• Title/Summary/Keyword: Physical burden

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A Study on Dementia Related Attitudes of the Middle Aged and Their Dementia Preventive Behaviors (중장년층의 치매관련 태도와 치매예방행위에 관한 연구)

  • Park, MiJeong;Oh, Doonam;Moon, Heakyung
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.653-663
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    • 2018
  • This study is a descriptive survey to examine the dementia related attitudes and dementia preventive behaviors in middle aged and to determine the relationships between the both sides. In this study, between October 1st and 9th, 2017, data were collected from the middle aged people in their 40s~60s in Korea through online questionnaires. Finally, 220 questionnaires were analyzed by t-test One way ANOVA, Pearson's correlation coefficient, and etc. The results of the study are as follows. First, 52.7% of the subjects were interested in prevention of dementia, but only 5.9% of them had experience of receiving education related to dementia. Second, fear of dementia was higher than cancer, cerebrovascular disease, and cardiovascular disease, but confidence in coping with the disease, expectation of the possibility of maintaining the daily life, expectation of the help of the family and the surrounding people, expectation of the national medical and economic support were significantly lower. Third, as the dementia preventive behaviors were implemented, the confidence in overcoming the disease, the expectation of the possibility of maintaining the daily life, the expectation of the help of the family and the surrounding people, the expectation of the medical and economic support of the country increased and the burden of the treatment cost was lowered. As a result, it is thought that this personal and social effort will improve the quality of life of the people by reducing physical, psychological, social and economic problems caused by dementia.

Relationship Between Job Stress and Burnout of Fire Service Officers (일부 소방공무원의 직무스트레스와 소진(Burnout)과의 관련성)

  • Bae, Jin-Sung;Yoon, Seok-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.433-442
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    • 2020
  • This study established the relationship between job stress and burn-out syndrome of firefighters. The research targets were 582 firefighters who worked at five fire stations in the D metropolitan city. The survey was conducted using a self-administered questionnaire during the period from July 1st 2019 to September 30, 2019. On the correlation analysis, burn-out showed a significant positive correlation with job stress. On the results of the logistic regression anaylsis, the risk ratio of high levels of burn-out was significantly higher in the very high stress groups than that in the groups with low job stress. According to the multiple regression analysis, the factors having an influence on burn-out were gender, age, the specific level of job career, shift work, the physical burden of work, the sense of satisfaction with the work, consideration for quitting the job and job stress. These findings suggest that the job stress of firefighters is closely related to burn-out. This demands the development and implementation of programs that can properly control and curb the factors of job-stress.

A Phenomenologic Study on the Married Nurse's Experience of Child Rearing (기혼간호사의 육아경험에 관한 현상학적 연구)

  • Cho, Cheong-Ho
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.182-201
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    • 1996
  • The purpose of this study is to examine a married nurse's experience of child rearing through being applied to phenomenological research method. By exchanging their experiences, helping and understanding one another, married nurses can work with delight considering their own present job as their lifelong job. In addition this study can help single nurses overcome the female crises such as marriage, childbirth, and child rearing they will experience in the future. The subjects of this research was 26 married nurses who work for a university hospital in affiliation in Seoul and have children. The period of materials collection was from Feb. 1st to Mar. 3, 1995. The method of materials collection was primarily to write down a questionary with openhearted contents. In collecting it, the respondents were allowed to say at their pleasure through further interview. The materials were analyzed by Giorgi's phenomenological analysis method. The findings of this study are as follows ; 1) The responses of married nurses' experience of child rearing-[pleasure] [family solidarity] [maternal-infant attachment] [understanding] [toilsome]-were induced. That is, at once affirmative experience and hard experience coexisted. 2) The method of married nurses' child rearing-[rearing politely] [raising understanding] [having the sense of family community] [rearing with praying the heart] [careless]-were induced. 3) The support system of married nurses' child rearing-[having help family] [having help from others]-were induced. According to the above findings, the married nursed showed affirmative responses about their experience of child rearing, but at the same time they expressed painful when stayed apart from their children on account of their job or when their children were sick. In the method of child rearing, they tried to grow their children polite because there was much time for them to stay apart from their children. And they tried to give a better explanation in order that their children can have an independence spirit. They tended to compensate through frequent physical touch with their children. As the support system of married nurses' child rearing, they asked their parents or their parents-in-law to take care of their children, hired a nursery governess in their houses, or used a children's home, if they can't afford to. That is, the only one who has a firm sense of her profession, tries to inspire her accomplishment, and is receiving her husband' love and understanding is considered to perform two things simultaneously with harmony, having an recognition of lifelong job. Suggestions 1. The method to solve mental troubles on child rearing should be groped. 2. Their economical burden should be reduced by establishing children's home in their working places, and the increase of maternal-infant interaction should be contrived. 3. The chance of education should be offered in order that married nurses themselves might inspire self-conceit and professionalism on clinical nursing. 4. The familiar mood should be created through planning the programs to be accompanied with children as an annual event in hospital. 5. The part-time nurse system should be suggested to utilize. 6. The system of circulation working should be converted into the system of fixing working according to the characteristic of each department. 7. Programs for special activities such as learning foreign languages and computer should be supported positively.

