• Title/Summary/Keyword: Sleep position

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A Study of Home Care Needs of Patients at Discharge and Effects of Home Care -Centered on Patients Discharged from a Rural General Hospilal- (퇴원환자의 가정간호요구와 가정간호사업의 효과 분석 - 일 종합병원을 중심으로)

  • Choi, Yun Soon;Kim, Dai Hyun;Storey, Margaret;Kim, Cho Ja;Kang, Kyu Sook
    • The Korean Nurse
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    • v.31 no.4
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    • pp.77-99
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    • 1992
  • The study was carried out at W. hospital, an affiliated hospital of Y university, involved a total of 163 patients who were discharged from the hospital between May 1990 und March 199J. Data collection was twice, just prior to discharge and a minimum of three months post discharge. Thirty patients who lived within a hour travel time of the hospital received home care during the three months post discharge. Nursing diagnoses and nursing interventions For these patients were analyzed in this study. The results of the study are summarized as follows : 1. Discharge needs for the subjects of the study were analyzed using Gordon's eleven Functional categories and it was found that 48.3% of the total sample had identified nursing needs. Of these, the needs most frequently identified were in the categories of sexuality, 79.3 %, health perception, 68.2 % self concept, 62.5 %, and sleep and rest 62.5 %. Looking ut j he nursing diagnosis that were made for the 30 patients receiving home care, the following diagnoses were the most frequently given; alteration in sexual pattern 79.3%, alterations in health maintenance, 72.6%, alteration in comfort, 68.0%, depression, 64.0%, noncompliance with diet therapy, 6.3.7%, alteration in self concept, 55.6%, and alteration in sleep pattern, 53%. 2. In looking at the effects of home nursing care as demonstrated by changes in the functional categories over the three month period, it was Found that of the 11 functional categories, the need level for health perception, nutrition, activity and self concept decreased slightly over the three month period. On the average sleep patterns improved, but restfulness was slightly less and bowel elimination patterns improved but satisfaction with urinary elimination was slightly less. On the other hand, role enactment, sexuality, stress management and spirituality decreased slightly. The only results that were statistically significant at the 0.05 level were improvement. in digestion and decrease in pain. No statistically significant changes were found in ability related to ADL, the total ADL Score at discharge was $19.78{\pm}8.234, and after 3 months $19.01{\pm}8.12$. Considering that a majority of the patients were over 60 years of age and that many had brain or spinal cord injuries, the fact that their ADL ability did nor deteriorate after discharge can be interpreted as related to a positive impact by the home health care nurses. Similarly there was a slight be not statistically significant decrease in the quality of life scores between the two lest times(l47.83 at discharge and 113.02 at the three month period). Again, when the chronic nature of thee problems facing these patients is considered this maintenance of quality of life can be interpreted as a positive impact by the home health care nurses. 3. One of the home care nursing activities was diagnosis. For this activity it was found that for nine functional health categories(sexuality and spirituality excepted) there were 20 nursing diagnoses. The most frequent were noncompliance, alteration in skin integrity both actual and potential, and impaired physical mobility in that order. 4. Delivery of home health care by the home health nurses included the following nursing activities; assessment, patient education, demonstration of care activities, counselling, direct care to the patient and referrals. Direct care included changing dressings, bladder irrigations, changing Foley catheters, measurement of residual urine, perineal care, position change, back care, oral hygiene, exercise and massage of motion exercises, cleansing enemas, tracheostomy suctioning and tracheostomy care, care of dentures, applications of heat and other similar nursing activities. In conclusion almost 50% of (he sample indicated a need for continued nursing care at the time of discharge and for the patients in the sample who received home care there was a slight decrease in nursing needs but while the patients had chronic and debilitation problems there was ill decrease in ADL abilities or in quality of life. Further study needs Lo be done La increase the reliability and validity of the tool that was used to measure home health care needs. It is also recommended that study by done using a randomized sampling with a control group to compare patients who receive home care with those who do not.

