• Title/Summary/Keyword: Mental care facilities

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State of dental treatment among disabled patients at K university hospital pediatric dentistry (K 대학 소아치과에 내원한 장애인의 구강진료 실태)

  • Kim, Chang-Hee;Park, Jae-Hong;Kim, Jin;Kim, Sun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.357-368
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    • 2009
  • The purpose of this study was to examine the state of dental treatment among disabled patients by the type of disability. After the medical records of 531 disabled patients who received treatment at the pediatric dentistry in K university hospital, the following findings were given: 1. As for age distribution by year, the rate of patients aged 10 or down rose to 42.5 from 5.1 percent, and the 16-20 age group increased from 16.7 to 24.8 percent. But the rates of patients aged between 11 and 15 and aged 21 and up were on the rise(p<.05). 2. Concerning the type of disability by year, there was an increase in the number of patients with brain lesions, mental retardation, developmental disorder and Down's syndrome(p<.05). As to the number of dental caries by the type of disability, the patients with heart diseases had the most dental caries that numbered 8.49, followed by Down's syndrome, metal retardation, brain lesions, the other disabilities and developmental disorder. 3. In relation to dental treatment experiences by the type of disability, the patients with developmental disorder(57.5%) received the most dental treatment, followed by mental retardation, the other disabilities, brain lesions, Down's syndrome and heart diseases(p<.05). 4. Regarding general anesthesia experience by the type of disability, the patients with mental retardation(31.6%) were put under general anesthesia the most, followed by developmental disorder, brain lesions, the other disabilities, heart diseases and Down's syndrome(p<.05). In conclusion, nationwide efforts to nurture separate dental personnels responsible for the disabled, to expand relevant facilities and to improve the health care insurance are required to promote the oral health of disabled children.

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A Study on the Determining Factors of Utilizing the Nursing Home (유료노인요양시설(Nursing Home)의 이용 결정 요인에 관한 연구)

  • Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.582-588
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    • 2001
  • Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

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Comparison of Dietary Habit, Lifestyle, Health Attitude and Self-efficacy by Upper Gastrointestinal Disease among Group Mental Health Care Facilities with Chronic Schizophrenia (정신요양시설 만성조현병환자의 상부위장관질환 유무에 따른 식습관, 생활습관, 건강태도 및 자기효능감 비교연구)

  • Oh, Eun-Jung;Park, Keun-Young
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.317-330
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    • 2020
  • The purpose of this study was to compare lifestyle, dietary habit, health attitude and self-efficacy among chronic schizophrenia with upper gastrointestinal disease and chronic schizophrenia to improve lifestyle, dietary habit and health attitude, in each mental health care facilities field, it was attempted to provide basic data to search for alternatives to increase self-efficacy. This study surveyed them from February 20th to April 30th in 2019 for data collection. Data were analyzed using Chi-square test, Independent t-test and ANCOVA with SPSS/WIN 22.0. The sociodemographic factor of age and education, the lifestyle factors of carbonated drink and physical activity intensity, the dietary habit factors of overeat, snack, late night meals and fatty food, the other factor of self-efficacy show statistically significant differences among groups. The study provides meaningful data in finding distinctive features of Upper Gastrointestinal Disease among Group with Chronic Schizophrenia. The results indicate that need to develope a variety of intervention methods to promote lifestyle and dietary habit and to enhance self-efficacy of chronic schizophrenia.

A Statistical Study on the Key Words in the Titles of Nursing Related Theses (학위논문의 주요어 분석 (간호학 및 간호학관련 학위논문을 중심으로 : 1960-1991. 8))

