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암환자의 퇴원 후 가정간호 요구 (The Homecare Needs of Cancer Patients)

  • 권인수;은영
    • 대한간호학회지
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    • 제29권4호
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    • pp.743-754
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    • 1999
  • The purpose of this descriptive study was to identify the homecare needs of patients with cancer and to provide a basis of interventions. One hundred and two patients at one general hospital in Gyeongnam responded to a questionnaire developed on the basis of care needs perceived by nurses caring for hospitalized patients with cancer. The questionnaire was a Likert type 5 point scale with 56 items on five need categories ; 1) informational 2) physical care : 3) emotional care 4) socioeconomic care and 5) special care needs. Internal consistency of this questionnaire was Cronbach's $\alpha$=.9101 for total items. The data was collected from March 1st to May 31th, 1998, by two graduate nurses. In the data analysis, mean & standard deviation were calculated to identify the degree of care need of each item, and the t-test & ANOVA were done to determine the effects of patients' demographic background on their care needs. The findings are summarized as follows ; 1) The mean score of total of need items was 3.048. Of the four need categories the highest score was informational at 3.4, followed by emotional care, 3.063, physical care, 2.623, and socioeconomic care, 2.599. 2) In the informational need category there were four subcategories with 19 items. Medication and pain control had the highest score, 3.755 ; second was diet and exercise, 3.613 ; third was disease and treatment process, 3.337 ; and last was personal hygiene and infection prevention at 2.687. 3) In the physical care need category there was nine items, IV infusion for nutrition and management of treatment complication was above 3.2 points and the remaining items were in the 2.847-2.070 score ranges. 4) In the emotional care need category there were seven items. The highest need was in support for relationships with health personnel, 3.673. The need for support of religions beliefs and support for having a religion were low at about 2 points. 5) In the socioeconomic care need category there were six items. Support for medical insurance expansion and financial support were above 3 points. Legal support and support for caring of children were low in the care needs. 6) In the special care need category the there were 15 items. Informational need about immunization and informational need about effects of disease on growth and development were high, above 4.1 points. Need for decubitus care and prevention, sitz bath and incontinence care were low, below 2 points. 7) There were significant differences in degree of care need according to admission rate, education level, marital status, religion and caregiver's religion. In conclusion, homecare needs perceived by hospitalized patient's with cancer was moderate, but informational need was higher than direct care need, leading to the conclusion that the provision of sufficient information to patients with cancer at discharge is needed. Nursing interventions should be developed considering the patient's background.

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중년기 기혼남녀의 가족스트레스, 사회적 지지 자원이 결혼생활만족도에 미치는 영향 (The effects of family stress and social support resources on marital satisfaction among middle-aged married men and women)

  • 박주희
    • 가족자원경영과 정책
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    • 제19권4호
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    • pp.71-94
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    • 2015
  • The purpose of this study is to propose measures for social work practice to enhance the happiness of middle-aged married men and women by identifying the effects of family stress and social support resources (formal and informal support resources) on marital satisfaction among mid-life married couples. Subjects were selected through purposive sampling among married men and women aged between 40 and 59 and living in Seoul City and Gyeonggi province. The study results are follows. First, the average score of family stress was 3.06 points (SD=.56), slightly higher than the median value of 3 points. Of all subscales of family stress, the subjects experienced the most stress from family relationships, followed by financial problems, health and loss of families, and work-family compatibility. In regard to social support resources, the mean value of all social support resources categories was greater than the median. Among the subscales, informal support (family support and support from other people) was found to be higher than formal support. The level of marital satisfaction was higher than the median, and the score was 3.21 points (SD=.78). Second, in order to explore differences in marital satisfaction according to family stress and social support, differences in marital satisfaction were analyzed by grouping subjects who scored high, middle, and low levels of marital satisfaction. According to the results, marital satisfaction was statistically significantly higher in the group that experienced less family stress (F=6.25, p<.01). With respect to social support, marital satisfaction was statistically significantly higher in the group that received high social support (F=29.68, p<.001). Third, according to the analysis of factors affecting marital satisfaction in middle-aged married men and women, subjective economic status, family relationship stress, economic stress, and family support showed statistical significance. The higher the subjective economic status and the lower the family relationship stress and economic stress levels, the higher the marital satisfaction among middle-aged married men and women. In addition, the greater the family support, the higher the marital satisfaction. The results of this study underscore the need to improve family relationships in middle-aged married couples and to distribute family life education programs that can strengthen family support resources. For example, family relationship enhancement programs are currently performed, including "Family School for Middle-Aged Baby Boomers" and others as part of the Healthy Family Support Work regarding the promotion of marital satisfaction of middle-aged couples. In addition, continuing effort is warranted to include content on strengthening family support resources, maximizing the effectiveness of programs, and promoting service accessibility.

