• Title/Summary/Keyword: The effectiveness of health management

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The effects of family stress and social support resources on marital satisfaction among middle-aged married men and women (중년기 기혼남녀의 가족스트레스, 사회적 지지 자원이 결혼생활만족도에 미치는 영향)

  • Park, Ju-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.4
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    • pp.71-94
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    • 2015
  • The purpose of this study is to propose measures for social work practice to enhance the happiness of middle-aged married men and women by identifying the effects of family stress and social support resources (formal and informal support resources) on marital satisfaction among mid-life married couples. Subjects were selected through purposive sampling among married men and women aged between 40 and 59 and living in Seoul City and Gyeonggi province. The study results are follows. First, the average score of family stress was 3.06 points (SD=.56), slightly higher than the median value of 3 points. Of all subscales of family stress, the subjects experienced the most stress from family relationships, followed by financial problems, health and loss of families, and work-family compatibility. In regard to social support resources, the mean value of all social support resources categories was greater than the median. Among the subscales, informal support (family support and support from other people) was found to be higher than formal support. The level of marital satisfaction was higher than the median, and the score was 3.21 points (SD=.78). Second, in order to explore differences in marital satisfaction according to family stress and social support, differences in marital satisfaction were analyzed by grouping subjects who scored high, middle, and low levels of marital satisfaction. According to the results, marital satisfaction was statistically significantly higher in the group that experienced less family stress (F=6.25, p<.01). With respect to social support, marital satisfaction was statistically significantly higher in the group that received high social support (F=29.68, p<.001). Third, according to the analysis of factors affecting marital satisfaction in middle-aged married men and women, subjective economic status, family relationship stress, economic stress, and family support showed statistical significance. The higher the subjective economic status and the lower the family relationship stress and economic stress levels, the higher the marital satisfaction among middle-aged married men and women. In addition, the greater the family support, the higher the marital satisfaction. The results of this study underscore the need to improve family relationships in middle-aged married couples and to distribute family life education programs that can strengthen family support resources. For example, family relationship enhancement programs are currently performed, including "Family School for Middle-Aged Baby Boomers" and others as part of the Healthy Family Support Work regarding the promotion of marital satisfaction of middle-aged couples. In addition, continuing effort is warranted to include content on strengthening family support resources, maximizing the effectiveness of programs, and promoting service accessibility.

A study of the Guidelines for Investigation and Management of Uterine Myomas with Korean Medicine Therapies in Korea (자궁근종의 한의학 연구 경향과 임상적 접근에 관한 연구)

  • Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.2
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    • pp.240-260
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    • 2006
  • Purpose : The objective of this study is to serve guidelines for the investigation and management of uterine myomas with KM therapies. Methods : English-language articles from PubMed and Korean-language articles from the database of the journal of oriental gynecology were reviewed from 2000 to 2005, using the key words 'uterine myoma', 'uterine leiomyoma', 'fibroid', 'uterine artery embolization', 'endometrial ablation', 'myomectomy', and jagungguenjong(子宮筋腫)'. Results and Limits : The areas of clinical practices considered in formulating this guideline are assessment, KM therapies, medical treatments, myolysis, selective artery occlusion, endometrial ablation and surgical therapies including myomectomy and hysterectomy. Implementation of this guideline would optimize the decision-making process of women with uterine myomas and further investigation or therapy of their KM doctors. But we don't have abundant evidences of clinical trials of uterine myoma treated with KM therapy, though we treat or manage that with every-day clinical practices. Moreover cultural gaps between Korea and other western countries make many differences in the attitude to surgical therapies, especially hysterectomy. So it is very difficult to compare W therapies with other therapies. Moreover it is much difficult to estimate cost-effectiveness and benefit of those therapies in QOL. Conclusions : The majority of uterine myoma is asymptomatic and will not require any intervention or further investigation. But unmarried women who wish to marry and get pregnant want to find safe therapy for their asymptomatic uterine myomas. In that case, most of the patients prefer non-surgical therapy to surgical therapy. So KM herbal medicinal therapy is a good alternative method for those patients. For the symptomatic myomas, hysterectomy offers a definitive solution. However, it is not the best solution for women who wish to preserve their uterus. So KM therapy is a good alternative for them. But the predicted benefits of alternative therapies including KM therapy must be carefully weighed against the Possible risks of these therapies. To improve the quality of life of both women with asymptomatic and symptomatic myomas, selecting and treating patients should be done carefully. Moreover, the effect of KM therapy has to evaluated, comparing the possible situation without treatment and the benefit of constant treatment as a health-care system.

