• Title/Summary/Keyword: Counselling

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Nutrition Intervention in a Gastric Cancer Patient With Gastrectomy for 12 Months: A Case Report

  • So Young Youn;Bo Eun Kim;Eun Mee Kim
    • Clinical Nutrition Research
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    • v.12 no.1
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    • pp.1-6
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    • 2023
  • Gastrectomy is the most effective method of treating gastric cancer, but it is commonly associated with weight loss, nutritional deficiencies, and the increased risk of malnutrition due to post-surgery complications, including gastric stasis, dumping syndrome, malabsorption, and maldigestion. Malnutrition is a risk factor for postoperative complications and poor prognosis. To prevent it and guarantee a quick recovery after surgery, continuous and individualized nutrition intervention should be performed both before surgery and postoperatively. The Department of Dietetics at Samsung Medical Center (SMC) performed nutritional status assessment before gastrectomy, initial nutritional assessment within 24 hours of admission, description of therapeutic diet after surgery, nutrition counselling before discharge, and nutritional status assessment and individual nutrition counselling after 1, 3, 6, and 12 months from surgery. This is a case report of a patient who underwent gastrectomy as well as intensive nutrition intervention in SMC.

The Recognition Research of The Healthy Family Act (건강가정기본법에 대한 인식 조사)

  • Park Mi-Keum;Lee Mi-Sun;Lee Young-Ho;Choi Bo-A
    • Journal of Family Resource Management and Policy Review
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    • v.9 no.3
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    • pp.97-112
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    • 2005
  • This research has studied the people's perception and understanding of the 'Healthy Family Act' that has been enacted and practised from the year 2005. For this purpose, a survey has been conducted during October 2004 in several central and local cities in Korea, including Seoul, and a total of 741 samples have been used for the final analysis. The results of this study is as follows. The participants showed a very low level of recognition of the 'Healthy Family Act', and they Perceived that establishing a home-friendly atmosphere was of primary importance among the tasks that should be conducted by the State and local governments to encourage 'healthy families' The participants chose 'supporting the mental & physical health of family members' for the government supporting programs to make healthy families, and chose 'healthy life cultures such as clothes, food, and housing' for the government programs to support the everyday living cultures of the people. 1 Two thirds(2/3) of the participants indicated a willingness to participate in voluntary activities, and more than half of the participants said that they will participate in educational programs. Also, the participants indicated that divorce counselling should be offered only to the people who want the counselling, and as far as 'contents' are concerned, the participants indicated that 'the upbringing of children' should be the most important subject of the counselling. Finally, the participants indicated a willingness of participating educational programs in the order of parent education, family ethics education, realization of family values and family life education.

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A Study on impact of cognitive complexity and coping flexibility of the counselor on the countertransference management ability (상담자의 인지 복합성과 대처 유연성이 역전이 관리능력에 미치는 영향)

  • Lee, Young-Eun;Lee, Chang-H.
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1178-1187
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    • 2011
  • Based on previous studies that cognitive complexity and coping flexibility are closely related with psychological adaptibility, it can be inferred that they can influence management ability of countertransference in counselling. This study focused on the influence of counselor's cognitive complexity and coping flexibility on the management ability of countertransference in counselling. The survey was conducted on 128 (female 108, male 20) counselors of college counseling center, general counseling center, schools and hospitals. The study employed flexibility scale measures, interpersonal discrimination test, and countertransference factors inventory. The results was that the level of cognitive complexity did not influence countertransference ability whereas the level of coping flexibility influenced countertransference management ability. In multiple regression, it was evidenced that coping flexibility influence countertransference management ability more than cognitive complexity. In sum, our study indicate that coping flexibility is important to enhance the management ability of countertransference in counselling, and that related counsellor training program should be developed in the future.

Educational Needs of the Infertility Care among Nurses Caring Infertility Patients (난임 환자를 담당하는 간호사의 난임 간호 교육 요구도 조사)

  • Park, Jum-Mi
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.131-138
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    • 2020
  • Purpose: The aim of this study was to investigate the nurses' educational needs for the infertility care. Methods: The 194 participants in this study were nurses in charge of infertility health services in 5 infertility hospitals and 1 public health center. Data were collected using a self-report questionnaire including education for disease and symptom of infertility, education for daily life of infertile patients and supporting and counselling for infertility patients. Results: Nurses had an average score 3.52 for the need of education for disease and symptom of infertility, 3.36 for the need of education for daily life of infertile patients and 3.32 for the need of supporting and counselling for intertility patients. Among the each subcategories, 'Infertility treatment procedure and intervention', 'Exercise' and 'How to form a supportive relationship with your spouse' showed the highest average of nurses' educational needs for the infertility care counselling programs item for the infertility patients. Conclusion: In order to effectively conduct infertility care for the infertility patients, it is necessary for nurses in charge of infertility health services to understand clear concept and objective of it.

