• Therapeutic Science for Rehabilitation
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• v.7 no.3
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• pp.35-45
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• 2018

Objective : Questionnaires completed by occupational therapists and patients in institutions conducting a "Pilot Project of Rehabilitation Medical Institutions" were used to determine whether occupational therapy was able to establish appropriate patient support systems for return to home and community. Methods : The questionnaire was completed by 293 occupational therapists from 13 institutions conducting pilot projects and 296 patients from 8 institutions who were able to respond. Results : Although the Pilot Project of Rehabilitation Medical Institutions is being implemented to enable early return of patients to activities of daily living, the most important therapeutic goal is not efficiently applied. In addition, since the health insurance systems utilized in medical institutions are applied as in the pilot project, there is no basis for evaluation and mediation of practical daily activities and vocational rehabilitation for actual return to the community. Conclusion : Through a detailed review of the pilot project, it will be necessary to improve the quality of life through the early return of patients to social activity, and to make practical improvements to reduce unnecessary societal expenditures.

• The Journal of Internal Korean Medicine
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• v.40 no.3
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• pp.390-408
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• 2019

Objectives: Several pattern diagnosis questionnaires have been developed to objectify the process of pattern diagnosis in Korean medicine. In this context, this study aimed to develop a food retention questionnaire for functional dyspepsia (FRQ-FD) by modifying the previously developed food retention questionnaire (FRQ) and to verify its reliability and validity. Furthermore, this study aimed to identify the optimal cut-off value of the FRQ-FD for standardization and use in clinical situations. Methods: To develop the FRQ-FD, we extracted the major symptoms of food retention pattern for functional dyspepsia from Chinese/Korean medicine textbooks and requested an importance survey from experts using the Delphi method. The first draft of the FRQ-FD was composed of 25 questions comprising 8 questions from the textbooks and the Delphi method and 17 questions from the FRQ already developed in 2013. To analyze its reliability, validity, and optimal cut-off value, 60 subjects were enrolled in this study from June 25 to August 13, 2018. Thirty patients were diagnosed as both functional dyspepsia and food retention pattern, and 30 healthy participants were not. All participants were requested to fill up the FRQ-FD, Stomach Qi Deficiency Questionnaire (SQDQ), Scale for Stomach Qi Deficiency pattern (SSQD), visual analog scale (VAS) for dyspepsia, Nepean Dyspepsia Index-Korean version (NDI-K), and functional dyspepsia-related quality of life (FD-QoL). Results: No statistically significant differences were found in sex distribution, age, and body mass index between the patient group and the control group. As five questions affected the reliability negatively and three questions affected the clinical validity negatively, we decided to exclude the eight questions upon further investigation. The Cronbach's ${\alpha}$ coefficient of the revised FRQ-FD (17 items) was 0.899, and its clinical validity was verified. Construct validity was analyzed by factor analysis and produced five factors. Statistically significant positive correlations were found between the revised FRQ-FD and the other dyspepsia scales, namely, SQDQ, SSQD, VAS, NDI-K, and FD-QoL. VAS and NDI-K especially had strong positive correlations with FRQ-FD. Conclusions: The FRQ-FD developed in this study can provide fundamental reliability and validity for a pattern diagnosis questionnaire. FRQ-FD can help to diagnose food retention pattern in functional dyspepsia patients. Further studies are required to inspect several statistical factors.

• Korean Journal of Community Nutrition
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• v.29 no.2
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• pp.129-143
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• 2024

Objectives: The objective of this study is to compare a nutritionally balanced soft blend diet (SBD) with a soft fluid diet (SFD) on the health of inpatients who have undergone oral and maxillofacial (OMF) surgery, ultimately aiming to enhance care outcomes, improve health-related quality of life (QOL), and increase satisfaction with the hospital. Methods: Thirty-two patients were randomized into two groups: sixteen received SFD and sixteen received SBD. Anthropometric, laboratory evaluations were conducted upon admission and discharge. Patients filled out questionnaires on demographics, diet satisfaction, food intake amount, and health-related QOL on the day of discharge, assessed using the EuroQoL 5 Dimensions 3 Level and EuroQoL Visual Analogue Scale (EQ-VAS) instruments. Data were analyzed with descriptive statistics, χ² tests for group differences, and paired nonparametric t-tests for within-group comparisons. The Mann-Whitney U test evaluated inter-group differences in preoperative weight and body mass index (BMI), postoperative changes, meal satisfaction, intake, health-related QOL, and self-assessed health status. P-values were set at a significance level of 0.05. Results: The SBD group had higher dietary intake (63.2% vs. 51.0%) and greater diet satisfaction (80.6 vs. 48.1, P < 0.0001) compared to SFD group. Health-related QOL, measured by EQ-VAS, was better in SBD group (70.3 vs. 58.8, P < 0.05). Postoperative weight and BMI decreased in SFD group but increased in SBD group (P < 0.01). Changes in laboratory results showed more stability in the SBD group. No postoperative infections were reported in SBD group, whereas SFD group had a 31.25% complication rate. Conclusions: While SFD is often recommended after OMF surgery to protect oral wound healing process, our study reveals that SBD not only enhances physical and psychological outcomes but also, somewhat unexpectedly, supports wound healing and reduces complications. Essentially, SBD promotes physical recovery and enhances health-related QOL than SFD by supporting both somatic and mental healing aspects.

