• Title/Summary/Keyword: Health care need

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A Study on the IADL Affecting Subjective Health Index of the Aged in Some Area (일부지역(一部地域) 노인(老人)들의 주체적(主體的) 건강수준(健康水準)에 영향을 미치는 IADL에 관한 연구(硏究))

  • Kim, Keun-Jo;Park, Heung-Ki;Koon, Hyeok-Su;Bae, Soo-Chan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.1
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    • pp.29-50
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    • 2001
  • This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact. For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality. We had analyzed all the data obtained through this research by the method of : - analysis of frequency as per specific factors by SPSS 1O.0/PC+, - $x^2$ test, - t-test, - ANOVA, - multiple regression analysis by factors. The research concludes followings : a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p<0.01) b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p<0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing. In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent. It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p<0.001) c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point). In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p<0.001) In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged living at these two residential types express they are obviously in a bad situation of health. (p<0.001) d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions. e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak. As a result, we were able to conclude that the IADL performance is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising. As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health. From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.

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A Study of Activity Participation Level and Functional Disability for The Elderly Aged Over 65 years (65세 이상 노인의 참여활동수준과 기능장애에 관한 연구)

  • Park, Kyoung-Young;Shin, Su-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.222-228
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    • 2020
  • The purpose of this study was to investigate activity participation level and functional disability based on ICF for the elderly aged over 65 years. Subjects were 100 senior citizens. We performed data collection using Korean Activity Card Sorting(KACS) and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Data were analyzed using descriptive statistics, Pearson's correlation, multiple regression. As a result of the survey of activity participation levels, retained level of activity participation of instrumental activity was highest at 75.06%. Among the WHODAS 2.0 sub-domain, 'getting along with people', 'participation in society' had the most difficulties and 'self-care', 'life activities' were the lowest. An analysis of the correlation between the activity retention rate and functional disability showed that there was a significant negative correlation. Significant factors influencing functional disability were activity participation level of social activity, instrumental activity and main work(retirement). We confirmed that activity participation level was important factor on functional disability. Further, we need standardization study for generalization.

A Study on The Factors Influencing the Decision to Get Implant Treatment at Dental Clinic (치과의원에서 임플란트 치료 결정에 영향을 미치는 요인에 관한 연구)

  • Oh, Hye-Young;Jin, Ki-Nam
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.85-91
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    • 2012
  • The purpose of this study was to examine the factors influencing the decision to get implant treatment at dental clinic. The subjects in this study were 321 patients at dental hospitals and clinics. Andersen model in which predisposing variables, enabling variables and need variables were suggested as independent variables was used. The implant decision making was selected as a dependent variable in the model. Using logistic regression analysis, we found statistically significant effects of three independent variables: 1) class, 2) satisfaction with the facility; 3) familiarity with others received implant treatment. Those with the middle or high class background were more likely to take implant treatment. Those who were satisfied with clinic facility were more likely to take implant treatment. Those who were familiar with others received implant treatment were more likely to take implant treatment. This result implies the importance of opinion of others were received the same treatment. Hence viral marketing effort is required even in dental care field.

Investigation of the Needs of Teachers and Students on the Contents of Sex Education in Elementary School (초등학교 성교육 내용에 대한 교사 및 학생의 요구도 조사)

  • Hong, Sun-Mi;Park, Sin-Ae
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.494-507
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    • 1999
  • This study has developed the sex education contents including new natural family plan, concept and principle by receiving the opinions and advices from professionals and professors on sex education, by amending and supplementing existing teaching materials on sex, and examining the books related with sex education contents that reflect the request of teachers and students, and the lack of sex education teaching materials which have been the reason that needs of school sex education has been highly recognized but not vitalized. The developed sex education contents are 8 areas such as knowing my body right, caring my body, observing the ability of being pregnant, marriage, sexual intercourse, process of pregnancy, miscarriage, and sexual violence, 30 lower areas, and 105 detailed contents in their composition, and here are the results of analyses of the degree of request of nurse teachers and the students on them. The teachers showed highest request in the area of sexual violence(M =4.67), the next was my body care(M=4.44), knowing my body right(M =4.38), process of pregnancy(M=4.13), marriage(M=4.11) and sexual intercoursen (M=3.98), ways of judging the ability of being pregnant(M=3.88), and miscarriage(M=3.72) showed comparative higher request than normal. Not like the teachers, the students showed that they requested Marriage area as the highest need(M=3.04) and next was sexual violence(M=3.02), caring my body(M=3.00) to have been higher than normal. Process of pregnancy(M=2.99), Sexual intercourse(M=2.81), miscarriage(M = 2.77), observation of the ability of being pregnant(M=2.74), and knowing my body right(M=2.70) have been the requests lower than normal. This study showed that sexual violence, marriage, caring my body, were the items most requested by both the leacgers and students and in elementary school the development of sex education teaching materials on natural family plan suitable to the level of development of the children has been requested as it has had no inclusion of the concept of natural family plan, and the students in elementary school are concerned on indirect sexual contents related with physical health like regular exercise rather than direct sexual education contents including sexual intercourse. All these show that they are still so naive on sex. The sense of the teachers on sex has been connected with the level of achievement of sex education of the children as it has been the important cause of deciding the contents of sex education. Therefore the materials developed onesidedly by leaders without reflecting the needs or the preference of the students might be worries of bringing shameful. low quality and negative opinions on sex, and on the other hand the children might lose the concerns and interest on sex education, So the materials should be developed to have the contents of sex education coinciding with the request of the children.

