• Title/Summary/Keyword: living will

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Psychosocial Pre-Transplant Assessment of Living Kidney Donors (생체 신장 이식 공여자에 대한 정신사회적 평가)

  • Ah Rah Lee;Myungjae Baik;Sang Min Lee;Won Sub Kang;Jin Kyung Park
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.43-49
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    • 2023
  • In Korea, the dependence on living donations is high due to the shortage of organs available for donation compared to the number of people waiting for transplants and the number of living organ donations continues to increase. In particular, the number of living-donor transplantations is high worldwide, highlighting the importance of pre-transplant psychosocial evaluation of living kidney donors. According to previous studies, when evaluating living organ donors before transplantation, it is crucial to determine whether the donor can give informed consent and be aware of the risks after surgery. Pre-transplant evaluation tests such as ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2) and Temperament and Character Inventory (TCI) are conducted for donors. After reviewing the literature on these pre-transplant psychosocial assessment tools, we will also look at legal considerations for living kidney donors in Korea and suggest an effective and essential pre-transplant screening evaluation method for living kidney transplant donors.

The influence of Self-efficacy on Activities of Daily Living in Patients with Rheumatoid Arthritis (류마티스 관절염환자의 자기효능감에 따른 질병상태와 일상활동의 정도)

  • Lee, Hae Ran;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.5-16
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    • 2000
  • The aim of this study was to investigate the differences in the level of disease condition and ADL by self-efficacy in patients with rheumatoid arthritis. The subjects of the study consisted of eighty-four outpatients with rheumatoid arthritis at a university hospital in Taegu between July 20, 1999 and August 25, 1999. The instruments used in this study were the self-efficacy developed by Lorig et al. (1989), the pain scale developed by Lee and Song(1987), the erythrocyte sedimentation rate(ESR), the pain joint count to measure disease condition scale, and the ADL scale developed by Katz et al. (1970) and Barthel(1973). Analysis of data was done by use of descriptive statistics: Pearson Correlation, Chi-square test, t-test, ANOVA and Scheffe, with the SPSS program. The major findings can be summarized as follows: 1. The first hypothesis, "There will be differences in the level of disease condition by self-efficacy in patients with rheumatoid arthritis" was partially supported. 1-1. "There will be differences in the level of pain by self-efficacy in patients with rheumatoid arthritis" was supported(F=3.422, p=.037). 1-2. "There will be differences in the level of ESR by self-efficacy in patients with rheumatoid arthritis" was the Disease Condition and supported (F=3.314, p=.041). 1-3. "There will be differences in the level of pain joints count by self-efficacy in patients with rheumatoid arthritis" was rejected(F=2.602, p=.080). 2. The second hypothesis, "There will be differences in the level of ADL by self-efficacy in patients with rheumatoid arthritis" was supported(F=7.067, p=.001). With the above results, it can be concluded that the higher level of self-efficacy contributed to the better level of disease condition and ADL in patients with rheumatoid arthritis. Therefore, by providing nursing intervention to promote the level of self-efficacy of rheumatoid arthritis patients with low self-efficacy, disease condition and ADL would be much better.

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A Study on Ergonomic Uncomfortableness on ADL for Korean Elderly People (우리나라 노인들을 대상으로 한 일상생활에서의 인간공학적 불편성 조사 연구)

  • Lee, Yong-Hui;Lee, Dong-Chun;Lee, Sang-Do
    • Journal of the Ergonomics Society of Korea
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    • v.23 no.3
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    • pp.101-109
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    • 2004
  • This paper reports the results on age and gender of Korean elderly people for the level of difficulty in performing household tasks (meal preparation, grocery shopping, house cleaning, laundry), personal tasks (dressing, bathing, grooming), transfer tasks (getting in and out of chairs, getting in and out of bath-tub, using stairs) and management tasks (using telephone, accessing mail, operating door locks). A questionnaire based on the Activities of Daily Living (ADL) scale was constructed and administered to 40 Korean elderly subjects aged from 65 to 84(mean age: 74.5, SD: 5.8) in Busan. Additionally, a logistic regression was performed with age (continuous variable) and gender as predictor variables, and reponses to individual questions as the categorical ordinal response variables. To determine appropriate age separation at which difficulty levels in performing activities of daily living change, a discriminant analysis was performed on the responses. All predictor variables were used in the analysis. Accommodating age related changes in functional abilities, and increasing functional independence of elderly people will entail significant design modifications to products, systems and environments for daily use and living.

