The elderly population in Korea is growing rapidly and their needs for long-term care has also increased. By the year 2018, our society will be approaching aged society and by 2026 it will be a super-aged society. The purpose of this study was to employ conjoint analysis to establish the relative importance of foodservice encounters in terms of determining the utility values of hospital foodservice for elderly patients. According to the results pearson's R(0.420) and Kendall's tau(0.402) statistics showed that the model fits the data well(p<0.05). The relative importance scores of hospital foodservice encounters were as follows: dietary counseling with dietetics(51.2%), foodservice personnel(48.7%), and food(0.1%). A soft cooking method(0.001) was preferred to a general cooking method(0.001), and kind foodservice personnel(0.086) were preferred to quick service(-0.086). Finally, counseling with a dietitian once a week(-0.138) was preferred to counseling twice a week (-0.276). Based on this conjoint analysis, the most preferable model for foodservice at a long-term care facility would be; soft cooking methods, kind service by foodservice personnel, and dietetic counseling once a week. Overall, a better understanding of the specific needs of our institutionalized elderly is one of the key elements that can help our long-term care system develop improved foodservice programs.
This study investigated the problems of remarried wife with alcoholic problem. Specifically, this study regarded the wife's alcoholic problem as the problems of dysfunctional interaction among family members rather than an individual problem. The study had three purposes as follows. First, what were the interactions sustaining the conflict of remarried family? Second, what were the characteristics of remarried family relating to family conflict? Third, what were the interventions of family therapy to resolve the conflicts of remarried family? The total family counseling was 9 sessions, which included individual, couple, and family counseling. The study used constant comparative analysis by using open coding method to find the factors relating interactions sustaining the conflict of remarried family, the characteristics of remarried family relating to family conflict, and the interventions of family therapy to resolve the conflicts of remarried family. Also, the study used Miles and Huberman's matrix and graphical network display to show the interaction of family members. The study found intriguing factors, counteracting factors, relationship level, and relational elements to wife's alcoholic problems among family members. The study revealed husband's rigid family rules, husband's execution of patriarchal authority, husband's pursuit of family identity, and husband's emphasis of union among family members as the characteristics of remarried family. On the other hand, the study found the reinforcement of spousal subsystem, the pursuit of change in communication pattern between husband and wife, the amelioration of rigid family rules, and the acceptance of differences among family members as the intervention of family therapy to resolve the conflicts of remarried family.
The purpose of the study was to examine Korean high school students' experience and perceptions of friendship and to inductively conceptualize friendship. The concept mapping method which is used to quantitatively analyze qualitative data was used to identify and visualize participants' experiences and perceptions of friendship. Through a brainstorming process, 93 statements were generated by boys and 100 statements were generated by girls, each set of which were sorted and categorized to generate concept maps. The final concept maps from both group equally had two dimensions: 'Practical-Conceptual' and 'Behavioral-Emotional'. The number of categories was equal to four, but there were some differences in the specifics of the statements in the category. Boys tended to conceptualize friendship as a source of happiness; a type of informal relationship through which they could share their everyday lives; and provide mutual care and engage in emotional bonding. In addition to those conceptualizations, girls also tended to conceptualize friendship as an affective alliance through which they displayed devotion to each other. Boys regarded the sympathy and bonding found in and the happiness produced by friendship as more important elements, whereas girls regarded the care and support found in and the informal nature of friendship as more important
The purpose of this study was to test the effectiveness of a group coaching program to promote metacognitive learning ability in an academic context for adult learners enrolled at a distance university. The topics and objectives of the group coaching program focused on understanding and applying the elements of 'metacognitive knowledge', and each session was conducted online by integrating 'planing-monitoring-regulating', an element of 'metacognitive regulation', into the REGROW model of coaching. To verify the effectiveness of the program, research participants were recruited from adult university students enrolled in A Cyber University and assigned to the experimental and control groups. The experimental group was given the program, while the control group was given the program after the completion of the study. Metacognitive learning ability level and academic self-efficacy were tested before and after the program for both groups, and a satisfaction survey was conducted for the experimental group. Analyses of the data revealed that the experimental group showed higher scores on both the overall and sub-scales of perceived metacognitive learning ability and academic self-efficacy compared to the control group. Participants in the experimental group also reported high satisfaction with the program, increased knowledge of metacognition, awareness and application of metacognitive strategies, and found the group coaching approach beneficial. Based on these findings, implications, and suggestions for future research are presented.