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The Change of Heart Rate Variability in Anxiety Disorder after Given Physical or Psychological Stress (불안장애 환자에서 육체적 및 정신적 스트레스 시 심박변이도의 변화)

  • Cho, Min-Kyung;Park, Doo-Heum;Yu, Jaehak;Ryu, Seung-Ho;Ha, Ji-Hyeon
    • Sleep Medicine and Psychophysiology
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    • v.21 no.2
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    • pp.69-73
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    • 2014
  • Objectives: This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress in anxiety disorder patients. Methods: HRV was measured at resting, upright, and psychological stress states in 60 anxiety disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity. Differences between HRV indices were evaluated using paired t-tests. Gender difference analysis was accomplished with ANCOVA. Results: SDNN (Standard deviation of normal RR intervals) and low frequency/high frequency (LF/HF) were significantly increased, while NN50, pNN50, and normalized HF (nHF) were significantly decreased in the upright position compared to resting state (p < 0.01). SDNN, root mean square of the differences of successive normal to normal intervals, and LF/HF were significantly increased, while nHF was significantly decreased in the psychological stress state compared to resting state (p < 0.01). SDNN, NN50, pNN50 were significantly lower in upright position compared to psychological stress and nVLF, nLF, nHF, and LF/HF showed no significant differences between them. Conclusion: The LF/HF ratio was significantly increased after both physical and psychological stress in anxiety disorder, but did not show a significant difference between these two stresses. Significant differences of SDNN, NN50, and pNN50 without any differences of nVLF, nLF, nHF, and LF/HF between two stresses might suggest that frequency domain analysis is more specific than time domain analysis.

Change of Heart Rate Variability in Depressive Disorder after Physical or Psychological Stress (우울장애 환자에서 육체적 및 정신적 스트레스 시 심박변이도의 변화)

  • Lee, Jong-Hwa;Yu, Jaehak;Ryu, Seung-Ho;Ha, Ji-Hyeon;Jeon, Hong-Jun;Park, Doo-Heum
    • Sleep Medicine and Psychophysiology
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    • v.25 no.1
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    • pp.15-20
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    • 2018
  • Objectives: This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress states in depressive disorder patients. Methods: HRV was measured at resting, upright, and psychological stress states in 62 depressive disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity, respectively. Differences between HRV indices and VAS score were evaluated using paired t-tests. Gender difference analysis was conducted with ANCOVA. Results: SDNN (standard deviation of normal to normal intervals), LF/HF (low frequency/high frequency), and VLF (very low frequency) were significantly increased, while NN50 and pNN50 were significantly decreased in the upright position compared to resting state. SDNN, RMSSD (root mean square of the differences of successive normal to normal intervals), and VLF were significantly increased, while pNN50 was significantly decreased in the psychological stress state compared to resting state. SDNN, NN50, and pNN50 were significantly lower in an upright position compared to a state of psychological stress, and LF, HF, and LF/HF showed no significant differences Conclusion: The LF/HF ratio was significantly increased after physical stress in depressive disorder. However, the LF/HF ratio was not significantly increased after psychological stress, and the change in LF/HF ratio after physical stress and psychological stress did not significantly differ from each other. Significant increase in SDNN, NN50, and pNN50 in an upright posture compared to psychological stress suggests that depressive patients react more sensitively to physical stress than psychological stress.

Relationship Between Job Satisfaction and Turnover Intention Among Nurses in General Hospitals (일부 종합병원 간호사들의 직무만족도와 이직의도와의 관련성)