A Expectation of Over Middle Aged People about Dietary Living during Their Elderly Life (노년기 식생활에 대한 중.장년 층의 가치관)

  • Koo, Nan-Sook;Park, Ji-Yeun
    • Korean Journal of Human Ecology
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    • v.9 no.2
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    • pp.223-230
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    • 2000
  • The survey was conducted by using questionnaires in order to investigate the expectation of over middle aged people on dietary living during their elderly life. Many persons(41.9%) anticipate that some kind of change will happen in dietary living during their elderly life. They are willing to prepare their own meals by themselves (73.5% of male and 86.6% of female). It is expected that they prefer various kinds of foods, korean traditional foods, home-made foods, natural food to processed food, and nutritionally balanced foods. The balance of nutrition and easiness of digestion should be primarily considered as a base of food choice, and then taste or convenience. The result of this study indicates that korean traditional food culture can not be easily changed. If food industries had a plan to produce some items for future silver generation, they should make efforts to develop processed foods considered the nutrition and digestibility, natural foods packed conveniently for home-cooking, and food preparation equipment used easily by elderly people.

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Case Study on Mongolian Marriage-based Immigrants' Adaptation to Korean Family Living (몽골 결혼이민여성의 한국가정생활 적응 사례)

  • Chae, Ock-Hi;Hong, Dalahgi;Song, Bok-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.4
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    • pp.171-192
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    • 2009
  • This research is a case study based on face-to-face interviews with eighteen Mongolian marriage-based immigrants. The purpose of the study is to understand Mongolian family living in general and the Mongolian immigrants' family living in Korea in order to help the immigrants in their initial settlement period and the crossculture families by providing them with the information on Mongolian family living. Based on the findings of the study, marriage-based immigrants need a great deal of support for Korean language and adaptation to the new life style during their initial settlement period. Meanwhile, the immigrants that have lived in Korea more than three years can benefit from differentiated types of support such as career reinforcement programs or empowerment programs. Also, their children should be encouraged to become bilingual in their mother's native language with appropriate education and support system, and they will be able to become a great asset to our society in the future.

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Pre-Occupancy Evaluation Methodology of Housing Design for Elderly People (미래 노인주거환경 디자인을 위한 거주전 평가방법에 관한 연구)

  • Kim, Mi-Yun;Kim, Gun-Young;Choi, Jin-Won
    • 한국HCI학회:학술대회논문집
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    • 2008.02b
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    • pp.227-232
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    • 2008
  • Since 2000, there have been many changes in the residential types, such as an intelligent apartment which integrates both resting space and production space with comfort able, pleasant and safe environments based on internet systems. As the result of the rapid decrease in the birth rate and the prolonged lifespan around the world, it is expected that we will enter into an aging society by 2026. With such the expected change in the living patterns, many issues concerning the increased number of the elderly people have emerged as major social problems such as changes of family formation, its function and values, responsibility of caring for the aged, health and medical care, habitation policies and so on, and it is required to reconsider the social awareness on the living qualities of each old person. However, we have not yet satisfied such requirements with appropriate policies for the improvement of the living environment for them. It is considered, therefore, that we need to develop a new tool that, according to our goals, can give us a broad understanding on several considerations in designing the future homes for the elder people, making it possible to check the process changed by residents' needs in real time and apply it immediately to the space. As we have seen, it is required that spatial design process and design methodology should be considered in designing the homes for the aged for the pre-occupancy design evaluation.

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Incentive Mechanism in Participatory Sensing for Ambient Assisted Living

  • Yao, Hu;Muqing, Wu;Tianze, Li
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.1
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    • pp.159-177
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    • 2018
  • Participatory sensing is becoming popular and has shown its great potential in data acquisition for ambient assisted living. In this paper, we propose an incentive mechanism in participatory sensing for ambient assisted living, which benefits both the platform and the mobile devices that participated in the sensing task. Firstly, we analyze the profit of participant and platform, and a Stackelberg game model is formulated. The model takes privacy, reputation, power state and quality of data into consideration, and aims at maximizing the profit for both participant and publisher. The discussion of properties of the game show that there exists an unique Stackelberg equilibrium. Secondly, two algorithms are given: one describes how to reach the Stackelberg equilibrium and the other presents the procedures of employing the incentive strategy. Finally, we conduct simulations to evaluate the properties and effectiveness of the proposed mechanism. Simulation results show that the proposed incentive mechanism works well, and the participants and the publisher will be benefitted from it. With the mechanism, the total amount of sensory data can be maximized and the quality of the data can be guaranteed effectively.

