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The Effect of the Dementia Elderly Persons on the Cognitive Function, ADL and Balance-Performing Ability the Group Therapeutic Exercise Program (집단운동치료 프로그램이 치매노인의 인지기능과 일상생활동작 및 균형 수행능력에 미치는 영향)

  • Kim, Chan-Mun;Kim, Jin-Hee
    • Journal of Korean Physical Therapy Science
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    • v.19 no.4
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    • pp.27-34
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    • 2012
  • The aim of study was to assess the effectiveness of dementia elderly persons on the cognitive function, Activities of Daily Living(ADL) and balance-performing ability the group therapeutic exercise programs. Fifteen community-dwelling subjects participated in this study. An 4-week group therapeutic exercise program, including strengthening and balance training, breathing and gait exercise, and recreation, consisted of activities related to daily living. The Mini-Mental State Examination-korean(MMSE-K), Modified Barthel Index(MBI), Berg Balance Scale(BBS), and Timed Up & Go (TUG) test were measured during before and after exercise points The results of this study were as follows : 1) After eight weeks, the MMSE-K and MBI total scores were significantly increased to more after than before(p<.05, p<.01). 2) in the MBI contents, personal hygiene, dressing, ambulation and chair, bed transfers scores were significant increased to after. 3) after BBS, TUG scores were statistically significant higher than the before scores(p<.05, p<.05, p<.01). These findings suggest that group therapeutic exercise program can be used to improve the cognitive function, ADL and balance-performing ability in dementia elderly persons.

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Development and application of a self-transcendence enhancement program for the well-being of elderly women living alone in Korea

  • Kim, Sun-Mi;Ahn, Sukhee
    • Women's Health Nursing
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    • v.27 no.2
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    • pp.128-140
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    • 2021
  • Purpose: The purpose of this study was to develop a self-transcendence enhancement program and examine its effect on self-transcendence, spiritual well-being, and psychological well-being in elderly women who live alone. Methods: A self-transcendence enhancement program was developed through theory, literature review, and in-depth interviews. The theoretical framework came from the Psychoeducational Approach to Transcendence and Health intervention model based on Reed's middle-range theory of self-transcendence. The program consisted of multiple modalities in a structured, theory-based program lasting for eight weekly sessions. Using a single-group pretest-posttest design, the program was tested on a group of 40 elderly women aged 75 to 84 years living alone in Daejeon, Korea. Participants completed self-reported study questionnaires before and after the program at the elderly welfare center. Data were analyzed using SPSS version 24.0, with significance level set at .05. Paired t-test was used to compare mean differences before and after the program. Results: The mean age of the study participants was 79.1 years. After completing the program, the participants showed higher levels of self-transcendence (t=8.78, p<.001), overall spiritual well-being (t=8.30, p=.002), religious spiritual well-being (t=1.79, p=.040), existential spiritual well-being (t=6.75, p=.002), and positive affect (t=3.77, p=.001) than they did before the program. They also reported lower levels of depression (t=-7.59, p<.001) and negative affect (t=-6.15, p<.001). Conclusion: The self-transcendence enhancement program developed in this study may be effective for improving the level of self-transcendence in elderly women living alone and helping them to attain spiritual and psychological well-being.

The Effects of Introductory Clinical Practice Education Program (임상입문 특별실습교육프로그램의 운영 및 효과)

  • Song, So-Hyeon;Kim, Soon-Gu
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.85-94
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    • 2012
  • The purpose of this study was to evaluate the effects of introductory clinical practice education program for nursing students. The nursing students of 94 participated the introductory education program of 80 hours. The questionnaire survey on self efficacy and clinical competency were conducted 3 times(before education, after education, 2 months after education) to the nursing students. The data were analyzed by the SPSS 17.0 program. The results were as follows; The self efficacy and the clinical competency score showed a significant change in the posttest. Self efficacy and clinical competency have significant relationships with college life satisfaction, interpersonal relationship and academic aptitude satisfaction. Also, self efficacy has significant relationship with clinical competency and clinical practice satisfaction. As a result, the introductory clinical practice education program can be helpful to adjustment for nursing students before clinical practice.

