Purpose: This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food. Methods: The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The intervention was to use the spoon and chopstick sets designed for compensating the weakened eating function. Both quantitative and qualitative data were collected through observation, structured questions, and in-depth interviews. Results: The mealtime was significantly increased by 3.2 minutes (p=.011) after the intervention. Three themes were extracted for the meaning of self-feeding expressed by the elders; fighting alone for self-feeding, pride of participating in the study, and burden for self-feeding and research participation. Caregivers expressed the meaning of the elder's self-feeding such as the regret of missed chances, facilitating rehabilitation, the increase of the eating pleasure and quality of care, and ambivalence. Conclusion: Self-feeding has become an opportunity to recognize life values for the elders in nursing homes; for the caregivers, to reconsider caring of the elderly. Posture and eating utensils were also important to improve self-feeding skills.
From the observations of dietary self-selection by growing pullets, step-up protein or reverse protein and single-stage low protein pullet feeding systems were developed. They offered another pullet feeding concept that appears to control the body weight effectively and to reduce the consumption of feed and nutrients without impairment of subsequent laying performance. It is obvious from the feed and nutrient consumption pattern of layers fed diets for self-selection of energy, protein and calcium that they have a daily cyclic requirement rather than a constant requirement for nutrients. It seems that a practical self-selective feeding system is needed to meet the daily cyclic requirement for nutrients without consuming an excess of energy and protein at certain times of the day as compared to the complete or single diet where layers have to consume extra energy and protein in the afternoon when they have a specific appetite mainly for calcium.
This study investigated the effects of three factors - children's age, sex and parental feeding styles - on children's self-help skills. The subjects were 213 children and their parents who lived in Kwanak-ku, Seoul. The three-way analysis of variance was employed. The main results were as follows: 1. Children's autonomy was varied significantly according to their sex. Girls do better by themselves than boys do in toileting, washing and drying hands, putting on and buttoning up a coat, putting on clothes, washing and drying their faces. Children's autonomy also varied significantly according to age. A majority of the autonomy subsets increased as the children's ages increased. However, drying their hands with a towel, removing their coats, and drinking water did not vary by age. 2. Children's autonomy also varied significantly according to their parents' feeding style. A responsive feeding style encouraged children to drink water by themselves. 3. The group with the highest score in self-help skills in toileting was 6-year-old girls, and the group with the lowest score was 3-year-old boys. Additionally, the groups with the highest scores in toileting were 4-year-old girls whose parents demonstrated a neglective feeding style, 5-year-old girls whose parents demonstrated an authoritative feeding style, 5-year-old girls whose parents demonstrated a responsive feeding style, 3-year-old boys whose parents demonstrated a responsive feeding style and 6-year-old boys whose parents demonstrated a neglective feeding style. Conversely, the groups with the lowest scores in toileting were 3-year-old girls whose parents demonstrated an authoritarian feeding style, 5-year-old girls whose parents demonstrated a neglective feeding style, and 3-year-old and 6-year-old boys whose parents demonstrated an authoritarian feeding style. 4. The group with the highest score in removing their coats was girls whose parnets demonstrated authoritative, responsive or neglective feeding styles. The group with the lowest score in removing their coats was boys whose parents demonstrated authoritative or neglective feeding styles.
Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.
Purpose: This study aimed to elucidate the prevalence of breast feeding and maternal psychosocial predictors affecting the breast feeding practice at six months postpartum. Method: One hundred and sixty one mothers at six months postpartum were conveniently recruited in two public health center in Jeju-city. Subjects completed a well-structured questionnaire regarding the feeding types of the child, maternal self-esteem, the Edinburgh Postnatal Depression Scale (EPDS), husband support, and marital adjustment scale. The data was analyzed using the $X^2-test$, t-test, Pearson correlation coefficients, and logistic regression. Result: The prevalence of breast feeding at six months postpartum was 29.9%. Predictors of breast feeding practice identified by the logistic regression analysis include first feeding type after delivery, marital adjustment, readiness for maternal role and work state. Conclusion: The prevalence of breast feeding practice was lower than WHO desired at six months postpartum. Therefore, the findings support the need for breast feeding education including interventions focused on improving readiness for maternal role and marital adjustment.
