PURPOSE: The purpose of this study is to identify the effects of telephonic counseling on burnout, depression, life satisfaction, and perceived physical health among family caregivers of older adults with dementia. METHOD: Subjects were randomly assigned into telephonic counseling group (n=21) and the comparison group (n=32). A weekly telephone counseling was conducted by research assistants for 12 weeks. T-test were used to answer the research questions. RESULT: 1) There were no significant differences between the two groups on the level of burnout, depression, life satisfaction, and perceived physical health after telephone counseling. 2) Spouse caregivers under the telephone counseling tended to report higher perceived physical health than comparison group at the post-test (t=-1.88, p=.08). Spouse caregivers under the telephone counseling tended to report higher emotional exhaustion and lower feeling of self achievement. 3) Daughter-in-law caregivers under telephone counseling showed increased feeling of self achievement, improved physical health condition, and decreased depression. CONCLUSION: This study showed potential effects of the problem-solving telephone counseling to improve perceived physical health and to reduce the level of burnout and depression. The findings suggest the necessity of screening most vulnerable subgroups of caregivers to increase the effectiveness of nursing intervention such as telephone counseling.
Adult* ; Caregivers* ; Counseling* ; Dementia* ; Depression* ; Humans ; Mass Screening ; Nursing ; Telephone*

This study was carried out to assess home health care needs for welfare of solitude elderly person. The subjects of this study were 90 welfare solitude elderly person in Pusan City. Data were obtained by interview and observation using a structured questionnaire. The collected data were analyzed by t-test, ANOVA with SAS program. The results are as follows. 1. Among the home care nursing needs, environmental nursing needs topped the list, followed by spiritual, physical, psychological, communication & health knowledge and ADL nursing needs. 2. Home care nursing needs showed a significant differences by the general characteristic of the respondents. -In the age, there were significant differences in physical and communication & health knowledge nursing needs. -In the religion, there were significant differences in spiritual nursing needs. -In the marital status, there were significant differences in environmental nursing needs. -In the nursing provider, there were singificant differences in ADL, environmental and communication & health knowledge nursing needs. -In the medical benefit, there were significant differences in ADL, environmental, physical and communication & health knowledge nursing needs. -In the disease, there were significant differences in ADL nursing needs. -In the household maintenance, there were significant differences in environmental nursing needs.
Activities of Daily Living ; Aged* ; Busan* ; Surveys and Questionnaires ; Delivery of Health Care ; Family Characteristics ; Home Care Services* ; Humans ; Marital Status ; Nursing*

This study was carried out to assess home health care needs for welfare of solitude elderly person. The subjects of this study were 90 welfare solitude elderly person in Pusan City. Data were obtained by interview and observation using a structured questionnaire. The collected data were analyzed by t-test, ANOVA with SAS program. The results are as follows. 1. Among the home care nursing needs, environmental nursing needs topped the list, followed by spiritual, physical, psychological, communication & health knowledge and ADL nursing needs. 2. Home care nursing needs showed a significant differences by the general characteristic of the respondents. -In the age, there were significant differences in physical and communication & health knowledge nursing needs. -In the religion, there were significant differences in spiritual nursing needs. -In the marital status, there were significant differences in environmental nursing needs. -In the nursing provider, there were singificant differences in ADL, environmental and communication & health knowledge nursing needs. -In the medical benefit, there were significant differences in ADL, environmental, physical and communication & health knowledge nursing needs. -In the disease, there were significant differences in ADL nursing needs. -In the household maintenance, there were significant differences in environmental nursing needs.
Activities of Daily Living ; Aged* ; Busan* ; Surveys and Questionnaires ; Delivery of Health Care ; Family Characteristics ; Home Care Services* ; Humans ; Marital Status ; Nursing*