The Effects of Community-based Fall Prevention Exercise Program on Lower Extremity Muscle Strength, Balance Ability and Fall Efficacy in Older Adults (낙상예방 운동 프로그램이 노인주간보호센터 재가노인의 하지 근력, 균형 능력 및 낙상효능감에 미치는 효과)

  • Kim, EunJung;Lee, Hanju;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.102-110
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    • 2021
  • Purpose: This study aimed to verify the effects of a community-based fall prevention exercise program for older adults on lower extremity muscle strength, balance ability, and fall efficacy. Methods: This study recruited 30 participants, and the program was conducted for 10 weeks. The program included sessions on strength and balance exercises, conducted for 50 minutes a day and at least three times a week. The collected data were analyzed using non-parametric (Wilcoxon signed-rank test, generalized estimated equation) and parametric statistics (paired t-test, rmANOVA). Results: After 12 weeks of exercise program, lower extremity muscle strength and static-dynamic balance ability significantly increased. The fall efficacy increased from an average score of 2.48 points before the test to an average score of 2.91 points after the test. Regarding general characteristics, there were no significant differences in effect before and after the program, except for fall efficacy. Conclusion: The above results showed that the intervention of a community-based fall prevention exercise program for older adults was effective. Therefore, it is suggested that this exercise program be organized regularly within the center to provide periodic and long-term services.

The Effects of a Sexual Abuse Prevention Program on the Children's Perceptions of the Risks of Sexual Abuse (성학대 예방 프로그램이 아동의 성학대 위험 지각에 미치는 효과)

  • Lee, Mi Kyoung;Lee, Jae Yeon
    • Korean Journal of Child Studies
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    • v.19 no.1
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    • pp.193-209
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    • 1998
  • The present study assessed children's perceptions of risk of sexual abuse before and after participation in a sexual abuse prevention program, and investigated the effects of the sexual abuse prevention program on the children's emotional response. The subjects for this study were 135 3rd and 145 6th graders, attending elementary school in Seoul. Instruments were the Sexual Abuse Situational Risk (Jacobs, Hashima, & Kenning, 1995) and the Children's Emotional Response Questionnaire (Garbarino, 1987). The results of this study were that (1) children's perceptions of the risk of sexual abuse by a stranger decreased, relative to those by familiar persons which increased after the program. Especially, 6th graders had higher perceptions of the likelihood of abuse by familiar persons than 3rd graders. Girls had higher perceptions of risk than boys. (2) Children perceived adults as more dangerous than adolescents both before-and after-program. (3) Children's perceptions of the risk of sexual abuse in public settings decreased, relative to perceptions of risk in private settings which increased after the program. Girls had higher perceptions of the liklihood of abuse in private settings than boys; no significant difference was found by grade. (4) Children's emotional response did not reveal a significant change between pretest and posttests.

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Impact of Home Education on Levels of Perceived Social Support for Caregivers of Cancer Patients

  • Demirbag, Birsel Canan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2453-2458
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    • 2012
  • Background: The healthcare needs of cancer patients are complex and persons involved in their caregiving process are faced with many issues that need to be addressed. The entire family and particularly the person taking on responsibility for patient care develop expectations from healthcare professionals, especially nurses. Objective: The study was conducted to evaluate the impact of a home education program provided to caregivers of cancer patients on the level of their perceived social support and problems in caregiving. Interventions/Methods: The caregivers of thirty seven cancer patients of 2,400 registered people in a family center were given an educational program in this descriptive and cross-sectional study twice a week for a month during the period of March 2011 - April 2011. Results: Of all caregivers, 56.8% were between the ages 36-40, 94.5% were female, 91.9% had received no education on caregiving, 81.0% stated that they mostly felt physically and mentally inadequate in their caregiving. Perceived Social Support from the family indicated a significant difference at $8.05{\pm}4.38$ before and $11.7{\pm}4.97$ after the education. A comparison of the mean scores of caregivers on emotional issues before and after the education revealed the following: spiritual distress scores were $2.54{\pm}0.69$ before and $2.44{\pm}0.43$ after the education; hopelessness scores, $2.24{\pm}0.59$ before and $2.23{\pm}0.38$ after the education; ineffective individual coping was $3.89{\pm}1.42$ before and $2.45{\pm}0.59$ after the education; competing needs in decision-making were $3.54{\pm}0.69$ before and $2.10{\pm}1.24$ after the education; depressive feeling were $3.01{\pm}1.53$ before and $2.02{\pm}0.99$ after the education (p<0.05). Conclusions: Positive effects of home education on levels of perceived social support and caregiving problems of caregivers of cancer patients were observed. Home educational programs for caregivers of cancer patients are important for both better understanding of the requirements of their patients and themselves.

