The number of one person households has grown steadily over the recent past and the population of lonely and unnoticed death are also observed. The phenomenon of one person households has been occurred. In the dark side of society, the remarkable number of lonely and unnoticed death are reported among different age-groups. We propose an unusual event detection method which may give a remarkable solution to reduce the number of the death rete for people dying alone and remaining undiscovered for a long period of time. The unusual event detection method we suggested to identify abnormal user behavior in their lives using vision pattern, audio pattern, and dust pattern algorithms. Individually proposed pattern algorithms have disadvantages of not being able to detect when they leave the coverage area. We utilized a fusion method to improve the accuracy performance of each pattern algorithm and evaluated the technique with multiple user behavior patterns in indoor areas.
Suicide is the leading cause of death among Korean adolescents. There is a growing interest in the role of loneliness as a risk factor for suicide ideation and depressive symptoms. However, little is known in the Korean context. This study analyzed a total of 109,796 respondents from the Korea Youth Health Behavior Survey in 2020 and 2021. Multiple logistic regression models were implemented to test the association between loneliness and either of suicidal ideation and depressive mood. Covariates included demographic characteristics, school enrolled, household income, living arrangement, self-rated health, and the number of times treated for violence. Adjusted odd ratio (OR) and 95% confidence intervals (CI) were computed. 12.0% of adolescents reported to have felt lonely frequently and 3.0% always. 11.8% and 26.0% had suicidal ideation and depressive mood, respectively. The prevalence of suicidal ideation was higher in the always-lonely adolescents (52.6%) than in the frequently-lonely adolescents (35.1%). The always-lonely adolescents were nearly 30 times more likely to have suicidal ideation (OR=30.7; 95% CI, 27.1 - 34.8) and to feel depressed (OR=32.5; 95% CI, 29.2 - 36.4) than adolescents who felt never lonely. In conclusion, Loneliness was a major risk factor for suicidal ideation and depressive mood among Korean adolescents. Monitoring and addressing the condition of loneliness may help reduce suicidal ideation and depressive mood.
The Journal of the Convergence on Culture Technology
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v.7
no.1
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pp.11-16
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2021
Recently, community welfare centers including the elderly welfare centers are also interested in the issue of loneliness and are attempting a comprehensive approach to care for the elderly in the community.The problem is that there is a need for volunteers who are sustainable, but trained semi-professionals rather than non-professionals.Therefore, ways to provide education programs that can be based on continuous supplementation and specialization of manpower and to apply them to the field are being sought.The purpose of this study is to present a plan through examples with the aim of linking college students majoring in social welfare as a major resource for preventing loneliness of elderly people living alone in local communities through volunteer activities. It was suggested that volunteer activities of college students majoring in social welfare should be provided more systematically to the elderly living alone in the community.
Death of spouse is the most heartbreaking stressful and inevitable tragic life event. In middle aged men who belong to the social middle class and accomplished their occupational success, experiences of spousal bereavement are great shock. The aim of this study was to find out how they overcome their mental and physical pain and to obtain the basic materials to develop suitable nursing care programs for them. The methodological approach of this study is Giorgi's phenomenological analysis meaning unit. This method also makes theme focal meaning, situated structural description and create general structural description grasped by participator's experience through situated structure description. This study performed from November 2002 to May 2004, and participators were four men. Data collected through in-depth personal interviews. which had been tapped and analysed the Giorgi's method. Finally, the five focal meaning below have been abstracted. Theme 1. Physical symptom loss of appetite, fatigue, insomnia. outbreak of illness, weight loss. Theme 2. life of spiritless lack of desire, sense of emptiness, unstableness, prosaic life. wandering. indifference of appearances, avoidance of meeting people. Theme 3. life of retrospction reflection for his wife, yearning, grief, muttering to himself, never-to-be forgotten wife, leading a lonely life. Theme 4. negative emotion reproaching, feeling hurt, marriage of daughter, feeling heavy, getting angry, sexual desire, awareness of his sinfulness. loneliness Theme 5. social support and adjustment getting his wife off his mind, curring favor with children, support and consolation by his daughter-in-law, appreciation for hospice nurse, considering remarriage, taking care of himself, good relation with his children. The result of this study showed that middle aged men bereaved of their wife by cancer need other's concern. And we have to study further to understand their experience. Until now hospice nursing is concentrated on cancer patients But from now we have to provide their families suitable nursing care programs to adjust themselves to social life before and after death of patients.
Shared housing for elderly people, where several elderly people live together, gains attention as a means to prevent the lonely death of elderly people and continuously maintain their social relations. The purpose of this study is to compare the characteristics planned through rural and urban areas-residing elderly people's participation in the shared housing spatial composition by area. This study conducted a small scale workshop panel method that targeted small group, but through which extensive information can be acquired, as a qualitative method. This study targeted 16 elderly people aged 65 and over living in rented apartments in rural and urban areas by dividing them two groups by area, namely into four groups. A total of 12 workshop sessions were held with three sessions at a time through a certain time interval. As a result of the study, the elderly people showed positive responses to the shared housing, irrelevant of area. As time went on, the workshop panel method's effect was revealed through consolidated positive attitude and agreement of different opinions. The shared housing for elderly people is valuable as a residential alternative for elderly people, and differentiated supply of the shared housing for elderly people, according to residential area's characteristics, is suggested.
