• Title/Summary/Keyword: Illness Attitude

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The Level of Importance on Education of long Term Care Nursing Assistants Perceived by Caregivers of the Elderly (가족, 간병인, 간호사가 인지하는 노인요양보호사 교육의 중요도)

  • Cho, Nam-Ok;Ko, Sung-Hee;Kim, Chun-Gill;Yang, Soo;Oh, Kyong-Ok;Lee, Sook-Ja;Jung, Yu-Jin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.127-137
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    • 2008
  • Purpose: This study aimed to explore the level of importance perceived by caregivers of elderly on the education of long term care nursing assistants (LTCNAs) taking care of elders with dementia or stroke. Method: Data was collected from 296 participants (112 families, 98 NAs, and 86 RNs) from October 2006 to February 2007. A structured questionnaire was used for data collection. Result: The item of 'attitude while caring for the aged' was identified as most important. The family group reported that 'position change' and 'understanding of geriatric diseases' were the most important for education, while LTCNAs, highly identified, 'bathing', and 'bed sheet change'. The RNs group regarded 'position change', and 'bathing' as most important. Institutions demanding LTCNAs' activities were special facilities for elderly care and special hospitals for the aged, and the need was also high in families with an elder incapacitated by illness. Conclusion: Nurses need to take an interest in education for enhancing the quality of LTCNAs and thus advance the quality of nursing care as well as the quality of life for the aged.

Attitudes towards Death and Euthanasia among Nurses and General Population (일반인과 간호사의 죽음 인식과 안락사에 대한 태도)

  • Ko, Gyu-Hee;Cho, In-Sook
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.229-240
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    • 2015
  • Purpose: The purpose of this study was to investigate the attitudes towards death and euthanasia among nurses and general population. Methods: The participants were 192 nurses and 255 people. Data were collected using structured questionnaires from March 5 to May 30. 2010 and analyzed with descriptive statistics, t-test, one-way ANOVA and Pearson correlation coefficients by using SAS Program 12.0. Results: The attitudes towards death showed significantly higher scores in nurses than general population. The attitudes towards euthanasia showed significantly higher scores in nurses. There were significant positive correlations between attitudes towards death and euthanasia in nurses and. people. Conclusion: The above results indicated that the higher level of cognition towards death, the more positive attitudes towards euthanasia. Besides, nurses treating with terminal illness were higher level of cognition on death and positive attitudes towards euthanasia. Therefore, we should established the strategy and education program to understand on death and euthanasia for people including the health care providers.

A Study on Sexual Concern and Sexual Satisfaction in Diabetic Patients (당뇨병환자의 성생활 관심과 성생활 만족정도)

  • Lee, Kang Yi;Kim, Keum Sook
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.853-863
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    • 1999
  • This study was designed and undertaken to examine the sexual concern and sexual satisfaction in diabetic patients. The data were collected from September to November, 1997. The subjects in this study were 77 diabetic patients who visited to check their blood glucose level to the outpatient department of internal medicine in one of hospitals located in Taejon city. The questionnaires developed by Derogatis L. R. were used. Data were analysed using percentages, means, F-test, done with the SAS program. The results of this study were as follows ; 1) In the question that If the patients want to be counselled about sexual need or not, male and female diabetic patients answered "moderate"(37 patients(48.1%). 2) In the question that if the patients are worry for their sexual life or not because of present illness, male and female diabetic patients answered "moderate"(27 patients (35.1%). 3) In the question that If the patients worried about sexual life, they wish to counsell for who, the majority of patients answered that want to counsell the medical doctor(49 patients(64.5%). 4) In the question that if a medical team is concerned about patient's sexual need or not, the patients usually answered negatively. 5) In the question of attitude about masturbation, male and female answered that they think it doesn't matter if they maintain privacy. 6) In the question that if they use professional therapeutic method for sexual act or not, it is highly appeared not using(72 patients(93.5%). 7) In the relationships between the sexual satisfaction and the sex, age, the period of disease, want to counselling about sexual need, the concern of the medical team about sexual need of the Patients showed statistically significant differences.