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Application Testing and Comparative Effectiveness of Green-tide Mitigation Technique in the Lower Part (Chusori) of the So-ok Stream (Daecheong Reservoir), Korea (소옥천 하류(추소리)에서 녹조현상 경감기술의 현장 시험 적용 및 효과 비교)

  • Shin, Jae-Ki;Kim, Youngsung;Noh, Joonwoo;Kim, Jong-Myung;Hwang, Soon-Jin
    • Korean Journal of Ecology and Environment
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    • v.49 no.4
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    • pp.258-270
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    • 2016
  • This study was conducted to test the green-tide mitigation technique in the lower part of the Sook Stream (Chusori) of Daecheong Reservoir from June 27 to August 24, 2014. And the effects were compared with weekly monitoring result of the watching station of the algae alert system (AAS) as well as test beds reach. The green-tide in a test bed was begun from the upstream, and it was gradually transferred and spread toward the downstream by the hydrological factors. The total amount of algae removed by algae removal device during the test period was 33,920 kg, and solids dewatered by natural gravity was 8,480 kg. Also chlorophyll-a content was 2.83 kg, the number of blue-green algae cells was equivalent to $78.6{\times}10^{14}$ cells. Compared with the results of the watching station of AAS, the pre-concentrate removal work in the outbreak waters was able to suggest the possibility of green-tide mitigation. In addition, an effective management of the green-tide was required spatial and temporal occurrence information and practical device technology. Particularly, the optimal timing of algae removal in the river-reservoir hybrid system was recommended at times before the monsoon rainy season and reached the lowest water level.

Monitoring Vegetation Changes after Constructing the Vegetation-mat Measures for Greening in Embankment - A Case Study of Tancheon, Seongnam - (호안 녹화용 매트 시공 후 식생변화 모니터링 - 성남시 탄천을 중심으로 -)

  • Lee, Soo-Dong;Kang, Hyun-Kyung;Jang, Han-Sol
    • Korean Journal of Environment and Ecology
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    • v.24 no.3
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    • pp.302-317
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    • 2010
  • In this study, not only to present the management plan but also to verify the effectiveness for a area of improving the landscape and the area of creating the base of bio-inhabitation in Tancheon stream concrete embankment where were practised the vegetation-mat measures for greening via monitoring i.e. restoration progress. The results of monitoring, there were a total of 41 taxa, 18 families, 38 species, 3 varieties in 2006, moreover in the 2007, there were a total of 59 taxa, 19 families, 56 species, 3 varieties and in the period 2008, 64 taxa, 29 families, 59 species, 8 varieties. Therefore, these site has increased the plant spaces year by year. The distribution of vegetation characteristics shows that Miscanthus sacchariflorus and Pennisetum alopecuroides expands their influence in the area of applying the construction method. Those area appears a diversity of native species by the stream deposition at the flood. Thus, its condition is very soundly ecological health and eco-friend. At present, native species have been dominant, however, disturbed species and invasive species can be expected to increase dramatically in the future. Therefore, it is necessary to a long-range monitoring and management for maintaining an environmentally sound aquatic ecosystem. On this area refer to mix the river vegetation of primary succession and disturbed vegetation. For that reason, the method of constructing the vegetation-mat measures for greening in embankment does not need to remove the concrete and can install a coir-mat on the top. It leads to improve the landscape, moreover, it was analysed the such dramatic changes in the vegetation species richness by providing continuous the plant growth basis have a impact on in bio-diversity.

