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The Effect of Exposure-Risk Behavior toward Endocrine-disrupting Chemicals, Occupational Environments and Daily Habits Related to Endocrine-disrupting Chemicals on Development of Spontaneous Abortion (환경호르몬 노출 위험행위, 직업환경 및 환경호르몬 관련 생활습관이 자연 유산 발생에 미치는 영향)

  • Choe, Myeong-Hui
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.377-387
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    • 2020
  • This study is a retrospective and descriptive research to identify the factors affecting development of spontaneous abortion in women of childbearing age. The subjects totaled 198 females aged 20~45 who had experienced childbirth or spontaneous abortion at least once, and data was collected for one month since July 2019 through self-reporting questionnaires. The results showed that the factors affecting development of spontaneous abortion were use of panty liners (daily: reference, 1~2 times a week: B=-1.74, no: B=-0.77) and antimicrobials (often or a lot: reference, small or normal: B=-0.71, no: B=0.79), occupational groups (inoccupation: reference, service industry employee: B=0.73, white collar: B=1.22, professional: B=0.63, manager: B=1.54), and exposure-risk behavior toward endocrine-disrupting chemicals (B=0.81) during pregnancy, and their explanatory power for development of spontaneous abortion was 24.4% (R2=.24). As a result, it is necessary to prevent endocrine-disrupting chemicals exposure and pay attention to the occupational environment during pregnancy in order to reduce the development of spontaneous abortion.

A Study on Pain, Discomfort, Depression and Coping Patterns in Chronic Arthritis Patients (만성관절염 환자의 동통, 불편감, 우울과 대응양상의 관계)

  • Mun, Mi-Suk
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.71-87
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    • 1994
  • The purpose of this study was to assess pain, discomfort, depression and coping patterns and the relations between these in chronic arthritis patients. The sampling method was a purposive sampling technique. 1) Who have been diagnosed as having chronic arthritis and. 2) Who were at the out patients clinic of rheumatoid arthritis departments of one University hospital in seoul between september, 11, 1993 to september, 18, 1993. The instruments used for this study were Graphic Rating Scales of pain, discomfort level of the activities of daily living(ADL) developed by Lee, Eun Ok and The Beck Depression inventory. The research used to measure coping patterns was a tool developed by the present study researcher. Analysis of data was done frequency, Pearson correlation coefficients, ANOVA, regression and ANCOVA. The results were summerlized as follows ; 1. Female exceed male patients in number and onset of joint pain were more prevalent in the age groups of the 40s and the 50s. The average duration of suffering from the pain were seven years six mounths. 2. The mean pain score : The mean sensory score was 119mm and the affective score was 109mm. 3. The discomfort level of ADL, the mean score was 2.95 out of a possible score of 5.0 and depression syndrome subjects were 62.2%. 4. The coping responses for each pattern were as follows : 1) "Active coping" mean score was 2.28. 2) "Wishful coping" mean score was 2.89. 3) "Receptive coping" mean score was 3.31. 4) "Negative coping" mean score was 1.82. 5. Significant differences were found in age, religion, marriage status and the coping patterns of patients. 1) In the coping pattern of "receptive coping", the score of the age groups of the 50s were higher than that of 20s, and in the coping pattern of "negative coping", the score of the age groups of the 20s were higher than other age groups. 2) In the coping pattern of "wishful coping", the score of the christian were higher than other religion groups. 3) In the coping pattern of "negative coping", the score of the marrieds were lower than other groups. 6. Patients who scored low on factor 2, wishful coping, were much more likely to report having pain sensory than patioets scoring high on this factor. 7. Patients who scored high on factor 4, negative coping, were significantly more likely to report having pain sensory than patients scoring high on this factor. Consider overall, chronic arthritis patients report using a wide varity of strategies, certain strategies such as receptive, wishful and active coping are used frequently, whereas other strategies such as negative coping are rarely used. One of the most important finding of present study is that the reported use of coping strategies is related to adjustment to a chronic pain problem. The present study suggests that negative coping is related to poor emotional adjustment as assessed by depression, but not pain ratings. Considered overall, this pattern of findings suggests that counseling patients to decreased their use of negative coping may be useful. The present study has a number of limitations. First, the sample is restricted to chronic arthritis patients. Weather chronic pain patients suffering from other types of pain syndromes use similar coping strategies needs to be determined in subsequent research. Second, the tool of coping pattern must be studied further to obtain reliability.

