Purpose: This study investigated elderly women's health care at doctorless farm villages based on information-about the perception and management of their health. Method: Grounded theory method as mapped out by Strauss and Corbin-was used to record and transcribe open-ended interviews. The data from these interviews were analyzed. Result: We found 18 categories and 28 sub-categories. In data analysis, the core phenomenon was named "movement in pain". Causal condition as essential prerequisites were aging symptoms, bad state of health, comfortable life to live alone, longevity, deficiency of health care resources, and sub-categories of the phenomena revealed acceptance of discomfort, enduring pain, continuity of movability. Elderly women's health-related activities included enduring as it is, movement consciously, applying resources, difficult in using health medical institutions. Family support, economic level, disease condition, support system of community were influenced to their health-related activities. Consequently, the results indicated that they wanted to accept given life, expected easy death. held out remaining life. Conclusion: This study revealed that the most important factor of elderly women's health care was "movement in pain". On the basis of this study, we needed to develop diverse nursing implementation plans for maintaining and improving' movability without pain'.
The purpose of this study was to examine how life-changes after divorce, individual resources, and interpersonal resources affect post-divorce adjustment. Especially it focuses on gender differences. Data were collected from 114 divorced men and 112 divorced women in their 20s and 30s with the inclusion criteria of 1) having hen divorced for at least 6 months but less than 5 years, and 2) not having remarried after divorce. AH divorced men and women were interviewed with self-report questionnaires. The analysis included frequencies, means, t-test, crosstabs, and hierarchical multiple regression models. The major findings were as follows. 1) Divorced women were better adjusted than divorced men. 2) Fnancial satisfaction and health problems were important factors for both divorced men and women. 3) There were gender differences in the variables that affected post-divorce adjustment. Social support and significant others' attitude toward divorce influenced post-divorce adjustment for divorced men. For divorced women, negative change in financial circumstances, their own attitude toward divorce and divorce initiation found significant. This study showed that there were gender differences in the factors affecting Post)divorce adjustment. The findings of this study suggest that a program for supporting divorced men and women should consider gender differences.
Today, more chronically ill and handicapped people are being cared for at home by a family member caregiver. The task of caring for a family momber may mean that the caregiver has less time and money and more work which may result in increased fatigue and symptoms of illness. This study was done to examine the well-being of family caregivers. Fifty three family caregivers were interviewed. Concepts were measured using existing tools and included : Burden(25 item 5 point scale), Social sup-port (21 item 7 point scale), Health status defined by a symptom checklist(48 item S point scale), and Well -being defined by a quality of life scale (14 item 7 point scale) and caregiving activities. Data collection was done by interview and Q-sort. Social support and well - being were positively correlated as were symptoms and burden. Symptoms and burden were negatively correlated with social support and well-being. Items on the quality of life scale had a mean score range from 3.09 to 4.96. Quality of life related to income was lowest (3.09) but the desire to use more money for the patient was rated 2.90 on the burden scale where the item means ranged from 0.73 to 3.55. The high mean of 3.55 was for obligation to give care and the low 0.73 was (or not feeling that this was helping the patient. Mean scores for symptoms ranged from 0.26 to 2.15 with the 2.15 being for “worry about all the things that have to be done.” Over half of the patients were dependent for help with some activities of daily living. The caregivers reported doing an average of 3.40 out of five patient care activities including bathing (77.4%), shampooing (67.9%), and washing face and hands (49.1%), and 3.74 out of seven home maintenance activities including laundry (98.1%), cooking (83.0%), and arranging bed-ding(75.5%). The caregivers reported their spouse as one of the main sources of social support, including in times of loneliness and anger The mean score for loneliness as burden was 2.15 and ranked fourth and 31 (58.5%) of the sample reported being lonely recently and not being satisfied with the support received. Similarly anger caused by the patient was given a mean score of 2.13, and anger was reported to have been present recently by 38 (71.7%) of the sample and satis-faction with the support given was low. Having someone to help deal with anger ranked twelfth out of 21 items on the social support scale and had a mean score of 3.98 (range 3.49 to 5.98). Spouses were reported as a major source of social support but the fact that 50% of the caregivers were caring for a spouse, may account for the quality of this source of social support having been affected. These caregivers faced the same problems as others at the same stage of life. but because of the situation, there was a strain on their resources, particularly financial and social. In conclusion it was found that burden is correlated negatively to quality of life and positively to symptoms, but in this sample, symptoms and bur-den were scored relatively low. Does this indicate that the caregivers accept caregiving as part of their destiny and accept the quality of their lives with burden and symptoms just being a part of caregiving\ulcorner Does the correlation between the bur-den and symptoms indicate they are a measure of the same phenomenon or that the sample was of a more mobile, less burdened group of caregivers\ulcorner Quality of life was the one variable that was significant in explaining the varience on burden. Further study is needed to validate the conclusions found in this study but they indicate a need for nurses to ap-proach these caregivers with a plan tailored to each individual situation and to give consideration to interventions directed at improving quality of life and expanding social support networks for those caring for spouses.
