• Title/Summary/Keyword: Physical wellbeing

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Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

  • Tan, Foo Lan;Loh, Siew Yim;Su, TinTin;Veloo, V.W.;Ng, Lee Luan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5791-5797
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    • 2012
  • Introduction: Return-to-work (RTW) can be a problematic occupational issue with detrimental impact on the quality of life of previously-employed breast cancer survivors. This study explored barriers and facilitators encountered during the RTW process in the area of cancer survivorship. Materials and Methods: Six focus groups were conducted using a semi-structured interview guide on 40 informants (employed multiethnic survivors). Survivors were stratified into three groups for successfully RTW, and another three groups of survivors who were unable to return to work. Each of the three groups was ethnically homogeneous. Thematic analysis using a constant comparative approach was aided by in vivo software. Results: Participants shared numerous barriers and facilitators which directly or interactively affect RTW. Key barriers were physical-psychological after-effects of treatment, fear of potential environment hazards, high physical job demand, intrusive negative thoughts and overprotective family. Key facilitators were social support, employer support, and regard for financial independence. Across ethnic groups, the main facilitators were financial-independence (for Chinese), and socialisation opportunity (for Malay). A key barrier was after-effects of treatment, expressed across all ethnic groups. Conclusions: Numerous barriers were identified in the non-RTW survivors. Health professionals and especially occupational therapists should be consulted to assist the increasing survivors by providing occupational rehabilitation to enhance RTW amongst employed survivors. Future research to identify prognostic factors can guide clinical efforts to restore cancer survivors to their desired level/type of occupational functioning for productivity and wellbeing.

Visualization of unstructured personal narratives of perterm birth using text network analysis (텍스트 네트워크 분석을 이용한 조산 경험 이야기의 시각화)

  • Kim, Jeung-Im
    • Women's Health Nursing
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    • v.26 no.3
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    • pp.205-212
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    • 2020
  • Purpose: This study aimed to identify the components of preterm birth (PTB) through women's personal narratives and to visualize clinical symptom expressions (CSEs). Methods: The participants were 11 women who gave birth before 37 weeks of gestational age. Personal narratives were collected by interactive unstructured storytelling via individual interviews, from August 8 to December 4, 2019 after receiving approval of the Institutional Review Board. The textual data were converted to PDF and analyzed using the MAXQDA program (VERBI Software). Results: The participants' mean age was 34.6 (±2.98) years, and five participants had a spontaneous vaginal birth. The following nine components of PTB were identified: obstetric condition, emotional condition, physical condition, medical condition, hospital environment, life-related stress, pregnancy-related stress, spousal support, and informational support. The top three codes were preterm labor, personal characteristics, and premature rupture of membrane, and the codes found for more than half of the participants were short cervix, fear of PTB, concern about fetal well-being, sleep difficulty, insufficient spousal and informational support, and physical difficulties. The top six CSEs were stress, hydramnios, false labor, concern about fetal wellbeing, true labor pain, and uterine contraction. "Stress" was ranked first in terms of frequency and "uterine contraction" had individual attributes. Conclusion: The text network analysis of narratives from women who gave birth preterm yielded nine PTB components and six CSEs. These nine components should be included for developing a reliable and valid scale for PTB risk and stress. The CSEs can be applied for assessing preterm labor, as well as considered as strategies for students in women's health nursing practicum.

A Study on Experiences of Total Knee Replacement in Patients with Osteoarthritis (골관절염 환자의 슬관절 전치환술 경험)

