• Title/Summary/Keyword: scale of family health

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Changes in Depression and Stress of the Middle-Aged and Elderly through Participation in a Forest Therapy Program for Dementia Prevention

  • Hong, Jaeyoon;Park, Sujin;Lee, Jungwon
    • Journal of People, Plants, and Environment
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    • v.22 no.6
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    • pp.699-709
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    • 2019
  • Various health and social issues related to the elderly are emerging in line with the rapid aging of the population. In particular, dementia currently has a prevalence of about 10 percent of the elderly population in South Korea, which increases financial and social burdens to not only individual patients but also their caring family. To assess the effects of participating in the forest therapy programs for dementia prevention, this study recruited participants aged 50 and above and tested their depression (Korean form of Geriatric Depression Scale; KGDS) and stress response (Modified form of Stress Response Inventory; SRI-MF), which are emotional aspects of dementia. As a result, KGDS showed a significant decrease of 3.2 points from 8.4 to 5.2 points, and SRI-MF showed a significant decrease of 7.2 points from 40 to 32.8 points, indicating a statistically significant improvement in both. In addition, participants with minor depression and high level of stress in the pretest showed statistically significant improvements in the SRI-MF for men, and the KGDS and SRI-MF for women. Furthermore, there were statistically significant improvements in KGDS for participants in their 60s and in SRI-MF for those in their 70s in terms of age, and in both KGDS and SRI-MF for participants with chronic diseases and in KGDS for participants without chronic diseases. This study confirmed the effects of forest therapy on the prevention of the emotional aspects of dementia and laid the groundwork for increasing the applicability of forest therapy by obtaining a place for dementia prevention as a field of forest therapy.

Self-esteem and Life satisfaction In the Clothing Behavior-Age and Sex in Adult and Elderly Groups- (자아존중도와 생활만족도가 의복행동변인에 미치는 영향에 관한 연구-연령 및 성을 중심으로-)

  • 김순구
    • Journal of the Korean Society of Costume
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    • v.26
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    • pp.49-67
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    • 1995
  • The purpose of this study was to investigate the relationships between demographic and psychological variables and clothing behavior with reference to sex difference in adult and elderly groups. The clothing behavior was measured by Clothing importance, Interest, Conformity, Modesty, Psychological dependence, Aesthetics, Management, Fashion, and Clothing satis-faction. Psychological variables in this study were self-esteem and life-satisfaction, and demographic variables were sex, education, family type, health, and clothing expenditure. The hypotheses set up in this study were as follows : First, a causal relationship will exist between demographic and psychological variables and clothing behavior in both adult and elderly groups. Second, in clothing behavior a main effect will exist between male and female groups and between adult and elderly groups. Third, in clothing behavior and interaction effect will exist between sex and age. The subjects of this study were 496 adult males, 459 elderly males, and 446 elderly females residing in Pusan area. The material used in this study to measure the clothing behavior was a 5-point rating scale with 31 items in 9 sub-areas developed by the author. The data were collected by five investigatiors well trained in interview before-hand. The following conclusions were obtained from the relults and discussions of this study : First, sex, education, and clothing expendi-ture has a causal relationship with clothing behavior in adult group. Females, higher-educated group, and the group with more clothing expenditure reveal higher concern for clothing. In adult group life-satisfaction does not have any causal relationship with clothing behavior in general execpt for clothing satis-to Psychological dependence, Aesthetics, Management, and Clothing satisfaction in the group. Second, in elderly group sex, education, and health significantly contribute to clothing behavior. A cencern for clothing is higher in female, higher-educated group, and the group with higher perception in health. Self-esteem has a causal relationship with Clothing importance, Conformity, Management, and Clothing satisfaction, whereas life-satisfaction has a strong causal relationship with clothing behavior in general. Third, in both adult and elderly groups a sig-nificant sex diference exists in clothing behavior. Females show higher concern for Clothing importance, Interest, Psychological dependence, Aesthetics, Management, and Fashion than males. On the other hand, males reveal higher concern for Conformity and Clothing satisfaction than females. Fourth, a significant interaction effect exists between age and sex, while elderly females show lower concern for Clothing importance, Interest, and Psychological dependence than adult females, elderly males show higher concern for the same sub-areas of clothing behavior than adult males. This signifies the increase of the concern for clothing in elderly males with the decrease of social activities. Fifth, adult female group reveals lower Con-formity in clothing compared with the other groups, which signifies the higher individuality in clothing behavior. On the other hand, the elderly groups show significantly higher Conformity than the adult groups. this signifies the importance of the consideration for the variables other than individuality in clothing behavior for the group.

