Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.
Journal of the Korean Society of Clothing and Textiles
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v.38
no.6
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pp.845-856
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2014
This study focused on the production and usability evaluation of smart outdoor jackets that are designed to provide convenience to middle-aged people by embedding devices for lighting and location tracing. The results were as follows. 1. Jacket power supplier was a assembled system composed of battery, charger, controller and switch. A solar cell was attached on the upper arm, and a wire type EL on the center line of a raglan sleeve along with a GPS on the left sleeve with a transparent vinyl pocket. The total weight of the jacket embedded with devices was 385-520g. 2. Operation of function, activity, acceptability, safety, convenience for device use, appearance, practical maintenance were selected based on an analysis of evaluation criteria of previous smart wear research. Criteria were narrowed to three major categories of satisfaction, appearance and maintenance. 3. Use satisfaction criterion consisted of wearable device functionality and physical, psychological use convenience. The evaluation indicated actual functionality. EL functions were especially effective and necessary. Convenience of use showed that a smart jacket was thought to be safe and the size was moderate regardless of age and gender. Outer appearance was satisfactory and respondents praised the color. The practical maintenance evaluation indicated that there was no challenge in doing the laundry since the solar battery and GPS were detachable. The practical use of smart outdoor jackets confirmed by fabric that was washable and dried quickly.
Healing Environment is to cure the user as a whole by considering his social, psychological aspect, beyond the functional aspect of treatment. Various design elements of healing space have been developed so far, but they were mostly described with same rank. Even though every element is significant, facilities such as nursing homes tends to run with low budget, and they can't fulfill them all at the same time. It is important to find the sequence between design elements. The purpose of this study is to reorganize the design principles of healing environment by Maslow's hierarchy of needs(Physiological needs, Safety needs, Love/Affilitation needs, Self-Esteem needs and Self-Actualization needs), and analyze elderly nursing homes and examine the framework itself by application. Research method was consist of literature review on healing space design elements and hierarchy of needs, reconstruction of design elements with hierarchy, and application on 5 Korean nursing home cases. As the result, Maslow's hierarchy of needs and design elements were linked with good balance. Analysis of 5 nursing homes revealed that lower needs were short of environmental support compared to higher needs. Especially design elements related to Physiological needs should be improved. Also, new framework had strength in not only providing gasps on current situation in detail, but also suggesting elements for improvement with hierarchy and sequence. Through this research healing environment design elements and human needs were linked. Nursing home is the last environment for the elderly, which should help to heal their body and mind and also support them to accomplish self-actualization.
Journal of Korean Academy of Nursing Administration
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v.4
no.2
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pp.405-418
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1998
The purpose of this study was to describe patients satisfaction with nursing care in the emergency department and factors influencing satisfaction rates. 1. The mean score of patient satisfaction with nursing care in the emergency departments was 2.70. The mean scores of patient satisfaction with different aspects of nursing care services were 3.05 for nursing services for psychological safety: 2.67 for technical competence: 2.49 for information giving: and 1.35 for discharge teaching. 2. Patient satisfaction with nursing care services provided. according to the general characteristics of the patients. was revealed as being significantly high for the groups of patients made up of those who were male. those over 51years of age. married subjects. those with an education level of high school or below level. housewives. Buddhists. and those in the middle economic level. Patient satisfaction with nursing care according to their service utilization in the emergency departments revealed that satisfaction was significantly high for patients who were in internal medicine. neurology or psychiatry. those admitted for the first time. those for whom the distance from the department to home was less than 30 minutes. patients who visited between monday and Friday and between 8AM and 4PM. patients who did not have to wait to be seen and those who stayed in the department less than 24 hours. 3. The correlation between the patients' general characteristics. nursing service utilization of the patients in the department and their satisfaction with nursing care showed that patients with longer waiting time had lower satisfactory scores for nursing service. 4. The registered nurses working in the emergency department reported that the main reasons for low satisfaction rates included 'over worked nurses' and 'too many patients' in the emergency department. In conclusion. the results of this study suggest the necessity of developing relevant nursing interventions for discharge teaching to increase patient satisfaction with nursing care services in emergency departments: and the need for adequate support from hospital administrators to improve patients' service utilization.
Kim, Jin-Hyung;Sue, Joo-Hee;Lee, Go-Eun;Kim, Nam-Kwen;Choi, Sung-Youl;Lyu, Yeoung-Su;Kang, Hyung-Won
Journal of Oriental Neuropsychiatry
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v.26
no.1
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pp.49-61
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2015
Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.
