1.“Quality of Life”: Lived experience of older adults in nursing homes
Anabella Garcia-Javier ; Irene Dayap-Latosa
Philippine Journal of Nursing 2015;85(2):22-33
Family is the basic unit of our society where in, there is a trade of different emotions such as love, happiness, even ideas and experiences. A home where families dwell and lived together harmoniously with children, parents and older adults is an important shelter that gives everyone a sense of security most especially to our elders. Living away from your own family is considered complex. This is a common scenario for older adults facing life away from their real home and lives inside a nursing home.
This study aims to describe and understand the lived experiences of older adults living in nursing homes - who they are, their characters, feelings, beliefs and principles in life.
Nine (9) older adult participants were purposively selected from two different nursing homes in Metro Manila in this phenomenological inquiry. Semi-structure interview guide was used in gathering narrative testimonies of the participants. Face to face interview was conducted, fields notes, transcribed verbatim, and then data of testimonies were analyzed using phenomenological approach. Themes were identified based on participant's narrative accounts. Identified themes were as follows: enhancing and deepening of spiritual wellness; acknowledging and easing the feeling of loneliness; gaining joy from children's support; maintaining optimum wellness; finding security and self fulfillment.
Human ; Male ; Female ; Aged ; Loneliness ; Happiness ; Love ; Emotions ; Nursing Homes ; Personal Satisfaction ; Comprehension ; Parents
2.Effect of personality, power, and emotion on developing the 2017-2022 Philippine health research agenda: A case study.
Alejandra M. LIBUNAO ; Reneepearl Kim P. SALES ; Jaifred Christian F. LOPEZ ; Ma. Rowena H. ALCIDO ; Lester Sam A. GEROY ; Joseph V. ORAÑ ; O ; Rafael Deo F. ESTANISLAO
Acta Medica Philippina 2019;53(3):229-237
BACKGROUND: Social dynamics, specifically personalities, power dynamics, and emotions, have been shown to influence the methods, outputs, and quality of multi-stakeholder processes, especially the development of a national health research agenda.
OBJECTIVE AND METHODS: Using a case analysis approach utilizing related conceptual frameworks, the paper determined how personalities, power dynamics, and emotions affected the research priority-setting exercise, identified lessons learned, and recommended how to effectively manage these social dynamics in consultations. Data gathering methods were participant observation and process documentation, results of which were codified and analyzed.
RESULTS: Dominant personalities, stakeholders with power, and stakeholders that openly expressed dissatisfaction were most likely to attempt to change the methods and final outputs of the consultation, with varying level of success. Other dominant personalities used their power constructively for a smooth flow of generating and agreeing on ideas.
CONCLUSION: In this case, social dynamics was shown to heavily influence the decision-making process, thus underlining its importance in organizing multisectoral representation. Effectively managing social dynamics may thus have to consider building trust and respect between participants, mediating discussions, reaching a mutually beneficial solution, and establishing and implementing mutually agreed house rules. The significant role of facilitators in developing a climate for truly inclusive participation must also be recognized.
Power (psychology) ; Expressed Emotion ; Consensus ; Personality ; Emotions
3.The Lived Experience of Suffering of Family with Cancer Patients: Parse's Human Becoming Research Method.
Korean Journal of Hospice and Palliative Care 2016;19(2):127-135
PURPOSE: The purpose of this study was to discover the structure of the lived experience of suffering of families with cancer patients to develop a theoretical foundation that can be used to reinforce nursing practice for cancer patients and their families. METHODS: A qualitative study was performed using Parse's research method. Participants were four families with cancer patients. From February 2009 through April 2010, data were collected via dialogicalengagement between participants and the researcher and analyzed through the extraction-synthesis and heuristic interpretation processes. RESULTS: The structure was identified as follows. The families' lived experience of suffering was a process through which they experienced a psychological shock of cancer diagnosis and difficulties associated with reshuffled roles among family members, and made efforts to care for the patients. CONCLUSION: Amidst sadness, pain, anxiety, guilt, fear and agony, the families focused on the human-health-universe aspect and found meanings of their experiences as love, triumphant, responsibility and hope. As such, the study results suggest that the suffering of families with cancer patients is a human becoming process of positive transformation.