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Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective (산모가 인지한 분만간호의 질 측정도구 개발)

  • Jeong, Geum Hee;Kim, Hyun Kyoung;Kim, Young Hee;Kim, Sun-Hee;Lee, Sun Hee;Kim, Kyung Won
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.38-49
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    • 2018
  • Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery. Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients. Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96). Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

Prevalence and Determining Factors Related to Depression Among Adult Women in Korea

  • Shin Kyung Rim;Shin Chol;Park Sun Young;Yi Hye Ryeon
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1388-1394
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    • 2004
  • Purpose. Korean women are likely to experience symptoms of depression, possibly due to socially fixed limitations on the roles that Korean women are expected to perform. Also if a Korean woman experinces negative relationship problem or stress in her family, she would feel responsible, which will worsen her depression. Nonetheless, much of the research on depression among Korean women has focused on menopausal women. This study aims to understand the depression of Korean women to provide fundamental data to develop nursing intervention method for promoting women's health. Methods. The present investigation assessed the prevalence and correlates of depression in a large sample of Korean women, aged 18 or older, from the general population. With a probability sample of 3312 women drawn from two areas in Korea, a survey, which contains the Center for Epidemiological Studies Depression Scale (CES-D) and background, was completed. Results. According to CES-D classification criteria, $36.5\%$ of the women in the sample displayed either no depression or mild depression, $55.6\%$ exhibited moderate depression, and $7.8\%$ manifested severe depression. Significant bivariate relationships were observed between depression and each measured background variable except alcohol use. Logistic regression analysis indicated that the strongest combination of predictors of depression included income, menopausal, and marital status. Conclusion. The data support the premise that Korean women disproportionately experience elevated levels of depression. Consistent with the theory, depression may be related to social pressures to conform to the traditional roles. The study suggests the need for further research, primary prevention activities, and increased access to treatment.

Attitude toward Death in Nursing Students (간호학생의 죽음에 대한 태도)

  • Jung, Sun-Young;Lee, Eun-Kyung;Kim, Bo-Hye;Park, Jin-Hwa;Han, Min-Kyoung;Kim, In-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.168-177
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    • 2011
  • Purpose: The purpose of this study was to investigate the attitude toward death in Korean nursing students. Method: The sample consisted of 365 baccalaureate nursing students. The questionnaires included questions on sociodemographics and death-related characteristics of the participants, and the Fear of Death and Dying Scale (FODS) to measure the attitude toward death. Result: The mean of the FODS score was 2.63 out of 4, so the participants had a slightly negative attitude toward death. There were statistically significant differences between gender, religion, religion activity, perceived health status, experience of parents' death, experience of friend's death, and overall FODS score. Among the four subscales of overall FODS, the score of the fear of death of self was significantly higher in the participants who experienced clinical practice and who experienced patient's death in the intensive care unit compared to the emergency room. Conclusion: Based on the study results, educational programs to change the attitude toward death are required before clinical practice. Programs need to consider nursing students' gender and religion, and give opportunity to share experiences and feelings about death of family or friend. In addition, using standardized patients and simulators is advised in the need for simulation training.