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Factor Structure of Attitudes Toward Suicide (ATTS) of Adults : Based on a Nationwide Survey in South Korea (한국 성인의 자살태도측정도구의 요인구조 : 2013년 자살실태조사 자료를 바탕으로)

  • Hong, Minseok;Park, Jong-Ik;Lee, Sang-Uk;Shin, Min-Sup;Ahn, Yongmin
    • Korean Journal of Biological Psychiatry
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    • v.26 no.2
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    • pp.71-78
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    • 2019
  • Objectives Suicide is a complex phenomenon not only caused by the individual's mental illness and economic situation, but also occurred in sociocultural contexts and relationships around the individual. Therefore, the attitudes, which include collective norms, thoughts and feelings of a population, toward suicide play a fundamental role in the prevention of suicide. Factor structure of Attitudes Toward Suicide (ATTS), developed by Renberg, is also various in different sociocultural contexts. This is the first study to investigate factor structure of ATTS along with nationwide sample of Korean adults. Methods This study analyzed the factor structure and reliability of ATTS in 1500 regionally stratified Korean adults. Exploratory factor analysis was performed by using principal axis factoring and varimax rotation. Results The selection of 33 ATTS items based on internal consistency and communality was conducted. Five factors were analyzed, which were named 'Good reason,' 'Negative gaze,' 'Predictability,' 'Means of escape,' and 'Common secret,' respectively. Explained total variance was 41.94%, and the internal consistency ranged from 0.516 to 0.740. Conclusions Each of the five factors contains different semantic dimensions. Consistent with previous studies, factors containing permissive attitude toward suicide was high in those with history of suicidal thought and of suicide attempt. It is notable that the 'Good reason' showed higher score in elderly. This may be related to socioeconomic or physical adversities which have been considered the major cause of suicide in elderly.

Phenomenological Approach of Self Regulation Related to Health of patients with Adult Disease (성인병 환자들의 건강과 관련된 자기조절에 대한 현상학적 연구)

  • 김숙영
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.562-580
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    • 1995
  • This research was an attempt to make it possible to provide nursing care and health education meet- ing the need not of care givers but of patients by identifying the nature of patients' self regulation experiences. The specific objective of this study was : 1) to explore self regulation experiences of patients with adult disease. The phenomenological approach in qualitative studies is used to serve this purpose. Colaizzi's method is used for the phenomenological analysis of the data in this study, which were collected from 25 patients hospitalized in the internal medical ward and oriental medical ward of a Seoul hospital, suffering from adult disease such as hypertension, arteriosclerosis and diabetes mellitus. The research was conducted over a period of March to September, 1994. The investigator conducted participated observations and in-depth unstructured interviews which were audiotaped under the permission of patients. The investigator read the data repeatedly to identify and categorize significant statements, formulating meanings, themes and theme clusters. The result is categorized as follows : Self regulation activities, their barriers and predisposing factors of a disease. Thirteen theme clusters of self regulation activities related to health identified were. “maintaining diet regimen”, “maintaining exercise regimen”, “maintaining medication regimen”, “maintaining oriental medical regimen”, “maintaining health monitoring regimen”, “maintaining self effort”, “maintaining religious life”, “maintaining social sup-port systems”, “maintaining peaceful mind”, “maintaining moderation in life”, “maintaining sincere attitude in life”, “maintaining natural life”, and “maintaining folk remedy” This findings confirm the fact that self regulation is complicatedly and diversely influenced by oriental medicine and folk remedy, and Korean traditional ideas melted in Confucianism, Buddhism, Taoism and Shamanism, and modern medical care and western culture. Seven theme clusters of self regulation barriers identified were : "lack of knowledge and self aware-ness", "lack of social supports", "lack of awareness of need in continuous regimen and treatment", "dissatisfaction with hospital and health care provider", "lack of self management ", "lack of will to combat illness", and "overconfidence in folk remedy" Four theme clusters of predisposing factors of a disease were : "cumulation of stressors", "fatalism", "careless life style", and "family history". In conclusion, this. study will prove helpful not only in understanding clients in light of our traditional culture but also in providing them with the kind of nursing care and health education satisfying their demands and particularly cultural needs.

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A Study on the Oral Health Literacy and Related Factors of Mother's in Some Areas

  • Kim, Mi-Jeong;Lim, Cha-Young;Son, Ju-Lee
    • Journal of dental hygiene science
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    • v.21 no.1
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    • pp.52-62
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    • 2021
  • Background: This study aims to provide basic data for development of the level-based oral health care program depending on the mother's oral health literacy by finding out how mother's oral health literacy can effect on the preschool children's oral health and behavior. Methods: The survey was conducted on 192 mothers who have preschool children and the data were analyzed by t-test, ANOVA, multiple regression analysis to identify differences in verbal and functional oral health literacy. Results: The study showed statistical significance (p<0.05) in educational level depending on differences in verbal and functional oral health literacy by sociodemographic factor. In differences in verbal and functional literacy depending on experience of education for oral health behavior and oral health, statistical significance (p<0.05) was showed highly on verbal and functional literacy in the case that subjects have an experience of education for oral health and their children have not been experienced of oral illness. And when it comes to the case that subjects have experience of education for oral health within one to two years, statistical significance was showed highly on verbal literacy. It showed that verbal and functional oral health literacy effects to oral health care behavior of children judging from results that the higher level of mother's verbal oral health literacy, the higher score of children's oral health knowledge, attitude and behavior. Conclusion: It is necessary to develop the systematic program which is appropriate for characteristics of each oral period in childhood depending on level of primary caregiver's oral health literacy, and systematic education should be preceded to enhance the literacy of the caregiver. It is considered necessary to improve the oral health care of children by developing a manual for oral health care education to enhance primary caregiver's oral health literacy.