Journal of the Korean Institute of Landscape Architecture
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v.33
no.1
s.108
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pp.81-92
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2005
In study, various notions regarding historic landscapes and rehabilitation were first investigated, and efficient rehabilitation schemes on modem historic landscapes were analyzed. On the basis of these theological analyses, an underlying scheme on the rehabilitation of modern historic landscapes was drawn up for '40 Stair Cultural Street' in Jung-gu, Busan City. Rehabilitating historic landscapes not only expresses a positive method to preserving sites and relics of heritage, but also an idea of preservation and rehabilitation based on interpretations from a historical perspective of value in this present day. Its significance is, therefore, to construct an ideal urban landscape in which the past, present and future can coexist. The rehabilitation of historic landscapes will become a psychological pillar to the people living in cities and will be able to lead the various types of urban activities as effective landmarks creating accessibility and representing perpetuity, as rehabilitated landscapes last through the passage of time. In addition, since historic and cultural landscape resources significantly represent regional identities and cultural characteristics that are protected and maintained, they may result in the succession of time and space in regional and urban historical culture and contribute to improving local images and impressions, allowing citizens and tourists to experience many diverse historic and cultural environments. The underlying scheme on the development of '40 Stair Cultural Street' in the study has been drawn up with a focus on the rehabilitation of modern historic value drawn out of the 40 stairs. The area around the 40 stairs, which was shaped as a stronghold of refugees who fled for safety during the Korean War, has changed as dramatically as people can no longer get a feel of the circumstances of that period. Local historians and residents, however, still share the joys and sorrows of refugee life as sad memories. Based on the historical fact, landscape planting, street furniture, outdoor color schemes & signage, traffic systems, symbolic 3-D models and pavement designs are underway.
Protection of personal information has significant meaning in current information age. Information of crime victim is one of top in value in that divulgence of the information to perpetrators may threat safety of the victim or cause psychological demage as $2^{nd}$ harm if disclosed to public. Legal system protects the information with scattered statutes including Criminal Procedure Act. Existing studies have been limited to discussion of the single statute without integrated approach. Bearing necessity of the approach in mind, as issues of protection system this research proffers too broad subject of eligible inspection of case document, inactive practice of identity management cards and omission of personal information, and inappropriate punishment on the disclosure or divulgence. After reviewing systems of foreign jurisdictions to get useful implications, this paper suggests several measures with two separate aspect of legal provisions and protection practice.
In this study, it has conducted the questionnaire in the Seoul, Gyeonggi Province and DaeGu, GyeongBuk Province among males and females from 30s to 60s randomly to consider if the socio-demographical variance and the life style will meaningfully affect the preference of the silver town among elderly consumers as well as the future silver consumers. SPSS Win Ver.18.0 was used to analyze the statistical management of the collected data. As a consequence, among the socio-demographic variances, it was analyzed that the academic ability and religions were meaningfully affecting the preference of the silver town statistically, and after assaying how the characteristics of the life style affects the preference of the silver town, the more the family pursues the conservative life style the lower the preference of the silver town was observed, the more the life style covets the health, safety and the materials, the higher the preference of the silver town was analyzed. In addition, it was analyzed life style and the preference of the silver town showed a difference depending on the socio-demographic variances.
Objective : Traditionally, staged surgery has been preferred in the treatment of compound comminuted depressed fracture (FCCD) after traumatic brain injury (TBI) and involves the removal of primarily damaged bone and subsequent cranioplasty. The main reason for delayed cranioplasty was to reduce the risk of infection-related complications. Here, the author performed immediate reconstruction using a titanium mesh in consecutive patients with FCCD after TBI, reported the surgical results, and reviewed previous studies. Methods : Nineteen consecutive patients who underwent single-stage reconstruction with titanium mesh for FCCD of the skull from April 2014 to June 2018 were retrospectively analyzed. The demographic and radiological characteristics of the patients with FCCD were investigated. The characteristics associated with surgery and outcome were also evaluated. Results : The frequency of TBI in men (94.7%) was significantly higher than that in women. Most FCCDs (73.7%) occurred during work, the rest were caused by traffic accidents. The mean interval between TBI and surgery was 7.0±3.9 hours. The median Glasgow coma scale score was 15 (range, 8-15) at admission and 15 (range, 10-15) at discharge. FCCD was frequently located in the frontal (57.9%) and parietal (31.6%) bones than in other regions. Of the patients with FCCDs in the frontal bone, 62.5% had paranasal sinus injury. There were five patients with fractures of orbital bone, and they were easily reconstructed using titanium mesh. These patients were cosmetically satisfied. Postoperatively, antibiotics were used for an average of 12.6 days. The mean hospital stay was 17.6±7.5 days (range, 8-33). There was no postoperative seizure or complications, such as infection. Conclusion : Immediate bony fragments replacement and reconstruction with reconstruction titanium mesh for FCCD did not increase infectious sequelae, even though FCCD involved sinus. This suggests that immediate single-stage reconstruction with titanium mesh for FCCD is a suitable surgical option with potential benefits in terms of cost-effectiveness, safety, and cosmetic and psychological outcomes.
Journal of the Korea Society of Computer and Information
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v.17
no.1
/
pp.117-123
/
2012
The purpose of this study is to design and develop the e-mentoring system which supports the effective information education and to evaluate the usability of the system. Through literature reviews of related studies, an effective e-mentoring performance model was drawn. An e-mentoring system was designed and developed based on the model. 237 middle school students who had participated in e-mentoring for the information education evaluated the usability of the system. As a result of it, the system was considered good in both category(supporting mentoring(M=3.63), technology(M=3.78). The means of subcategories of 'supporting mentoring'(instructional easiness, psychological safety, and adaptability) were scored 3.65, 3.30, 3.43 respectively. And means in the subcategories of 'technology'(usefulness, accuracy, and look & feel) were 3.90, 3.64, and 3.73. It can be concluded that the e-mentoring system developed in this study was effective in mentoring information education.
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