• Title/Summary/Keyword: subjective factors

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Shanghanlun Diagnostic System : Exploring Value as Narrative Medicine by Analyzing Cases (사례분석을 통한 『상한론(傷寒論)』 변병진단체계(辨病診斷體系)의 서사의학적 가치의 탐색)

  • Kim, Jin-A;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.6 no.1
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    • pp.1-25
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    • 2014
  • Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases. Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors. Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun. Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

Factors Influencing Use of Smartphone Applications for Healthcare Self-Management: An Extended Technology Acceptance Model

  • Jo, Heui-Sug;Jung, Su-Mi
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.25-36
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    • 2014
  • Objectives: The self-management of chronic diseases is currently receiving much attention. This study applied an extended technology acceptance model (ETAM) to analyze the factors influencing acceptance of a healthcare smartphone application. Methods: Three hundred people living in Seoul and Gyeonggi who used smartphones were quota sampled. A telephone survey was conducted using a structured questionnaire based on ETAM. A path analysis was carried out using the AMOS 17.0 program, and the model was verified. Results: The analysis revealed significant factors of perceived usefulness (.374, p < .001), enjoyment (.210, p < .001), subjective norms (.168, p < .001), perceived costs (.146, p < .001), and innovativeness (.138, p < .001). Cost directly influenced intention to use health applications; self-efficacy and perceived ease of use indirectly affected intention through innovation and perceived usefulness. Conclusions: This study helped to identify the main factors that influence usage intention of smartphone applications. These findings could contribute to promoting the self-management of chronic disease through future health applications using smartphones.

Factors Influencing Fear of Dementia among Middle-Aged and Older Adults (중노년기 성인의 치매두려움 영향요인)

  • Kim, Bo Ram;Chang, Hee Kyung
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.156-165
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    • 2020
  • Purpose: This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults. Methods: Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%. Conclusion: The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

Factors Influencing on Quality of Life in Gynecological Cancer Patients (부인암 환자의 삶의 질 예측요인)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.52-63
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    • 2012
  • Purpose: The purpose of this study was to measure the quality of life (QOL) and to identify the factors influencing QOL in gynecological cancer patients. Methods: The subjects of this study were 242 people who were receiving medical therapy or follow-up after surgery from one general hospital in Daegu. Data were collected from August 1, 2010 to January 31, 2011. A questionnaire including questions on QOL, distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were completed by the subjects. Results: The mean score of QOL was $70.68{\pm}13.40$. Religion, job, presence of spouse, level of education, household income, financial compensation, disease stage and recurrence were the significant factors related to QOL. Distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were also significant factors influencing QOL. Sixty eight percent of the variance in subjective overall QOL can be explained by body image, distress problem, distress score, anxiety, level of education and perceived health status (Cum $R^2$=0.689, F=76.316, $p$ <.001). Body image was the most important factor related to QOL. Conclusion: An integrative care program which includes general, disease-related and psychosocial characteristics of patients is essential to improve QOL in gynecological cancer patients.

The Influence of Health Status and Working Condition on the Absence of Adult Workers: Focusing on Gender Differences (성인 근로자의 질병 결근에 미치는 영향요인: 성별차이를 중심으로)

  • Lee, Mi-Kyoung;Lim, So-Hee
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.273-287
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    • 2020
  • Purpose: This descriptive correlation study was conducted to investigate factors affecting the absence of adult workers according to their gender. Methods: Secondary data analysis was carried out using data from the fifth Korean Working Conditions Survey. Data on respondents' demographic characteristics, working conditions, health status, and absence were analyzed; a descriptive analysis, χ2-test, t-test, and logistic regression analysis were carried out. Results: The factors that had the greatest impact on male workers' absence from work were service workers (2.74 times; B=.99), having more than 53 hours of work per week (1.17 times; B=.52), and when subjective health conditions were not satisfied (2.27 times; B=.82), whereas the factors that affected female workers' absence the most were a monthly income of 3 million won or more (2.74 times; B=1.34), a weekly work time of 53 hours (2.02 times; B=.71), and having a fewer number of sleep disorders (B=-.36). Conclusion: This study suggests that not only the national interest should be considered in investigating the factors affecting absence but also the enterprise. Systematic support for the health care of workers is also needed.

