Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model

Purpose@#This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden’s Self-Help Model. @*Methods@#The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents’ Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program. @*Results@#The fit indices of the predictive model satisfied recommended levels; χ2 = 165.79 (p < .001), normed χ2 (χ2 /df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%. @*Conclusion@#The study results confirm the utility of Braden’s Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers’ distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

The Effects of a Father's Occupational Stress and Rearing Attitude on Rearing Participation / 한국간호교육학회지

PURPOSE: This study investigated the effects of father's occupational stress and rearing attitude on rearing participation. METHODS: The participants of this study were 201 fathers who are raising children in J region. The data were collected by self-report using questionnaires from August to September, 2015. The data were analyzed using descriptive statistics. t-test, ANOVA, and Pearson correlation coefficient, Scheffe test, and stepwise multiple linear regression with the SPSS/WIN 21.0 program. RESULTS: The total mean scores of occupational stress on the subjects were 40.98(±8.36), rearing attitude were 68.54(±7.18), rearing participation were 73.16(±11.34). The study showed that occupational stress is negatively correlated with rearing participation and rearing attitude positively correlated with rearing participation. Working style and rearing attitude were identified of rearing participation. CONCLUSION: A father's rearing participation level was influenced by father's attitude of caring children above all. In addition, fathers' working styles were also a main factor. Therefore, it is necessary for fathers to learn rearing attitudes in a way that can develop a nursing intervention program to increase their rearing participation level.

An anesthetic experience of a patient with paraneoplastic encephalitis: A case report

Paraneoplastic encephalitis associated with an ovarian teratoma has been related to the development of antibodies to specific heteromers of the N-methyl-D-aspartate receptor (NMDAR). The disorder, known as anti-NMDAR encephalitis, is characterized by psychiatric symptoms, seizures, mood and behavioral changes as well as involuntary movement. Since the NMDAR is the target of many anesthetic drugs, the presence of anti-NMDAR antibodies might influence the requirements of anesthetics or their effects. We report the presentation and anesthetic experience of a young patient with anti-NMDAR encephalitis undergoing surgical excision of two ovarian teratomas, and we also review the relevant literature.

Extrapyramidal side effects after metoclopramide administration in a post-anesthesia care unit: A case report / 대한마취과학회지

Although the incidence of extrapyramidal reactions associated with metoclopramide has been reported to be approximately 0.2%, such reactions are rare in the anesthetic field. Several anesthetic adjuvants, including ondansetron and pregabalin, have also been associated with extrapyramidal side effect. Here, the authors report the case of a 47-year-old patient, previously administered pregabalin and ondansetron, who developed extrapyramidal side effects after a single injection of metoclopramide (10 mg) in a post-anesthesia care unit.

A Survey for Computerized Health Information System at Occupational Health Care Centers / 대한의료정보학회지

In order to evaluate the status of health information management for occupational health care center, we surveyed the computerized health information system using questionnaires form July 15 to August 31 in 1997. Among the 105 centers, 53 centers answered. The results were as follows; 1. Twenty nine centers(54.7%) had computerized information system. Most of them have operated this system for 5 years ago, and the users were administrators, doctors, nurses, and hygienists. The most of twenty nine centers which had introduced the health information system developed the software programs by themselves(41.4%) or with computer companies(58.6%). The main reasons that the centers introduced the computerized health information system were to do financial work and manage the occupational data; including medical examination, environmental evaluation, and other statistics. The problems in operation of computerized information system were low capacity level of memory, non-transferability to other programs and high cost. They demanded the more advanced level of functional diversity, continuity, and accuracy in data management. 2. Sixty nine percent of the centers which had the computerized health information system and forty six percent of the centers which had not it had plans to extend or introduce the system. They presumed that they would spend the 10-50 million Won to do that. 3. Necessary were the advanced computer program which included the comprehensive occupational health service, transferability to other programs, linkage with other occupational health care centers, worksites and government information system.

Job Performance of Occupational Health Personnel / 대한산업의학회지

No abstract available.

Development of Occupation Health Information System based on the Internet / 대한의료정보학회지

Recently the changes in medical informatics enabled us to use medical information whenever we want and wherever we are. However, there are few information supporting systems on the web in occupational health field. So we have tried to make an occupational health information system (OHIS) based on the Internet and to provide occupational information to occupational health personnel. There were two steps for developing OHIS. First, we analyzed user's needs and existing information systems and then developed contents of our OHIS. Second, we constructed web server under the environment of Windows user, using operating system of windows NT 4.0 and web browsers of Netscape Navigator. Many users in worksites wanted information through the Internet. The contents of OHS which they wanted were information related to health education of workers, health counselling, news, and so on. The contents of OHIS which we forwarded were occupational health service, information about organization of occupational health, book references and journals, link-sites related to occupational health. In the future, this Interned-based OHIS will be an useful site offering a lot of information to occupational health personnel.