Purpose: The purpose of this study was to identify an influence of self-esteem and familysupport on powerlessness of hospitalized elderly patients with chronic disease. Method: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a structured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. Result: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. Conclusion: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.
Park, Ju-Young;Lee, Tae-Yong;Jang, Keong-Sug;Oh, Hee-Young
Korean Journal of Adult Nursing
/
v.22
no.3
/
pp.271-280
/
2010
Purpose: The purpose of this study was to examine relationships among blood glucose, HbA1c, and self management comparing these with general and illness characteristics of subjects with Type II Diabetes living in the community. Methods: Using a comprehensive survey developed for the study, data were collected from 82 type II diabetes patients who were registered at five community health departments. The variables of self management, blood glucose and HbA1c were assessed by nurses. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self management and level of HbA1c by subject's general and illness characteristics and to examine the relationships among variables. Results: About 73.2% of the subjects' HbA1c were 7.0% or higher and 54.9% of subjects' blood glucose were 200 mg/dL or higher. The level of self management was moderate. Most frequently perceived reasons for failure of blood glucose control were dietary failure (32.9%). There was significant relationship between self management and HbA1c(r=-.223, p=.040). The mean score of self management were higher among female (t=-2.37, p=.021), who are not on diabetes medication (t=6.70, p=.011). Conclusion: Comprehensive intervention is needed to improve dietary self management, especially for male and those who is on diabetes medication.
Purposes: This study was to analyze the effects of organizational culture attributes on organizational effectiveness in newly established general hospital. Method: For this purpose, this study sampled 981 hospital employees working for E hospital opened on Apr. 1, 2019 in Seoul. A total of 981 questionnaires were distributed to them, and 888 ones responded to the survey, which had been conducted from Oct. 17, through Oct. 25, 2019. 793 responses were used for the final analysis. The data collected were processed using the SPSS 19.0K for descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient and regression analysis. Findings: First, The type of organizational culture perceived most by hospital employees was 'hierarchy-oriented' (3.53) followed by 'relation-oriented'(3.33), 'task-oriented'(3.23), 'innovation-oriented'(3.19) and job satisfaction scored 3.13, organizational commitment scored 3.28 on their order. Second, 'Relation-oriented', 'task-oriented' and 'innovation-oriented' was positively correlated with job satisfaction and organizational commitment. hierarchy-oriented' was negatively correlated with job satisfaction and organizational commitment. Third, Factors that significantly influencing on organizational effectiveness in a newly established general hospital were as follows. Factors influencing job satisfaction included 'innovation-oriented', 'relation-oriented' and factors influencing organizational commitment included 'relation-oriented', 'innovation-oriented' and age. Practical Implications: In order to increase the organizational effectiveness of the E-General Hospital, it is necessary to gradually move from a hierarchica l-oriented culture to an innovation-oriented and relationship-oriented culture. Since age also affects organizational commitment, it is necessary to promote stability and growth by promoting the mentor-menti system for new members with a low level of experience and experience.
Purpose: The purpose of this study is to identify the health promoting lifestyle of Korean immigrants and to develop the health promotion program for Korean immigrants. Method: The subject of the study were 207 adults chosen from Korean religious organizations located in Chicago area. The instrument used in this study was Health Promoting Lifestyle Profile (HPLP) by Walker. Sechrist & Pender(l995). The data were collected between August 1 and October 20. 2000 by using self-administered questionnaire. Analysis of data was done by using descriptive statistics. Pearson correlation coefficient, t-test, ANOVA. Duncan test and stepwise multiple regression with SPSS program. Result. 1) The average score of performance in the health promoting lifestyle 2.43 scores. In the subscales, the highest degree of performance was 'spiritual growth', following 'nutrition', 'interpersonal relationship', 'stress management' and 'health responsibility' and the lowest degree of performance was 'physical activity'. 2) Health promoting lifestyle was significantly correlated with such demographic variables as age (F=2.659. p=.049), family income(F=4.696. p = .027), subjective health status(F = 3.882. p=.005), the frequency of pray(F=9.442. p = .000), the frequency of reading the bible(F=8.584. p= .000) and years of residence in the US(F=4.273. p= .015). 3) Health promoting lifestyle was significantly predicted by the frequency of pray, subjective health status. current working status, taking medication, level of education and family income. These variables explained 27.4% of variance of health promoting lifestyle. Conclusion The above findings indicate that it is necessary to develop a health promotion program facilitating exercise and enhancing health responsibility for Korean immigrants. It is suggested that the comparative study to identify the differences and similarities between Korean immigrants in the U.S.A. and Korean residents in Korea.
