• Title/Summary/Keyword: Health self-determination

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An Inquiry to the Causal Perceptions & Emotions of Rheumatoid Arthritis Patients (류마티스 관절염 환자의 원인지각에 대한 연구 - Q방법론적 접근 -)

  • Kim, Boon-Han;Jung, Yun
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.226-241
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    • 1999
  • This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

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The relationship between of Uncertainty, Depression, Physiologic Index and Basic Psychological Need of Hemodialysis Patients (혈액투석환자의 질병 불확실성, 우울, 생리지표와 기본심리욕구와의 관계)

  • Cho, Young-Mun;Yun, Kyung-Soon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.281-291
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    • 2017
  • This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(${\beta}=-.345$), depression(${\beta}=-.279$), physiological index(${\beta}=-.117$) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction.

A Study of Perceptions among Middle-aged and Older Koreans about Dying Well: Focusing on Typology (중노년층의 좋은 죽음에 대한 인식: 유형화를 중심으로)

  • Lee, Sunhee;Chung, Kyunghee
    • 한국노년학
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    • v.39 no.2
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    • pp.305-323
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    • 2019
  • In recognition of the increasing social attention paid to the notion of how to die well, this study explored what it is that middle-aged and older Koreans think of as "dying well." Specifically, it was aimed at classifying the perceptions people middle-aged and older have regarding dying well. To this end, we used data from the National Survey on Well-Dying, which was conducted in 2018 by the Korea Institute for Health and Social Affairs, and employed Latent Class Analysis. The demographic characteristics of each of the classified subgroups were identified through technical statistics. The types identified were multilayered depending on the imminence of death, perspectives of the last stages before dying, and the meaning of death in the context of social relationships. These types differed according to gender and subjective health conditions. Based on our findings in this study, we put forward policy suggestions about awareness improvement of personal and social levels, promoting on comprehensive death preparation, providing a system to reduce the cost of medical and nursing expense at the end of one's life, promoting of the right to self-determination regarding death, raising social attention to groups that are least prepared for dying well.

Dental hygienist, the relationship between empowerment and organizational commitment (치과위생사의 임파워먼트와 조직몰입의 관계)

  • Lee, Hye-Kyung;Kim, Mi-Jeong;Yim, Youn-Sil
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.645-654
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    • 2010
  • Objectives : This study provides dental care organization that is responsible for services of dental hygienists to measure levels of empowerment and organizational commitment to. The impact of empowerment on organizational commitment is a variable that has to validate the improvement of organizational commitment of dental hygienists to have been studied for the suggestions. The study period 2009 July 1 to August 30 at Jeonju Jeollabuk dental material and dental hygienists are working in medical institutions to target a total of 336 copies (88.4%) and for analysis of the data was studied. Methods : For data analysis SPSS (Statistial Package for the Social Science) WIN 12.0 program using frequency analysis, T-test and One-way ANOVA test, Pearson's correlation coefficient, linear regression analysis was conducted through the following. Results : 1. Demographic characteristics (education, salary, age, workplace), the empowerment and organizational commitment as the decisive factor affecting the level was a significant difference. 2. Education, salary, age and demographic characteristics of the working period of the empowerment uimiseong, yeokryangseong, self-determination, but no significant differences in impacts factors, work factors, not only was a significant difference uimiseong. 3. Demographic characteristics (education, salary, age, duration of employment, workplace), the affective commitment, normative commitment, ever, ever commitment and showed significant differences remain. 4. The higher the level of empowerment of the subjects that were higher organizational commitment, was a significant difference. 5. Empowerment and Organizational Commitment of subjects related factors were analyzed in all the variables showed a significant correlation between. Conclusions : Dental health agencies that provide services of dental hygienists to improve empowerment and organizational commitment to develop a structured management program, a dental hygienist job dental hygienist program and professional standards for the continuous and systematic research. That will be needed.

Determination of Information and Support Needs of First Degree Relatives of Women with Breast Cancer

  • Andic, Saadet;Karayurt, Ozgul
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4491-4499
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    • 2012
  • Background: Breast cancer is the most frequent type of cancer among women in the world and the most common cause of deaths from cancer in females. In Turkey, breast cancer comes first in the list of the most frequent ten cancer types seen in women. As the incidence rate of breast cancer is high, many women having breast cancer in the family experience the breast cancer at secondhand. This study was carried out in an attempt to determine the information and support needs of women whose first-degree relatives have breast cancer and to what extent these needs are met. Methods: The research sample consisted of 156 women. Questionnaire Form and Information and Support Needs Questionnaires were used as the data collection tools. Results: Information need score averages ($x^-:3.72{\pm}0.19$) of women included in the research sampling were found to be higher than their score averages of support needs ($x^-:3.24{\pm}0.41$). Conclusion: Information needs which were indicated by women as very important were related to treatment, symptoms of breast cancer and breast self examination (BSE), while support needs which were indicated by women as very important were learning how to perform BSE, women's anxiety for themselves and their relatives regarding breast cancer and having their breasts examined by a health professional. It is recommended that nurses and other medical staff should give information to women whose first-degree relatives have breast cancer about the disease, its etiology, scanning, diagnosis, treatment options and protection as well as prevention.

