• Title/Summary/Keyword: self-care activities

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치매노인의 우울과 자살의도 (Depression and Suicidal Ideation in Elders with Dementia)

  • 김종필;현미열
    • 대한간호학회지
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    • 제43권2호
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    • pp.296-303
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    • 2013
  • Purpose: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. Methods: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. Conclusion: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여- (Stroke Rehabilitation Performance and Outcomes among Hospitals)

  • 이노우에 유스케;정승원;콘도 카츠노리;서영준
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.53-61
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    • 2011
  • This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

직접외상에 의한 급성 비정복성 관절원판 변위의 치험례 (A Case Report on the Treatment of Acute Anterior Disc Displacement without Redution in TMJ Disorders by Direct Trauma)

  • 조수현;고명연
    • Journal of Oral Medicine and Pain
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    • 제23권3호
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    • pp.281-288
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    • 1998
  • The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.

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스테이션 교수전략을 활용한 예비유아교사 메이커교육 프로그램 개발 및 적용: 유아교과교재 연구 및 지도를 중심으로 (Development and Application of Prospective Early Childhood Teachers Maker Education Program Using Station Teaching Strategy: Focusing on Teaching Materials and Method Study for Young Children)

  • 조은래
    • 한국보육지원학회지
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    • 제16권6호
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    • pp.155-183
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    • 2020
  • Objective: In this study, we tried to verify the effects of program by constructing an effective maker education program that can cultivate the maker's capabilities through voluntary production activities by utilizing various technologies and tools. Methods: First, prior research on maker education and the station teaching strategy was considered, and interviews and surveys were conducted on prospective early childhood teachers in order to find out the degree of demand for maker education. The final program was finalized through verification of the contents validity. Results: The developed program was applied to a total of 49 prospective early childhood teachers (24 in the experimental group, 25 in the comparative group) attending U College, and it was found to be effective in enhancing convergence talent, education knowledge of early childhood teachers' technology, and self-directed learning skills. Conclusion/Implications: These findings show that the preliminary early childhood teacher maker education program using station teaching strategy has educational value that can be used as an effective teaching method in early childhood education.

Opportunistic Insights into Occupational Health Hazards Associated with Waterpipe Tobacco Smoking Premises in the United Kingdom

  • Al-Bakri, Ali;Jawad, Mohammed;Salameh, Pascale;al'Absi, Mustafa;Kassim, Saba
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.621-626
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    • 2015
  • Background: Smokefree laws aim to protect employees and the public from the dangers of secondhand smoke. Waterpipe premises have significantly increased in number in the last decade, with anecdotal reports of poor compliance with the smokefree law. The literature is bereft of information pertaining to waterpipe premise employees. This study aimed to opportunistically gather knowledge about the occupational health hazards associated with working in waterpipe premises in London, England. Materials and Methods: Employees from seven convenience-sampled, smokefree-compliant waterpipe premises in London were observed for occupational activities. Opportunistic carbon monoxide (CO) measurements were made among those with whom a rapport had developed. Observations were thematically coded and analysed. Results: Occupational hazards mainly included environmental smoke exposure. Waterpipe-serving employees were required to draw several puffs soon after igniting the coals, thereby providing quality assurance of the product. Median CO levels were 27.5ppm (range 21-55ppm) among these employees. Self-reported employee health was poor, with some suggestion that working patterns and smoke exposure was a contributory factor. Conclusions: The smokefree law in England does not appear to protect waterpipe premise employees from high levels of CO. Continued concerns surrounding chronic smoke exposure may contribute to poor self-reported physical and mental wellbeing.

국내 노인 건강증진 간호중재연구 분석 - 1994년에서 2004년까지 - (Analysis of Researches on Nursing Intervention for Elderly Health Promotion from 1994 to 2004)

  • 김태임;이강이;박영임;전명희;김인자;김은주;김동옥;권윤정
    • 지역사회간호학회지
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    • 제16권4호
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    • pp.446-457
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    • 2005
  • Purpose: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. Method: A literature review of 38 researches was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

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신체 노출 스포츠웨어 소비자의 신체존중감 및 외모관리행동에 대한 질적 연구: MZ세대 여성을 중심으로 (A Qualitative Study on the Body-Esteem and Appearance Management Behavior of Generation MZ Female Consumers of Body-Exposing Sportswear)

  • 오수현;정규진;고애란
    • Human Ecology Research
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    • 제61권4호
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    • pp.647-661
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    • 2023
  • This study explored the relationship between Generation MZ female consumers' participation in sports activity, consumption of body-exposing sportswear, body-esteem, and appearance management behavior. In-depth interviews were conducted with twenty Generation MZ female consumers who regularly participate in sports activity and consume body-exposing sportswear. Based on transcriptions of in-depth interviews conducted with research subjects, the researcher and two assistant researchers collectively categorized and compared common characteristics found in their responses, categorized according to themes using units of words/terms and paragraphs. The main finding were as follows. Firstly, Generation MZ female consumers participated in various sports activities for an average of approximately one hour, three times per week. The effects of such participation were improvements in physical and psychological health. Secondly, Generation MZ female consumers considered aesthetical, functional, and economical factors when they consumed body-exposing sportswear, regardless of the activity in which they participated. This sportswear served to increase the efficiency of exercise and also played a motivational role. Thirdly, the overall body-esteem of Generation MZ female consumers who participated in sports activity regularly and consumed body-exposing sportswear was high. Fourthly, Generation MZ female consumers who regularly participated in sports activity and consumed body-exposing sportswear were practicing active appearance management behavior in order to show how their body had been shaped by sports activity. In addition, they were pursuing four self-images: "polished image pursue", "self-care image pursue", "natural image pursue", and "trustworthy image pursue".