The purpose of this hermeneutic study was to investigate the meaning of "good dying" of Chinese terminally ill cancer patients in Taiwan; the factors related to this morning; and the strategies cancer patients used to ensure "good dying". Indepth unstructured interviews, prolonged participant observations, and review of clinical records were selected as the methods for data collection. In the four and one-half month period of data collection, the researcher was in the role of a full time clinical nurse specialist who directly took care of the subject patients in 4 hospitals and in patients' homes. The 20 subject were selected purposively according to selection criteria and various demographic backgrounds. Interview transcripts and field notes comprised the data for analysis. The results were composed by 3 constitutive patterns and 12 themes. Achieving inner peace appeared to herald the good dying state. The "good dying" for Chinese terminally ill cancer patients in Taiwan meant peace of body, peace of mind, and peace of thought. The constitutive pattern of peace of body included 4 themes: (1)minimizing the agony of physical symptoms; (2)short period of dying process without lingering death; (3) cleanliness, neatness, and integrity of the body; and (4) mobility. The constitutive pattern of peace of mind included 5 themes: (1) yielding; (2) non-attachment; (3) not to be lonely; (4) settle down all affairs; and (5) being in a preferred environment and enjoying nature. The third constitutive pattern of peace of thought included 3 themes: (1) getting through day by day without thinking; (2) meaningful life; and (3) expectation that the suffering would be ending. Through understanding of the terminally ill cancer patient' needs in their meanings of "good dying", recommendations can be made for humanistic care. The findings of this study have recommendations for care givers daily contact with dying patients and for medical and nursing education.
The purpose of this phenomenological study was to explore and describe the experience of people with HIV/AIDS. Three men and three women with HIV/AIDS participated in the study. They were asked open-ended and descriptive questions in order for them to talk about their experience in their own terms. Interviews were audiotaped and transcribed to maintain data integrity and to reduce perceptual bias. The transcripts were analyzed by the Colaizzi method. Member checks from the participants were used to validate the emergent themes. Seven themes emerged from the analysis. 1. People with HIV/AIDS have a strong impact and emotional reaction when receiving positive HIV test results. 2. All people with HIV/AIDS attempt to conceal HIV infection because of fear of stigma or rejection. 3. After the initial brief traumatic reaction to HIV/AIDS diagnosis, all participants feel lonely because they had no one to express or share their own experiences. 4. People with HIV/AIDS reflect on their life, think about the death and dying process and they become depressed. 5. Most participants feel that the family members who know his/her diagnosis are a big source of support. 6. According to the normativeness of infection route of HIV, the degree of guilty feeling differs among participants. 7. Although all participants think medication is a lifeline, the adherence to medication is not maintained because of side effects, denial and concealment of HIV/AIDS. The results of this study may help nurses and other health care workers to implement more efficient nursing strategies for people with HIV/AIDS by more deeply understanding their experience.
This study evaluates the social value orientation, well-being of the elderly and care needs of elderly that elderly care services are identified and seeks future service development directions through a desire survey. As of October 2019, 1,501 elderly living alone who used basic care services for the single elderly households for more than 3 months were sampled, and frequency analysis, technical statistical analysis, t-test, and variance analysis were conducted. The survey found that social value orientation averages 90.93, and the sense of well-being of the elderly is 71.29 points. As a result of the analysis of variance and post-hoc analysis, the well-being of the elderly was statistically significant in groups well aware of their social value orientation. In addition, key words such as "loneliness", "lonely Death", and "safety" were derived for concerns that may arise when the service is discontinued. Based on the results of this study, it could be used as basic data to explore the development direction of the new "elderly care services" and to establish a care system for senior citizens in preparation.
Journal of the Korean Applied Science and Technology
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v.37
no.4
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pp.794-806
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2020
This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.
As the phrase 'solitude death' implies, solitude generally has a negative characteristic as an object to avoid. But on the contrary, Nietzsche attempts to accept solitude and even affirms it in his overall philosophy. This study is about the authentic meaning of Nietzsche's solitude concept, aiming to clarify what true meaning solitude has to Nietzsche. This study will examine the 'external situation that humans face today' first. To do this, the study will consider the situation that humans who lost the earth and homeland faced in the period when God is dead. This study will then look at 'memory' and 'oblivion', as human's internal situations. And following that, this study will examine what meaning 'creativity' has to Nietzsche, which has a close relationship with those internal situations. Lastly, the meaning that 'body' and 'dance' imply to Nietzsche and what relationship these have with true solitude will be presented. Human is the being who can not avoid solitude whether they want it or not. Even though we make whatever effort we can to run away, solitude is unavoidable. The smart phone that makes me feel emptiness when I don't hold it on my hands, the hobbies which attract and force us to do, and new products which make us feel lonely if we don't buy them, don't they prove these efforts? What meaning does solitude have to humans that we have no other way but to run away from it like this? By understanding the authentic meaning of Nietzsche's solitude concept, we can change our view point on solitude so we can eventually accept 'solitude' as something that we must truly embrace and affirm, instead of something we must run away from.
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