Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study / 보건행정학회지

Background@#The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. @*Methods@#Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. @*Results@#The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was ‘failure to obtain check-ups.’ Causal conditions were observed as a ‘lack of communication method,’ ‘physical difficulties,’ and ‘staff unfamiliar with people with disability,’ Interventional conditions comprised ‘physical accessibility,’ ‘staffs’ competency,’ and ‘assistant manpower.’ The active strategy was included ‘to investigate the professional medical institution,’ ‘to find the medical institution of convenient traffic accessibility,’ ‘to overcome communication difficulties through equipment,’ and ‘to overcome linguistic barriers through sufficient communication.’ Whereas, ‘utilization of ancillary equipment,’ ‘the education of staffs on people with disability,’ ‘universal design manual,’ and ‘customized check-ups’ were included in the passive strategy. Such processes arose in the contextual conditions of ‘lack of expectations for daily lives’ and ‘lack of government support.’ As a consequence, the subjects participated experienced the ‘disadvantages,’ ‘discrimination,’ and ‘reduced reliability of the health check-ups.’ @*Conclusion@#The subjects who participated in this study emphasized ‘staffs familiar with people with disability’ and ‘systems customized for people with disability’ are mandatory to secure complete health check-ups for people with disability.

The Experience of Chemotherapy-induced Peripheral Neuropathy in People with Cancer

PURPOSE: The purpose of this study was to explore the experiences of adult cancer patients living with chemotherapy induced peripheral neuropathy (CIPN). METHODS: Data were collected from January 2018 to April 2018 through in-depth interviews with nine patients of colorectal and breast cancer. The main question was, ‘What is your experience living with CIPN such as tingling and/or numbness?’. The data were analyzed using Colaizzi's phenomenological method. RESULTS: Three theme clusters and six themes emerged: (1) unusual body change; ‘experience of unusual distressing symptoms’, ‘daily activities and functioning affected’, (2) CIPN: a less important risk; ‘CIPN: a distressing and have to endure’, ‘lack of concern and therapeutic communication’, (3) struggle for distressing CIPN through trial and error; ‘try all the remedies that can do’, ‘getting used to distressing CIPN’. CONCLUSION: These results showed that patients did not consider CIPN important until symptoms affected daily activities and QOL. They then tried self-management strategies to deal with CIPN through trial and error. A two-way exchange of information between patients and health professionals could help patients understand CIPN and deal with symptoms if they occur.

Gender Differences in Factors Associated with Secondhand Smoke Exposure among Cancer Patients

BACKGROUND: There is little evidence on the prevalence of secondhand smoke (SHS) exposure among cancer patients. We aimed to investigate its prevalence, and to identify gender differences in factors associated with SHS exposure among cancer patients. METHODS: Participants were 304 patients who have been treated via either inpatient or outpatient clinics in the National Cancer Center. SHS exposure was defined as an individual's experience of SHS exposure during the past month. Gender-stratified analysis was performed by using a logistic regression analysis with potential covariates. RESULTS: SHS exposure was prevalent in 69.5% of the total participants, specifically in 57.1% of men and 62.7% of women; however, it did not differ significantly by gender. The prevalence of SHS exposure at home was significantly greater in women (20.7%) than in men (4.4%) (P=0.048). Among men, age < or =50 years (Adjusted odds ratio [OR]=3.11; confidence interval [CI]=1.05-9.24), employed status (Adjusted OR=3.15; CI=1.38-7.19), and having family smokers (Adjusted OR=0.32; CI=0.12-0.82) were significantly associated with SHS exposure. Among women, employment status (Adjusted OR=2.67; CI=1.40-5.10), good self-rated health (Adjusted OR=2.35; CI=1.20-4.61), and having family smokers (Adjusted OR=2.03; CI=1.05-3.91) were significantly associated with SHS exposure. CONCLUSIONS: Cancer patients were exposed to SHS by 69.5% during the past month. Among cancer patients, factors associated with SHS exposure differed by gender. Therefore, gender-specific strategies for preventing SHS exposure are needed for cancer patients.

