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Music Program Development Using the Ukulele in Community-dwelling Old Adults and Its Effect 社区老年人尤克里里音乐节目开发及效果
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.2.220
Gyeong Hye Kang, N. Je
Purpose: This study is a pseudo-experimental study of design before and after the non-equivalent control group, which was attempted to verify that the application of the ukulele to the elderly has the effects of reducing depression, improving self-efficacy, strengthening social bonding, and improving cognitive function. Methods: 46 (23 in the experimental group and 23 in the control group) participants were selected. The experimental group was provided with three sessions of a music program using eight Ukuleles for the elderly, while the control group was provided with three sessions for the elderly. IBM SPSS 25.0 was used for data analysis, and the independent t-test, x 2 -test, and Fisher's exact probability test were performed to verify the homogeneity of the subject's general characteristics. The effect verification after the experimental treatment was analyzed by Fisher's exact probability test, Friedman test, and Mann-Whitney U test. Results: Depression showed a statistically significant difference between the two groups (F=39.88, p < .001), self-efficacy showed a statistically significant difference between the two groups (z=-4.96, p < .001), social bonding showed a statistically significant difference between the two groups (z=-5.19, p < .001), and cognitive function showed a statistically significant difference between the two groups (z=-3.98, p < .001). Conclusion: It was found that the ‘ Music Program using the Ukulele ’ was effective in reducing depression of the elderly, improving self-efficacy, reinforcing social bonding, and improving cognitive function. We hope that the Music Program using the Ukulele can be used in the elderly nursing curriculum in the future, and we suggest it should be applied as a nursing intervention to those who are experiencing cognitive decline.
目的:本研究为非等效对照组前后设计的伪实验研究,试图验证尤克里里在老年人中应用具有减少抑郁、提高自我效能、加强社会联系、改善认知功能的效果。方法:选取46例受试者,其中实验组23例,对照组23例。实验组为老年人提供了三次使用八根尤克里里琴的音乐节目,对照组为老年人提供了三次。采用IBM SPSS 25.0进行数据分析,采用独立t检验、x 2检验和Fisher精确概率检验验证被试一般特征的均匀性。实验处理后的效果验证采用Fisher精确概率检验、Friedman检验和Mann-Whitney U检验进行分析。结果:两组患者在抑郁方面差异有统计学意义(F=39.88, p < 0.001),在自我效能方面差异有统计学意义(z=-4.96, p < 0.001),在社会关系方面差异有统计学意义(z=-5.19, p < 0.001),在认知功能方面差异有统计学意义(z=-3.98, p < 0.001)。结论:“尤克里里音乐节目”在减轻老年人抑郁、提高自我效能感、加强社会联系、改善认知功能等方面具有较好的效果。我们希望在未来的老年护理课程中可以使用尤克里里琴的音乐课程,并建议将其作为认知能力下降的护理干预。
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引用次数: 0
Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis 痴呆症患者家庭照顾者的感知社会支持:概念分析
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.4.540
Ae-Ja Kim, J. Kim, Kyungmi Woo
Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.
目的:目前使用的大多数社会支持概念和测量方法都与一般人群相关。本研究的主要目的是对痴呆症患者家庭照顾者的感知社会支持(PSS)进行概念分析。方法:本研究采用Walker和Avant概念分析方法。结果:该概念分析的结果表明,家庭照顾者对痴呆症患者的PSS有四个定义属性:1)PSS是家庭照顾者认为在需要时可以提供的帮助或帮助;2)通过社会生态结构提供PSS;3) PSS具有满足家庭照顾者需求的特定功能;4) PSS包括家庭照顾者选择、使用或评估的质量方面。本研究借鉴社会生态模型,提出了PSS的结构方面。本研究还确定了PSS的功能方面,如情感支持、信息支持、评价支持和实践支持。最后,本研究评估了PSS的质量方面,如满意度、及时性、有用性、可及性和协调性。结论:针对老年痴呆患者的家庭照顾者,提出了一种新的PSS模式。本研究有助于完善和澄清家庭照顾者对痴呆症患者的PSS概念。这项研究的结果也可能有助于促进为这一概念开发更有效的工具。
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引用次数: 1
Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence 青春期早期女孩体重偏见内化的相关因素
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.2.140
J. Ra, S. Kim
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引用次数: 0
Updated Theory of Planned Behavior in Predicting Parents' Intentions to Vaccinate Their Sons in Elementary School against Human Papillomavirus 最新的计划行为理论预测父母给小学儿子接种人乳头瘤病毒疫苗的意向
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.2.195
Eun-hee Kang, Eun-Hyun Lee
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引用次数: 1
Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020) 韩国多元文化青少年健康的社会决定因素:综合文献综述(2018~2020)
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.4.430
Youlim Kim, Hyeonkyeong Lee, Hyeyeon Lee, Mikyung Lee, Sookyung Kim, K. Konlan
Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl ’ s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.
