• Title/Summary/Keyword: Nursing approach

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The Influence of Depression on the Life Satisfaction of the Elderly with Hypertension

  • Lee, Hun-Hee;Lee, Jung-Seo;Lee, Gyeong-Nam
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.8
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    • pp.117-126
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    • 2016
  • The purpose of this study was to explain the influence of depression on the life satisfaction of the elderly with hypertension. Also, we were focusing whether there is a mediating effect of subjective health status between depression and life satisfaction of the elderly with hypertension. 2,198 persons with hypertension over 65 years of age were selected from the data of KLoSA(Korean Longitudinal Study of Ageing), administered by The Korea Employment Information Service in 2014. Life satisfaction was measured by 10-Likert. The depression measured by CES-D10. The mediating variable is subjective health status measured by 5-Likert. As the method of analysis, the multiple regressions were used with SPSS 19.0. The result of the study shows that depression has a negative influence on life satisfaction and a negative influence on subjective health status. It was also verified that the subjective health status variable has a mediating effect between depression and life satisfaction. These results present the importance of psychological approach for the health promotion experts intervening with the elderly with hypertension.

Prevalence and trends of pain associated with chronic diseases and personal out-of-pocket medical expenditures in Korea

  • Shin, Sun Mi
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.142-150
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    • 2017
  • Background: There have been few studies about pain using a big data. The purpose of this study was to identify the prevalence of pain, and trends of pain associated with chronic diseases and personal out-of-pocket medical expenditures over time. Methods: Subjects were 58,151 individuals, using the Korea Health Panel from 2009 to 2013. Chi-square and multinomial logistic regression were conducted to identify the prevalence and odds ratios (ORs) of pain. Repeated measures ANOVA was used to find the trend over these 5 years. Results: Prevalence of mild and severe pain was 28.1% and 1.7% respectively. The ORs of mild and severe pain were 1.6 and 1.4 in females compared with males. From 2009 to 2013, numbers of chronic diseases producing mild pain were 2.1, 2.4, 2.8, 2.9, and 3.1 and those producing severe pain were 3.0, 3.4, 3.9, 4.2, and 4.4, respectively. After applying the average South Korean inflation rate by year over 5 years, the annual, personal out-of-pocket medical expenditures (unit: ₩1,000) for mild pain were 322, 349, 379, 420, and 461, and those for severe pain were 331, 399, 504, 546, and 569, respectively (P < 0.0001). Conclusions: The pain prevalence was 29.8%. The numbers of chronic diseases and the personal out-of-pocket medical expenditures revealed increasing trends annually, especially in those with pain. Therefore, to eliminate and alleviate the pain, there needs to be further study for developing a systemic approach.

Health Literacy on Patients, Perceived by Nurses in Hospital : Focusing on Focus Group Interview Approach (간호사가 인식한 환자의 건강문해력 : 포커스그룹 인터뷰를 중심으로)

  • An, Jisook
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.583-590
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    • 2020
  • This study examined the perceptions of health literacy on inpatient and outpatient patients among nurses currently in the field. The study participants consist of ten nurses working for general hospitals in Seoul and Busan. The data was collected from focus group interviews and all interviews were recorded and transcribed. Data were analyzed by using the content analysis method. Nurses recognized that there was a difference in the patient's health literacy level according to the patient's age, education, income level, underlying disease, and emotional state. This study suggests implementing 1) education programs to increase nurses' awareness of the importance of health literacy, to make accurate assessments of patent level of health literacy and communicate with them accordingly, and 2) support system for patients with poor health literacy.