  • Park, Hyun-Ok;Park, Kyung-Sook
    • Journal of muscle and joint health
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    • v.3 no.2
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    • pp.135-150
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    • 1996
  • This study was performed to analyze the patient's experience during the progress of disease in the patients with osteoarthritis, who are taken the replacement surgery of knee Joint. The examine was consisted of five patients with osteoarthritis, who are taken the replacement surgery of knee joint from Dec. 4. 1995 to May, 20, 1996 at C university hospital. After hospitalization, the physical and psycho-logical status of the patients during preoperation, postoperation and discharge was examined. The data were examined according to the ethnographic method. The results are as follows. The patients experienced the periods of embarrasment, conflict, before surgery suffering, acceptance period after surgery. In the embarrasment period, the patients take a multiple medication therapy including hospital treatment, oriental medication and folk medication to ameliorate joint pain after first diagnosis on arthritis. The embarrasment period includes compulsive drug medication, oriental medication, folk medication, trouble some, sadness and survey of hospitals. In the conflict period, the patients consider the operation of knee because of working difficulty and severe Joint Pain, while they feel anxiety about the surgery. They condemn their physical situations. They have the conflict and anxiety on surgical operation. they consider the quality of life. They hope the surgery makes patients to improve walking ability. This period includes self-condemned, sorry, tiresomeness, expectation, worrisomeness, anxiety and hesitance. In the suffering period, the patients experience post operation physical discomfort after the total knee replacement. They do physical exercise, including extension and straight leg raising to maintain walking ability, while they endure to wait approximately 6 months for normal walking movements and they are also unstable to environmental people's sight. This period includes postoperative pain, continuous discomfort, inability and communication difficulty to other's people. In the acceptance period, the patients consider longerity of artificial Joint and also endure mild remaining joint pain. Some of them have religions for their wellbeing of life. This period include a self-protesting policy, abandonment, self-consolation, dependence on religions. According to the result from this study I suggested these shown below. 1) After replacement surgery of knee joint, continuous investigation on outcome patient is necessary. 2) It is also necessary to analyze on patient's experiences, who are taken the replacement surgery of hip Joint. 3) Study on disease experiences of patients with rhematoid arthritis, who take drug medication and physical therapy alone without surgery, is necessary. 4) Investigation on patient's favorable folk medication may be helpful to analyze disease experience of patients with osteoarthritis.

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The Effect of a Participatory Rehabilitation Program on the Physical Activity of Adults with Developmental Disability (참여형 재활프로그램이 의료취약계층 성인발달장애인의 신체활동 능력에 미치는 영향)

  • Seo, Tae-Hwa;Kim, Jin-Young;Lee, Dong-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.619-626
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    • 2019
  • This study was conducted to investigate the effects of a participatory rehabilitation program on sit-rise and rise-to-walk test performances, and perception and motor skills in adults with medically vulnerable individuals and, adults with developmental disabilities in particular. Seventeen adults with developmental disabilities participated in a participatory rehabilitation program using resistance bands and exercise balls, for 60 minutes once weekly over 13 weeks. Their performances were measured before and immediately after the intervention, and 12 weeks after. The findings were as follows. In the sit-rise test, the number of times rising from sitting posture increased after the intervention versus before, but the difference was not statistically significant. In the rise-to-walk test, the performance showed statistically significant difference over time, and the post-hoc test showed a significant effect after the intervention versus before. There was no significant difference in perception and motor skills. In sum, the participatory rehabilitation program positively influenced dynamic balancing related to functional activities but had no significant effect on perception and motor skills, which is related to motor control and motor learning. It is suggested that to increase the participation in community activities, reduce fall risk, and improve dynamic balancing abilities in adults with developmental disabilities, participatory rehabilitation programs should be utilized to promote the physical wellbeing.

The Need for Rehabilitation Day Care Program Service of Stroke Survivors (재가 뇌졸중환자의 주간재활간호 프로그램 서비스 요구조사)

  • Jeong, Seong-Hee;Suh, Moon-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.1
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    • pp.29-44
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    • 1999
  • This study was carried out to obtain basic data required to plan and develop Rehabilitation Day Care Program for the stroke Survivors at home in Korea. The subjects comprised of 118 stroke survivors who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of dally living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN program. The results obtained are as follows ; 1. The mean score of the general need of rehabilitation day care program of stroke survivors was 2.78(range 1-4). The highest need among the service categories of the rehabilitation day care program was self-care and restorative activities category, and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows ; 1) In the health services referral category, the need for speech therapy was highest, followed by the need for physical therapy and occupational therapy. 2) In the psychosocial activities category, the need for self-help group was highest. 3) In the self-care and restorative activities category, the need for bathing was highest, followed by bowel training, and ambulation training. 4) The need for the recreation category was 2.62. 2. Among the need for the effect related to the utilization of day care program, the need for survivors' physical and psychological well-being was highest and was followed by the need for caregiver's physical and psychological wellbeing. Pearson's correlation analysis revealed following results ; 1. The need for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age. 2. The need for the effect related to the utilization of rehabilitation day program displayed a correlation with the level of education, ADL, and the level of depression. The stepwise multiple linear regression analysis revealed following results : 1. For the need for rehabilitation day care program service, 28.4% of the variance was initially explained by one variable, level of depression. The level of depression plus two variables, survivors' age and ADL, explained 34.2% of the variance in the need for rehabilitation day care program service. 2. For the need for the effect related to the utilization of rehabilitation day care program, 12.4% of the variance was initially explained by one variable, level of depression. The level of depression plus one variable, level of education, explained 20.4% of the variance in the need for the effect related to the utilization of rehabilitation day care program. In conclusion, above characteristics should be considered when we are planning to develop stroke survivors' rehabilitation day care program.

