1.Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
Jeong Hwa KWON ; Gwi-Ryung Son HONG
Journal of Korean Academy of Nursing 2021;51(2):217-231
Purpose:
The purpose of this study was to identify the influence of self-care on burnout experienced by primary family caregivers of persons with dementia.
Methods:
The subjects of the study were 156 primary family caregivers of persons with dementia at home in Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple regression using IBM SPSS Statistics ver. 24.0 for Windows.
Results:
The mean scores for self-care and burnout were 42.35 and 61.60, respectively. Self-care, subjective health status, living with a person with dementia, and behavioral and psychological symptoms of dementia were significant factors affecting burnout in family caregivers. Self-care was identified as the strongest factor affecting burnout, explaining 13.9% of burnout with controlling factors in caregivers and care receivers.
Conclusion
To prevent burnout in primary family caregivers of persons with dementia, self-care of family caregivers should be emphasized. In nursing education, family caregivers should be recognized and approached as nursing clients who are responsible for taking care of their health. In nursing practice and research, digital self-care or self-care improvement intervention programs should be designed to help family caregivers, and further studies on self-care centered on health of family caregivers should be conducted.
2.Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
Jeong Hwa KWON ; Gwi-Ryung Son HONG
Journal of Korean Academy of Nursing 2021;51(2):217-231
Purpose:
The purpose of this study was to identify the influence of self-care on burnout experienced by primary family caregivers of persons with dementia.
Methods:
The subjects of the study were 156 primary family caregivers of persons with dementia at home in Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple regression using IBM SPSS Statistics ver. 24.0 for Windows.
Results:
The mean scores for self-care and burnout were 42.35 and 61.60, respectively. Self-care, subjective health status, living with a person with dementia, and behavioral and psychological symptoms of dementia were significant factors affecting burnout in family caregivers. Self-care was identified as the strongest factor affecting burnout, explaining 13.9% of burnout with controlling factors in caregivers and care receivers.
Conclusion
To prevent burnout in primary family caregivers of persons with dementia, self-care of family caregivers should be emphasized. In nursing education, family caregivers should be recognized and approached as nursing clients who are responsible for taking care of their health. In nursing practice and research, digital self-care or self-care improvement intervention programs should be designed to help family caregivers, and further studies on self-care centered on health of family caregivers should be conducted.
3.Predictors of Behavioral and Psychological Symptoms of Dementia: Based on the Model of Multi-Dimensional Behavior.
Jeong Eun YANG ; Gwi Ryung Son HONG
Journal of Korean Academy of Nursing 2018;48(2):143-153
PURPOSE: The purpose of this study was to identify factors predicting behavioral and psychological symptoms of dementia (BPSD) in persons with dementia. Factors including the patient, caregiver, and environment based on the multi-dimensional behavioral model were tested. METHODS: The subjects of the study were 139 pairs of persons with dementia and their caregivers selected from four geriatric long-term care facilities located in S city, G province, Korea. Data analysis included descriptive statistics, inverse normal transformations, Pearson correlation coefficients, Spearman's correlation coefficients and hierarchical multiple regression with the SPSS Statistics 22.0 for Windows program. RESULTS: Mean score for BPSD was 40.16. Depression (β=.42, p<.001), exposure to noise in the evening noise (β=−.20, p=.014), and gender (β=.17, p=.042) were factors predicting BPSD in long-term care facilities, which explained 25.2% of the variance in the model. CONCLUSION: To decrease BPSD in persons with dementia, integrated nursing interventions should consider factors of the patient, caregiver, and environment.
Behavioral Symptoms
;
Caregivers
;
Dementia*
;
Depression
;
Humans
;
Korea
;
Long-Term Care
;
Noise
;
Nursing
;
Residential Facilities
;
Statistics as Topic
4.Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study
Jeong-Ok RYU ; Gwi-Ryung SON HONG
Journal of Korean Gerontological Nursing 2024;26(1):113-123
The purpose of this study is to identify the prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit (ICU). Methods: A retrospective descriptive correlational study design was used. Among 675 older adults who admitted to ICU after cardiac surgery in a tertiary hospital from May 2021 to April 2022, 528 were selected for data analysis. Data were collected through electronic medical records. Delirium and pain intensity were evaluated using the Confusion Assessment Method-Intensive Care Unit and Critical Care Non-verbal Pain Scale, respectively. Results: The incidence rate of delirium was 41.3% (n=218). Multivariate logistic regression analysis of the variables identified that ICU length of stay (odds ratio [OR]=1.77, p<.001), anesthesia time (OR=1.21, p=.016), pain intensity (OR=1.14, p=.044), and age (OR=1.07, p=.002) were identified as risk factors of delirium after cardiac surgery. Conclusion: ICU length of stay, anesthesia time, pain score, and advanced age should be considered as the prevention and management of delirium at the intensive care unit of older adults after cardiac surgery.
