• Title/Summary/Keyword: Life Care

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Cancer Unit Nurses' End-of-Life Care-Related Stress, Understanding and Training Needs (암병동 간호사의 임종간호 스트레스와 인지 및 교육요구도)

  • Kim, Jung Hee;Lee, Hyeonkyeong
    • Journal of Hospice and Palliative Care
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    • v.15 no.4
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    • pp.205-211
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    • 2012
  • Purpose: This study was performed to identify the level of stress perceived by nurses who attend dying patients in the cancer care unit; their understanding regarding end-of-life care and related training needs. Methods: A cross-sectional descriptive study was conducted with 151 nurses stationed at the cancer care units of four general hospitals located in Seoul and Gyeonggi province in Korea. Data were collected using self-reported questionnaires and the response rate was 96%. The data were analyzed using t-test, ANOVA and Pearson's correlation analysis. SPSS 12.0 was used for data analysis. Results: Nurses experienced a high level of stress in the end-of-life care settings. Their understanding of end-of-life care was above the mid-point of the scale while their training needs for end-of-life care was relatively high. The more experienced the nurses were, the more stressed they were, particularly due to excessive workload. Nurses who served longer in the cancer unit tended to show greater needs for end-of-life care training. Conclusion: This study found nurses perform end-of-life care with a high level of stress but with insufficient understanding, and thus, showed great needs for related training. Such findings can be useful to develop an end-of-life care training program for nurses.

Effect of Oral Health Care on Swallowing Function and Swallowing-Quality of Life in Patients with Dementia (치매환자의 구강관리가 삼킴기능과 구강관련 삶의 질에 미치는 영향)

  • Bae, Seong-Hwan;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.449-459
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    • 2019
  • The purpose of this study was to evaluate the status of oral health care in dementia patients living in long-term care facilities and to investigate the effects of this on swallowing function and swallowing-quality of life. The subjects were 60 demented patients who were admitted to long-term care facilities in Gwangju and Jeonnam provinces. Their Oral Health Assessment Tool(OHAT), Clinical Dysphagia Scale(CDS), and Oral Health Impact Profile 14(OHIP-14) were measured. The results of this study were as follows: First, the effect of oral health care on dentition patients using long-term care facilities on swallowing function and swallowing-quality of life was significantly different according to oral care score (p<.05)(p<.01). Second, the relationship between oral health care and swallowing function of dementia patients and swallowing-quality of life. was examined. As a result, oral health care of dementia patients was affected by swallowing function (r=.405, p<.01) the swallowing-quality of life (r=.462, p<.01) and swallowing function were significantly correlated with swallowing-quality of life (r=.351, p<.01). Therefore, the oral health care of users of long-term care facilities was closely related to swallowing function and swallowing-quality of life.

The Moderating Effect of Social Support Resources on Caregiving Burden and Life Satisfaction of Family Caregivers Performing Long-Term Care of the Elderly: A Focus on Using Home Care Services Under the Long-Term Care Insurance System (장기요양노인을 돌보는 가족의 부양부담과 생활만족도의 관계에서 사회적 지지 자원의 조절효과 -장기요양재가서비스 이용자를 돌보는 가족부양자를 중심으로-)

  • Park, Ju-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.21 no.3
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    • pp.121-139
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    • 2017
  • This study aimed to explore the moderating effect of social support resources on the life satisfaction and caregiving burden of family caregivers taking care of the elderly in long-term care services. The study participants were selected from among the family caregivers utilizing 30 home care centers in Seoul, Korea. Of the candidates who agreed to participate in the study, 250 caregivers who had supported the elderly at home for at least 6 months were selected. The data collected were analyzed using SPSS ver. 21.0. The study findings were as follows. First, the whole family caregivers' caregiving burden of family caregivers was found to be slightly higher than the median value. More specifically, the physical burden was the heaviest, followed by the family relationship burden, the social activity burden, the emotional burden, and the financial burden. Social support resources and life satisfaction were found to be a little bit higher than the median value. Second, the variables that statistically significantly increased life satisfaction, starting with the strongest effect, were a lower psycho emotional burden, greater informational support resources, a lower economical burden, greater emotional support, a younger caregiver age, a higher monthly income, and a shorter care period. Third, informational support resources were found to have a moderating effect on the relationship between the support burden and life satisfaction. The more the participants used the informational support resource subcategory of the social support resources, the narrower the life satisfaction decrease, even though the caregivers felt a support burden. Informational support resources appear to have a statistically significant buffering effect.

The Moderated Mediation Effects of Self-care in the Relationship between Counselors' Stress, Burnout, and Life Satisfaction (상담자의 스트레스, 소진, 삶의 만족의 관계에서 자기돌봄의 조절된 매개효과)

  • Lee, Eun-Jin;Baek, Sang-Eun;Cho, Young-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.261-273
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    • 2021
  • This study analyzed the model by using the data of 416 counselors working in the counseling field to verify the moderated mediation effect of burnout on life satisfaction, through counselors' self-care in the process of counselors' stress. First, counselors' stress had an effect on life satisfaction through burnout. Second, the interaction effect between counselors' stress and self-care was significant and the relationship between stress and burnout was changed according to the level of self-care. Third, counselors' stress was found to be controlled by self-care, which has a mediating effect on life satisfaction through burnout. The results of this study are meaningful in that it provides an empirical basis for self-care factors that can contribute to the improvement of the counselor's personal and professional growth and quality of life through the verification of the effect of self-care that improves the satisfaction of life by preventing and alleviating the stress and burnout of the counselors.

