• Title/Summary/Keyword: Family Caregivers

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Comparison of the Personal Care Benefit System under Workers' Compensation in Japan, Germany, and the United States (일본·독일·미국의 산재보험 간병급여체계의 비고)

  • June, Kyung Ja;Kim, Jae Young;Choi, Yun-Young;Choi., Eun
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.58-66
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    • 2007
  • Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as 'workers' compensation insurance', 'personal care benefit' and 'long term care' were used in searching the related literatures. Results: Though the personal care benefit under current Workers'Compensation in Korea is very similar to Japan's, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers' compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer's role for quality management of personal care service, and developing a policy for family caregivers.

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The Influence of Death Education on Medical Students' Attitudes towards End-of-Life Care: A Preliminary Study (의과대학생을 위한 죽음교육이 말기환자 돌봄 태도에 미치는 영향에 대한 예비연구)

  • Kim, Hae Won;Park, Joong Chul
    • Korean Medical Education Review
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    • v.20 no.3
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    • pp.150-155
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    • 2018
  • End-of-life care competencies have been perceived as important and essential, so it has been suggested that end-of-life care be studied in undergraduate medical education. However, end-of-life care curriculum has mostly focused on acquisition of knowledge and skills rather than attitudes. Therefore, we aimed to explore whether education about death affects medical students' attitudes towards care for dying patients and perception of death anxiety, meaning in life, and self-esteem. A total of 15 first- or second-year medical students were surveyed with questionnaires before and after completing a 6-week death education course. Paired data analysis showed that participants' attitudes towards caring for terminally ill patients and their caregivers improved significantly (t=-2.84, p=0.013) with an effect size of 0.73. In contrast, no significant changes were found in death anxiety, meaning in life, or self-esteem. All participants agreed that formal teaching about death and dying must be encouraged in medical schools. Our results suggest that death education may positively influence attitudes towards end-of-life care. Although replication with larger samples is necessary, this preliminary finding may support the importance of developmentally appropriate end-of-life care education in medical schools.

Evaluation of Quality of Life of Breast Cancer Patient Next-of-kin in Turkey

  • Ogce, Filiz;Ozkan, Sevgi;Okcin, Figen;Yaren, Arzu;Demiray, Gokcen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2771-2776
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    • 2013
  • Introduction: Quality of life (QoL) issues are of importance in relatives of women with breast cancer (BC)as caregivers in neglecting their own needs due to care of a patient and also as women regarding the potential risk of themselves developing BC. The objectives in the present study were to compare the QoL of female relatives of women in treatment for breast cancer. To date, no study had examined multi-dimensional QoL in accompanying people as compared them into two groups of female relatives whose first degree and second degree. Methods: QoL of female relatives was assessed using the Quality of Life-Family Version (QOL-FV) scale. Relationships between socio-demographic characteristics and QoL scores were analyzed using the Mann-Whitney U, Kruskal Wallis and Crosstabs tests. Results: The mean age of the female relatives was 37.6 years, and nearly 48% had a university education. It was found that first degree relatives had worse QoL in all domains except physical wellbeing than second degree relatives. Conclusion: This study showed that being female relatives of BC, especially first-degree, affect QoL negatively. Health care providers are of an important role in the stage of information related to genetic influence of BC.

Development of Nursing Intervention List - Caregiver Support : Soobal - (돌봄제공자 지원 : 수발발간호중재 목록 개발 - 뇌졸중을 중심으로 -)

  • 안수연;염영희
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.518-529
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    • 1999
  • The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows : 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for ‘Caregiver Support : Soobal’. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of ‘Caregiver Support : Soobal’ was provision of the necessary information, advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that examplified the interventions on a scale of 1 (activity is not at all characteristic) to 5 (activity is very characteristic). Round I contained 15 ‘critical’ activities and 10 ‘supporting’ activities, while round II contained 16 ‘critical’ activities and 6 ‘supporting’ activities. No activities were considered to be ‘nonsupporting’ in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.

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Maternal Knowledge of Childcare and Its Effects on Mother-Teacher Communication (어머니의 보육지식과 어머니-교사 의사소통과의 관계)

  • Ahn, Sun-Hee
    • Journal of the Korean Home Economics Association
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    • v.48 no.2
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    • pp.1-12
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    • 2010
  • The purpose of this study was to investigate the relationships between maternal knowledge of childcare and mother-teacher communication. The participants consisted of 240 mothers whose children were enrolled at seven childcare centers in Seoul. Respondents were asked to complete a series of questionnaires reporting the important aspects of their childcare, the frequency of mother-teacher communication, and individual characteristics. Information about childcare's structural and procedural characteristics were obtained through interviews with the directors of those centers. The results indicated that mothers only answered 45.5% of questions correctly, and reported a lack of knowledge about childcare services in their respective centers. In particular, mothers didn't have information about caregivers (e.g, education, year of job experience, license, etc). Actual maternal knowledge was significantly correlated with the length of time which mothers were associated with their childcare and the frequency of mother-teacher communication. In addition, there were significant differences in the maternal knowledge regarding childcare services according to mothers' educational level. The results of this study imply that effective parent education programs are needed for mothers who want to enroll their children in childcare centers.

Which Individual Characteristics Influence Mothers' Health Information-seeking Behavior?

