• Title/Summary/Keyword: Pain perception

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A Systematic Review of Birth Experience Assessment Instrument (분만경험 측정도구의 체계적 고찰)

  • Kim, Hyun Kyoung
    • Women's Health Nursing
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    • v.23 no.4
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    • pp.221-232
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    • 2017
  • Purpose: This study aimed to conduct a systematic review and to describe characteristics of the birth experience assessment instrument. Methods: Literature related to the development of the birth experience assessment instrument was examined using a systematic review method. A literature search was conducted using the keywords as '[normal birth]; [$satisfac^*$ OR care quality]; [instrument OR scale] AND (development)' through PubMed, CINAHL, SCOPUS, PsycINFO, and RISS. The search used quality appraisal through QUADAS (Quality Assessment of studies of Diagnostic Accuracy included Systemic reviews) yielding 17 records. Results: The birth experience assessment instrument was categorized for instrumental characteristics: birth satisfaction (n=8), perception of labor experience (n=5), and birth care quality assessment in normal and operative birth experiences (n=4). Important key elements for content characteristics were as follows: nursing practice (n=10), pain control (n=5), environment (n=5), participation (n=4), and support (n=4). Conclusion: This study demonstrated that the birth experience instrument is appropriate for measuring quality of birth care in various clinical conditions. This review of the birth experience instrument reports that an appropriate psychometric tool for enhancing quality of birth care is important.

A Comparison of Lifestyle, Health Status and Quality of Life of Adult Women living in Urban and Rural Areas (도시와 농촌 지역 성인여성의 생활양식, 건강실태 및 삶의 질 비교)

  • Yang Jin-Hyang;Kwon Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.6-14
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    • 2005
  • Purpose: This study was done to investigate the need to develop health promotion programs for adult women and to compare lifestyle, health status and quality of life in adult women in urban and rural areas. Method: The participants were women over 20 years old, 451 living in 3 cities and 436 living in 1 rural areas. Data collection was conducted from April 6 to August 30, 2004. Results: For lifestyle, the percentage of women having regular medical examinations, cholesterol tests, regular exercise, and high alcohol intake were significantly higher for urban women compared to the rural women. For health status, the percentage of women with health problems such as arthritic pain, urinary incontinence, pregnancy and postpartum complications, and the experience of violence were significantly higher for rural women compared to urban women. Rural women had significantly lower scores for health perception compared to urban women. For quality of life, rural women had significantly higher scores for quality of life, especially for the psychological wellbeing and stability subscales. Conclusion: The above findings indicate that it is necessary to develope a health promotion program which reinforces healthy lifestyle and health status for rural women, and quality of life, for urban women.

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Burnout and Long-term Sickness Absence From the Teaching Function: A Cohort Study

  • Salvagioni, Denise A.J.;Mesas, Arthur E.;Melanda, Francine N.;Gonzalez, Alberto D.;de Andrade, Selma M.
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.201-206
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    • 2022
  • Background: The present objective was to verify whether burnout (emotional exhaustion [EE], depersonalization [DP] and low professional efficacy [PE]) is a risk factor for long-term sickness absence (LTSA; 30 consecutive days) from the teaching role. Methods: This was a prospective cohort study with two years of follow-up that investigated 509 elementary and high-school teachers. Burnout was identified by Maslach Burnout Inventory. Poisson regression with robust variance was used to adjust for possible confounders. Results: The incidence of LTSA was 9.4%. High EE levels were associated with LTSA in the crude analysis, but the association lost statistical significance after adjustments (for sex, age, perception of work-life balance, general self-rated health, chronic pain and depression). High DP levels were associated with this outcome, even after all adjustments (relative risk = 1.80; 95% confidence interval: 1.05-3.09). Low PE levels were not related to LTSA. Conclusion: The results reinforce the need to improve teachers' work conditions to reduce burnout, particularly DP, and its consequences.

