• Title/Summary/Keyword: instrumental support

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The Influence of Family Support Degree on the Depression of the Elderly in a Rural Area (일부(一部) 농촌노인(農村老人)이 지각한 가족지지(家族支持)가 우울에 미치는 영향(影響))

  • Kim, Mi-Suk;Kim, Ki-Soon;Park, Jong;Cho, Yong-Rae;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.115-129
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    • 1999
  • To find the influence of family support degree on the depression of the elderly in a rural area, a questionnaire survey was made toward 163 persons who were more than 65 years old and living in a township at Chollanamdo province from January 1st to February 20th, 1998. The major findings are as follows : 1. By simple analysis significantly associated variables with depression score were residence, adequacy of pocket money, health consciousness, drinking alcohol, smoking, score of activity of daily living(ADL), score of instrumental activities of daily living(IADL), and degree of family support among female respondents(p<0.05). 2. To find the influence of family support on the depression score excluding other associated variables, multiple regression analysis was made and it was found that family support was associated significantly with affective, somatic, psychomotor and psychological domain of depression score among male, and somatic, psychomotor and psychological domain among female(p<0.05). The above finding suggest that family support degree is an important factor to be associated with the depression of the elderly in the rural area. So to deal with the depression of rural elderly, how to make close relation among family members must be considered.

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The Clustering and Variables in Discriminating the Groups by the Level of the Loss Experience and Ego-integrity in the Elderly (노인의 상실경험과 자아통합감 수준에 따른 적응군집화 및 집단판별에 기여하는 변인)

  • Jung, Mi-kyung;Lee, Kyu-mee
    • 한국노년학
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    • v.31 no.1
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    • pp.79-96
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    • 2011
  • The purpose of this study was to search the clustering and variables in discriminating the groups by the level of the loss experience and ego-integrity among the elderly. In addition, the study aimed to confirm the moderating effects of variables related to resilience in the relationship between a loss experience and ego-integrity. The subjects were 245 elderly aged 60 or above, most of whom were socially active with comparatively high education levels. Six individual variables(physical self-efficacy, general self-efficacy, social self-efficacy, existential spirituality, religious spirituality, optimism) and five environmental variables(emotional support, instrumental support, informational support, appraisal support, social activity) were used in the study. The results of the study are as follows. To data analysis, ANOVA, Stepwise Discriminant analysis, Cluster analysis, Regression analysis and Two-way analysis of variance was employed. First, the subjects were 4 cluster into overcome group, crisis group, stable group and vulnerable group according to the level of loss experience and ego-integrity. Second, optimism, physical self-efficacy, existential spirituality and emotional support were seen to be significant variables in discriminating the groups. Third, the ego-integrity became higher as the variables related to resilience were increased.

A Study on the Functional Health Status of Living-alone Elderly (독거노인의 건강기능상태에 관한 연구 -광주광역시를 중심으로-)

  • Kim Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.94-105
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    • 1997
  • The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.

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Factors Affecting the Health-related Quality of Life According to Age in Vulnerable Aged Men (취약계층 남성노인의 연령별 건강관련 삶의 질과 영향요인)

  • Jeon, Eun-Young;Choi, Yeon-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.400-410
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    • 2010
  • Purpose: The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center. Methods: The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data. Results: There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age. Conclusion: Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.

Experimental Results of Ship-To-Ship Lightering Operations Applied Velocity Information GPS

  • Yoo, Yun-Ja;Pedersen, Egil;Kouguchi, Nobuyoshi;Song, Chae-Uk
    • Journal of Navigation and Port Research
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    • v.38 no.6
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    • pp.577-583
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    • 2014
  • A ship-to-ship (STS) lightering operation takes place in order to transfer cargo (e.g. crude oil or petroleum products) between an ocean-going ship and a service ship alongside it. Instrumental measurements to accurately determine the relative speeds and distances during the approach between the vessels would benefit the operational safety and efficiency. A velocity information GPS (VI-GPS) system, which uses the instantaneous velocity measures from carrier-phase Doppler measurement, has been applied in a field observation onboard a service ship (Aframax tanker) approaching a ship-to-be-lightered (VLCC) in open waters. This article proposes to apply VI-GPS as the input sensor to a guidance and decision-support system aiming to provide accurate velocity information to the officer in charge of an STS operation. A method for precise velocity measurement using VI-GPS was described and the measurement results were compared each other with the results of Voyage Data Recorder (VDR) and VI-GPS that showed the concept of a guidance and decision-support system applying VI-GPS with the field test results during STS operations. Also, it turned out that VI-GPS has sufficient accuracy to serve as an input sensor from the field test results.

The Relationship Between Postural Control, ADL Function, Muscle Tone, and Functional Improvement in Chronic Stroke Patients (만성 뇌졸중 환자의 자세 조절과 일상생활동작, 근긴장도, 그리고 기능증진과의 관계)

