• Title/Summary/Keyword: (physical) Health

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A Study on the Verification of the Profile of Seo구s Elderly Stress Scale (SESS) (노인 스트레스 측정 도구(SESS)의 신뢰도 및 타당도 검증 연구)

  • 서현미;유수정;하양숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.94-106
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    • 2001
  • The purpose of this study was to verify the use of Seo's Elderly Stress Scale (SESS), which was developed in 1996. Through the modified tool, it is possible to examine the stress of Korean elders and to contribute to the welfare of them. The subjects were 350 elders over 65 years old who live in Seoul, Kwang-Ju, Yang-Ju Gun Kyung-ki Do, Ui-Jong Bu, and Young-Am Kun, Jeun-Ra Nam Do. the data of 331 elders (94%) were analyzed. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.0. The result are as follows: 1. Items with low correlation with the total items were removed. So 27 items were removed and 37 items remained. This 37 items were death in the family and/or close friends, family member's behavior not meeting expectations, marriage of daughter, marriage of son, friction with daughter- in-law, argument among children, children refuse to live with parent, children leaving home, sex injury or accident, in frequest visits from children and grandchildren, providing care for your daughter or daughter-in-law post-partum, decrease in decision making and authority in home, Lunar new year and the harvest featival, house sitting, working in the house, performing a sacrificial rite, missed birthday, not living with the eldest son, decreased eyesight, decreased strength, decreased memory, sleep pattern changes, thoughts about death, loneliness, decreased hearing, change of dental condition, change in your diet or eating style, difficulty in self care, moving because of disease or aging, argument with friend or neighbour, travel, dealing with the procedure of heritage, loss of money or property, not enough pocket money, hearing on elderly neglect in television or radio, hope of going home and ignorant from others. 2. Overlapped items were discussed by colleagues and were modified. 'marriage of daughter' and 'marriage of son' were modified in 'marriage of children'. 'self injury or accidents' and 'family accidents' were modified in to self or family accidents. 3. Factor analysis was done in order to identify validity and three factors were obtained from the result. The first factor familial relation area, included 17 items. The second factor, physical area, included 9 items. The third factor, psycho-socio-economic area, included 9 items. Cronbach coefficient alpha for the 35 items was .923. 4. Pearson's correlation was .704 between SESS and SOS (Symptoms of Stress) in order to confirm construct validity. Based on the result, the following is suggested; 1. The modified SESS needs to be reverified with elder. 2. Korean elder's health promotion can be made by development of stress intervention which was accurately measured with SESS.

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A Study on the Development of an Independent Hospice Center Model (독립형 호스피스 센터 모델 개발에 관한 연구)

  • No, Yu-Ja;Han, Sung-Suk;Kim, Myeong-Ja;Yu, Yang-Suk;Yong, Jin-Seon;Jeon, Gyeong-Ja
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1156-1169
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    • 2000
  • The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

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Relationship of Self-Perceived Symptoms of Periodontal Disease to Quality of Life in Adults (일부 성인에서 치주질환 자각증상과 삶의 질의 관련성)

  • Lee, Mi-Ra;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.115-121
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    • 2012
  • The aim of this study was to investigate the correlations between the self-reported symptoms of periodontal diseases and the quality of life. This study conducted its questionnaire survey over the subjects of 450 adults who had ever visited dental clinics among the adults of age 35-65 living in Seoul and Gyeonggi-do region from January 7 to March 14, 2010. The data were analyzed using a chi-square test, t-test, binominal logistic regression analysis in the SPSS version 12.0 program. Among the self-reported symptoms of periodontal diseases, 65% of respondents perceived that 'I bleed from the gums in brushing my teeth', which was the most, whereas 18.8% of respondents perceived to 'tooth mobility', which was the least. Self-reported symptoms of periodontal diseases was associated with socio-demographic characteristics such as sex, age, level of education and periodic oral examination, dental scaling(p<0.05). People who perceived the symptoms of periodontal diseases experienced functional limitation, physical pain, psychological discomfort, disability in diverse domains, and social handicap more than the group who did not perceive them(p<0.001). OHIP-14 scores were significantly correlated with sex, bleeding gums, swollen gums and bad breath(p<0.05). This study showed the self-reported periodontal problem had a negative impact on the public's leading their happy life. Therefore, in order to enhance the quality of life in adults, it is necessary to prevent periodontal diseases and reduce the subjective symptoms.

The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left- (119구급대원의 신체적 특성과 심정지 임신부 자세에 따른 가슴압박 질 비교 -30° 왼쪽 기울기 자세의 마네킨 모델-)

  • Park, Dae-Sung
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.197-204
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    • 2015
  • This study aims to identify the effects: quality of chest compressions, height and weight of pregnant women cardiac arrest while lying $30^{\circ}$ inclined to the left has on the quality of chest compressions administered by 119 EMT. For the purpose of this study, 62 members of 119 EMTs in M, N, S, Y cities and G cities of J province agreed to join in the test and the test was conducted from June 15 to 16 in 2015. Two mannequins (Resusci Anne$^{(R)}$) were used for the study and the chest compression process was recorded with the use of the Laerdal PC Skill Reporting System$^{(R)}$. As a result, it was discovered that for patients with a $30^{\circ}$ left inclination, who were below 170 cm in height and 65 kg in weight, the proper frequency and depth of compression were unsatisfactory. With this in mind, training programs and instruments that can improve the quality of chest compressions depending on a person's (patient's) height and weight should be developed.

