• Title/Summary/Keyword: physical psychological and social health

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The Effect of Tai-Chi for Arthritis(TCA) Program in Osteoarthritis and Rheumatoid Arthritis Patients (골관절염환자와 류마티스관절염 환자에게 적용한 타이치 운동프로그램(TCA)의 효과 비교연구)

  • Lee, Hea-Young;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.10 no.2
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    • pp.188-202
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    • 2003
  • The aim of study was to investigate the effects of 12 forms of Sun-style Tai-Chi for arthritis(TCA) on physical symptom(pain, tenderness, swelling fatigue, and blood pressure), physical function(balance, flexibility, grip strength) and social-psychological health status in osteoarthritis(OA) patients and rheumatoid arthritis(RA) patients. This study was done with one group pretest-posttest design. A total 21 arthritis patients(6 OA patient and 15 RA patient) participated in 60 minute session consisting of warm-up exercise 12-main movement including qigong, and cool-down exercise twice a week for 6weeks. Physiological and social-psychological variables were measured before and after TCA 12 form. The researcher who completed a Tai Chi workshop for exercise leaders in Australia and Seoul taught the Tai Chi movement step by step until the patient felt comfort enough to perform them correctly by themselves during the first 4 weeks. At the last 2 weeks, the subject perform 10-15set of these at a session with traditional music to help patients move in a slow tempo. TCA 12 forms program showed significant improvement in fatigue(p=0.039) of rheumatoid arthritis patient and pain(p=0.006), fatigue(p=0.013), tenderness(p=0.032), flexibility(rt arm up, p=0.014, If arm up, P=0.003), grip strength(rt hand, p=0.002, If hand, P=0.003) of osteoarthritis patients. With assessment by Arthritis Impact Measurement Scale 2 questionnaire(AIMS2), physical component(0.002) and social interaction(0.025) on osteoarthritis patients were significantly improved. Evaluation of the participants about TCA exercise noted that the exercise was fairly easy(23.6%), moderately difficult(57.1%), and fairly difficult(14.3%). Considering the result of this study, TCA exercise program was more effective in pain, tenderness, grip strength, flexibility, and physical and social interaction on osteoarthritis patients than rheumatoid arthritis patients. Tai-Chi for arthritis 12 form was an appropriate intensity exercise for osteoarthritis patients.

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Comparison of the Quality of Life of the Elderly inpatient with that of the normal elderly people (입원노인과 일반노인의 삶의 질의 비교)

  • 민경진;김정자;차춘근
    • Korean Journal of Health Education and Promotion
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    • v.17 no.2
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    • pp.183-205
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    • 2000
  • This research was designed to compare the health condition and the quality of life of the elderly inpatients with those of the normal elderly people. The subjects of study were 482 elderly inpatients and 304 normal elderly people. The research was conducted in July and August using the instrument WHOQOL. The results of the research are as follows: For the level of health, it was recognized that male was healthier than female, having higher the education, living in the city rather than in the rural, keeping the normal life than being in the hospital. There were little difference in the past medical histories of the elderly inpatients and the normal elderly people. As to the diseases currently under the treatment, there were some difference between the elderly inpatients and the normal elderly people but the tendency was similar in the kinds and the frequencies. As to the recognition for the quality of life between the elderly inpatients and the normal elderly people based on the records reflected on each of the domains of WHOQOL, the normal elderly people more positively recognized in the overall quality of life and the following domains: physical, psychological, level of independence, and spirituality/religion/personal beliefs. The normal elderly people more positively recognized especially in the level of independence domain (mobility, activities of daily living, dependence on medication or treatments, working capacity). In the social relationships domain only the sexual activity was significant and the normal elderly people more positively recognized. The elderly inpatients showed the correlation of over 0.5 in the overall quality of life and the following domains: environment, social relationships, physical, psychological, level of independence. It was over 0.6 in the physical domain and the domains of psychological and level of independence. and the psychological domains of level of independence and social relationships. For the points of overall quality of life, it had no correlation with hospitalization but the health condition, residential district, occupation, and taste exerted a significant effect. As a result of separate analyses of the elderly inpatients and the normal elderly people, the health condition and the age only were the common variable which would exercise a significant effect. Besides, the primary factors which would exercise the quality of life were the occupation and taste for the elderly inpatients, and the residential district and source of income for the normal elderly people. In conclusion, it is first and foremost important to improve the standard of health for the overall quality of life for the elderly people, regardless of hospitalization. Therefore, a plan must be urgently drawn up for revitalization of the health promoting projects for the elderly people and the public health projects for the elderly people, and the investment must be increased for settlement of health problems of the elderly people.

