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A Study on the Burden, Health Status and Well-being in Spouse Caregivers of Patients with Stroke (뇌졸중환자 배우자의 부담감과 건강상태, 안녕 간의 관계 연구)

  • Ahn, Soo Yeon;Kwon, Young Eun;Hong, Jeong Ju
    • Korean Journal of Adult Nursing
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    • v.17 no.2
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    • pp.287-297
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    • 2005
  • Purpose: The purpose of the study is to investigate the correlation between burden, health status and well-being in spouse caregivers of patients with stroke. Method: The subjects of this study were 160 spouse caregivers registered at general hospital in Seoul and Seongnam. The data were collected from July 2th to October 30th, 2003. The Suh & Oh's burden scale, Yang's health status scale and Park's well-being scale were employed to measure burden, health status and wellbeing respectively. Collected data were analyzed using SPSS 12 version to obtain summary statistics for the descriptive analysis, Pearson Correlation, and Stepwise Multiple Regression. Results: 1. The mean score of the degree of burden, health status and well-being were 3.52, 5.92 and 3.64 points. 2. The burden of the subjects were significantly negative correlated with psychological health status(r=-.482. p<.01) and wellbeing(r=-.455, p<.01). 3. With the result of stepwise multiple regression, psychological health status and wellbeing were the main variables which could explain burden by 27.1%. Conclusion: The findings of this study will provide practical guidelines for developing emotional nursing interventions for the spouses taking care of CVA patients who would experience a heavy burden and distress.

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A Comparative Study on Health Status and Health Determinants of Foreign Workers and Native Workers (외국인 근로자와 내국인 근로자의 건강수준 및 결정요인 비교)

  • Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.3
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    • pp.180-188
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    • 2014
  • Purpose: The purpose of this study was to compare the health status between foreign workers and native workers and to examine the influencing factors of health status of foreign and native workers. Methods: This was a secondary analysis of the data collected from the 3rd (2011) Korean Working Conditions Survey (KWCS). The sample included 101 foreign workers and 101 native workers matched by age and gender. Results: The difference in health status between foreign workers and native workers was not statistically significant. The most commonly complained health problem of foreign workers was muscle pain of the upper limbs. Among foreign workers, hazard exposure, coworker support and supervisor support were significant predictors of health status. Among native workers, income level and obesity were significant predictors of health status. Conclusion: For health management and health promotion of foreign workers, employers and health providers need to establish coworker supporting systems in workplace and improvement strategies of work environment. Particularly, they must pay closer attention to management of foreign workers' musculoskeletal disorder.

A Study on Stressful Life Events, Self-esteem and Perceived Health Status of the Elderly in a Rural Community (노인의 스트레스 생활사건, 자아존중감, 지각된 건강상태에 관한 연구)

  • Kang Young Sil;Park Ok Hee
    • Journal of Korean Public Health Nursing
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    • v.13 no.1
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    • pp.1-11
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    • 1999
  • This study was performed to estimate stressful life events, self-esteem and perceived health status in the elderly persons and to compare degree of self-esteem and perceived health status according to experience of stressful life events and general characteristics. The data was collected from 179 elders in a rural community. Data collection was done from October 20 to December 6, 1997. A comparison of self-esteem and perceived health status by experience of stressful life events and general characteristics was summarized as follows : 1) Eighty three persons, $46.4\%$ of the surveyed, have experienced stressful life events, including disease(54 persons) and death of family member(l2 persons). 2) Thirty eight percents of the surveyed persons evaluated they are not healthy. The average score of perceived health status of the elderly was 2.88± .92 for the scale of 5, which represents the healthiest status. 3) There were significant differences on the self-esteem score in the elderly according to having a spouse or not(t=3.51. p=.00l), having family members living together or not(t=2.98. p=.003) and socioeconomic status(F=7.08. p=.00l). 4) There were significant differences on the perceived health status in the elderly according to experience of stressful life events(t=3.51. p=.00l), having family members living together or not(t=2.09, p= .038) and socioeconomic status(F=6.56, p=.002). 5) Positive correlation was observed between self-esteem and perceived health(r= .5037, p=.000). The above results imply that support of family and society should be reinforced to improve self-respect and health of aged persons, and that it is desirable to build up social and economic environment promoting health status through daily life.