目的:本研究是一项综合文献综述,分析韩国多元文化青少年的健康问题和社会决定因素。方法:根据Whittemore & Knafl的指南进行综合评价。电子检索包括PubMed、EMBASE、Cochrane Library、CINAHL、RISS和KISS数据库中2018 - 2020年的出版物。在确定的67条记录中,有13条最终完全符合纳入标准。使用NetMiner程序进行文本网络分析,识别关键词网络趋势。结果:多元文化青少年的健康问题分为心理健康问题(抑郁、焦虑、自杀和异文化压力)和健康风险行为问题(吸烟、危险饮酒、智能手机依赖和性行为)。作为影响多元文化青少年健康的社会决定因素,生物学因素如性别、年龄和少数族裔,心理因素如异文化压力、自尊、家庭支持和自我弹性。社会文化因素包括家庭经济状况、居住地、父母受教育程度和父母出生国。通过文本网络分析,共识别出41个单词。结论:应将心理健康和健康风险行为作为多元文化青少年健康促进的干预措施。我们的研究结果表明,应该进行进一步的研究,以扩大健康决定因素的范围,以解释物理环境和卫生保健系统的影响。
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引用次数: 3
The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources 育儿压力与职业女性健康促进行为的关系:支持资源的中介作用
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.4.529
Gwijin Lee, Jinhwa Lee, Bokim Lee
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引用次数: 0
The Health Management Experience of Vietnamese Married Immigrant Women Living in the City 越南已婚移民妇女在城市生活的健康管理经验
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.4.506
Jiyoung Chun
Purpose: The purpose of this study was to explore the health management experience of Vietnamese Married Immigrant Women living in the city. Methods: The study participants were 11 Vietnamese immigrant women residing in the urban area who felt bad about their health. Data collection was conducted in depth through individual interviews, and the collected data were analyzed through Strauss & Corbin data analysis. Results: The core category was “ health is not a necessity but a choice in a strange land called Korea ” . The contextual conditions were, “ The hard thing-exposing “ myself ” to the world ” , and “ Hurts hidden, to be away from people ’ s eyes ” . For the causal condition, the categories of “ Unfamiliar life to live alone ” , “ Unfamiliar life different from expectation ” , and “ Symptoms of body suddenly suffering alone ” , were derived. Through action-interaction, the immigrant women revealed that in their Korean social-structural context, they tended to follow “ Health pushed away in turbulent life ” . The intervening conditions were “ a person who is able to help me ” , “ places that can give a helping hand nearby ” , and “ Vietnamese women ’ s grit ” . A Vietnamese married immigrant woman had her own “ Health in the chain with life ” . As a result, they gained “ Health, which is a top priority in life ” or “ Health oppressed by the weight of life ” . Conclusion: This study enhanced the understanding of the healthcare process of Vietnamese married immigrant women living in urban areas.
