaluate an intervention program for this population.

A Study on the Development of the Korean Family Functioning Scale. (한국형 가족 기능 측정 도구 개발을 위한 연구 - 만성질환아 가족을 대상으로 -)

  • ;;;;Hesook Suzie, Kim
    • Journal of Korean Academy of Nursing
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    • v.32 no.3
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    • pp.395-405
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    • 2002
  • The purpose of this study was to develop the instrument to measure family functioning for Korean family with a chronic ill child, and to test the validity and reliability of the instrument. Method: The items of instrument were consisted based on researchers' previous study of concept analysis of the Korean family functioning. Twenty six item scale was developed with six domains. In order to test reliability and validity of the scale, data were collected from the 231 families, who have a child with a chronic illness. Data was collected between August and September in 2001 in a General Hospital in Seoul, Korea. Result: The results were as follows: As a result of the item analysis, 24 items were selected from the total of 26 items, excluding items with low correlation with total scale. Six factors were evolved by factor analysis. Six factors explained 61.4% of the total variance. The first factor 'Affective bonding' explained 15.4%, 2nd factor 'External relationship' 11.8%, 3rd factor 'Family norm' 10.5%, 4th factor 'Role and responsibilities' 8.3%, 5th factor ' Communication' 7.9%, and the 6th factor 'Financial resource' explained 7.3%. Cronbach's $\alpha$ coefficient of this scale was .87 and Guttman spilt- half coefficient was .84. Conclusion: The study support the reliability and validity of the scale. There were distinct differences in dimensions of family functioning scales developed in the U. S.

Adaptation Process of The Family with Hemodialysis (혈액투석 환자 가족의 적응 과정)

  • Lee, Young-Ae
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.184-192
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    • 1999
  • Hemodialysis is a way of treatment for the patients with acute and chronic renal failure. "Marginal man" depicts the enormous amount of stress that hemodialytic patients suffer. It is known that family with chronic illness get stressed along with the patients and they need nursing care also. This qualitative study was conducted in order to identify the family adaptation process in patients with hemodialysis. 6 dyads of hemodialytic patients and caregivers were interviewed for this research. By way of grounded theoretical strategy the data was collected from October 20, 1999 to November 20, 1999. at a hemodialytic unit that was located in Iksan, Chonbuk by the researcher. The main research questions were "What's the adaptation experience of a patient since after being received with hemodialysis?" to the patients, and "What's the family adaptation experience of hemodialysis?" to the caregivers. The collected data was analyzed by grounded theoretical strategy built by Glaser & Strauss in 1967. Results were as follows; 7 grounded concepts were observed from the patients with hemodialysis and 4 grounded concepts were found from the caregivers. Two categories were derived ; 1) Holding hope that is related with treatment 2) Changing a value system.

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Comprehensive Measures for Disease Prevention and Health Promotion (질병예방 및 건강증진 종합 대책)

  • 홍문식
    • Korean Journal of Health Education and Promotion
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    • v.8 no.1
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    • pp.5-13
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    • 1991
  • While the threat from traditional communicable diseases have been decreasing non communicable chronic diseases are increasing due to the aging of population and change in life pattern of the people such as over intake of cholesterol and lack of physical exercise etc. On the other hand, since 1980s, AIDS is spreading rapidly throughout the globe and environmental pollution, accidents, addictive diseases such as drug abuse and alcoholism are becoming serious factors to hinder the health promotion of the people. In order to improve general public health and promote individual health status, existing program for communicable disease control by the government such as tuberculosis, leprosy, STD and acute communicable diseases should be effectively continued. In principle, effort should be placed on eradication of source of infection, reduction of communicability of source in infection, treatment of source of infection as well as increase of individual registance to the diseases through immunization and improvement of physical status. Since the pattern of illness is being shifted from communicable diseases to non communicable chronic diseases such as cancer, cerebral hemorrhage, heart disease and hypertention etc., special emphasis should be placed on the prevention and control of those adult diseases. Early detection of the patients, registration and treatment of patients and health education should be systematically developed for effective control of the diseases. In addition, program activities on MCH, nutrition, dentistry, mental health, environmental health, accident prevention. medical delivery system, health insurance. and all other health issues should be improved in order to achieve our goal of health promotion.

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A Case of Cecocolic Intussusception in a Growing Thoroughbred Filly (Thoroughbred 망아지의 맹결장 중첩 1예)

  • Yang, Jae-Hyuk;Yang, Youug-Jin;Cho, Gil-Jae;Jung, Woo-Jun;Lee, Ju-Yool;Kim, Jin-Young;Woo, Ho-Choon;Lim, Yoon-Kyu
    • Korean Journal of Veterinary Research
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    • v.42 no.3
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    • pp.425-428
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    • 2002
  • A chronic wasting disease in a 10-month-old Thoroughbred filly is described. The filly presented with chronic colic, which was charactered by progressive loss of weight. Over a period of a couple of days the filly suffered from serious colic and subsequently. Post-mortem examination revealed the cecocolic intussusception as a total invagination of the cecum into the right ventral colon. It seems logical to assume this invagination occurred at the start of the illness. In addition, there were also Anoplocephalar perfoliata in the cecum and the right ventral colon.