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The Relationships between Emotional Labour and Depressive Symptoms Among Nurses in University Hospitals (대학병원 간호사들의 감정노동과 우울수준과의 관련성)

  • Kim, Kyung-Ok;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3794-3803
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    • 2013
  • The purpose of this study was to find out the relationships between emotional labour and depressive symptoms among nurses in university hospitals. Subjects were 514 nurses working at three university hospitals in Daejeon City, and the survey was a structured self- administered questionnaire based from April 1 until May 31 2012. As a results, the level of depressive symptoms by the subjects emotional labour level was significantly higher in the group with higher total average points of the emotional labour than the lower group, As for the correlation between the level of depressive symptoms and emotional labour factors, the depressive symptoms points showed significant positive correlation with the total points of the emotional labour. As a result of hierarchical multiple regression, age, leisure time, coffee consumption, subjective health status, physical burden of work, sense of satisfaction at work, fit to the job and emotional labour were selected as significant variables and related variables effecting the level of depressive symptoms. These variables' descriptive power was 39.4%, especially, it can be seen that 11.0% descriptive power increased by putting the emotional labor variables. The results above imply that there is significant relation between emotional labor and depressive symptoms and various variables such as socio-demographic characteristics, health-related behavior factors and job-related factors. Also, it can be seen that the emotional labour and depressive symptoms showed significant positive correlation. Therefore, the development and implementation of a program to control emotional labor appropriately should be required for lowering the level of depressive symptoms.

Assessment of Job stress and Psychosocial stress level using Psychosocial health measurement tool in dental technicians (사회심리적 건강측정도구를 이용한 치과기공사의 스트레스 평가)

  • Kim, Wook-Tae;Han, Tae-Young
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.67-85
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    • 2009
  • This study aims to provide the research for dental technician's stress prevention and management with basic materials by understanding dental technician's psychosocial stress level and examining relevant factors. The subject of this study is 255 dental technologists who work mainly in Seoul Gyeonggi district for a month of April of 2009 and I conducted cross-sectional study through self administered survey. The contents of survey include general feature, occupational feature, health behavior feature. I used Karasek's Job Content Questionnaire, JCQ and Psychosocial well-being index, PWI-SF as means of measurement. To compare the level of dental technician's psychosocial stress, I conducted t-test and ANOVA and I measured the factors that are related with psychosocial stress symptom with step by step multiple regressive analysis. According to the result of Cronbach's a value which is yielded to verify the reliability of means of measurement, the reliability of concept is sufficient. The detailed result of this study is as follows. 1. According to the result of analyzing the stress symptom in accordance with general feature and occupational feature, those dental technologists who are older and not married, graduate from junior college, have lower position, work at university hospital or general hospital show lower stress(p<0.05). There is no difference in the level of psychosocial stress with regard to duty related feature, period of service, daily average working hours, monthly average pay. 2. With regard to health behavior feature, those dental technologists who control weight better and have meal more regularly show lower stress(p<0.05). Those dental technicians who smoke, drink liquid and take a suitable sleep show low stress but the difference does not have significance statistically. 3. With regard to the factors of stress in the workplace, those dental technicians who have lower duty related requirement, have higher duty related control ability, have higher social support, have less instability of employment and have less workload and physical burden show lower stress(p<0.05). 4. According to the result of analyzing the factors that influence dental technologist's stress symptom, social support has the most enormous influence on stress symptom. Unstable employment, regular exercise, regular eating, daily average sleeping hours and technological capacity are also important in this order. According to the result of this study, those dental technicians who have higher social support, less instability of employment, do exercise more regularly, take enough sleep more soundly and have higher technological capacity show lower psychosocial stress symptom. Therefore, to adjust appropriately the dental technician's stress and properly maintain and improve the dental technician's mental health, effective management plan that enables dental technicians to maintain smooth human relationships for dental technicians should be sought. In addition, heath education and health management for dental technicians should be given more thoroughly so that they can establish desirable health behavior in daily life.