The Degree and Related Factors of the Depression and Burnout among Private Practice Physicians (일부 개업의의 우울 및 Burnout 정도의 관련요인)

  • Shin, Jun-Ho;Kim, Gun-Su;Park, Yo-Sub;Na, Bek-Ju;Sohn, Seok-Joon;Kim, Byong-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.3 s.51
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    • pp.563-575
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    • 1995
  • In order to investigate the prevalence and the factors related to the depression and burnout among private practice physicians, a SDS(self-rating depression scale) and MBI(Maslach burnout inventory) -based questionnaire study was performed on 344 private practice physicians in Kwangju and Chonnam area. The results were summarized as follows. 1. Mean SDS score was 38.3 in total subjects and the prevalence rate of depression was 48.8%. As for the frequency order of the items of the SDS, decreased libido, diurnal variation and hopelessness were relatively high, and suicidal rumination, constipation and agitation were noted low. 2. Noticeable factors related with depression were smoking, coffee use, sleeping time and satisfaction with income. 3. As a result a factor analysis with the MBI data, five factors named as emotional exhaustion, depersonalization, personal accomplishment, involvement and self-interest were extracted. Statistical analysis of the data demonstrated that 48.8% of the physician sample reported high scores on emotional exhaustion, and 45.3% scored high on depersonalization. Personal accomplishment scores remained high with 45.3% reporting high personal accomplishment. 4. Variables related to the burnout were age, sleeping time, family size religion, medical speciality, duration of practice setting, visiting patient number, closing day per month and job satisfaction. 5. In the relationship with depression, burnout was closely related to depression. Above results showed that the high percentage of private practice physicians experiencing depression and burnout suggests the need for further research to establish trends, to identify causal factors, and to develop avenues to reduce stress.

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Factors Influencing Subjective Happiness Index of Health behavior, Smart phone addiction, Suicidal Ideation among College students (건강행태, 스마트폰중독 및 자살생각지수가 주관적 행복지수에 미치는 영향)

  • Nam, Mun Hee;Kim, Hae Ok;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.557-569
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    • 2013
  • This study was conducted to identify factors related to subjective happiness Index and by analyzing students, health behavior, smart phone addiction, suicidal Ideation, and in order to develop appropriate measure tp prevent suicide among university students. Methods: From November 19, 2012 until December 14, 2012, 300 college students from one of the iniversities located at K city were surveyed. Data were analyzed using with SPSS window 18.0. Results: The mean score for college students' subjective happiness Index was 4.58 on a scale of 7. There were significant differences on the Subjective happiness Index for the following areas: sex, parental survival & living and household monthly income. There was a negative correlation among the subjective happiness Index, smart phone addiction, suicidal Ideation. Conclusion: Results indicate that factors influencing Subjective happiness are smart phone addiction, suicidal ideation. We suggest that need to establish policies providing family support, smartphone addiction prevention program suicide prevention program to improve a level of happiness.

The effects of Internet addiction on the lifestyle and dietary behavior of Korean adolescents

  • Kim, Yeon-Soo;Park, Jin-Young;Kim, Sung-Byuk;Jung, In-Kyung;Lim, Yun-Sook;Kim, Jung-Hyun
    • Nutrition Research and Practice
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    • v.4 no.1
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    • pp.51-57
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    • 2010
  • We performed this study to examine lifestyle patterns and dietary behavior based on the level of Internet addiction of Korean adolescents. Data were collected from 853 Korean junior high school students. The level of Internet addiction was determined based on the Korean Internet addiction self-scale short form for youth, and students were classified as high-risk Internet users, potential-risk Internet users, and no risk Internet users. The associations between the students' levels of Internet addiction and lifestyle patterns and dietary behavior were analyzed using a chi-square test. Irregular bedtimes and the use of alcohol and tobacco were higher in high-risk Internet users than no risk Internet users. Moreover, in high-risk Internet users, irregular dietary behavior due to the loss of appetite, a high frequency of skipping meals, and snacking might cause imbalances in nutritional intake. Diet quality in high-risk Internet users was also worse than in potential-risk Internet users and no risk Internet users. We demonstrated in this study that high-risk Internet users have inappropriate dietary behavior and poor diet quality, which could result in stunted growth and development. Therefore, nutrition education targeting high-risk Internet users should be conducted to ensure proper growth and development.

