• Title/Summary/Keyword: caregivers

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Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon (인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교)

  • Bae, Mi Ae;Lee, Young Whee;Kim, Hwa Soon;You, Jeong Soon;Chang, Kyung Ja
    • Journal of the Korean Society of Food Culture
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    • v.34 no.4
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    • pp.389-400
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    • 2019
  • In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

Exploring Job Stress, Job Satisfaction, and Turnover Intention of Nurses in the Comprehensive Nursing Service (상급종합병원의 간호·간병통합서비스 병동에 근무하는 간호사의 직무스트레스, 직무만족 및 이직의도)

  • Kwak, Sook Hee;Hyun, Sookyung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.23-30
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    • 2019
  • The purpose of this study was to examine job stress, job satisfaction, and turnover intention of the nurses who work at the comprehensive nursing service units in two academic medical institutions that provide healthcare service at the tertiary care level in Korea. A descriptive study was conducted with the nurses by using self-reported questionnaires. We used descriptive statistics to summarize the data and Mann-Whitney U test for group comparison. The mean scores of job stress, job satisfaction, and turnover intention were $89.17{\pm}12.56$, $107.25{\pm}6.85$, $37.19{\pm}4.86$, respectively. Nurses with religion showed more job stress than those without. Nurses with their age below 30 years old had significantly less job satisfaction than those older than 30 years old. Monthly income was significantly associated with turnover intention in our data. The top three sub-category of the job stress were conflict with physicians, patients and their caregivers, and conflicts with others; and those of the job satisfaction were pay and promotion and task requirement. Job stress, job satisfaction, and turnover intention were significantly correlated. In order to reduce turnover intention of nursing professionals in the comprehensive nursing service, job stress related to issues on relationships with patients, their family, health care providers need to be taken into consideration. Policy and administrative support are needed to improve their work environment.

Emotional Labor Factors Affecting Depressive Mood in Occupational Therapists (작업치료사의 우울감에 영향을 미치는 감정노동 요인)

  • Oh, Seo-Yeon;Koo, Jung-Wan
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.1-11
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    • 2018
  • Objective : This study was conducted to determine the emotional labor of occupational therapists and the level of their feelings of depression and to examine the impact of their emotional labor on their depressive mood. Methods : Subjects of this study were clinical occupational therapists working at hospitals and clinics in Seoul and Gyeonggi regions. The factors of emotional labor were set as independent variables, the general characteristic variable and job characteristic variable which showed significant results in the chi-square test was set as the adjusted variable and whether the depression happens or not was set as the dependent variable, after which a multivariate logistic regression analysis was conducted. Results : Components of emotional labor, including frequency of emotional display(OR 1.699, 95% CI 1.202-2.401), attentiveness to required display rules(OR 1.436, 95% CI 1.070-1.982), and emotional dissonance(OR 1.866, 95% CI 1.336-2.607) all had a significant effect on depression. The possibility of depression was significantly higher in women than men(OR 5.736, 95% CI 1.746-18.846), those working for more than 8 hours per day than less than 8 hours per day(OR 8.609, 95% CI 2.306-32.137), and those working with children than those working with adults(OR 4.249, 95% CI 1.668-10.824). Conclusion : This study revealed that the emotional labor that occupational therapists are exposed to while interacting with patients and their caregivers exerts an influence on their feelings of depression. This suggests the need for developing various preventive intervention programs designed to alleviate the depressive symptoms of occupational therapists and formulating appropriate policies.

Effects of Goal Management Training According to Bilateral Activities of Autism Spectrum Disorders: Pilot Study (자폐스펙트럼 장애 아동에게 목표관리 훈련이 양측활동에 미치는 영향: 예비연구)

  • Ahn, Si-Nae
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.1-7
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    • 2018
  • The study has compared normally developed children and children who were diagnosed as autism spectrum in goal management training them to observe the effect. The research was conducted to four normally developed children and four children who were diagnosed as autism spectrum, and all subjects were provided with identical goal management training. The children and the caregivers have selected desired objectives activity, and all three activities were followed by goal management training. Intervention periods were conducted ten times in total, two times a week for five weeks, and eight subjects in the two groups were trained one on one by the researcher. The training time was 40 minutes for every session. The descriptive statistics and frequency analysis were used as the statistical method, and the Mann-Whitney test, the nonparametric statistical analysis, was conducted to compare the difference between the two groups. Goal management training for two groups did not show a statistically significant difference in terms of the performance status of Canadian Occupational Performance Measure (p>.05). In the summary of Bruininks-Oseretsky Test of Motor Proficiency (2nd) which evaluates the motor skill, there was a statistically significant difference between the autism spectrum disorder group and normal group (p<.05). Additionally, the two groups showed a statistically significant difference in eye-hand coordination sub-test among Developmental Test of Visual Perception (2nd) which evaluates the visual perception performance (p<.05). The research has confirmed the applicability of goal management training to children with autism spectrum compared to the normally developed children, and it has confirmed the effectiveness of the training.

