• Title/Summary/Keyword: Illness Perception

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Analysis of Factors Affecting the Health Behavior of Taxi-drivers (택시운전기사의 건강행위에 영향을 미치는 요인분석)

  • Ko, Ja-Kyung
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.71-81
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    • 2009
  • Purpose: This study was conducted to find out interrelation of health behavior and related variables to provide basic data for an effective health promotion for the taxi-divers. Methods: 293 male taxi-drivers from 2 cities in Korea participated in this study. The data were collected using questionnaires from April 17th to Jun 3rd, 2006, and analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression. Results: There were statistically significant differences according to monthly income, past illness or surgery, current disease or medication, frequency of fright on daily driving (FFDD), driving fatigue, working style, social support in health status; current disease or medication, FFDD, driving fatigue, duty shift, social support in health perception; body mass index (BMI), FFDD, driving fatigue, intention of changing job, social support in health behavior. Social support, health status, health perception, and health behavior were significantly correlated with one another. The multiple regression analysis showed that health perception (17.8%), BMI (6.8%), intention of changing job (5.7%), and driving fatigue (4.2%) explained the 34.5% variance of health behavior. And the 22.6% of variance of health perception was explained by social support (12.2%), health status (6.9%), and duty shift (3.2%). Conclusions: To promote the taxi-drivers' health, nursing intervention strategies unique for them should consider health behavior and affecting factors.

A Study on Permanency Planning for Adult with the Mental Disability (성인 정신장애인의 평생계획에 관한 연구)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.43
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    • pp.106-130
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    • 2000
  • When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.

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Korean Women's Causal Perceptions of Hwabyung (화병 여성의 원인지각에 대한 주관성 연구)

  • Shin, Hye-Sook;Shin, Dong-Soo
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.283-290
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    • 2004
  • Purpose: This study elicited Korean women's perceptions of the life situations that contribute to Hwabyung, a culture.bound psychiatric illness in Korea, and delineated a typology of the perceived causative factors for this illness. Method: A purposive sample of 21 Korean women was recruited from a church, a senior center in Seoul and a clinic that provides traditional Korean and westernized medical services to patients in the Gyeonggi area. Inclusion criteria were: 1) the diagnosis of Hwabyung by a traditional doctor or "stress reaction and depression" by a westernized doctor; and 2) a score greater than 40 on the Hwabyung Self.Report Instrument. Surveys using the HSRI and individual interviews using Qmethodology were used. Result: The average age of the participants was 53.7 years(range 35-84). The mean score on the HSRI was 46.2(range = 42-52). Data analysis showed that participants perceived three life situations to cause Hwabyung: vulnerable situation, lowered self.esteem, and negative life events. Conclusions: Korean women, suffering from Hwabyung, perceived at least three different causal patterns for this illness. Nursing care plans should be tailored to meet these differences.

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An Exploration of Somatization among Korean Older Immigrants in the U.S. (신체증후군에 대한 탐색적 연구: 한인 노인 이민자를 중심으로)

  • Ahn, Joonhee
    • 한국노년학
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    • v.28 no.4
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    • pp.1179-1200
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    • 2008
  • Knowledge about somatization (somatic manifestation of psychological distress symptoms) among immigrant populations is limited. While several studies have recognized somatization as a culturally distinctive expression of depression amongst older Korean immigrant population, somatization has not been incorporated into the comprehensive empirical model for depression of this population. In order to improve our general understanding of the phenomenon, the objective of this study is to empirically investigate principal contributing factors of somatization as well as inter-relationships among them. Data were collected from a cross-sectional community survey of 234 older Korean immigrants ($$age{\geq_-}55$$) in the New York metropolitan area. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. The results indicated that living arrangement, greater numbers of physical illnesses, and depression were significant explanatory factors of somatization. Furthermore, physical illness had a significant joint effect with perception of health on somatization, which confirms that positive perception of health exerts a moderating effect on the relationship between physical illness and somatization. The knowledge obtained from this study will contribute toward extending our knowledge on somatization and implementing more culturally sensitive mental health services for this population.