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Comparison of Bone Mineral Density and Risk Factors of Osteoporosis between Normal and Rheumatoid Arthritis in Postmenopausal women (폐경 후 정상여성과 폐경 후 류마티스 관절염환자의 골밀도 및 골다공증 위험요인 비교)

  • Lee, Eun-Nam
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.89-101
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    • 2000
  • This study was carried out to compare the bone mineral density and risk factors of osteoporosis between normal and rheumatoid arthritis in postmenopausal women. Sixty-eight postmenopausal patients with rheumatoid arthritis(RA) were compared with 124 postmenopausal normal women. Data were collected from october, 1998 to April, 1999 at Dong-a university hospital in Pusan. From all subjects, individual characteristics such as age, body weight, height, age of menarche, duration of menopause, gravity, parity, and breast feeding period and factors of life style such as milk consumption, exercise, alcohol intake, cigarette smoking, coffee consumption were identified as influencing factors of osteoporosis by questionnaire. From RA patients, health assessment score, Ritchie articular index, erythrocyte sedimentation rate, C-reactive protein and steroid dosage were measured by rheumatologist on measuring bone mineral density. Bone mineral density was measured at the Lumbar spine, femoral neck, femur Ward's triangle, and femur trochanter using dual x-ray absorptiometry. The data was analyzed by using a frequency, t-test, Chi-square, ANCOVA with SPSS PC program. The results could be summarized as follows : 1) There was a significant difference in age and breast feeding period between RA patients and normal women. 2) RA patients took less calcium in the past and practiced less regular exercise in past and present than normal women. 3) There was no difference in lumbar bone mineral density between RA patients and normal women. 4) There was a significant difference in femur Ward's triangle and femur trochanter between RA patients and normal women after adjustment for age and breast feeding period. 5) The prevalence of osteoporosis of all subjects was the highest in femur Ward's triangle. In summary, our findings suggest that the bone mineral densities of femur Ward's triangle and trochanter in postmenopausal women with RA is significantly lower than normal women. Also the exercise participation rate of postmenopausal women with RA is lower than normal women. For the further study, we recommend to develop exercise program that improve the bone mineral density in femur Ward's triangle and trochanter and to test the effect of that exercise program.

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Effect of Nurse's Professionalism on Customer Orientation, Job Satisfaction and Service Delivery Level in Specialty Hospital (전문병원 간호사의 전문직업성이 직무만족, 고객지향성 및 서비스 수준에 미치는 영향)

  • Lee, Jung-Woo
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.266-276
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    • 2011
  • The main purpose of this study is to examine a influence factor of professionalism which is effected on nurse's customer orientation, job satisfaction and service delivery level in specialty hospitals. And this study has reviewed the theoretical background of specialty hospital system, professionalism, customer orientation, job satisfaction and service delivery level, and set up the hypothesis to test the relations with nurse's professionalism, customer orientation, job satisfaction and service delivery level. Data were collected from 142 nurses in 6 specialty hospitals in the Seoul region using a standardized questionnaire. For reliability and appropriateness, Cronbach $\alpha$ and factor analysis and SPSS 12.0K for the actual proof were used. The research findings are summarized below. The professionalism influences positively on the customer orientation and the job satisfaction while it does not on the service delivery level. Also, the customer orientation influences positively on the service delivery level, it does not influence positively on the service delivery level as the research is analyzed. Therefore, the courses that are emphasizing the customer satisfaction and the importance of service should be included in the curriculum of the Department of Nursing Science and the nurses in active service at speciality hospitals should be trained persistently for the importance of customer management.

An Analysis on Prevalence and Allergen of Food Allergies (식품 알레르기의 유병률과 알레르겐 분석)

  • Lee, Kye-Hee
    • Journal of agricultural medicine and community health
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    • v.39 no.1
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    • pp.14-24
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    • 2014
  • Objectives: The purpose of this study was to estimate the prevalence of food allergies and find out food allergens. Methods: Questionnaires were completed by 2,415 subjects in D city, among whom 452 subjects believed that they had food allergy. Skin prick tests were performed on these subjects. The data were analyzed using SAS Version 9.0 and ${\chi}^2$-test. In addition, several recent studies were reviewed. Results: The prevalence rate of food allergic symptoms was 25.6% in males and 25.8% in females, respectively. The positive rate of skin prick tests among those who were allergic to any of 14 food items was 21.4% in males and 14.7% in females(p=0.018). Therefore, it was estimated that the prevalence rate of food allergy was 5.0% in males and 3.6% in females. It was shown that the major food allergens were hop, shrimp, lobster, oyster and egg(whole) in males, and egg(whole), hop, oyster, and pork in females, respectively. The prevalence in recent studies ranged from 1 to 35%. Major food allergens were milk, egg, nuts, fish, shellfish crustacean and fruits/vegetables. Conclusions: In order to provide effective care for food allergy, it is essential to find out the prevalence of food allergies and food allergens.