目的:本研究旨在探讨越南已婚移民妇女在城市生活的健康管理经验。方法:研究对象为11名生活在城市的越南移民妇女。通过个人访谈进行深入的数据收集,并通过Strauss & Corbin数据分析对收集到的数据进行分析。结果:核心范畴为“健康在陌生的韩国不是必需品,而是一种选择”。语境条件是,“艰难的事——把自己暴露给世界”,以及“隐藏伤痛,远离人们的视线”。在因果条件上,导出了“陌生的独居生活”、“陌生的与预期不同的生活”、“身体突然遭受孤独的症状”等范畴。通过行动互动,移民妇女表明,在她们的韩国社会结构背景下,她们倾向于遵循“在动荡的生活中被推开的健康”。干预条件是“有人能帮助我”、“附近有地方可以伸出援助之手”和“越南妇女的勇气”。一位越南已婚移民妇女有她自己的“健康与生命的链条”。因此,他们获得了“健康是生命的重中之重”或“被生活的重量压迫的健康”。结论:本研究增进了对越南已婚移民妇女城市医疗保健过程的了解。
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引用次数: 0
Concept Analysis of Parents' Treatment Adherence for an Epileptic Child or Adolescent 癫痫儿童或青少年家长治疗依从性的概念分析
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.2.205
Juna Lee, J. Yoon
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引用次数: 1
The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual · Regional Factors 老年人自杀意念患病率与个体·区域因素的关系
Q3 Nursing Pub Date : 2020-12-01 DOI: 10.12799/JKACHN.2020.31.S.577
Y. Chin, Chunmi Kim, I. Park, Song-Yi Han
Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.
目的:本研究的目的是了解老年人的自杀意念率,包括个体因素和地区因素。方法:采用2017年社区卫生调查数据与国家统计局电子指标数据集相结合的二次分析研究,并进行描述性相关性研究。统计学分析采用SAS 9.4分层逻辑回归。结果:11.5%的老年人在最近一年内有过自杀意念,以忠南地区最高,为18.4%。个体特征为女性、年龄较大、受教育程度较低、无工作或家庭主妇、无配偶、平均每天睡眠时间少于7小时、主观健康状况较低、主观压力较大,且经济状况越差,自杀意念越多。考虑到地区特征,自杀意念有显著增加的趋势,每千人医院床位数和肥胖率越低,压力感知率越高,比值值越小。考虑个体因素和区域因素后,自杀意念的模型符合性有所提高(ICC=0.0814)。结论:要降低老年人自杀率,应从社区自杀意念阶段入手,综合考虑个人因素和社区因素。
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引用次数: 2
Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea 不规范工作对工人健康有害吗?关注韩国的特殊就业
Q3 Nursing Pub Date : 2020-12-01 DOI: 10.12799/JKACHN.2020.31.S.525
Bohyun Park, E. Tarlov, C. Park
Purpose: Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes. Methods: In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified. Results: The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group. Conclusion: Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.
目的:特殊雇佣关系中的工人是指处于非标准雇佣安排中的工人,他们缺乏标准雇佣安排中的工人保护。本研究的目的是描述自评健康(SRH)和抑郁症状(DS)的韩国WSERs与常规工资工人(RWW)的比较,并确定工作条件和这些结果之间的关联。方法:本研究采用第五次韩国劳动条件调查的二手资料分析。样本总数为29,120,包括1538名wws和27,564名RWWs。社会人口学特征和工作相关特征作为解释变量,SRH和DS作为因变量。使用多元逻辑回归,确定了公平/差的SRH和DS的决定因素。结果:wser中一般/较差的SRH和DS患病率分别为25.2%和28.3%,RWWs中分别为20.7%和25.0%。与对照组相比,对照组发生SRH和DS的几率分别高31% (aOR=1.31, 95% CI=1.14~1.49)和20% (aOR=1.20, 95% CI=1.06~1.36)。一些因素,如缺乏休息保障和生病出勤,对WSER组的影响比RWW组更大。结论:与女工相比,女工报告的工作条件较差,更有可能报告的一般健康和心理健康状况较差。因此,在韩国,公共卫生政策制定者应考虑采取措施,保护女工的工作条件和健康,这是工作人口中不断增长的一部分。这项研究为就业安排与健康之间的关系提供了新的流行病学证据。
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引用次数: 1
期刊
Journal of Korean Academy of Community Health Nursing
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