  • Lee, Hyun-Joo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4404-4415
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    • 2014
  • This study was carried out to verify the relationship between the job satisfaction and turnover intention of nurses working in general hospitals The study included 312 nurses working in three general hospitals located in Gyeoungpook area. The data was collected by a survey using self-administered questionnaires structured from February 25 to March 16, 2013. The level of turnover intention was negatively correlated with job satisfaction and professional position, autonomy, administrative capacity, pay, task requirement. In logistic regression analysis, the adjusted odds ratio of the high risk turnover intention was increased significantly in the lower groups of job satisfaction, job autonomy, administrative capacity and pay than in the higher groups of these items. Hierarchical multiple regression analysis showed that the turnover intention correlated significantly with the education level, subjective sleep evaluation, job career, job position, monthly pay, satisfaction with work, fitness of the job, career choice motives, physical burden of work, and job satisfaction. In addition, there was a negative correlation between the job satisfaction and turnover intention in the studied nurses, which showed that the turnover intention increased with decreasing level of job satisfaction. The variations in the job related characteristics and job satisfaction have a significant influence on the turnover intention.

A Research on the Application of Eco-Friendly Approval Criteria in Forest Land-use (자연친화적 산지이용허가기준 적용 방안 연구)

  • Park, Shin-Won;Choi, Sang-Hee;Cho, Young-Tae
    • Land and Housing Review
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    • v.3 no.1
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    • pp.33-43
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    • 2012
  • The research which it sees is the simulation research for "The Ecological Diversion of Forest Land-Use System". It accomplished the simulation which applies a permission standard, it developed escape it did a model and the basic draft. From the research which it sees in order to investigate the application characteristic of natural intimate mountain district application standard the mountain district whole aspect instance middle actual object a time mountain district use standard about under selecting which it will yell it applied. "Natural intimate mountain district development standard triangular position plan research" from compatibility of the mode of life mountain district whole aspect permission standard which is proposed about under investigating it presented the improvement program and a institutional improvement direction of corresponding standard. About under preserving plan it applies the yearly environment the mountain district to sleep it prepares the foundation for it accomplished the transcendental research for. With the achievement resources which the mountain district has resultantly must preserve a value, limit of the development size it will be able to minimize the effect which it follows in development, the arrangement method back could be proposed, also the case which will use the mountain district where it is damaged induces the development which cabinets to the concept of demobilization, the case which will apply the existing forest resources takes a triangular position with the act it will be able to increase the circulating value of the resources and will do.

A study on the pursuit of reality and elegance expressed in Jungchull's Sijo (정철 시조에 나타난 현실 지향과 풍류의 성격)

  • Jeon Jae-Gang
    • Sijohaknonchong
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    • v.21
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    • pp.207-239
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    • 2004
  • Jungchull(정철) was a very famous poet of Kasa(가사), Sijo(시조) and Hansi(한시) during the middle period of the Chosun kingdom. He has been studied by modern scholars mainly as a poet of Kasa(가사). These days, however, his Sijos are being studied as an important literary achievement. The purpose of this study is to analyze the pursuit of reality and elegance expressed in Jungchull's Sijo in order to understand his Sijos more deeply. In the process of this discussion, I will take a look at some of his Kasa(가사), Hansi(한시) and biography also, and I will compare his Sijo(시조) with that of his teacher's, friend's and senior's. Jungchull considered it important to become an official in the royal court because he was a Confucian scholar who believed in jugi-theory (주기론), in which all realistic phenomena is evaluated(Confucianism is very realistic in essence), and he had a happy life in the royal household until he was ten years old. I found that characteristics of his "realistic pursuit" are represented in his Sijo by two situations: the one is when he is apart from the King, and the other when he is together with the King. In all situations, though, he pursued an official position in the royal court. When he was apart from the king, his absolute resolution to follow the King was expressed in his not being able to sleep. In his sijo, he asks the wild duck to inform him of the King's welfare. He tries to flap his wings, to be the water or the moon in order to reach the royal household where the King was living. When he recognizes it's impossible, he expresses his perfect loyalty to the King in his Sijo by using literary paradox. According to this, he describes himself as not an able scholar, but also not a flattering scholar. In his sijo, he reminisces about working for the King in the royal household, when he had a good relationship with the King. But when he was an official in the province in a good relationship with the King, he expressed his intention of coming back to the royal household in order to be with the King again. From this we can ascertain that his pursuit of reality means to occupy an official position in the royal household, to serve the King and to have political power among of the officials. His elegance, expressed in his sijo, is deeply related to his absolute political pursuit of the King. He describes two kinds of elegance: nature related elegance and drinking alcohol related elegance. Two kinds of nature related elegance were delineated in his sijo, depending upon his political situation. When he had a good relationship with the King, occupying an official position, he delineated his gladness and free-heart in harmonizing with nature. But when he lost his official position. he expressed his purity using nature, and exclusion from nature. These kinds of nature related elegance were different from that of the usual Confucian scholar, for example, contemporaries Lee Hwang Next, two kinds of drinking alcohol related elegance were delineated in his sijo depending upon his political situation. More often he depicted excitement and composure of mind in his sijo by drinking alcohol in good situations than in efforts to overcome his agony in bad situations. The tradition of overcoming one's agony by drinking alcohol in bad situation was discovered by this writer in Jungchull's teacher's, and also his junior's sijo. Lastly in my next research paper future, I will look at the reason why certain various themes are represented in Jungchull's sijo, and what their the relationships are, to understand his literary works as a whole.