5.Multiple Colonic Metastases from Hepatocellular Carcinoma.
Gwi Hong JEONG ; Byong Duk YE ; Seung Jae MYUNG
The Korean Journal of Gastroenterology 2011;58(5):288-292
No abstract available.
Carcinoma, Hepatocellular/*pathology/surgery
;
Catheter Ablation
;
Colonic Neoplasms/*diagnosis/pathology/*secondary
;
Colonoscopy
;
Humans
;
Liver Neoplasms/*pathology/surgery
;
Male
;
Middle Aged
;
Positron-Emission Tomography
;
Tomography, X-Ray Computed
;
Whole Body Imaging
6.A case of nontropical idiopathic splenomegaly.
Young Sam CHO ; Gwi Lae LEE ; Woon Sik PARK ; Chang Wan HAN ; Hong Bock LEE ; Jeong Rye KIM ; Sung Kye LEE ; Seong Hwan KIM ; Jong Hoon BYUN
Korean Journal of Hematology 1993;28(1):191-194
No abstract available.
Splenomegaly*
7.Agranulocytosis due to secondary exposure to antithyroid drugs in a relapsed Graves' disease patient.
Gwi Hong JEONG ; Seong Kyun KIM ; Dae Seong MYUNG ; Jin Ook CHUNG ; Dong Hyeok CHO ; Dong Jin CHUNG ; Min Young CHUNG
Korean Journal of Medicine 2008;75(3):362-366
Antithyroid drugs are the most common treatment modality for Graves' disease and are used for the treatment of relapsed Graves' disease in Korea. Agranulocytosis is a rare and severe complication of antithyroid drug therapy, and most cases occur within 3 month after drug treatment. Agranulocytosis can develop in patients who have relapsed Graves' disease and undergo a second course of antithyroid drugs with a prior uneventful course of drug therapy. We report a case of antithyroid drug-induced agranulocytosis in a relapsed Graves' disease patient who had undergone prior uneventful antithyroid drug therapy. We also present a review of the relevant literature.
Agranulocytosis
;
Antithyroid Agents
;
Graves Disease
;
Humans
;
Korea
;
Recurrence
8.Association between ultrasonographic visceral fat indices and cardiovascular risk factors in type 2 diabetic patients.
Gwi Hong JEONG ; Sung Kyun KIM ; Jin Ook CHUNG ; Dong Hyeok CHO ; Dong Jin CHUNG ; Min Young CHUNG
Korean Journal of Medicine 2007;73(6):618-630
BACKGROUND: Visceral obesity is known as an independent risk factor of cardiovascular disease and metabolic syndrome. The objective of this study was to evaluate the association of ultrasonographic-determined visceral fat thickness and other parameters of obesity, metabolic syndrome, and risk factors of cardiovascular disease in type 2 diabetes. METHODS: A total of 191 type 2 diabetic patients (101 men and 90 women) participated in this study. Anthropometric, clinical, and laboratory data including the body mass index, waist circumference, blood pressure and lipid profiles were measured. Insulin resistance was calculated by using the homeostasis model assessment-insulin resistance (HOMA-IR). The visceral fat thickness was measured by abdominal ultrasonography at 1 cm above the umbilicus. RESULTS: The visceral fat thickness was positively correlated with the body mass index (p<0.001), waist circumference (p<0.001), fat mass (p<0.001), fat distribution (p<0.001), and HOMA-IR (p<0.05), whereas it was negatively correlated with theHDL-cholesterol level (p<0.05). The visceral fat thickness was better correlated with the presence of metabolic syndrome than with the subcutaneous fat thickness. The highest tertile of visceral fat thickness had a higher odds ratio for hypertension (OR=4.02, 95% CI 1.08~14.98), dyslipidemia (OR=9.64, 95% CI 1.08~85.37), and metabolic syndrome (OR=11.35, 95% CI 1.34~96.00) than did those in the lowest tertile, after adjustment for age, sex, and body mass index. CONCLUSIONS: The results of our study show that the measurement of abdominal visceral fat thickness using abdominal ultrasonography can be used as a reliable method to identify the risk for metabolic syndrome and cardiovascular disease in type 2 diabetic patients.
