• Title/Summary/Keyword: Family Unit

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Comparison of Intensive Care Unit Nurses' and Family Members' Priorities of Patient and Family-centered Care in Ghana

  • Mohammed, Shaibu;Tak, Sunghee H.
    • Journal of Korean Critical Care Nursing
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    • v.15 no.1
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    • pp.13-23
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    • 2022
  • Purpose : Life-threatening illnesses represent a crisis for individual patients and their families. Little has been made to understand the priorities or perspectives in developing a care plan. This results in poor outcomes, and patients and families return home without being satisfied with the care provided. This study aimed to address nurses' and families' care priorities on patient and family-centered care principles and compare those priorities. Methods : A quantitative comparative descriptive research was conducted. The data were part of a study that was carried out to elicit and compare nurses' and families' perceptions of complying with patient and family-centered care (PFCC) principles in intensive care units (ICU) in Ghana. The respondents were ICU nurses (n=123) and family members of hospitalized patients in the ICU (n=111). The tool for the study was a "modernized version of a hospital self-assessment inventory on PFCC," and data analyses were performed using SPSS version 20.0. Results : Nurses and families differed significantly in their priorities of care based on the principles of PFCC. The means and p-values were significantly different for the definition, pattern of care and access to information/education, and the overall total scores of the patient and family-centered care principles (PFCCP) Conclusion : To render care that aligns with the care priority of families and patients in the ICU, nurses must plan care in consultation with their families.

A Study on the Satisfaction of Spatial Composition by Double-income Households Considering their Life Style (맞벌이가족 라이프스타일 유형에 따른 공간구성 만족도에 관한 연구)

  • Lee, Se-Na;Lee, Hyun-Soo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.92-96
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    • 2006
  • With the change of family type and diversify of life style, residents need various unit plan in Quality. A rate of economically productive women has increased, and generally double-income households will continuously increase in the future. So a research is requested to consider the double-income households's satisfaction for a unit plan based on their life characteristics. The purpose of this study is to find out double-income households's lifestyles, and to search and analyze users' needs for spatial composition according to their lifestyles, and then, embody spatial composition of Apartment Unit plans. The findings are as follows. (1) Housing lifestyles of users living in apartment are categorized into 5 types: seeking the way to make housework easy and comfortable, making the best use spatial composition, pursing the universalism, housework oriented, pursing the leisure. (2) The type of seeking the way to make housework easy and comfortable requests facility with home appliances and a shower bath, the type of making the best use spatial composition requests storage space and trial about new plan, the type of pursing the universalism is concerned about the protection of environment and a memorial service, the type of housework oriented wants a talk with their family and discuss some problem, and the type of pursing the leisure requests division of household with their family and likes traveling and sports.

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A Study on the Choice of Flexible Housing Unit Plan (가변형 공동주택의 평면 선택에 대한 연구)

  • Lee, Bo-Ra;Kim, Young-Ook;Lee, Hyun-Soo;Kim, Soo-Am
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2005.11a
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    • pp.163-166
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    • 2005
  • The purpose of this study was to analyze the Characteristics of Flexible housing Unit Plan Choice. It is believed that Flexible Housing relates to Family life cycle and the number of family. But this study revealed another factor, Space Syntax. It is reviewed that the Space Syntax effectively reveals the relative spatial depth of the spatial elements composing flexible housing unit plan. Thus, the Space Syntax is adopted as an analytic method of this study to objectify the concrete spatial changes. Through this study, the spatial organization of each case before changing is compared wi th that after changing, to find out the spatial changes over variation, Based on this theory, this study provide basic data to be used for architectural planning for flexible design. To design common facilities that support residents' leisure activities is one of the contemporary issues in Korea. People became interested in the leisure facilities in near-home environments. This trend encouraged this research study. The objectives of this study are to analyze the current status and characteristics of leisure facilities in apartment communities, to examine the correlations among leisure facilities, and to suggest design considerations for korean multi-family housing communities.

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The Analysis on the Present Condition of Noise of the Residents Subjective Responses in One-Room Type Multi-Family Housing around Campus (대학주변 원룸형 다가구주택에 있어서 거주자 평가에 의한 소음실태분석)

  • Choi Yoon-Jung
    • Journal of the Korean Home Economics Association
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    • v.41 no.10 s.188
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    • pp.1-13
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    • 2003
  • The purpose of this study is to make clear the present condition and the reason of noise in one-room ape multi-family housing around the campus by residents' subjective responses. The respondents are 104 residents living in one-room ape multi-family housing around the campus. The results are as follows. 1) The residents show relatively non-positive responses at evening and night on the present condition of noise in outdoor and indoor of building or indoor of house unit. 2) The types of outdoor noise of building are checked frequently are 'talking loudness' and 'traffic noise'. 'Walking and talking sounds in stairs and corridors' among the types of indoor noise of building shows highest percentage. They answer 'living equipment noise' and 'water hammer' as major types of indoor noise of house unit.

A Study on the Characteristics of Spatial Environmental Needs in a Three generation Family (노인동거가족의 공간적 환경 요구 특성에 관한 연구)

  • 이연숙
    • Journal of the Korean housing association
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    • v.6 no.2
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    • pp.91-99
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    • 1995
  • The purpose of this research is to grasp the spatial environmental needs of a three generation family, thereby to suggest some major concepts which can be used as basic design guidelines for a three generation family housing. Data were collected through a questionnaire survey from 467 housewives living in a three generation family households. Results showed that most respondents want to be seperated from their old parents. This tendency, however, changed once a housing alternative for the three generation living was assumed to have been developed. The most preferred alternative housing units were identified. The desirable proportions of the unit alternatives were 34% for a single unit. 28% for the two connected units. 7% for two separated units within a building and 32% for two separated units in different buildings within the same housing complex.