Related Factors to Attitude and Conception of Community toward the Mental Illness (정신질환에 대한 지역사회 주민의 태도 및 인식 관련 요인 연구)

  • Kang, Mi-Kyung;Lee, Youn-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.291-298
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    • 2014
  • This study was conducted to examine attitudes and conception of community toward the mental illness. The data, which is used for this study was two questions, was extracted from National Health Behavior Examination survey. 1,051 were included for analysis, and frequency analysis, chi-square test, t-test, and logistic regression were used. As a result, man has more positive attitude than women. old age group(>=65) was more positive than other age group significantly(p<0.05). In the educational aspect, people who graduate college or higher educated has negative attitude or conception to the mental illness, and middle school graduate group showed significantly positive attitude(p<0.05). The result of this study will present the reason and basic information for planning of mental health program in community.

Development of Peer-Leadership Program focused on Recovery of People with Mental Illness (정신장애인 회복에 초점을 둔 당사자 리더십 프로그램 개발 연구)

  • Kim, Min;Lee, Keunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.256-265
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    • 2020
  • The purpose of this study was to develop and explore the effectiveness of a peer-leadership program on the recovery of people with mental illness. To develop the program, a literature review and an analysis of developed programs were performed.Brown's recovery framework was applied, including an understanding of mental illness, self-leadership, empowerment, and self-directed action plans. A program was developed (6 sessions over 3 days) including peer-led activities, disability awareness and perception, and recovery action plans. The program consisted of education, understanding, planning, and implementation. Its focus was on recovery-oriented activities for empowering people with mental illness. Twenty people with mental illness and using mental rehabilitation centers participated in the program. Four scales (i.e., stigma, empowerment, leadership, and disability awareness) were used for the pre-post analysis. The study results showed statistically significant differences in the participants' levels of stigma (p< .05), empowerment (p < .05), leadership (p< .01), and disability awareness (p< .05) after completing the program. These findings suggest that the peer-leadership program is a recovery program that includes increased understanding of mental illness, empowerment, and leadership capability. Discussions and suggestions were provided for a future study based on the results.

Analysis of Levels of Risk Perception using Psychometric Paradigm and Factors Affecting Concerns about Food Risk Elements of Housewives in Daegu (심리측정 패러다임을 이용한 대구 지역 주부들의 식품 위해요소에 대한 위험 지각 수준 및 우려도에 영향을 미치는 요인 분석)

  • Kim, Hyochung;Han, Jin-Young;Kim, Meera
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.4
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    • pp.691-702
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    • 2015
  • This study examined the levels of risk perception of food risk elements by adopting a psychometric paradigm and analyzed factors affecting concerns about food risk elements to obtain basic materials for food safety policy. The data were collected from 296 housewives in Daegu, Korea, by a self-administered questionnaire. Frequency distributions, Pearson's correlation coefficient analysis, factor analysis, Cronbach's ${alpha}$, and multiple regression analyses were conducted by SPSS 21.0. The mean level of concern for food safety was 3.75/5.00 points, and the mean percentage of correct answers about heavy metal contamination was highest among food risk elements. The respondents perceived radioactive contaminated foods, GM foods, and endocrine disruptors as a new, delayed, scientifically unknown, involuntary, serious, and uncontrollable risk in risk perception. According to the result of factor analysis for risk perception, two factors such as non-controllability and dread were categorized. In the risk perception map, radioactive contaminated foods and GM foods were considered as an uncontrollable and dreaded risk, heavy metal contamination, endocrine disruptors, and pesticide residues as a controllable and dreaded risk, and foodborne illness and food additives as a controllable and less dreaded risk. On the other hand, the levels of concerns about food risk elements were higher in order of radioactive contaminated foods, GM foods, and endocrine disruptors. The results of multiple regression analysis showed that age, concern for food safety, percentage of correct answers about food risk elements, non-controllability, and dread influenced the concerns about food risk elements. These results imply that food safety policies should consider differences in consumer's risk perception of food risk elements.