This study, driven by the question of 'what the experience of healing of female sexual abuse victims is like,' explores the process the victims undergo as they heal from the traumas. Using the methods suggested by Strauss and Corbin's Grounded theory, it analyzes nine interviews taken from victims who have received counseling. The study found that the central phenomena that take place in the process of their healing is 'mental pain due to the damage caused by sexual abuse,' the causal conditions are 'the recognition of the sexual abuse' and 'desperation,' and the contextual conditions are 'the reaction of the close ones of the victims,' 'the preconception about sexuality,' and 'the incarceration and punishment of the offenders.' The victims have been intervened in the healing process by 'being supported' and 're-interpreting the meaning of the damage caused by sexual abuse,' and are found to utilize the interactive strategy among 'facing their emotions,' 'learning new coping strategies,' and 'hoping for the future.' They are also found, as a result of the healing, to 'live unafraid as survivors' and 'have structured their lives in a new way.' This study is of significance in systematically elucidating the healing process and the related elements found through the voices of the survivors of sexual abuse in the context of the Korean society and culture. The limits of this study and suggestions about the studies that should follow this one are included as well.
Relationship between lipid intake and obesity has been well-addressed but recent findings indicated that the type of lipid or composition of lipid in the diet also contributes to body fat accumulation and consequential health outcome. The purpose of this study was to investigate the status of nutrition intake including fatty acids, lipids and lipid soluble nutrients between the obese and lean college students and to analyze the relationship between the intake of certain fatty acids and body fat accumulation. Anthropometric elements including body weight, height, body fat and composition were measured, and dietary recall was conducted on a total of 114 college students. Data showed that total calorie intake and total lipid intake were not significantly different between the obese and lean subjects, in both male and female students. However, male obese subjects ate more amount of plant lipids and palmitic acids (C16:0) from their diet (p<0.05), while female obese subjects consumed more linoleic acids (18:2) and linolenic acids (C18:3) compared to normal subjects (p<0.01). Correlation analysis revealed that the consumption of palmitoleic acid (C16:1) and lipid soluble vitamin D were negatively (p<0.05) correlated with body fat accumulation in all subjects and these findings were supported by simple linear regression analyses for those variables. These results implicate that rather than only considering the amount of lipids, suggesting a proper type of lipids or lipid metabolites can be considered in nutrition counseling or education.
Suh, Moon Ja;Kim, Hea Sook;Kim, Kuem Soon;Lim, Nan Young;Kim, Kwuy Bun;Sung, Ok Hee;Ju, Hee Joo
The Korean Nurse
/
v.35
no.1
/
pp.66-80
/
1996
Reacently one the main issues has been to develop useful strategies to improve hospital services for patients in the health care delivery system in our rapidly changing society. This study has focused on exploring the perceptions that the clinical nurses have concerning who they are and what they are going to become in the days ahead as medical care reaches a new stage of advancement centered around the patient and hospital services. This study in also based upon the premise that the role of the clinical nurse practitioner. is central to the progress of any patient centered nursing program. This study was carried out by the members of the academic committee of Seoul Branch of Korean Nurses Association from January 1995 to February 1995. The interview method was a semi-structured questionnaire used to collect data from 25 staff nurses who were working more than 3 years at 3 different university hospitals in Seoul. The 6 interviews were selected from each hospital and they were trained for the interviewing techniques. The data were analysed qualitatively and 10 elements of the nurse's responsibilities classified such as caring for the patients (which includes specific medical care as well as general); assessing; diagnosing; coordinating with other health personnel; careful listening; teaching and the patient guiding; administering the prescriptions; giving information and counseling the patient; ward management. Although the premise of this study was based on a wholistic concept, the overall behavioral aspects of hospital clinical nursing were the major thrust of the questionnaire. Broad philosophical questions regarding the nature of nursing need to be further explored. The data gathered for this questionnaire should be useful as a reenforcement tool in educating nursing students as well as in continuing education for clinical nurses. For the future, another study should be done to determine the nursing/patient relationship.