Comparison of the activities of daily living and sleep according to the presence depression in the elderly (노인의 우울유무에 따른 일상생활수행능력과 수면의 비교)

  • Jung, Eun-Sook;Jeon, Mi-Kyung
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.289-297
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    • 2013
  • The destination of this study is a convenience sample of 301 people age 65 and older to use each one elderly welfare center D, M received a structured questionnaire for one-on-one interviews with the subjects to read all the questions and questionnaire was written. The depressed group and the normal group, identify the general characteristics, the ADL, and sleep, and the difference between the two groups, and relative risk were analyzed. The results of the study are as follows: Showed depressed group compared to normal group was the low level of ability to perform daily living, sleep well, not more than the ability to perform daily living, dressing, bowel and bladder management, and complained of the difficulty to perform instrumental activities of daily living ability of grooming, more difficult to appeal to public transportation, shopping. In conclusion, elderly health promotion strategy when you want to take into account whether or not the depression of the elderly will require the development of a variety of education and physical activity programs, and suggest the need for expanded research to determine the effectiveness.

Development of Evaluation Index and Multi-layer Evaluation System for Quality Management of Elderly Long-term Care Institution (노인장기요양기관(시설급여) 평가의 품질관리를 위한 평가지표 개발 및 다층평가시스템 방안)

  • Lee, Sang-Jin;Kim, Yun-Jeong
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.11
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    • pp.1015-1026
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    • 2019
  • The purpose of this study is to develop evaluation indexes for improving the quality of long-term care institutions (facility salary) evaluation in the sense that the applicability and effectiveness of previous studies related to the development of evaluation indexes for long-term care facilities for elderly are insufficient. There was this. To this end, an analytical review of the 2018 long-term care institution (accommodation benefit) evaluation index, an analysis of Japan's elderly long-term care home evaluation index, and the elderly long-term care facility workers in Korea and the special care home for the elderly in Japan FGI on evaluation indicators and evaluation system was conducted. Based on the results of the research, evaluation indicators were developed in terms of supporting users to receive high quality services. The characteristics of the elderly, that is, the characteristics of elderly diseases that are difficult to maintain and improve, the direction and transparency of institutional operation, and the need for terminal care were reflected. Forty-three evaluation indicators were presented, covering institutional operations, environment and safety, beneficiary rights protection, payroll process, and payroll results. In addition, we proposed a four-step multi-level evaluation system that can improve the efficiency of the evaluation process by improving the redundant and unnecessary evaluation process.

Ergonomic Analysis for the Aging-Friendly Exercise Device Utilized on the Digital Load Control Technology (디지털 중량제어기술을 활용한 고령친화운동기구의 인간공학적 분석)

  • Kim, Bo-Kun;Jang, Young-Kwan;Hah, Chong-Ku;Baek, Jun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.252-260
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    • 2021
  • For frailty management, the importance of resistance exercise has been emphasized, and various devices have been developed. Recently, digital weight control technology that converts electromagnetic resistance to a digital weight is attracting attention, but there are no reports confirming the effectiveness and safety of the device for seniors in Korea. This study conducted a biomechanic-based ergonomic analysis of an elderly-friendly exercise device utilized in digital load control technology to suggest a direction for development. Twenty seniors (age: 62.40 ± 2.09 years) were included. The load of the device was classified into three levels, and the muscle activity and heart rate were assessed during three experimental motions. A questionnaire based on the International Organization for Standardization 9241-11 was adopted to evaluate the stability, operationality, efficiency, and satisfaction with the software and device. The program could be divided into three exercise intensities that can be utilized in the field depending on whether the exercise load, muscle activity, and heart rate were consistent. The monitor size needed to be enlarged to make the menu Korean, reduce the device size, and minimize noise. Considering these findings, the development of an advanced age-friendly exercise device by improving the size, display, and noise is suggested.

A study on the Participation Motivation of Clinical Nurses in Job Training (임상간호사의 융복합적 직무교육 참여동기에 관한 연구)

  • Park, Hyun Hee;Lee, Kwang-Ok;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.319-329
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    • 2016
  • This study aimed to identify nurses' participation motivation, its influence factors, and their job training need. A survey was conducted on 345 nurses of general hospitals in Gyeonggi-do. Data was collected from October 5th to 18th, 2016 and was analyzed through t-test, ANOVA, Bonferroni post-test, and multiple regressions using SPSS 21.0. Participation motivation was high in 'expertise capability improvement and development' and low in personal gain and job stability. Job training need was the highest in nosocomial infection management and CPR and was the lowest in hospice and rehabilitation nursing. Participation motivation had significant differences depending on age, marital status, educational level, and clinical experience, and was influenced by the job training need of professional nursing and medical knowledge for disease treatment. Therefore, it is necessary to plan medical educational programs to enhance job training effectiveness, establish a strategy to increase participation motivation; and expand various job training support.