  • 고옥자;김상혜;김희걸;이금재;이영숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.58-69
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    • 1994
  • In order to see the development of Nursing related research activities in Korea over the last three decades, abstracts of almost all of the Master and Ph.D theses that appeared from 1961 up to August 1991 were collected. The number of theses was 2354, from which an index of key words has been constructed. Key words were defined as those terms in each thesis title that convey major objectives of the given thesis study and the important nursing concepts dealt with in the thesis. Although all the key words were picked from the thesis title only, full use was made of the abstracts in deciding the principal objectives and essential contents of the thesis studies and their important concepts as well. In total, 539 kinds of key words were identified from the 2354 titles, and the identified words were all found to be in the International Nursing Index. On an average each title has two key words. Which key words were most frequently used, how they have changed with time, what kind of concept is preferably dealt with by each graduate school, and the concepts to which a given key word is likely to be connected were examined. The results are summerized below : 1) For each decade the theses numbers were as follows : 54(2.3%) from the 60’s, 413(17.5%) from the 70’s, 1523(64.7%) from the 80’s, and 364(15.5%) from the 90’s. Master’s thesis contributed 96% (2252) of the papers and Ph. D’s theses filled the remaining 4%(102). 2) A total of 539 key words were used, averaging about 2 for each thesis. The most frequently used key words were ‘Nurse’, ‘Anxiety’, ‘Knowledge / Attitude /Practice’, ‘Stress /Stressor’, ‘Attitude’, ‘Job-Satisfaction’, ‘Mental Disorder’, ‘Operation’, ‘Elderly’, ‘Nursing Role’. 3) Each decades key words can be classified as : the 60’s : ‘Nursing Education’, ‘Pulmonary Tuberculosis’, ‘Mother-Child Health’, ‘Growth & Development’, ‘Public Facilities’, ‘Mental Disorder’ : the 70’s : ‘Nurse’, ‘Family Planning’, ‘Attitude’ / ‘Knowledge, Attitude / Practice’, ‘Curriculum in Nursing Education’, ‘Clinical Practice in Nursing’, ‘Analysis of the Work of the Nurse’, ‘Health Education of School’, : the 80’s : ‘Nurse’, ‘Anxiety’, ‘Stress /Stressor’, ‘Operation’, ‘Nursing Role’, ‘Job Satisfaction’ : the 90’s : ‘Nurse’, ‘Elderly’, ‘Family-Support’, ‘Stress /Stressor’, ‘Home Care’. Key word ‘Nurse’ appears continuously and most frequently through the years, which indicates that there has been active study of the characteristics of nurses and related fields. The concept ‘Anxiety’ has been studied steadly from the 80’s and it shows that interest in health and disease are increasing Which comes as a result of society changing to an industrial and informational community. 4) Looking into each graduate school’s study area key words ‘Anxiety’, ‘Nurse’, ‘Mental Disorder’, ‘Stress /Stressor’, ‘Operation’, ‘Attitude’, ‘Hemo-dialysis’, were studied in the regular graduate school : ‘Family Planning /Contraception’, ‘Knowledge / Attitude /Practice’, ‘Physical Health-State /Physical Health Examination’, ‘Nurse’, ‘Using Clinical Facilities’, ‘Health Education of School’, were studied in the Graduate School of Public Health’ ; ‘Nurse’, ‘Anxiety’, ‘Stress / Stressor’, ‘Job-Satisfaction’, ‘Clinical Practice Education’, ‘Nursing Education’, were studied in the Graduate School of Education : ‘Nurse’, ‘Job Satisfaction’, ‘Nursing Role’, ‘Administration - Employment /Employment Management’, ‘Leadership’, ‘Personnel Profile’, ‘Nursing Manpower / Changing Working Place’, were studied in the Graduate School of Public Administration. 5) The Connection between key words were : ‘Nurse Job Satisfaction’, ‘Stress / Stressor ⇔ Coping / Ajustment’, ‘Nurse ⇔ Nursing Role’, ‘Anxiety ⇔ Giving Information’, ‘Nurse ⇔ Stress / Stressor’, ‘Anxiety ⇔ Operation’, ‘Nurse ⇔ Burnout’, ‘Knowledge, Attitude, Practice ⇔ Family Planning’, ‘Nurse Administration ⇔ Employment’, ‘Anxiety Muscle ⇔ Relaxation Technic’, ‘Anxiety ⇔ Mental Disorder’. From the above it can be noted that many nursing concepts were handled in the thesis titles. But there were more than enough papers on the characteristics of the nurse. It is suggested that in depth research be made on ‘Nursing Accidents’, t-‘Ethics’, ‘Nurse - Patient Interactions’, ‘Spritual Care’, ‘Dying’, ‘Hospice’, ‘Resident Helper’ and that there should be in depth research relating to the physical and mental development of youth and in particular physical concepts like ‘Drug - Abuse’, ‘Child -Abuse and Teaching’.

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Study on the oral health awareness and behavior in the special school for students of disability (일부 특수학교 장애인의 구강보건의식행태에 관한 조사연구)

  • Song, Yun-Shin;Chang, Woo-Sung
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.1
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    • pp.103-111
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    • 2011
  • Objectives : This study of oral health problems was conducted to 311 students in Special Schools in order to inquire into the state of their oral health behaviors, to find out the main obstacles against dental services, to secure dental reasonable basis for oral health promotion. Methods : A questionnaire survey was conducted in the Special School of the 311 students in the area of the metropolitan Seoul. By means of Chi-squared test and Fisher's exact test, oral hygiene habits for each type of the subjects, the contents of dental care services, the prerequisites to improve oral health, were inquired. To evaluate the effects to the current oral health status of types of disability, 2-way ANOVA was practiced. Results : The handicapped with Visual impairment, mental retardation, multiplicity with disabilities, answered negatively in their own oral health status. 47.4% of the deaf can do brush for theirselves without the inconvenience, but in other types of disability they showed that they were helped by others. Subjects did not use the secondary oral hygiene necessaries because, except brain damage, almost of types of disability impeded the convenient use. 60 to 88.2 percent of the total respondents were the recent visitors to dental clinique within 1 year, and the most common motives of the visiting dentist, is a routine medical examination, their movements to the dentist in all types of disabilities, needed helps of others. Most of them received medical treatment at a private dentist, the handicapped preferred the private care and place(49.8%). Only in the case of the brain disorders, extremely much of the disabled answered that they were needed the preventive treatment, and the another cases of disability were largely needed the treatment of the decayed teeth. To improve the oral health of the people with disabilities, at the opening of the clinics and hospitals over a certain size, the mandatory medical facilities for the care of the disabled should be preceded and followed by the improvement of dental insurance system so as to reduce the burdens of the cost of dental care. Conclusions : The improvement of oral health policy for the disabled are needed inevitably: Development of secondary oral hygienic easy to use for the disabled, the building systems of medical dental hospital with the disabled facilities, by the improvement of the insurance system, the reduction of the burden of payments.

