Effects of Aroma Hand Massage On Sleep, Depression and Quality of Life in the Institutionalized Elderly Women / 여성건강간호학회지

PURPOSE: The purpose of this study was to examine the effects of aroma hand massage on Sleep, depression and quality of life in the institutionalized elderly women. METHODS: This study was a nonequivalent control group pretest-posttest design. The data was collected from June 23 to August 10 of 2009. Fifty - Six elderly women were divided into two groups, 27 institutionalized elderly women for the experimental group and 29 institutionalized elderly women for the control group. As for experimental treatment, the experimental group went through aroma hand massage with blended oil-a mixture of Lavender, Bergamot, Chamomile Roman in the ratio of 1 : 1 : 1, which was diluted 2.0% with jojoba carrier oil 20 mL-on each hand for 5 minutes, three times a week during two weeks. Control group went non-treatment. RESULTS: The aroma hand massage experimental group showed more significant differences in the charge of sleep score (t=3.83, p=.00) and depression (t=-3.54, p=.00). CONCLUSION: Aroma hand massage had a positive effect on sleep and depression in Institutionalized elderly women.

A Study on Aging Anxiety, Depression, and Self-esteem of Middle-aged People / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the relationship among aging anxiety, depression, and self-esteem of middle-aged people. METHOD: The study was designed as a descriptive correlation study. Data were collected using a structured questionnaire which included general characteristics, and measures of aging anxiety, depression, and self-esteem. Data collection was done between March 15 and June 10. 2006 with 184 middle-aged participants. RESULTS: The average score of the participants for aging anxiety was 48.38, for depression 16.49, and for self-esteem 29.08. There were positive correlations between aging anxiety and depression, aging anxiety and self-esteem. There was a negative correlation between depression and self-esteem. The correlations were statistically significant. CONCLUSION: Therefore, nursing program should be developed to improve the mental health and increase the qualitative life of middle-aged people.

A Study on Attitude Patterns of Elderly toward Dying / 성인간호학회지

PURPOSE: This study was performed to identify and understand the nature of attitude patterns regarding dying process exhibited in the elderly persons who lived in the community setting. METHOD: Q methodology was applied. Ten elderly were selected from the senior centers and requested to answer open ended questions by using written questionnaires. Additionally, 12 other elderly from different senior centers were interviewed in depth, and their statements were recorded via voice pen by researchers to derive Q-population. From the 120 Q-population, 33 Q-sample were selected. 22 P-sample were rated by 1 to 9 point scale respectively for Q-sorting. For Q-type analysis, pc QUNAL was used. RESULT: Three types of attitude patterns were identified, which were valuing dignity, seeking provision of nature, and avoiding of dying process. CONCLUSION: The significance of this study is as follows : Discovery of 3 attitude patterns of elderly toward dying, better understanding about elderly's perspectives for favorable dying, and informations for possible development of nursing strategies for elderly who is facing death.

Review on Advance Directives / 간호학회지

Rapid progress in modern medical technology has made it possible to sustain life and/or delay death using 'heroic' treatments. The availability of life-sustaining treatment brings several issues in end-of-life care such as 'dying with dignity' and an radical increase in health care costs. The use of Advance Directives(AD) have been widely heralded by health care providers, gerontologists, and advocacy groups as means of protecting patients' right to accept or refuse life-sustaining treatment in end-of-life care. The use of AD can not only improve patients' autonomy and quality of life but also bring efficiency in distributing health care resources. The proportion of older persons in Korean population has been increasing. Those 65 years of age or over were about 7 percent of the population. Death and dying is not limited to older persons, but it is more prevalent among them. In conjunction with an aging population and the increasing prevalence of death, the issues of death and dying will become crucial in near future in terms of 'dying with dignity', 'autonomy', and 'self-control'. This paper attempts to explode and establish the concept of advance directives (AD) based on literature review. Data sources are computer searches with the MEDLINE database. Due to the lack of prior study on AD for a Korean cases, studies abroad are reviewed. This paper suggests the need for future study on the possibility of the use of AD in Korea.

