• Title/Summary/Keyword: Individual social support

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Psychosocial Adjustment of Low-Income Koreans with Cancer (저소득층 암환자들의 심리사회적 적응 과정)

  • Yi, Myung-Sun;Park, Eun-Young;Kim, Dal-Sook;Tae, Young-Sook;Chung, Bok-Yae;So, Hyang-Sook
    • Journal of Korean Academy of Nursing
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    • v.41 no.2
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    • pp.225-235
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    • 2011
  • Purpose: To describe psychosocial adjustment of low-income Koreans who have cancer. Methods: Data were collected during 2008 using individual in-depth interviews with 18 Korean people with cancer. The income status of the participants was low, 11 were recipients of the National Basic Livelihood Protection program. Mean age was 58.3 yr and 11 were female. Five participants had stomach cancer, five, colorectal cancer, and four, breast cancer. Data were analyzed using grounded theory methodology. Results: The core category emerged as 'bearing up alone with double suffering'. 'Poverty and cancer: A double suffering' emerged as a causal condition. The adjustment process consisted of three stages: 'forming a treatment will to live', 'practicing for the cure', and 'restructuring self and repaying favors'. Each stage indicated action-interaction strategies which were employed to bear up alone with double suffering during the illness process. Self-reflection, parental responsibility, and support from the public sector played important roles in overcoming the double suffering. Two types of consequences were identified: Transcended life and strained life suppressed by poverty and cancer. Conclusion: The results provide insights into the psychosocial adjustment process for low income Korean with cancer and can be used in developing and implementing efficient home-care services for these people.

ATTACHMENT-BASED INTERVENTION (애착장애의 치료)

  • Noh, Kyung-Sun;Lee, So-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.123-131
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    • 2004
  • We reviewed four types of Attachment intervention, 1) programs that seek to enhance sensitivity, 2) programs designed to alter parents' representations, 3) programs that provide and enhance social support, and 4) programs designed to enhance maternal mental health and well-being, and Project STEEP(Steps Toward Effective and Enjoyable Parenting). We have learned from the these studies that the emotional sensitivity and responsivity are very important factors for the development and treatment of Attachment relationships and the needs of the parents should also be addressed. Our recommendation for future attachment intervention is to design programs 1) that have the flexibility to meet participants' needs, 2) that involve other important people in the participants' lives, 3) that focus on fostering individual strengths, 4) that begin early, and 5) that are intensive and sufficiently long.

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Challenge of Personalized Medicine in the Genomic Era (유전의료시대의 "맞춤의학")

  • Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.5 no.2
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    • pp.89-93
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    • 2008
  • "Personalized medicine," the goal of which is to provide better clinical care by applying patient's own genomic information to their health care is a global challenge for the $21^{st}$ century "genomic era." This is especially true in Korea, where provisions for clinical genetic services are inadequate for the existing demand, let alone future demands. Genomics-based knowledge and tools make it possible to approach each patient as a unique biological individual, which has led to a paradigm-shift in medical practice, giving it more of a predictive focus as compared with current treatment oriented approach. With recent advancements in genomics, many genetic tests, such as susceptibility genetic tests, have been developed for both rare single gene diseases and more common multifactorial diseases. Indeed, genetic tests for presymtomatic individuals and genetic tests for drug response have become widely available, and personalized medicine will face the challenge of assisting patients who use such tests to make appropriate and wise use of genetic risk assessment. A major challenge of genomic medicine lies in understanding and communicating disease risk in order to facilitate and support patients and their families in making informed decisions. Establishment of a health care system with provisions for genetic counseling as an integral part of health care service, in addition to genomic literacy of health care providers, is vital to meet this growing challenge. Realization of the promise of personalized medicine in the era of genomics for improvement of health care is dependent on further development of next generation sequencing technology and affordable sequencing test costs. Also necessary will be policy development concerning the ethical, legal and social issues of genomic medicine and an educated and ready medical community with clinical practice guidelines for genetic counseling and genetic testing.

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Planning Health Promotion Program in Workplace (산업장 건강증진 프로그램 개발에 관한 연구 -건강행위의 변화의도 예측요인 및 대상의 유형 분류를 중심으로-)

  • Coon, Kyeong-Ja;Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.5 no.1
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    • pp.5-29
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    • 1994
  • In recent years, interests in health promotion have been stimulated by the epidemiological transition from infectious to chronic diseases as lead ing causes of death, the aging of the population, rapidly escalating health care costs, and epidemiologic findings linking individual risk to morbidity and mortality. It is not surprising that the workplace has been targeted as a promising setting for health promotion. In Korea, national attention to the opportunities for workplace health promotion began in the first 1990s. But there is no in depth study to identify the relating factors to the health promotion program in the workplace. The objective of this study is behavioral and physical characteristics to find that in crease the person's risk for a range of health problems and to analysis other characteristics to influence the degree of his/her intention to change health behavior. In addition, this study is purposed to present the process of planning health promotion program in the workplace. To accomplish these objectives, one workplaces was selected. And 363 employees in those workplaces were served as subjects for the study. Major findings in this study are as follows. (1) They have many risk factors such as smoking, drinking, lack of sleep, law rate of regular exercise, irregular eating, stress. (2) Some of the health risk factors such as smoking, drinking, and stress have the negative correlation to the intention to change. (3) Among cognitive and socio-environmental factors, significant predictors to the intention are attitude and social support. (4) In the cluster analysis to segment the target population in to homogeneous unit, three clusters of lifestyle are specified. (5) Smoking cessation and exercise program are planned for the risk group to change their behavior.