• Journal of Society of Preventive Korean Medicine
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• v.22 no.3
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• pp.1-10
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• 2018

Backgrounds : In 2017, National Health Insurance implemented the pilot insuring project for Chuna manual therapy(CMT). 65 Korean Medicine(KM) hospitals and clinics were selected in the project to monitor the provision of insured CMT. Objectives : This study aimed to evaluate the effectiveness of CMT for low back pain provided in the real world setting. Methods : Patients with low back pain who agreed to participated in the study were enrolled and requested to complete questionnaires. Patients who received CMT regardless of receiving other KM therapies were classified to Chuna group, and patient who received KM therapies without CMT to KM group. Pain(pain-VAS) and back function(KODI, Oswestry disability index-Korean version), quality of life were assessed at baseline, 4 weeks, and 8 weeks. Additionally, patients who received CMT twice and more, and who's pain-VAS 20 and over were included, and patients who used pain injection were excluded in the analysis. Results : Of 371 patients who completed all questionnaire (mean age=42.6years, SD=12.45; 61% female), 96 were excluded, 170 were in Chuna group, and 105 were in KM group. Proportions of patients who had low back pain for more than twelve weeks in the Chuna group and KM group were 57.7% and 24.8%, respectively. Pain and back function were significantly improved on 4weeks and 8weeks in both groups, but there was no difference between two groups. For the patients in the sub-acute and chronic stage(>=12 weeks), change of total KODI scores in the Chuna group was higher than KM group(p=0.013) at 4weeks. Conclusions : CMT with other KM therapies can improve back function in the sub-acute and chronic patients. For insurance policy decision, economic evaluation of CMT is needed.

• The Journal of the Korea Contents Association
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• v.11 no.9
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• pp.335-351
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• 2011

The purpose of this study was twofold; one was to investigate the elderly people's educational needs on successful aging(Study 1), and the other was to construct the educational program for successful aging and evaluate its effectiveness(Study 2). For Study 1, data were collected with structured questionnaires from the 166 elderly people participating in the government job creation projects for the aged in Gwangju and analyzed using frequency analysis and means-of-different tests. It was found that most of the elderly people strongly desired the education successful aging in terms of health care, finance, social participation, leasure, social network and self acceptance. In Study 2, the educational program for successful aging was constructed based on the results of Study 1 and the effectiveness of the program was evaluated using one-group pretest-posttest experimental design. Data were collected from 34 voluntary participants in the program before and after the implementation of the program and analyzed using the paired samples t-test technique. It was found that the program had a positive effect on the improvement of the elderly people's understanding of successful aging in terms of health care, finance, social participation, leasure, social network and self acceptance. Based on these results, the implementation of the educational program designed in this study was recommended to improve the elderly people's quality of life and the directions for future research were advanced. successful aging, educational needs, educational program, effectiveness.

• Journal of Industrial Convergence
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• v.20 no.5
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• pp.111-123
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• 2022

The purpose of this study is to investigate the influences of leisure satisfaction and burnout on job satisfaction of clinical nurses. The Data were collected the questionnaires consisted of general characteristics, leisure-related characteristics, leisure satisfaction, and burnout, and job satisfaction. For leisure satisfaction, the relaxation factor(16.57±2.68) was the highest among the sub-domains, and physical exhaustion(23.50±3.42) was the most severe for burnout. Leisure satisfaction and job satisfaction showed a positive correlation(r=.16, p=.013), and leisure satisfaction and burnout showed a negative correlation (r=-.19, p=.003). As factors related to job satisfaction, burnout(β=-0.68, p<.001) and ER(β=-0.12, p=.014) were found, and the total explanatory power was 47.0%, of which 44.0% was burnout. The model was found to be statistically significant(F=52.26, p<.001). The results of the study were as follows, a plan to improve leisure activities and leisure satisfaction is needed to reduce burnout. Through this, we aim to help improve the quality of life of clinical nurses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.435-445
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• 2018