Discrepancy in the scores of uncertainty perceived by patients and nurses′ interperson perception. (환자가 지각하는 불확실성 정도와 간호사의 대 환자(對 患者) 지각정도)

  • 한윤복;김명자;노유자;김남초;김희승
    • Journal of Korean Academy of Nursing
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    • v.18 no.3
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    • pp.231-238
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    • 1988
  • The purpose of this study was to assess and compare discrepancy in the scores of uncertainty perceived by patients and nurses' interperson perception. For this study, 124 hospitalized patients and the same numbered nurses assigned for direct care of each 124 patients were selected from general ward of C. University Hospital in Seoul during the time period from September to November 1987. Degree of uncertainty was measured by 27 items modified from Mishel Uncertainty in Illness Scale (MUIS), and was utilized by a Likert type scale The data were analysed by Mcnemar-test. Unpaired t-test. ANOVA, Scheffe - test and Stepwise multiple regression. The results are summarized as follows : 1. The discrepancy in the scores of uncertainty perceived by patients and nurses' interperson perception showed significant differences in 23 of 27 items : 11 of 23 items showed that the scores of patients' perception of uncertainty were higher than that of nurses' interperson perception of uncertainty. but 12 of 23 items were revealed reversely. 2. With regard to nurse's demographic variables, the discrepancy scores were the higest in the group under 22 years of age (F=3.20, p=.026) and in the group less than 1 year of nursing experience among 4 groups (F=4.41, p=.006). 3. The discrepancy scores had a tendency to be lowered in the higher age group(r= -.27. p=.0026) and in the longer experienced group (r=-.25, p=.0052). 4. The most important variable affecting the discrepancy scores was identified to be the nurses' age which acounted for 7.2% fo the total variances in the stepwise multiple regression analysis. This was followed by patient hospital days which accounted for an additional 4.5% of the total variances. To conclude, the discrepancy in the scores of uncertainty perceived by patients and nurses' interperson perception showed significant differences in 23 of 27 items. The discrepancy scores of uncertainty had a tendancy to be lowered in the higher age group and in the longer experienced group.

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Types of Perception Toward Quarantine Measures among Patients Infected with COVID-19 (코로나19 (COVID-19)에 감염된 대상자의 격리입원에 대한 인식유형)

  • Kim, Geun Myun;Lee, Jung Un;Jung, Hae Kyung;Nam, Soo Gyung;Sim, So Hyeong;Chang, Soo Jung
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.661-677
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    • 2021
  • Purpose: This study was conducted to identify the types of perception toward quarantine measures at hospitals or community treatment centers among patients infected with COVID-19. Methods: This study applied Q-methodology. Two hundred and nineteen Q populations were constructed based on related literature and in-depth interviews with 5 adults infected with COVID-19 and who experienced quarantine and hospitalization. Interviews were performed from November 14 to 29, 2020. A total of 45 Q samples were extracted and Q sorting was performed using a 9-point scale for 30 adult subjects who experienced quarantine at hospitals and community treatment centers. The data were analyzed using the PC-QUANL program. Results: The perception of subjects toward quarantine measures was classified into the following six types: 'passive acceptance', 'social stigma perception', 'appreciation of daily life through awareness of the realities of illness', 'why me?', 'fearful perception', and 'positive meaning'. Conclusion: The perception of quarantine measure among patients with COVID-19 is identified as six types with positive and negative emotional characteristics. This result will contribute to the development of individualized strategies to address psychosocial health problems among patients with infectious diseases.

An Inquiry to the Causal Perceptions & Health Seeking Behaviors of Rheumatoid Arthritis Patients

  • Kim, Boon-Han;Kim, Hung-Kyu;Yun Jung;Kang, Hwa-Jeong
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1001-1010
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    • 1999
  • This study was undertaken to investigate the causal perceptions and health seeking behaviors of Rheumatoid arthritis patients, define and understand the typology, and find the relationship between causal perceptions and health seeking behavioral types. There were six types(Physical Fatigue, Dispensation of Nature, Causality to Environment, Conscience of Guilty, Rationally perceiving, Psychological Stress) of subjective opinion about Causal Perceptions of Rheumatoid Arthritis Patients. And there were four types(Oriental medical Treatment, Information Seeking, Dietary Control. Western Medical Treatment) of subjective opinion about Health Seeking Behaviors. In the relationship between types of the causal perceptions and health seeking behaviors, oriental medical treatment and information seeking type were common health seeking behaviors of all six causal perception types. Only difference for internal causal perception types was related to hospital instructions and external causal perception types were related to dietary control. The result of this study can help health care providers, especially nurses to understand the types of causal perceptions and health seeking behaviors of Rheumatoid arthritis patients to gain treatment compliance from patients according to their causal perceptions of the illness, and use it to develop educational nursing intervention to aid health care.

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