• Title/Summary/Keyword: Psychosocial Risk

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Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

  • Hsiao-Ching Chen;Jiun-Yi Wang;Ya-Chen Lee ;Shang-Yu Yang
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.185-192
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    • 2023
  • Background: The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear. Objective: To examine the predictors of turnover behavior in newly employed licensed nurse aides. Methods: A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders. Results: A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover. Conclusion: The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

The Effects of Digital Therapy for Stroke Patients in Korea: Meta-analysis (국내 뇌졸중 환자를 위한 디지털 치료의 효과: 메타분석)

  • Jae-Hun Jung
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.1-15
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    • 2023
  • Purpose : This study investigates the effectiveness of digital therapy for stroke patients in Korea. Methods : A comprehensive database search was performed using KCI, Science on, e-article, RISS, KISS and Korea OpenMed databases for randomized controlled trials (RCTs) that studied the effects of digital therapy on patients who had a stroke. This study includes RCTs published from January 2000 to July 15, 2022, which fulfilled the inclusion and exclusion criteria. A total 697 studies were screened and 30 studies were included in the final analysis. Methodological quality was assessed with the Cochrane's RoB (risk of bias) tool. Meta-analysis was performed using CMA 4.0 software. Results : A total of 56 effect sizes were calculated from the 30 selected studies. As a result of the analysis, the overall effect size of digital therapy was .59 (95 % CI=.43-.74). When classified according to type of intervention, VR (virtual reality) (g=.58, 95 % CI=.40-.75), and CACR (computer assisted cognitive rehabilitation) (g=.62, 95 % CI=.30-.95) were statistically significant. VR showed medium to large effect sizes in cognitive function (g=.78, 95 % CI=.20-1.37), psychosocial function (g=.63, 95 % CI=.20-1.07), and physical function (g=.61, 95 % CI=.38-.83). In the CACR, there was a large effect size in cognitive function (g=.84, 95 % CI=.52-1.15), but there was no significant difference in psychosocial function. Also, there was no significant difference between the two interventions in activities of daily living and no significant difference in the effect size of both interventions according to the intervention session. Furthermore, medium to large effect sizes were found for subacute and chronic stroke patients according to the duration of disease. Conclusion : This study presents evidence that digital therapy has a positive effect on various functions of stroke patients in Korea. The researchers expect to actively accept the new paradigm of digital therapy and continue to apply digital therapy in clinical practice.

Patterns of Health-related Quality of Life in Men Who Inject Drugs: A Survey in Southeast Iran

  • Marzieh Nojomi;Maysam Rezapour;Neda Soleimanvandi Azar;Mehdi Darabi;Mehran Asadi-Aliabadi
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.2
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    • pp.148-156
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    • 2024
  • Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran. Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life. Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort. Conclusions: We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

A Study on the Effects of Mobile Messenger on the Effect of Youth on Teenagers

  • Seo, Gang-Hun
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.4
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    • pp.91-97
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    • 2017
  • In this paper, we propose a Recently, the use of Smart phones surge in youth the youth are becoming a big addiction social problems Mobile Messenger. The prevalence of Smart phones is Mobile Messenger, access time, spatial constraints for assured. As a result, pc room, with a focus on traditional Internet addiction is to be reduced, whereas with a focus on Mobile Messenger Smartphone addiction level is rapidly on the rise. Korea information agency of Internet addiction and mobile addiction risk appeared to be well over 10 percent of the rate of 35% is gaming and mobile addiction unfolds exemplifies the seriousness of Messenger. Addiction is the individual's psychosocial problems such as negative consequences can result, causing the addiction, because it is necessary for an understanding of the mechanism. In this study, Mobile Messenger, the leading factors affecting the addiction said. Mobile Messenger is a major factor causing the addiction habit and consider the user's satisfaction. And social relations and the formation of plougastel Wu Mobile Messenger and its impact on the cause of addiction.

Predictors of Driving Cessation among Older Adults in Korea-Using a Comprehensive Framework for Mobility- (포괄적 이동성 모델을 적용한 노인운전자의 운전중단 예측요인 연구)

  • Lee, Sungeun
    • Korean Journal of Human Ecology
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    • v.24 no.3
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    • pp.341-358
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    • 2015
  • This study aims to identify predictors of driving cessation among Korean elderly. Data from 2011 Elderly Survey conducted by Ministry of Health and Welfare and Korea Institute for Health and Social Affairs were used for the analysis. Based on Webber, Porter, Menec(2010)'s comprehensive theoretical framework for mobility, the model of this study tests five major determinants of driving cessation including financial, psychosocial, environmental, physical and cognitive factors. Results of logistic regression analysis showed that economic status, marital status, contacts with relatives and friends, residential location, taking medication, muscle strength, age, gender, and job were significant predictors of driving cessation of older drivers. Specifically, lower economic status, unmarried status, less contacts with relatives and friends, living in the city, taking medication, weaker muscle strength, older age, female, non-working status were significant risk factors for driving cessation. Practical implications in light of study findings were discussed.