A COMPARATIVE ANALYSIS OF MOTHER-CHILD PLAY BETWEEN AUTISTIC AND NORMAL GROUPS FOR PROMOTING THE AUTISTIC CHILDREN'S SYNCHRONIZED BEHAVIORS (자폐적인 아동의 일치적 애착 행동 증진을 위한 정상군/자폐군 모-아놀이의 비교 분석)

  • Im, Sook-Bin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.1
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    • pp.76-90
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    • 1999
  • This study was performed 1) to compare the nature of the synchronized behaviors in mother-child plays between autistic and normal groups quantitatively and qualitatively and 2) to identify the behavioral data to improve synchrony. The subjects were consisted of 20 mother-child pairs, 10 for each autistic group(AG) and normal group(NG). The developmental age of two groups was under 24 months old and equally matched. Data were collected by video-taped mother-child free play and analyzed with Wilcoxon Rank Sign(Sum) Test, Spearman Correlation Coefficient, Scheffe's Test, and Content Analysis. The score on synchronized behaviors of AG was significantly lower than that of NG(p<.05). As time progressed, the difference was much higher between the 2 groups. And the structure of motherchild plays in AG was poor and most of the interactions were discontinued as 1 or 2 episodes. On the other hand, mother-child plays in NG were enriched and became somewhat like game or play. The score of mother's growth-fostering nurturing behaviors showed positive relation to synchrony and much highly related to the group of 16 months-old or above. Mother's laughing and patting responses and pausing to get the child's initiative were especially related highly to synchronized behaviors. In conclusion, these mother's growth-fostering nurturing behaviors should be stressed at the mother-child interactions and also well structured therapeutic play with considering in children's developmental level should be given.

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The Reason to Select Complementary and Alternative Therapy for Terminally Ill Cancer Patients (말기암환자가 보완대체요법을 선택한 이유)

  • Kim, Kyeong-Uoon;Park, Jean-No;Lee, Soo-Han
    • Journal of Hospice and Palliative Care
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    • v.14 no.1
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    • pp.34-41
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    • 2011
  • Purpose: The purpose of this study was to analyze the reason to select complementary and alternative therapy for terminally ill cancer patients. Methods: The data were collected from 21 terminal cancer patients and families through the in-depth interview. Data analysis were performed by the Colaizzi's phenomenological method (1976). Results: The reason to select complementary and alternative therapy for terminal cancer patients and families was then categorized with 4 elements; Awareness of limitations in contemporary medical treatments, Belief in effectiveness of the CAM, Satisfaction with emotional needs of family members, and Disbelief due to negative attitudes of physicians. The result indicated the following 9 themes expectation for a complete cure, uncertainty in hospital treatments, complementary method for management of side effect of chemotherapy, alleviation of symptoms and life-sustaining, fear for side effects of cancer treatments, belief in earned information, referrals by other, responsibility of family, and dissatisfaction with negatine attitudes of physicians. Conclusion: Physicians should provide a sufficient explanation and try to effectively communicate with clients about hospice and palliative service and the CAM. We strongly realized that concerns about patients' best care and satisfactions with family's needs should be understood.

