• Title/Summary/Keyword: iCARE

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A Study of Family Caregiver's Burden for the Terminally III Patients (지역사회 말기질환자 가족 부담감에 관한 연구)

  • Han, Sung-Suk;Ro, You-Ja;Yang, Soo;Yoo, Yang-Sook;Kim, Sek-Il;Hwang, Hee-Hyung
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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Critical Illness Myopathy (위험질병 근병증)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.4 no.2
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    • pp.91-97
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    • 2002
  • The field of critical care medicine has flourished, but an unfortunate result of improved patient survival in the intensive care unit is the occurrence of certain acquired neuromuscular disorders. During the last two decades, various neuromuscular disorders were recognized as common causes of weakness occurring in critically ill patients. The two most common disorders are an acute quadriplegic myopathy predominantly associated with the use of intravenous corticosteroids and neuromuscular junction blocking agents and severe systemic illness termed critical illness myopathy(CIM), and an axonal sensorimotor polyneuropathy termed critical illness polyneuropathy. I will review briefly about general components of the CIM.

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The Surgical Treatment of Esophageal Atresia with Tracheoesophageal Fistula -Report of 2 Cases- (선천성 식도폐쇄 및 기관식도루 수술치험 2례)

  • 한동기
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.244-250
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    • 1994
  • Early recognition, vigorous preoperative preparation, sophisticated supportive care, control of sepsis, and intensive care nursing have produced remarkably improved results in the management of esophageal atresia. Successful surgery for esophageal atresia and tracheoesophageal fistula was carried out recently. Two neonates with esophageal atresia and distal tracheoesophageal fistula were type C. Transpleural end-to-end repair was carried out after gastrostomy due to low birth weight in case I associated with ventricular septal defect. Case 2 underwent primary retropleural end-to-end repair. A simple one-layer anastomosis with the sutures passing through all layers of`the esophagus was performed in all cases.

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Relationships among Self-care, Self-efficacy, and Social Support in Patients with Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환자의 자가간호와 자기효능감 및 사회적지지와의 관계)

  • Kim, Ran-I;Yong, Jin-Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.270-277
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    • 2005
  • Purpose: This study was to investigate relationships among self-care, self-efficacy and social support in patients with chronic obstructive pulmonary disease (COPD). Method: The subjects were 114 patients with COPD from both inpatient and outpatient department sin a branch hospital of C university located in Gyeonggi-do from April 2005 to May 2005. Self-care was measured by No Hyeon-Suk's (2003) scale, self-efficacy was measured by Wigal et al's (1991) scale, social support was measured by Park Sun-Ju's (2001) scale. Data were analyzed by using t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: The total mean was 3.1 for self-care, 3.5 for self-efficacy, and 4.3 for social support. The levels of self-efficacy and social support were significantly and positively correlated with the level of self-care. The level of self-care was influenced by social support explaining 16% and the level of self-efficacy explaining 6%, giving a total of 22%. Conclusion: The result of this study showed that the patients with COPD carried out self-care better when they had higher levels of self-efficacy and social support. Thus, we will improve the level of self-care of patients with COPD by nursing intervention to increase self-efficacy and social support.

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The Main and Interaction Effects of Day-care Experiences and Maternal Parenting Behavior on Preschoolers' Problem Behaviors (보육경험과 어머니의 양육행동이 유아의 문제행동에 미치는 주효과와 상호작용 효과)

  • Choi, Mi Na;Shin, Nana
    • Korean Journal of Childcare and Education
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    • v.11 no.2
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    • pp.283-310
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    • 2015
  • The purpose of this study was to examine the main and interaction effects of day-care experiences and maternal parenting behavior on preschoolers' externalizing and internalizing problem behaviors. A total of 248 preschoolers(112 boys and 136 girls) and their mothers participated in this study. Mothers provided information about their children's day-care experiences(i.e., age of entry, hours per week, days per week, and number of day care centers attended by the preschoolers), their parenting behavior, and their children's problem behavior. Data were analyzed using correlations, multiple and hierarchical regressions, and post-hoc analysis suggested by Aiken and West(1991). First, preschoolers who frequently changed day-care centers showed higher levels of aggression. Second, maternal logical explanation, coercive and neglecting parenting behavior significantly influenced preschoolers' externalizing and internalizing problem behavior. Finally, interactions of day-care experiences and maternal parenting behavior were significant in predicting preschoolers' problem behavior. These findings suggest that day-care experiences need to be considered with other family variables in predicting preschoolers' developmental outcomes.