Children with Epilepsy: Quality of Life and Management (간질아동의 삶의 질과 간호관리)

  • Shin Yeong-Hee
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.225-232
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    • 2004
  • The purpose of this article is to describe the overview of current medical treatments of childhood epilepsy in Korea and to review several recent nursing researches related to quality of life problems, especially psychological functioning in children with epilepsy and the stress of the family. The prognosis of childhood epilepsy has been improved considerably and about 80% of patients can now be expected to achieve complete seizure control by the antiepileptic drug treatment. Even for the intractable epilepsy, with the combination of ketogenic diet program and antiepileptic drug therapy or surgical treatment, the prognosis became very much better than before. The majority of research has reported that children with epilepsy were experiencing quality of life problems. They are at risk for impaired functioning, compared to either general population controls or to other chronic illness groups such as asthma and diabetes. The ultimate goal of providing care to children with epilepsy is to control seizures while facilitating an optimal quality of life for the child as well as the family. Recommendations are included for future research and intervention programs for children, parents and our society.

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A Comparisons of Characteristics of Infants Born Prematurely According to Results of Denver II Screening Test (추후 덴버발달스크리닝 결과에 따른 미숙아의 특성 비교)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.398-404
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    • 2006
  • Purpose: To investigate the rate of questionable development in infants born prematurely and explore factors affecting developmental delays. Method: The participants were 46 infants born prematurely being seen in one of two urban health centers. A questionnaire and the HOME checklist were used to collect data, and the Korean Denver II developmental screening test was administered. Results: Of the participants 21.7% were classified as having questionable development. The only variable with a significant difference between the two groups was acceptance in the HOME checklist. Psychosocial factors such as mothers' burden, depression, family functioning, and social support were not significantly different between the two groups. Conclusion: An early developmental screening test for prematurely born infants is needed. Also, the childrearing environment was identified as a significant factor in infants' development. These findings suggest that HOME score might be useful for identifying infants at risk for developmental delays and interventions for these infants will probably be more effective if their mothers can provide a more appropriate social environment. Further studies are suggested with larger samples.

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Diet-Related Health Disparities in African Americans

  • Satia Jessie A.
    • Journal of Community Nutrition
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    • v.8 no.1
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    • pp.24-30
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    • 2006
  • Disparities in health and disease between various population subgroups, such as racial and ethnic groups, are a major focus of public health research but also pose considerable challenges. Diet is a key contributor to disparities in many chronic diseases and conditions. Therefore, in order to understand and address racial and ethnic health disparities, it is important to characterize the dietary patterns of the populations of interest. African Americans are at higher risk for many diet-related chronic disease conditions, such as obesity, type II diabetes, cardiovascular disease, and many cancers relative to other racial/ethnic groups in the United States. In this report, I describe the diet-related chronic disease profiles of African Americans, characterize their dietary patterns and food preferences, identify demographic, psychosocial, environmental, and cultural factors that may affect their dietary choices, and propose strategies for improving the dietary and health profiles of African Americans.

The Effect of Long Coronavirus Disease on Obesity and the Role of Korean Medicine (롱코비드가 비만에 미치는 영향과 그에 대한 한의학의 역할)

  • Han, Kyungsun;Kim, Myung-Ho
    • Journal of Korean Medicine for Obesity Research
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    • v.22 no.1
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    • pp.77-85
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    • 2022
  • While the Coronavirus disease 2019 (COVID-19) pandemic is gradually turning into an endemic disease, concerns about post COVID-19 conditions (Long COVID) are emerging. Obesity is a major risk factor for severe complications of COVID-19, and COVID-19 has a wide range of effects on obesity and metabolic function. This paper aims to examine the interaction between COVID-19 and obesity, the effects and mechanisms of long COVID on obesity, and the role of Korean medicine on long COVID-related obesity. Obesity may worsen with cardiometabolic damage and psychosocial insecurity during COVID-19 and long COVID-induced neuroinflammation, systemic inflammation, mitochondrial dysfunction, and hypoxia also may aggravate obesity. Korean Medicine treatments, which have been widely used to treat obesity, have the potential to improve obesity in the era of long COVID by intervening in these mechanisms.

COVID-19 and Sleep (코로나바이러스감염증-19와 수면)

  • Jaegong, Cyn
    • Sleep Medicine and Psychophysiology
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    • v.29 no.2
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    • pp.29-34
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    • 2022
  • Coronavirus disease 2019 (COVID-19), which was a global pandemic caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2), is still a serious public health problem. COVID-19 causes various symptoms not only in the respiratory system but also in various parts of the body and has a significant effect on sleep. Insomnia and poor sleep quality were observed at high rates in patients with COVID-19 as well as in the uninfected general population. Obstructive sleep apnea is also considered a risk factor in patients with severe COVID-19. Virus-induced central nervous system damage is likely to be the cause of many sleep disorders in COVID-19, but psychosocial influences also seem to have played a significant role. Sleep problems persisted at high rates for a considerable period after the infection phase was over. More attention and research on the effect of COVID-19 on sleep is needed in the future.