Experiences of Family Caregivers of Patients with Terminal Cancer

PURPOSE: This study done to identify the experiences of families caring for patients with terminal cancer. The question was, "What is the caregiving experience of a family who has a member with terminal cancer?" METHODS: Grounded Theory was applied and in-depth interviews were done with 11 family members. Interviews were recorded with the interviewees' consent and were transcribed and analyzed. Participants' relationships to patients were 6 spouses, 4 daughters, and 1 mother. The ages of the participants were between 32 and 62, with an average of 47.5. RESULTS: The study showed "enduring with bonds" as the main category and the main factor affecting this category was the "patients' diagnosis of terminal cancer." The caregiving experience was divided into four stages: shock, confusion, struggle, and acceptance. Mediating factors were relationship with the patient, intimacy with the patient, social support, communication, and trust. Conclusively, participants underwent internal maturity, and changes occurred in family and social and personal life. CONCLUSION: The families took care of the patients with responsibility and love. The study results should help with the understanding of a family with a member with terminal cancer and should be used to develop nursing, mediating, and consulting programs for these caregivers.

Association between Psychosocial Work Environments and Problem Drinking: Age Differences in Korean Male Workers / 산업간호학회지

PURPOSE: This study firstly examined the pattern and prevalence of drinking. Secondly, we investigated the association between various psychosocial work environment and problem drinking among Korean male workers in different age groups. METHODS: The study sample was a weighted population of 3,289 (3,289 survey samples) men aged 20 to 64 years who responded to the 2006 Korean Working Condition Survey. Social support from colleague and supervisor, work autonomy, psychological wellbeing at work, and intellectual and emotional work demand were assessed. RESULTS: After considering sociodemographic factors, smoking, occupational characteristics and other psychosocial work environment factors, problem drinking was associated with "intellectual work demand" for the 20~34 year old group. Social support from colleague and supervisor was significantly associated with problem drinking in the 35~49 year old group. For the 50~64 year old group, problem drinking was associated with 'work autonomy'. CONCLUSION: The present study clarified that certain psychosocial work environmental factors relate to problem drinking, and the association varies among different age groups.

Effects of Chromosomal Polyploidy on Survival of Colon Cancer Cells / 대한소화기학회지

BACKGROUND/AIMS: Tetraploid cells are frequently observed in the inflamed mucosal epithelial cells of the patients with Barrett's esophagus or chronic ulcerative colitis. Polyploidy often occurs during cell fusion, abortive cell cycle, and endoreplication. Most tetraploid cells are engaged to apoptotic pathway, but some remaining stable tetraploid cells consequently cause aneuploidization and chromosomal instability. We investigated whether tetraploid cells could acquire survival advantage and hold a dominant position for natural selection. METHODS: We established tetraploid cell line (HCT116GH) from parental diploid colorectal cancer cell line (HCT116) via PEG-mediated cell fusion and compared its cell viability, cell cycle response and apoptotic fractions responded to H2O2 with diploid HCT116 and p53 suppressed HCT116/H6 cell lines. RESULTS: Using MTT assay, plating efficiency and clonogenicity, we evaluated the survival of each cell line. Tetraploid cell line HCT116GH demonstrated an 83 fold greater resistance to 100 microM H2O2 than the parental diploid HCT116, and 6 fold greater than even the p53 negative diploid HCT116/E6. Cellular sensitivity, G2/M arrests, and apoptotic proportion were observed less in response to H2O2 in HCT116GH compared with HCT116 and HCT116/E6. HCT116GH expressed lower level of p53 and p21 than diploid HCT116. CONCLUSIONS: Stable tetraploid cell lines showed enhanced viability in comparison to parental diploid cell lines. The enhanced viability observed in tetraploidization surpassed that from downregulation of p53. Frequent appearance of tetraploid cells in stressful condition can be caused by natural selection owing to their enhanced viability and may consequently contribute to cancer cell transformation.

The Influence of Workplace Violence on Work-related Anxiety and Depression Experience among Korean Employees

PURPOSE: Work-related anxiety and depression are frequent work-related mental health problems. In this study the relationship between workplace violence and work-related anxiety and/or depression among Korean employees was evaluated. METHODS: Data were obtained from the Korean Working Condition Survey of 2006. Participants were 9,094 Korean workers aged 15-64 yr. Multiple logistic regression using SAS version 9.1 was used. RESULTS: The incidence of work-related anxiety, work-related depression and workplace violence were 4.5%, 3.5%, and 1.8% respectively. When personal and occupational risk factors were adjusted, workplace violence was significantly associated with work-related anxiety and depression (OR for anxiety: 4.07, CI: 2.62-6.34; OR for depression: 4.60, CI: 2.92-7.25). Work-related anxiety was significantly related to type of employment, working period at present workplace, work time, shift work, job demand, and social support from superiors. Factors influencing work-related depression were gender, education, alcohol consumption, company size, type of employment, working period at present workplace, work time, shift work, and job demand. CONCLUSION: To promote psychological health in workers there is a need to develop work-related anxiety and depression prevention programs and to decrease in workplace violence. In developing these programs, consideration should be given to personal factors, working conditions, and psychosocial working environments.

Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers

PURPOSE: The study evaluated the determinants of caregiving self-efficacy among dementia caregivers. METHODS: Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving self-efficacy. RESULTS: Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer. CONCLUSION: To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.

Work-related Stress and Risk Factors among Korean Employees

PURPOSE: Work-related stress and risk factors among Korean employees were identified in this study. METHODS: Data were obtained from employees aged 20 to 64 using the Korean Working Conditions Survey 2006 (KWCS). Multiple logistic regression analysis using SAS version 9.1 was performed to examine risk factors of work-related stress by gender. RESULTS: The age-adjusted prevalence of work-related stress among male and female employees was 18.4% and 15.1% respectively. After adjustments for multiple variables among both male and female employees, there was a significant relationship between work-related stress and risk factors including education, company size, work time, ergonomic risks, biological.chemical risks, and job demands. The significant variables for male employees were housework load, occupational class, and shift work, and for female employees, type of employment. CONCLUSION: There is a need to develop and support intensive stress management programs nationally giving consideration to work-related stress associated with working time, physical working environment, and job demands. Based on gender specific approaches, for male employes, stress management programs should be developed with consideration being given to occupational class and shift work. For stress management programs for female employees, consideration needs to be given to permanent employment status, specifically those in small companies.

Occupational Stress and Related Factors among Aged Security Guards / 산업간호학회지

PURPOSE: Occupational stress is a determinant risk factor for cardiovascular disease and work disability. This study aims to describe occupational stress and identify its related factors among aged security guards. METHODS: A random sample of 76 aged security guards were interviewed by three research assistants. The criteria of the subjects were as follows : 50 or older male with 40 or more working hours a week working with colleagues ranged from 3 to 50. The data were collected in September, 2007 and analyzed by multiple regression using SAS Version 9.1. RESULTS: The mean score of occupational stress among aged security guards was 47.2. The mean scores of its sub-scales were 31.3(physical environment), 33.8(occupational demand), 80.8occupational control), 44.6(interpersonal conflict), 51.3 (occupational insecurity), 53.6(occupational system), 57.5(lack of reward), and 30.3(work environment). The scores of occupational control, interpersonal conflict, and occupational insecurity were higher than the scores of Korean average occupational stress sub-scales. Significant variables affecting occupational stress and its sub-scales were work place, work type, and employment type. CONCLUSION: In order to reduce occupational stress among security guards, sufficient occupational control and interpersonal conflict control, appropriate reward, and employment stability should be considered. Also long working hours and work shift should be improved.

Occupational Stress and Related Factors among Aged Security Guards / 산업간호학회지

PURPOSE: Occupational stress is a determinant risk factor for cardiovascular disease and work disability. This study aims to describe occupational stress and identify its related factors among aged security guards. METHODS: A random sample of 76 aged security guards were interviewed by three research assistants. The criteria of the subjects were as follows : 50 or older male with 40 or more working hours a week working with colleagues ranged from 3 to 50. The data were collected in September, 2007 and analyzed by multiple regression using SAS Version 9.1. RESULTS: The mean score of occupational stress among aged security guards was 47.2. The mean scores of its sub-scales were 31.3(physical environment), 33.8(occupational demand), 80.8occupational control), 44.6(interpersonal conflict), 51.3 (occupational insecurity), 53.6(occupational system), 57.5(lack of reward), and 30.3(work environment). The scores of occupational control, interpersonal conflict, and occupational insecurity were higher than the scores of Korean average occupational stress sub-scales. Significant variables affecting occupational stress and its sub-scales were work place, work type, and employment type. CONCLUSION: In order to reduce occupational stress among security guards, sufficient occupational control and interpersonal conflict control, appropriate reward, and employment stability should be considered. Also long working hours and work shift should be improved.

