• Title/Summary/Keyword: family member

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Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process (녹음된 목소리를 통한 가족중재가 인공호흡기 이탈 과정 환자에게 미치는 효과)

  • Choi, Ah Young;Kim, Min Young;Song, Eun Kyeung
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.32-43
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    • 2024
  • Purpose: This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. Methods: A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ2 test, were used for data analysis. Results: The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process' simplification (χ2 = 0.63, p = .727). Conclusion: Intervention using family members' voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.

Design of Medical Record Algorithms

  • So Yo-Hwan;Kim Seok-Soo
    • International Journal of Contents
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    • v.1 no.2
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    • pp.18-21
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    • 2005
  • The following suggested algorithm is completed care report for the family medical history. Rn=$U\;Pnj+U\;Dn^i$ : (j=1,2,...,j), (i=1,2,...,i), (n=1,2,...,n) The Rn(completed care report) integrates comprehensive patients reports ranging from patient $P^2\;to\;P^j$ including $P^1$ (oneself) with the doctors' care reports up to the care No. no by i number of doctors ($D^1$ =doctor in charge, $D^{2,3...i}$=doctors on corporation program.) This approach, since a participation in a family membership effectuates all of family members, can minimize the membership fees, thus enabling inter-family health care on a home doctor basis.

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Health Status of Women Caregivers and Negative and Positive Impacts of Family Caregiving (여성 가족부양자의 건강상태 및 가족부양의 부정적.긍정적인 영향)

  • 김진선
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.632-646
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    • 2000
  • The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.

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A Study on the Contents of Population Education in Home Economics (가정학에서의 인구교육내용 연구 - 가족관계분야를 중심으로 -)

  • 김순옥
    • Journal of the Korean Home Economics Association
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    • v.20 no.1
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    • pp.87-96
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    • 1982
  • For the solution of population problem, a population education is urgently need since family member size(that is population size) will be on the decrease fro the reason of changes in family consciousness by population education. The population education should be carried out interdisciplinary, but, above all, home economics is more suitable to the population education. In this study, the issues are the contents of population education in relation to family relations of home economics. Those contents are as follows: 1. A change in family consciousness through the value of child 1) Conventional value of child 2) Criticism about conventional value of child 3) Current value of child 4) Desirable number of children 2. A change in family consciousness through the preparation for one's declining years 1) Analysis of periodic family life cycle by number of children 2) Desirable number of children 3. A change in family consciousness through the parental responsibility 1) Mental responsibility 2) Physical responsibility 3) Economics responsibility 4. A change in family consciousness through the relationship between parents and children 1) Conventional relationship 2) Current relationship 3) Desirable relationship 5. A change in family consciousness through the relationship between husband and wife 1) Conventional relationship 2) Current relationship 3) Effects of children on the relationship of husband and wife By the above contents of population education in the field of family relations of home economics parents will have their deliberate plans and aims.

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Structure-function analysis of PRDI DNA polymerase

  • Jung, Guhung
    • The Microorganisms and Industry
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    • v.16 no.3
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    • pp.6-14
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    • 1990
  • PRDI DNA polymerase is the smallest member of the family B DNA polymerase (Jung et al., 1987). This DNA polyerase is specified by bacteriophage PRDI which infects a wide variety of gram-negative bacteria(Mindich and Bamford, 1988). Because PRDI is highly amenable to genetic and biochemical manipulation, it is a convenient model system with which to study structure-function relationships of DNA polymerase molecules. To determine the functional roles of the highly conserved regions of the family B DNA polymerases, we have initiated site-directed mutagenesis with PRD1 DNA polymerase, and our results show that mutations at the conserved regions within PRD1 DNA polymerase inactivate polymerase complementing activity and catalytic activity.