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A study on the determination of the number of mobility cluster (적정 이동군집수 결정에 관한 연구)

  • ;Ham, Sung Hun
    • Journal of the Korean Geographical Society
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    • v.30 no.2
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    • pp.120-131
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    • 1995
  • To analyze mobility patterns, this study used three Constraint (Capability Constraint, Coupling Constraint, Authority Constraint) models which were proposed in Dr. Hagerstrand's Time-space theory. This paper shows that three constraint models have some effects upon mobility by age. In this study, Capability Constraint means a certain special constraint that is what we can't do during proceeding basic natural urges like sleep, fare, etc. Coupling constraint is a physical one. Each person limits the action range for staying on a special place in special time. For instance, students have to stay in school so that they have mobility constraints. Authority Constraint is a social one. When we use urban facilities or traffic, we may be controlled by mobility sphere by an agreement or a social position. It is social agreement that the opening hour of a store, the time table of mass-transportation and a social positional control that the personal income, the standard of education. In this study it has been in a process of determination of the cluster number that degree of influences a social constraint to mobility. Considering the mobility constraint of characteristics of space divides urban and rural, people in urban area have higher mobility rate than in rural area. Resuets of determination of the cluster, show similar mobility pattern. People in urban area are connected verity of mobility which related to urban space structures with determination of cluste-number. That is to say, mobility patterns can be changed by space charactcristics. Constraints by sex and age are also social constraints and they are influenced by mobility patterns. For instance, females at the age of twenties have similar mobility pattern to the same age male but they have sudden changes after thirty's age. Male entertains a similar pattern without restriction of age. That is to say, management by sex as a social constraint affects mobility. To establish more realistic traffie policy, mobility formation should be reflected to the space in a view of social-behavioral science. To embody this, some problems should be investigated as follows. 1. As a problem of methodology, if sufficient samples ensured, we could subdivide clusters and could open up a new method of analyzing the mobility clusters by using the neuro-network. 2. Extracting actions connected with mobility and finding life cycle which is classified by daily cluste-characteristics, suitable counterproposal could be presented to the traific policy.

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Relationship Between Organizational Conflict and Job Satisfaction in Administrative Staff of University Hospitals (대학병원 행정직 종사자들의 조직갈등과 직무만족도와의 관련성)

  • Shin, Hee-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.233-243
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    • 2020
  • This study determined the relationship between organizational conflicts and job satisfaction of administrative staff members employed in university hospitals. The sample consisted of 232 hospital administrators working at four different college hospitals located in D city. The survey was conducted using a self-administered questionnaire during the period from January 10th 2019 to February 15th 2019. As a result of the study, the job satisfaction levels were significantly different according to age, education, BMI, subjective sleep evaluation, subjective health status, job position, monthly income, physical burden of work, sense of satisfaction at work, fit to the job and consideration to quit the job. The job satisfaction levels according to the organizational conflicts were significantly lower with higher organizational conflicts. Further, the job satisfaction level showed a significant negative correlation with organizational conflicts. The risk ratio of lower job satisfaction significantly increased for the group with higher organizational conflict scores than that of the group with lower organizational conflict scores. The results suggest that job satisfaction of administrative staff at university hospitals is significantly related with organizational conflicts. It is necessary to present specific measures to resolve conflicts within an organization in order to enhance job satisfaction for administrative staff at university hospitals.

