• Title/Summary/Keyword: physical and mental health care

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AIMS: AI based Mental Healthcare System

  • Ibrahim Alrashide;Hussain Alkhalifah;Abdul-Aziz Al-Momen;Ibrahim Alali;Ghazy Alshaikh;Atta-ur Rahman;Ashraf Saadeldeen;Khalid Aloup
    • International Journal of Computer Science & Network Security
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    • v.23 no.12
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    • pp.225-234
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    • 2023
  • In this era of information and communication technology (ICT), tremendous improvements have been witnessed in our daily lives. The impact of these technologies is subjective and negative or positive. For instance, ICT has brought a lot of ease and versatility in our lifestyles, on the other hand, its excessive use brings around issues related to physical and mental health etc. In this study, we are bridging these both aspects by proposing the idea of AI based mental healthcare (AIMS). In this regard, we aim to provide a platform where the patient can register to the system and take consultancy by providing their assessment by means of a chatbot. The chatbot will send the gathered information to the machine learning block. The machine learning model is already trained and predicts whether the patient needs a treatment by classifying him/her based on the assessment. This information is provided to the mental health practitioner (doctor, psychologist, psychiatrist, or therapist) as clinical decision support. Eventually, the practitioner will provide his/her suggestions to the patient via the proposed system. Additionally, the proposed system prioritizes care, support, privacy, and patient autonomy, all while using a friendly chatbot interface. By using technology like natural language processing and machine learning, the system can predict a patient's condition and recommend the right professional for further help, including in-person appointments if necessary. This not only raises awareness about mental health but also makes it easier for patients to start therapy.

Influence of the Social Support on their Mental Health of the Rheumatoid Arthritis Patients (만성 관절염 환자의 사회적 지지가 우울, 자아존중감에 미치는 영향)

  • Lee, Sun-Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.253-263
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    • 2003
  • Rheumatoid arthritis patients not only suffer from the physical damage, but they are afflicted severely mental and psychologic after effects. Their depression and low self-esteem eventually yields serious mental damages, which makes difficult for them to recover. The states of mental health of arthritis patients are diversified depending on the characters and surrounding circumstances, although they may have suffered from the similar condition. Therefore this research was conbucted to the factors that can give positive influences to the patients. In recent time, social support for the arthritis patients has become an important factor that can positively influence their mental health. In other words, social support can act as an important environmental system for arthritis patients to recover their damaged mental health. In order to fulfill this purpose, 118 patients were examined to identify the relationship between the variables. The summary of the result obtained from the research is as follow: 1. The structural aspect of social support for arthritis patients showed the most of them had various social support network size and their highest support system were 'family', 'relative' and 'friends'. The functional aspect of social support for arthritis patients showed moderate degree and their highest sub component was 'approval'. 2. High correlation was found between duration of relationship, similarity, frequency of meeting and functional support. There was no relationship between depression, self-esteem and social support. 3. Therefore this research has suggested that nurses who care rheumatoid arthritis patient consider the above condition to develop self-help group.

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Nursing Performance and Requirements of Visiting Nurses at Public Health Centers according to Omaha system (오마하체계에 따른 보건소 방문간호사의 간호업무 수행도와 필요도)

  • Choi, In-Hee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.143-154
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    • 2020
  • The aim of this study was to identify the performance and requirements of the visiting nursing care using Omaha system in public health center. The highest performance were 'personal hygiene', 'pain', 'medication regimen', 'nutrition', 'physical activity', 'sanitation', 'sleep and rest patterns', 'oral hygiene', 'mental health' in order. The lowest performance were 'sexuality', 'postpartum', 'income', 'family planning', 'pregnancy', 'spirituality', 'abuse', 'reproductive function', 'neglect' in order. Problems such as 'postpartum', 'pregnancy' and 'family planning' need to strengthen the role of visiting nurses according to the region. this result will be the basis for visitung nursing care.

A Study of CVA patients에 Experience of the Illness (뇌졸중 환자의 질병경험에 관한 연구)

  • 남선영
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.479-489
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    • 1998
  • This work was done for 9 patients having experience of a herb medical treatment after being diagnosed as CVA during a year from January, 1996 to December, 1996 by using an ethnographic research method. The summarized results of this research are following. Ⅰ. THE EXPERIENCE OF THE ILLNESS First, the falling-ill phase is the time that they have the first stroke of paralysis and the decision pattern of medical institution' comes out. The emotional experience in the period is something like 'flustration', 'anxiety', 'despair', and 'expectation'. Second, the active-treatment phase is the time that the patients as well as their family or care giver not only show the positive attitude and actively participate in the illness treatment but also show a lot of interest in medical institutions and activities of health recovery. There is a primary factor of the continuation of treatment as an experience of treatment and being crushed and sensitivity as an experience of the illness. Third, the rehabilitation phase is the time that the patients or their family become tired and insensitive to the treatment and recuperation, and then reduce the treatment activity. There is a primary influence factor of the discontinuance of treatment as an experience of treatment and physical experience and emotional experience as an experience of the illness. The physical experience is divided into 'personal-hygiene care', and 'the sphere of activity' The emotional experiences are 'blaming someone', 'contempt' and 'despair' as a negative experience and 'hope' as a positive experience. Ⅱ. COPING STRATEGY There are a physical coping, an emotional and mental coping, a social coping, and a spiritual coping as a coping strategy used for the patients to overcome their illness and adjust themselves to their altered life. First, the physical coping comes out as 8 categories, 'using an auxiliary tool', 'doing exercise', 'protecting', 'improving their diet', 'taking care of something', 'using subsidiary medicines', 'trying a folk remedy', and 'having interest in their health'. Second, for the emotional and mental coping, there are 'accepting' and 'trying' as a positive coping and a failure of control as a negative coping. Third, the social coping is appeared as 'being supported'. Fourth, the spiritual coping is recognized as' recourse to God' and 'preparation of death'. After all, the elderly CVA patients in an agricultural area choose the act of treatment based on the traditional belief and the relationship with a caretaker. A personal health can be maintained by taking care of themselves and controling their mind, and the overcome of the illness is decided on the basis of traditional concepts and cultural principles in which the patients as well as the family, neigbors and take carers should work out together and cooperate with each other in order to achieve that.

