• Title/Summary/Keyword: Functional Status

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Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia (치매노인 가족수발자를 위한 지역사회기반 휴식프로그램 개발 및 적용효과)

  • Cheon, Suk-Hee;Chang, Sung-Ok;Kong, Gye-Soon;Song, Mi-Ryeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.337-347
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    • 2011
  • Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.

Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease (자기결정성 이론 기반 만성폐쇄성폐질환 환자를 위한 동기면담 호흡재활 프로그램의 개발 및 평가)

  • Jang, Jun Hee;Min, Hye Sook
    • Journal of Korean Academy of Nursing
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    • v.53 no.2
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    • pp.191-207
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    • 2023
  • Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status. Conclusion: The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

Tourists' Re-Participation Intention in Wellness Tourism: Differences by Health Status and Health Consciousness

  • Jiao LI;Han ZHOU;Kaige ZHU;Juhyeok JANG
    • The Journal of Economics, Marketing and Management
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    • v.12 no.5
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    • pp.91-103
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    • 2024
  • Purpose: This study analyses the key variables that influence tourists' intention to re-participate in wellness tourism. To this end, a theoretical model is developed that is grounded in the theories of perceived value and perceived risk. Additionally, this study segments the market based on tourists' health consciousness and health status, examining the differences in the process of forming re-participation intentions. Research Design, Data, and Methodology: An online survey of 305 Japanese respondents was conducted, and the research model and hypotheses were validated using SmartPLS 4 and SPSS. Results: The findings illustrate that perceived functional, social, emotional, and epistemic values from previous wellness tourism experiences positively influence tourists' attitudes, whereas time risk negatively affects them. Furthermore, functional value and attitudes enhance re-participation intentions, whereas financial risk decrease them. Cluster analysis identified three groups: 'Health-Conscious but Unwell'; 'Not Health-Conscious and Unwell'; and 'Health-Conscious and Well'. Those who are 'Health-Conscious and Well' are more likely to re-participate if they are satisfied with the functional value of their wellness tourism experience. Conclusions: The findings of this study offer destination marketers and service providers valuable insights into how tourists form behavioural intentions and how to strategically allocate resources to maximise the potential of wellness tourism.

Historical Background and present status of korean sericulture for production of functional materials (기능성 한국잠업의 시대적 배경과 그 현황)

  • Lee, Sang-Pung
    • Journal of Sericultural and Entomological Science
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    • v.55 no.1
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    • pp.11-21
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    • 2019
  • Historical background and present status of Korean functional sericulture was reviewed. Five-year expansion projects began in 1962, and produced 41,700 tons of cocoon in 1976 and exported $271 million. However, the number of silkworm rearing households reduced to 59,800 by 1987 from 488,000 in 1976 due to rapid development of the secondary and the tertiary industries with higher labor cost. That's why functional sericulture was developed in Korea. Freeze-dried silkworm powder was found that it lowered the level of blood glucose. Nuedongchunghacho, Paecilomyces tenuipes, was cultured on silkworm larva. Odi, the fruit of mulberry trees, was studied as a new food ingredient. Mulberry tree varieties for improved Odi production were also developed.

A Study of the Scale to Measure Health Status of the Elderly - In Regard to Measures of Physical Functioning- (노인의 건강사정도구에 대한 일고찰 - 신체기능 측정도구를 중심으로 -)

  • Rhee Seonja;Oh Jin-Joo
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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    • pp.11-20
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    • 1992
  • The major goal of caring the elderly is not to cure the patient, but rather to improve or maintain the individual functional ability. With the aged population increases, there is increasing consensus among health care workers about the importance of developing a tool to measure and evaluate the health status of the elderly. As many writers is pointing out, care of the elderly embraces the spectrum of physical-social-psychological problems and an enormous number of variables could be introudeced into the health worker's routine measurement. But such an expansive approach to measurement could have disadvantages. The purpose of this study is to introduce the measurement tools of physical functioning, perhaps the most important measure required in long-term care, which are separated into three categories of measures; general physical health, ADL, IADL. It is important that all health workers who provide care to the elderly incorporate the concepts of functional health status into the routine assessments. And continuous study about reliability and validity is needed to apply those foreign tools to Korea.

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Health Status among Community Elderly in Korea (일 도시지역 노인의 건강상태에 관한 연구)

  • 김혜령
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.544-552
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    • 2003
  • Purpose: This study examined the health status among elderly in community. Method: This is a survey using cross-sectional design. The subjects were 531 elders who were 65 and over in Pusan, Korea. Data were collected by 17 trained interviewers from April 10 to August 26, 2000. Functional status for physical health status, depression, loneliness, self-esteem for psychological health status, and social support for social health status were measured. Result: About forty three percent of the subjects were found as the elderly who need support in physical status. About fifty six percent of the subjects were depressed. The mean score on the Loneliness scale was 40.4, which means relatively higher. For self-esteem, its score was lower than that of elderly who were examined in other studies. The subjects were living in the state of lower social support. The risk factors for vulnerable health status were being female, becoming older, lower income and education, and living alone. Conclusion: This finding indicates that the elderly subjects in Korean community were in poor health status in physical, psychological and social aspects.