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Complete Nucleotide Sequence of Small Multidrug Resistance Plasmid pKH4 (Small Multidrug Resistance(smr) 플라스미드 pKH4의 염기서열 결정)

  • 고창학;문경호
    • YAKHAK HOEJI
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    • v.43 no.6
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    • pp.789-792
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    • 1999
  • The complete nucleotide sequence of pKH4, a small multidrug resistance (smr) plasmid isolated from multidrug resistant Staphylococcus aureus SA5, was determined. Sequence analysis has revealed that pKH4 has two open reading frames for Rep and Smr proteins. The comparison of the amino acid sequence of Smr protein of pKH4 with those of other Smr proteins of various Staphylococcus showed that Smr protein of pKH4 is a new member of the SMR family.

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Effects of Video-guided Education for Primary Family-caregivers of Stroke Patients (뇌졸중 환자의 주간호제공자를 위한 비디오재활교육의 효과)

  • Cho, Bok-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.2
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    • pp.237-246
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    • 2011
  • Purpose: Family-caregivers of stroke patients usually go through hardship and life style changes during the protracted course of a family member's rehabilitation. There is need for programs to educate family-caregivers to better manage the medical crisis. In this study an evaluation was done of the degrees of burden and well-being experienced by primary family-caregivers following video-guided education (VGE) on rehabilitation and family lifestyle changes. Method: Fifty-eight primary family-caregivers of stroke patients on a neurological ward were divided into VGE (29) and control (29) groups. VGE was started within 7 days of patient admission. Interventions included VGE, counseling, and demonstration - re-demonstration. The control group received standard education but not VGE. Data were analyzed using Chi-square test, t-test, ANCOVA, and Pearson correlation coefficients with the SAS program. Results: The VGE group had a significantly lower score for total burden (F=7.19, p=.010) and for sub-scale of time-dependent burden (F=8.44, p=.005) than the control group. There was a negative correlation between primary family-caregiver burden and well-being (r=-.7151, p<.001). Conclusion: Results suggest that the rehabilitation program using VGE was an effective nursing intervention to reduce the burden of primary family-caregivers of stroke patients.

Experience of a Special Rating Dementia Service for Family Caregivers of Elderly People with Dementia (치매노인 가족의 치매특별등급서비스 이용 경험)

  • Cho, Hee Kyung;Chang, Soo Jung
    • Research in Community and Public Health Nursing
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    • v.29 no.2
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    • pp.231-243
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    • 2018
  • Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: "reminiscence of an entangled life", "feeling relieved from a stifled life", and "hope for a better life through help and support" with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.

A Study of Family Adaptation with Chronically III Patients (I) - Stroke Patients at an Oriental Medical Hospital - (만성질환자 가족의 질병 적응과정 연구(I) - 한방병원에 입원한 뇌졸중 환자를 중심으로 -)

  • Lee, Young-Ae
    • Journal of East-West Nursing Research
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    • v.3 no.1
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    • pp.96-103
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    • 1998
  • This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

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A Longitudinal Study on the Burdens of Caregivers in Families with Stroke Patients (뇌졸중 환자를 돌보는 가족간호자의 부담감에 대한 종적연구)

  • Kang, Sue Jin;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.209-221
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    • 2000
  • This longitudinal study examines the burdens and related factors for stroke patient's primary family caregivers. Sixty-one patients treated for stroke at a general hospital in Chung-nam province and family member caregivers participated in this study from July 28, 1998 to August 1, 1999. Family caregivers' burdens were assessed by the burden scale originally developed by Zarit(1980) and Novak & Geust(1989) and modified by Oh's(1993) for use in Korea. The burden scale instrument consists of five subscales.: financial burden, social burden, physical burden, dependency burden, and emotional burden. Repeated ANOVA and Stepwise multiple regression were used in the data analyses. The results were as follows: The burden mean score was 3.23 in the hospital, 3.26 after hospital release, and 3.27 in the home environment. In the hospital, a patient's degree of cognition, and social support for family caregivers were significant factors affecting the sense of burden felt by family caregivers. After hospital release, the significant factors affecting the sense of burden were the degree to which stroke patients could participate in daily living activities, social support for family caregivers, and changing to a second caregiver. In the home environment, the most significant factor affecting the sense of burden was social support for family caregivers.

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