퍼지서포트벡터기계의 시계열자료 패턴분류를 위한 퍼지소속 함수에 관한 연구 (On the Fuzzy Membership Function of Fuzzy Support Vector Machines for Pattern Classification of Time Series Data)

  • 이수용
    • 한국지능시스템학회논문지
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    • 제17권6호
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    • pp.799-803
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    • 2007
  • 본 논문에서는 FSVM(Putty Support Vector Machine)의 퍼지소속함수를 새롭게 제안한다. SVM의 완화변수(slack-variable)에 퍼지소속함수를 결합하는 FSVM은 주어진 데이터베이스의 특성이 반영되어 안정적으로 분류성능을 향상시킬 수 있는 퍼지소속 함수를 필요로 한다. 시계열 자료의 패턴분류 성능을 비교하기 위하여 SVM, FSVM(1), 그리고 제안하는 FSVM(2) 등의 분류모델들을 비교 실험하였다. 사용한 데이터베이스는 한국금융시장의 시계열 경제지표 지수들이다.

취업준비생의 우울, 사회적지지, 자기통제력이 취업스트레스에 미치는 영향 (The Influence of social support, depression, self-control on job stress in job seekers)

  • 박효진;유은주;이화명
    • 문화기술의 융합
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    • 제9권5호
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    • pp.125-131
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    • 2023
  • 본 연구는 취업준비생의 사회적지지, 우울, 자기통제력과 취업스트레스의 정도를 확인하고 이들의 상관관계 및 영향요인을 파악하기 위한 서술적 조사연구이다. 연구대상자의 사회적지지 4.13점, 우울 0.79점, 자기통제력 3.10점, 취업 스트레스 2.15점으로 나타났다. 대상자의 일반적 특성에 따른 취업스트레스를 분석한 결과는 성별에서는 통계적으로 유의한 차이가 없는 것으로 나타났으며, 연령, 학년, 전공, 성적에서는 유의한 차이가 있었다. 대상자의 취업스트레스는 취업스트레스-우울(r=.625, p=.001), 취업스트레스-자기통제력(r=.251, p=.001)과는 정적 상관관계가 나타났으며, 취업스트레스-사회적지지(r=-.519, p=.001)는 부적 상관관계가 나타났다. 우울은 우울-사회통제력(r=.300, p=.001)은 정적 상관관계가 나타났으며, 우울-사회적지지(r=-.503, p=.001)는 부적 상관관계가 나타난다. 사회적지지는 사회적지지-자기통제력(r=-.059, p=.414)로 상관관계가 나타나지 않았다. 취업스트레스의 영향요인으로는 사회적지지, 우울이 나타났다. 대학생의 취업스트레스를 감소하기 위한 프로그램 및 교육의 기초자료를 제공하고자 한다.

Importance of Social Support in Cancer Patients

  • Usta, Yasemin Yildirim
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3569-3572
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    • 2012
  • Social support is regarded as a complex construct which has long been suggested to have direct and buffering effects on patients' wellbeing and emotional adjustment to cancer. Cross-sectional and prospective studies show a positive association between perceived social support and psychological adjustment following cancer treatment. Research findings suggest that the evidence for the relationship between social support and cancer progression is sufficiently strong. This report points out the importance of social support in cancer and provides recommendations for health care professionals.

일 지역 농촌 노인의 사회적 지지에 따른 삶의 질에 관한 연구 (A Study on Quality of Life according to Social Support of Elderly in the Rural Area)

  • 최연희
    • 성인간호학회지
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    • 제17권1호
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    • pp.3-11
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    • 2005
  • Purpose: This study was conducted to investigate quality of life according to social support of elderly in the rural area. Method: The subjects of this study were 199 people aged over 60 who had been living in three rural areas. Date was collected through questionnaires from July 10th, to August 10th, 2003. Result: The most socially supportive people they answered were friends(80.9%), followed by children(74.9%), neighbors(71.9%), siblings(55.8%), spouse(53.3%), in descending order. Mean social support score for spouse was 13.36, for children 13.27, for friends 11.40, for neighbors 10.21, for siblings 10.20. A comparison of the average grade points per items according to the offerers of social support revealed spouse support(13.36 out of 18), children support(13.27), friends support(11.40), neighbor support(10.21), siblings support(10.20). The average of the quality of life score was 132.26 out of 220. A comparison of the average grade points per items within sub-areas of quality of life revealed the highest score of neighbor relationships(4.29 out of 5.00) and the lowest score of economic conditions (2.61) Quality of life scores correlated positively with social support scores(r=.734, p<.001). Variables significantly influencing quality of life were spouse support(36.1%), neighbor support (5.1%), age(2.2%), religion(1.7%). These variables explained 45.1% of the variance in quality of life. Conclusion: Social support for elderly people in rural areas identified this as a greatly effective factor for their quality of life. Therefore, it is necessary to develop health promotion programs connected with social support in order to enhance the quality of elderly people in rural areas.