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An Analysis of Nursing Research on Child Rearing in Korea (자녀양육에 대한 국내 간호학분야 연구논문 분석)

  • Lee, Dong Won;Kwon, In Soo
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.264-274
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    • 2014
  • Purpose: The purpose of this study was to analyze papers on child rearing in Korea and to suggest future research and nursing practice directions for child rearing. Methods: An on-line search via 5 web sites yielded 201 research papers. The analysis of key concepts was based on the attributes of parenting and type of knowledge held by the parents. Results: The research papers found in the search were 27.3% experimental and 72.7% non-experimental. Among the participants, 77.0% of parents raising the child were mothers and the children were mostly young children under the age of one year. Types of knowledge related to child rearing varied widely, but explanatory knowledge (55.2%) was the most common, followed by prescriptive knowledge (30.0%) and descriptive knowledge (14.8%). For attributes of parenting, reaction to parenting (49.9%) followed by parenting behavior/practice (43.1%) was most common. Conclusion: Findings of this study indicate that further research is necessary regarding fathers and surrogate caregivers and on prescriptive knowledge for health promotion of children at different developmental stages. Also the results suggest a need for research toward developing child care policies.

The Burden of Main Caregivers in the Family with Schizophrenic Patient (정신분열병환자 가족 주보호자의 부담에 관한 연구)

  • Hur, Bok-Sim;Ryu, So-Yeon;Park, Jong;Kim, Ki-Soon;Kim, Yang-Ok;Kim, Hack-Ryul
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.351-368
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    • 1999
  • The objective and subjective burden was evaluated toward 115 main caregivers in the family with schizophrenic patient by interview with structured questionnaire and self-report using Family Burden Scale (FBS) of family with schizophrenic patient in Korea. The results were as follows : 1) The mean age of onset by schizophrenic patient were 23 years old in male and 26 in female. 2) The mean scales of objective and subjective burden were 1.5 and 1.6. 3) By Logistic regression objective burden was significantly affected by family support (P<0.001), religion (P<0.05), occupation (P<0.05). 4) Subjective burden was significantly affected by family support (P<0.01) and family total income (P<0.05). 5) Total objective and subjective burden was significantly affected by family support (P<0.001), religion (P<0.05). In conclusion, this study suggests that main caregivers need family support from other family members. For them religion and social support are also helpful to cope with the burden to take care of the schizophrenic patients.

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A Study on Family Functioning and Burden of Parents with Cerebral Palsy Children (뇌성마비아 부모의 부담감 및 가족기능에 관한 연구)

  • Lee Hwa Ja;Eo Yong Sook
    • Child Health Nursing Research
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    • v.6 no.2
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    • pp.199-211
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    • 2000
  • Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered question- aire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79±.51 and 4.12±.69, respectively. 2. The relationships between general character- istics and burden were statistically significant difference : degree of children's handicap(F=6.333, P<.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P<.05), caregiver's health status(F=4.359, P<.05), age of children (F=4.185, P<.05), and duration of treatment (F=6.802, P<.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P<.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P<.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P<.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P<.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

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Proteome in Toxicological Assessment of Endocrine Disrupting Chemicals (프로테오믹스를 이용한 내분비계 교란물질 환경독성 연구)

