• Title/Summary/Keyword: Peer support

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Effects of Comprehensive Rehabilitation Program on Physical Function and Fatigue in Mastectomy Patients (유방절제술 환자를 위한 통합적 재활 프로그램이 신체 기능과 피로에 미치는 효과)

  • Yoo, Yang-Sook;Jung, Sang-Seol;Cho, Ok-Hee
    • Korean Journal of Adult Nursing
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    • v.17 no.2
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    • pp.298-309
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    • 2005
  • Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on grip strength, pinch strength, the shoulder joint function, flexibility, and fatigue in mastectomy patients. Method: The subjects were fifty-five women with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for 10 weeks, which was composed of education, stress management, exercise, and peer support group activity. Results: The results revealed that the increase in grip strength, key pinch, the shoulder joint function, and flexibility (Back & Reach test, Standing & Bending reach test) of the operated extremity, and the decrease in fatigue were significantly higher in the experimental group than in the control group. However, the results revealed that tip strength and palmar pinch of the experimental group increased but there was no significant difference from that of the control group. Conclusions: The 10-week comprehensive rehabilitation program showed much affirmative effect on physical function, and fatigue of breast cancer patients after mastectomy.

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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients (유방절제술 환자를 위한 통합적 재활 프로그램의 효과)

  • 조옥희
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.809-819
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    • 2004
  • Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients. Method: The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week. Result: The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group. Conclusion: The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

GNUnet improvement for anonymity supporting in large multimedia file (대형 멀티미디어 파일의 익명성 지원을 위한 수정 GNUnet)

  • Lee, Yoon-Jin;Lee, Myoung-Hoon;Jo, In-June
    • Journal of Internet Computing and Services
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    • v.7 no.5
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    • pp.71-79
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    • 2006
  • The GNUnet proposed a file encoding method by lKB block size to support anonymity of files and decentralizes encoded block to peers through unstructured model. but, the encoding and block decentralizing method with 600$\sim$700MB large multimedia file appeared two problems. First problem. it need addition R block and I block, which make about 4% of storage resource. Second problem, unstructured model added network load by broadcasting decentralizing method. This paper suggest variable encoding block size and structured model by block decentralizing solution. Suggested encoding method reduced block request supplementary block generation to 1% and network load by proposal structured model sending answer through dedicated peer to decentralize block.

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Recovery of People Living with Mental Illness: A Concept Analysis (정신질환의 회복[Recovery] 개념분석)

  • Yeu, Ki-Dong;Bernstein, Kun-Sook;Lee, Mi-Hyoung
    • Journal of Home Health Care Nursing
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    • v.19 no.1
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    • pp.46-54
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    • 2012
  • Purpose: The purpose of this study is to analyze the concept of recovery in relation to those living with mental illness and provide a better understanding to the definition, perspectives, and paradigm of recovery in phenomenon, as a conceptual knowledge. Methods: A literature review was conducted to define the concept of recovery from a mental illness by using key words, "recovery", "mental health and illness", "concept analysis" and "recovery-oriented nursing", and searching the Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane library and RISS4U database. Concept analysis of recovery was done, by using the Walker and Avant's framework of concept analysis. Results: Attributes of recovery for those living with mental illness included regain, life reconstruction, hope, adjustment, and health. Antecedents of recovery from mental illness included instilling hope, recovery vision, belief, peer support, recovery-oriented services, empowerment, personal accountability, education, human rights and culture. The consequences, as meanings of recovery included self-esteem, hopeful life, positive adjustment, and healthy life. Conclusion: Concept of recovery is important for a nurse to understand when caring for a person living with mental illness. This concept of recovery from mental illness may apply to future studies to develop a recovery-oriented nursing intervention.

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Quality Management Model for Process Performance Level and Development Technology (프로세스 이행 수준과 개발 기술 품질 관리 모델)

  • Park, J.H.;Park, Y.S.;Jung, H.T.;Kim, S.H.
    • Electronics and Telecommunications Trends
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    • v.32 no.6
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    • pp.105-115
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    • 2017
  • This paper describes a project - based quality management model that identifies development technologies and codes while at the same time verifying the ability to implement processes that are essential in R & D projects. In order to verify the process implemented in the R & D project implementation, there are review, checking points, and evaluating methods the process performance levels for five processes such as defining requirements which is the beginning stage of system development, testing process which is the completion stage of system development, and project management and peer review process for project management and support in the proposed project-based quality management model. For development technology and code validation, the model included the documented test cases for each requirement by the developer in the requirements definition stage, debugging and testing in the design and implementation stages, static analysis and open source licence verification procedure, and system environment. After applying the model in SW development R&D project for evaluating the process performance, and verifying the development technology and the code, the developers responded that the improvement in the development technique and the code, and upgrade of process performance level for project are more than 10%.