Utilization Pattern and Percept ion and Attitude of Rural Residents towards Primary Health Post (관할지역 주민의 보건진료소에 대한 태도와 이용양상)

  • Park, Chun-Na;Park, Jae-Yong;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • v.26 no.2
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    • pp.79-96
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    • 2001
  • In order to ascertain the utilization patterns and Perception and attitudes of Primary Health Post(PHP) by rural residents in farm areas, a survey was conducted of 753 households(1,803 persons) in 24 PHPs in Sangju-si, Gyeongsangbuk- do, from December 10, 2000 to January 15, 2001. The morbidly rate of acute illnesses for last two weeks for all households was 29.6%, and the rate of use of medical facilities to treat acute illness was 98.3%. The morbidly rate was highest between the ages of 60 and 69, with a rate of 35.4%. The higher their ages and the lower their educational levels were, the higher the morbidly rate was. The morbidly rate of chronic illnesses for one year for all households was 19.2%, and the rate of use of medical facilities to treat chronic illness was 92.8%. The elderly over 70 years old had the highest morbidly rate of 37.2%. The higher their ages and the lower their educational levels were, the higher the chronic illnesses rate was. For the rate of use of medical facilities to treat acute diseases, the use of PHPs was 89.5%, accounting for the majority of the time. However, for chronic diseases, hospitals and clinics were used more often, with a rate of 48.9%, compared to the use of PHPs, 40.2%. Their previous experiences on the use of PHPs one year before the survey showed that 94.8% used PHPs, 72.2% just visited them, not for the purpose of getting any medical assistance, and 73.3% received health education from PHPs. 98.5% remembered the locations of PHPs, 98.6% thought that PHPs were helpful for their health management, and 84.3% said that PHPs were playing great roles in development of their communities. 97.4% said that they found PHPs necessary. They understood the main job of PHPs as in the order of disease treatment, vaccination and health counseling. The work that they mostly wanted PHPs to do was health counseling and health management, which 31.6% answered. 88.9% said the examination fee was not expensive, 98.4% said CHPs were kind, and 97.0% said they were satisfied with the services at PHPs. Complaints about PHPs included a lack of a variety of medications, said by 42.9%, and poor facilities, by 15.8%. According to the above results, it is concluded that local residents on survey were frequently using PHPs due to their geographical and economical conditions. Also, the residents appeared to be satisfied with the services at PHPs, and they had a high demand for public health service as well as disease treatment. Considering the complaints about medications and medical facilities and equipment, active supports are required to manage PHPs in a way it can provide desirable services to the residents in remote villages through the readjustment of PHPs' functions, reinforcement of facilities and equipment and enhancement of CHPs ' training.

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AN OBSERVATIONAL MULTI-CENTER STUDY FOR EVALUATION OF EFFICACY, SAFETY AND PARENTAL SATISFACTION OF METHYLPHENIDATE-OROS IN CHILDREN WITH ADHD (주의력결핍과잉운동장애 아동에게 Methylphenidate-OROS 투여시 효용성과 안전성 및 부모 만족도를 평가하기 위한 다기관관찰연구)

  • Kim, Bong-Seog;Park, Eun-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.279-285
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    • 2005
  • Objectives : This study was performed to evaluate the efficacy and safety of MPH-OROS and parental satisfaction for treatment of children with ADHD Method : The 569 participants were clinically diagnosed for ADHD using DSM-IV criteria. We switched current medication to MPH-OROS or introduced MPH-OROS for treatment of ADHD. We assessed the clinical global impression severity of illness (CGI-S), the clinical global impression severity of improvement(CGI-I). And the parents of participants measured the Korean version of Conners rating scale at baseline, the 1 st week and the 3rd week after MPH-OROS trial. At the 3rd week, the parents measured the parent satisfaction questionnaire. Results : $13\%$ of participants dropped out because of several causes including side effects. The change of CGI-S was significantly decreased. Using CGI-I, the improvement was $72.3\%$ at the 1st week and $87.4\%$ at the 3rd week. The total score of the Korean version of Conners parent rating scale was significantly decreased. The participants complaining one or more of side effects were 119$(20.7\%)$, and the most common side effect was anorexia. The $94\%$ of parents replied that they were overall satisfied with MPH-OROS trial. Also the advantages of MPH-OROS of parental report were the long duration of the drug, the improvement of schoolwork and attitude, the improvement of home behavior and homework and the improvement of overactivity. Conclusion : MPH-OROS is effective and well-tolerated in actual clinical use for ADHD.

