• 제목/요약/키워드: Patterns of care

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Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy (회장루 보유자의 마음챙김명상을 접목한 회복탄력성 증진 프로그램 개발 및 효과)

  • Shin, Jee Hye;Choi, Ja Yun
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.334-346
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    • 2021
  • Purpose: The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy. Methods: The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients' needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. Results: ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes. Conclusion: The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.

Interests in Nutrition·Beauty·Body Shape of Pregnant and Lactating Women·Desires for "Inner Health, Outer Beauty" Functional Foods (임산부 및 수유부의 영양·미용·체형변화에 대한 관심도와 미용 보조 식품에 관한 연구)

  • Ryu, Se-Ja;Park, Mi-Seong;Park, Seung-Yong
    • Journal of Dairy Science and Biotechnology
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    • v.35 no.4
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    • pp.232-243
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    • 2017
  • Although several supplementary foods are available for pregnant and lactating women, there is a need for foods able to maintain a woman's beauty without any changes in body shape. In this study, four questionnaires about nutrition management, skin care, body shape, and the intent of purchasing beauty supplementary foods, were prepared for an online survey (http://pms8011.wixsite.com/project). A total of 95 answers from 293 women were classified into four groups, based on age, income, occupation, and skin type. The data were statistically analyzed using SPSS/WIN Program 22.0. The significances of the F-value analyzed by one-way ANOVA and the differences within the groups were verified by Scheffe's method. All groups were shown to have very high requirements for nutrition management and beauty standards. In the skin patterns, the groups of middle-aged women, house wife and the lower income showed high interests, with a high significance (P<0.01) in ages. With respect to body shape, significant interest was found within the groups of skin type (P<0.05) and age (P<0.001). With regard to supplementary foods, all groups showed a strong intention to purchase, but no significant differences were found. This study indicates the necessity to categorize supplementary foods by the intended target group, such as women planning to conceive, pregnant women, and lactating women.

Study For Silver Generation System Furniture (고령세대의 시스템가구 방향성 고찰에 관한 연구)

  • Moon, Hyungjoon;Kim, Sung Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.114-120
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    • 2021
  • Furniture is an essential element in the area of human residence, and the necessity of system furniture suitable for the pursuit of unity in design, which clearly distinguishes the various and flexible arrangements and characteristics of space, is gradually expanding. The elderly population in Korea currently exceeds 15%, and is expected to be close to 40% by 2050. An increasing number of elderly generations are showing different behavioral patterns, such as sharing information, health care, and seeking independence from children. In order to maintain an independent daily life, a stable living environment has become essential, but as a result of a study that safety accidents caused by households increase due to a decrease in cognitive ability and physical ability, the need for a suitable household has increased. Therefore, the biological changes and characteristics of the elderly were investigated, and the concept definition, scope and limitations of system households were studied. In addition, by grasping the changes in the home appliance market and trends in the home appliance market, the design direction of system furniture required by the elderly was presented.

Application of Vocal Fold Vibration Analysis Parameter for Infant Congenital Heart Diseases Diagnosis (소아 선천성 심질환 진단을 위한 성대 진동 분석 요소의 적용)

  • Kim, Bong-Hyun;Cho, Dong-Uk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2708-2714
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    • 2009
  • Due to poor linguistic communication skills of sucklings and infants, crying mostly is only means of communication to express their body conditions and desires. We, therefore, developed an infant auscultation system which detects which part of the body has a pathological problem, by analysing infant's crying sound patterns. Specifically, in this paper, we accomplished an auscultation system for congenital heart diseases detection by performing pitch, intensity and spectrum analysis of the crying sounds between the normal infants group and the congenital heart diseases group. With this system, we can diagnose congenital heart diseases of infants with poor communication capacity, and, in the near future, can build a home care diagnosis system based on crying sound analysis technologies through additional experiments on medical data.

A Childhood Attachment and Adolescent's Self Esteem as Predictors of Health Efficacy in Adolescents (애착과 자아존중감이 청소년의 건강효능감에 미치는 영향)

  • Tak Young-Ran;Lee Eun-Young
    • Child Health Nursing Research
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    • v.10 no.1
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    • pp.89-97
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    • 2004
  • Purpose: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. Method: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. Conclusion: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.

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The Effects of Changes in Household Structure on Service Consumption in Korea (가구구조 변화가 서비스 수요에 미치는 효과 분석)

  • HWANG, Soo Kyeong
    • KDI Journal of Economic Policy
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    • v.33 no.3
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    • pp.57-85
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    • 2011
  • This paper investigates the effects of changes in household structure on service demand. The structure of households in Korea has been quickly changed due to low birth rate and population aging as well as increasing women's participation in the workforce. Their consumption patterns may have been altered by the structural changes. This paper focuses on the additional demand for market services replacing household activities such as household chores and care services. First, using a 3-sector time allocation model, we theoretically analyze the mechanism that marketization of household production can lead to the expansion of service industries. Next, in order to analyze the effects of changes in household structure on consumption demand, we estimate the Engel curves according to the QUAIDS model. For empirical work, the Survey of Household Finances was used. According to the results, structural changes in Korean households, such as an increase in single-person households, a decrease in families with a spouse or children under 6 years old, and an increase in dual-earner households, have caused an increase in medical expenses, education and training costs, and expenses for household services, which are typically substitutes for household production services.