A Study of Oral Health Knowledge and Status of the Elderly in Ulju-gun (울주군 일부지역 노인의 주관적 구강건강인지 및 수준에 관한 조사)

  • Lee, Jung-Hwa;Seong, Mi-Gyung;Kang, Hyun-Kyung;Cho, Gab-Suk
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.281-286
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    • 2007
  • The purpose of this research was to find out their perception of the dental hygiene and level of its knowledge by estimating status of senior adults' dental health management. First, questionnaires were distributed to the 256 target senior adults aged more than 60, who were going to school for senior adults located in Ulju Country and the survey was conducted by interview directly. The results were as follows; 1. As for tooth brushing method, scrubbing method was used in male and rolling method was used in female and the survey results statistically revealed that rolling method was the most used in aged from 60 to 70(68.1%) and scrubbing method was the most used in aged more than 70(80.4%)[p < 0.001]. 2. As for reason of visiting dental clinic, female respondents accounting for the highest said they visited dental clinic when they feel a pain in the teeth and as for frequence of dental clinic, male respondents visited dental clinic for a once per a year. there was no difference statistically according to age(47.9%). 3. As for the perception of the necessity of dental prosthetic treatment, there was higher positive response in the female than male, in the lower aged groups than higher aged group[p<0.05]. 4. As for the question of whether to use of denture or not now, the survey results was statistically that the higher aged group and male groups were higher used dentures [p < 0.001]. 5. As for maintenance of denture, female respondents said the highest that they keep it in cold water after cleaning(95.5%), there was no difference statistically according to age and educational background [p < 0.001].

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Occurrence of Low Back Pains for Dental Hygienists (치과위생사의 요통 발생에 관한 연구)

  • Lee, Sook-Jeung
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.265-276
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    • 2004
  • The purpose of this study,was to find out health status, characteristics related to working conditions, occurrence of low back pain and its related factors among dental hygienists working in dental clinics, and, thus, to provide basic information necessary to set up some plans for preventing the occurrence of low back pains and improving working conditions for dental hygienists. The data were collected from 310 dental hygienists working at dental clinics in Pusan and Kyungnam area, including Masan, Changwon, Jinhae and Jinju, with a self-administered questionnaire and were analyzed finally for 295 records with SPSS for Windows(7.52K) program. The results were as follows : Working condition was considered to be fair by 562% of dental hygienists were thought to threaten their health in the dental clinics. About seventy percent of dental hygienists worked over ten hours a day and 72.8% were standing while working over 7 hours, 65% considered working hours too long. Health status was thought be more than average for 82.3% while more than half perceived certain degree of stress frequently. The rate of complaining low back pains among dental hygienists was 87.8% with pains more than medium level for 39.3%. The variables significantly related to the degree of low back pains were height, uncomfortable postures, type of working postures and the height of working table, while some variables including height, hours of working on the feet, the presence of hazardous work environment, uncomfortable postures, the presence of hazardous works, the amount of working hours, type of working postures and work-associated stresses, were significantly related to the number of symptoms for low back pains. Multiple regression analysis showed that occurrence of low back pains was significantly influenced by 5 factors such as subjective status of health, work-related stresses, the degree of perception to work environment, the degree of perception to the amount of working hours and age. In conclusion, it might be necessary to manage working conditions effectively by reducing working hours, making good postures while working and removing stressful conditions in order to reduce risk factors for the occurrence of low back pains among dental hygienists. Therefore good working postures, assignment of appropriate rest time and some programs for early detection, care and education of low back pains should be provided for the dental hygienists.

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The Meaning of Dignified with Death (존엄한 죽음의 의미)

  • Chung, Bok-Yae;Cho, Young-Hwa
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.100-110
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    • 2017
  • Purpose: We explored Koreans' perception of the meaning of death with dignity that Korean people. Methods: A phenomenological research methodology was applied. A total of 13 participants were sampled based on their age and gender. Participants were interviewed in depth from September 2015 through February 2016. Colaizzi's phenomenological analysis method was used for data analysis. To establish the validity of the study, we evaluated its realistic value, applicability, consistency and neutrality of the qualitative evaluation criteria of Lincoln and Guba. Results: Koreans' perception of death with dignity was structured as 19 themes, nine theme clusters and four categories. The four categories were "comfortable death", "good death", "resolving problems before death", and "death with good reputation". The theme clusters were "death without pain", "death submitting to one's fate", "death that is not ugly", "leaving good memories to others", "dying in a way we want", "death after proper settling of things", "dealing with chronic resentment before death", "death after living a good life", and "death with recognition". Conclusion: For Koreans, death with dignity meant not burdening others, settling things right and leaving good memories to their families and friends. Such perceptions can be applied to hospice care for terminally ill patients.