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Change of salivary flow rate, xerostomia, and oral health-related quality of life after oral muscle massage (구강근육마사지 후 타액분비량, 구강건조감, 삶의 질의 변화)

  • Kim, Eun-Ju;Kwag, Jung-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.679-685
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    • 2015
  • Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.

Analysis of the Factors Related to the Needs of Patients with Cancer (암 환자의 치료에 대한 요구도와 관련된 요인분석)

  • Lee, Jung-A;Lee, Sun-Hee;Park, Jong-Hyock;Park, Jae-Hyun;Kim, Sung-Gyeong;Seo, Ju-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.3
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    • pp.222-234
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    • 2010
  • Objectives: Limited research has investigated the specific needs of patients with cancer. This study was performed to explore patients needs and the related factors. Methods: The data were collected by 1 National Cancer Center and 9 regional cancer centers in Korea. An interview survey was performed with using a structured questionnaire for the subjects(2661 patients who gave written informed consent to particiate) survey 4 months after diagnosis and review of medical records. Data were analyzed using t-test, ANOVA and multiple regression analysis. Results: When comparing the relating factors related with patient needs to the sociodemographic characteristics, the female group showed a higher level of recognition for physical symptoms, social support needs. The younger group showed a significantly higher level of recognition for health care staff, psychological problems, information and education, social support, hospital services needs. In addition, the higher educated group showed a higher level of recognition for health care staff, physical symptoms, social support needs. The higher income and office workers group showed a higher level of recognition for hospital services needs. When comparing the relating factors related with patient needs to the cancer, the breast cancer group showed a higher level of recognition for all needs excluding physical symptoms, accessibility and financial support needs. The combined radiotherapy with surgery and chemotherapy group showed a higher level of recognition for psychological problems, information and education, social support needs. Conclusions: This study showed that needs on patient with cancer was significantly influenced by female, higher educagion, lower income, having religion, office worker, liver cancer, breast cancer, colon cancer, chemotherapy, and combined therapy.

Development of Health Promotion Program for Individuals With Arthritis -Application of Holistic Model- (관절염 환자를 위한 건강증진 프로그램의 개발 -총체적 모델의 적용-)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.314-327
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    • 1999
  • In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

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Effects of Physical Environmental Design Attributes on Psychological Well-being of College Students in University Dormitory During the Covid-19 Pandemic Period

  • Saba Sadeghpour, Faraj;Wonpil, Kim
    • Architectural research
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    • v.24 no.4
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    • pp.105-111
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    • 2022
  • During pandemic period, college students lost lots of such academic opportunities as extra-curriculum social activities, contact classes, and friendly socializing in university campus area, etc. Previous many studies have shown that physical environment has certain relevance on the well-being of human-beings. Recent public statistics on mental health had shown an increase in psychological distress and a decrease in college students and people's well-being during the lockdown in response to the Covid-19 pandemic. However, there were little evidence on what the college students in dormitory suffered from COVID-19 incident in relation with their physical environment. The purpose of this study is to investigate the relationship between environmental factors and psychological well-being of dormitory students in university campus. In order to explore the impact of physical environment on students' psychological well-being, survey instrumentation consisted of 25 indices were employed to measure the level of awareness to each index. A Chi-square analysis on individual characteristics of 200 students found that number of students living in single dwelling unit was statistically significant to maintain their psychological well-being, except for number of students living in each dwelling unit (χ2 =128.92, p= .004). Pearson correlation analysis also found that there exists statistically significant relationship between psychological well-being of students and environmental factors. Further, stepwise multiple regression analysis revealed that the most prime predictor for psychological well-being of students residing in dorm was "use of furniture" (β= .281), implying careful design, lay-out and easy-access to interior furniture by facility planner. The study also demonstrated that as the level of positive perception of physical environmental features rose, overall psychological well-being of students also responded positively at specified rate. Finally, the findings reinforce a solid evidence that carefully well-coordinated physical environments play an important role in maintaining emotional stability of college students in dorm even in pandemic period.