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A Study on the Housing Support Policy for the Elderly in Japan (일본의 노인주거정책에 관한 연구)

  • Lee, Seo-Young
    • Journal of the Korean housing association
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    • v.21 no.4
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    • pp.41-50
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    • 2010
  • In recent study, we are referencing the necessity by examining the environment for housing policies for elderly Koreans. In reality, Japan, who is ahead of our country, has already experienced and is currently in progress for the aging society. They have developed a profound housing policy under all circumstances with the change of aging society. There forth, we are in progress of examining the series of helpful characteristics being presented by Japan, and how they have expanded and improved their housing support services. Our country must clearly ensure a resolution for investigating a new direction in housing policy and housing support services by learning through the development process of Japan's housing support services for the aging society. For instance, Japan have provided housing policy in both housing and welfare for senior citizens. Recently, the reason they are well adjusted for housing and welfare linked with special care and supportive living services and being skillfully focused on the maintenance policy is because they have great implications on how to successively organize housing policies for the aged society. Recent studies show preferred living arrangement and housing policy of the elderly for stabilization in the aging society. First, must be aware of the leading factors for housing in later life, organize dwelling patterns for diverse characteristics and give consideration for future life plans. Second, must continuously maintain an accessible environment in all community levels without changing the required services in their livelihood by adjusting to diverse changes for the aged. In addition, must organize flexibility in choice following these housing-support services for the elderly's desire and self reliance which raises profound questions on cultural policy.

Performance Modeling and Evaluation of IEEE 802.15.4 Collision Free Period for Batch Traffic (배치 트래픽 특성을 고려한 IEEE 802.15.4 비경합구간 성능 모델링 및 평가)

  • Kim, Tae-Suk;Choi, Duke Hyun
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.83-90
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    • 2016
  • In this paper, we performed the analysis of transmission performance for Collision Free Period(CFP) supported by the low-power communication technology, IEEE 802.15.4 MAC (Media Access Control). For the analysis, periodic traffic, original service target of CFP, is considered and, according to the Quality of Service required, packet arrival pattern to MAC layer is categorized as batch and non-batch, and analysis on throughput, delay, and energy is performed for those patterns. On the basis of the obtained analysis, performance comparison with Collision Avoidance Period(CAP) is carried out for the health care applications that generate periodic traffic such as Pedometer, ECG, EMG. The evaluation confirms that CFP is more energy efficient for healthcare applications that generate periodic and time-critical traffic and moreover for the application with high bandwidth requirement CFP achieves up to 46% energy savings compared to CAP.

Clinical Diagnosis and Its Medical Managements from Patients with Gastrointestinal Diseases (위장관 질환자의 임상진단과 치료방법)

  • 김재웅
    • The Korean Journal of Food And Nutrition
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    • v.10 no.2
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    • pp.186-192
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    • 1997
  • Endoscopic diagnosis and medical management from K43 and C45 patients, whose sex, occupation, character and life patterns are quite different each other, were discussed. The K43 was patient with erosive gastritis, which may caused by maldietary habits and life stresses. Although the effective drugs such as H2-receptor antagonists with atacids, H+/K+-pump inhibitors, prokinetics, colloidal bismuth, and sucralfates, were administrated for long time, symptomatic relief of abdominal pain was not improved. The tests of clinical phathology and abdominal sonogram were normal, visceral hypersensitivity was appeared from barostat test of stomach. However C45 had taken headache during every day life, and endoscopically confirmed as a gastric·duodenal ulcer patiant, which may caused by chronic use of NSAIDs. The her ulceric symptoms were suppressed from active stage to healing stage by using combination therapy for H. pylori with traditional antipeptic ulcer drugs, where as amitriptyline was administrated to the K43 but not effective. Nonulcer dyspepsia and irritable bowel syndrome is pooly defined, and affect about 15% of the population annually in U. S. A. but don't seek medical care. Author would like to point out that statistics for visceral pains are absent in Korea.

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The Trend and Causes of Income Inequality Changes among Women (여성의 소득불평등 변화 경향 및 원인에 관한 연구)

  • Kim, Hye-youn;Hong, Baeg-eui
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.87-114
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    • 2009
  • Most previous studies on income inequality have limitations in reflecting recent changes and heterogeneity in women's working patterns and their family structure by regarding them as a homogeneous group. This study aims to investigate the trends of income inequality among women during the past 9 years since 1997 and to examine what is the most influential factor on these changes. The results show that the overall trend of income inequality among women is decreasing due to the income decrease of the middle class women and the income increase of the lower class. Among various factors, education, age, and marital status are key factors affecting inequality changes during this period. This study has the following policy implications: first, it is necessary to implement the child care services for the divorced and separated women, who are more likely to fall in poverty. Second, the increase of the basic pension benefits is needed particularly for the poor old women, who is more likely live longer in a desperate status.