This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.
The purpose of this study is to determine values and value changes of the four year course nursing college students. The survey was conducted against 262 students of the nursing college, from all classes (freshman, sophomre, junior and senior). This study was conducted during the period of first through 15th of December 1984 in accordance with the L.V. Gordon's“Survey of Interpersonal Values (SIV)”. The results of the study were as follows: 1. Those nursing students surveyed show that conformity (16.32) took the highest place and reconition (10.21) lowest in the general value orientation. In accordance with the Cordon's SIV, those of other woman college students indicate 14%ile-65%ile, respectively. 2. Changes in values by class indicate that freshman, sohpomore and senior students showed similar Pattern but junior students showed significantly lower than other classes. The difference should be considered on the basis of statistics (p <.05). Accordingly, the hypho-thesis 1 of this study has been supported. 3. Significant variation has been shown by each class in each factor such as support, conformity, independence and benevolence but no variation has been indicated in leadership and recognition. 4. There was difference in values between higher class (jounior and senior) students with clinical experience and starting class (freshman and sophomore) students without clinical experience. The study indicates the values of higher class. students is lower than that of starting class. students (P <.05). Therefor, the hyphothesis 2 of this study has been supported. 5. There was no significant difference in values between entering students and graduating students (p<.05), Thus, the hyphothesis 3 of this study has been rejected. The results of the finding of the study show that there is no positive influence in forming the values. for the students. Therefore, it is concluded that new strategy and special educational program should be established for formulation of the right values for the nursing college students.
The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among 205 Christian women living in Pusan and U1san areas. Structured self-administered questionnaires were used. Knowledge levels were measured by the instrument developed by Choi(l996). Self- efficacy and health belief were measured by the instruments developed by Champion (1993) and modified by Choi(1996). Women who did BSE more than once within 6 months were categorised as compliant. Data was analyzed by descriptive statistics, t- test, χ² test and logistic regression analysis using SPSS WIN program. The results of this study were summarized as follows; 1. 15.1% of women performed the BSE at least once during the last 6 months. 2. Non-complier and compliant women showed statistically significant differences in the level of self efficacy and barriers. 3. Predictors of BSE compliance were ‘history of having breast disease’, ‘experience of receiving recommendation for BSE’, ‘barriers’, and ‘experience of meeting with breast cancer patients’ and explained 14.8% of variance in compliance of BSE. For future clinical practice, health professionals, including nurses, need to actively suggest to women the importance of BSE, and to distribute the information through posters and pamphlets at clinics and public health centers. Including the opportunity to meet patients in health education centers can be another strategy to increase women's motivation for BSE. For future research, it is necessary to recruit women from broader geographic areas utilizing various sources such as community centers to increase generalizability of the findings.
