• Title/Summary/Keyword: long term effects

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Effects of Aroma Massage on Pruritus, Skin pH, Skin Hydration and Sleep in Elders in Long-term Care Hospitals (아로마 마사지가 요양병원 입원노인의 가려움증, 피부 pH, 피부 수분보유도 및 수면상태에 미치는 효과)

  • Roh, So Young;Kim, Kye Ha
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.726-735
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of aroma massage on pruritus, skin pH, skin hydration and sleep in elders in long-term care hospitals. Methods: The participants were elders over 65 years old admitted to long-term care. They were assigned to the experimental group (26) or control group (28). Data were collected from May to August, 2012. Visual Analogue Scale and Verran and Snyder-Halpern Sleep scale were used to identify levels of pruritus and sleep. A skin-pH meter and moisture checker were used to measure skin pH and skin hydration. Aroma massage was performed three times a week for 4 weeks for elders in the experimental group. The data were analyzed using the SPSS Win 17.0 program. Results: There were significant differences in pruritus, skin pH and skin hydration between the two groups. However there was no significant difference in sleep. Conclusion: The results indicate that aroma massage is effective in reducing pruritus, skin pH and increasing skin hydration in elders. Therefore, this intervention can be utilized in clinical practice as an effective nursing intervention to reduce pruritus in elders in long-term care hospitals.

Effects of 4% Hypertonic Saline Solution Mouthwash on Oral Health of Elders in Long Term Care Facilities (4% 고농도 식염수를 이용한 구강함수가 요양시설 입소노인의 구강건강에 미치는 효과)

  • Kim, Ju Ok;Kim, Nam Cho
    • Journal of Korean Academy of Nursing
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    • v.44 no.1
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    • pp.13-20
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    • 2014
  • Purpose: This study was done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program. Results: Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria. Conclusion: The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.

Study on the Long-term Change of Urban Climate in Daegu (대구의 장기적 도시기후 변동에 관한 연구)

  • 김해동
    • Journal of Environmental Science International
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    • v.12 no.7
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    • pp.697-704
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    • 2003
  • Through data analysis using the meteorological data during 40 years(1961∼2000) for 2 stations(Daegu and Chupungnyong), we studied the present condition and long-term trends in urban climatic environments of Daegu. It was found that there was about 1.5$^{\circ}C$ rise in annual mean temperature of Daegu from 1961 to 2000. On the other hand, that of Chupungnyung was not more than 0.4$^{\circ}C$ for the same period. The regional disparity in temperature changes has been caused by the difference of urban effects on climate between two regions. In particular, the urban warming appears more significant in winter season. There was about 3$^{\circ}C$ rise in annual mean daily minimum temperature of winter season(Dec.∼Feb.) in Daegu. As the result, the number of winter days continuously decreased from 115 days(1961) to 75 days(2000). The long-term trends of relative humidity were also studied to exame the effects of urbanization on climate in Daegu. It was found that there was about 7% decrease in relative humidity of Daegu during past 40 years(1961∼2000). On the other side, the decrease of Chupungnyung was not more than 2% for the same period. The long-term trends of the other climatic factors(fog days, tropical night days, etc) were also studied in this study.

Effects of Walking Program with Dance on Gait, Cognition, and Risk of Falls of Elderly with Dementia in a Long-term Care Hospital (요양병원 입원 치매노인을 위한 율동적 걷기프로그램이 보행, 인지 및 낙상위험에 미치는 효과)

  • Ju, Hye Jeong;Jeon, Mi Yang
    • Journal of Korean Biological Nursing Science
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    • v.20 no.3
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    • pp.141-149
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    • 2018
  • Purpose: This study was conducted to examine the effects walking program with dance on gait, cognition, and risk of falls of elderly with dementia in a long-term care hospital. Methods: Subjects consisted of 42 elderly with dementia in a long-term care hospital (21 elderly with dementia in an experimental group and 21 elders with dementia in a control group). Data were collected from March 14 to April 30, 2016. Subjects in the experimental group performed walking program with dance (three times a week, 30-50 minutes session, 18 sessions). Data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test, independent t-test, paired t-test, repeated measures ANOVA with the SPSS/WIN 21.0. Results: The participants in the experimental group showed significantly increased scores of cadence (F= 8.36, p= .007) and improved scores of cognition (F= 9.95, p= .003) compared the control group. Conclusion: The findings indicate walking program with dance is recommend a regular exercise program to enhance the cadence associated with walking speed and cognitive function elderly.

Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities (요양시설 요양보호사를 위한 치매노인의 식사행동장애 대처기술훈련 프로그램 개발 및 효과)

  • Hong, Hyun Hwa;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.48 no.2
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    • pp.167-181
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    • 2018
  • Purpose: We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities. Methods: A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0. Results: Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index. Conclusion: The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

Effects of Auricular Acupressure Therapy on Musculoskeletal Pain, Depression and Sleep of the Elderly in Long-term Care Facilities (이압요법이 시설거주노인의 근골격계 통증, 우울 및 수면에 미치는 효과)

  • Chang, Eunkyung;Park, Heeok
    • Research in Community and Public Health Nursing
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    • v.29 no.2
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    • pp.133-142
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    • 2018
  • Purpose: The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities. Methods: The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects). Results: After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time ($x^2=23.89$, p<.001) and degree of depression on time and group ($x^2=37.42$, p<.001, U=122.0, p<001) and degree of sleep on time ($x^2=33.62$, p<.001). Thus, the suggested hypothesis is partially supported. Conclusion: Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.