Acute Respiratory Failure due to Fatal Acute Copper Sulfate Poisoning : A Case Report (급성 호흡부전으로 사망한 황산구리 중독 1례)

  • Kim, Gun Bea
    • Journal of The Korean Society of Clinical Toxicology
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    • v.13 no.1
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    • pp.36-39
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    • 2015
  • Copper sulfate is a copper compound used widely in the chemical and agriculture industries. Most intoxication occurs in developing countries of Southeast Asia particularly India, but rarely occurs in Western countries. The early symptoms of intoxication are nausea, vomiting, diarrhea, and abdominal cramps, and the most distinguishable clue is bluish vomiting. The clinical signs of copper sulfate intoxication can vary according to the amount ingested. A 75-year old man came to our emergency room because he had taken approximately 250 ml copper sulfate per oral. His Glasgow Coma Scale (GCS) score was 14 and vital signs were blood pressure 173/111 mmHg, pulse rate 24 bpm, respiration rate 24 bpm, and body temperature $36.1^{\circ}$ .... Arterial blood gas analysis (ABGa) showed mild hypoxemia and just improved after 2 L/min oxygen supply via nasal cannula. Other laboratory tests and chest CT scan showed no clinical significance. Three hours later, the patient's mental status showed sudden deterioration (GCS 11), and ABGa showed hypercarbia. He was arrested and his spontaneous circulation returned after 8 minutes CPR. However, 22 minutes later, he was arrested again and returned after 3 minutes CPR. The family did not want additional resuscitation, so that he died 5 hours after ED visit. In my knowledge, early deaths are the consequence of shock, while late mortality is related to renal and hepatic failure. However, as this case shows, consideration of early definite airway preservation is reasonable in a case of supposed copper sulfate intoxication, because the patients can show rapid deterioration even when serious clinical manifestation are not presented initially.

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A comparative study of quality of life of families with children born with cleft lip and/or palate before and after surgical treatment

  • Emeka, Christian I.;Adeyemo, Wasiu L.;Ladeinde, Akinola L.;Butali, Azeez
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.4
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    • pp.247-255
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    • 2017
  • Objectives: The aim of this study was to compare the quality of life (QoL) of parents/caregivers of children with cleft lip and/or palate before and after surgical repair of an orofacial cleft. Materials and Methods: Families of subjects who required either primary or secondary orofacial cleft repair who satisfied the inclusion criteria were recruited. A preoperative and postoperative health-related QoL questionnaire, the 'Impact on Family Scale' (IOFS), was applied in order to detect the subjectively perceived QoL in the affected family before and after surgical intervention. The mean pre- and postoperative total scores were compared using paired t-test. Pre- and postoperative mean scores were also compared across the 5 domains of the IOFS. Results: The proportion of families whose QoL was affected before surgery was 95.7%. The domains with the greatest impact preoperatively were the financial domain and social domains. Families having children with bilateral cleft lip showed QoL effects mostly in the social domain and 'impact on sibling' domain. Postoperatively, the mean total QoL score was significantly lower than the mean preoperative QoL score, indicating significant improvement in QoL (P<0.001). The mean postoperative QoL score was also significantly lower than the mean preoperative QoL score in all domains. Only 3.2% of the families reported affectation of their QoL after surgery. The domains of mastery (61.3%) with a mean of $7.4{\pm}1.8$ and finance (45.1%) with a mean score of $7.2{\pm}1.6$ were those showing the greatest postoperative impact. The proportion of families whose QoL was affected by orofacial cleft was markedly different after treatment (95.7% preoperative and 3.2% postoperative). Conclusion: Caring for children with orofacial clefts significantly reduces the QoL of parents/caregivers in all domains. However, surgical intervention significantly improves the QoL of the parents/caregivers of these children.