• Title/Summary/Keyword: pattern of care

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A Study on Perceived Time Pressure and Time Use: Focusing on the Employed Men and Women in Korea by Using 1999 and 2009 Time Diary Data (취업남녀의 시간부족인식과 시간활용: 1999년과 2009년의 생활시간자료 비교)

  • Cha, Seung-Eun
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.3
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    • pp.131-151
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    • 2011
  • This study attempted to estimate the level of perceived lack of time in Korean society, to link it to time management and to identify the possible association that accounts for time shortage. I employed the gender perspective in order to reveal the dynamics and complexity of the perception of a lack of time in the population. The sample for the study was drawn from the 1999 and 2009 Korean time diary data collected by the Korean National Statistical Office. From the original data, I selected a sample of second shift families(men and women who are presently working and raising children) living in metropolitan areas(including Seoul and six major urban areas in Korea). The dependent variable was time pressure measured by a single-item question on a four-point likert scale. The results of the study showed that working mothers perceived a greater time shortage as compared to working fathers. The time use pattern showed change during the periods, indicating that people worked fewer hours in paid labor and enjoyed more leisure hours and personal care hours. However, on average, people seemed to have experienced a greater time lack in 2009 as compared to 1999. The results from the ordered logistic regression model revealed that even though there were similarities in the impact of relevant factors, men's perception of a lack of time was more closely linked with their work role and social status, while for women, this perception was influenced by work and family duties. This indicates that Korean working mothers and fathers are facing a double jeopardy of time shortage in terms of combining their work and family roles. As a result, the level of time pressure by gender is converging toward a "never enough" phase. These findings generated policy implications and detailed suggestions.

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Epidemiologic study of injury and poisoning occurrence in a rural area (일부 농촌지역 손상 및 중독 발생에 관한 역학적 연구)

  • Yoon, Hi-Seop
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.467-479
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    • 1999
  • The mortality and morbidity caused by injury and poisoning has been major public health problem in Korea. This study was carried out to get information indispensable in developing prevention srategies peculiar to korean rural area. In this study 1.499 people of 496 households. who are living in five rural villages of Chooncheon City. Kang-Won Province. were interviewed in accordance with structured questionaire in 1996. The results obtained are summarized as follows: 1. The age-standardized annual incidence rates of injury and poisoning per 100 persons surveyed were 4.2 in males and 1.9 in females. The difference between sex was statistically significant. 2. The places where most of injuries and poisonings occurred were road 66.7% among males. road 31.6% among females. 3. The occurrence of the injuries and poisonings were clustered in intensive farming season in both males and females. 4. The laceration and stab wound were the most frequent nature of injuries in males and the fracture was the most frequent nature of injuries in females. The fracture. sprain were more frequent among males but sprain and contusion were more frequent among females. 5. Incidence rates of injuries and poisoning by cause were higher in traffic accidents among males. though falls among females. The cause specific incidence rate by age was high in traffic accident for 30-59 year age group. and for the aged people older than 60 years. 6. In the management pattern, 78.8% of the injuries and poisoning were received medical care in hospitals and clinics, and the duration of the treatment over 4 weeks in 37.0%. The results obtained indicate that organized community effort is urgently required to prevent injuries and poisonings in rural area.

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Increasing Sense of Self-Control over Pregnancy: Information Seeking Patterns of Pregnant Women's (임신에 대한 자아통제감 향상하기: 임신부의 정보추구 경험 유형)

  • Kim, Kapseon
    • Journal of Korean Library and Information Science Society
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    • v.44 no.3
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    • pp.125-152
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    • 2013
  • The purpose of this study is to construct a substantive theory that described and explained how pregnant women are seeking information in context of pregnancy. A qualitative design based on the method of grounded theory was utilized. In-depth interviews were conducted with 16 pregnant women, selected by theoretical sampling who receiving antenatal care 3 different university hospitals. The interview data were transcribed and systematically analyzed according to the open coding, axial coding and selective coding. 'Increasing Sense of Self-Control over Pregnancy' was the core category for describing and guiding the process of seeking information during the pregnancy. To construct a theory of 'Increasing Sense of Self-Control over Pregnancy' in this study, eight hypothetical statement were generated from the relationships among the core category and the other categories, thus four patterns were derived as follows: 'Desperately Seeking', 'Actively Seeking', 'Unconcernedly Seeking', 'Resignedly Seeking'. The implications of the findings are discussed in terms of development of LIS theory in Korea, theory development of information behavior, education for LIS, and information service practice. The suggestions for further research are provided.

Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

  • Ishida, Kazuko;Ishida, Junko;Kiyoko, Kanda
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1225-1233
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    • 2015
  • This study aims to clarify the psychosocial reactions of female patients with gynecological cancer undergoing chemotherapy and in the process of suffering from alopecia and to examine their nursing support. The target group comprised female patients who had received two or more cycles of chemotherapy, were suffering from alopecia, and were aged 30-65. Data were collected from semi-structured interviews, conducted from the time the patients were informed by their doctors that they might experience alopecia due to chemotherapy to the time they actually experienced alopecia and until they were able to accept the change. Inductive qualitative analysis was employed to close in on the subjective experiences of the cancer patients. The results showed the existence of six phases in the psychosocial reactions in the process of alopecia: phase one was the reaction after the doctor's explanation; phase two was the reaction when the hair starts to fall out; phase three was the reaction when the hair starts to intensely fall out; phase four was the reaction when the hair has completely fallen out; phase five was the reaction to behavior for coping with alopecia; and phase six was the reaction to change in interpersonal human relationships. The results also made it clear that there are five types of reaction patterns as follows: 1) treatment priority interpersonal relationship maintenance type; 2) alopecia agitated interpersonal relationship maintenance type; 3) alopecia agitated interpersonal relationship reduction type; 4) alopecia denial interpersonal relationship reduction type; and 5) alopecia denial treatment interruption type. It is important to find out which of the five types the patients belong to early during treatment and provide support so that nursing intervention that suits each individual can be practiced. The purpose of this study is to make clear the process in which patients receiving chemotherapy come to accept alopecia and to examine evidence-based nursing care on patients with strong mental distress from alopecia.

The Current State and Future Directions of Clinical Practicum for Adult Health Nursing at Four-year Nursing Colleges in Korea (4년제 간호대학 성인간호학 실습교육의 현황과 발전방향)

  • Kim, Nam-Cho;Lee, Hyang-Yeon;Kim, Boon-Han;Shin, Kyung-Rim
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.831-843
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    • 2005
  • Objective: The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. Method: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. Results: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. Conclusions: It is urgent to develope a standardized evaluation tool for clinical practicum.

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Post-Surgical Recovery Patterns of the Elderly (노인환자의 수술후 회복패턴에 관한 연구)

  • Byun Young-Soon;Chung Eun-Joo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.51-63
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    • 1999
  • This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

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First Report on Multidrug-Resistant Methicillin-Resistant Staphylococcus aureus Isolates in Children Admitted to Tertiary Hospitals in Vietnam

  • Son, Nguyen Thai;Huong, Vu Thi Thu;Lien, Vu Thi Kim;Nga, Do Thi Quynh;Au, Tran Thi Hai;Nga, Tang Thi;Hoa, Le Nguyen Minh;Binh, Tran Quang
    • Journal of Microbiology and Biotechnology
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    • v.29 no.9
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    • pp.1460-1469
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    • 2019
  • The extensive distribution of multidrug-resistant (MDR) methicillin-resistant Staphylococcus aureus (MRSA) poses a threat to healthcare worldwide. This study aimed to investigate the MDR and molecular patterns of MRSA isolates in children admitted to the two biggest tertiary care pediatric hospitals in northern and southern Vietnam. A total of 168 MRSA strains were collected to determine antibiotic susceptibility by minimum inhibitory concentration tests. Antibiotic-resistant genes, pulsed-field gel electrophoresis, staphylococcal cassette chromosome mec (SCCmec) typing, and multilocus sequence typing were used for the molecular characterization of MRSA. Among the total strains, the MDR rate (51.8%) was significantly higher in the northern hospital than in the southern hospital (73% vs. 39%, p < 0.0001). The MDR-MRSA with the highest rates were "ciprofloxacin-erythromycin-gentamicintetracyclines" (35.6%), followed by "erythromycin-tetracycline-chloramphenicol" (24.1%), and "ciprofloxacin-erythromycin-gentamicin" (19.5%), showing an accumulative total of 79.3%. The most susceptible antibiotics were rifampicin (100%) and vancomycin (100%), followed by doxycycline (94.0%), meropenem (78.0%), and cefotaxime (75.0%). The SCCmecII strains showed greater resistance to gentamicin, ciprofloxacin, tetracycline, meropenem and cephalosporins compared with the other strains. The SCCmecII strains exhibited the highest rate in the tested genes (aacA/aphD: 55.2%, ermA/B/C: 89.7%, and tetK/M: 82.8%). ST5-SCCmecII was the predominant clone in the northern hospital, whereas SCCmecIVa was more pronounced in the southern hospital. In conclusion, our results raised concerns about the predominant MDR-MRSA strains in the pediatric hospitals in Vietnam. The north-south difference in the antibiotic resistance patterns and genetic structure of MRSA suggests different MRSA origins and various uses of antimicrobial agents between the two regions.