Experience and Task of Public Guardianship Service Activity for the mentally disabled -in Perspectives of advocacy (정신장애인의 공공후견서비스 활동 경험과 과제 -권익옹호의 관점에서)

  • Kim, Hyojung;Park, Inhwan;Choi, Yunyoung
    • Journal of Convergence for Information Technology
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    • v.9 no.5
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    • pp.228-235
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    • 2019
  • The purpose of this study is to explore the experiences and challenges of public guardianship services project for the mental disabled as a system of supporting the decision-making and the rights advocacy. For this purpose, interviews with 11 social workers who act as public guardians were conducted and a model of practice was suggested through analysis using the grounded theory of Strauss and Corbin(1998). As a results, the possibility of rights advocacy through public guardian services for the mentally disabled, the positive change of attitude of the facilities and the establishment of direction for the restoration of rights for the mentally disabled were derived. Public guardians experienced excessive empowerment of their guardians or difficulties in the process of their duties, but were also able to defend the rights of the mental disabled and support self-determination right. Through this study, expansion of budgets and expansion of beneficiaries for public guardianship services, establishment of infrastructure for integration in the community, set-up a support organization for public guardian services and Raising awareness of the mental disabled and public guardian services were suggested.

Determination of Blood Lead Levels in Adolescents in Korea (우리나라 성인의 혈중 납 농도 분포 연구 -공단지역 및 도시지역 거주 주민들을 대상으로-)

  • Chung, Yong;Yang, Ji-Yeon;Lee, Ji-Ho;Hwang, Man-Sik;Jo, Seong-Joon
    • Environmental Analysis Health and Toxicology
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    • v.14 no.4
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    • pp.189-201
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    • 1999
  • Lead (Pb) is ubiquitous in the urban environment and is a well-known toxic element. It may cause adverse health effects on hematopoietic system, peripheral and central nervous systems, kidney functions, and others. In recent decades, lead concentration in blood has been widely used one of indicators for lead exposure and risk evaluation. In this study, we determined the blood-lead levels in general populations of Korea, and investigated the relationship among blood-lead levels, sociobehavioral factors, and lead concentrations in the contacted environments such as ambient air, drinking water, and foods. The study subjects consisted of volunteers who had lived in the residential or industrial area in Korea. Information about gender, age, living area, occupation, smoking, heat system, and dietary habits, etc was collected using a self-reported questionnaires. The lead concentrations of environments were collected by literature search to the study area. Participated subjects in industrial area were 726 and their blood-lead levels were 8.58 $\mu\textrm{g}$/dl for males and 6.26 $\mu\textrm{g}$/dl for female in average. The other subjects in residential area were 317 and their blood-lead levels were 4.58 $\mu\textrm{g}$/dl for males and 3.49 $\mu\textrm{g}$/dl for female in average. The distribution of blood-lead level in the industrial subjects was well fitted to the log -normal distribution and that in the residential subjects was well fitted to the normal distribution. Blood-lead levels in both area were affected by gender, smoking habit, age and residence duration except age in industrial area and residence duration in residential area. It was identified that 30% of blood-lead level was contributed from the inhalation of ambient air in the industrial area, and 8.4% of blood-lead level was from that in the residential area. from this study, it would be suggested for the health risk assessment and management of lead pollution concerns in urban, industrial and rural areas.

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The View on Childrearing of University Women (여대생의 자녀 양육관)