The Care of Infant in Group Settings (영·유아의 단체양육에 관한 일 연구)

  • Chang, Young Hee;Lee, So Hee
    • Korean Journal of Child Studies
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    • v.3
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    • pp.1-15
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    • 1982
  • I. Objectives This study was done to analyze and evaluate the attitudes of the working mothers toward the care of infants in group settings. II. Method and Procedures 1. Standardized questionnaire were sent out to look into the following: 1) the attitude of working mothers, who have infants below 4 years of age, regarding their job, care-taker and group settings. 2) the status of taking care of their infants 2. Subjects Women teachers of Seoul and Kyung Ki primary school districts, who have infants below age 4. The selection of these subjects were done by random sampling. III. Results 1. Attitudes regarding their jobs: The first reason for retaining their jobs are for financial reasons; whereas, their intents of self-actualization and contributions to society comes next. 2. The Status of Caretakers 60.7% of the care-takers are family-related members, and 38.3% are not. The educational level of caretakers are as follows, with 19.6% of the caretakers without any formal education, 44% with primary education, and 18.7% having high school education. The reasons for the dissatisfaction by the caretakers are low education, a frequent change of caretaker, and an attitude without affection. The cost of child caring is high, the main reason being the heavy expense spent on the caretakers. 3. Attitudes of care in group settings: 85.9% of the subjects responded with positive reactions for the necessity of having group-settings. The reasons given for the importance of having a group setting are early experience, social interaction with peer group and educational functioning, in addition to protective care. They desire for a family-style care which can raise infants under high quality of care.

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The Mediating Effort of Vacational Consciousness on the Relationship between Job Stress and Turnover Intention in Long-Term Care Worker (재가요양보호사의 직무스트레스와 이직의도의 관계에서 직업의식 매개효과 검증)

  • Kim, Sun-Hee
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.8
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    • pp.569-576
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    • 2019
  • The purpose of this study aimed to examine the effects of job stress on the turnover intention through mediation of vacational consciousness and to reduce turnover intention of long-term care workers based on the results. We used 447 long-term care workers working in Seoul and Gyeonggi area. For the research purpose, the mediation effect was verified after the technical analysis and verifying multicollinearity using on SPSS and sobel-test. The results of this study are as follows: First, the lower the age of care worker and the higher the monthly household income, the higher the turnover intention. Second, the higher the perceived job stress, the higher the turnover intention. Third, the higher the job consciousness of the long-term care workers, the lower the turnover intention. Fourth, job stress of long-term care workers showed statistically significant effect on turnover intention by partial mediation of job consciousness. Based on the above results, I suggested the clinical and policy practice to prevent the separation of long-term care workers and improve the quality of care service for the elderly.

Beliefs and Attitudes toward Physician-assisted Suicide among Korean Adults

  • In Cheol, Hwang;Jung Hun, Kang;Won-chul, Kim;Jeanno, Park;Hyun Sook, Kim;DaeKyun, Kim;Kyung Hee, Lee
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.198-203
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    • 2022
  • Purpose: To grasp public opinion accurately, we conducted an opinion poll on beliefs and attitudes toward physician-assisted suicide (PAS). Methods: A randomized telephone survey ensuring a representative sample was conducted, 1,007 participants aged 18 years or older (response rate, 9.5%). Results: The main results are as follows: i) 61.1% of participants thought that the current social support system for terminally ill patients and their families is insufficient; ii) 60% of participants did not recognize the term "hospice and palliative care"; iii) 81.7% of participants would not like to receive life-sustaining treatment if there is no possibility of recovery; iv) 58.4% of participants would like to receive hospice and palliative care if they are diagnosed with a terminal illness; v) the priorities for dignified dying were preparing a support system to reduce the burden of care (28.6%), economic support including reduction of medical expenses (26.7%), expansion of hospice and palliative care services (25.4%), and legalization of PAS (13.6%); and vi) 58.3% of participants agreed that the expansion of hospice and palliative care should precede the legalization of PAS. Conclusion: Koreans currently want other efforts, including expansion of hospice and palliative care services, instead of the legalization of PAS.

A CLINICAL STUDY ON THE ATTACHMENT-FIXATION OVERDENTURE (I) - Preliminary Periodontal Status Study - (ATTACHMENT-FIXATION OVERDENTURE에 관한 임상적 연구(I))

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.22 no.11 s.186
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    • pp.953-960
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    • 1984
  • The author applied the attachment fixation overdenture on the patient whose residual alveolar ridge height was poor to increase mechanical denture retention, and observed the periodontal condition of the abutment roots after insertion of attachment fixation overdenture. The author obtained the conclusions as follows; 1. Attachment fixation overdenture showed better mechanical retention than conventional overdenture did, but it resulted unfavorable crown-root ratio. 2. Within one year after insertion, there were not significant changes in periodontal health, which was indicated by plaque index, gingival index, pocket depth, tooth mobility gingival hyperplasia and alveolar bone change. 3. Mild periodontal thickening was observed. 4. This study emphasized the importance of adequate follow-up care and home care instructions.

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Pneumonia in Patients with Chronic Obstructive Pulmonary Disease

  • Restrepo, Marcos I.;Sibila, Oriol;Anzueto, Antonio
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.187-197
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    • 2018
  • Chronic obstructive pulmonary disease (COPD) is a frequent comorbid condition associated with increased morbidity and mortality. Pneumonia is the most common infectious disease condition. The purpose of this review is to evaluate the impact of pneumonia in patients with COPD. We will evaluate the epidemiology and factors associated with pneumonia. We are discussing the clinical characteristics of COPD that may favor the development of infections conditions such as pneumonia. Over the last 10 years, there is an increased evidence that COPD patients treated with inhaled corticosteroids are at increased risk to develp pneumonia. We will review the avaialbe information as well as the possible mechanism for this events. We also discuss the impact of influenza and pneumococcal vaccination in the prevention of pneumonia in COPD patients.