• Title/Summary/Keyword: physical and psychological health

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Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery (산후 6개월 이내 산모의 수면의 질, 산후 피로도 및 산후 우울)

  • Kim, Mi-Eun;Hur, Myung-Haeng
    • Women's Health Nursing
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    • v.20 no.4
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    • pp.266-276
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    • 2014
  • Purpose: This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months. Methods: The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program. Results: Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p<.001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p< .001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression. Conclusion: Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.

Analysis of Health Concept Perceived by the University Students in Korea (대학생들이 서술한 건강개념에 관한 분석)

  • Kim Ae-Jung;Choi Soo-Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.2
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    • pp.219-231
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    • 1999
  • Health is an important concept within the health component of nursing paradigm. And health concept is a core component to determine health behavior according to individual's health perception. Health habits during the period of university student will be affecting health behavior of the adult period. The purpose of this study was to analyze health concept of the university students in Korea and to provide the strategy of health care for the university students. The method of this research was a descriptive study using a self-report questionaire. The subjects were 301 students of university and their age was from 19 to 30. The results of this study were as follows: 1. Health concepts perceived by the university students were 'wholeness without difficulty', 'vitality', 'harmony', 'comfort', 'Good condition and fitness of physical and psychological condition', 'soundness', 'happiness', 'enabling' 'smoothness'. 2. Health was perceived by the subjects as an essential and an important component of life.

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A Study on Depression, ADL, IADL, and QOL among Community-Dwelling, Low Income Elderly (일 지역사회 저소득 노인의 우울, 일상생활수행능력과 삶의 질의 관계에 대한 연구)

  • Park, Sun-Young
    • Journal of Korean Public Health Nursing
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    • v.23 no.1
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    • pp.78-90
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    • 2009
  • Purpose: This study investigated depression, ADL, ADL, QOL, and their relationships to examine the physical and, emotional health status of low income elderly in the local community. Methods: The subjects included 507 elderly 65 years of age in Jeonju, Korea. Data were collected through personal interviews with questionnaires. Results: The average depression score of the subjects was 8.7. There was significant difference in the level of depression as a function of the level of education and perceived health status. The items showing the highest level of functioning in ADL were consciousness and recognition, and the item combining the highest leveling of functioning in IADL was using phones. Regarding ADL and IADL, there were statistically significant differences in age. living condition and perceived health status. The levels of quality of life of the subjects were significantly different with respect to gender and, perceived health status. There were statistically significant correlations between the subjects' depression, ADL, IADL, and QOL. Conclusions: The findings indicate that the low income elderly in the local community were in poor physical and, psychological health. Based upon the outcome, health promotion programs to improve depression, ADL, and IADL of low income elderly in the community are needed.

Effects of Transcutaneous Electrical Stimulation on Physiological Symptoms and Psychological Satisfaction in Women With Stress Urinary Incontinence: A Preliminary Study

  • Kim, Ji-hyun;Kwon, Oh-yun;Jeon, Hye-seon;Hwang, Ui-jae;Gwak, Kyeong-tae;Yoon, Hyeo-bin;Park, Eun-young
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.67-75
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    • 2019
  • Background: Stress urinary incontinence (SUI) is an involuntary leakage of urine from the urethra when intra-abdominal pressure increases, such as from sneezing, coughing, or physical exertion. It is caused by insufficient strength of the pelvic floor and sphincter muscles, resulting from vaginal delivery, obesity, hard physical work, or aging. The pelvic floor electrical stimulator is a conservative treatment generally used to relieve the symptoms of urinary incontinence. it recommended to applied before surgery is performed. Objects: The purpose of this study was to determine if the transcutaneous electrical stimulation (TCES) would be effective for the physiological symptoms and psychological satisfaction of women with SUI for an 8-weeks intervention. Methods: Easy-K is a specially designed user-friendly TCES. Five female who were diagnosed with SUI by a gynecologist but who did not require surgical intervention were included in this study. Intervention was implemented over an 8-week period. Outcome measures included vaginal ultrasonography, Levator ani muscle (LAM) contraction strength, incontinence quality of life (I-QOL), and female sexual function index (FSFI) questionnaires. Results: The bladder neck position significantly decreased across assessment time. Funneling index and urethral width significantly decreased after 8 weeks of intervention (p<.05). The bladder necksymphyseal distance and posterior rhabdosphincter thickness statistically increased and the anterior rhabdosphincter thickness showed a tendency to increase. All participants demonstrated a significant increase in the LAM contraction score across three assessment times (p<.05). Although the total score of the I-QOL did not show significant improvement, it steadily increased and among I-QOL subscales, only the "avoidance" subscale showed statistical improvements (p<.05). The total score of the FSFI statistically improved and the "desire" score significantly changed (p<.05). Conclusion: The TCES is recommended for women who want to apply conservative treatments before surgery and who have suffered from SUI in aspects of sexual function and quality of life.

