• 근관절건강학회지
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• 제18권1호
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• pp.83-92
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• 2011

Purpose: The purpose of this study was to identify the changes of physical function, perceptual and cognitive function, emotional function, and functional independence in the institutionalized aged according to functional group activity program (self help Tai Chi exercise plus functional task). Methods: Study subjects were 20 institutionalized aged from June to October in 2010. The subjects received functional group activity program two times a week for 15 weeks. Physical function (grip strength, coordination, lower extremity strength, balance, gait, trunk flexibility), perceptual and cognitive function, emotional function(depression, social skill), and functional independence were measured before and after the program. Results: The subjects showed significantly increased physical function (coordination, lower extremity strength, gait, trunk flexibility), perceptual and cognitive function, emotional function (depression, social skill), and functional independence. The functional group activity program may be an effective strategy for institutionalized elders to enhance their functions. Conclusion: The functional group activity program may be effective on elderly institutions which have limitation in human, material, environmental resources.

• 기본간호학회지
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• 제18권1호
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• pp.116-129
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• 2011

Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.

• 대한간호학회지
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• 제45권3호
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• pp.388-396
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• 2015

Purpose: The purpose of this study was to identify the effects on cognitive function, depression, and activities of daily living of Silver- Care-Robot Program for institutionalized elders. Methods: This study was a nonequivalent control group pretest-posttest design. The participants were 42 institutionalized elders (17 in the experimental group and 25 in the control group). The Silver-Care-Robot Program was provided as an intervention which was conducted twice a week for 5 weeks. The Silver-Care-Robot Program is an integrated entertainment program to help the mental, emotional, and physical health of elderly people. Pre-test was conducted on the two groups, and, in order to examine the effects of intervention, a post-test was conducted after 5 weeks. Results: There were significant differences in cognitive function and ADL (activities of daily living) between two groups after the program. But the difference in depression in the institutionalized elders was not statistically significant between the two groups. Conclusion: The Silver-Care-Robot Program should be considered as a regular program for cognitive function and activities of daily living for institutionalized elders.

• 지역사회간호학회지
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• 제15권1호
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• pp.122-131
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• 2004

Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

• 대한유전성대사질환학회지
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• 제12권2호
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• pp.94-98
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• 2012

Purpose: Developmental delay and mental retardation are frequently occurring disorders that present major socio-economic burden on the affected individual's family and society. Both can be congenital or acquired. However, a large number of people are institutionalized without exact diagnosis and, as a result, have not received proper care. Methods: 508 subjects with mental retardation or developmental delay from six institutions in Chung Buk Province were clinically evaluated and screened for metabolic and endocrinologic problems between 2000 and 2012. Results: Clinical genetic disorders were observed in 52 (10.2%) subjects. Cerebral palsy attributed to 21% of the institutionalized. 18 (3.5%) were diagnosed with metabolic disorders and 13 (2.6%) exhibited secondary endocrinologic dysfunction. Over 16% showed metabolic evidence of malnutrition. Conclusion: 21% and 3.5% of the population institutionalized due to mental retardation or developmental delay were afflicted by preventable cerebral palsy and metabolic disorders, respectively. Through early identification of the causes and early treatment, it may be possible to prevent, reduce, or alleviate the disability of many institutionalized individuals. Further research is imperative for establishing guidelines for diagnostic investigation for mental retardation.

• Journal of Korean Biological Nursing Science
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• 제3권1호
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• pp.11-28
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• 2001

This study was to identify the levels of perceived stress, immunity cells, physical health and depression, and their relationships among those variables in the elderly who institutionalized comparing home residents. The result of this study can be used as basic data when applying nursing interventions to increase quality of life in the elderly. The questionnaires to estimate stress, health status and depression were collected through direct interview from July to August in 1999 and immunity cells were measured by venous blood specimen collected from 9 to 10 A.M. during the same period. The collected data were analysed using SAS program. The results were as follows. The score of perceived stress of all subjects was 38.49 and perceived stress score of institutionalized elderly(42.62) was significantly higher than that in home resident elderly(34.52). All immune cells tested in this study such as total T cell, helper T cell, suppressor T cell, T4/T8 ration, total B cell, and NK cell, were all under the standard criteria of cells distributions. Most elderly who institutionalized and reside home replied that their health status was not good. However their physical health activity was mostly good even though institutionalized elderly had more disability than home residents. The highest rate was 67.3% as disability due to arthritis. The score of depression in all subjects was 8.2 that indicated having depressive symptom. There was no difference in the depression level between institutionalized elderly and home resided elderly. There was a significant correlationship between physical health and depression, however, the rest of varibles did not show any significant relationships. In summary, the immune cells in the elderly who replied perceiving low level stress, was under normal range. Their health status was perceived as 'not good' but physical health activity was perceived as 'good'. The relationships of stress, immunity, physical health and depression were partially significant but not had evidence as enough as theoretically the suggested relationship. We suggest that further studies using large sample size and more diverse variables should be performed.