Telemedicine Conference System for Realtime Transfer of Heart Sound (실시간 심음 전송을 위한 원격 의료상담시스템)

  • Lee, Byung-Mun;Cho, Won-Hee;Yoon, Young-Mi
    • The Journal of the Korea Contents Association
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    • v.9 no.8
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    • pp.158-165
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    • 2009
  • Counselling between a patient and a doctor is crucial in telemedicine. In order for the doctor to examine the patient accurately, it needs an auscultation, at least. Currently, some video conference systems are implemented but it is hard to use them in the case of an cardiac disorder, because the patients suffering from cardiac disorder cannot be examined by a stethoscope over Internet. To solve this problem, the remote counselling service has to support real time transmission of the heart sound of the patient. In this paper, we present a remote counselling system with stethoscope. We also design and implement the system in order for health monitor to connect the patient with his attending physician for the environment of u-healthcare service. The proposed system supports a mobility for doctor and patient by exchanging IP addresses at an user authentication protocol. The system implemented by this paper can be used for cardiac patients in remote clinical setting in the future.

Assessment of Nutritional Status and Survey of Dietary Habits in Predialysis Patients of Chronic Renal Failure (투석전 만성신부전 환자의 영양상태 평가 및 식습관 조사)

  • 노숙령;최윤정
    • Journal of the East Asian Society of Dietary Life
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    • v.13 no.5
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    • pp.408-424
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    • 2003
  • The purpose of this study was to analyze the nutritional status and dietary habits in predialysis patients of chronic renal failure(CRF). The patients group was composed of total 35 persons with chronic renal failure(diabetes exclusion), male 20, female 15 who were treated in the kidney internal department and the control group also composed of 35 persons, male 18, female 17 who were classified as normal by the medical examination. Their dietary habits, nutritional status and nutritional knowledge were investigated from two general hospitals in Inchon, middle of this year 2002. There were 31.4% of low weight patients (BMI below 20), 77.1% of anemia patients (serum hemoglobin below 12g/㎗), 6S.6% of hypertension patients with diastolic blood pressure over 90mmHg, 80% with systolic blood pressure over 140mmHg, 20% of hypercholesterolemia patients (serum cholesterol over 230mg/㎗), and 22.9% of hyperlipemia patients (serum triglyceride over 200mg/㎗). The cardiovascular disease seemed to be caused by the abnormality of lipid metabolism. The possibility of the bone disease was shown from patients of hyperphosphatemia (serum phosphorus over 4.7mg/㎗, 22.9%) and hypocalcemia (serum calcium below 8.4mg/㎗, 25.7%). Intake of insufficient calories which was caused by the lack of appetite affected on the nutritional status. The intake of most nutrients was not significantly different from the RDA for Koreans. Consequently, the patient groups took a lot of salt even after the diagnosis of CRF. But patients ate 6.lg of salt which were more than the recommended amount 2∼4g for patients with CRF. The patient groups, who had the experiences of nutritional counselling, had significantly higher nutritional knowledge related to CRF than control group. Unfortunately, patients could not have enough chances for nutritional counselling by the nutritionist even though they needed the nutritional informations and dietetic treatments. The continuous research is expected with regard to the detail plan for the improvement of nutritional support and the nutritional counselling because it is important to decide the requirements of nutrients for patients with kidney disease, considering the kidney function and status of nutrition.

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Mental Confliets Urban Korean Housewives A Qualitative Analysis of 20 Interviews (도시주부의 갈등에 대한 실사례분석 연구-20명의 심층면접을 중심으로-)