Study on the Influential Factors Regarding Sexual Activity in College Students (대학생의 성 경험에 영향을 미치는 요인 분석)

  • Kim, Hyeon-Suk
    • Journal of the Korean Society of School Health
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    • v.12 no.2
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    • pp.339-356
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    • 1999
  • The purpose of this study is to analyze the factors which influence the college student sex behavior. The results can be used as the basis to establish health polices and a health promotion program to reduce the risks of sexual behavior of college students. The study subjects were random selected from college students in Kyonggido. The 335 subjects were selected from 4 schools including three colleges and one university. The self-administered questionnaires were distributed to 350 students, 335 of which were analyzed (after excluding the 15 incomplete or inaccurate data). The study took place between December 7-19, 1998. Regarding the analysis method, the SPSS program was used. The relationship between social and demographic characteristics and relevant factors was identified through Chi-squared test. The major findings of the study were follows: 1. Of the 335 respondents, thirty seven percent of men and ten percent of women had already experienced sexual intercourse. Significantly more males had experienced sexual experience than women. The majority of students, living with both their parents had less sexually experience than that living without their parents. There were religious differences, that students who believed in buddhism had more sexual experience than christian or catholic students. Students who reported drinking alcohol frequently had more sexual experience than those who didn't and it was statistically significant (${\chi}^2=47.6$ df=4 p=0.000). 2. Sexual awareness was relatively low. High level group of sex knowledge were less sexual experience than middle or low level group (${\chi}^2=6.038$ df=2 p=0.049). Women were more sexually aware than men (${\chi}^2=20.814$ df=2 p=0.000). Groups who had sisters and brothers were more sexually aware than those who few sisters and brothers. 3. Sixty one percent of respondents said that chastity before marriage should be kept but twenty four percent of them felt that it was unnecessary. Opponents to chastity before marriage had more sex experience than those for. It was statistically significant (${\chi}^2=48.967$ df=2 p=0.000). Those who agreed with the questionnaire point 'Even if people are not married, if they love each other, they can have sexual intercourse.' had more sexual intercourse than those who didn't agree. Those who agreed with the questionnaire point 'Even though people doesn't like, they can still have sexual intercourse.' had more sexual intercourse than those who disagree. On this point, men were three times higher of the opinion than women. So we can see the difference in the perception between men and women. As a result of this study, sexual awareness influences sexual attitudes and sexual attitudes influence sexual awareness influences sexual activity includes poor knowledge and uninformed attitudes about sex. Therefore sex education is needed and it is very important to reestablish concepts about sex.

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Effects on Self-esteem among Female Undergraduate Students (여대생의 자아존중감에 미치는 영향)

  • Heo, Narae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.536-548
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    • 2018
  • This study was conducted to investigate the effects of appearance stress, alcohol intake, and eating attitude on self-esteem of female undergraduate students. Participants were 150 female undergraduate students who responded to a survey conducted from March to July of 2017. Data collected were analyzed by stepwise multiple regression analysis using an IBM SPSS 23.0. The influencing factors of self-esteem were satisfaction with college life and appearance stress, and the power of the variables was 11%. The results verified that college life and appearance stress were important factors influencing self-esteem, a critical element in the personality dimension that assesses self-affirmation. Therefore, self-esteem should be improved by providing a buffer to revitalize character resources for positive self-internalization, the formation of a healthy self-image and affect regulation which can enable one to flexibly cope with situations of appearance stress. Also, external resources should be provided inside and outside of school to help university students become cognizant of an objective perspective of the various environments of college life they face, as well as to have a positive view of themselves in college life by regulating the differences between the environments they face and their individual circumstances.

Factors Affecting Family Cohesion and Adaptability of College Students and Parents (대학생 자녀와 부모의 가족결속력과 가족적응력에 영향을 미치는 요인)

  • Park, An-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.539-550
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    • 2017
  • The purpose of this study was to investigate the differences in family cohesion and family adaptability between college students and their parents to identify the factors that affect family cohesion and family adaptability using a descriptive research study design. The subjects of this study were 197 college students and their parents. The data were analyzed using descriptive statistics, the t-test, ANOVA, correlation and multiple regression analysis by SPSS for Windows (ver. 22.0). The mean of the family function index of the subjects was $7.42{\pm}2.28$ on the scale of 1 to 10, and that of the normal family functional group was 65.48%. There was no significant difference in family cohesion between the college students and their parents, and family adaptability was significantly different in discipline(t=-3.100, p<.01) and role(t=.212, p<.05). The factors affecting the family adaptability of the students were the sharing of family activities, emotional intimacy and attending family events, which showed a combined explanatory power of 45.9%. The factors affecting the family cohesion of the parents were housework assignment, emotional intimacy and attending family events, which showed a combined explanatory power of 51.4%. Family emotional intimacy and attending family events, as well as the sharing of family activities, were found to be important to the family adaptability of the college students and housework assignment was found to be important to the family cohesion of the parents.