The Metabolic Syndrome and Associated Risk Factors Among Male Workers in an Electronics Manufacturing Company / 대한산업의학회지

OBJECTIVE: This study evaluated the determinants of the metabolic syndrome. METHODS: Data were collected through structured questionnaire survey and health examination from 201 male workers aged 30~51 years in an electronics manufacturing company during September 2004. The metabolic syndrome and abdominal obesity were assessed according to the NCEP-ATP III definition and the Asia-Pacific guidelines (waist circumference > 90 cm for men). Age adjusted odds ratios and 95% confidence intervals for the metabolic syndrome were computed using logistic regression. RESULTS: The unadjusted prevalence of the metabolic syndrome was 10.5% in male workers. Seventy three workers(35.4%) had 2 or more metabolic risk factors. The prevalence of the metabolic syndrome components was 48.3% for high triglyceride, 40.3% for abdominal obesity, 30.3% for high blood pressure, 8.0% for low HDL-cholesterol, and 2.5% for high blood sugar. The age adjusted odds ratio for the metabolic syndrome was significantly increased in the study population having physical inactivity (unit, 100 kcal/day; OR, 1.142; 95% CI, 1.014~1.286). CONCLUSION: Weight reduction and physical exercise may decrease the prevalence of the metabolic syndrome among male workers.

Prevalence of Salmonella Serovars Isolated from Domestic Residents and Overseas Travelers in Korea, 2004~2005

Salmonella is a communicable enteric pathogen commonly found in foodborne diseases. We showed the prevalence of S. enterica serovars from domestic residents and overseas travelers. In 2004-2005 years, Weltevreden, Anatum, and Tallahassee were predominant Salmonella serovars from overseas travelers, but Enteritidis, Typhimurium, and Typhi were major Salmonella serovars from domestic residents. In order to analyze the trends of prevalence and distribution of the serovars, Salmonella surveillance with an international study is essential for the disease control and prevention.

A Structural Model Development on the Cardiovascular Disease Risk Factors among Male Manufacturing Workers

No abstract available.

A Study on Role Conflict and Job Satisfaction of Neurosurgery Clinical Nurse Specialist / 성인간호학회지

PURPOSE: The purpose of this study was to describe role conflict and job satisfaction of Neurosurgery Clinical Nurse Specialist(NCNS) and to identify associated factors. METHOD: The target populations was 77 NCNSs from 30 general hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and ANOVA. RESULTS: The overall mean scores of role conflict and job satisfaction were 3.60(+/-0.54) and 3.04(+/-0.46) respectively. Significant variables affecting role conflict were the working period as NCNS, the number of colleague NCNSs in working hospital, and assignment of prescription rights. The significant variable affecting job satisfaction was assignment of prescription rights. There was no statistically significant correlation between job and role conflict. CONCLUSION: The variable effecting both role conflict and job satisfaction was the extent of prescription rights. In order to improve the quality of patient care and to protect Neurosurgery Nurse Clinical Specialist, the enactment of law on prescription practice is needed.

Content Analysis with Counseling Cancer Patients and Their Relatives in Outpatient Hospice Office / 재활간호학회지

PURPOSE: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. METHOD: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. RESULT: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain (28.4%), emotional distress (55.0%), and physical distress (49.5%). Caregivers of the patients were spouse (46.8%), sons and daughters (24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. CONCLUSION: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.

Effects of Recreational Therapy on Dementia Behavior, Affection, and Activity of Daily Living of Senile People with Dementia / 성인간호학회지

PURPOSE: The purposes of this study were to examine the effects of recreational therapy (60 minutes * 3times/week * 6weeks) on dementia behavior & affection, and activity of daily living of senile people with dementia. METHODS: The subjects were 27 senile people with dementia, 16 experimental group, 11 control group, admitted at K hospital in Chungnam province in quasi-experimental study. The recreational therapy program was developed, based on the recreational program for senile welfare made by athletics science research institute in Chungnam National University(1997). It consisted of rhythm game, ball play, and beanbag game. The data were collected through questionnaires from May 1st to June 10th 2003 and were analyzed using descriptive statistics, chi2-test, Fisher' exact test, and Man Whitney U test. RESULT: The dementia behavior and affection score was significantly different between the two groups (U=32.5, p=.005). The ADL score was significantly different between the two groups (U=12.0, p=.000). There were significant decrease in dementia behavior & affection, and improvement in ADL in the experimental group compared to the control group. CONCLUSION: Recreational therapy intervention was proved effect in decreasing dementia behavior & affection and promoting ADL of senile people with dementia. We recommended re-test in containing a communicating variable.