  • Jo, Yeong-Suk
    • The Korean Nurse
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    • v.28 no.3
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    • pp.83-93
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    • 1989
  • This study analysed marital comflicts, related factors, and adjustments to those conflicts described by urban Korean women. The purpose was to discover directions for resolution that would enhance the helpfulness of volunteers or prfessionals working with women in counselling settings. The investigator interviewed 20 married women, all mothers and housewives living in Seoul, attending marriage encounter programs and the Lifeline telephone counselling service. An interview schedule using six open-ended questiona guided the data colleciton which took place between May 31 and December 29, 1988. Content analysis of the data revealed, in order of reported frequency, the following areas of conflict: relationships between husband wife, relationships with children, relationships between the wife and her mother-in-Law, unsatisfied sexual needs, the husband's extra marital relationships, lack of self actualization and finacial matters. Analysis of the data suggested the following factors were related to the conflicts: reasons for marriage, traditional views about marriage and divorce including to accept a marriage arranged by the parents, the husband's traditonal attitude toward the sex role of the wife, the husband's patriarchical authoritarianism, and his attitude toward the wife;s empolyment outside the home. The women thought these conflicts severely affected their relationships within the famaily, particularly with their children. Literature suggests links with such poor parent-child-family relationships and adolescent or young people's social problems. Volunteers or professionals working with married women in counselling situation need to be conscious of the possibility of these conflict during assessment, and direct their guidance toward such conflict resolution. The researcher makes several suggestions which include the need for the husband to give emotional supports to his wife, to recognize the worth of housework, to share the work of the home, to fine ways to enhance the wife's self-actualization and to ease dreary housework routines by prviding modern appliances.

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A Comparative Analysis of Employment Rate between Certified Graduates and Non-certified Graduates by the Engineering Education Accreditation at the University of Seoul (공학교육인증 졸업생과 비인증 졸업생의 취업률 비교 분석: 서울시립대학교 사례)

  • Jeon, Hyo-Jin;Kim, Hak-Jin;Kim, Young-Wook
    • Journal of Engineering Education Research
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    • v.16 no.1
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    • pp.64-74
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    • 2013
  • This study investigated the effect of engineering education accreditation on employment rate at the University of Seoul. The graduates who had been educated in the accredited program showed higher grade point average (GPA) and higher employment rate (89.0%) than the graduates who had been educated in the program without the accreditation (70.9%). The employment rate of all graduates increased with increasing GPA, the mathematics-science-computer (MSC) credit acquired, design credit acquired, and the number of interviews with supervising professors. Theses results showed that the MSC and design subjects and the counselling are at least beneficial in getting a job for students at the University of Seoul. When GPA, design credit acquired, and the number of counselling are the same, graduates with the engineering education accreditation showed much higher employment rate than the graduates without the accreditation. These preliminary results suggest that the engineering education programs with accreditation at the University of Seoul are beneficial for students in getting a gob through motivating them to acquire more credits in design subjects, doing greater number of counselling with supervising professors, and making better academic achievement. In addition, the engineering education accreditation at the University of Seoul helped students developing their personal skills such as team workability, communication skills, and creativity via carrying out design subjects, which may affect the employment rate indirectly.

Changes of Poison Data Characteristics Collected from Telephone Response in 1339 and 119: Discrepancy in Characteristics of Post-toxin Exposure Data Obtained through Telephone Counselling Provided by 1339 and 119 (119와 1339에 접수되는 중독 상담 정보의 변화 비교: 응급의료정보센터(1339) 통합 이후의 소방구급상황센터(119)에서의 병원 전 독성 물질 노출자료 현황 분석)

  • Park, Kwang Hoon;Park, Jong Su;Lee, Sung-Woo;Kim, Su-Jin;Han, Kap Su;Lee, Eui Jung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.2
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    • pp.116-121
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    • 2017
  • Purpose: The aim of this study was to compare the toxicologic profiles and outcome of poisoned patients by comparing the data obtained through telephone counselling, each provided by emergency medical information center (1339) and emergency dispatch center (119). Methods: We analyzed the telephone-based poison exposure data before and after Seoul 1339 merged to 119. We compared the Seoul 1339 call response data in 2008 with Seoul and Busan 119 call response data between 2014 and 2016. We analyzed the changes in the trend and quality of data obtained, as well as the quality of service provided by each center before and after this reallocation, by comparing the data each obtained through telephone counselling. Results: The data was collected for a total of 2260 toxin exposure related calls made to Seoul 1339 in 2009, and 1657 calls to 119 in Seoul and Busan between 2014 and 2016. Significant difference was observed for age, sex, and reason for exposure to toxic substance between the two groups. Conclusion: After the integration of 1339 with 119, 119 focused on role of field dispatch and hospital transfer, lacking the consulting on drug poisoning. Moreover, data on exposure to toxic substances at the pre-hospital stage indicate that drug information and counseling are missing or unknown. In addition, first aid or follow-up instructions are not provided. Thus, systematic approach and management are required.