A Study on Health Related and Eating Related Behaviors by Self-Recognized Health Status (춘천시 일부 노인들의 건강자각정도에 따른 건강관련행동 및 식행동에 관한 연구)

  • 이혜숙;이정애;안수연;강금지
    • Korean Journal of Community Nutrition
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    • v.6 no.3
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    • pp.340-353
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    • 2001
  • The aim of this study was to investigate health-related and eating-related behaviors as part of self-recognized health status. The survey was conducted among 304 elderly people in Chunchon city in 1999. Fifty two percent(52%) of the respondents recognized they were healthy, 32% felt so-so and 16% thought themselves unhealthy. When they felt healthy, they engaged in more social work and regular exercise, had better appetites, lower conflict scores with their children, lower depression, higher satisfaction in life, better physical condition(eye, ear, tooth, mentality and walking), and higher ability of ADL(activities of daily living) and IAD(instrumental activities of daily living). Also, the self-recognized group consumed each food groups (meats, green, yellow and white vegetables, fruits, milks, seaweeds, beans) more often and showed a higher preference of food. The results of this study indicate that self-recognized health status affects every pattern of life among the elderly. As a result, comprehensive education(such as nutrition, health, physical and psychological education) should be offered to the elderly.

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The Association of Activity Limitation on Health-Related Quality of Life and Depression in Elderly Korean Stroke Patients

  • Do-Youn Lee
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.195-199
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    • 2023
  • Purpose: The purpose of this study was to help the numerous health care workers who participate in the rehabilitation of stroke patients by understanding how limitations on the activities of stroke patients affect the health-related quality of life and depression. Methods: We investigated 527 stroke patients from the Korean's National Health and Nutrition Examination Survey (KNHANES, 2013-2018). The subjects were divided into two categories: with and without activity limitation. A medical doctor's diagnosis of depression and the EQ-5D, which measures life satisfaction connected to health, were the study's factors. Based on their level of activity limitation, the individuals' depression and health-related quality of life were compared. The odds ratios relating to activity limitation's relationships with depression and stroke patients' quality of life were computed using logistic regression analysis. Results: The diagnosis of depression in subjects with activity limitation was 16.0%, while in those with no limitation on activity it was 5.6%, and the EQ-5D index was 0.67±0.02, 0.85±0.01. For every item on the EQ-5D, there existed a significant difference in the odds ratio. Furthermore, when comparing depression with activity limitation to non-activity limitation, the odds ratio was 4.09 (2.12-7.788). Conclusion: Limitation of activities of stroke patients significantly reduces the health-related quality of life and increase the probability of depression. Therefore, treatment of stroke patients should be approached taking into consideration their psychological condition. It is also deemed necessary to have a systematic and continuous rehabilitation program.

Rural Elderly Women′s Health and Health Care Practices (농촌여성노인의 건강 및 의료서비스 이용실태 - 경기도 노인시범마을을 중심으로 -)

  • 노자경;한경혜;최은숙
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.171-184
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    • 1994
  • This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

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Quality of Life Comparison between Suspicion Hearing Impaired and Hearing Aids Users in Elderly (노인에서 난청 의심자와 보청기 사용자의 삶의 질 비교)