10대 학생들을 위한 온라인 학습 커뮤니티 설계 및 개발 (The Design and Development of Online Learning Community for Teenagers)

  • 조미헌
    • 정보교육학회논문지
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    • 제11권1호
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    • pp.79-89
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    • 2007
  • 10대 학생들의 지속적인 인터넷 이용률 상승과 높은 온라인 커뮤니티 참여율을 고려할 때, 그들이 인터넷 이용을 통해 경험할 수 있는 역기능을 최소화하고 긍정적인 경험을 쌓을 수 있도록 지도하는 것이 필요하다. 학생들은 온라인 커뮤니티 활동을 통해서 다양한 사회성을 경험하고, 자아성을 탐색할 수 있다. 그러나 다른 한편으로, 학생들을 대상으로 하는 상당수의 온라인 커뮤니티들이 사회적인 배려와 관심을 제공하지 못하여 학생들의 가치관 혼란이나 잘못된 행동을 유도하기도 한다. 이러한 문제를 고려하여, 본 연구는 10대 학생들의 요구를 수용하면서 동시에 그들의 요구를 학습 활동과 연계할 수 있는 온라인 학습 커뮤니티에 초점을 두고, 활발한 공동체 활동과 학습 활동을 진행할 수 있는 온라인 학습 커뮤니티를 설계하고 개발하였다. 커뮤니티는 운영 취지를 소개하고, 알림방, 요구함 등을 제시하는 'e-Tivity소개', '이벤트홀' '자료파크' 'e-Tivity센터' 등으로 구성된 커뮤니티 활동 공간, '교사연구실' '관리실'로 구성된 교사와 관리자 공간, 'My Room' 아바타 꾸미기 등의 기능을 제공하는 학생 개인 공간 등으로 구성되었다.

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판막치환수술후 환자들의 건강인지도에 영향을 미치는 제요인에 관한 연구 (An Exploratory Study on the Main Factors Affecting Health Perception of the Patients Following Cardiac Valve Replacement Surgery)

  • 김금순;전동희
    • 대한간호학회지
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    • 제15권1호
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    • pp.52-58
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    • 1985
  • This study was attempted to investigate the main factors affecting health perception of the patients following cardiac valve replacement surgery. Data were collected from Sept. 1 to Oct. 31, 1984 through administration of questionnaire developed for this study by the researcher. The subject was 95 patients who received follow up care following cardiac valve replacemert surgery at S.N.U.H. The data were analyzed by T-test, oneway ANOVA, pearson correlation and multiple regression according to dependent variables. The results were as follows. \circled1 Average self-health perception of those patients. were 4.62, (maximum; 7 minimum; 1) and they showed on affirmative response for their health condition, \circled2 There was significant difference in health perception according to sex difference. Men had higher health perception than women. (t=2,83, p=0.006) \circled3 There was significant difference in health perception according to occupation. Those who had occupation showed higher health perception those who had no occupation. (t=3.25, p=0.002) \circled4 The longer post-operative period elapsed, the higher health perception was, and there was significant difference in health perception (f=0.2958, p=0.002). \circled5 The higher age was, the lower health perception was, and there was a significant difference in health perception. (${\gamma}$= -0.2485, p=0.008) \circled6 The fewer subjective psychosomatic symptoms were, the higher health perception was, and there was a significant difference in health perception. (f = -0.4988, p=0.0000) \circled7 The more active daily activities were, the higher health perception was, and there was a significant difference in health perception. (${\gamma}$=0.6359 p=0.0000) \circled8 The main factors predicting health perception .are like these. \circled1 Daily activities (42.7%), highest variable. \circled2 Psychosomatic symptoms (7.29%) \circled3 Elapsed period after cardiac valve replacement surgery (1.89%) \circled4 Existence of occupation (1.87%) \circled5 Sex (1.78%) \circled6 Age (0.8%).

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농촌 지역 재가 장애인의 일상생활 수행능력과 지각된 건강 상태 (A Study on Activities of Daily Living and Perceived Health Status of Disabled Persons at Home in Rural Areas)

  • 김현옥;정경화
    • 지역사회간호학회지
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    • 제18권2호
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    • pp.252-265
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    • 2007
  • Purpose: This study was attempted to provide basic data required to develop community-base rehabilitation program for disabled persons at home by investigating their characteristics. ADL, and perceived health status. Method: The subjects were 146 disabled persons at home in rural areas. Data were collected from January 22 to January 31, 2004. Data were analyzed using frequencies, percentages, means, standard deviations, minimums, maximums, $\chi^2$-test, Fisher's exact test, t-test, one-way ANOVA, Scheffe test, Contingency coefficient, Pearson's correlation, Stepwise multiple regression. Results: The average score of ADL was $5.51{\pm}1.92$: sphincter control $(5.85{\pm}2.10)$, communication $(5.66{\pm}2.02)$, transfers $(5.67{\pm}2.21)$, self care $(5.44{\pm}2.05)$, social cognition $(5.33{\pm}2.08)$, and locomotion $(4.85{\pm}2.32)$. This means that the respondents were in the state of dependence. The main items requiring others' help were 'bathing' (57.7%) and 'going up and down stairs' (51.1%) ADL was significantly different according to age, sender, occupation, medical fee payer, type, severity and duration of disability, BMI, and alcohol drinking. Among the respondents, 82.8% perceived that their health status was bad. Main factors influencing the perceived health status of disability were age and ADL$(R^2=.343)$. Conclusion: Perception of health status among the disabled is related to their characteristics and ADL, so it is necessary to develop community-base rehabilitation programs in order to improve ADL and the perception of health status.

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