Improving The Formal Long-Term Care Workforce Caring for the Elderly: A Focus Group Interview (요양보호사 교육의 고도화 방안에 관한 초점집단 인터뷰: 직무 및 치매교육을 중심으로)

  • Kim, Hye Jin;Jang, soong nang
    • 한국노년학
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    • v.37 no.3
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    • pp.549-565
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    • 2017
  • A high-quality workforce is essential to delivering the high-quality care for the older people who are beneficiaries of long term care insurance. Providing adequate education and ongoing training opportunities could be one answer that may lead to the ultimate goal of improving the quality of long-term care services. Thus this study aimed to examine a workforce crisis and difficulties that care workers face in current education system, especially in contents and administration aspects and draw out suitable solutions or improvement measures. The focus group interview approach was chosen to reflect opinions of long-term care workers, directors of the education system in long-term care facilities and managers. The findings from the focus group interviews were analyzed by theme and classified into several categories by common subjects:'Training contents', 'Training environment', 'Administrator', 'Compulsory training', 'Care givers supply', 'Working condition'. Also, four content areas were presented as follows:'Job training', 'Dementia care training', 'Administration system', 'Workforce'. The caregivers demand very practical training programmes and trainers with a lot of field experience. Improving the working condition and treatments for them leeds to expand the opportunity of the on-going training.

Feasibility of Synchronous Videoconferencing Interactive Singing Program for Children With Autism Spectrum Disorder During COVID-19 (자폐스펙트럼장애 아동 대상 실시간 비대면 상호적 노래부르기 프로그램 실행 가능성: COVID-19에 따른 새로운 접근)

  • Yoo, Ga Eul;Im, Ju Yeon;Ha, Eun Jin
    • Journal of Music and Human Behavior
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    • v.18 no.1
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    • pp.29-62
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    • 2021
  • This study aimed to investigate the feasibility of an interactive singing-based synchronous videoconferencing program for children with autism spectrum disorder (ASD). This study was conducted in four stages: analysis of interactive singing tasks in the literature for children with ASD, examination of differences in perception of sounds transmitted via synchronous videoconferencing platform depending on the type of singing tasks and accompaniment, construction of singing-based synchronous videoconferencing program and determination of its validity, and implementation of the constructed program with three children with ASD and confirmation of its feasibility. The results showed that different types of singing tasks and accompaniment affected perception of sounds transmitted online, which highlights the importance of considering such effects when designing synchronous videoconferencing music therapy programs. Also, increases in program engagement and singing behaviors were observed for all three participants, and their caregivers reported high levels of satisfaction with the program. The findings support the applicability of this intervention as a tele-music alternative during the COVID-19 pandemic. Clinical implications and suggestions are discussed.

A Cross-sectional Study on Perception of Autism Spectrum Disorder (ASD) and Korean Medicine Treatments - For Parents of Children with ASD (자폐 스펙트럼 장애 인식도 및 한의치료 인식도에 관한 단면연구 - 환아의 부모를 대상으로)

  • Park, Yong Seok;Kim, Jae Hyun;Lee, Jihong;Lee, Sun Haeng;Park, Sul Gi;Park, So Hyun;Kim, Ye Ji;Lee, Jin Yong;Chang, Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.35 no.1
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    • pp.122-138
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    • 2021
  • Objectives The purpose of this study is to widely utilize the clinical practice guideline for autism spectrum disorder (ASD) by investigating parents who have children with ASD about their perception in ASD and their thoughts on Korean medicine treatment to treat ASD. Methods We conducted a survey on 'perception of ASD' and 'perception and preference of Korean medicine treatment for ASD' on the parents of 22 children with ASD (age 4-6) who visited department of pediatrics of Korean medicine at Kyunghee University Korean medicine hospital at Gangdong and Kyunghee University Korean medicine hospital. Results Of the parents, 20 (90.91%) said their children had no experience with Korean medicine treatment. Among them, 11 (35.48%) chose 'I didn't know that Korean medicine treats ASD' for the reason (multiple choice). When questioned what the worries are for Korean medicine treatment, 13 (30.95%) chose 'worries about probability of side effects of herbal medicine' as the most worrisome reason (multiple choice). On the question about the necessity of Korean medicine for the treatment of ASD, most chose 'Korean medicine treatments are necessary for children with ASD' (9, 40.91%). Conclusions It is necessary to develop a clinical practice guideline that reflects comprehensive evidence for side effects as well as the effectiveness of Korean medicine for ASD, and is necessary to promote the effectiveness and evidence-based Korean medicine treatment to patients and their caregivers through various distribution tools.