Relationship of Urinary Symptom, Urinary Discomfort and Quality of Life in Bladder Cancer and Benign Prostatic Hypertrophy of Male Patients / 재활간호학회지

PURPOSE: The purpose of this study was to identify relationship of urinary symptom, urinary discomfort and quality of life among the bladder cancer patients and benign prostate hypertrophy patients, and to contribute health promotion of such patients and nursing intervention development based on this results. METHOD: Study sample recruited bladder cancer patents(n=49) and benign prostate hypertrophy patients who admitted Seoul National University Hospital from June, 2002 to June, 2003. Both group patients were operated, and prostate hypertrophy patients group (mean 67.8 years old) were older than bladder cancer patients group(60.82 years old). Instruments was composed of general characteristics, urinary symptom scale(19 items), urinary discomfort scale(19 items) and quality of life scale(21 items). Data was analysed SPSS PC + 10 using mean, standard deviation, pearson correlation coefficient. Result as follows: 1. There was a statistically significant difference in occupation between two groups (p=.027). Hypertrophy patients group's age was more older than bladder cancer patients group. 2. The prostate hypertrophy patients group had the significantly higher score in urinary symptom (p=000) and nighttime urination frequency. However, there was no significant difference in incontinence symptoms and the symptoms associated bladder cancer between two groups. 3. The prostate hypertrophy patients group had significantly higher score in urinary discomfort (p=000) than the bladder cancer patients group. However, there was no significant difference incontinence discomfort and the discomfort associated bladder cancer between two groups. 4. The prostate hypertrophy patients group suffered more urinary discomfort than the bladder cancer patients group did. The quality of life the prostate hypertrophy patients group was lower than the quality of life the bladder cancer patients group. Quality of life was no statistically significant difference between two groups (p=000). 5. There was a positive correlation between urinary symptoms and urinary discomfort. However, there was a negative correlation between the quality of life and urination symptoms and discomfort. Conclusions: The prostate hypertrophy patients group had significantly higher score in urinary symptom and urinary discomfort (p=000) than the bladder cancer patients group. The quality of life the prostate hypertrophy patients group was lower than the quality of life the bladder cancer patients group. This means that urinary symptom and urinary discomfort in prostate hypertrophy patient group is more important problem. So, prostate hypertrophy patient group need to control the symptom. Therefore, nurses will be provide the intervention program to improve the bladder function after prostate hypertrophy surgery.

Effects of Koryo-Sooji-Chim on Menstrual Pain & Menstrual Symptoms of Female University Students with Dysmenorrhea / 성인간호학회지

PURPOSE: The Purposes of this study were to examine the effects of Koryo-Sooji-Chim (30minutes * 2times/week * 2weeks) on menstrual pain and menstrual symptoms of female university students with dysmenorrhea. METHOD: The subjects were 22 female students with dysmenorrhea, 12 experimental group, 10 control group, studying at K university in Chungnam province. The data were collected through questionnaires from September 1st to November 30th 2003 were analyzed using descriptive statistics, X2-test, Fisher's exact test and Mann-Whitney test. RESULT: 1. The menstrual pain scores were significantly different between the two groups(U=16.0, p=.001). 2. The menstrual symptom scores were significantly different between the two groups(U=28.5, p=.038). CONCLUSION: These findings showed that Koryo-Sooji-Chim was effective related to menstrual pain and menstrual symptoms of female university students with dysmenorrhea. Koryo-Sooji-Chim during dysmenorrhea could be applied as an effective nursing intervention.

Factors Influencing Alcohol Consuming behavior of the Female University Students / 아동간호학회지

PURPOSE: The purpose was to investigate the factors influencing alcohol consuming behavior of the female university students to provide the basic data for a nursing intervention program to improve health and prohibit of alcohol consuming behavior. METHOD: The subjects were 134 female university students, studying at K university and K educational university in Chungnam province from April 1 to 20, 2002. The instruments were the alcohol consuming behavior scale, that is drinking intensity score, and alcohol problem developed by Shin(1998), refusal self-efficacy scale by Aas et. al.(1995), alcohol expectancy by Goldman at. al.(1989), TPQ scale by Cloninger(1991), depression scale modified by Shin(1977) using Zung(1965)' tool, family cohesion scale by Olson at. al.(1983). The data were analyzed using descriptive statistics, Pearson correlation coefficient, canonical correlation and stepwise multiple regression. RESULT: The most powerful predictor of alcohol consuming behavior was influence of friends-drinking(21.0%). A combination of economic status(8.0%), and personality of novelty seeking(3.0%), accounted for 32.0% of the variance in alcohol consuming behavior. CONCLUSION: I recommended that economic status, influence of friends drinking frequently, and personality of novelty seeking were contained of the developing nursing intervention program for decreasing the alcohol consuming behavior in female university students.