The Health Promotion Model by Pender(l987) was used as the conceptual framework for analyzing the health promotion behaviors. The purposes of this study were to describe health promoting life style behaviors in 245 women between the ages of 35 and 59 living in Seoul and other cities and to find their predictive factors. Data were collected from 1st to 23th. June. 1998. The tool used for this study was structured questionnaire with consisted of 8 items on general characteristics. 5 items on health related characteristics. 43 items on health promoting life style. 28 items on menopausal symptoms. 5 items on family support. and 28 items on self-efficacy. The collected data were analyzed using the SAS. yielding descriptive statistics. ANOVA. Pearson's Correlation. stepwise multiple regression. The findings of this study are as follows. 1) The mean score of health promotion behavior(3.25) is not high. The mean scores of this self actualization (3.73). interpersonal support (3.68). and nutrition (3.57). regulation of stress (3.22) in domains are higher than health responsibility (2.90). exercise (2.63). 2) The results of the comparison between the health promotion behaviors and general variables showed a statistically significant difference in education (P=.0061), domestic economy status(P=.0001). perception of health status(P=.0001) but. age. state of menstruation. perception of weight is not significant difference. 3) The correlation between health promoting life style and self-efficacy(P=.0001). family support(P=.0001) is significant. But. there is no correlation between health promoting life style and age. number of family. perception of weight. 4) In the cognitive-perceptual factors. self-efficacy (P=.0001) is very significant predictor (accounted for $39.7\%$) and in the modifying factors. family support(P=.0001) is very significant (accounted for $9.0\%$). It is same to other research results.
We have observed the part of the second quadrant of the Galactic Plane in $^{13}CO(1-0)$ using the multibeam receiver system installed on the 14 m telescope at Taeduk Radio Astronomy Observatory. The target region (L=108 to 112.5) is the part of the $^{12}CO$ Outer Galactic Plane Survey (Heyer et al. 1998), and it is for the exact Galactic plane with the latitude range of +1 and -1 degree. Total of 48,000 spectra (about 9 square degees) were obtained on 50" grid. The selected velocity resolution is 0.63 km/sec and sensitivity per channel is 0.17 K, and the covered velocity is 320 km/sec. We developed a new reduction method, which effectively deals with a relatively noisy 3-dimensional database. The collected $^{13}CO$ database will be manipulated with pre-existing $^{12}CO$ data to get several physical parameters. As it is located in the second quadrant, the kinematic distances of the individual clouds, which will be identified, can be estimated relatively easily without any distance ambiguity. In this meeting we present the reduction method, statistics, and some channel maps, integrated intensity maps, and spatial-velocity maps. We intend to clarify any difference of their characteristics between the clouds in the Outer Galaxy and Inner Galaxy using our data base.
The UKIRT Wide-field Infrared survey for Fe+(UWIFE) is an unbiased survey of the first Galactic quadrant, with narrow-band filter centered on $1.644{\mu}m$. This survey covers $7^{\circ}$ < l < $62^{\circ}$ and |b| < $1.5^{\circ}$, where active interaction of stars and interstellar medium is expected. With median seeing of 0.8 arcsec, 5 - sigma detection limit of 18.7 mag and surface brightness limit of $8.1{\times}10^{-20}W\;m^{-2}arcsec^{-2}$, this survey gives an opportunity to statistically study Galactic [Fe II] - emitting sources for the first time. In order to identify Ionized Fe Objects (IFOs) in survey area systematically, we conducted visual inspection and automatic detection simultaneously. Total of ~300 extended IFOs are identified, most of them are found out to be part of supernova remnants (SNRs), young stellar objects, HII regions and planetary nebulae. The majority of IFOs are new discoveries which reveal shocked structures in high-extinction region. Spatial distribution of IFOs suggest that they trace Galactic structure. As a part of spectroscopic follow-up, we observed SNR candidate IFO J183740.829-061452.41 with IGRINS (Immersion Grating Infrared Spectrograph, Yuk+2010), mounted on 2.7m Harlan Smith telescope. This unknown arc-like, 6'-long IFO is coincident with inner part of radio continuum loop G25.8+0.2, which has been known as HII region. However, interior of this radio shell is filled with diffuse soft X-ray emission, and possible association of hard X-ray pulsar / pulsar wind nebula makes the nature of the IFO unclear. The H and K-band 2D spectrum shows shock-ionized [Fe II] filaments, which is apart from photoionized HII filaments. In this presentation we present basic statistics of newly identified IFOs, as well as the follow-up study of IFO J183740.829-061452.41.
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