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A Study on the Relationship between Body Function and Prelusive Movement to Falls to Promote Wellness in Chronic Stroke Patients (만성뇌졸중 환자의 웰니스 증진을 위한 신체기능과 낙성전조동작의 관련성 연구)

  • Park, Chang-Sik;Kim, Jin-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.7
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    • pp.181-192
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    • 2021
  • This study was conducted to investigate the effects of a participatory rehabilitation program on sit-rise and rise-to-walk test performances, and perception and motor skills in adults with medically vulnerable individuals and, adults with developmental disabilities in particular. Seventeen adults with developmental disabilities participated in a participatory rehabilitation program using resistance bands and exercise balls, for 60 minutes once weekly over 13 weeks. Their performances were measured before and immediately after the intervention, and 12 weeks after. The findings were as follows. In the sit-rise test, the number of times rising from sitting posture increased after the intervention versus before, but the difference was not statistically significant. In the rise-to-walk test, the performance showed statistically significant difference over time, and the post-hoc test showed a significant effect after the intervention versus before. There was no significant difference in perception and motor skills. In sum, the participatory rehabilitation program positively influenced dynamic balancing related to functional activities but had no significant effect on perception and motor skills, which is related to motor control and motor learning. It is suggested that to increase the participation in community activities, reduce fall risk, and improve dynamic balancing abilities in adults with developmental disabilities, participatory rehabilitation programs should be utilized to promote the physical wellbeing.

A Study on the Use of IoT in Infant Care (영아 돌봄에서 IoT 활용에 대한 일고찰)

  • Yee, YoungHwan;Hwang, Sheenhai
    • The Journal of the Convergence on Culture Technology
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    • v.3 no.4
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    • pp.59-66
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    • 2017
  • These days, IoT attached diaper are available in markets. It measures child's temperature, oxygen rate, or even humidity of diaper and send the result directly to parent's smartphone. This research emphasize the followings, due to the fact that use of IoT in context of infant care should ultimately be leaded to infant's wellbeing and healthy development. First, there can be many problems when you only focus on usability without careful consideration of the accuracy of the infant's health information produced by the IoT. Second, infant's needs and nature of child should be reflected when developing IoT which supports infant care. The use of the IoT should not take away the chance of physical contact such as eye-contact or patting and hugging between the caregiver and baby. IoT is very important, however in terms of infant development, connect with IoT cannot antecede contact with child.

A Comparison of Dietary Habits, Weight Control Behaviors, Eating Disorder Risk, and Depression of Middle School Girls according to Various Stages of Dieting (다이어트 진행 중인 동료와 비교한 다이어트 경험 및 계획을 가진 여중생의 식습관, 체중조절행위, 심리적 섭식장애 위험 및 우울증상)

