• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.2
• /
• pp.1240-1252
• /
• 2015

The purpose of this study was to investigate feeding difficulty and its influencing factors of elders with dementia in long-term care facilities. Participants were 158 elders with dementia residing in three nursing facilities. Data were collected from Aug. 18 to Sep. 12 in 2014. The feeding difficulty in dementia scale, Korean version-Activities of Daily Living and Mini-Mental State Exam-Korean version were used as instruments. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression by SPSS 17.0. Mean feeding difficulty score was $0.62{\pm}0.43$(range of 0-2). The highest feeding difficulty item was "patient require close supervision while feeding". The variables influencing the feeding difficulty was ADL(${\beta}=.312$), cognitive function(${\beta}=-.172$) which explained about 20.0% of total variance. The results suggest the need of developing feeding difficulty coping strategy according to dietary behavior phase, In addition, the development and testing the educational program for caregivers to help feeding difficulty of the elders with dementia in long-term facility are recommended.

• Journal of Korean Academy of Nursing
• /
• v.48 no.2
• /
• pp.167-181
• /
• 2018

Purpose: We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities. Methods: A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0. Results: Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index. Conclusion: The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

• Women's Health Nursing
• /
• v.4 no.3
• /
• pp.416-428
• /
• 1998

In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.

• Clinical and Experimental Pediatrics
• /
• v.60 no.12
• /
• pp.379-384
• /
• 2017

Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

• Journal of Korean Public Health Nursing
• /
• v.37 no.2
• /
• pp.261-274
• /
• 2023

Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.23 no.3
• /
• pp.729-735
• /
• 1996

Cleft lip and palate is the most common malformation in the craniofacial region. The patients with cleft lip and palate have functional problem such as, speech, feeding and respiratory as well as esthetic problem. So, treatment should be done by multidiciplinary team approach. The role of pediatric dentist in the team is advicement for feeding method, guidance of normal growth, caries control and preventive orthodontics. In cleft lip and palate patients, maxillary arch after cheiloplasty is usually collapsed by excessive tension of the scar. This collapse increase the difficulty of later orthodontic treatment. Therefore, the maxillary arch segments should be moved and retaind to normal position as soon as cheiloplasty is done to reduce the need and difficulty of orthodontic treatment. This concept is called by the early orthopedic treatment in cleft lip and palate. Also, this orthopedic appliance works as feeding applince to normal feeding and weight gain We reported two cases of early orthopedic treatment with favorable result in complete bilateral cleft lip and palate patients after cheiloplasty. Patients showed normal weight and their maxillary arch widths were increased.

• Journal of Institute of Control, Robotics and Systems
• /
• v.9 no.1
• /
• pp.57-62
• /
• 2003

It is difficult to determine the feeding rate of coagulant in the water treatment plant, due to nonlinearity, multivariables and slow response characteristics etc. To deal with this difficulty, the genetic-fuzzy system genetic-equation system and the neural network system were used in determining the feeding rate of the coagulant. Fuzzy system and neural network system are excellently robust in multivariables and nonlinear problems. but fuzzy system is difficult to construct the fuzzy parameter such as the rule table and the membership function. Therefore we made the genetic-fuzzy system by the fusion of genetic algorithms and fuzzy system, and also made the feeding rate equation by genetic algorithms. To train fuzzy system, equation parameter and neural network system, the actual operation data of the water treatment plant was used. We determined optimized feeding rates of coagulant by the fuzzy system, the equation and the neural network and also compared them with the feeding rates of the actual operation data.

• Journal of Institute of Control, Robotics and Systems
• /
• v.3 no.6
• /
• pp.652-658
• /
• 1997

Coagulant feeding control is very important in the water treatment process. Coagulant feeding is related to the raw water quality such as turbidity, alkalinity, water temperature, pH and so on. However, since the process of chemical reaction has not been clarified so far, coagulant dosing rate has been decided by jar-test. In order to overcome the difficulty mentioned above, Fuzzy Neural Network to fuse fuzzy logic and neural network was proposed, and the scheme was applied to the automatic determination of coagulant dosing rate. This algorithm can automatically identify the if-then rules, tune the membership functions by utilizing expert's experimental data. The proposed scheme is evaluated by computer simulation and interfaced with coagulant feeder operated by magnetic flowmeter, control valve and PLC. It is shown that coagulant feeding according to real time sensing of water quality is very effective.

• Nutrition Research and Practice
• /
• v.9 no.4
• /
• pp.393-399
• /
• 2015

BACKGROUND/OBJECTIVES: Thin children may have insufficient intake of energy and nutrients, resulting in reduced immune function and growth. This study aimed to identify the effects of multiple herb formula SEC-22 supplementation on growth, dietary changes, and picky eating behaviors in thin children. SUBJECTS/METHODS: A double-blind, randomized clinical trial was conducted on 79 children aged 2-5 years with poor appetites, BMI percentile < 25, and without any illness. Subjects were given either SEC-22 (n = 35) or placebo (n = 44) for 2 months and followed for an additional 2 months. Three-day dietary records, questionnaires on picky eating behaviors, and anthropometric measures were collected. RESULTS: Energy, carbohydrate intake, and feeding difficulty improved in both groups during the intervention period. However, changes were maintained only in the SEC-22 group after 2 months of follow-up post-supplementation. 'Frequency of trying to feed' was improved in the SEC-22 group compared to the placebo group after the first month of follow-up (P < 0.05). Intakes of potassium and thiamine were improved in the SEC-22 group compared to the placebo group after the first month of intervention (P < 0.05). 'Frequency of food reward', eating amount, and intakes of carbohydrate, potassium, and vitamin C showed significant improvement compared to the placebo group after the second month of follow-up (P < 0.05). CONCLUSIONS: These results suggest that SEC-22 supplementation can improve parental feeding difficulty resulting from insufficient eating amount or picky eating as well as increase nutrient intake in thin children. Although these improvements were observable at least 2 months after supplementation, effects beyond this time frame need to be confirmed.

• The Journal of the Korea Contents Association
• /
• v.17 no.9
• /
• pp.426-436
• /
• 2017

The purpose of this study was to analyze factors affecting malnutritional status of elders with dementia in facilities. The subjects were 140 elders with dementia residing in three nursing facilities in Chungnam, South Korea. Data were collected from May 30 to September 30 in 2016, using questionnaires. The collected data were tested by t-test, ANOVA, correlation, regression analysis. The malnutritional status of elders with dementia in facilities was high in the high-risk group (84, 60.0%), and the nutritional status was appeared to be related to sex, long-term care grade, Korean version-Activities of Daily Living and feeding difficulty and cognitive function. As a result of multiple regression analysis, significant influence variables on malnutritional status were Activities of Daily Living(${\beta}=0.379$, p=.001), feeding difficulty(${\beta}=0.264$, p=.001), cognitive function(${\beta}=-0.187$, p=.014) and these variables showed an explanatory power of 35.9% on malnutritional status. The results of this study are expected to be used as basic data for the development of malnutritional status improvement program for elders in facilities with dementia.