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Emerging and Established Global Life-Style Risk Factors for Cancer of the Upper Aero-Digestive Tract

  • Gupta, Bhawna;Johnson, Newell W.
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.5983-5991
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    • 2014
  • Introduction: Upper aero-digestive tract cancer is a multidimensional problem, international trends showing complex rises and falls in incidence and mortality across the globe, with variation across different cultural and socio-economic groups. This paper seeks some explanations and identifies some research and policy needs. Methodological Approach: The literature illustrates the multifactorial nature of carcinogenesis. At the cellular level, it is viewed as a multistep process involving multiple mutations and selection for cells with progressively increasing capacity for proliferation, survival, invasion, and metastasis. Established and emerging risk factors, in addition to changes in incidence and prevalence of cancers of the upper aero-digestive tract, were identified. Risk Factors: Exposure to tobacco and alcohol, as well as diets inadequate in fresh fruits and vegetables, remain the major risk factors, with persistent infection by particular so-called "high risk" genotypes of human papillomavirus increasingly recognised as also playing an important role in a subset of cases, particularly for the oropharynx. Chronic trauma to oral mucosa from poor restorations and prostheses, in addition to poor oral hygiene with a consequent heavy microbial load in the mouth, are also emerging as significant risk factors. Conclusions: Understanding and quantifying the impact of individual risk factors for these cancers is vital for health decision-making, planning and prevention. National policies and programmes should be designed and implemented to control exposure to environmental risks, by legislation if necessary, and to raise awareness so that people are provided with the information and support they need to adopt healthy lifestyles.

A STUDY on After-Care System for After-Care Probationer (임의적(任意的) 갱생보호제도(更生保護制度)의 개선방안(改善方案))

  • Chong, Joo-Young
    • Korean Security Journal
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    • no.2
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    • pp.227-258
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    • 1999
  • In a broad sense, ‘After-care SYSTEM’ for discharged prisoners mean legal actions of prisoners who have been released from lawful detention In its narrow sense, mean preventive protection and observation activities under regular guidance and supervision against those released from penal facilities after a certain period of detention Therefore, they should not be viewed as objects of mere concern or social work programs but preventive protection should he provided to them as part of national criminal policy After-care system is in the following two ways, The one is based on individual prisoner's request and consent, which is called 'Voluntary After-care system', The other is the one which is not based in personal request or consent but is based on obligation, which is named 'Compulsory After-care system In Korea, however no Compulsory After-care system is in practice Voluntary After-care system is to be carried out 6 method in the following by existing Probation, Parole Law. (1) offer of board and lodging (2) allowance of Traveling expense (3) allowance of occupation instrument or lending rehabilitation fund (4) training of occupation and vocational guidance (5) self-reliance support for After-care probationer (6) guidance of good deed And then to establish the society without offenders is the ideal of human beings, but criminal acts don't fade away, so in the field of the science of criminology, the importance of correctional system has become greater. The correctional idea has moved from severe punishment to educational rehabilitation for the goal of protecting both offender and security from the threat of crime in to day Some it is required that Compulsory After-care system is most important system in effective measures, and that existing Probation, Parole Law in Korea is renewed into Compulsory After-care system in the future.

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Illness Experience of People with Chronic Hepatitis B in Korea (한국 만성 B형 간염 환자들의 질병 경험)

  • Yi, Myung-Sun;Choi, Eun-Ok;Paik, Seung-Woon;Kim, Keum-Soon;Kwak, Sang-Man;Lee, Hwa-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.665-675
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with. Methods: A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea. Results: After constant comparative analysis, a core category emerged as "illness management with self-reliance and will." Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships. Conclusion: The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.

The Humanities Course Experience of Multicultural Couples : Focusing on Movie Making (다문화부부의 인문학강좌 참여경험 : 영화만들기를 중심으로)

  • Kang, Jaime M.;Byun, Soung-Won;Kim, Deok-Soon;Kim, Jeong-Uk;Park, Hyun-Jung
    • Journal of Digital Convergence
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    • v.11 no.7
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    • pp.305-312
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    • 2013
  • The purpose of this qualitative study is to analyze the experience of multicultural couples who participated in the movie making educational activity within the program "Communication Development among Multicultural and Indigenous Couples Through Intercultural Praxis." This program was held for 8 months from March 10, 2012 to November 11, 2012. Among the participants, 4 couples agreed for both individual and group interviews and provided data for this paper. The interview result can be categorized into the following four: quality relationship, acceptance and support, positive thinking, and accomplishment.

Factors Associated with Attendance in a Nutrition Education Program for Hyperlipidemic Patients

  • Yim, Kyeong-Sook;Kim, Young-Joo;Cho, Young-Yun;Rha, Mi-Yong;Kim, Duk-Kyoung
    • Journal of Community Nutrition
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    • v.3 no.1
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    • pp.21-29
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    • 2001
  • This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.

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A Systematic Review of Illness Perceptions Using the IPQ-R or BIPQ in South Korea (질병지각에 대한 체계적 문헌고찰 - 국내 학술지 논문을 중심으로 -)

  • Kim, Hyejin;Byun, Jinyee
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.432-441
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    • 2019
  • We systematically reviewed the studies administering the Illness Perception Questionnaire-Revised (IPQ-R) or the Brief Illness Perception Questionnaire (BIPQ) in South Korea. Following the PRISMA guidelines, a literature search of 4 electronic databases was conducted, yielding 10 relevant articles. All studies used a cross-sectional design and the majority of the studies (n = 7; 70%) used the total scores of the BIPQ. The factors related to participants' illness perceptions were coping strategies or health outcomes such as depression, quality of life, self-care, and social support; however, findings suggested that such factors varied across the studies. This review highlights the need for using each dimension of illness perception to examine which perceptions are most strongly related to outcomes, and need for considering an individual's illness perceptions when developing biobehavioral interventions.