A Study on the Community Care as Alternative Care (대안적 돌봄으로서 공동체 돌봄에 대한 고찰)

  • Cha, Sung-Lan
    • Journal of Family Resource Management and Policy Review
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    • v.23 no.3
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    • pp.109-132
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    • 2019
  • Objectives : The purpose of this study was to identify problems in defining the concept of care and redefine it broadly, to examine the possibility of community care as an alternative way to change the negative image of care concept. Method : The literature review method was used for the study. Results : First, care is limitedly conceptualized as a concept of physical care and care for children and the elderly. Second, child care is perceived only as a burden, and it is avoided to express care needs in the youth period, and the care of the elderly is putting off responsibility between the public and the private sector. Third, through community care, we should be able to feel happiness in life itself and care needs to be recognized as a way of being throughout our life.

Palliative Care Provided for Older Patients with Terminal Stage of Cardiopulmonary Disease Before and After Life-Sustaining Treatment Decisions (만성 심폐질환을 가진 말기 노인환자의 연명의료결정 전후 완화간호의 제공)

  • Choi, Jung-Ja;Kim, Su Hyun
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.45-53
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    • 2021
  • This study was a retrospective descriptive study to identify frequency and change of palliative care provided for older patients with terminal stage of cardiopulmonary disease before and after life-sustaining treatment (LST) decision making. As a result of chart review of 124 older patients in a university hospital, oral analgesics medication, cold and hot therapy for pain management, antibiotics medication and urine culture for urinary infection, oral care, hair wash, and partial bath were provided significantly less after LST decision making. Provision of praying and relaxation therapy for pain control, oral and nasal care, and emotional care were not changed before and after LST decision making. Spiritual care was the least provided care. Therefore, non-pharmacological pain management, emotional care, and spiritual care need to be improved for older patients with terminal cardiopulmonary disease at the end of life.

The Effect of Oral Environment and Self-care Behavior on Oral Health-related Quality of Life in the Elderly with Diabetes (당뇨병노인의 구강환경과 자가간호행위가 구강건강관련 삶의 질에 미치는 영향)

  • Sung, Kiwol
    • Journal of Korean Biological Nursing Science
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    • v.22 no.3
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    • pp.192-203
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    • 2020
  • Purpose: The purpose of this study was to identify the influencing factors of oral environment and self-care behavior on the oral health-related quality of life in the elderly with diabetes. Methods: The participants were 110 elderly patients with diabetes and follow-up care on their outpatient clinic in D and G city. Data were collected September-December 2018, using questionnaires of the Oral Health Impact Profile (OHIP-49) and Kim's Self-care Behavior, measuring with the tooth-pick (Premiers Dental), Halitosis Checker (HC-212M), and Moisture Checker for Mucus (MCM) for oral environments. The data were analyzed the by independent t-test, oneway ANOVA, Pearson's correlation, and stepwise multiple regression analysis using an IBM SPSS Statistics 25.0 Program. Results: There was positive correlation between oral health-related quality of life and self-care behavior (r= .61, p< .001), negative correlations among halitosis (r = -.34, p< .001), gingival index (r = -.31, p= .001) and plaque index (r = -.32, p= .001). Self-care behavior (β= .46, p< .001), subjective health status (good) (β= .23, p= .002), halitosis (β= -.16, p= .030), and plaque index (β= -.15, p= .041) explained 46.0% of the variance in the oral health-related quality of life. Conclusion: It is necessary to develop nursing care for elderly patients with diabetes that can enhance the self-care behavior and subjective health status, and lower halitosis and plaque index, the factors influencing the oral health-related quality of life in elderly patients with diabetes.

Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project (요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로)

  • Hwang, Yun Hee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.382-395
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    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

Clothing Management Behavior and Care Label Use of College Students (대학생의 의복관리행동과 섬유품질표시 인지도)

  • Lee, So Young;Shim, Huen Sup
    • Fashion & Textile Research Journal
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    • v.23 no.6
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    • pp.852-859
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    • 2021
  • The purpose of this study is to investigate the clothing management behavior and the recognition of care label of college students, as well as the effects of sex and the learning experience of clothing life area on middle and high school students. A survey consisting of 61 questions was conducted on 475 college students(240 males and 235 females) enrolled in a university in Cheongju City, and 450 college students' data were finally analyzed. The results are as follows. First, the level of washing behavior(2.54) was the lowest compared to purchasing behavior(3.13) and storage behavior(3.09). Second, college students were well aware of the attachment of fiber care labels, but 64.7% of the college students did not check the care label. About 30% of them did not know why the care labels were attached, and about 57% did not know whether manufacturers were obligated to attach them. The meaning of precautions for handling in a care label was well inferred from the symbols. Third, there was the positive effect of the learning experience of clothing life area during middle or high school on the college students' clothing management behavior and the level of recognition of a care label. This study is meaningful in confirming the positive effect of clothing life education in adolescence on adult clothing life behavior.