A Study on The Health Status of Island Community People in Island (도서지역 주민의 건강상태에 관한 연구)

  • Shin, Kyung Rim
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.296-310
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    • 2000
  • During the past 10 years, concern for community people's health has increased together with the changes. Public health policies and studies for community people's health, however, have influenced those in childmaternal health care to want more general coverage and studies of health and wellness. Particularly, the study of community people's health in the extent an island area is almost rare as that personal and the material benefits in this area are lacking of community people's work is large, and the basic elements of living, such as diet and elimination, are irregular due to the schedule of the tide. Thus, there are many potential health problems. In this regard, the study attempted to understand the health problems of island community people and to provide a basis for developing health promotion and health education programs. In collecting data for the study, face to face interviews were made through a structured questionnaire from October 1 to December 30, 1996. Collected data were analyzed with the SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status was examined by classifying into such categories as their health perception, complaints of health problem, related lifestyle, psychosocial health staus, the result of examination is as follows; 1. For subjects' health perception, 26.9% of the subject answered not sick, but not so healthy'; 30.9% thought they were healthy, while 22.9% answered that they were not healthy. 2. For the health problem complaints many complained of pains in their muscles and skeletal system, especially knee joint pain. Women's health problems related with breast and the reproductive system included 52.3% of cases doing breast self examination, while 56.55% received the cervical cancer screening test. In men's health problems, 44.2% of subjects answered that they have moderate to severe BPH(Benign Prostatic Hypertrophy) symptom. 3. There were statistically a significant difference in the degree of physical health according to marital status(p=0.0028), occupation(p=0.0442), income(p=0.0357). 4. For stress status, 17.2% was to need the intervention, 50.2% was to need observation. 5. The mean score of self-esteem was 27.7 showing a relatively high score. 6. For the rate of smoking, 37.7% used to smoke, while 28% used to take alcohol. 7. The rate of substance abuse was 45.9% of subjects. 8. Most of subjects' health behaviors included most of the acupuncture (52%). 9. The rate of subjects receiving comprehensive medical testing was 34.36% while 34.78% did after care managing behavior. 10. For the obesity grade, 53% is normal weight, low-weight 32.8%, obesity 33%. 11. For nutrition status, 78.7% illy balanced to need intervention of nutritional education. 12. For 78.7% of subjects, muscle strength and 40.7% of stretching were not good enough to need health education on physical exercises. Therefore, based on the results, appropriate health education programs need to be developed to promote health of community people on an island.

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On the New Prospect of Gangwon Border Area as a Peace Zone and its Sustainable Development (강원도 접경지역이 평화지역으로 가기위한 새로운 지평과 지속가능발전)

  • Kim, Jong-Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.638-651
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    • 2022
  • Last year, a new perception of the right to peace on the Korean Peninsula was adopted: DMZ Yanggu Peace Declaration 2021. The Declaration reflects that there is a raising of necessity for a new perception and approach from the perspective of DMZ-related laws, sustainable ecological environment and security. Gangwon is making considerable efforts to make the border area in DMZ as an area of peace by continuously enhancing publicity on the establishment of the 'Peace Special Self-Governing Province'. This study suggests the necessity of a paradigm shift towards the significance of the interkorean border region that it should function as a passage between the South and the North rather than a dam. For, to be renewed as a sustainably developing region through newly constructed flow of communication, the wall of hostility must preliminarily fall dawn. Then a question arises about how Gangwon is, out of other border region, most eligible for the reconsideration of its significance as a border area. The answer relies on the newly established agenda and understandings towards the right to peace in the perspective of founding the policy for the Unification of the Korean Peninsula. Furthermore, the conservation of DMZ ecological environment through enlistment of UNESCO Biosphere Reserve should go hand in hand with the ultimate value of global agenda of the conservation and protection of the environment. The study insists that the peace zone is a prerequisite for the adaption of the era of future-oriented glocalization featured by the Fourth Industrial Revolution. Up to this date, the border area was an area of pain and agony. It is time for Gangwon to be reborn as an area of peace and coexistence. The aim of this study is to point a direction for Gangwon to become a sustainably developing region by illuminating the value of the Gangwon border area as a new area of peace.