A Study on the Housing Renovation to Provide Comfortable and Independent Living Environment for Disabled People (재가 장애인의 자립 생활환경 조성을 위한 주택개조에 관한 연구)

  • Chung, Tae-Seung;Chung, Gwang-Ho
    • Journal of The Korean Digital Architecture Interior Association
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    • v.6 no.1
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    • pp.33-39
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    • 2006
  • Along with the increasing number of disabled people, number of handicapped people who spends most of their time indoors increase. Their disabilities constrain them in social activities and bind them to indoors. But living environment built for normal people are many cases inevitably inconvenient for disabled people. People realizes that housing renovation is necessary, however problems such as financial difficulties must be solved in advance. House renovations, to create comfortable and independent living conditions for disabled people, various thesis and documents were analyzed, along with survey through questionnaire. Results are as following. (1) House renovation is necessary, due to the increasing number of disabled people and inconvenience of former house form. (2) Integrated or specialized house renovation manual is required to satisfy the different need derived from extent and type of disabilities. (3) Central and local government's policy for continued support is necessary. (4) House renovation plan for homeless disabled people is necessary. (5) Separate research on the size of space, type of space, efficiency is necessary. (6) Separate house renovation plan considering the people who lives with disabled people is required. (7) Disabilities are not personal but societal problem. This paper is to uncover all the problems in the house renovation for disabled people. It will be used to develop house renovation manual in the future. Therefore, this paper does not deal with the actual house renovation plans.

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Factors Affecting Fear of Falling in Stroke Patients (뇌졸중으로 요양병원에 입원한 환자의 낙상에 대한 두려움 영향요인)

  • Jeong, Hee-Sook;Lee, Eun-Nam;Kim, Sam-Sook
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.215-226
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    • 2011
  • Purpose: This study aims to investigate the fear of falling of stroke patients and identify factors affecting the fear of falling. Method: For basic data, structured questionnaires were used for 137 stroke patients in hospitals in B city sampled for this study from June to August, 2010. Results: A multiple regression analysis used to identify variables affecting the fear of falling of stroke patients indicates that the most affecting variable was activities of daily living (${\beta}$=-.558), followed by self-efficacy of falling (${\beta}$=-.223), primary caregiver (${\beta}$=-.118), perception of health (${\beta}$=-.128) and drunken status (${\beta}$=-.108). Total variance explained by activities of daily living, self-efficacy of falling, the primary caregiver, perception of health and drunken status was 81.2% (F=70.845, $R^2$=.812). Conclusion: As discussed above, the factors significantly affecting the fear of falling in stroke patients were activities of daily living and self-efficacy of falling. Therefore, in order to reduce fear of falling of stroke patients and prevent falling, it is suggested that programs should be developed that will improve self-efficacy of falling and daily living activities.

Health Status and Improvement Plans for Korean Elderly (한국 노인의 건강실태와 대책방안)

  • Hwang, Hyun-Sook
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.953-975
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    • 1999
  • The purpose of this document is to provide the direction of the policy for welfare of the elderly, by identifying the problems and status of the welfare service for the elderly. The primary source of degrading the living standard of the elderly is the increase of the elderly population and life longevity. The Welfare service for the elderly to enhance the poor living level of the elderly population should be established, to compensate their former economic and social contribution in the society and also to promote the basic human right. The agenda to achieve this goal sums up like these : First, the basic living of the unhealthy elderly belonging to the low-income group, such as government-provided income and medical service should be provided. Second, for those with working ability, more opportunity for working and social activities should be given, focusing on expanding the employment rather than adding income. Third, for those with middle and high income, silver industry and pastime activities should be nurtured. Lastly, rather than institutional protection for the elderly, the welfare service for those staying home should be enforced, thus naturally leading to the family support for the elderly. There cannot be a sound policy for welfare and improvement of living standard ignoring the Well-being of the elderly population. The effort to better the welfare for the minority groups who compose the base of the social base will, eventually, result in the progress of the entire society.

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