  • Jung, Aekyung;Ryu, Hyunsuk;Song, Kyunghee;Lee, Hongmie
    • Korean Journal of Community Nutrition
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    • v.20 no.3
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    • pp.178-187
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    • 2015
  • Objectives: This study was conducted to compare dietary habits, weight control behaviors, eating disorder risk and depression among middle school girls who were at various stages of dieting. Methods: Subjects were 391 girls attending a middle school in Kyeonggido, Korea. All the information was gathered by self-administered questionnaires. Eating disorder risk and depression were assessed using EAT-26 and PHQ-9, respectively. Data were compared among 4 groups; no interest in a diet (N=112), had experienced dieting (N=86), on diet currently (N=71), and plan to diet (N=122). Results: A higher number of students currently on diet tended to be unsatisfied with their own weight (p < 0.01), overestimated their weight (p < 0.05), and weighed own body frequently (p < 0.001), compared to those with only experienced dieting in the past or those who plan to diet, despite similar weights and body mass index. The students who experienced dieting in the past or those who plan to diet appeared to have several undesirable as well as desirable dietary habits and their risk of eating disorder was significantly more prevalent compared to those without an interest in dieting (p < 0.01), although significantly less prevalent compared to those currently on a diet. Conclusions: We conclude that unnecessary dieting is common among middle school girls and providing proper education with regard to healthy weights is needed to enhance their physical as well as psychological wellbeing.

A Comparative Study on Mother's Caring Attitude between Children with Attention Deficit Hyperactivity Disorder and Normal Children (주의력 결핍 및 과잉행동장애 아동과 일반 아동 어머니의 양육태도 비교연구)

  • 공희자;문재우
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.297-317
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    • 2004
  • As many precedent studies have shown, most children grow receiving influence from their parents. The purpose of this study was to serve as a basis for better preventive approach by finding out the relationship between the attention-deficit hyperactivity disorder(ADHD) of elementary school children and maternal behavior characteristics. Moreover, the purpose of this study was to present basic materials for developing program of children and create good relationship between child and parents for better education. For the purposes, two hypotheses were posed. Hypothesis 1: There would be a significant disparity in maternal behavior between the ADHD group and the non-ADHD group. Hypothesis 2: The environment could have an influence on maternal behavior characteristics. The subjects in this study were 71 mothers who had children with ADHD and 69 mothers who had non-ADHD, who selected from mothers of third to sixth graders in elementary school in Kyonggi, Suwon. The instruments used for the diagnosis of ADHD was DSA-IV. The data were analyzed with ANOVA(Analysis of Variance) by SPSSWIN Program. The findings of this study were as fellows: First, Hypothesis 1 was accepted. The mothers who had ADHD children had rejective behavior characteristics in while the mothers group who had non-ADHD children had controling behavior characteristics but there was no significant difference in affectionate attitude and autonomic attitude. Second, hypothesis 2 was accepted generally. The psychological and physical environment had correlation with maternal behavior characteristics. Especially, there was a significant correlational relationship between the maternal satisfaction for their life and rejection of maternal behavior. The following conclusion could be made from the above mentioned findings. First, The maternal behavior characteristics resulted in severe ADHD for children which justified the need of proper education for mothers to care children wellbeing. Second, The environment of psychology had an influence on maternal behavior. This showed that it is essential to develope educational program and counselling system for mothers

A Study of Ethnic Images Found in Modern Sports Fashion (현대 스포츠패션에 나타난 에스닉 이미지 연구)

  • Kim Eun-Kyoung;Chae Keum-Seok
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.7 s.155
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    • pp.1054-1065
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    • 2006
  • This study aims to provide basic data conducive to developing popular and international products by analyzing the mechanism, factors and design of ethnic sports fashion incorporating ethnicity and sports sense that may satisfy the physical and psychological needs of modern humans who tend to seek 'well- being'. The methodology includes literature reviews and positivist study, and visual materials include domestic and foreign fashion magazines, newspapers, fashion journals, ad photos, collection photos, and internet that cover colors, materials, detailed sports fashion design that are considered to have an ethnic image. Its scope is limited to the period from 2000 through 2005 S/S. The results of study are as follows: First, sports fashions through incorporation of sports emotion and fashion, mixes and matches existing formal wear, casual wear, or leisure wear with sportswear, or introduces and utilizes materials, details, accessories, or image from sportswear. Second, 1) from the changes by year in sports fashion, ethnic images were strongly expressed by the influence of naturalism in the early 1990s, and functional sports fashion has been fused with ethnic image with functionalism becoming stronger and wellbeing trend expanding from the mid 1990s through 2000s. 2) The cause of ethnic image in sports fashion included hybrid, multi-culturalism, and naturalism. Third, the ethnic images revealed in the sports fashion designs of Prada, Louis Vuitton, Gucci, and Y3 are simple and unique based on functionality and activism.