The Effects of Maternal Monitoring, Shared Activities, Education-Oriented Behavior, and Allowing Children to Own Smart-Phones on the Smart Media Usage Patterns of Elementary School Children (어머니의 감독, 활동공유, 교육지향행동, 스마트폰 허용여부가 초등학교 저학년 아동의 스마트 미디어 이용패턴에 미치는 영향)

  • Kim, Yoon Kyung;Park, Ju Hee;Oh, So Chung
    • Korean Journal of Childcare and Education
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    • v.17 no.3
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    • pp.65-87
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    • 2021
  • Objective: This study aimed to examine the effects of maternal monitoring, shared activities with children, maternal education-oriented behavior, and allowing children to own smart-phones on smart media usage patterns based on smart-phone usage time and purposes among elementary school children. Methods: The participants were 1,315 second-grade elementary school children from the 9th wave of PSKC. Latent profile analysis and the three-step estimation approach were used to examine the determinants of the latent profile and the effects of maternal parenting on the profile. Results: Four latent profiles were identified: 'High-level usage & Entertaining oriented,' 'Moderate-level usage & Social/entertaining oriented,' 'Moderate-level usage & Learning oriented,' and 'Low-level usage.' Additionally, results showed that each profile can be predicted by maternal monitoring, education-oriented behavior, and permitting children to own smart-phones. Conclusion/Implications: Our outcomes suggested that it would be necessary to understand the smart media usage patterns of elementary school children, considering both the amount of time spent with smart media and purposes of uses. Further, it is helpful for mothers to monitor children's daily activities, support their educational activities, and take the role of gatekeeper for smart media as a way of appropriate guidance for their children's use of smart media.

Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey

  • Nurokhmah, Siti;Rahmawaty, Setyaningrum;Puspitasari, Dyah Intan
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.2
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    • pp.182-192
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    • 2022
  • Objectives: Understanding the factors influencing mothers' decision to breastfeed their infants is essential to formulate effective breastfeeding interventions. This study explored the determinants of optimal breastfeeding indicators in Indonesia. Methods: We used the 2017 Indonesia Demographic and Health Survey to analyze factors associated with early initiation of breastfeeding, exclusive breastfeeding (EBF), and continued breastfeeding at 1 year (CBF-1) and 2 years (CBF-2). Multivariate logistic regression models were used to examine bio-demographic, socio-cultural, and behavioral characteristics associated with breastfeeding after considering the survey design effect. Results: The risk of delayed breastfeeding initiation was higher among infants who were born smaller, first-born children, were delivered via cesarean delivery, and did not have immediate skin-to-skin contact (p<0.01). Infant's age, birth pattern, household wealth index, and the mother's occupation and smoking status were predictors of EBF (p<0.05). CBF-1 was less common among first-time mothers and those working in the non-agricultural sector, mothers from wealthier families, and mothers who had cesarean deliveries (p<0.01). Infant's age was negatively associated with CBF-2 (adjusted odds ratio [aOR], 0.85; 95% confidence interval [CI], 0.74 to 0.99). Mothers attending college were less likely to practice CBF-2 than those with no education or primary education (aOR, 0.45; 95% CI, 0.26 to 0.77). The absence of postnatal visits was a risk factor for CBF-1 and CBF-2 (p<0.05). Conclusions: Breastfeeding interventions in Indonesia should pay particular attention to at-risk groups such as women from wealthier families, working outside the agricultural sector, and with a higher education level. Nutrition-sensitive programs (e.g., postnatal care and smoking cessation) should also be encouraged.

Mixed reality health management model using smart phone (스마트폰을 이용한 혼합현실 건강 관리 모델 연구)

  • Im, Jin-mo;Jang, Eun-Jin;Jeong, Chang-Sik;Shin, Seung-Jung
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.2
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    • pp.185-189
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    • 2018
  • Today, the incidence of illnesses due to a lack of exercise, such as lack of exercise in the 20s and 30s, 40s menstrual period, and 50s in the fifties, is increasing every year, because of the introduction of new technologies such as smartphone development,And the pattern of life according to it changes conveniently and the amount of activity decreases, and the lack of momentum has a great influence. I would like to study new mixed reality healthcare service products by merging the existing human smartphone with mixed reality. This is not merely showing the numerical value of the momentum by attaching to the human body like the existing healthcare product,And to measure and analyze the amount of exercise to help people to manage their health.