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Dietary Iron Intake and Body Iron Status of Myocardial Infarction Patients in Chunan Area

  • Kim, Hee-Seon
    • Journal of Community Nutrition
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    • v.1 no.2
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    • pp.140-147
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    • 1999
  • It has been known for some time that elevated body iron could be a risk factor for coronary heart disease. The present study was conducted to determine body iron status and dietary iron intake of patients with myocardial infarction(MI). Seventy five patients from the Chunam area with their first MI history within he past 2 months were recruited. The serum iron concentration, total iron binding capacity(TIBC) and percent transferrin saturation(TS) were selected as indicators of body iron status. Twenty four hour recall was conducted by trained interviewers to asses the dietary intake. Most women (91.3%) showed waist to hip ratio(W/H) greater than 0.85 while 17.3% of men were assessed to have a tendency of abdominal obesity(W/H>0.95). The average BMI of women was 25.80 and that of men was 23.98. The average diet intake of participants was below the recommended dietary allowances (RDA) for most nutrients. He average dietary iron intake was 10.03 mg/day for all subjects while women's iron intake was significantly lower than men's. However, a great proportion of participants (77%) showed a tendency to have normal iron status. About 9% of the participants were assessed as iron deficient and 14% had an iron overload. The mean serum iron concentration was 125 g/dl ranging from 13.3 to 280.6 g/dl. Iron intake from animal sources were significantly associated with body iron status (r=0.257, p=0.026) when TIBC was used as an iron status indicator. When iron status was assessed with TS, it was directly associated with iron intake from animal sources(r=0.278, p=0.05) for he subjects in the normal iron status group. He results of the present study showed that the nutrient intake of Mi patients in Chunan was not quite adequate while iron status was mostly in the normal range. Further studies are needed to investigated whether there is a possible difference in iron metabolism of the MI patients.

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Effects of Tai Chi Exercise Program on Physical Fitness, Fall related Perception and Health Status in Institutionalized Elders (타이치 운동프로그램이 시설노인의 체력, 낙상관련 지각 및 건강상태에 미치는 효과)

  • Liu, Ming-Ren;So, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.620-628
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    • 2008
  • Purpose: The purpose was to identify the effects of a Tai Chi exercise program on physical fitness, fall related perception and health status among institutionalized elderly. Methods: A quasi-experimental research was carried out with a nonequivalent control group pretest-posttest design. There were 23 subjects in the experimental group and 24 in the control group. The data was gathered by structured questionnaires about fall related perception, and health status. Physical fitness was measured by an exercise therapist with a blind principle. Results: At the completion of the 12 weeks Tai Chi exercise program, flexibility (F=4.50, p=.00), and ability to balance (F=3.27, p=.00) had increased significantly. Fall related perception showed significant improvement in the fear of falling (F=-3.52, p=.00). Physical functioning (F=3.38, p=.00), role limitation-physical (F=2.67, p=.01), role limitation-emotional (F=2.47, p=.02). and general health (F=3.88, p=.00) in health status showed significant differences between the two groups. Conclusion: The study findings revealed Tai Chi exercise as a useful nursing intervention for elderly that enhances flexibility and balance, decreases fall related perception and also increases the health status. Further research is warranted to compare the potential effects of Tai Chi exercise and its health benefits from other types of exercise or martial arts.

Effect of Maternal Nutritional Status on Immunological Substances in Breast Milk of Korean Women (임산부의 영양상태와 모유의 면역물질 함량에 관한 연구)

  • 김화영
    • Journal of Nutrition and Health
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    • v.27 no.3
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    • pp.263-271
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    • 1994
  • The concentrations of the immunological substances in breast milk and nutritional status were studied in healthy Korean women of middle socioeconomic class. The subjects were recruited at random from obstetric clinics in Seoul. The nutrients intake, prepregnancy BMI, maternal weight gain during pregnancy were studied. The concentrations of lactoferrin(LF), lysozyme(LZ), sIgA, IgG and C3 in colostrum, in transitional milk, and in mature milk, were measured. To elucidate the effect of nutritional status on immunological substances, each components was compared on the basis of either BMI, weight gain, or protein intake. The highest concentrations of the substances were found in colostrum and decreased as lactation progressed. The decline was more prominent in IgG, C3 and sIgA, and less significant in LZ and LF. The colostrum of standard weight gain group showed higher concentrations compared to lower weight gain group. This difference became smaller as the lactation progresses. BMI and nutrient intake status had less significant effect. Lower sIgA was found in lower BMI, in lower weight gain, and lower protein intake groups compared to standard groups, which indicates sIgA is the most affected substance among the measured by nutritional status.