This experiment was conducted to find out the effects of the six different feeding methods on the development of body weight, testis, comb and pituitary gland, and the sexual maturity of White Plymouth Rock cockerels. From hatching to 22 weeks of age, the weights of whole body, testis, comb and pituitary gland, and the histological changes of testis and the semen characteristics were checked every other week. The results obtained in this expeniment were as follows: 1. The growth rates of the self-feeding groups were faster than those of the limited feeding groups (70 percent of the self-feeding) by about 2 weeks. The weights of testis and comb showed the most marked increase at 20 weeks of age in the self-feeding groups and at 22 weeks of age in the limited feeding groups, respectively. 2. The weights of pituitary gland from hatching to 22 weeks of age at all observation weeks were not recognised significantly among the compared groups except 4, 14 and 16 weeks of age. 3. Correlations between week of age, body weight, testis, comb and pituitary gland, in the course of 22 weeks, were highly significant. 4. The diameters of lumina and tubules in the seminiferous tubules increased very slowly until 10 weeks of age. They showed the most marked increase at 12 weeks of age in the self-feeding groups and at 14 weeks of age in the limited feeding groups, and then continuously increased until 32 weeks of. age. 5. Primary spermatocytes appeared at first at 8 weeks in the all treatment groups, Secondary spermatocytes appeared at first at 10 weeks in the self-feeding groups and at 12 weeks in the limited feeding groups. At 14 weeks of age spermatids and spermatozoa were found at first in the self-feeding groups but spermatids were found in the limited feeding groups. 6. Age of the first ejaculation was between 14 and 16 weeks of age in the all treatment groups. The Average semen. volume and sperm concentration ranged from 0.1-0.2$m\ell$/ ejaculate and 5.6-9.8${\times}$10$\^$8/ sperm/$m\ell$ at the age of the first ejaculation but 0.30-0.35$m\ell$/ ejaculate and 22.4-42.7${\times}$10$\^$8/ sperm int at the 20 weeks of age in the all treatment groups.
A 15-minute questionnaire on breast-feeding was administered to the obstetric and pediatric residents and nurses in metropolitan academic training programs in Korea to assess their attitudes to and knowledge about breast-feeding and their confidence in managing breast-feeding problems. The questionnaires were self-administered and confidential and the participants was 279. Overall, the study participants indicated a supportive attitude toward breast-feeding. Nurses had a highest supportive attitude than obstetric and pediatric residents. Their self-confidence in this area was inappropriately high with 48% of total, 49% of obstetric, 42% of pediatric and 58% of nurses describing themselves as "confident" or "very confident" to manage common breast-feeding problems to compare their knowledge level answering only 46% of the questions correctly. However, nurses who did have continuing education about breast-feeding had significantly high in knowledge level. These health care professionals have extremely limited knowledge of breast-feeding management compared to their reported confidence. To be truly supportive of breast-feeding, health care professionals should receive didactic and clinical training to breast-feeding management.
The purpose of this study was to compare maternal attitude and self confidence for infant care of primiparas of rooming-in and not rooming-in. The subjects were 128 primiparas who had delivered at eight general hospital in Seoul. 67 primiparas were in three rooming-in facilities and 61 primiparas were in five not rooming-in facilities. The data were collected from primiparas using Cohler's Maternal Attitude Scale and Pharis' Self Confidence Scale at postpartal 1 or 2 weeks. The results of this study were as follows : 1. The mean of maternal attitude was 100.32 and the range was from 82 to 138. The score of primiparas in rooming-in(100.94) was higher than those of not rooming-in(97.43). There was a significant difference in maternal attitudes between rooming-in group and not rooming-in group(P=.001). There were no significant differences in maternal attitude according to age and infant sex. But types of feeding were related to maternal attitude (P=.017). 2. The mean of self confidence for infant care was 119.55 and the range was from 58 to 173. The mean of primiparas in rooming- in(123.10) was higher than those of not rooming-in (115.86). There was a significant difference in self confidence for infant care between rooming-in group and not rooming- in group (P=.040). No significant differences existed in self confidence for infant care according to age, infant sex, and types of feeding. 3. The rate of breast feeding was 64.2% in rooming-in group and 34.4% in not rooming-in group at postpartal 1 or 2 weeks. There was a significant difference in breast feeding between the two groups(P=.004). In conclusion, rooming-in facilities provided primiparas with more positive maternal attitude and greater self confidence for infant care and increased the rate of breast feeding.
This research was conducted to analyze the difference of perception of employee-feeding foodservice according to the types of foodservice. To survey the perception of employee-feeding foodservice among customers, the questionnaire consisted of the perception of employee-feeding foodservice. The questionnaires were sent to randomly selected customers of employee-feeding foodservice 120 each at two public organizations, two companies and two colleges, SPSS was used for descriptive analysis, computing Cronbach's Alpha value and Anova test. 678 of users of self-managed foodservices, and 660 of contracted foodservices, total 1,338 answered for the survey. Among them 67.9%(69.9% at self-managed foodservices, 65.9% at contracted foodservices) were male and 32.1%(30.1% at self-managed foodservices, 34.1% at contracted foodservices) were female. As for the age group, twenties were the major with 48.5% at self-managed foodservices, 56.2% at contracted foodservices. For the reason of visiting cafeteria low price was answered by 40.9% at self-managed foodservices, while approachable location were ranked first by 45% at contracted foodservices. Foodservice perception evaluation of foodservice in four categories showed significant differences: quality of the foods(p<0.001), sanitation(p<0.05), tangibility(p<0.001), empathy(p<0.05). Among the four categories tangibility(2.80$\pm$0.69) showed the highest perception at self-managed foodservices, while at contracted foodservices quality of foods (2.82$\pm$0.61) was with highest recognition.
Purpose: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. Methods: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home. Results: Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU. Conclusion: NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.
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