Effects of Gender and Perpetrator age on the Perceptions of Child Sexual Abuse (성별과 가해자 연령이 아동 성폭력 사건 인식에 미치는 영향)

  • Kim, Hyeonseung;Park, Jisun
    • Korean Journal of Forensic Psychology
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    • v.11 no.3
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    • pp.287-307
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    • 2020
  • Child sexual abuse (CSA), under the age of 13, has increased over the past ten years, but research on the perceptions of perpetrators and victims have mainly focused on sexual violence against adults. Differentiating the age of the perpetrator into child, adolescent, and adult, the present study examined differences in perceptions of perpetrators and victims of child sexual abuse. The study also investigated differences by the gender of respondents, and examined the effects of Sexual Violence Myths (SVM) and Authoritarian Personality on perceptions of child sexual abuse. A total of 210 people in their 20s to 60s evaluated the degree to perpetrator blaming, perpetrator punishment, victim responsibility, and pain of the victim, and responded to the SVM scale and Authoritarian Personality scale. The correlation analysis, one-way ANOVA, independent samples t-test, and mediation analysis were conducted. The difference in the perception of perpetrator punishment by the age of the perpetrator was significant, indicating that respondents thought that adolescent perpetrators should be more severely punished than child perpetrators. Male respondents compared to female respondents were more likely to attribute the responsibility of sexual assault to the victim, to accept sexual violence myths and to be authoritarian. Sexual Violence Myths mediated the effects of the gender of respondents on the perception of victim responsibility, and Authoritarian Personality moderated these mediation effects. Finally, the limitations and implications of the study were discussed.

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An Analysis of Research on Fatigue (피로와 관련된 논문 분석)

  • 변영순;박미숙
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.868-877
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    • 1996
  • This study was done to analyze research trends and to suggest future perspectives for nursing research on fatigue. The author reviewed 31 Korean and foreign research papers which have been published in the literature since 1970. An analysis of the study focused on the type of research subjects, type of study design. measurement instrument, and its correlated parameters. The results of the study are summarized as follows : First, within all of the studies analayzed, 14 studies were publised in Korea and 17 were published abroad. The number of studies done abroad have been increasing rapidly since 1991. Second, an analysis of the research design of the studies showed, eight studies each, Korean and foreign used survey design. Two Korean studies and seven foreign studies used a correlational design. Four comparative studies were done in Korea, but only two experimetal studies were performed abroad. Therefore, it was found that the trend of the study design used is survey design and there are more correlational studies done abroad than in Korea. Third, the type of the study subjects ; 11 Korean and three foreign studies dealt with healthy people. In addition, three Korean and 14 foreign studies investigated patients with various illnesses. It was found that patients with various illnesses were studied more frequently in foreign studies than in Korean studies. Fourth, the measurement tool used in the Korean studies ; 13 studies used a testible tool to assess patients' subjective symtoms or complaints of fatigue. The most commonly used tool used in 10 studies, was the Fatigue Self-Perception Scale, which was designed by the Labor and Health Institute of Japan. The Visual Analogue Scale was used in two studies, and Piper Fatigue Scale, addtional with physiologic parameters, was used in one study. In the foreign studies, subjective measurement tools were used in 16 studies. A combination of a subjective measurement tool with objective parameters was used in ten studies. For the subjective measurement tool used in the foreign studies, a specific measurement tool developed by the researcher which was used in seven studies. Either Rhoten Fatigue Scale or the Visual Analog Scale were used in three studies. Additionally, in order to identify the relationship between fatigue and psychological factors, The Profile of Mood State was used in three studies. Beck Depression Inventory was used in two studies. The Self Rated Depression Scale, developed by Zung, was used in one study and other measurement tools were used to measure various psychological parameters. Rhoten fatigue Checklist was also used to observe behavior patterns. Lastly, nine studies identified correlations between fatigue and other parameters. A significant correlation was found between fatigue and psychological factors such as depression, and pain. As a result of the above findings, it can be said that research trends on fatigue are increasing internationally. The selected study designs are survey studies both in Korea and abroad. There are more correlational studies abroad than in Korea. In addition, subjective measurement tools and objective parameters are used variously and combined with each other. had, there is a significant correlation between fatigue and psychological factors such as depression, and pain. More survey and correlational studies need to be done to identify the relationship of fatigue in patients with various condition or diagnoses and to suggest a scientific basis for nursing interventions with fatigue. Also, a tool to assess patient's subjective, objective, and behavioral aspects on fatigue needs to be developed.

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