  • Lee, Hanseul Stephanie
    • Journal of the Korean Society for Library and Information Science
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    • v.54 no.1
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    • pp.343-364
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    • 2020
  • Historically, mothers have been noted as active health information seekers, reflecting their roles as health mangers and caregivers for their family members. However, previous studies have focused on health-related information behavior among mothers in native populations or mothers of children with specific diagnoses. To fill this research gap, this study focused on health information behavior among mothers of healthy infants and toddlers. Using Wilson's (1997) information-seeking model, this study aimed to uncover the relationships between mothers' demographic characteristics and their health information source use. Online surveys were completed by 851 mothers: 255 U.S.-born mothers, 296 Korean-born mothers, and 300 Korean immigrant mothers living in the United States. Results indicated that there were statistically significant relationships between mothers' nine demographic characteristics (mother's age, education level, household income, employment status, the number of children, years living in the U.S. (or Korea), fluency in speaking English, size of household, housing status) and their health information source use. Based on the results, the implications for information professionals at diverse organizations are discussed when they provide health information services to this specific population.

Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units (포괄간호서비스 병동과 일반병동 입원 환자의 간호만족도와 병원재이용의도 영향요인 비교)

  • Shin, Sa-Rang;Park, Kyung-Yeon
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.469-479
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    • 2015
  • Purpose: The purpose of this study was to compare hospitalized patients in comprehensive nursing care units and general care units as to satisfaction with nursing care and factors influencing their intent to revisit the hospital. Methods: A cross-sectional study was conducted with 178 patients who had been hospitalized in a comprehensive nursing care unit and a general care unit in one hospital. Participants completed self-report questionnaires. Data were analyzed using SPSS 21.0. Results: There was a significant difference between the comprehensive nursing care unit and general care unit for intent to revisit the hospital (p=.036). Factors influencing intent to revisit the hospital for patients in the comprehensive nursing care unit were 'satisfaction with nursing care' (p<.001) and 'use of additional costs for comprehensive nursing care' (p=.041). The factor influencing intent to revisit hospital for patients in the general care unit was 'satisfaction with nursing care' (p<.001). Conclusion: Findings indicate that comprehensive nursing care service in which all care is provided by nursing staff only, without family or private caregivers, increases intent to revisit the hospital. These results can be used as the foundation of reviewing the operation and expansion of comprehensive nursing care service.

A Study of Developing the Policies Addressing the Elder Abuse : Focus on the Laws and Programs Addressing Elder Abuse in the United States (노인학대 관련 정책 개발을 위한 일 고찰 : 미국의 노인학대 관련법과 서비스 정책을 중심으로)

  • Woo, Kug-Hee
    • Korean Journal of Social Welfare
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    • v.44
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    • pp.209-231
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    • 2001
  • Recently, child abuse is mentioned in revised Child Welfare Law, on the other hand, elder abuse is not yet recognized as a social problem and little addressed in the field of social service. Like this, elder abuse has gotten less public and professional attention than other areas within the family abuse field. Despite the lack of attention to elder abuse, the number of elder abuse reports and incidents is likely to increase in the future. Based on the recognition that current effort and approach to elder abuse is not appropriate, this study attemped to briefly review laws and programs addressing elder abuse in the United States which have shaped in other contries. In the United States where various laws and programs that address elder abuse exit, there are incresing arguments that addressing elder abuse in the area of social service rather than in the criminal justice systems is more desirable. Because the most common form of elder abuse is not physical abuse but neglect including self-neglect. Self-neglect and neglect caused by caregivers' burden can not be addressed through criminal justice systems appropriately. From these experiences of the United States, the implications for policy, programs, and practice aimed at intervening elder abuse were discussed.

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Behavioral Problems in Patients with Prader-Willi Syndrome

  • Park, Sung Won
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.5 no.1
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    • pp.29-33
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    • 2021
  • Prader-Willi Syndrome (PWS) is a neurodevelopmental genomic imprinting disorder involving a lack of gene expression from the paternal chromosome 15q11-q13 region. This is typically due to paternal 15q11-q13 deletions (in approximately 60% of cases), maternal uniparental disomy 15, or when both 15s are from the mother (about 35% of cases). An imprinting center controls the expression of imprinted genes in the chromosome 15q11-q13 region. PWS is a neurodevelopmental disorder characterized by mental retardation and distinct physical, behavioral, and psychiatric features. Characteristic behavioral disturbances in PWS include excessive interest in food, skin picking, difficulty with a change in routine, temper tantrums, obsessive and compulsive behaviors, and mood fluctuations. Individuals with PWS typically have intellectual disabilities (borderline to mild/moderate mental retardation) and exhibit a higher overall level of behavior disturbances compared to individuals with similar intellectual disabilities. This condition severely limits social adaptations and quality of life. Different factors have been linked to the intensity and form of these behavioral disturbances, but there is no consensus regarding the cause. Consequently, there is still controversy surrounding management strategies and there is a need for new data. PWS is a multisystem disorder. Family members, caregivers, physicians, dieticians, and speech-language pathologists all play an important role in the management and treatment of symptoms in an individual with PWS. Here we analyze behavioral problems in children and adults with PWS by age and review appropriate management and treatment strategies for these symptoms.

Approaching Knowledge, Attitudes, and Practices Model for Elderly with Dementia Who are Suspected to Have Hearing Impairment in Korea

  • You, Sunghwa;Han, Woojae
    • Journal of Audiology & Otology
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    • v.24 no.1
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    • pp.40-47
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    • 2020
  • Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.