Evaluation of the Elderly Care Program for Seniors in Rural Areas (농촌노인을 위한 노-노 돌봄 교육프로그램의 평가)

  • Chae, Hye-Sean;Yoon, Soon-Duck;Kang, Ju-Hee
    • The Korean Journal of Community Living Science
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    • v.19 no.2
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    • pp.223-234
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    • 2008
  • This study aimed to develop the elderly care program for seniors in rural areas and to evaluate its efficacy through pre- and post-tests. For them, this study carried out a total of 8 sessions that includes 4 aims, such as understanding rural elderly, volunteer activities, psychological help, and aids to daily living, on 36 persons over the age of 60 years in rural areas. The data was analyzed by paired t-test to 36 elderly. The results of the study are as follows. First, looking at changes in knowledge about aging, objective evaluation of knowledge showed significant differences (t=-2.22, p<.05), but evaluation of elderly's perception-change didn't show significant differences between before and after. Second, volunteer attitude didn't show significant differences between before and after, but after the training, 75% of them answered 'yes' to question that asked whether they'd like to participate in elderly's volunteer caring activity for other elderly within the town in the future, which gave us certain expectation that the attitude towards volunteer activities might change positively in the future. Third, objective evaluation of knowledge for psychological help didn't show significant differences between before and after. But elderly's subjective perception showed significant differences (t=-2.82, p<.01). Fourth, evaluating changes in knowledge for elderly's aiding daily life, both the objective evaluation and subjective evaluation didn't show significant differences between before and after. Fifth, satisfaction of the program showed high scores over 4 points: contents, education methods, education place, education time. The most helpful topics for them were counseling (27.8%) and dementia (27.8%), followed by elderly and aging (16.7%), elderly's residential environment (13.9%), elderly's dietary life (9.3%) and volunteer activities (5.6%).

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Effects of Horticultural Therapy on the Emotions and Stress Index of Trainees Entrusted to the Juvenile Classification Review Center

  • Ryu, Ja Yeong;Yun, Suk Young;Choi, Byung Jin
    • Journal of People, Plants, and Environment
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    • v.23 no.1
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    • pp.47-53
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    • 2020
  • This study conducted a horticultural therapy program for trainees entrusted to the Juvenile Classification Review Center in order to fill the educational gap while providing emotional stability during the one-month period of commissioned education. The effects of horticultural therapy were examined by the pretest and posttest changes of the emotional items such as anxiety, self-esteem, self-efficacy and stress index. As the research method, this study used the one-group pretest-posttest experimental design on 16 female trainees of commissioned education staying at the Juvenile Classification Review Center in the juvenile reformatory located in A city. The horticultural therapy program was carried out in four sessions: two on flower arrangement and two on planting. The scores before and after the horticultural therapy program were measured using the Revised Children's Manifest Anxiety Scale (RCMAS) to examine the effects of horticultural therapy on the reduction of anxiety for the adolescents staying in the Juvenile Classification Review Center. The results show that there was significant decrease in the mean of anxiety from 62.5 (SD = 6.8) to 57.6 (SD = 8.1) points after the program (p = .002). There was no significant change in self-esteem, which was 76.9 (SD = 11.2) before the horticultural therapy and 78.3 (SD = 8.7) after the therapy (p = .420). In self-efficacy, there was no significant change from 72.9 (SD = 10.9) before and 75.1 (SD = 11.0) after horticultural therapy (p = .178). In order to examine the physiological changes in such emotional functions, this study measured the stress index using the uBioMacpa as the tool. The result of the measurement showed that there was a significant change in the mean from 33.8 (SD = 2.3) before to 31.1 (SD = 2.2) after the horticultural therapy (p < .001).