A Qualitative Study of the Parenting Experience of Adolescents (청소년기 자녀 어머니의 양육경험에 대한 질적 연구)

  • Choi, Ji-Won;Kim, Soo-young
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.837-854
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    • 2021
  • This study was conducted to explore parenting experiences for mothers of adolescent children. Participants in the study were 7 primary caregivers of children in the first to third grades of middle school in the Seoul area, and in-depth interviews were conducted from September to November 2019. After recording the interviews of each participant, the transcripts of verbal words and documents that were the summary of the interview were collected as data. In this study, the participants' perceptions of experiences and actions were analyzed by Smith & Osborn (2003)'s interpretative phenomenological method, which allows researchers to make meanings. As a result of data analysis, 6 major topics and 25 sub-themes were derived. The results derived from the parenting experiences of mothers of adolescents are largely six types: the implications of spending time with their children, unnatural act, the aesthetics of expression, the way to recharge energy, the mental heritage that they want to leave for their children, and resilience. The research results of this study can be presented so that they can learn the healthy responses and interaction of care-givers in a preventive educational dimension, as it provides both generality and specificity of how mothers should interact with their adolescent children in the field of clinical practice.

Experiences of Ageism and "Self-Ageism" (노인차별 경험과 자기연령주의(self-ageism))

  • Kim, Juhyun;Oh, Hyein;Ju, Kyonghee
    • 한국노년학
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    • v.40 no.4
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    • pp.659-689
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    • 2020
  • This study focuses on the process of internalizing the perception of negative discrimination among elderly people who have experienced age discrimination. The grounded theory method was used to identify the age discrimination experienced by the elderly in their daily lives and to explore the consequences of such discrimination through self-ageism. According to the analysis results, the elderly respond not only to explicit discrimination but also to implicit discrimination. In this process, the stronger the pain of old age (poverty, disease, ignorance, and solitude) and the stronger the memory of failing to respond to discrimination, the higher the level of self-ageism. "Self-ageism" has internalized the negative image of the elderly, who have been discriminated against by age, resulting in disadvantages in terms of quality of life through various reject/separate/suspension actions in reality. In the presence of supportive resources such as health, institutional support, and caregivers, the elderly have room to overcome self-ageism through more active ways. However elderly people who cannot motivate themselves and they lack these resources, elderly are trapped in negative reflux caused by self-ageism and sustained a depressed and shrinking life. In this state, it is not easy to motivate themselves and make physical, cognitive, emotional and social responses. Therefore, in this analysis, we specifically noted two aspects, contextual conditions and interventional conditions, and proposed programs for synchronizing senior citizens and improving resiliency from a microscopic point of view, and argued for the need to develop systems such as supplementing welfare and health service systems related to the entire life cycle, expanding accessibility and 'age-integration' through 'Community Care', awareness improvement and anti-discrimination laws.

A Content Analysis of Domestic Research Trends on the Problematic Behavior of Smart Devices in Early Childhood -Focusing on Addiction Proneness- (유아기 스마트기기 사용 문제행동에 대한 국내연구동향 내용분석 -중독경향성을 중심으로-)

  • Kang, Sun-Kyung;Cha, You-Jeong
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.217-225
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    • 2021
  • This study analyzed domestic research trends related to the behavior of problems with using smart devices in infants, focusing on addiction tendency. The main results of research trends are as follows: First, the total number of papers published per year is 79, and addiction proneness studies were published in various academic journals, while researchers' major was mostly concentrated in the department of education and social welfare. Second, there were 81 research topics, including actual conditions, scale development, related variables, interventions, and causal relationships. The proportion of research subjects was the highest with 60 (74.1%) research subjects, which are related variables. Third, the subjects of the study were divided into infants, caregivers, and teachers, and the main subjects of the study were mothers. Fourth, the research trends by research method were 73 quantitative studies (92.4%), 2 qualitative studies, 1 literature study, 2 mixed studies, and 1 other study. Fifth, the results of the analysis of influential factors were classified as risk factors and protection factors, which were specifically classified as individual factors, household factors, and social and environmental factors. Based on the study results, further discussion and practical suggestions were added.