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A Study of the Attitudes of Nurses toward the Geriatric Nursing Care (노인간호에 대한 간호원의 태도조사연구)

  • 최경옥
    • Journal of Korean Academy of Nursing
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    • v.6 no.2
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    • pp.1-9
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    • 1976
  • Presently, there is increasing demand for geriatric nursing care because of increasing preparation of elderly population due to extended age. Of particular importance in determining the effectiveness of nursing care given to the elderly is the attitude of the nurse toward the elderly patient. Knowledge of the various changes that usually occur with aging will enable the nurse to help an aged Person maximize his potential in illness and in health. The objectives of this study were : 1. To delineate the attitudes of nurses toward the geriatric nursing care. 2. To learn the influencing factors affecting the attitudes of nurses toward the geriatric nursing care. The study population defined and randomly selected is 225 nurses at one general hospital, one private hospital, two national hospitals in Seoul during the period of October l0th -20th, 1975. The questionnaire method was used. Respondents were 140 nurses. X$^2$- test and t- test were employed in analyzing the data. The questionnaire form included 54 statements which concerned the attitudes of nurses to-ward geriatric nursing care. It was divided into five areas : 1) General characteristics of study population. 2) The nurse's concepts of elderly. 3) Care of the geriatric patient. 4) Interpersonal relationship with geriatric patient. 5) Teaching of the geriatric patient. Each of the 54 statements of the questionnaire was considered to be either Positive or Negative. A Positive response was assigned the value of+1 , and a Negative response or no response was assigned the value of O. The results of the study were as follows : 1. The Investigation of attitudes of nurses toward geriatric nursing care. a. Data indicated , respondents have negative attitudes in their. concepts of elderly (74.3%) b. Data indicated respondents have positive attitudes in care of geriatric patient (64.3%). c. Data indicated respondents have positive attitudes in interpersonal relationship with geriatric patient (85% ). 4. Data indicated respondents have positive attitudes in teaching of geriatric patient (89.3%). 2. The results of study regarding the five hypothesis were as follows : a There was significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and level of education of the nurse. b. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and clinical experience, but there was significant difference between care of the geriatric patient and clinical experience. c. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and shift most frequently worked, but there was significant difference between care of the geriatric patient and shift most frequently worked. d. There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and marital status, but there was significant difference in the mean scores between interpersonal relationship, teaching of geriatric patient and marital status. e, There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and experience with elderly, but there was significant difference in the mean scores between care of geriatric patient and experience with elderly.

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The Study on the Incidence of Breast feeding and Related Factors (모유수유 실태와 관련요인에 관한 연구)

  • Choi, Sang-Doon;Lee, Eun-Hee;Youn, Kying-Hee;Sin, Bok-Kyung;Choi, Nam-Hee
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.253-269
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    • 1996
  • This descriptive study was done to investigate the proportion of mothers breast feeding and identify factors which influence breast feeding. The subjects were 320 mother who child under five years of age, living in WonJu and their children who numbered 530. Data collection was conducted at various places in the WonJu area using survey questionnaire. The results were as follows : 1. The proportion of children receiving breast feeding was 23.3%, mixed feeding 31.7%, milk feeding 45.1%. The most frequent duration for breast feeding was one month, the mean duration was six months. 2. The major reasons for breast feeding were for the health of the child 52.5%, for emotional attachment with the child 34.2%, and as the expected way of feeding 29.5%. 3. The major reasons for interrupting breast feeding were jobs 26.1%, illness of the child or mother 16.1% abnormality of the breast of nipple 12.7% others 31%. 4. The major reasons for quitting breast feeding were insufficient breast milk 34.5%, job 19.6%, diarrhea in the child 9.9%. 5. The factors influencing breast feeding were educational status and the presence of a job. 6. The husband's attitude to breast feeding was very positive 82.3% and the subjects were supported by their mothers and husbands. But the major information sources about breast feeding were the mass media 30.4% and relatives 22.0%. 7. The breast feeding mother reported experiencing positive and satisfactory feelings, but the milk feeding mother reported experiencing negative and guilt feelings. Also the breast feeding mothers perceived their children as very healthy with a stable emotional status. The results showed the breast feeding ratio in WonJu to be very low and problematic and the subject mothers strongly need information about breast feeding and support while breast feeding. Therefore it is recommended that an education program for community women and other people, like husbands, and grandmothers, be developed along with an education program for university students and other young people to provide them with preparatory information as they begin to think about marriage and families.

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