A Case of Pure Red Cell Aplasia Associated with Sinus Histiocytosis with Multiple Lymphadenopathy / 대한혈액학회지

Pure red cell aplasia (PRCA) is characterized by severe anemia with reticulocytopenia and absence of erythroblast from the bone marrow. Sinus histiocytosis with massive lymphadenopathy (SHML : Rosai-Dorfman disease) is rare systemic disease characterized by painless cervical, axillary, inguinal and mediastinal lymphadenopathy and frequent extranodal invasion. Histologically, lymph node sinuses are expanded by numerous distinctive histiocytes which contains well preserved lymphocytes. We report a case of sinus histiocytosis with massive lymphadenopathy in inguinal lymph node biopsy with polyclonal gammopathy and pure red cell aplasia in bone marrow biopsy who was infected by Epstein-Barr virus.

The Lived Experience of Self- Transcendence of Elders / 성인간호학회지

This Qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in an self-transcendence experience. The ultimate aim of the inquiry was to discover the essence of self-transcendence experience and to promote understanding. The study used van Manen's Methodology of phenmonological research. Multiple strategies for data collecting were utilized: in depth face-to-face interview and analysis of elders' literature. The following themes of experience emerged: Accepting becoming older as a natural phenomenon, transferring to one's own sons' and daughters' oriented life. Maintaining harmonious relationship with neighbors and peer, observing real situations with silence, forming internal integrity with perseverance, compromising own's real situation, actualizing one's death, giving up roots of life, depending on God and conforming to human limitation. From this study essential themes for understanding self-transcendence experience and needs for continuing inquiry were identified.

A Study on the Patterns of Alternative Therapy Experienced by the Aged / 간호학회지

This study looks at the various alternative therapy methods used in day to day life by elderly, over 60 years of age. The elderly have come to know and practice these methods for the following reasons : it is good for the health ; it is the method used in the olden days when there wesn't modern medicine ; it has been passed down from generations ; it can be done at home without having the need to go to the hospital ; acupuncture or poulticing can be used ; it can be done at home, which was an important factor in rural areas where hospitals are few and far between ; and [herbal] medicine could be prepared at home at no cast ; it derives from experience ; it is impossible to ignore tradition passed down through the generations. Diet control and plants(herbs) are methods most often used, as they are easy to find and can be readily used in critical situations. Other methods include oriental medicine practices of moxibustion with moxa cone, negative therapy, hand and finger acupunture, finger press method, ordinary acupunture, finger press method, ordinary acupunture, manual healing methods of massage, diaphoretic therapy and meditation to reach a state of calm, and qigong dirigation. The reasons for its use are as follows : it has been used before ; it is effective ; there is some improvement after the treatment ; it is not harmful to the body ; medicine cannot be obtained and it is the only thing available ; it is not good for an old person to go to the hospital everyday, the symptoms are not serious enough to go to a hospital ; and acupuncture is for these things. The means that the elderly have come to practice these methods are ; it has been used since the past ; it has been told by the elders ; they have been told by friends ; it was part of their knowledge ; and they have come to know by watching their mother. Further, to regain vitality lost through old age, the elderly have relied on hot soup, a hearty meal, brewed honey water, pumpkin, or ginseng. Humans, by instinct, would rub or massage the areas that caused pain. These actions, combined with a breathing technique have been recognized in Tong-Eui-Bo-Gam(the essential of eastern medicine), the complete work of early modern medicine, are a useful means to revive chi. This knowledge is thought to have greatly affected our healthy lifestyle. Furthermore, though the demand for medical services would increase with age, the elderly have not always been able to tend to their needs at the hospital for reasons economic or other. Hence, these alternative therapy methods seem to have been practiced as a temporary means of relief. The excellence of our traditional therapeutic custom has not received full recognition due to the argument relating to its scientific merits. As a result, it has become vital to prove their effectiveness through scientific and other experimental means. The potency of moxibustion with moxa cone and hand and finger acupunture have been proven scientifically, but diet and herbal methods appear to be practiced as a result of customs passed down from generations. In addition, it is submitted that the effectiveness of the traditional methods of disease control and our heathy lifestyle that are easily found in the nursing field must be verified.