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The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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A Study on the Lived Experiences of Homecare Nurses (가정간호사의 실무체험 연구)

  • 서문자;김소선;신경림;강현숙;김금순;박호란;김혜숙
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.84-97
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    • 2000
  • The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

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Development of Health Service Weight for Resource Allocation and Performance Monitoring (자원 배분과 성과 모니터링을 위한 보건사업 가중치 개발)

  • Kim, Sang-A.;Hur, Young-Hye;Park, Woong-Sub
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.34-46
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    • 2009
  • Objectives: This study was conducted to estimate health service weight for resource allocation and performance monitoring using Basic Priority Rating System. Methods: The Health service would be classified according to New Health Plan 2010, and Burden of disease collected from preceding studies. The data of severity of health problem and effectiveness of intervention were collected through the survey of experts' suggestion. The health service weight was estimated in the formula which is Basic Priority Rating System. Results: In the result of analysis, the health service weight of Infectious disease was ranked highest at 58.97% followed by Anti-smoking campaign(14.07%), Hypertension(3.87%), Diabetes mellitus(3.40%), Cancer(2.90%), Cardiovascular-Cerebrovascular diseases(2.86%), Physical activity(2.10%), Moderate drinking(2.07%), Medical examination(1.92%), Mental health promotion(1.72%), Serious mental illnesses(1.62%), Nutrition(1.52%), Oral health promotion(1.15%), Oral diseases(1.10%), Addiction(0.73%). Conclusions: We think the result of this study provides a rational basis for resource allocation and performance monitoring of health service.

Development and validation of an instrument to assess quality of life for end stage renal disease (만성신부전환자의 삶의 질 간편도구 개발)

  • Kim, Sookhyun;Kim, Yong-Lim;Park, Ki-Soo;Kam, Sin;Lee, Won Kee
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.707-714
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    • 2015
  • The SF-36 is the most common instrument to check the quality of life for dialysis patients with chronic renal failure. However, there were too much burden for them to answer 36 items of it. So we purposed to develop the RFQoL-K reduced type of the SF-36. Participants who had newly registered for dialysis were enrolled in 29 medical centers during 45months from 2009. We developed the RFQoL-K through 355 people who applied the SF-36 at 3 and 12 months after registration and then checked it's internal validity. External validity about it was checked via 411 people who answered only one time survey after registration. In conclusion, the RFQoL-K had total 14 items which was consisted of 8 items on physical factors and 6 items on mental factors from the SF-36. The RFQoL-K summary scores explained 91-93% of the SF-36 summary scores. The RFQoL-K was well reflected SF-36 because the correlation and the internal consistency between two tools were very high 0.96 to 0.98 and 0.96 to 0.98 respectively.

Complementary and Alternative Medicine Use among Cancer Patients at the End of Life: Korean National Study

  • Choi, Jin-Young;Chang, Yoon-Jung;Hong, Young-Seon;Heo, Dae-Seog;Kim, Sam-Yong;Lee, Jung-Lim;Choi, Jong-Soo;Kang, Ki-Mun;Kim, Si-Young;Jeong, Hyun-Sik;Lee, Chang-Geol;Choi, Youn-Seon;Lim, Ho-Yeong;Yun, Young-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1419-1424
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    • 2012
  • Objectives: To investigate in depth the use of complementary and alternative medicines (CAMs) by cancer patients at the end-of-life (EOL) and how they communicate with physicians about them. Design and location: In 17 hospitals in Korea between January and December 2004 we identified 4,042 families of cancer patients. Results: The prevalence of CAM use among cancer patients at the EOL was 37.0%, and 93.1% had used pharmacologic types of agents. The most frequent motive for CAM use was the recommendation of friends or a close relative (53.4%) or a physician (1.6%). Only 42.5% discussed CAM use with their physicians. Satisfaction with CAMS was recalled for 37.1%. The most common reason given for that satisfaction was improvement of emotional or physical well-being, while ineffectiveness was the most common reason given for dissatisfaction. The average cost of CAM during the last month of life was $US 900. CAM use was associated with longer disease periods, primary cancers other than liver, biliary, and pancreatic, and need of support from physicians or religion. Conclusions: CAM use among cancer patients at the EOL was common, not discussed with physicians, and associated with expectation of cure. Expectations were generally unmet while the treatments were a financial burden. Further studies evaluating the effects of CAM at the EOL and factors that enhance communication with the physician are needed.