A Survey of Female College Students' Knowledge and Attitudes Toward Breastfeeding (여대생의 모유수유 지식 및 태도 조사)

  • Lee, Hyun-Kyo;Song, Yong;Kang, Nam-Mi
    • Korean Journal of Community Nutrition
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    • v.13 no.3
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    • pp.367-373
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    • 2008
  • Breastfeeding is an ideal approach for physical and emotional development of babies, as well as recovery of mothers. A breastfeeding education for female students seems to be an effective intervention to increase the Korean women breastfeeding rate. The purpose of this study was to evaluate their knowledge, attitudes, and other related breastfeeding variables for developing a design for a pre-parental breastfeeding educational information for Korean female students of childbearing age. The sample consisted of 205 Korean female college students, ranging in age from 20 to 25 years old. In this study, a self-administered questionnaire included 6 pages with close-ended multiple-choice questions, and included a cover page with 15 questions on demographic characteristics and personal experiences related to breastfeeding. Data analysis was done utilizing inferential statistics using SPSS 12.0 computer program. The findings indicated that breastfeeding education programs should focus on the practical aspect of attitudes toward. breastfeeding, and that educational information design should focus on the practical aspects of breastfeeding for all. levels of students' education by nurses. Therefore, education for female college students seems to be an effective intervention to increase breastfeeding rate. This study is useful for descriptions of educational activities to help female students develop positive attitudes to breastfeed, to help these students have confidence toward breast-feeding in future by providing correct information and practical techniques on breastfeeding.

A study on the experiences of insulin medication support for the type 1 diabetes mellitus AI-generation students (인공지능 세대 제 1형 당뇨 학생 인슐린 투약 지원 경험)

  • Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.37-43
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    • 2018
  • To explore the lived experiences of nurses on the insulin medication support activity for the type 1 diabetes mellitus. 2 clinical nurse and 3 school health nurse volunteered to complete qualitative analysis by Colaizzi method as phenomenological approach using group activity reports from June 17, to June 24, 2018. 3 codes and 7 themes were deduced and explained 'cheer first step', 'therapeutic relationship maintenance', 'prepare scaffolding'. Findings recommended to provide insulin medication manual focused AI-generation students-their parents have various perceptual expectations.

Attitude of Social workers toward Withdrawal 0f Life Sustaining Treatment

  • Lee, Gyeong-Nam;Lee, Hyun-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.12
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    • pp.171-177
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    • 2018
  • Purpose : This study is conducted to research the attitude of social workers toward withdrawing life sustaining treatment and compare and analyze the different types of their attitudes. Methods : Research design of this study is Q methodology approach. The study population is 23 social workers. Q sample to investigate the attitude of social workers toward withdrawing life sustaining treatment included 30 statements. After listening to the purpose and method of the study, the 23 social workers agreed to fill out a survey asking sociodemographic information and have been forced to be distributed in 9 scale Q-sample. Results : The collected data was processed through QUANL PC program, sorted into 3 types as followings. The first type was 'the pursuit of quality of life' that the quality of life is more important than the length of life, the second 'choosing to withdraw life sustaining treatment' that they want to write or encourage family to write advanced directive, the third 'withholding life sustaining treatment' regardless of the cost. Conclusion : In conclusion, the social workers attitudes toward withdrawing life sustaining treatment were grouped as three different types, the first type was 'the pursuit of quality of life', the second 'choosing to withdraw life sustaining treatment', the third 'withholding life sustaining treatment'.

Evaluation of the Effectiveness and the Level of Self-Management Support on the Metabolic Syndrome Management Program at Public Health Centers in Seoul Metropolitan City (서울시 보건소 대사증후군관리사업의 효과와 자가관리 지원수준 평가)

  • Kim, Dong-Ok
    • Health Policy and Management
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    • v.29 no.1
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    • pp.19-26
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    • 2019
  • Background: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. Methods: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an 'Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers. Results: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p= 0.044) and drinking (p< 0.001), and increased healthy dietary habit (p< 0.001) in health behaviors. It was showed that decreased triglyceride (p= 0.002) and increased high-density lipoprotein cholesterol (p< 0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p= 0.003). Conclusion: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.