  • Son, Byungchang;Heo, Seungdeok
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.3
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    • pp.141-147
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    • 2018
  • Purpose : Aim of the this study was conducted to determine whether hearing aids are responsible for the quality of life by comparing quality of life between the elderly who are suspected of difficulty in hearing selected by Hearing Handicap Inventory of Elderly (HHIE) without using hearing aids and who are using hearing aids. Methods : For the study, two groups of 33 people were analyzed for independent t-test based on whether they wore Hearing Aids (HA) or not whom wearing hearing aids (hearing aids users) and suspected difficulty in hearing. who are attending the Religious organization Senior Welfare Center in the OO region. Result : The quality of life of hearing aid users is generally observed to be higher than that of non-users in general, and by the section, psychological (p=0.019) and living environment (p=0.032) were appeared statistically signigicant. The elderly showed a significant difference. In the section, "Operation Satisfaction (p=0.038)" in the physical health area, "relationship of reason (p=0.018)" in the social relationship area, "Economic margin (p=0.021)" in the environmental area, "Information accessibility (p=0.020)", In the psychological area, hearing aid was used for "self satisfaction (p=0.033)", "concentration of work (p=0.045)". Conclusion : The use of hearing aids by hearing loss elderly improves the quality of life in the psychological health and living environment section.

A Comparative Study on the Physical, Psychological, and Social Well-being of Elderly Women in Rural Areas Depending on their Participation in Swimming Activities (수영 활동 참여에 따른 농촌 지역 여성노인의 신체적·정신적·사회적 건강상태 비교)

  • Kim, Ji-Young;Kim, Hyang-Soo
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.64-72
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    • 2021
  • The purpose of this study is to compare the physical, psychological, and social well-being of elderly women living in rural areas depending on their participation in swimming activities. Study sample consisted of 41 elderly women residing in the G province of C region who participated in swimming activities at least 3 times per week for one or more years, and 43 elderly women of the same area who did not participate in swimming activities. Data was collected over the course of 6 weeks. Analysis of the data showed that there are significant differences between participants and non-participants of swimming activities in their physical well-being(pain, flexibility), psychological well-being(perceived health status, depression), and their social well-being(strengthened interpersonal relations). In other words, participants of swimming activities, compared to non-participants, were in better physical, psychological, and social conditions. Thus, active encouragement and support must be in place for elderly women in rural areas to engage in swimming activities by utilizing local swimming facilities.

Prevalence and Effect of Workplace Violence against Emergency Nurses at a Tertiary Hospital in Kenya: A Cross-Sectional Study

  • Kibunja, Betty Kiunga;Musembi, Horatius Malilu;Kimani, Rachel Wangari;Gatimu, Samwel Maina
    • Safety and Health at Work
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    • v.12 no.2
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    • pp.249-254
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    • 2021
  • Introduction: Workplace violence (WPV) is a major occupational and health hazard for nurses. It affects nurses' physical and psychological well-being and impacts health service delivery. We aimed to assess the prevalence and describe the consequences of WPV experienced by nurses working in an emergency department in Kenya. Methods: We conducted a descriptive cross-sectional study among emergency nurses at one of the largest tertiary hospitals in Kenya. We collected data using a structured questionnaire adapted from the 'WPV in the Health Sector, Country Case Studies Research Instruments' questionnaire. We described the prevalence and effects of WPV using frequencies and percentages. Results: Of the 82 participating nurses, 64.6% were female, 57.3% were married and 65.8% were college-educated (65.8%). Participants' mean age was 33.8 years (standard deviation: 6.8 years, range: 23-55). The overall lifetime prevalence of WPV was 81.7% (n = 67, 95% confidence interval [CI]: 71.6%-88.8%) and the 1-year prevalence was 73.2% (n = 63, 95% CI: 66.3-84.8%). The main WPV included verbal abuse, physical violence, and sexual harassment. Most incidents were perpetrated by patients and their relatives. No action was taken in 50% of the incidents, but 57.1% of physical violence incidents were reported to the hospital security and 28.6% to supervisors. Perpetrators of physical violence were verbally warned (42.9%) and reported to the hospital security (28.6%). Conclusion: Workplace violence is a significant problem affecting emergency nurses in Kenya. Hospitals should promote workplace safety with zero-tolerance to violence. Nurses should be sensitised on WPV to mitigate violence and supported when they experience WPV.