Blood Pressure
;
Body Mass Index
;
Cardiovascular Diseases
;
Diabetes Mellitus, Type 2
;
Dyslipidemias
;
Homeostasis
;
Humans
;
Hypertension
;
Insulin Resistance
;
Intra-Abdominal Fat*
;
Male
;
Obesity
;
Obesity, Abdominal
;
Odds Ratio
;
Risk Factors*
;
Subcutaneous Fat
;
Ultrasonography
;
Umbilicus
;
Waist Circumference
9.The role of adjuvant external beam radiation therapy for papillary thyroid carcinoma invading the trachea.
Young Suk KIM ; Jae Hyuck CHOI ; Kwang Sik KIM ; Gil Chae LIM ; Jeong Hong KIM ; Ju Wan KANG ; Hee Sung SONG ; Sang Ah LEE ; Chang Lim HYUN ; Yunseon CHOI ; Gwi Eon KIM
Radiation Oncology Journal 2017;35(2):112-120
PURPOSE: To evaluate the effect of adjuvant external beam radiation therapy (EBRT) on local failure-free survival rate (LFFS) for papillary thyroid cancer (PTC) invading the trachea. MATERIALS AND METHODS: Fifty-six patients with locally advanced PTC invading the trachea were treated with surgical resection. After surgery, 21 patients received adjuvant EBRT and radioactive iodine therapy (EBRT group) and 35 patients were treated with radioactive iodine therapy (control group). RESULTS: The age range was 26–87 years (median, 56 years). The median follow-up period was 43 months (range, 4 to 145 months). EBRT doses ranged from 50.4 to 66 Gy (median, 60 Gy). Esophagus invasion and gross residual disease was more frequent in the EBRT group. In the control group, local recurrence developed in 9 (9/35, 26%) and new distant metastasis in 2 (2/35, 6%) patients, occurring 4 to 68 months (median, 37 months) and 53 to 68 months (median, 60 months) after surgery, respectively. Two patients had simultaneous local recurrence and new distant metastasis. There was one local failure in the EBRT group at 18 months after surgery (1/21, 5%). The 5-year LFFS was 95% in the EBRT group and 63% in the control group (p = 0.103). In the EBRT group, one late grade 2 xerostomia was developed. CONCLUSION: Although, EBRT group had a higher incidence of esophagus invasion and gross residual disease, EBRT group showed a better 5-year LFFS. Adjuvant EBRT may have contributed to the better LFFS in these patients.
Esophagus
;
Follow-Up Studies
;
Humans
;
Incidence
;
Iodine
;
Neoplasm Metastasis
;
Radiotherapy
;
Recurrence
;
Survival Rate
;
Thyroid Gland*
;
Thyroid Neoplasms*
;
Trachea*
;
Xerostomia
10.Decreased expression of DNA repair proteins Ku70 and Mre11 is associated with aging and may contribute to the cellular senescence.
Yeun Jin JU ; Kee Ho LEE ; Jeong Eun PARK ; Yong Su YI ; Mi Yong YUN ; Yong Ho HAM ; Tae Jin KIM ; Hyun Mi CHOI ; Gwi Jung HAN ; Jong Hoon LEE ; Juneyoung LEE ; Jong Seol HAN ; Kyung Mi LEE ; Gil Hong PARK
Experimental & Molecular Medicine 2006;38(6):686-693
The gradual loss of telomeric DNA can contribute to replicative senescence and thus, having longer telomeric DNA is generally considered to provide a longer lifespan. Maintenance and stabilization of telomeric DNA is assisted by binding of multiple DNA-binding proteins, including those involved in double strand break (DSB) repair. We reasoned that declining DSB repair capacity and increased telomere shortening in aged individuals may be associated with decreased expression of DSB repair proteins capable of telomere binding. Our data presented here show that among the DSB repair proteins tested, only the expression of Ku70 and Mre11 showed statistically significant age-dependent changes in human lymphocytes. Furthermore, we found that expressions of Ku70 and Mre11 are statistically correlated, which indicate that the function of Ku70 and Mre11 may be related. All the other DSB repair proteins tested, Sir2, TRF1 and Ku80, did not show any significant differences upon aging. In line with these data, people who live in the regional community (longevity group), which was found to have statistically longer average life span than the rest area, shows higher level of Ku70 expression than those living in the neighboring control community. Taken together, our data show, for the first time, that Ku70 and Mre11 may represent new biomarkers for aging and further suggest that maintenance of higher expression of Ku70 and Mre11 may be responsible for keeping longer life span observed in the longevity group.
Telomere/genetics
;
Middle Aged
;
Longevity
;
Humans
;
DNA-Binding Proteins/*metabolism
;
DNA Repair/*genetics
;
DNA/genetics
;
Cell Aging/*physiology
;
CD4-Positive T-Lymphocytes/metabolism
;
Antigens, Nuclear/*metabolism
;
Aging/*physiology
;
Aged, 80 and over
;
Aged
;
Adult