The Medical Bed System for Preventing Pressure Ulcer Using the Two-Stage Control

  • Kim, Jungae;Lee, Youngdae;Seon, Minju;Lim, Jae-Young
    • International journal of advanced smart convergence
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    • v.10 no.1
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    • pp.151-158
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    • 2021
  • The main cause of ulcer is pressure, which starts to develop when the critical body pressure (32mmHg) is exceeded, and when the critical time elapses, ulcer occurs. In this study, the keyboard mechanism of the medical bed with 4 bar links was adopted, and each key can be controlled vertically. A key has one servo drive and one sensor controller which hasseveral body pressure sensors. The sensor controllers and the servo drives are connected to the main controller by two CAN (Car Are Network) in series, respectively. By reading the maximum body pressure value of each keyboard sensor, and by calculating the error value based on the critical body pressure, the fuzzy controller moves each key so that the total error becomes zero. If the fuzzy controller fails, then it prevents ulcer by lifting and lowering the keys of the bed alternatively within a short time. Thus, the controller operates in two-stage. The validity and effectiveness of the proposed approach have been verified through experiments.

Protection Motivation Theory and Environmental Health Behaviors: A Systematic Mapping

  • Kim, Hyun Kyoung
    • International Journal of Advanced Culture Technology
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    • v.10 no.3
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    • pp.164-173
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    • 2022
  • This study aimed to explore the themes and parameters of environmental health behaviors based on Rogers' protection motivation theory through a systematic mapping review. Using a systematic approach, a literature review was conducted of articles that adopted Rogers' protection motivation theory. A total of 11 articles on protection motivation theory using participants and environmental health as outcomes were identified in a search of CINAHL, Cochrane Library, EMBASE, Eric, PsycARTICLES, PubMed, and RISS between September 1 and September 8, 2021. Themes related to the environment and personal behaviors between 2002 and 2021 were extracted. The parameters based on protection motivation theory were identified through systematic mapping as fear appraisal, rewards of maladaptive response, severity, vulnerability, costs of adaptive response, response efficacy, self-efficacy, and intention. Self-efficacy and response efficacy considerably affected environmental health behaviors. Emotional fear appeal related to environmental hazards motivates an internal process that alters the threat appraisal and their coping appraisal. Environmental behavior perception and intention influenced on environmental health behaviors with small effect sizes. Therefore, a deeper understanding of the severity of environmental health issues could lead to the development of helpful, effective, and intensive interventions to promote healthcare among the vulnerable population.

Effects of Physical and Mental Health on Quality of Life in Middle-aged Adults by Gender (성별에 따른 중년 성인의 신체건강 및 정신건강이 삶의 질에 미치는 영향)

  • Bang, So Youn
    • Journal of Information Technology Applications and Management
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    • v.29 no.2
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    • pp.27-37
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    • 2022
  • This study was attempted to identify the effects of physical and mental health on quality of life in middle-aged adults by gender. The Data were analyzed for 4,511 adults (2,260 men, 2,251 women) aged 45 to 65 who had no missing values in major variables based on the data of the 2016 Korea Health Panel. According to the data, the quality of life in middle-aged adults was .92 (±.08) for men and .91 (±.10) for women, which was significantly higher than that of women (t=3.54, p<.001). Factors affecting the quality of life in middle-aged men were subjective health status (β=.40, p<.001), stress (β=-.17, p<.001) and education level (β=.10, p<.001), and these variables explained 23% of the quality of life (F=227.28, p<.001). Factors affecting the quality of life in middle-aged women were subjective health status (β=.40, p<.001), stress (β=-.11, p<.001), education level (β=.05, p=.011) and anxiety (β=-.05, p=.022), and these variables explained 21% of the quality of life (F=145.42, p<.001). Based on the results of this study, the group with low level of education in middle-aged adults needs health management, education on how to relieve stress, and intensive management to improve the quality of life. In addition, the differentiated approach should be required to reduce anxiety in middle-aged women.