• 동남아시아연구
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• 제27권2호
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• pp.119-153
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• 2017

본고는 인도네시아 신질서(Orde Baru; 1966-1998) 체제하에서 진행된 여성다움의 제도화된 이미지를 고찰해보고, 다르마 와니따(Dharma Wanita), 뻬까까(PKK), 교과서 및 인도네시아 국영방송에 표상화되어 있는 제도화된 여성다움을 검토한다. 본고는 인도네시아 신질서 기간 동안, 여성다움을 가내적 공간에 국한시키는 국가 이데올로기인 '이부이즘(ibuism)'의 테두리 안에서 특정한 여성다움의 이미지가 제도화되었음을 밝히고, 이 제도화된 여성다움이 다르마 와니따(Dharma Wanita), 뻬까까(PKK), 교과서 및 인도네시아 국영방송 등을 통해서 전파되었음을 피력한다. 결론을 맺으며 본고는 또한 특히 1990년대 중반이후, 여성다움의 불특정하고 다각적인 현대적 이미지가 대중매체를 매개로 전파되어 왔고, 이러한 현대적 현상으로 인해 신질서체제 이후인 2000년경 인도네시아 여성다움의 이미지는 다소 경합적이었음을 지적한다. 본고는 기존의 연구물들이 심도있게 다루지 않은 여성다움에 대한 국가 이데올로기의 '수단'과 '내용'에 대한 상세한 논의를 진행하며, 이를 통해서 인도네시아 신질서 체제하에서 진행된 여성다움의 제도화된 이미지를 이해하는데 소중한 자료가 되어줄 것으로 기대된다.

• 아동학회지
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• 제29권6호
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• pp.1-14
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• 2008

This study explored relationships between internal locus of control, ego-resilience, and behavior problems including effects of ego-resilience as mediating variables of behavior problems in 135 institutionalized children. Instruments were the Locus of Control (Min, 1999) and Ego-resilience (Yoon et al. 2001) scales and Korea-Child Behavior Checklist (Oh et al., 1997). Locus of control was administered to the children; ego-resilience and behavior problems were rated by teachers. Findings were that (1) internal locus of control related positively to ego-resilience and negatively to behavior problems; ego-resilience related negatively to behavior problems. (2) Effects of internal locus of control on behavior problems were mediated by ego-resilience; ego-resilience sub-factors of peer relationships and comprehension ability mediated relationships between internal locus of control and behavior problems.

• 대한가정학회지
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• 제43권4호
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• pp.203-223
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• 2005

This study investigated the leisure constraints and leisure life satisfaction of the institutional elderly. The respondents were 302 elderly people residing in 5 free institutionalized elderly homes in Seoul. The data were analyzed by frequency analysis, factor analysis, One-way ANOVA, Duncan's post hoc test and regression analysis using SPSS WIN 12.0 program. Exploratory factor analysis revealed that the 10 items in the proposed scale could be grouped into four factors of constraint on leisure:'physical constraint','psychological constraint','interpersonal constraint', and 'structural constraint 'There were differences in leisure constraints according to sex, age, education degree, interaction with facility colleagues, and interaction with facility staff. There were differences in leisure life satisfaction according to sex, age, having religion or not, interaction with facility colleagues, interaction with facility staff and leisure constraints. Regression analysis results indicated that the main effective factors of leisure life satisfaction were leisure constraints.

• 대한소아치과학회지
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• 제26권1호
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• pp.162-171
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• 1999

The purpose of this study was to make a comprehensive study and to provide information about the dental caries of autistic persons, and to aid improvement of their oral health. The authors examined intraorally 114(male; 87, female; 27) autistic persons and 119(male; 68, female; 51) normal persons as control group. The obtained results were as follows: 1. Autistic persons were found to have lower dft rate than normal persons. 2. There was no significant difference in dental caries incidence between male and female autistic persons. 3. Institutionalized autistic persons were found to have lower dental caries incidence of deciduous teeth than non-institutionalized autistic persons. 4. Autistic persons whose parent's occupation is laborer were found to have higer dft index than those whose parent's occupation is private business or employee.