Anxiety
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Diagnosis
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Guilt
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Heuristics
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Hope
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Humans
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Humans*
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Love
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Methods*
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Nursing
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Qualitative Research
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Shock
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Stress, Psychological
4.Anger Expression Type and Mental Health in Middle Aged Women.
Journal of Korean Academy of Nursing 2009;39(4):602-612
PURPOSE: The purpose of this study was to identify type of anger expression and mental health in middle aged women. METHODS: From August to October 2005, survey data were collected by using the State Trait Anger Expression Inventory and Symptom Check List-90-Revision (SCL). Participants (1,442) were classified into four types of anger expression by K-mean cluster analysis. For collecting interview data for content analysis, 18 participants (4-5 participants from each type of anger expression) were recruited. The interview data were collected between March and September 2006. RESULTS: The average score of the state anger of middle-aged women was 11.95, and that of the trait anger was 18.75. The average anger expression scores were 12.72 for Anger-In, 13.45 for Anger-Out, and 18.51 for Anger-Control. The average SCL scores were 45.03 for somatization, 42.23 for obsessive-compulsiveness, 42.44 for interpersonal sensitivity, 42.45 for depression, 42.40 for anxiety, 42.62 for hostility, 44.44 for phobic anxiety, 43.65 for paranoid ideation, and 43.08 for psychoticism. The anger expression types identified in this study were 1) anger-out in secret, 2) anger-control with a patience, 3) anger-out with suppression, and 4) low anger expression type. The psychosomatic symptom scores were the highest in type III (anger-out with suppression), and the lowest in type IV (low anger expression type). CONCLUSION: This study can be helpful in assisting middle aged women to control their anger effectively and may contribute to the improvement of their mental health.
*Anger
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Anxiety
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Cluster Analysis
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Depression
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Expressed Emotion
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Female
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Hostility
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Humans
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Interviews as Topic
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*Mental Health
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Middle Aged
5.The impact of dialysis-requiring kidney disease on family quality of life: A descriptive study.
The Filipino Family Physician 2016;54(3):142-150
BACKGROUND: The alarming increase in prevalence of dialysis-requiring kidney disease is a major health concern in the country. With more patients undergoing dialysis, more families are also exposed to the stresses of caregiving. The aim of this study was to investigate the impact of dialysis-requiring kidney disease on the quality of life of the patient's family. Information on the magnitude and areas of impact is essential in developing strategies to support the family.
METHODS: Data were obtained from pre-tested, structured, close ended questionnaires completed by 60 family members of kidney disease patients on dialysis at Holy Child Hospital from October 16 to November 30, 2015. Analysis was carried out using the GNU PSPP software.
RESULTS: Most family members were female (77%), the spouse of the patient (34%) or the child (30%), and living with the patient (70%). Eighty-nine percent were directly involved in patient care; 55% held the role of the main caregiver. Ten key themes were investigated and the areas of negative impact by magnitude are: Emotional Impact (100%) citing worry, stress, and frustration; Financial Impact (100%) citing medical bills as the most burdensome; Family Relationships (82%) citing increased stress and tension; Sleep & Health (64%) citing sleep loss from having to wake to assist the patient; Daily Activities (63%) seeing caregiving as a burden; Social Life (58%) citing guilt feeling as a hindrance to socialization; Time Planning (57%) with the unpredictability of the patient's symptoms being the main cause of not being able to make plans; Holidays (48%) blaming appointments for not being able to go on vacation; Work & Study (43%) citing lack of focus; and Support & Medical Care (42%) citing lack of support from other family members. Positive effects were also identified with 90% reporting strengthened personal relationship with the family, 83% having more awareness of their diet, 80% having strengthened faith, and 77% noting a closer family as a result. Relationships between these themes were discussed.