Effectiveness of Aromatherapy with Light Thai Massage for Cellular Immunity Improvement in Colorectal Cancer Patients Receiving Chemotherapy

  • Khiewkhern, Santisith;Promthet, Supannee;Sukprasert, Aemkhea;Eunhpinitpong, Wichai;Bradshaw, Peter
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3903-3907
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    • 2013
  • Background: Patients with colorectal cancer are usually treated with chemotherapy, which reduces the number of blood cells, especially white blood cells, and consequently increases the risk of infections. Some research studies have reported that aromatherapy massage affects the immune system and improves immune function by, for example, increasing the numbers of natural killer cells and peripheral blood lymphocytes. However, there has been no report of any study which provided good evidence as to whether aromatherapy with Thai massage could improve the immune system in patients with colorectal cancer. The objectives of this study were to determine whether the use of aromatherapy with light Thai massage in patients with colorectal cancer, who have received chemotherapy, can result in improvement of the cellular immunity and reduce the severity of the common symptoms of side effects. Materials and Methods: Sixty-six patients with colorectal cancer in Phichit Hospital, Thailand, were enrolled in a single-blind, randomised-controlled trial. The intervention consisted of three massage sessions with ginger and coconut oil over a 1-week period. The control group received standard supportive care only. Assessments were conducted at pre-assessment and at the end of one week of massage or standard care. Changes from pre-assessment to the end of treatment were measured in terms of white blood cells, neutrophils, lymphocytes, CD4 and CD8 cells and the CD4/CD8 ratio and also the severity of self-rated symptom scores. Results: The main finding was that after adjusting for pre-assessment values the mean lymphocyte count at the post-assessment was significantly higher (P=0.04) in the treatment group than in the controls. The size of this difference suggested that aromatherapy with Thai massage could boost lymphocyte numbers by 11%. The secondary outcomes were that at the post assessment the symptom severity scores for fatigue, presenting symptom, pain and stress were significantly lower in the massage group than in the standard care controls. Conclusions: Aromatherapy with light Thai massage can be beneficial for the immune systems of cancer patients who are undergoing chemotherapy by increasing the number of lymphocytes and can help to reduce the severity of common symptoms.

Revision of a Questionnaire to Assess Health Behaviors in Obese Children (비만 아동에 대한 설문지의 분석과 재구성)

  • Park, So Eun;Yom, Hye Won;Seo, Jeong Wan;Lee, He Jin;Park, Hye Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.2
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    • pp.215-227
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    • 2004
  • Purpose: The prevalence of childhood obesity has increased dramatically. It is important to know about life style and dietary habits of the obese children because the treatment of childhood obesity focuses on using behavioral modification techniques. We aimed to develop a questionnaire for the purpose of providing convenient and useful guidance to pediatricians who evaluate and treat obese children. Methods: Previously developed questionnaire was given to 94 obese children and their parents who had visited clinic for obese children and adolescents. We analyzed response rates on questions and reliability between children and their parents. Results: The response rates on questions were somewhat high. Agreement of paired questions of both parents and children was also moderately high (63~92%). It is acceptable to complete questions by either parents or children alone. Items for hours of playing video games or computer, maternal job, kind of consuming beverage and food outside home were added. Conclusion: We concluded that some questions are not needed to be given to both parents and their children. It would be better to have parents record life style of their children and to have children record their food intake with physical activity outside home.

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Diabetes Mellitus and Site-specific Colorectal Cancer Risk in Korea: A Case-control Study

  • Woo, Hyeongtaek;Lee, Jeeyoo;Lee, Jeonghee;Park, Ji Won;Park, Sungchan;Kim, Jeongseon;Oh, Jae Hwan;Shin, Aesun
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.1
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    • pp.45-52
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    • 2016
  • Objectives: Previous large-scale cohort studies conducted in Korea have found a positive association between diabetes mellitus (DM) and colorectal cancer (CRC) in men only, in contrast to studies of other populations that have found significant associations in both men and women. Methods: A total of 1070 CRC cases and 2775 controls were recruited from the National Cancer Center, Korea between August 2010 and June 2013. Self-reported DM history and the duration of DM were compared between cases and controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by binary and polytomous logistic regression models. Results: DM was associated with an elevated risk of CRC in both men (OR, 1.47; 95% CI, 1.13 to 1.90) and women (OR, 1.92; 95% CI, 1.24 to 2.98). This association remained when we controlled for age, body mass index, alcohol consumption, and physical activity level. In sub-site analyses, DM was associated with distal colon cancer risk in both men (multivariate OR, 2.04; 95% CI, 1.39 to 3.00) and women (multivariate ORs, 1.99; 95% CI, 1.05 to 3.79), while DM was only associated with rectal cancer risk in women (multivariate OR, 2.05; 95% CI, 1.10 to 3.82). No significant association was found between DM and proximal colon cancer risk in either men (multivariate OR, 1.45; 95% CI, 0.88 to 2.41) or women (multivariate OR, 1.79; 95% CI, 0.78 to 4.08). Conclusions: Overall, DM was associated with an increased risk of CRC in Koreans. However, potential over-estimation of the ORs should be considered due to potential biases from the case-control design.