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Mediated Effects of Nutritional Status on the Relationship between Symptom Experience and Functional Status in Patients with Lung Cancer undergoing Chemotherapy (항암화학요법 폐암 환자의 증상경험과 기능상태간의 관계에 미치는 영양상태의 매개효과)

  • Jung, Kyoung-Sun;Min, Hye Sook;Yun, Mi-Jeong
    • Journal of muscle and joint health
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    • v.24 no.2
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    • pp.130-139
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of nutritional status in the relationship between symptom experience and functional status among in patients with lung cancer undergoing chemotherapy. Methods: Subject (N=139) were lung cancer patients visiting the D hospital in B city. Data collection was conducted from May 2016 to February 2017. Seven nutritional status measurement tools, 22 symptom experience tools, and 15 EORTC QLQ-C30 functional scales were used to measure nutritional, symptom, and functional levels. The collected data were analyzed by SPSS / WIN 21.0 using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test. Results: There was a significant positive correlation between symptom experience and nutritional status, a significant negative correlation between symptom experience and functional status, and significant negative correlation between nutritional status and functional status. Symptom experience had direct effect and indirect effects on functional status through nutritional status. Conclusion: For enhancing functional status in lung cancer patients, it is necessary to develop nursing intervention programs to palliate symptoms and improve nutritional status.

A Study on Functional Status after Childbirth under the Sanhujori (산후 여성의 기능 상태에 관한 연구)

  • Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.5 no.3
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    • pp.410-419
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    • 1999
  • This study sought to figure out women's functional status after childbirth under the Sanhujori. Functioal status was defined as the women's readiness to assume infant care responsibilities and resume her usual activities including household, social and community, self-care and occupational activity. A convenience sample of 211 women who are in the postpartal period of the range from 1 week to 3 months above and residing in Seoul. Korea was studied from January, 1997 to December, 1998 for two years. Mean age of respondents was 29.9 years and mean of the present postpartal period was 7.5 weeks. The present postpartal period was of 5-8 weeks 26.5%, 3-4weeks 26.1%, 9-12 week 23.7% and below 2 weeks 7.1%, 32.7% of women had a job and the mean period of return to job was 2.76 weeks. During Sanhujori the non professional care giver was family members from women's maiden home 73.5% and only 2% of husband. The period women needed for the recovery from now was 5.39 weeks and it means that women need 12.9weeks for recovery after childbirth. For the present subjective health status after childbirth, bad was 20.2%, good 18.3 and average 61.5% and for the recovery status, completely recovered 29.5%, slightly 61.8% and rarely 8.7%. The mean of functional status at the 7.5weeks was baby care activity 3.65, household 2.57, self-care 2.46, occupational 2.44 and social 1.53 in rank. Except baby care the functional status was generally low or very low. The related factors to the functional status were the period and subjective evaluation of Sanhujori women experienced, the present period of postpartum, and subjective feeling of recovery. This result strongly reflects the effects of Sanhujori culture and Sanhujori per se on women's postpartal life including functional status and reconfirmed the relationship between health status and the experience of Sanhujori after delivery as the previous findings from various study showed. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as an inseparable factor influencing in women's postpartal healthy adaptation and for the appropriateness of intervention and quality of care for desirable health outcome.