  • Kim, Young-Hee;Kim, Shin-Jeong
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.269-290
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    • 2000
  • This study was conducted to inquire about the view on childrearing of university women for the purpose of building up the positive parent- child relationship and setting up preliminary parenting education program. The subjects were 137 university women who were freshmen to junior in one women's university in Seoul. Using the self-report questionnaire, data were collected from December in 1998 to March in 1999 and the contents which subjects wrote down were categorized by content analysis method. The results were as followed: 1. The age range of subjects were 20-22 years and main rearer was her mother(71.5%) 2. The view of subjects were revealed by 374 statements and then tied together 34 themes: 'exemplary parent model as a guider'(8.6%), 'determination for oneself' (8.0%), 'expression of love'(6.2%), 'humanity education'(4.8%), 'carrot and stick'(4.5%), 'respect of personality'(4.3%), 'sound living habit'(4.1%), 'conversation'(3.7%), 'regulation of greediness' (3.7%), 'supply of live experience'(3.7%), 'supply of broad and substantial vision'(3.5%), 'free choice'(3.5%), 'broad-mindedness'(3.5%), 'consideration'(3.0%), 'doing together'(3.0%), 'propriety education' (2.4%), 'pursuit of naturalness'(2.4%), 'looking for one's life'(2.4%), 'confidence'(2.1%), 'rearing by oneself'(2.1%), 'encouragement'(2.1%), 'cultivation of right sexual senses'(2.1%), 'desirable home environment'(1.9%), 'doing one's best'(1.9%), 'understanding'(1.6%), 'psychological intimacy'(1.6%), 'treat fair'(1.6%), 'pursuit of physical, psychological health' (1.6%), 'concerning'(1.3%), 'religious life'(1.3%), 'respect of individuality'(1.3%), 'cooperation' (1.1%), 'often-minded family'(0.8%), 'positive attitude'(0.8%). 34 themes were categorized by 12 categories once more: 'mature parenthood'(15.5%), 'acceptance' (11.5%), 'autonomy'(11.5%), 'pursuit of healthy life style'(9.4%), 'eagerness'(9.1%), 'making efforts'(8.8%), 'education'(8.8%), 'emotional bonding' (7.8%), 'respect'(7.2%), 'corporal punishment' (4.5%), 'supporting'(3.2%), 'composition of environment'(2.7%). In conclusion, we could expect that university women had a democratic view on childrearing with love and autonomy for a base. So we need to offer them nursing implementations such as preliminary parenting programs and parenting consulting in order to promote positive and interactional parent-child relationship by strengthening their desirable view on childrearing.

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Determination of Risk Indicators for Establishing the Health Evaluation System of Old Trees (노거수의 건강성 평가체계 정립을 위한 위험 지표인자의 검증)

  • Zhang, Zhong-Feng;Xia, Tian-Tian;Kang, Ho-Chul;Kang, Tai-Ho
    • Journal of the Korean Institute of Landscape Architecture
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    • v.46 no.4
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    • pp.49-60
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    • 2018
  • The protection and management of old trees is important in the context of heritage protection and landscape construction. The purpose of this study is to determine the risk indicators of the health evaluation system for the old trees, and to provide methods for the protection and management of the old trees that are at risk. According to the index and weighted values obtained in the previous study the scores can be calculated on a 100-point scale. According to the score, the grades are divided into 5 levels. This study takes the case of a total of 30 old trees, including a Chinese juniper, located in Gyeongju Yangdong village, to evaluate the degree of danger in their actual condition. The results showed that of the Chinese juniper tree is at the healthy level, with the score of about 70, and is therefore in Level C. The trees in Yangdong village at high risk should be improved quickly. The standards set for the 5-level score graph and the establishment of a health evaluation system can reflect the actual situation of the old trees in Yangdong village, so it is both practical and scientific.

The recognition of sexual violence of in Daegu local college students, and relations of sexual education on the coping with sexual violence (대구지역 전문대학생들의 성폭력 인식도 및 성교육이 성폭력 대처에 미치는 관련요인)

  • Kim, Sung-Woo
    • The Journal of Korean Society for School & Community Health Education
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    • v.12 no.2
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    • pp.13-27
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    • 2011
  • Objectives: This study aims to analyze recognition and problems of in Daegu local college students on sexual violence and figure out major factors to prevent sexual violence and to use as necessary basic resources for the improvement of individual and social recognition and effective sexual education. Methods: The Data from 255 students (85%) out of 300 excluding questionnaires with insufficient answers were under analysis using Excel Program and SPSS Win 17.0 for cross-tabulations and correlation analysis. Significance test were performed using $x^2$-test. Results: 1) As to recognition of sexual violence by gender, 88.2%(60) of male and 91.4%(171) of female students conceived the current sexual violence level is hazardous which shows female students had slightly higher recognition. 2) As to recognition of sexual education by gender, both conceived it for equipping proper value system of sex(55.9% of male & 61.5% of female student). 3) As to prevention and coping with sexual violence by gender, 58.8% of male students and 65.2% of female students answered that prevention is possible. 4) As to the correlation between sexual violence factors, it showed positive (+) correlation in the experience of sexual education and the recognition of sexual violence level, in the recognition of sexual violence level and the recognition of sexual violence responsible scope, and in the possibility of sexual violence prevention and the recognition of sexual crime prevention law. 5) As to the recognition and measurement by experience of sexual education, among those who answered the current sexual violence level was hazardous 91.8% had previous sexual education experience and 83.3% had no experience. 6) As to the recognition and measurement of sexual violence by experience of sexual violence (self-determination), those with sexual education experience (79.8%) had little experience in sexual violence than those with not (91.6%). 7) As to the recognition and measurement of sexual violence by the possibility of preventing sexual violence, it showed statistically significant difference in the reason of increase of sexual violence(p<0.01). Conclusions: Accordingly, to provide systematic and sustainable sexual education, individualized education considering gender, individual development rather than standardized group education in its teaching method is necessary, and follow-up evaluation and feed-back system should be implemented to assess achievement and recognition of sexual education.

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