  • 김호승;계명찬
    • Korean Journal of Environmental Biology
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    • v.21 no.2
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    • pp.87-100
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    • 2003
  • It is important to understand the potential human health implications of exposure to environmental chemicals that may act as hormonally active agents. It is necessary to have an understanding of how pharmaceutical and personal care products and other chemicals affect the ecosystem of our planet as well as human health. Endocrine disruption is defined as the ability of a chemical contaminating the workplace or the environment to interfere with homeostasis, development, reproduction, and/or behavior in a living organism or it's offspring. Certain classes of environmentally persistent chemicals such as polychlorinated biphenyls (PCBs), dioxins, furans, and some pesticides can adversely effect the endocrine systems of aquatic life and terrestrial wildlife. Research continues to support the theory of endocrine disruption. However, endocrine disruption researches have been applied to proteomics poorly. Proteomics can be defined as the systematic analysis of proteins for their identity, quantity and function. It could increase the predictability of early drug development and identify non-invasive biomarkers of tonicity or efficacy. Proteome analysis is most commonly accomplished by the combination of two-dimensional gel electrophoresis (2D/E) and MALDI-TOF mass spectrometry (MS) sr protein chip array and SELDI-TOF MS. Proteomics have an opportunity to play an important role in resolving the question of what role endocrine disruptors play in initiating human disease. Proteomics can also play an imfortant role in the evaluation of the risk assessment and use of risk management and risk communication tools required to address public health concerns related to notions of endocrine disruptors. Understanding the need for the proteomics and possessing knowledge of the developing biomakers used to abbess endocrine activity potential will he essential components relevant to the topic of endocrine disruptors.

An Exploratory Research for Development of Design of Sensor-based Smart Clothing - Focused on the Healthcare Clothing Based on Bio-monitoring Technology - (센서 기반형 스마트 의류의 디자인 개발을 위한 탐색적 연구 - 생체 신호 센서 기술에 기반한 건강관리용 의류를 중심으로 -)

  • Cho Ha-Kyung;Lee Joo-Hyeon;Lee Chung-Keun;Lee Myoung-Ho
    • Science of Emotion and Sensibility
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    • v.9 no.2
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    • pp.141-150
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    • 2006
  • Since the late 1990s, 'smart clothing' has been developed in a various way to meet the need of users and to help people more friendly interact with computers through its various designs. Recently, various applications of smart clothing concept have been presented by researchers. Among the various applications, smart clothing with a health care system is most likely to gain the highest demand rate in the market. Among them, smart clothing for check-up of health status with its sensors is expected to sell better than other types of smart clothing on the market. Under this circumstance, research and development for this field have been accelerated furthermore. This research institution has invented biometric sensors suitable for the smart clothing, and has developed a design to diagnose various diseases such as cardiac disorder and respiratory diseases. The newly developed smart clothing in this study looks similar to the previous inventions, but people can feel more comfortable in it with its fabric interaction built in it. When people wear it, the health status of the wearers is diagnosed and its signals are transmitted to the connected computer so the result can be easily monitored in real time. This smart clothing is a new kind of clothing as a supporting system for preventing various cardiac disorder and respiratory diseases using its biometric sensor built-in, and is also an archetype to show how smart clothing can work on the market.

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The Analysis on the Perception of Medical Accident and Dispute of Dental Hygienist (치과위생사의 의료사고 및 의료분쟁에 대한 인식정도 분석)

  • Lee, Sun-Mi;Lim, Mi-Hee;Han, Myeong-Suk
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.241-246
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    • 2008
  • he purpose of this study was to examine the awareness of dental hygienists about medical malpractice and dispute. The subjects in this study were 206 dental hygienists at dental clinics, on whom a survey was conducted. After SPSSWIN 14.0 program was utilized to analyze the collected data, the following findings were given: 1. As for experiences of being complained from patients by age, the dental hygienists who were at the age of 21 to 23 made up the largest age group (39.2%) who had ever meet patients who had grievances. By career, those who had worked for less than a year constituted the greatest group (30.4%) who had the same experiences. It indicated that the dental hygienists who were younger and had a less career had been more complained from patients. 2. In terms of problems posed by patients, scaling came into question the most (14.5%), followed by diagnosis (14.4%), impression (12.9%) and radiography (11.0%). 3. Regarding perception of scaling treatment, 90.8 percent, the greatest percentage, kept records of patients about scaling. As to how to do that, 34.5 percent, the largest percentage, wrote it down and then signed their name. Concerning the way of explaining how to take care of oral health, 82.5 percent gave an explanation without any prints. 4. As to knowledge on the medical law, they got a mean of 12.34 out of possible 16 points. 5. Concerning the necessity of education about the prevention of medical accidents and countermeasures, 70.4 percent felt the strong and urgent need for that.

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