This study was conducted to develop and apply the health conversation program to determine its effectiveness. The study employed a pretest-posttest nonequivalent control group design. There were 25 subjects in one intervention group and 22 subjects in the control group. The program included a 4-week, 12-session education program in health conversation for professionally retired elderly mentors and an 8-week, 24-session program for vulnerable elderly diabetics provided by mentors who were older persons trained in diabetes management. Data were collected from December 2015 to May 2016 and subsequently analyzed by an independent t-test using SPSS 20.0. Biochemical variables and physical variables were assessed by blood test and Inbody 230 (Biospace). Psychosocial variables were assessed by questionnaires. The health conservation program led to significantly decreased FBS (p<0.01), TC (p<0.01), TG (p=0.04), SBP (p=0.03), waist (p<0.01) and symptoms of depression (p=0.01), and significantly increased social support (p=0.02). These results indicated that the health conservation program is effective at increasing social support and decreasing FBS, TC, TG, SBP, waist, and symptoms of depression in community-dwelling vulnerable diabetic elderly; accordingly, health conservation programs should be applied to improve quality of life of vulnerable diabetic elderly.

• Science of Emotion and Sensibility
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• v.23 no.1
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• pp.79-88
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• 2020

The purpose of this study is to investigate the relationships between death recognition, terminal care stress, terminal care performance, and other influencing factors of terminal care performance in terminal care hospital nurses. Two hundred forty nurses working in 11 hospitals for the elderly located in G, N, C city were surveyed. They were asked to complete three questionnaires: one on death recognition, one on terminal care stress, and a final one on terminal care performance. The data collected were analyzed using descriptive statistics, Pearson's correlation, and stepwise regression using SAS 9.1. The findings suggest that the nurses' own mental and occupational stress was the cause of many difficulties in the practice of end-of-life care, where the nurse will often experience the death patients, which results in increased dysentery stress. There was a negative correlation between species stress and terminal care performance. Death recognition and terminal care stress were correlated with terminal care performance. The results suggest that the longer the clinical experience, the higher the quality of terminal care performance. Therefore, it is suggested that terminal care should be performed considering the longevity of the careers career and their death tendency. Further to this study, it is necessary to find out how to reduce stress and to evaluate other variables affecting the care of the patient.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.10
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• pp.4989-4995
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• 2013

The purpose of this study was to evaluate oral health status using oral health index in the elderly population and determine methods for improving oral health status. The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. The subjects included in this study were 712 elderly people, aged 65 years or older and who had completed the oral examination, health questionnaires and nutrition examination. Statistical analysis was done using the SPSS 19.0 for Windows. We determined Frequency analysis and multiple regression analysis. General characteristics and oral health behaviors showed differences in number of teeth associated with as male, the lower age, as dong, the higher education level, the lower smoking, the more use oral health goods, in DMFT associated with the lower age, the lower income level, the higher education level, in FS-T associated with as female, the higher income level, the more use brushing, in T-Health associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods, in CPI associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods. In conclusion, oral health behavior have effect on oral health index, in order to improve the quality of life and promote oral health of the elderly, oral health education system should be organized. Local governments should be supported active and various oral health program for the elderly.

• The Journal of the Korea Contents Association
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• v.18 no.3
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• pp.196-204
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• 2018

The purpose of this study is to provide basic data for the oral health and obesity management of adults by grasping the relationship between obesity and oral health. Among the patients who visited the dental clinic, 229 patients who agreed to fill out questionnaires were analyzed by self - filling questionnaire. Body mass index and waist circumference were used for the study of obesity. Body mass index and poor periodontal health status were significantly higher(33.3%) and abdominal obesity and poor periodontal health status were 10.9%.Abdominal obesity was significantly higher(28.6%) in the group with less than 20 teeth. Body mass index and abdominal obesity were higher in body pain, psychological discomfort, physical abilities, psychological abilities, social disadvantage, and oral health than in normal subjects. As a result of correlation analysis with obesity index, it was found that the more period of obesity, the more periodontal disease and mucosal state related symptoms appeared(p<0.05). Therefore, in order to solve health problems such as obesity, it is necessary to recognize the importance of oral health and to make efforts to induce positive oral health behavior.