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중요도 기반 퍼지 원 클래스 서포트 벡터 머신을 이용한 비디오 요약 기술 (Video Summarization Using Importance-based Fuzzy One-Class Support Vector Machine)

  • 김기주;최영식
    • 인터넷정보학회논문지
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    • 제12권5호
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    • pp.87-100
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    • 2011
  • 본 논문에서는 비디오 요약을 시각적으로 특징이 있고 주관적으로 중요한 비디오 세그먼트 집합을 구하는 새로운 요약 방식을 기술한다. 시각적으로 특징이 있는 데이터 포인트를 찾기 위해 novelty detection으로 잘 알려져 있는 OC-SVM(One-Class Support Vector Machine)을 사용할 수 있다. 그러나 OC-SVM의 처리과정에 비디오 세그먼트에 대한 사용자의 주관적인 중요도를 반영하기는 어렵다. OC-SVM의 처리과정에 사용자의 주관적 중요성을 반영하기 위해서, 본 논문에서는 OC-SVM의 퍼지 버전을 유도한다. IFOC-SVM(Importance-based Fuzzy One-Class Support Vector Machine)은 비디오 세그먼트의 중요도에 따라 각 데이터 포인트에 가중치를 부여하고 데이터 분포의 서포트를 측정한다. 이때, 구해진 서포트 벡터는 비 오 세그먼트의 중요도와 시각적 특징 관점에서 비디오의 내용을 축약하여 표현한다. 제안된 알고리즘의 성능을 증명하기 위하여 가상의 데이터들과 다양한 종류의 비디오들을 가지고 실험하였다. 실험 결과는 제안하는 방법의 성능이 다른 비디오 요약의 성능보다 우수함을 보여주었다.

만성요통으로 신경차단술을 받은 농촌 노인들의 사회적 지지와 일상생활 활동장애에 관한 연구 (Impediment in Activity of Daily Living and Social Support for Rural Elderly Farmers Undergoing Nerve Block due to Low Back Pain)

  • 최인영;황문숙
    • 지역사회간호학회지
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    • 제30권2호
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    • pp.206-216
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    • 2019
  • Purpose: This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities. Methods: The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression. Results: The score of low back pain was $6.27{\pm}1.69$ (10 points), that of social support $2.92{\pm}0.76$ (1~5 points), and that of impediment in activity of daily living $2.01{\pm}0.82$ (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%. Conclusion: This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.

임부의 임신스트레스에 영향을 미치는 요인에 관한 단면연구 (Factors influencing pregnancy stress in pregnant women in Korea: a cross-sectional study)

  • 강숙정;양민지
    • 여성건강간호학회지
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    • 제28권1호
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    • pp.27-37
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    • 2022
  • Purpose: The purpose of this study was to investigate the association between maternal knowledge and social support on pregnancy stress among pregnant women in Korea. Methods: The participants in this study were 148 pregnant women in Korea, recruited from online communities on pregnancy and/or childbirth, from June 2019 to April 2020. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: Participants were at average 18.25±8.28 weeks gestation, 56% were in the second trimester, 31% had one or more health issues in the current pregnancy (e.g., hyperemesis gravidarum), and 76% were first-time mothers. Participants had moderate levels of pregnancy stress (mean, 23.09±7.11 points out of 48) and maternal knowledge (mean, 14.42±4.67 points out of 21), whereas social support was somewhat high (mean 45.88±7.81 points out of 60). Pregnancy stress was weakly negatively correlated with social support (r=-.37, p<.001). Main source of pregnancy information (β=-.21, p=.011), marital satisfaction (β=-.18, p=.036), and social support (β=-.19, p=.038) were identified as significant factors affecting pregnancy stress, and these variables had an explanatory power of 22.7% for pregnancy stress. Conclusion: Based on these findings, nurses should assess pregnancy-related stress during pregnancy and consider main source of pregnancy information and marital satisfaction when providing education or counseling. Moreover, strategies to reduce pregnancy stress through social support are needed to improve the quality of life for pregnant women.

한국 노인의 건강증진행위에 대한 문헌분석 연구 (A Review of Research on Health Promoting Behaviors of Korean Older Adults)

  • 구미옥
    • Perspectives in Nursing Science
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    • 제3권1호
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    • pp.17-34
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    • 2006
  • This study was done to suggest directions for research and interventions of health promoting behaviors in Korean older adults in the future. Thirty seven articles for health promoting behaviors in Korean older adults were reviewed and analyzed. Findings are summarized as follows: 1) The total scores of the HPLP in Korean older adults were 2.30-2.44 out of 4 points. In the subscale, the highest degree of performance is nutrition, following interpersonal support, self actualization, stress management, health responsibility and the lowest degree of performance was exercise. 2) The total scores of the Health Behavior Assessment Tool of the Korean Elders were 2.87-3.2 out of 4 points. 3) Among the characteristics of older adults, monthly pocket money, previous job had consistently significant relationships with health promoting behaviors. Sex, job and presence of disease were consistently insignificant relationships with health promoting behaviors. 4) Perceived health status, self efficacy, self esteem, family support and social support had consistently significant correlations with health promoting behaviors. 5) In regression analysis, self efficacy, family support, depression, self esteem were the most powerful predictors of health promoting behavior in more than two articles. Predictors accounted for 14.2-65.2 % of the variance in health promoting behaviors of Korean older adults. On the basis of above findings, It is necessary to develop the interventions for more regular practice of the health promoting behaviors in Korean older adults. The interventions are recommended to focus increasing the exercise & health responsibility and to use the strategies to increase self esteem, self efficacy, social support including family support.

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