• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.427-437
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• 2013

Purpose: This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly. Methods: The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs. Results: ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001). Conclusion: The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.

• The Korean Journal of Rehabilitation Nursing
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• v.9 no.1
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• pp.72-80
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• 2006

Purpose: This study was conducted to examine the effect of multidimensional program on cognition, physical function and depression among institutionalized elderly and the relationship between study variables and resident's characteristics and health related variables. Method: This study involved a one group pre and post test, comparison of variables over a 12 month period. To investigate this research question, data of 114 residents of a nursing home were analyzed. Results: There was statistically significant difference in MMSE-K (t=-2.63, p=.010), ADL (t=-2.85, p=.005), and depression (t=4.66, p=.000) before and after program participation. Conclusion: These results indicate that, for a year their regular involvement in a broad spectrum of multidimensional program activities can improve in cognitive, physical and emotional perspectives, but the level of IADL decreased significantly (t=-6.72, p=.000). Further testing is required with the control group, to compare with community resident elders in order to explore the effects on social skill of elderly.

• Journal of muscle and joint health
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• v.18 no.1
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• pp.93-102
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• 2011

Purpose: The purpose of this study was to identify the effects of the BeHaS exercise program, developed by Jong Im Kim (2006), consisting of exercise, education and cognitive support on muscle strength and flexibility in elders who live in elderly facilities. Method: This study was designed using one group pretest-posttest experimental design, 19 elders, the subjects of the group participated in the BeHaS exercise program. The BeHaS exercise program was provided for 60-80 minutes per session once a week for 8 weeks. Data was collected by research assistants using structured interview and measurement tool, from January, 2011 to March, 2011. Data were analyzed using the SPSS Win 17.0, general characteristics were analyzed with real number and percentage, muscle strength and flexibility were analyzed with Mean and SDs. Results: There were significant increase pre and post test for the left shoulder flexibility (p=.000) and waist flexibility (p=.030). Conclusion: In conclusion, this study confirms that BeHaS exercise program played a useful role in partial improving flexibility in the Institutionalized Elders.

• Research in Community and Public Health Nursing
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• v.29 no.2
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• pp.133-142
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• 2018

Purpose: The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities. Methods: The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects). Results: After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time ($x^2=23.89$, p<.001) and degree of depression on time and group ($x^2=37.42$, p<.001, U=122.0, p<001) and degree of sleep on time ($x^2=33.62$, p<.001). Thus, the suggested hypothesis is partially supported. Conclusion: Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.

• Korean Journal of Social Welfare
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• v.64 no.1
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• pp.273-297
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• 2012

Using grounded theory method, this study analyzed the in-depth interviews with 11 parents of institutionalized children in order to find out how the experience of the parents on the process of the children's family reunification. According to the results, it was 'leaving one's child' that composed causal conditions, and also it was 'sentenced life' and 'adapting to a life without child' that composed existing conditions. Thus, the contextual condition was found out as 'a belief of family' and 'a belief of child caring' and the mediation conditions were 'power to recover' and 'not being as one's intentions'. Also, reaction/interaction strategies turned out as 'preparing a basis of child-care', 'playing a parent', 'standing against being adapted' and 'adjusting as their children back to family'. Finally, the analysis showed 'burdens on caring', 'wanting to leave one' child again', 'having stronger family membership' and 'being hopeful in a future' as results. The specific levels of the process were found out as following 4 steps, as time goes by. 1)Fostering children at institutions: become harsh parents(or a harsh parent), 2)After fostering: rebuild collapsed family in order to take the children back, 3)Family reunification: become aboveboard to oneself, family and the world, 4)After family reunification: try to keep the family taking precautions against resending. While taking their children back, the parents turned out to experience long, unremitting tension. Reflecting results of the analysis above, and in order to promote sending institutionalized children back to their families this article suggests practical alternatives for parents who left their children in institutions.

