• Title/Summary/Keyword: Poor health

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Home Care Support and Support Requirements According to Health Condition in the Poor Elderly People Living Alone (일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구)

  • Park, Ji-Won;Kim, Yong-Soon;Kim, Ki-Sook
    • Journal of Home Health Care Nursing
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    • v.16 no.2
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    • pp.89-97
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    • 2009
  • Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

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The Relationship Among Self-Efficacy, Social Support and Depression of The Poor Elderly (영세 노인들의 자기효능.사회적지지.우울간의 관계 분석)

  • Song, Nam-Ho;Kim, Sun-Mi
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.158-171
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    • 2000
  • The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore. it is important to address the problems of geriatic nursing and geriatic health. The purpose of this study was to examine the relationship among self-efficacy, social support and depression of the poor elderly. The subjects of this study were 42 poor elderly in Tae Jeon city. The data were analyzed by the SPSSWIN computer program and include AONVA. Pearson Correlation, frequency analysis. The Cronbach Alpha of self-efficacy tools was .8297, social support tools was .9187 and depression tools was .8887. The data were collected through personal interviews using a questionnaire from September 27 to October 23. 1999. The conclusion of this study are summarized as follows: 1. There were mean scores for self-efficacy at $55.92{\pm}11.84$ for social support $86.00{\pm}18.43$ and for depression $60.31{\pm}15.61$. 2. There was a significant positive correlation between self-efficacy and social support(r= .361. p<.05) in the poor elderly. There was a significant negative correlation between social support and depression(r= -.640, p<,01), self-efficacy and depression(r= -.182) in the poor elderly. 3. In a significant test in the general characters of the subjects and in the higher social support level. we obtained the following results: living with partner is. have son is. living family members is. the higher economic level is. 4. In a significant test in the general characters of the subjects and in the lower depression level, we can obtained the following results: The old man is. living with partner is. living family members is. the higher economic level is, the higher health level is.

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Depression, Somatoform Disorders, and Quality of Life between Poor Sleepers and Good Sleepers in Community-Dwelling Older Adults (재가노인의 수면장애 유무에 따른 우울, 신체형장애 및 삶의 질 비교)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Park, Hyo-Jung;Kim, Kon-Hee;Jin, Li Hua
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.332-339
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    • 2011
  • Purpose: The purpose of this study was to compare depression, somatoform disorders, and quality of life among older adults. Methods: Samples of 280 community-dwelling Korean older adults were included. The age range of the participants was 60 to 90 years (average $72.6{\pm}6.4$). The participants were assigned to one of two groups based on reported scores on the Pittsburgh Sleep Quality Index from September 2006 to March 2007. The two groups were designated as "poor sleepers"and "good sleepers". A T-test was used to compare depression, somatoform disorders and quality of life between the two groups. Results: Forty-six percent of participants reported scores that indicated they were poor sleepers. Poor sleepers reported significantly higher depression scores (p<.001), higher somatoform disorders scores (p<.001), lower for each SF-36 quality of life dimension, and lower mental and physical health summary scores (p<.001) than the reported scores of those participants who were classified as good sleepers. Conclusion: Older adults with poor sleep patterns are more likely to report higher depression, more somatoform disorders and a lower quality of life. Additional research is needed to identify the appropriate nursing interventions aimed at improving sleep quality, depression symptoms, somatoform disorders and the quality of life.

The Stages of Change Distribution for Health Behaviors among Low Income Children in Underserved Area (취약지역 빈곤아동의 인구사회학적 특성별 건강행동 변화단계의 분포)

  • Kim, Hye-Kyeong;Hyun, Sung-Min;Kwon, Eun-Joo;Kim, Hee-Chul
    • Korean Journal of Health Education and Promotion
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    • v.25 no.3
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    • pp.59-75
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    • 2008
  • Objectives: The purpose of this study was to identify the stages of change distributions for nine major health behaviors among poor children in underserved area, and to provide basic information for developing specific objectives and strategies for health education program. Methods: The health behavior data were obtained with a self-administered questionnaire and analysed for 3,081 poor children in 106 local children's centers nationwide. Stages of change classification were based on self-reported responses to five statements. The health behaviors included were balanced diet, safety behavior (helmet and protective device use while riding), regular exercise, smoking, alcohol use, drug use, sleep pattern, weight management and stress management. Results: Poor children were more likely in precontemplation and less frequently in action and maintenance stages for a safety behavior. 33.1% of respondents were precontemplators, 29.9% contemplators, and 6.5% in preparation stage. Only 4.3% and 9.6% were in action and maintenance stages, respectively. Gender differences were apparent. Boys were more likely to be precontemplators for nine health behaviors. Children from the lowest socioeconomic status and disrupted family were more likely to be in precontemplation for weight management and exercise behaviors. Children living with both parents were more likely to be in the action and maintenance stages for nine health behaviors. Stages of change for balanced diet and smoking were significantly related with those for other eight health behaviors. And the stage of exercise adoption was found to be significantly related with those for other seven health behaviors. Conclusion: Safety education must receive high priority in health education program for low income children. Balanced diet smoking cessation and regular exercise could be a possible gateway behavior toward healthier lifestyle practices.