Effects of Job Stress, Depression and Fatigue on Sleep Quality of Care Workers in Long-term Care Facilities (요양보호사의 직무스트레스, 우울과 피로가 수면의 질에 미치는 영향)

  • Hwang, Eun Hee;Lee, Hyun Bae
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.163-174
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of job stress, depression and fatigue on sleep quality of care workers employed in long-term care facilities. Methods: The participants were 213 care workers who worked in 11 long-term care facilities. The collected data was analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression with using the SPSS 23.0 program. Results: We found that patient-related job stress was the greatest stressor among care workers' job stresses. A significant difference in sleep quality was observed according to the self-perceived health status of the care workers. The care workers' sleep quality was negatively correlated with job stress (r=-.16, p=.018), depression (r=-.31, p<.001) and fatigue (r=-.29, p<.001). The influencing factors of sleep quality were depression (${\beta}=-0.22$, p=.001) and fatigue (${\beta}=-0.15$, p=.047). Conclusion: It is necessary to improve the health status and sleep quality of care workers by developing and applying health promotion programs to reduce the depression and fatigue of the care worker. This will ultimately improve the quality of service care for the patients.

Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses

  • Kim, Sun-Hee;Kim, Eun-Young
    • Journal of Hospice and Palliative Care
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    • v.24 no.1
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    • pp.26-35
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    • 2021
  • Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses. Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows. Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance. Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.

Autonomic, Respiratory and Subjective Effects of Long-term Exposure to Aversive Loud Noise : Tonic Effects in Accumulated Stress Model

  • Sohn, Jin-Hun;Sokhadze, Estate;Choi, Sang-Sup;Lee, Kyung-Hwa
    • Science of Emotion and Sensibility
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    • v.2 no.2
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    • pp.37-42
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    • 1999
  • Long-term exposure to loud noise affects performance since it changes arousal level, distracts attention, and also is able to evoke subjective stress accompanied by negative emotional states. The purpose of the study was to analyze dynamics of subjective and physiological variables during a relatively long-lasting (30 min) exposure to white noise (85 dB[A]). Physiological signals were recorded on 15 college students during 30 min of intense auditory stimulation. Autonomic variables, namely skin conductance level , non-specific SCR number, inter-best intervals in ECG, heart rate variability index (HF/LF ratio of HRV), skin temperature, as well as respiration rate were analyzed on 5 min epoch basis. Psychological assessment (subjective rating of stress level) was also repeated every 5 min. Statistical analysis was employed to trace the time course of the dynamics of subjective and autonomic physiological variables and their relationships. Results showed that the intense noise evoked subjective stress as well as associated autonomic nervous system responses. However it was shown that physiological variables endured specific changes in the process of exposure to the loud white noise. Discussed were probable psychophysiological mechanisms mediating reactivity to long-term auditory stimulation of high intensity, namely short-term activation, followed by transient adaptation (with relatively stable autonomic balance) and then a subsequent wave of arousal due to tonic sympathetic dominance.

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An Analysis of Dynamic Relationships Between Oil Prices and Macroeconomy (국제유가와 거시경제의 동태적 관계에 관한 분석)

  • Su-Kwan Jung
    • Asia-Pacific Journal of Business
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    • v.15 no.3
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    • pp.385-397
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    • 2024
  • Purpose - The purpose of this study was to analyze the dynamic relationship between oil prices and macroeconomic variables (gross domestic product, consumer price index, and interest rate). Long-run and short-run effects of oil prices on these macroeconomic variables are examined. Design/methodology/approach - The vector error correction model (VECM) is used to examine the short-run and long-term causality of oil prices, and a hierarchical Bayesian vector autoregressive model (HBVAR) is used to find the impulse of oil shock and the response of other variables. Findings - First, oil prices do not have short-term causality with macroeconomic variables, but they have long-term causality with interest rates and GDP. Second, the long-term stable relationship of oil prices and other macroeconomic variables is important to find out causality. Third, oil shock increases interest rates and decreases GDP and consumer price. Research implications or Originality - The significance of this study is a new attempt to analyze the dynamic relationship between oil prices and macroeconomic variables by linking VECM and HBVAR. Although VECM can analyze the long-term relationship and short-term dynamics between oil prices and macroeconomic variables, it was difficult to identify the transmission path of the oil price shock. HBVAR is confirmed to be flexible because it can bypass the process of selecting VAR or VECM through unit root test and cointegration analysis, and it is expected to reduce uncertainty of selecting hyperparameters.