CONCLUSION: As revealed, dialysis-requiring kidney disease has several negative impacts on the quality of life of involved families. If left neglected, the family, instead of being a resource in patient care, may become a barrier. Strategies to employ the positive effects as enablers in managing the areas of negative impact must be developed to provide appropriate support for the patient and the family unit.
Human ; Male ; Female ; Middle Aged ; Young Adult ; Kidney ; Dialysis ; Caregivers ; Emotions ; Family ; Family Relations ; Frustration ; Guilt ; Kidney Diseases ; Patient Care ; Prevalence ; Quality Of Life ; Renal Dialysis ; Socialization ; Spouses ; Surveys And Questionnaires
6.Affective computing--a mysterious tool to explore human emotions.
Xin LI ; Honghong LI ; Yi DOU ; Yongjie HOU ; Changwu LI
Journal of Biomedical Engineering 2013;30(6):1368-1372
Perception, affection and consciousness are basic psychological functions of human being. Affection is the subjective reflection of different kinds of objects. The foundation of human being's thinking is constituted by the three basic functions. Affective computing is an effective tool of revealing the affectiveness of human being in order to understand the world. Our research of affective computing focused on the relation, the generation and the influent factors among different affections. In this paper, the affective mechanism, the basic theory of affective computing, is studied, the method of acquiring and recognition of affective information is discussed, and the application of affective computing is summarized as well, in order to attract more researchers into this working area.
Affect
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Computing Methodologies
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Emotions
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Humans
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Mental Processes
7.Effects of expression ways and traits of anger emotion on autonomic nerve in the emotion recovery stage.
Xiang-Hong ZHAN ; Ming-Qi QIAO ; Hui-Yun ZHANG ; Sheng-Li LIU ; Xue YANG ; Wei-Wei XU
Chinese Journal of Integrated Traditional and Western Medicine 2013;33(6):774-777
OBJECTIVETo explore the effects of expression ways and traits of anger emotion on autonomic nerve in the emotion recovery stage.
METHODSThe 48 healthy undergraduate students were recruited as subjects, who were assigned to four groups, i.e., anger-out of high trait group, anger-in of high trait group, anger-out of low trait group, anger-in of low trait group, 12 in each group. The changes of autonomic nerve in emotion recovery stage [mainly including heart rate (HR), finger pulse volume (FPV), heart rate variability (HRV), and galvanic skin response (GSR)] were observed in an experimental paradigm processed dynamically by emotion induction (by watching movie clips) and emotion regulation (by phraseology chewing and regulating body reaction to anger).
RESULTSIn the emotion recovery stage all increased data of vegetative reactions decreased in the four groups. The decrease extent of HR, FPV, and GSR was lower in the anger-in groups than that in the anger-out groups (P < 0.05). The HRV showed a decreasing trend, but with no statistical significance (P > 0.05). The decrease extent of HR was lower in the low-anger groups than in the high-anger group (P < 0.05).
CONCLUSIONSBoth expression ways and traits of anger exerted influence on the autonomic nerve in the emotion recovery stage. The former influenced more broadly. The influence of anger-in on the autonomic nerve would be more sustainable.
Adult ; Anger ; Autonomic Pathways ; Emotions ; Female ; Humans ; Male ; Young Adult
8.Reliability and validity of the 6-item UCLA Loneliness Scale(ULS-6)for application in adults.
Journal of Southern Medical University 2023;43(6):900-905
OBJECTIVE:
To evaluate the psychometric properties and applicability of the 6-item University of California Los Angeles (UCLA) Loneliness Scale (ULS-6) in adults.
METHODS:
We conducted 2 surveys to assess the validity of different measurement scales and questionnaires. In Survey 1, a total of 1480 adults were measured using the UCLA Loneliness Scale (ULS), Patient Health Questionnaire-9 (PHQ-9) and Perceived Social Support Scale (PSSS), and the data were used for item analysis and assessment of the reliability, validity and measurement invariance. In Survey 2, UCLA Loneliness Scale was used for measurement in 652 college students, and the data were used for analysis of the criterion validity of ULS-6; 3 weeks later, 300 of the students were retested using ULS-6 to assess the retest reliability of the scale.