Correlation Analysis of Korean Version of the Subhealth Questionnaire And Profile of Mood States Factors (아건강 설문지와 기분상태척도의 상관성 연구)

  • Ryu, Jae-Min;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.77-86
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    • 2011
  • Objectives: With increased rate of chronic disease, concerns about preventive medicine has raised. Therefore questionnaire of subhealth status was developed and analysed in our previous study. A large number of chronic diseases is related to emotional issues. This study was to confirm a relationship between mood state and health status in terms of modern people's healthcare. Methods: Subhealth Questionnaire and Korean version of Profile of Mood States(k-POMS) were putted by 113 college students. And correlation and regression analysis was conducted. Results: Subhealth questionnaire and k-POMS proved a significant correlation. In particular, subhealth factor 3(mood) had a significant correlation with all factors of k-POMS. Subhealth factor 1(body), subhealth factor 2(life) and subhealth factor 6(society) had significant correlations with 5 factors of k-POMS. Subhealth factor 4(energy) and subhealth factor 5(heredity) did not show significant results. 'Fatigue' factor of k-POMS was proved to be the most important factor influencing the subhealth status and illness, indicating high correlations with all of subhealth status.

A Case Report of Integrated Medicine Therapy about Scrub typhus Patient (쯔쯔가무시병 환자 동서협진 치험 1례)

  • Heo, Hong;Son, Yoon-Jung;Lee, Beom-Joon;Rho, Byoung-Wan;Rhy, Jae-Hwan;So, Hyung-Jin
    • The Journal of Korean Oriental Chronic Disease
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    • v.10 no.1
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    • pp.32-38
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    • 2005
  • Scrub typhus is a acute febrile illness by Orientia tsutsugamushi that is endemic in Asian-Pacific areas. It is characterized by fever, rash, eschar, lymphadenopathy. Therapy with Tetracycline, Doxycycline, Chloramphenicol is currently recommended. Here we report a case of tsutsugamushi disease in a 66 year old man had fever, nausea, vommitting, dyspnea, who was successfully treated with East-West intergrative medicine therapy - Antibiotics therapy and Korean traditional medicine(Sasang medicine and acupuncture treatment) - and symptoms improved.

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Mothers' Perceived Difficulties in the Management of Chronic Conditions of Children with Spina Bifida: A Qualitative Descriptive Approach (이분척추 환아의 어머니가 인식한 질병관리의 어려움: 질적 서술적 접근)

  • Lim, Seoung-Wha;Yi, Myungsun
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.247-256
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    • 2016
  • Purpose: The purpose of the study was to identify and describe the caregiving difficulties that mothers of children with spina bifida experience from their own perspectives. Methods: A qualitative descriptive study was designed. Data were collected from five mini-focus group interviews and four individual interviews using open-ended questions. Nineteen mothers of children with mild spina bifida participated in the study during 2014-2015. Data were analyzed using qualitative content analysis to identify major difficulties perceived by the mothers. Results: Five domains were identified with 12 subdomains. "Daily routine continence management" describes difficulties arising in bladder and bowel management for the child with spina bifida. "Management of school life of child" deals with difficulties in relation to the school facilities, such as the toilets, as well as teachers and friends. "Relationship with family and neighbors" illustrates problems in relations with their spouse, normal children, relatives and neighbors. "Maintaining physical and psychological health" includes physical and psychological problems of the mothers. "Finance" describes economic burden that the mothers face in the management of child's illness. Conclusion: The findings from this study provide insight into the practical issues related to the management of chronic conditions of children with spina bifida from the mothers' perspectives.

A Case Report of Tic Disorder Children Treated by Kuibiondam-tang Gami (귀비온담탕가미방(歸脾溫膽湯加味方)의 틱장애 환아 20례에 대한 치료효과)

  • Kang, Kyung Ha;Park, Eun Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.4
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    • pp.118-124
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    • 2014
  • Objectives The purpose of this study is to report 20 cases of tic disorder children who were treated by Kuibiondam-tang Gami. Methods We treated the tic disorder children with herbal medicine, Kuibiondam-tang Gami. Then we evaluated tic disorder by Yale Global Tic Severity Scale (YGTSS) and observed the progress of tic disorder. Results 20 children (male 17, female 3 / transient tic disorder 6, chronic motor or vocal tic disorder 13, Tourette's disorder 1) were studied, the average age of children was $8.45{\pm}2.08$ years, the average duration of illness was $16.55{\pm}13.63$ month and the mean of treatment was $13.20{\pm}9.29$ week. After the treatment, mean of YGTSS was reduced $36.35{\pm}9.84$ to $9.35{\pm}1.03$ and total effective rate was 95%. Conclusions Kuibiondam-tang Gami is effective for reducing tic symptom and improving general conditions in children.

Beating Obesity: Factors Associated with Interest in Workplace Weight Management Assistance in the Mining Industry

  • Street, Tamara D.;Thomas, Drew L.
    • Safety and Health at Work
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    • v.8 no.1
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    • pp.89-93
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    • 2017
  • Background: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. Methods: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. Results: A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.