Relationships between Aggression and Stress depending on Demographic Characteristics of Children of Multicultural Families (다문화가정 아동의 인구통계학적 특성에 따른 공격성과 스트레스의 관계성 연구)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.3
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    • pp.13-21
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    • 2017
  • Purpose : This article was to study mental health status through aggression and stress of children of multicultural families, marriage immigrant and to use them as baseline data. Method : We used questionnaire and collected them from 135 children of multicultural families who live in 2 city and 4 do. Frequency Analysis was used for Demographic Characteristics, t-test and one-way ANOVA for aggression and stress depending on demographic characteristics, and regression analysis for the factors. Result : The first, the total score of aggression of the children of multicultural families was 3.05 and the most high score was verbal aggression, 3.69. Stress was 3.66. The second, there was a significant difference between aggression depending on demographic characteristics and verbal aggression(p=.031) depending on age and anger(p=.011). There was also a significant difference between total aggression(p=.028) depending on economic level and physical aggression(p=.049), verbal aggression(p=.000), anger(p=.036), hostility(p=.042), and stress(p=.011). The third, we analysed the factors affecting aggression of children of multicultural families. There was a significant difference resulting from stepwise regression analysis(F=57.139, p<.001), the results showed a strong explanation of aggression by bad in economic status(p<.01), stress(p<.01), 10 years in age(p<.01), and 13 years in age(p<.01). Conclusion : Aggression depending on demographic characteristics of the children of multicultural families was caused by age, economic level, and stress.

A Study of Establishment of the Infrastructure for Consequence Analysis of Metallic Dust Explosion (금속성 분진폭발의 영향 분석을 위한 기반구축에 관한 연구)

  • Jang, Chang Bong;Lee, Kyung Jin;Moon, Myong Hwan;Baek, Ju Hong;Ko, Jae Wook
    • Journal of the Korean Institute of Gas
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    • v.21 no.4
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    • pp.84-91
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    • 2017
  • Recent years have witnessed the increased usage of flammable metals, such as aluminum or magnesium, in wide range of high-tech industries. These metals are indispensable for the improvement of physical properties of materials as well as the design capability of the final product. During the process, unwanted metal dusts could be released to the environment. This can lead to an occupational health and safety issues. Due to their flammable nature, more serious problem of an explosion can happen in extreme cases. The explosion is the combustion of tiny solid particles and vapor mixture, caused by pyrolysis. This complex composition makes engineering analysis more difficult, compared to simple gas explosions or vapor cloud combustions. The study was conducted to assess this light metal dust explosion in an effort to provide the bases for a risk assessment. Dust explosion characteristics of each material was carefully evaluated and an appropriate analysis tool was developed. A comprehensive database was also constructed and utilized for the calibration of the developed response model and the verification for its accuracy. Subsequently, guidelines were provided to prevent dust explosions that could occur in top-notch industrial processes.

Characteristics in HRV(heart rate variability), GSR(galvanic skin response) and skin temperature for stress estimate (스트레스 평가를 위한 심박 변이도, 전기피부반응 및 피부온도 특성)

  • Cho, Young Chang;Kim, Min Soo
    • Journal of Korea Society of Industrial Information Systems
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    • v.20 no.3
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    • pp.11-18
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    • 2015
  • Stress is one of the major causes threatening the mental and physical health of human today. In this paper, we analyzed the heart rate variability(HRV), galvanic skin response(GSR), and skin temperature data measured from the university subjects before and after the class to examine the influence on bio-signal in stress environment. Thirty subjects from university students (aged between 21 and 27 years; mean=22.31, STD=1.45) took part in this study. From the experiment results, RMSSD(p=0.033), LF peak(p=0.003), VLF(p=0.045) were statistically significant from those of the control group(p<0.05) of HRV both in time and frequency domain. We observed that mean skin conductivity after the class(mean=5.993(uS), SD=3.406) is higher than that before the class(mean=3.039(uS), SD=2.628) by 97.2% on average and the skin temperature after the class($34.835{\pm}0.305$) is slightly higher than that before the class($34.471{\pm}0.281$) by 1.055% on average. The results in this research could be used to examine the autonomic response in clinical stress related research.