The major purpose of this study was to explore the relation of a child's need for approval, anxiety and anger-in on a child's relational aggression according to gender. The study's participants included 464 boys and girls selected from fifth-and sixth-graders at an elementary school in Busan. A child's need for approval, anxiety, anger-in and relational aggression were assessed with their own self-reports. For data analysis, Cronbach ${\alpha}$, T-test, Pearson correlation coefficients, and Multiple Regression were used. The collected data was analyzed by the SPSSWIN 18.0 program. The major findings were as follows: First, child's anger-in demonstrated a significant difference among sexes. Girls indicated higher points than boys. Second, Boys' need for approval indirectly affected child's relational aggression through anger-in. Boys' anger-in was directly affected by relational aggression. Boys' anxiety was directly affected by anger-in. And boys' anxiety indirectly affected child's relational aggression through anger-in. Third, Girls' anxiety was directly affected by relational aggression. Need for approval and anxiety were directly affected by anger-in. The findings from this study indicates that child's need for approval, anxiety and anger-in are important elements in relational aggression are affected differently depending on the child's gender. Also, this study has meaning in that it can be used as fundamental data to develop a teaching plan and counseling program for children that can decrease relational aggression.
Since the tarot is establishing itself as a play culture arousing the fun and curiosity from people, this study is intended to arrange an opportunity for people to have more interest in the beauty by the beauty tarot card. Hereby, the beauty tarot card was interpreted by applying the kabala focusing on the major Arcana card, a core element of the universal weight tarot, which was the basis of the tarot card based on the precedent study. A tool was made that the beauty tarot dot could be used as a counseling method by applying the beauty tarot card to 22 major Arcana after changing 4 elements: fire, water, air, and ground that were basic symbols of universal tarot card into the brush, foundation, eyebrows, and shadow, regarding them as the beauty-related symbol. It is thought that the made beauty tarot card will enable the tarot readers or relevant profession to give beauty-related counsel usefully to people interested in the tarot card. It is expected that the interest and concern for the beauty tarot card heightens, and the tarot cards according with various aesthetic domains such as the makeup, hair, skin, and nail art are produced in the future.
The purpose of this study was to investigate the causal relationship of early adolescents' personal variables and social support on their self-esteem by grade. Information on 226 6th graders from elementary schools and 226 1st year students from middle schools in Busan was collected. Early adolescents' prosocial behavior, academic achievement, social support, and self-esteem were assessed using their self-reports. For the data analysis, Cronbach's ${\alpha}$, t -test, Pearson's correlation coefficient, and multiple regression were used. The collected data were analyzed by the SPSS ver. 21.0 program for Windows. The major findings were as follows: first, early adolescents' prosocial behavior, academic achievement, social support demonstrated a significant difference between grades. Second, peers' social support was the most powerful determinant of self-esteem in both the 6th graders from elementary schools and the 1st year middle school students. Third, prosocial behavior had the greatest total effect on self-esteem in the case of both groups of students. The middle schoolers' academic achievement had no causal effect on their self-esteem. The findings from this study indicate that early adolescents' personal variables and social support are important elements that affect their self-esteem differently depending on their grade. Further, the findings of this study can be used as fundamental data to develop a teaching plan and provide counseling for early adolescents in order to increase their self-esteem.
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