The Effect of Depression and Suicide Prevention Program for Vulnerable Community-Dwelling Elderly Women (재가 취약계층 여성 노인을 대상으로 한 우울·자살예방 프로그램의 효과)

  • Yoo, Jae-Soon;Kim, Hyun-Sook;Yon, Hyon-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2882-2892
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    • 2014
  • The purpose of this study was to develop a program to prevent depression and suicidality in vulnerable community-dwelling elderly women, then to furthermore demonstrate the effectiveness of the program in a community setting. The researchers designed the depression and suicide prevention program by combining a cognitive behavioral theory model with prospective research data. The effects of the program were measured by time-series design based on survey results from 12 vulnerable community-dwelling elderly women. The depression and suicide prevention program was implemented and feelings of depression, suicidal ideation, and hopelessness were measured 4 weeks before implementation, prior to implementation, immediately following implementation, and 4 weeks after implementation. Although there was no statistically significant difference in feelings of depression, suicidal ideation, and hopelessness immediately after implementation of the program, there was a statistically significant difference in all parameters 4 weeks following the implementation of the program. Therefore, we recommend the implementation of our program in community mental health care centers or welfare facilities.

The Effects of Exercise Program on Cognitive Function, Depression, and Life Satisfaction in Elderly (12주간 운동 프로그램이 노인의 인지기능, 불안 및 생활 만족도에 미치는 영향)

  • An, Sang-Hyun
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.401-408
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    • 2019
  • The purpose of this research was to examine conduction of 12 week exercise program for the aged of sanatorium on their cognitive function, depression, uneasiness, and living satisfaction. The subject of this research was 60 aged persons of H sanatorium in H-si and mental status examination and survey on depression criterion, uneasiness measurement, and living satisfaction of the aged were conducted. To examine the effects of the program, paired t-test was conducted. As a result, there were significant differences after 12-week exercise program in all factors such as cognitive function, depression, uneasiness and living satisfaction of the subjects. In conclusion, regular exercise program may positive effects on mental status cognitive status, depression, uneasiness, and living satisfaction of the aged. Therefore proper exercise form and program are necessary to the aged in long term care facilities.

Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon (인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교)

  • Bae, Mi Ae;Lee, Young Whee;Kim, Hwa Soon;You, Jeong Soon;Chang, Kyung Ja
    • Journal of the Korean Society of Food Culture
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    • v.34 no.4
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    • pp.389-400
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    • 2019
  • In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes (요양시설 치매노인의 배회행동)

  • Song, Jun-Ah;Lim, Young-Mi;Hong(Son), Gwi-Ryung
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.29-38
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    • 2008
  • Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

Text-Mining Analyses of News Articles on Schizophrenia (조현병 관련 주요 일간지 기사에 대한 텍스트 마이닝 분석)

  • Nam, Hee Jung;Ryu, Seunghyong
    • Korean Journal of Schizophrenia Research
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    • v.23 no.2
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    • pp.58-64
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    • 2020
  • Objectives: In this study, we conducted an exploratory analysis of the current media trends on schizophrenia using text-mining methods. Methods: First, web-crawling techniques extracted text data from 575 news articles in 10 major newspapers between 2018 and 2019, which were selected by searching "schizophrenia" in the Naver News. We had developed document-term matrix (DTM) and/or term-document matrix (TDM) through pre-processing techniques. Through the use of DTM and TDM, frequency analysis, co-occurrence network analysis, and topic model analysis were conducted. Results: Frequency analysis showed that keywords such as "police," "mental illness," "admission," "patient," "crime," "apartment," "lethal weapon," "treatment," "Jinju," and "residents" were frequently mentioned in news articles on schizophrenia. Within the article text, many of these keywords were highly correlated with the term "schizophrenia" and were also interconnected with each other in the co-occurrence network. The latent Dirichlet allocation model presented 10 topics comprising a combination of keywords: "police-Jinju," "hospital-admission," "research-finding," "care-center," "schizophrenia-symptom," "society-issue," "family-mind," "woman-school," and "disabled-facilities." Conclusion: The results of the present study highlight that in recent years, the media has been reporting violence in patients with schizophrenia, thereby raising an important issue of hospitalization and community management of patients with schizophrenia.