  • An, Seung-Heon;Seo, Young-Jong;Park, Chang-Sik
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.64-73
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    • 2007
  • The purpose of this study was to find any correlations among Postural Assessment Scale for Stroke (PASS), Modified Barthel Index (MBI), Tone Assessment Scale (TAS), Motor Assessment Scale-Gait (MAS-G), Fugl Meyer-Balance (FM-B), and to predict MBI from subscales of the PASS. The subjects were 41 stroke patients of the Korea National Rehabilitation Center in Seoul. The main outcome measures were postural control (PASS), gait (MAS-G), Balance (FM-B), Tone (TAS), ADL (MBI). The data was analyzed using the Pearson product correlation. PASS scale was used between other clinical and instrumental indexes, multiple stepwise regression analyses were performed to identify prognostic factors for ADL incline, and Cronbach's alpha coefficient was used to identify internal consistency on PASS scale. The results of this study areas follows: 1. The highest level was sitting without support, the lowest level was standing on paretic leg on PASS scale. The highest level was chair/bed transfer, the lowest level was bathing on MBI. 2. All items of the PASS, except postural tone were significantly correlated with Gait, Balance, MBI (p<.01), 3. The Internal Consistency (Cronbach's alpha coefficient=.85) was very high, indicating that the PASS is homogeneous and is likely to produce consistent response. Furthermore, the sums of maintaining position items and of changing-position items were strongly correlated (r=.64, p<.05) and there were significant correlations between sums of PASS, sums of maintaining position items (r=.87, p<.01), and changing-position items (r=.93, p<.01). 4. The standing without support of the PASS items was the strongest variance ($R^2$=.85) of the predicting ADL function. These findings provide strong evidence of the predictive value of the postural control on gait, Balance, ADL function in stroke patients and to can provide a reference for the successful therapeutic program and more improved functional recovery.

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Content Analysis of the Nursing Interventions and Telephone Calls to the Pediatric Nursing Unit (외래 및 퇴원환아 부모의 전화상담과 간호중재의 내용분석)

  • 한경자;최명애;강화자;박승현;김영미;권원경;안혜영
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.515-530
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    • 1996
  • A descriptive study was conducted to describe the content of nursing interventions and incoming telephone calls from the parents whose child was discharged to home or who has planned immunization during the period from March 15, 1995 to November 30, 1995. Detailed notes on 145 telephone calls and 243 nursing interventions were recorded by head nurses on pediatiric nursing units were entered to data collection and content analysis. The results of the study are as follows : 1. Six analysis categories for the records on incoming telephone calls were identified judgement-dependence, dependent -coping, self-initiated coping, support, adjustment and intermediation need. 2. Five analytic categories for the records on telephone interventions were identified : guidance, mediation, facilitating self -care abilities, support, instrumental use. 3. Problems related to physical signs and symptoms, medication, immunization, and vital signs were most often cited as concerns by parents and caregivers. 4. Instruction, suggestion, provision knowledge and information, reassurance related to physical problems, medication, immunization and clinic visits were most often used as an nursing interventions by head nurses on pediatric nursing units. In spite of the fact that the telephone calls were initiated by the parents, dependency of parents during the telephone calls was remarkable. The dependency of parents on judgement and decision making of the pediatric nurses should be understood in terms of the psychosocial content as well as cultural characteristics. Therefore, it is suppested that telephone interventions focus on facilitating the self-care ability of the parents whose children have chronic conditions. The results of this study will be useful as an essential reference in providing effective for children and their families after discharged from the hospital. The results can also be used as reliable data for extended pediatric nursing service in the health care delivery system as well as for the development of telephone intervention service program in responding to the current health care environment.

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A Study on the Determining Factors of Utilizing the Nursing Home (유료노인요양시설(Nursing Home)의 이용 결정 요인에 관한 연구)

  • Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.582-588
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    • 2001
  • Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

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A Study on the Structural Goal of the Public Library through the Staff's Perception of Public Libraries in Korea (공공도서관 목적의 구조에 관한 연구 -공공도서관 직원의 인식을 바탕으로-)

  • Lee Yong-Nam
    • Journal of the Korean Society for Library and Information Science
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    • v.22
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    • pp.29-82
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    • 1992
  • The goal of the public library as perceived by its staff has asignificant influence on establishing, implementing and restructuring the objectives of the public library. Therefore, it is necessary to analyze the nature of staff's perception of the goal. The goals of the library are divided into 'actual goal' and 'preferred goal' according to the level of goals, and into 'aoutput goal' a and 'asupport goal'a according to the areas of goals. This study aims at clarifying the relationship among various goals of the public library. On the basis of staff's perception, personal characteristics of individual staff and their effects on the goal can be analyzed. For the purpose of the research, the author took a sample from the 238 public libraries in Korea and tested a few hypotheses extracted from the questionnaires. A statistical software package called SYSTAT was used to process the data. The result of the study can be summarized as follows: 1. Staff members of the public libraries tend to place a higher priority on support goal with instrumental value over output goal, the terminal value of the public library. This is tantamount to a displacement of goals. 2. Personal characteristics such as the age and the length of work experience appear to influence their present perception of actual goal at large. On the other hand, the formal qualification as librarian and special features regarding the job hierarchy seem to affect the areas of support goal within the actual goal. 3. Perception of preferred goal is affected mainly by formal qualification as librarian among their personal characteristics. 4. There is a significant difference between the staff's perception of actual and preferred goals in the large. Goal discrepancy which indicates the expectation of change and the degree of conflict in goals is very large as well.

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The cross-lagged effects of unmarried fathers' involvement on children's behavior problems (교차지연 모형을 통한 비혼 아버지의 양육참여와 아동의 문제행동간의 인과관계 검증)

  • Choi, Jeong-Kyun
    • Journal of the Korean Society of Child Welfare
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    • no.59
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    • pp.1-23
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    • 2017
  • Using a subsample of 3,409 unmarried smothers and their children from the Fragile Families and Child Wellbeing study, the present study examined the cross-lagged effects of unmarried fathers' involvement on their children's behavior problems. Father involvement was used as a latent variable to measure the frequency of fathers' visits to the child, fathers' instrumental support, and their supportive parenting. Both variables of father involvement and child behavior problems were repeatedly measured at child ages 3, 5, and 9 to estimate their trends over time. The results indicated that fathers' more active engagement in parenting at child ages 3 to 5 reduced behavior problems in children at ages 5 to 9. Further discussions include programs and services to support unmarried fathers through education and training opportunities for effective parenting, relationship skills, and conflict resolutions as well as policy strategies to encourage their continuous involvement in the lives of their children.