Background: Hope is an important coping resource for cancer patients. Types and sources of hope and hope-inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. Results: The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. Conclusions: The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.
The necessity for the investigation of death occurred in military services has no differences to the death of civilians. But the death of military service members under the Universal Conscription System in Korea has special considerations because of hard accessibility by the bereaved family and closed environment of the army. The analysis of the death occurred during military service was carried out and the advanced death investigation system to prevent the death was proposed to prevent the declination of fighting spirit and efficiency and also to restore the solid support by the people. The deaths in the period 1995~2006 were 330 persons in 1995, 359 persons in 1996 and were decreased to 135 persons in 2006. The death caused by safety accidents including vehicle accident, drowning, fall were 56% and by military crimes including suicide, arms, homicide were 44%. The numbers of suicides were 108 persons in 1995 and were decreased to 79 persons in 2006. The numbers of suicides were decreased constantly, but the ratio of suicide to death were increased, so the suicide prevention is more important. The autopsy ratio was increased to 51.5% in 2005 and was much higher compared to the ratio for civilians. The main reasons of complaints by the bereaved family were for regaining reputation, death in harness and reinvestigation of death. The proposals for the advanced death investigation system were as follows. The unnatural deaths including the obvious accidental deaths and homicides have to be defined by the rules. The human resources to perform the autopsy can be supported by the forensic pathologists from medical school. The special training and quality assurance programs are needed for the crime scene investigator. To regain the impaired reputation from the suicide and to support the bereaved family has to be discussed by the government.
Park, Yeon-Hwan;Chang, Hee Kyung;Bang, Hwal Lan;Lee, Jin-Yi
The Korean Journal of Rehabilitation Nursing
/
v.16
no.2
/
pp.112-121
/
2013
Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.
Proceedings of the Plant Resources Society of Korea Conference
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2018.10a
/
pp.46-46
/
2018
The Platycodon grandiflorum (balloon flower) has been used as food material and traditional medicine in Asia. The roots have been used in traditional medicine to treat coughs, upper respiratory infections, and sore throats. Using 1,603 valid patents from 6 countries, we analyzed the patent trend based on year, countries, applicants, and technology. The technologies are categorized into 6 groups which include material, additives, manufacture, cultivation, breeding and seed. The technology competitiveness of countries were analyzed with quantitative factors such as cites per patent, patent impact index, patent family size and technology strength. In comparison with other countries in the patent index, South Korea shows an increasing trend in patent numbers and total leverage ability, although the individual technology is lower than Japan and USA. Our study provides information on technical trend to support the performance of new projects on balloon flower.
Objectives: The study aims to examine the influence of university students' sociodemographic variables, parents' variables, and personal variables on their level of depression. Method: The study included a total of 334 university students enrolled in Busan. The data were used to perform correlational analysis and hierarchical regression analysis and were processed using the SPSS 23.0 program. Results: The main results of this study were as follows: First, the hierarchical regression analyses revealed that the most influential model was the model of personal variables. Among the personal variables, self-esteem was the most influential factor responsible for university students developing depression - the higher their level of self-esteem, the lower their level of depression. Among the parent variables, attachment to their father was the second most significant influence on the depression level of university students. Conclusions: This study showed that, in addition to attachment to their father, their self-esteem was highly significant in predicting university students' depression. The results of these findings have implications for future research in the form of programs and education to improve the relationship with fathers. Furthermore, the results of this study could be used to help and provide basic resources to alleviate and prevent university students' depression by strengthening their self-esteem.
The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.
The purpose of this study is to investigate which factors affect working women's intention of second childbirth and what paths that determine this intention exist. Especially, this study focused on the influence of 'values regarding children' on intention of second childbirth of working women, and divided 'values regarding children' into 'individualistic value regarding children'and 'group-oriented value regarding children'. Findings from this study are as follows. First, the research model of this study was appropriate to explain the intention of second childbirth in working women with a child by measurement model analysis and structural model analysis. Second, it appeared that the factor which directly determined the intention of second childbirth in working women with a child was 'values regarding children', and the impact of 'individualistic values regarding children' was stronger than that of 'group-oriented values regarding children'between the two. Third, 'Economic resource'factor and 'service'factor affected 'intention of second childbirth' indirectly through other factors. Fourth, the level of public and private service resources for reconciling work and family life is affected by the level of economic resources. Finally, it appeared that 'values regarding children' could be formed or changed by working women's environmental condition like public and private service resources to support reconciling work and family life. Based on these findings, this study proposed that it should be important to form values regarding children positively by improving environmental condition for reconciling work and family life to increase childbirth intention of working women.
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