Personality Type Test(MBTI) of the Korean Bruxism Patients (한국 이갈이 환자의 성격 유형 검사(MBTI))

  • Lee, Hyun-Ae;Auh, Q-Schick;Jung, Kee-Taig;Chun, Yang-Hyun;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.33 no.1
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    • pp.41-48
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    • 2008
  • The focus of this study is to analyze the effect of stress on the health of bruxism patients using the MBTI system. The most common personality type will be identified among the bruxism patients and by understanding their personality & their handling of stress, more comprehesive and effective treatment plan can be constructed. The study will also conclude that the type of personality has big effect on the cause of bruxism, and that this will be considered in the treatment plan in this hospital. The result of the study is as follow. First, more bruxism patients were type I than type E. It can be suggested that this result is due to the introversive people maintaining their energy how within themselves, and private are less to likely to release there stress than the expressive people. Second, among the bruxism patients significantly more type T were found compared to type F. This implies the bruxism tend to follow principals, scientific and analysing during decision making rather than basing their decision an meanings, emotions and influences. Thirdly, more bruxism patients clarified into ST in comparison to non-bruxism patients. This is thought to be due to probable increased stress and anxiety following ST people's tendency to more strict and realistic thinking according to effectiveness, evidence-based and productivity. Fourth, the type IJ was the most of the bruxism patients. We can come to the conclusion that decision-oriented introversion people who have hard to change, a thoroughgoing preparation characters are likely to grind their teeth by their detailed characters. Fifth, the type IT was the most of the bruxism patients. Bruxism patients are usually influenced by spirit, easily hearted, awed of relationship and attention. So, their intensity of stress is much bigger because of their personality. The last, Type IS was the most of the bruxism patients. It means that introvert sensitive types who have characters of calm, passive but defence to other's emotion, also neutral, keep moderation, and have cold-heartedness are likely to grind their teeth frequently. In conclusion it is evident that bruxism patients have particular personality types. Precisive, analysing and introversive bruxism patients are expected to have higher sensitivities to stress.

A Study on the Design of Sustainable App Services for Medication Management and Disposal of Waste Drugs (약 복용 관리와 폐의약품 처리를 위한 지속 가능한 앱 서비스 디자인 연구)

  • Lee, Ri-Na;Hwang, Jeong-Un;Shin, Ji-Yoon;Hwang, Jin-Do
    • Journal of Service Research and Studies
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    • v.14 no.2
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    • pp.48-68
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    • 2024
  • Due to the global pandemic aftermath of the coronavirus, the importance of health care is being emphasized more socially. Due to the influence of these changes, domestic pharmaceutical companies have introduced regular drug delivery services, that is, drug and health functional food subscription services. Currently, this market is continuously growing. However, these regular services are causing new environmental problems in which the number of waste drugs increases due to the presence of unused drugs. Therefore, this study proposes a service that not only promotes health management through regular medication adherence to reduce the amount of pharmaceutical waste but also aims to improve awareness and practices regarding proper medication disposal. As a preliminary survey for service design, a preliminary survey was conducted on 51 adults to confirm their perception of drug use habits and waste drug collection. Based on the Honey Comb model, a guideline for service design was created, and a prototype was produced by specifying the service using the preliminary survey results and service design methodology. In order to verify the effectiveness of the prototype, a first user task survey was conducted to identify the problems of the prototype, and after improving this, a second usability test was conducted on 49 adults to confirm the versatility of the service. Usability verification was conducted using SPSS Mac version 29.0. For the evaluation results of the questionnaire, Spearmann Correlation Analysis was conducted to confirm the relationship between frequency analysis and evaluation items. This study presents specific solutions to the problem of waste drugs due to the spread of drug subscription services.