Analysis on the Roles and Occupational Experiences of Social Workers in Child Care Facilities (아동양육시설 생활복지사의 역할 및 직무경험 분석)

  • Kim, Gihwa;Yang, Sungeun
    • Human Ecology Research
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    • v.55 no.6
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    • pp.581-592
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    • 2017
  • This study investigated the occupational experiences of social workers in child care facilities. The participants of the study were six social workers in child care facilities. This qualitative research used a Consensual Qualitative Research (CQR) method that and classified the main findings into five categories and twelve sub-themes. This study revealed that child care professionals define themselves as "caregivers" and "role models." Positive effects of institutional life on a child were forming peer relationships and being able to use diverse services while negative effects included acquiring a social stigma, having problems in developing attachment between a child and a surrogate caregiver, developing passive attitude and weak will power from communal living. Meanwhile, conflicts with children and poor working conditions led to burnout for caregivers. Our recommendations on the direction of change for the facilities are: categorizing admitted children, supporting restoration of family functions, reinforcing support for children's preparation for an independent life, and developing expertise. This paper provides a better understanding of child care facilities as well as encourages further social discourse on institutionalized children in order to promote policy making and implementation.

The relationship between quality of life and stress of the elderly living alone who experienced activities of volunteer (이웃사랑봉사단 활동을 경험한 독거노인의 삶의 질과 스트레스의 상관관계)

  • Hong, Eun-Hee;Kim, Soon-Ae;Lee, Joo-Young
    • Journal of the Korea Safety Management & Science
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    • v.19 no.2
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    • pp.101-106
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    • 2017
  • Purpose The purpose of this study is to investigate the quality of life and stress level of the elderly living alone in their neighborhood volunteers. Methods Data collection was done from July 1 to October 1, 2015 and the data were collected by self-reported questionnaire at Nowon community in Seoul area in South Korea. The subjects were 146 older adults living alone agreed to participate in the study(accepted by IRB). The questionnaire was constructed with quality of life 26 items, 5-point Likert type scale(1-5), stress 15 items, 5-point Likert type. The data were analyzed by descriptive statistics. Results Socially isolated older adults had significantly higher scores ($3.7{\pm}.03$) in quality of life, moderate scores ($2.9{\pm}.03$) in stress. Conclusion The peer support undertaken by older community volunteers was effective in improving quality of life in socially isolated older adults. It is necessary to listen to the voice of elderly people living alone through the activation of volunteer groups in the community.

Community Participation for Health Promotion: Definitions and Applications (지역사회건강증진을 위한 참여: 이해와 적용)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.29 no.4
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    • pp.57-66
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    • 2012
  • Objectives: This paper describes the concept, principles, and strategies and directions for community participation in health promotion. Methods: Descriptions of and discussions on community participation in this paper are based on the results of selected peer-reviewed research articles, white papers, and practice manuals which address the issues of community participation and community empowerment, and principles and strategies for practice in community health promotion. Results: In ladder-of-community-participation models, the level of participation ranges from non-participation to the stages where communities have partnerships, delegated power, and control. Enhancement of participation is presented as a continuum of informing - consulting - involving - collaborating - empowering. For community participation to reach its fullest potential, the types and levels of participation desired should be clearly decided at the beginning. Along with community readiness for participation, public health system should also be in place readily to process community participation for health promotion with appropriate procedures, guidelines, methods, resources, and stakeholders' commitment and support. Conclusions: For the promotion of participation in community health, readiness for participation of both community and public health system should be prepared.

Understanding Pediatric Cancer Patients and Their Families (소아암 환아와 가족에 대한 이해)

  • Sin, Min-Seon
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.1-9
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    • 2006
  • In this thesis, Chapter I Introduction suggested the necessity of this research and defined related terms, and Chapter II defined hospice for children and examined the symptoms of pediatric cancers as well as the general characteristics of pediatric cancer patients. In particular, we surveyed the physical condition, psychological and emotional condition, financial condition, environmental aspect, educational aspect and spiritual aspect of pediatric cancer patients’ families, investigated pediatric cancer patients’ parents and siblings with regard to their understanding of the pediatric cancer patients’ death, and lastly considered spiritual care. Chapter III presented summaries and conclusions. In their developmental stage, pediatric cancer patients lack abilities to express themselves and are highly dependent on their parents, so parents who take care of cancer children have to make hard decisions and cancer children’s families are heavily burdened by the situation of preparing their children’s death and sending them away while denying their death, and for this reason they need help from specialists. That is, for pediatric cancer patients, we need highly experienced pediatricians or nurses skilful in managing young terminal patients as well as hospice counseling and family counselors for consulting on family crises. In particular, there is a keen need of child life support specialists. In addition, clergymen’s help is critical for spiritual care to ease the fear and terror of the unknown world, fear of death, etc. Moreover, in order to prevent cancer children from failing to adjust themselves to school life or peer relation after recovery, hospice service should provide cancer children with opportunities to learn school curriculums and associate with friends.

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Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls (여자 중학생의 월경불편감과 수면장애와의 관계)

  • Park, Se Yeong;Park, SoMi
    • Women's Health Nursing
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    • v.24 no.4
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    • pp.392-403
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    • 2018
  • Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.