Identification of subgroups with poor lipid control among patients with dyslipidemia using decision tree analysis: the Korean National Health and Nutrition Examination Survey from 2019 to 2021 (의사결정나무 분석을 이용한 이상지질혈증 유병자의 지질관리 취약군 예측: 2019-2021년도 국민건강영양조사 자료)

  • Hee Sun Kim;Seok Hee Jeong
    • Journal of Korean Biological Nursing Science
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    • v.25 no.2
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    • pp.131-142
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    • 2023
  • Purpose: The aim of this study was to assess lipid levels and to identify groups with poor lipid control group among patients with dyslipidemia. Methods: Data from 1,399 Korean patients with dyslipidemia older than 20 years were extracted from the Korea National Health and Nutrition Examination Survey. Complex sample analysis and decision-tree analysis were conducted with using SPSS for Windows version 27.0. Results: The mean levels of total cholesterol (TC), triglyceride (TG), low density lipoprotein-cholesterol (LDL-C), and high density lipoprotein cholesterol were 211.38±1.15 mg/dL, 306.61±1.15 mg/dL, 118.48±1.08 mg/dL, and 42.39±1.15 mg/dL, respectively. About 61% of participants showed abnormal lipid control. Poor glycemic control groups (TC ≥ 200 mg/dL or TG ≥ 150 mg/dL or LDL-C ≥ 130 mg/dL) were identified through seven different pathways via decision-tree analysis. Poor lipid control groups were categorized based on patients' characteristics such as gender, age, education, dyslipidemia medication adherence, perception of dyslipidemia, diagnosis of myocardial infarction or angina, diabetes mellitus, perceived health status, relative hand grip strength, hemoglobin A1c, aerobic exercise per week, and walking days per week. Dyslipidemia medication adherence was the most significant predictor of poor lipid control. Conclusion: The findings demonstrated characteristics that are predictive of poor lipid control and can be used to detect poor lipid control in patients with dyslipidemia.

Health Status of Elderly Living in a City (노인의 건강상태)

  • So, Hee-Young;Kim, Hyun-Li;Liu, Ming Ren
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.169-178
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    • 2004
  • Purpose: This study examined the health status of elderly. Method: This is a survey using cross-sectional design. The subject were 122 elders who were 65 and over in Daejeon. Instrumental activity of daily living, nutrition and Body mass index for physical health status, social engagement for social health status, and depression and loneliness for emotional health status were measured. Results: Independent level was medium, and nutrition and BMI were normal level. Social engagement score was 2.38 which means low. Mean depression level was 7.71 and mean loneliness level was 56.77, which means high. The risk factors for vulnerable health status were no spouse, lower pocket money, living at institution, poor subjective health status. Conclusion: This finding indicates that the elderly subjects were in normal physical health status, but social and emotional health status were poor.

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The Relationship between the Oral Health Status and their Knowledge of the Freshman of Colleges in Taegu City (대학신입생들의 구강보건 인식도와 구강위생상태와의 관련성)