Sexual Perception of Female College Students (여대생의 성(性)인식)

  • Kim, Kwuy-Bun;Oh, Hye-Kyung
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.19-35
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    • 2000
  • This study confirms and describes the meaning of the true experience on sexual perception of female college students as it is. Thus this study, revealing the structure of the meaning, tried to use phenomenal study tool as qualitative research design in order to seek nursing intervention for them. The method of data collection of this study was achieved February, 2000$\sim$August, 2000 through systematic interview, participation and observation from a focus group. The number of each focus group was 3 to 4, and the study analyzed with Giorgi method after selecting total 3 groups with 10 to saturate data, considering of the closeness among group members. The results are as follow; 1) Feeling psychological uneasy : feeling special mood, mysterious thing, tense thing, curious thing, concealing thing 2) Being to someone : receiving unilaterally, giving ahead, attracting attention, being to, being selected unilaterally 3) Feeling like to do together : relying, contacting, being together 4) Accepting another one's self : understanding the partner, taking responsibility for each other, enduring, trusting each other 5) Trying to be best to the partner : physically being pure, mentally being pure, being only one person to the partner, being open to each other, feeling free 6) Harmonizing conditions with conditions : considering appearance, one's family, economic support and so on 7) Making a love without premise of marriage : making a difference between marriage and love 8) Being a difference between men and women : being a different position, being shameful (because of not having a boyfriend), indecent thing 9) Being for a new life : conceiving a new life 10) Being able to have body touch : being able to kiss, being able to sleep together, being able to touch body 11) Being able to make homosexual love : being able to do homosexual love From the above results, right sexual education should deliver the value of sex which exists for life. So we need to develop the Korean-typed sexual education, according to the social and cultural background and reasonable demand level of education subjects. Furthermore we should give systematically connected education through the development of sexual education program by a developmental stage on the sex with broad and dynamic features, revealing different shapes each period of life. Since the members' value by culture is very different, reasonable and healthy sexual education cannot be done through a education program from foreign cultures. Consequently, the development of the study and program on sexual perception of Korean female college students suitable for the Korean cultural situation will be done.

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Measurement of Velocity-Lag of Suspended-Sediment Particles in Turbulent Open-Channel Flows (난류 중 부유사의 속도 지체 측정)

  • Yu, Kwon-Kyu;Marian Muste;Robert Ettema;Yoon, Byung-Man
    • Journal of Korea Water Resources Association
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    • v.39 no.2 s.163
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    • pp.99-108
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    • 2006
  • To describe the behavior of suspended-sediment particles in turbulent open-channel flows, the advection-diffusion equation or its simplified form has been used. Though this equation was derived upon several assumptions, only a few studies tried to evaluate the limit of the assumptions. The reason is that it is very difficult to measure turbulence in open-channel flows and to discriminate the velocities of water and sediment particles. The present study aims to measure the velocity profiles of water and sediment particles in open-channel flows by using PTV (Particle Tracking Velocimetry), a kind of PIV (Particle Image Velocimetry). The measured results showed that sediment particles moved slower than water tracers did in the outer region. In the present study, the amount of velocity-lag reached about $5\%$ of the mom flow velocity and the position of the maximum velocity-lag was $g/h\approx0.05\;(g^{+}=30\~50)$ The main cause of the velocity-lag of sediment particles seems that the sediment particles have larger density than water has. On the other hand, in the viscous sublayer, sediment particle has a larger velocity than water tracers. The reason of the inversion of velocity-lag may be due to the no-sleep condition of water at the solid boundaries.