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A Reform of Three Generation Family Housing in an Apartment for Low Incomes, Korea in case of small unit 10 to 16 pyung (저소득층을 위한 3대동거형 아파트 리폼에 관한 연구 ( 10평부터 16평형을 대상으로 ))

  • Shon, Seung-Kwang
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2004.11a
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    • pp.381-385
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    • 2004
  • A goal of this research is to propose and testify the remodeling possibility from deteriorated stock apartment housing, to three generation family living in a dwelling unit for low incomes. An apartment housing which is introduced from 1970s, is accumulated over 55% of the stock housing in Korea, many of them are confront with a rebuilding in a short usage of twenty years below. They were built in a small one, and it testified from two to one conversion in this article that can be applicated in a 10, 13, 14, I5, and 16 pyung, the remodeling size became from 20 to 36 pyung. In this article, we can see a reform model in possible for three generation family living in the small apartment house.

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Brain Injury Patients's Disability Degree and Educational Needs of Family Caregivers (뇌손상 환자의 장애정도와 간병가족의 교육요구도)

  • Yun, Sun-Hee;Yoo, Yang-Sook;Cho, Ok-Hee;Hwang, Kyung-Hye
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.19 no.1
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    • pp.37-45
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    • 2012
  • Purpose: This study was conducted in order to identify the brain injury patients's disability degree and educational needs of family caregivers. Methods: A convenience sample of 94 families with brain injury patients, who have been receiving treatment at the neurological intensive care unit and neurosurgery ward, were used. Data was collected with a self-report questionnaire from September 5 to November 28, 2011, and was analyzed using SAS program. Results: 'Defecation/urination' disability was the highest score of patient's physical disability and the next ranking was 'paralysis'. 'Memory impairment' disability was the highest score of patient's cognitive disability, and the next ranking was 'personality changes'. Overall, educational needs of family caregivers scored 4.15 out of the perfect score of 5. The factor, which scored highest, was 'information related with disease'. In addition, educational needs of family caregivers were positively related with patient's degree of. Conclusion: Educational needs of family caregivers are distinct, according to the disability degree of brain injury patient. Therefore, the study suggests the development of individualized educational program for family with brain injury patient.

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Analysis of the Nursing Interventions performed by orthopedic surgery care unit using NIC (NIC 간호중재 분류체계를 이용한 간호중재분석;정형외과 간호단위를 중심으로)

  • Kwon, Mi-Suk;Park, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.4
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    • pp.655-667
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    • 2002
  • Purpose : This study analysis of nursing interventions and core nursing interventions performed orthopedic surgery care unit. Method : The data were collected from 55 nurses of 4 general hospital from July. 10, 2002 to Aug. 30, 2002. The instrument for this study was the Korean translation of 486 nursing intervention classifications developed by McColskey & Bulechek in 2000. In the 486 nursing interventions 350 nursing interventions were selected 8 among the 10 more than 5 years working group in orthopedic surgery care unit. Self frequency checking performed by 350 nursing interventions were used secondary questionnaire In the orthopedic surgery care unit nurses. Results : 1. The most frequently used nursing interventions domains were "Physiological : basic" and then "Physiological: complex", "Health system" "Behavior", "Family", "Safety". 2. Orthopedic surgery care unit core nursing interventions were performed several times a day by 50% or more of orthopedic surgery care unit and this result were 4 of domain, 11 of class, 26 core nursing interventions. This core nursing interventions were 5 of "Physiological : basic", 17 of "Physiological: complex", 1 of "Safety", 3 of "Health system" and have no "Behavior", "Family". Conclusion : This study analyzed nursing intervention of orthopedics and reestablished nursing intervention concept and I hope this study will be helpful for the nurse to be a professional by applying this to actual clinic, for development in qualified nursing and for establishment nursing information system.

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E1/E2 of Hepatitis C Virus Genotype-4 and Apoptosis

  • Zekri, Abdel-Rahman N;Sobhy, Esraa;Hussein, Nehal;Ahmed, Ola S;Hussein, Amira;Shoman, Sahar;Soliman, Amira H;El-Din, Hanaa M Alam
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3131-3138
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    • 2016
  • Several studies have addressed the possible role of hepatitis C virus genotype-4 (HCV GT4) in apoptosis. However, this still not fully understood. In the current study a re-constructed clone of E1/E2 polyprotein region of the HCV GT4 was transfected into the Huh7 cell line and a human apoptotic PCR array of 84 genes was used to investigate its possible significance for apoptosis. Out of the 84 genes, only 35 showed significant differential expression, 12 genes being up-regulated and 23 down-regulated. The highest-up regulated genes were APAF1 (apoptotic peptidase-activating factor 1), BID (BH3 interacting domain death agonist) and BCL 10 (B-cell CLL/lymphoma protein 10) with fold regulation of 33.2, 30.1 and 18.9, respectively. The most down-regulated were FAS (TNF receptor super family), TNFRSF10B (tumor necrosis factor receptor super-family member 10b) and FADD (FAS-associated death domain) with fold regulation of -30.2, -27.7 and -14.9, respectively. These results suggest that the E1/E2 proteins may be involved in HCV-induced pathogenesis by modulating apoptosis through the induction of the intrinsic apoptosis pathway and disruption of the BCL2 gene family.

Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms

  • Jae Eun Jang;Jeong Moon Ryu;Min Hee Heo;Do Eun Kwon;Ji Yeon Seo;Dong Yeon Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.69-79
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    • 2023
  • Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.