Application Effect in Standard Diet by Calorie for Korean Type 2 Diabetic Patients (한국인 제2형 당뇨병 환자를 위한 칼로리별 표준식단 적용효과)

  • Sim Ki-Hyun;Han Young-Sil
    • Korean journal of food and cookery science
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    • v.21 no.1 s.85
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    • pp.64-74
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    • 2005
  • To develop the diet for Korean type 2 diabetic patients, a consumer survey was conducted (N=35) and was analyzed statistically. The survey compared the results of a questionnaire, somatometry, and blood parameters before and 8 weeks after the experiment. It was divided into Diabetic diet enforcement group (DDE) vs. Non diabetic diet enforcement group (NDDE). There was no significant difference in body weight, body mass index (BMI), body fat, triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) of the subjects before and 8 weeks after the experiment. DDE's average fasting glucose (FBG) and post prandial 2 hours blood glucose (PP2) were significantly decreased before and after the experiment (p<0.05). NDDE's average FBG and PP2 showed no significant difference. In terms of Hemoglobin $A_lC\;(HbA_1C)$ content, DDE's had significantly decreased level both before and after the experiment (p<0.05), while there was no significant difference in the NDDE group. Cholesterol and High density lipoprotein cholesterol (HDL-C) were significantly different in DDE (p<0.05) both before and after the experiment. Whereas in the case of NDDE, there was no significant difference on the cholesterol and HDL-C, while DDE's showed a significant difference before and after the experiment. In terms of patients distribution depending on their treatment (p<0.05), NDDE had no significant difference before and after the experiment. For an item asking blood glucose control, DDE had significant difference before and after the experiment (p<0.01), while NDDE had no significant difference. For program satisfaction (p<0.05) and health (p<0.001), both the groups changed significantly after the experiment. But there was no significant difference in applying it to their real life after the experiment. Based on these results, DDE had the decreased blood glucose levels, $HbA_1C$, and cholesterol and increased HDL-C, with decreased rate of the patients taking oral hypoglycemic agents. In addition, many of the patients who participated in the experiment were found to be satisfied with the program, in terms of having less trouble in glucose control and exhibited improvement in health. Hence, based on the above results it was concluded that program was a very successful one for the treatment of diabetes.

Assessment of the Support Program of Foodservice Management for Community Child Centers in Jeollanam-do, Korea (전라남도 지역아동센터의 급식관리 지원을 위한 시범사업 평가)

  • Kwon, Soo-Youn;Lee, Young-Mi;Kim, So-Young;Kim, Jin-Young;Yoon, Ji-Hyun
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.91-100
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    • 2012
  • This study aimed to evaluate the effectiveness of the foodservice management support program focusing on menu management in community child centers. The support program provided reference menus, staff training, and field consulting to 10 community child centers in the Jeollanam-do province for one month, August in 2010. One month menus were developed, based on children's preference for menu items, foodservice personnel's preference for food materials, and availability of local specialty foods, and offered as reference menus. In addition, staff training and field consulting focusing on menu management were conducted before and during the pilot period, respectively. To evaluate the support program, menus, foodservice personnel's knowledge level and perceived performance in foodservice management, and children's level of satisfaction for foodservice were analyzed before and after the support program. As a result of analysis of 222 and 210 menus of before and after the support program, respectively, the number of dishes per meal increased from five to six on average, and the proportion of meals including five food groups, which were grain, meat, vegetable, fruit, and milk and dairy product, rose from 2% to 24%. Foodservice personnel's knowledge level regarding foodservice management increased significantly (p = 0.007), however, their perceived performance in foodservice management did not show any significant changes. Children were more satisfied with 'food' (p = 0.001), 'sanitation' (p = 0.001), and 'environment' (p < 0.008) of foodservice in community child centers after the support program. In conclusion, the foodservice management support program focusing on menu management in this study was effective for improving menu quality of and children's satisfaction with foodservice in community child centers.