Effects of Health-related Factors on the Use of Health Functional Foods (건강 관련 요인이 건강기능식품의 이용에 미치는 영향)

  • Choi, Ji-Heon;You, Chang-Hoon;Kwon, Young-Dae
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.27-39
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    • 2011
  • Many Koreans have been interested in health functional foods(HHFs). Use of health functional foods is growing rapidly. This study aims to identify the determinants of HFFs use focusing on health related factors. The subjects were 24,626 samples from Korea Health Panel in 2008. The subjects were divided into two group: under the 20 years old and 20 old and over. The logistic regression model was used to examine influence of health-related factors on use of HFFs for each group. About thirty percent of the subjects have used HFFs. The larger family size, higher education level of parents, more stable economic status and chronic diseases were positively related to use more HFFs in younger 20 years old. Higher education level, more stable economic status, chronic diseases were more likely to use HFFs in 20 years of age and over. Health related factors such as disability, chronic diseases, admission, and physician visit affect the use of HFFs in both groups. We confirmed that health related factors as well as socio-demographic and economic factors affect use of HFFs. In-depth knowledge about relationship between health related factors and HFFs is required.

Association of mitochondrial haplogroup F with physical performance in Korean population

  • Hwang, In Wook;Kim, Kicheol;Choi, Eun Ji;Jin, Han Jun
    • Genomics & Informatics
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    • v.17 no.1
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    • pp.11.1-11.7
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    • 2019
  • Athletic performance is a complex multifactorial trait involving genetic and environmental factors. The heritability of an athlete status was reported to be about 70% in a twin study, and at least 155 genetic markers are known to be related with athlete status. Mitochondrial DNA (mtDNA) encodes essential proteins for oxidative phosphorylation, which is related to aerobic capacity. Thus, mtDNA is a candidate marker for determining physical performance. Recent studies have suggested that polymorphisms of mtDNA are associated with athlete status and/or physical performance in various populations. Therefore, we analyzed mtDNA haplogroups to assess their association with the physical performance of Korean population. The 20 mtDNA haplogroups were determined using the SNaPshot assay. Our result showed a significant association of the haplogroup F with athlete status (odds ratio, 3.04; 95% confidence interval, 1.094 to 8.464; p = 0.012). Athletes with haplogroup F ($60.64{\pm}3.04$) also demonstrated a higher Sargent jump than athletes with other haplogroups ($54.28{\pm}1.23$) (p = 0.041). Thus, our data imply that haplogroup F may play a crucial role in the physical performance of Korean athletes. Functional studies with larger sample sizes are necessary to further substantiate these findings.

Correlation between Manual Ability Oassification System and Functional Evaluation in Children With Spastic Cerebral Palsy (경직형 뇌성마비 아동의 손 기능 분류 체계와 기능적 수행도 평가 간의 상관)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.248-256
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    • 2009
  • The purpose of this study was to investigate the relationship among functional evaluation systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy and to provide the foundation data about MACS for evaluation system of hand function in children with spastic cerebral palsy. For this, sixty children with spastic cerebral palsy were employed in this study. The sixty children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). There were a significant correlation between the MACS and the GMFCS (r =.659, p <.05). The good correlation between the MACS and WeeFIM was found (r = -.576, p <.05). The functional status according to the hand function level evaluated by using the MACS were different significantly (p <.05). The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

Relationship between Health Literacy and Health status among Community-dwelling Elderly (지역사회 거주 노인의 건강문해력과 건강상태 간의 관계)

  • Yang, In-Suk
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.62-70
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    • 2021
  • The purpose of this study was to identify health literacy among elderly and to investigate the relationships between healthy literacy and health status. A cross-sectional study was conducted with a sample of 158 participants between July and December 2019. The linguistic and functional health literacy (using the KHLAT and NVS) and self-rated physical and mental health were assessed. Above third of elderly have difficulties reading and understanding linguistic and functional health literacy. There were significant differences in health literacy according to residence, spouse, living together, educational level, occupation, monthly income, and number of diagnosed disease. Linguistic and functional health literacy and self-rated physical and mental health are closely related. Sociodemographic and disease related factors such as residence, educational level, monthly income, and multi-morbidity need to be considered when developing educational programs to improve health literacy. It could be possible to promote health status by improving the health literacy through individualized convergent educational program.