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An Exploration of Adult Women Health-Behaviors (성인여성의 건강행위에 관한 연구)

  • Kim Myoung Hee;Chon Mi Young
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.239-253
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    • 2002
  • Health care for women regularly focuses on the reproductive system to the exclusion of other health needs. The lack of research focusing on women's common health issues is a major problem to the enhanced optimal level of women's health. Health care providers have to recognize biological and social differences between men and women. This study was conducted to identify the baseline data and their correlation of health perception, health behavior, and health status of adult women for developing nursing intervention. The study was a descriptive correlational design. A convenient sampling method was used for collecting data from 103 adult women, over 18 years of age, during the period from Sep 1 to Nov 30, 2001. The study's subjects were interviewed using a structured questionnaire. The instruments for this study were the health perception scale modified by Lee(1985) based on the tool developed by Ware(1977) and Jenkins (1966), and the health behavior scale by Ko, Kumja(1987). Health status was measured by the short form Cornell Medical Index(CMI) modified by Nam, Hochang(1965). The data were analyzed SPSS PC+, by frequency, mean, t-test, ANOVA, and Pearson correlation coefficients. Also, the Duncan test was utilized for a post hoc test of ANOVA. The results of this study are as follows: 1. The mean score for health perception was 3.02(S.D=0.39) on a 5 point scale. 2. The mean score for health behavior was 3.08(S.D=0.43) on a 5 point scale. 3. The mean score for health status was 18.54 on 58 items. The mean score for physical symptoms of a subscale of health status was 11.30 on 36 items and the mean score for psychological symptoms was 7.37 on 22 items. 4. The relationship of sociodemographic variables to health perception. health behavior, and health status of women.: 1) There were significant differences in the scores of health perception by disease experience(t=-3.37, p=0.00). 2) There were significant differences in the scores of health behavior by age(F=10.52, p=0.00), height(F=4.73, p=0.01), marital status(t=-5.56, p=0.00), educational background(t=2.90, p=0.00), and drinking or non-drinking(t=2.17, p=0.03). 3) There were significant differences in the scores of health status by educational background(t=2.28, p=0.02) and disease experience(t=2.61, p=0.01). 5. Health perception showed significant positive correlation with health behavior(r=0.39, p=0.00). Health perception showed significant negative correlation with health status(r=-0.44, p=0.00), that is, the more women perceived health, the less she complained about unhealthy symptoms. Health behavior had no significant correlation with health status but showed a positive correlation with psychological symptoms of a subscale of health status(r=-0.19, p=0.05). Many of the leading causes of disease are preventable through changes in health perception and behavior. The need to increase individual awareness of relationships among health perception, health behavior, and health status and to enhance knowledge regarding the long-term effects of positive health behaviors, is an important nursing strategy for women's health promotion.

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A study on Functional Status of Women after Childbirth (산후 여성의 기능적 상태에 관한 연구)

  • Lee, Young-Sook;Sim, Mi-Jung;Lee, Sook-Hee
    • 모자간호학회지
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    • v.3 no.1
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    • pp.64-77
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    • 1993
  • Recovery of functional status and affecting factors it were examined at 1 and 2 months after delivery in 111 women who defined as the resumption of household, self-care, social & community, and occupational activities, and assumption of infant care responsibilities. The data were collected by Tulman & Fawcett (1988)'s IFSAC questionnaire at 2 local hospitals & health center in Kwangju city & Chonnam province. The results were as follows : 1. Total mean scores of functional status were 2.3 points and increased in total functional status between 1 & 2 months after childbirth. The analysis revealed significant changes in 3 dimensions-household, social & community, and occupational activities-of IFSAC between 1 & 2 months after childbirth. 2. Mean scores of 5 dimensions of IFSAC were : self-care activities, 1.9 points : household activities, 2.7 points ; infant care responsibilities, 3.6 points ; occupational activities, 1.5 points ; and social & community activities, 1.6 points. 3. The job affected significantly the household, occupational activities and infant care responsibilities. And the complication of infant or mother affected significantly the infant care responsibilities in association with recovery functional status. Based on the findings and a review of the literature in regard to our understanding of recovery of functional status, the following recommendations were derived. 1. Future research needs to be policied concerning length of maternity leave after delivery on a firmer basis throught longitudinal study. 2. The data also nay be used to develop individual interventions to facilitate recovery from childbirth. 3. The IFSAC may be used to clinical assessments of functional status in the case of women cancer or obstetric and gynecologic operation.

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