  • Yoon, Hee-Sook;Lee, Hee-Kyoung;Lee, Sung-Kook
    • Journal of agricultural medicine and community health
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    • v.21 no.1
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    • pp.75-84
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    • 1996
  • This study was conducted to reveal the relationship between the oral health status and their Knowledges about the oral health of the freshman of colleges in Taegu city. The evaluation for the oral health status through the oral examinations and their analysis of their knowledges on the periodontal disease were done on 216 males and 205 females from 1st to 30th April, 1993. The obtained results were as follows: The oral health status of 421 subject showed that 35.7% was good, 59.1% fair, and 6.2% poor, respectively. In case of the oral health status of females, 41.9% was good and 4.4% poor, and then in males 27.8% was good, 7.8% poor. The oral health status of the females was better than that of the males(p=0.006). The 52.1% among the good oral health status group answered that the dental plaque is the bacterial membrane causing dental disease, and the 23.1% among the poor oral health status group answered same as the above. The 91.8% among the good oral health status group answered that the periodontal diseases can be prevented, and the same answer came out from 15.4% of the poor group. It was found that the better oral health status group had the better knowledges about periodontal disease(p=0.001). For the question about their experiences in scaling the 30.1% of good oral health status group and the 23.1% of poor group answered that scaling is very helpful to periodontal health(p=0.001). About the experience of the education for tooth brushing, the 53.2% of good oral health status group and the 7.6% of poor group had the experiences to receive the education for tooth brushing(p=0.001). About the frequency and the time of tooth brushing, the 53.4% of good oral health status group brushed their teeth more then 3 times a day and 41.8% of good group brushed their teeth after every meal(p=0.001). The result of multiple regression analysis according to the simplified oral health index indicated that the variable having an effect on the oral health status was the tooth brushing frequency, knowledge of periodontal disease prevention, experience in education of tooth brushing and time of tooth brushing(p=0.001).

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Poor Knowledge and Practice Towards Breast Cancer among Women in Baghdad City, Iraq

  • Hasan, Tiba Nezar;Shah, Shamsul Azhar;Hassan, Mohd Rohaizat;Safian, Nazarudin;Azhar, Zahir Izuan;Syed Abdul Rahim, Syed Sharizman;Ghazi, Hasanain Faisal
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6669-6672
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    • 2015
  • Background: Breast cancer is one of the most common cancers among females worldwide. The aim of this study was to assess the knowledge and practice about breast cancer and its related factors among women in Baghdad city, Iraq. Materials and Methods: A cross-sectional study was conducted among 508 women aged 18 to 55 years from four non-governmental organizations (NGO) in Baghdad city, Iraq. A self-administered questionnaire on breast cancer knowledge and practice was distributed to participants during weekly activity of the NGO. Results: A total of 61.2% of the respondents had poor knowledge, only 30.3% performed breast self-examination (BSE) and 41.8% said that they did not know the technique to perform BSE. Associations between knowledge and marital status and age were significant. For practice, working status, education, age and family income were significant. After controlling for cofounders, the most important contributing factors for poor knowledge among respondents were marital status and not performing BSE, with adjusted odds ratio of 1.6 and 1.8 respectively. Conclusions: Breast cancer knowledge and practice of BSE are poor among women in Baghdad city, Iraq. More promotion regarding breast cancer signs and symptoms and also how to perform BSE should be conducted using media such as television and internet as these constituted the main sources of information for most women in our study.

Oral health and hygiene in the neurosurgical patients in intensive care unit (일부 대학병원 신경외과 중환자실 환자의 구강상태에 관한 연구)

  • Kim, Eun-Kyong;Lee, Hee-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.147-152
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    • 2015
  • Objectives: The purpose of this study was to investigate the oral health and hygiene in the neurosurgical patients in intensive care unit(ICU). Methods: The subjects were 92 neurosurgical patients in intensive care unit(ICU) from March, 2011 to December, 2012. The oral examination consisted of number of residual teeth, DMFT index, clinical attachment loss, gingival index, plague index, and Candida species colony of tongue and saliva. Plaque was inoculated from tongue and saliva and incubated in 36.5C incubator for 48 hours using $Dentocult^{(R)}$ CA(Orion Diagnostica, Espoo, Finland). Glasgow coma scale(GCS) was measured to evaluate the consciousness of the patients on the basis of medical record. Results: Oral health was poor in clinical attachment loss and gingival index. Oral hygiene in neurosurgical patients in ICU was very poor due to high plaque index and Candida colonization of tongue and saliva. Plague index was closely related to Candida colonization of tongue and saliva(p<0.05). Conclusions: Oral health and hygiene of patients in neurosurgical ICU were very poor. More careful oral hygiene care is very important and necessary to enhance the oral health improvement of the neurosurgical patients in ICU.

The Impact of Socioeconomic Factors on the Gender Differences of Disability and Subjective Health Among Elderly Koreans (노인의 장애 및 주관적 건강의 남녀차이와 사회경제적 요인의 영향)

  • Jeon, Gyeong-Suk;Jang, Soong-Nang;Rhee, Seon-Ja
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.199-207
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    • 2009
  • Objectives : Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. Methods : Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. Results : Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. Conclusions : Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.