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.

Factors Influencing Unmarried Mothers' Parenting Stress: Based on Depression, Social Support, and Health Perception (미혼모의 양육 스트레스 영향요인: 우울, 사회적 지지, 건강지각을 중심으로)

  • Oh, Eun Jeong;Kim, Hye Young
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.116-125
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    • 2018
  • Purpose: To identify factors affecting parenting stress of unmarried mothers. Methods: The subjects were 108 unmarried women who were parenting their children under the age of six. The data was collected from December 15, 2016 to March 5, 2017. The instruments consisted of self-reported questionnaires that included93 items: 21 on depression, 16 on social support, 20 on health perception, and 36 on parenting stress. The collected data were analyzed by t-test, ANOVA, Pearson correlations, and hierarchical multiple regression. Results: The factors influencing parenting stress were health perception (${\beta}=-.55$, p<.001), evaluative support (${\beta}=-.42$, p=.005), informative support (${\beta}=-.35$, p=.040), emotional support (${\beta}=-.24$, p=.045), partner support (${\beta}=-.20$, p=.048), and depression (${\beta}=.14$, p=.033), and the explanatory power was 57%. Conclusion: In order to alleviate the parenting stress of unmarried mothers, it is necessary to develop programs considering the physical, psychological, and social factors of unmarried mothers. Their subjective assessment of their health can increase or decrease their parenting stress, so it is necessary to develop parenting-stress intervention focusing on health perception.

The Psychological Impacts of Chemical, Biological and Radiological Disasters (화학, 생물, 방사능 사고의 정신적 영향)

  • Lee, Da Young;Sim, Minyoung
    • Anxiety and mood
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    • v.13 no.1
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    • pp.1-9
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    • 2017
  • We reviewed the scientific literature on psychological effects of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) disaster, which is one of the biggest threat to modern society. CBRNE disaster has the potential to cause specific physical symptoms and psychological distress in victims ; moreover, various toxic symptoms and carcinogenesis/mutation would be an important issue. Bioterrorism can cause localized outbreaks of infectious disease or pandemic disaster. Somatization as well as posttraumatic stress symptoms and depression are the characteristic psychological symptoms in CBRNE disaster's victims. CBRNE disasters could lead to large-scale public fear and social chaos due to the difficulties involved in verifying the extent of exposure and unfamiliar area to the common people. In the evacuation process, problems associated with adjustment and conflict between victims and residents should be considered.

A Study of the Scale to Measure Health Status of the Elderly - In Regard to Measures of Physical Functioning- (노인의 건강사정도구에 대한 일고찰 - 신체기능 측정도구를 중심으로 -)

  • Rhee Seonja;Oh Jin-Joo
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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    • pp.11-20
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    • 1992
  • The major goal of caring the elderly is not to cure the patient, but rather to improve or maintain the individual functional ability. With the aged population increases, there is increasing consensus among health care workers about the importance of developing a tool to measure and evaluate the health status of the elderly. As many writers is pointing out, care of the elderly embraces the spectrum of physical-social-psychological problems and an enormous number of variables could be introudeced into the health worker's routine measurement. But such an expansive approach to measurement could have disadvantages. The purpose of this study is to introduce the measurement tools of physical functioning, perhaps the most important measure required in long-term care, which are separated into three categories of measures; general physical health, ADL, IADL. It is important that all health workers who provide care to the elderly incorporate the concepts of functional health status into the routine assessments. And continuous study about reliability and validity is needed to apply those foreign tools to Korea.

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