A Study on the Powerlessness, Self-Esteem, and Family Support of Elderly Home Residents / 성인간호학회지

This study was designed and undertaken to find out the degree of powerlessness, self-esteem and family support of elderly home residents and to determine the relationship between powerlessness, self-esteem and family support. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E.Chung(1998), the other for measuring self-esteem, was a self-esteem scale developed by Rosenberg, and the tool for measuring family support was developed by Choi(1983), Cobb(1976) and Kang(1984). Data were analysed for percentage, mean, t-test, ANOVA and Peason-correlation coefficients using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, self-esteem and family support was scored avove the median. 2. The relationship between powerlessness and self-esteem revealed a no significant inverse correlation, but powerlessness and family support, showed a significant inverse correlation, and self-esteem and family support, registered a very statistically significant correlation. 3. The general characteristics showing the differences of the elderly' powerlessness were sex, one' s health of state compared to other elderly' and living expense load. These yielded statistically very significant results. 4. The general characteristics showing the differences of the elderly' self-esteem were sex, state of ownership of a house, age, religion, one's health of state compared to other elderly'. Among these, sex and state of ownership of a house revealed statistically very significant differences, also age, religion and one's health of state produced statistically significant differences. 5. The general characteristics showing the differences of the elderly' family support were sex, state of ownership of a house, having some diagnosed diseases or not and one's health of state compared to other elderly' health. These also showed statistically significant differences. In conclusion, the factors influencing the elderly' powerlessness, self-esteem and family support generally were age, sex, their economic independence and health of state(which included especially having a diagnosed disease). Also, the family support was needed to reduce their powerlessness and to have their self-esteem highly.

Efficacy of Haloperidol and Clonidine Combination in the Treatment of Chronic Schizophrenia / 대한정신약물학회지

OBJECTIVE: This study was designed to investigate the efficacy in the combination of haloperidol and clonidine with chronic schizophrenia. Moreover, we evaluated the effects of clonidine to the plasma haolperidol and reduced haloperidol concentration 36 patiens were entered on 4 weeks by the double blind trial. METHOD: The patients (male=11, female=25) were randomly divided into two groups of eighteen patients each. Their antipsychotic medication was fixed for 2 weeks before double blind trial with haloperidol and clonidine or placebo. Clonidine was started at 0.15 mg/day and then raised 0.6mg/day during 4 days, and the placebo was applied by same method as clonidine. The clinical assessment of the patients was assessed with BPRS and NOSIE. The plasma concentrations of haloperidol and reduced haloperidol were measured by HPLC (UV detector). RESULTS: 1) There were no statistical differences in sex distribution, age, duration of illness, dosages of haloperidol, plasma concentration of haloperidol and reduced haloperidol of each groups before clonidine or placebo trial. 2) On total and subcluster scores of BPRS and total score of NOSIE, there were decreased tendencies over the time, but there was no statistical significance in both groups. 3) Plasma concentrations of haloperidol and reduced haloperidol after 4 weeks of clonidine trial were revealed statistically significant increasement as compared to baseline. CONCLUSION: The combination of haloperidol and clonidine for 4 weeks did not reveal the improvement. In our opinions the reasons of those results were that our samples were not made of paranoid type of schizophrenia, the duration of clonidine trial was not good enough. So we should suggest that more specifying design will be needed.

The lived experience of aging in the Korean elders / 성인간호학회지

This Qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in an aging experience. The ultimate aim of the inquiry was to discover the essence of aging experience and to promote understanding. The study used Van Manen's methodology of phenomenological research. Multiple strategies for data collecting were utilized : in depth face-to-face interview & analysis of elder's literature. The following themes of experience emerged : changing of physical shape, being expelled out in the field of life, reformationing of family relationship, rhythmical patterning of life & death, developing of reflective self-consciousness, awareness of self-expansion creatively. From this study essential themes for understanding aging experience, need for continuing inquiry were identified.