• The Journal of the Korea Contents Association
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• v.16 no.6
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• pp.680-694
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• 2016

The purpose of this study was to investigate the relationship between communication skills and self-esteem of the elderly living in public institutions, this study divided the communication skill of the aged into 5 subsidiary factors such as self-understanding, attentive listening, clear expression of intention, expression of personal feeling, and self-disclosure so as to grasp the relation between each variables and self-esteem and to search suggestions. For the methodology, senior citizens aged above 65 living in public institutions in Gangwon province (1 in Chuncheon, 1 in Wonjoo and 1 in Gangneung) were surveyed totaling 123 documents were analyzed for this study. The following are the results: First, the difference in communication skills, in the demographic and sociological characteristics are found to show significant difference in hobbies, religion, allowance and the most reliable person. Second, self-esteem, in the demographic and sociological characteristics, showed significant difference according to religion, whether the person pays his/her living expenses, hobbies and health conditions. Third, communication skills tend to influence self-esteem that an elderly with more self-esteem is shown to have higher communication skills. In order to elders living in public institutions, the following actions are suggested. They should be recommended with religion life, hobbies life and providing sufficient allowance, pay his/her own life expenses.

• Journal of Korean society of Dental Hygiene
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• v.11 no.4
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• pp.475-487
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• 2011

Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

• Journal of agriculture & life science
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• v.46 no.3
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• pp.11-17
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• 2012

This study was conducted to clarify the effect of horticultural therapy on activities of daily living and interpersonal relation of institutionalized intellectual disabilities. The experiment was performed with 8 controls and 8 experiments of J institution in Yongdam, Jeju. Horticultural therapy program was performed once a week for 2 hours total 20 times from Mar. 2009 through mid July 2009. Evaluation in activities of daily living indicated that all functions except eating showed no change or worsened in controls, however, all functions except moving were improved in experimental subjects. Interpersonal relation evaluation showed no difference from 42.25 to 42.25 in control, but increased 8.62 points from 41.75 to 50.37 showing very significant change at the level of 99% in experimental subjects. Group activity evaluation increased very significantly at the level of 99% in physical/perceptual abilities, social interaction, cognitive ability, emotion status, and vocational interests. From the above results, horticultural therapy proved effectively in activities of daily living and interpersonal relation of institutionalized intellectual disabilities.

• The Korean Society of Law and Medicine
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• v.23 no.2
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• pp.67-96
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• 2022

"Aid in Dying" means that when a decision-making patient suffers from an incurable disease, a drug that can speed up death is prescribed by a doctor and used to lead to death. Since the suspension of life-sustaining treatment was institutionalized based on human dignity and patient autonomy, the question of whether assisted death can be legally justified in relation to the right to receive medical help to shorten one's life to die with dignity has recently been actively discussed. In Korea, since the suspension of life-sustaining treatment was institutionalized by the enactment of the Life-sustaining Treatment Decision Act in 2016, an amendment to the Life-sustaining Treatment Act was recently proposed to legalize Aid in Dying. The global trend is that human "Right to Die" is discussed in the division of life and death, from the suspension of life-sustaining treatment to assisted death, and again in the order of euthanasia. In this paper, we started discussing dignified death and institutionalized patients' right to self-determination, looked at the controversy in the United States, which legislated assisted death in many states since the 2000s, and analyzed the main contents of California's End of Life Option Act and the data after enforcement. The strict requirements for Aid in Dying, such as voluntary confirmation of patients' intentions and doctors' obligation to provide information, and the results of California's Aid in dying system, composed of relatively diverse races, were reviewed.

• Journal of the Korea Institute of Military Science and Technology
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• v.12 no.3
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• pp.344-353
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• 2009

In this paper, I have proposed a design of process support system based on CMMI process which can support integrated management and repository for CMMI model processes. The system assists small organization to improve business process and offers institutionalized automatic environment to users for use of CMMI processes. The proposed system also can enhance quality and productivity of project by including features such as convenience of project management, planned project administration and steady process improvement.