Factors Affecting Malnutrition in Hemodialysis Patients (혈액투석 환자의 영양장애 영향요인)

  • Park, Ok Lae;Jang, Young Jun;Jung, Jong Hwan;Kim, Sung Reul
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.226-236
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    • 2016
  • Purpose: The aim of this study was to evaluate the nutritional status and to identify factors affecting malnutrition in hemodialysis patients. Methods: Data were collected from a convenience sample of 125 hemodialysis patients who agreed to participate in the study, between August 1 and October 4, 2014. Five structured questionnaires were used: Patient-generated Subjective Global Assessment, Simplified Nutritional Appetite Questionnaire, Self-rating Depression Scale, Fatigue Scale, and Family Support Scale. Data were analyzed by descriptive statistics, t-test, Mann-Whitney U test, ${\chi}^2$-test, and stepwise multiple regression analysis by using SPSS/WIN 22.0 program. Results: Of 125 patients, 30.4% were found to be malnourished. Malnutrition was related to age, family household income, depression, fatigue, social support, appetite, and levels of C-reactive protein and serum albumin. Stepwise multiple regression analysis showed that appetite, C-reactive protein level, fatigue, and albumin level were significant factors affecting malnutrition in hemodialysis patients. Conclusion: Regular and consistent nutritional assessment is essential in hemodialysis patients. Nurses who care for hemodialysis patients need to consider the factors identified from these findings when assessing their patients' nutritional status and needs.

Relationship between Health Behaviors and Factors Influencing Suicidal Ideation in Adolescents with Asthma by Gender Differences: Using Data from the 10th Korea Youth Risk Behavior Web-based Survey (천식 청소년의 성별에 따른 건강행태와 자살생각 관련 요인과의 관계: 제10차 청소년 건강행태 온라인조사 자료를 중심으로)

  • Kim, Yae Young;Yoo, So Yeon
    • Korean Parent-Child Health Journal
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    • v.20 no.2
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    • pp.49-57
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    • 2017
  • Purpose: This study was to compare the health behaviors and factors influencing on suicidal ideation according to the gender among adolescents with asthma and to examine the relationship between them. Methods: The data was obtained from the 2014 youth's risk behavior web-based study in South Korea. The data were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, $x^2$ test and multiple logistic regression. Results: As the result of multiple logistic regression, the factors of health behaviors and risk related to suicidal ideation were subjective happiness, stress, depression, drug use, treatment experience due to violence in both male and female. In female, physical activity and alcohol drinking were factors related to suicidal ideation. Conclusion: Therefore, we have to develop suicide prevention program, to decrease the suicidal ideation of adolescents considering such differences by gender differences.

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A Study on economic preparations for aging of middle-old aged women (중고령 여성의 경제적 노후준비에 관한 연구)

  • Park, Hyo-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.6618-6626
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    • 2015
  • This study was designed to explore the factors affecting economic preparations for aging of middle-old aged women. Using fourth Korean retirement and income study panel data of National Pension Reacher Institute. The researcher explored the characteristics of preparation for the old age life who middle-old aged women and analyzed the factors affecting economic preparations for aging of middle-old aged women. The results were as follows. The the factors affecting economic preparations for aging of middle-old aged women were education level, subjective health status, a number of adolescent children(14-19), a number of adolescent children(20-39), public pension, financial asset and debt. On the basis of this results, suggestions for policy were offered.

Factors affecting suicidal ideation, suicidal plan and suicidal attempt in Korean adolescents (청소년의 자살생각, 자살계획, 자살시도에 영향을 미치는 요인에 관한 연구)

  • Sohn, Shin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1606-1614
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    • 2014
  • This study aimed to identify the influencing factors of suicidal ideation, suicidal plan and suicidal attempt. The data of 2012 Youth Health Risk Behavior web-based Survey Collected by the Korea Center Disease Control was analyzed by using the SPSS program. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by general characteristics were gender, grade, school record, socioeconomic status, living with both parents, and subjective health status. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by health behaviors and emotional characteristics were smoking, drinking, effort for weight, sleep satisfaction, perceived stress and depression. This study suggested that suicidal prevention programs should be developed in preventing and reducing health risk behaviors and depression.

A Study on Usability Evaluation Factors for e-Book User Interface (전자책 활용에 영향을 미치는 요인 연구)

  • Jang, Seon-Hwa;Han, Sang-Wan
    • Journal of the Korean Society for information Management
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    • v.21 no.3
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    • pp.269-287
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    • 2004
  • The purpose of this study is to present a theoretical framework and practical methodology to extend the scope of Library and Information Science by incorporating the usability evaluation of e-book, which has considerably increased in proportion in the digital library. By sirveying e-book users and through statistical analysis. it was found that rebuilding a set of usabllity evaluation factors for e-books is necessary to activate e-books in the digital libraries. This study inclusively presents a conceptual model of e-book usability evaluation and suggests guidelines for usability principles.