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Hospice Medicine and Nursing Ethics (호스피스의료와 간호윤리)

  • Moon, Seong-Jea
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.385-411
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    • 2008
  • The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.

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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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A Study on Rousseau's Health Theory and Health education in $\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$ (루소의 건강관에 대한 현대적 고찰 -$\mathbb{\ulcorner}$Emil$\mathbb{\lrcorner}$을 중심으로-)

  • 반덕진
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.187-201
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    • 1999
  • A purpose of this study is to provide Rousseau's health theory and health education in 『Emil』. Though Rousseau was not so much a doctor as a philosopher, he was good at health care and health education. After he had thought over healthy children for 20 years, he had written 『Emil』 for 3 years. His health theory was included in the book. He was aware of the importance of mother's milk, clothes, and physical health. Especially, he told mothers to rear a child at the breast. He understood thoroughly the demerits of medicines, and made no account of doctors and medicines. But on the other hand, He emphasized natural healing power in human body. He thought that one oneself was a physician. He thought highly of inner healing. He thought that only hygiene of medicine was useful to mankind. He prescribed that hygiene was a kind of ethics education. Therefore, his hygiene was associated with mental health and moral evaluation. Because many years have passed, today we can not accept all his assertions. But we need to stress preventive medicines, spontaneous healing, and self-care in health education.

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Experiences of Turkish Women with Breast Cancer During the Treatment Process and Facilitating Coping Factors

  • Gunusen, Neslihan Partlak;Inan, Figen Sengun;Ustun, Besti
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3143-3149
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    • 2013
  • Background: Breast cancer is the most common type of cancer among women in Turkey and around the world. Treatment adversely affects women's physical, psychological, and social conditions. The purpose of this study was to identify the experiences of Turkish women with breast cancer and the facilitating coping factors when they receive chemotherapy. Methods: A phenomenological approach was used to explain the experiences and facilitating factors of breast cancer patients during the treatment period. Data were collected through individual semi-structured interviews. The sample comprised 11 women with breast cancer receiving treatment. Results: At the end of the interviews conducted with women with breast cancer, two main themes were identified: adjustment and facilitating coping factors. The adjustment main theme had two sub-themes: strains and coping. Women with breast cancer suffer physical and psychological strains as well as stress related to social and health systems. While coping with these situations, they receive social support, turn to spirituality and make new senses of their lives. The facilitating coping factors main theme had four sub-themes: social support, disease-related factors, treatment-related factors and relationships with nurses. It has been determined that women receiving good social support, having undergone preventive breast surgery and/or getting attention and affection from nurses can cope with breast cancer more easily. Conclusions: Women with breast cancer have difficulty in all areas of their lives in the course of the disease and during the treatment process. Therefore, nurses should provide holistic care, teaching patients how to cope with the new situation and supporting them spiritually. Since family support is very important in Turkish culture, patients' relatives should be informed and supported at every stage of the treatment.

Violence Victimization of Visiting Nurses and Prevention Strategies Adopted by Public Institutions in Korea (방문간호사가 경험하는 폭력의 특성과 예방대책)

  • Kim, Hee Gerl;Nam, Hye Kyung
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.243-254
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    • 2017
  • Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

Depression Health Literacy and Help-seeking Intention of the Aged Receiving Customized Home Visiting Health Care Services (맞춤형 방문건강관리 대상 노인의 우울 건강정보이해능력과 도움요청의도)

  • Oh, Doo-Nam;Lee, Ji Yun
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.276-285
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    • 2012
  • Purpose: The purpose of this study was to understand levels of both mental health literacy of depression and intention of help-seeking, and then to identify the relationship of them in Korean older adults. Methods: Participants in this cross-sectional survey were 395 persons over 65 years old receiving customized home visiting health care services at Chungnam province. Data were collected through interviews by visiting nurses in 2011. Results: The proportion of participants with depression was 61.8% ($6.7{\pm}3.6$). 78.2% of subjects appeared to have help-seeking intention for solving depression. The proportions of participants with ability to recognize depression was 69.1%. Although the level about knowledge and belief in self-help interventions were varied according to questionnaires, subjects understood self-help intervention of smoking accurately (86.3%) and physical activity (85.5%). Ability to recognize depression, knowledge and belief about self-help managements, and opinion of medication for treatment among health literacy variables measured in this study were related to help-seeking intention. In addition, women, visual impairment, and lower depression scores were related to help-seeking intention. Conclusion: Results demonstrate that it is necessary to improve depression health literacy to manage effectively depression of vulnerable elderly in communities. These results could be used in developing mental health literacy programs.