Purpose: This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home. Method: Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. Result: Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ADL 1(Independence)’ 9.87, ‘ADL 2(Partial independence)’ 12.78, ‘ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘meals on wheels’ 40.7%, ‘home helper’ 38.2%, ‘visiting of social welfare worker’ 21.0%, ‘physical therapy’ 19.6%, ‘day care center’ 12.3%, ‘volunteer's service’ 9.9%, ‘home visiting care’ 3.7%, ‘occupational therapy’ 3.7%, and ‘speech therapy’ 2.5%. Conclusion: The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.
Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.
International Journal of Advanced Culture Technology
/
v.7
no.2
/
pp.13-18
/
2019
Comorbidity isthe simultaneous presence of two chronic diseases or conditions in a patient. As part of a larger research study, the aims of this study were to explore comorbid conditions in intensive care unit (ICU) patients and to compare the comorbidity across different demographic groups, and to determine what comorbid health problems coexisted in the patients with hospital-acquired pressure injury (HAPI). The average number of comorbid conditions was 6.4 with range from 0-20 in the ICU patients. African American patients had significantly more comorbid health problems than other race/ethnicity groups. Asian and Hispanic female patients showed higher comorbidity than male patients across age. The patients with HAPIs had significantly more comorbid health problems than the patients without HAPIs -- the average numbers were almost two-fold. We found comorbid health problems that existed with HAPI in ICU patients. 'Other diseases of lung' and 'Disorders of fluid, electrolyte, and acid-base balance' were most frequently coexisting health problems in the ICU patients with HAPI. Exploratory plots are helpful to discover patterns or hypotheses relevant to clinical management in critical care. Inclusion of patients' comorbid health problems to ICU HAPI risk assessment may be helpful. Identification of patients at a high risk for the development of HAPI and the early preventative interventions can help reduce length of stay as well as costly complications.
The purpose of this study was to survey the general characteristics, lifestyle include health habits, subjective health problems include physical, psychological and overall health complaints that occurring among Korean and Japanese nursing students. Data collected with the self-administered Okayama Medical Index Health Questionnaire(devised Cornell Medical Index) from 466 Korean and 688 Japanese Nursing Students were analyzed. The subjects were 18 to 24 years old in their 1st, 2nd, 3rd and 4th year-class of nursing department. The total O.M.I. score(section A-R) ranged from 1 to 110 with an average of 22.3(SD=11.5) in Korean nursing students and 18.3(SD=10.1) in Japanese nursing students. A statistically significant inverse correlation was observed between Korean nursing student and Japanese nursing students for the overall health complaints. Korean nursing students have more health problems than Japanese nursing students in terms of physical and overall health complaints excluding psychological problems. About $4\%$ of Korean nursing students were current smokers and $64.2\%$ of Korean nursing students were drinker. Korean nursing students in the drinker's group were more likely to eat fatty foods(p<.001), and take worst lifestyle and have more subjective health problems than non drinker's group of Korean nursing students. Korean nursing students were more likely to perform bad health behaviors than Japanese nursing students. The drink habit is one of the biggest problems among the nursing student, and then we have to have the mobilizing for 'Change on Alcohol' in our universities. This conclusion should provide grounds for future studies of strategies for health promotion and of prevention measures for psychological ill-health of nursing students.
Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.
The purpose of this research was to investigate the mediation effect of bullying on the associations between children's overweight and obesity problem and mental health problems. Data from a subsample of 2,306 adolescents, who participated in the "child-youth synthesize survey" was utilized. The measurement and structural models were estimated using structural equation modeling. Partial and full mediation models were compared, and X2 difference test was conducted between the two models. The study results show that children's overweight and obesity problem have a direct effect on mental health problems. In addition, bullying was found to mediate the association between children's overweight and obesity problem and mental health problems. The analytic results confirmed that the model fit for the full mediation model was better than the partial mediation model when examining the mediating effect of bullying on the relations between children's overweight and obesity problem and mental health problems. Efforts to prevent mental health problems may require interventions for children's with overweight and obesity problems as well as inventions for reducing bullying in general.
Purpose: This study aimed to identify the level of health problems and the factors that affect health problems for concrete mixer truck divers. Methods: The questionnaires were administered to 111 drivers in 6 Remicon workplaces located in D city and 7 Remicon workplaces located in K city from September 10 to 28, 2018. A total of 111 questionnaires were collected and 106 were used, excluding 5 incomplete ones. Data were analyzed with frequency, percentage, $x^2$ test, multiple logistic regression analysis by SPSS/WIN 23.0. Results: The factors affecting subjective health were eating habits, sleeping hours and drinking conditions. The factors that affected chronic diseases were age, eating habits, sleep hours, and drinking conditions. The factors influencing musculoskeletal complaints were work experience, eating habits, and sleep hours. Conclusion: The major influencing factors of health problems were eating habits, sleeping hours. This study suggests that it is necessary to run a systematic health care program for the desirable health behaviors in the communities and industrial fields.
This study is to identify health promoting behaviors and health problems of female marriage immigrant in Korea and is an descriptive study for searching the factors influencing health problems of them. And to provide basic data for developing health promoting interventions for them. Methods: The tools for this study were HPLP II developed by Walker et al. (1995) and modified and translated by Park (2005), CMI developed by Weider et al. (1945) and translated by Go & Park(1980), and modified by Seo and Park(2010). Data were analyzed with descriptive statistics, t-test, ANOVA, and correlation and stepwise multiple regression with the SPSS WIN 18.0 program. Results Conclusion: Female marriage immigrants have done low level of health promoting behavior(2.01) and they had more mental health problems than physical health problems. Factors influencing health problems of the participants were found to be self-rated health and general character which includes age-gap with partner, partner's education and age of female marriage immigrant. Factors influencing self-rated health of the participants were found to be exercise of health promoting behaviors and monthly income. In consideration of this result, we need to provide health education and develop health programs for female marriage immigrant in Korea.
This study is proposed to suggest the preventing methods for correctional officer's mental health problems. For this purpose, Delphi method was used and the study panel was composed of finally 10 people. Total Delphi process was performed for 4 times and six qualified researchers & skilled correctional officers participated in developing Delphi questionnaires. As the main results, major correctional officer's mental health problems are PTSD(post traumatic stress disorder), job stress, suicide witnessing, stress from violent accidents, and anger by related with their own work. All of these problems must need to be managed. Besides, the most effective preventing method for correctional officer's mental health problem is providing regular counsels & treatments with a psychiatrist or the fully qualified experts. The mental health promotion strategies for correctional officers must be settled for providing appropriate mental health services to them.
Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.
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