RESULTS:
Item analysis suggested that the items in ULS-6 all had good discrimination power with discrimination indexes all above 0.775 (r=0.775-0.820, P < 0.001). Measuring only one dimension, ULS-6 had an internal consistency reliability of 0.891, a split-half reliability of 0.875, and a retest reliability of 0.726. The correlation coefficients of ULS-6 with ULS, ULS-8, PHQ-9 and PSSS were 0.882, 0.967, 0.528 and -0.532, respectively. The measurement invariances of ULS-6 across genders and age groups were all acceptable. Among the adult participants, the mean total score of ULS-6 was 12.97 ± 3.96; While only 20% of the adults had no loneliness, 80% of them exhibited varying degrees of loneliness, ranging from mild (39.6%) and moderate (25.7%) to intense (14.7%) feelings of loneliness.
CONCLUSION
The ULS-6 has good reliability, validity and applicability for measurement of loneliness in Chinese adults.
Adult
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Female
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Humans
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Male
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Asian People
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Emotions
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Reproducibility of Results
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Students
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Loneliness
9.Content Analysis on Caring Experiences of Mothers of Children with Burns.
Korean Journal of Women Health Nursing 2012;18(4):257-267
PURPOSE: This study was conducted to identify the caring experience of the mothers of childhood burn patients. METHODS: Data were collected from 28 mothers of childhood burn patients, through semi-structured in-depth interviews. Data were categorized and coded by using content analysis. RESULTS: 27 categories and 102 statements were drawn from 4 domains. The analyzed domains were psychological sufferings, confronted harsh reality, coping method, and future concerns. Psychological sufferings were categorized heartache, sense of guilt, confusion, regret, depression, sorriness, getting hurt, frustration and upset feeling. Confronted harsh nature were categorized economic difficulty, physical burn-out, lack of caring other children and family troubles. Coping method were categorized positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, changing patterns of the burned child rearing, collecting information for burn treatment, refusing accept the condition of burned child, avoiding personal and social relationship, and reliance on religion. Concerns were categorized concerns of growth and adaptation of the burned child, anxiety for scar, concerns of adapting school life and vague future concerns. CONCLUSION: The nursing interventions for early assessing psychological problems and providing social supports for caring both burn patients and other siblings should be provided to the mothers of childhood burn patients.
Adaptation, Psychological
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Anxiety
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Burns
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Child
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Child Rearing
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Cicatrix
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Depression
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Frustration
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Guilt
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Humans
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Mothers
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Siblings
;
Thinking
10.Experiences of Hope in Clients with Chronic Schizophrenia.
Journal of Korean Academy of Nursing 2005;35(3):555-564
PURPOSE: This study was done to uncover the nature of hope experienced by clients with chronic schizophrenia. METHOD: A phenomenological approach developed by Van Manen was adopted. Data was collected from intensive interviews on 7 clients with chronic schizophrenia and the expatients' biographies and arts. A phenomenological reflection was done in terms of the four life world existentials. RESULT: Corporeality: Perceiving the body feeling better, proudness of self, accepting their own ill body and transcending the limitation of the body, expressing self, and staying within the boundary of a healthy body were disclosed as the body's experience of hope. Spatiality :A place with safety, freedom, peace, and sharing was the space of hope. Temporality :The essential experience of time with hope was the continuity of moving forward amid cycling and moments being filled up with something. Relationality : Connecting with someone, having someone who is dependable, understandable and exchanging interest and love were identified as the relationships of hope with others. CONCLUSION: The results of this study show that chronic schizophrenic patients always strive hard to keep hope and they really need someone who can support them.
*Schizophrenic Psychology
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Male
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Humans
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Female
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*Emotions
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Chronic Disease
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Affect
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Adult