PURPOSE: The purpose of this study was to verify the effects of a Qigong prenatal education program on anxiety, depression and physical symptoms in pregnant women. METHOD: The subjects were a total of 40 pregnant women who received regular prenatal care at S hospital. Twenty people were enrolled in the Qigong prenatal education program and were assigned to the experimental group. The other 20 people who received regular prenatal care only were the control group. The Qigong prenatal education program was given to the experimental group once a week and 2 hours per session for 4 weeks. Anxiety, depression and physical symptoms were collected by a self-administered study questionnaire at the pre- and post test. RESULT: There were no significant differences in subjects' general characteristics or pretest scores of study variables at the pretest indicating both groups were homogeneous. Differential t-tests were used to test the effects of the Qigong prenatal education program on study variables. Pregnant women who received the Qigong prenatal education program had a lower level of depression than those who did not attend(t=2.23, p=.03). There were no significant differences on anxiety and physical symptoms. CONCLUSION: The Qigong prenatal education program was effective in alleviating depression during pregnancy. However, further study is needed to replicate the results with a greater sample size and to investigate the long term effects of the program on the labor and delivery process.
Anxiety* ; Depression* ; Female ; Humans ; Pregnancy ; Pregnant Women* ; Prenatal Care ; Prenatal Education* ; Qigong* ; Surveys and Questionnaires ; Sample Size

PURPOSE: The purpose of this study were to identify the essential component and meaning structure of the experience of 'Sockalee' among abused elders. METHOD: This study was done using a phenomenological analytic method by Giorgi. The participants in this study were six elders who had the previous experience of 'Sockalee' as abused elders. The data were collected by interviewing the participants from May to September, 2003. Generally, three interviews for one person were performed and each interview lasted for one and half hours. RESULTS: The meanings of 'Sockalee' of abused elders were categorized with seven components. Those are (1) Unsolved family conflicts. (2) Being powerless. (3) Being pushed out. (4) Egocentric situation-recognition. (5) Strengthening egocentric situation-recognition (6) Attempts for re-powerfulness. (7) Release from abuse. (8) Situation recognition with others' position considered. CONCLUSION: Therefore, the nursing intervention must be focused on the above concerns to accomplish the successful solution for the abused elderly problems, especially approaching from the standpoint of the whole human.
Aged ; Family Conflict ; Humans ; Nursing

Injuries and infectious diseases have been the most important public health problems since the beginning of human life. Injuries result in death of about 30,000 people each year in South Korea. In terms of years of life lost, injuries are considerably more costly than either heart disease or cancer. In terms of cost - both the direct costs of care and the indirect costs to individuals, families, and societies of a diminished life - injuries are among the most expensive of all social problems. The main purposes of this study are (1) to describe the outcomes as well as treatment process of brain injured patients and (2) to identify the factors impacting on length of stay during hospitalization and hospital fees. The research method used in this study was to review the medical records of five hundreds brain injured cases using systemic random sampling. The multiple logistic regression was administered to identify the factors impacting on the outcomes. The results are as follow: (1) the consultation rate was found to be 72.9% while referral rate was 11.2%; (2) nearly 30% of the respondents were hospitalized over 30 days; (3) multiple logistic regression analyses revealed that the determinants influencing LOS were number of consultations, number of lab tests, and surgery; (4) the determinants of hospital fee were severity of brain injury, gender of patients, number of consultations, number of lab tests, and surgery.
Beginning of Human Life ; Brain Injuries ; Brain* ; Communicable Diseases ; Surveys and Questionnaires ; Fees and Charges ; Heart Diseases ; Hospitalization ; Humans ; Korea ; Length of Stay ; Logistic Models ; Medical Records ; Public Health ; Referral and Consultation ; Social Problems

Purpose: This study aimed to measure the influence of infection control fatigue and compassion competence on disaster nursing core competencies of nurses at COVID-19 designated hospitals. Methods: A descriptive survey was conducted among 128 nurses from two COVID-19 designated hospitals. Data were collected from June 1 to 14, 2022 and analyzed using the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression with SPSS for Windows version 26.0. Results: Disaster nursing core competencies had a significant correlation with compassion competence (r=.50, p<.001), but not with infection control fatigue. Multiple regression analysis for disaster nursing core competencies revealed that the most powerful predictor was communication (β=.31, p<.001). Communication, insight and having children explained approximately 30% of the variance in disaster nursing core competencies. Conclusion The compassion competence of nurses at COVID-19 designated hospitals was a major factor influencing disaster nursing competence. Communication was the most important sub-factor of compassion competence. It will be necessary to develop and implement a program to enhance nurses' compassion competence to improve nurses' disaster nursing core competencies.

PURPOSE: This study was to identify important predictors of depression among characteristics of caregiving situation and utilized resources in order to provide basic information for effective nursing interventions to reduce depression experienced by family caregivers of older adults with dementia. METHOD: Seventy one family caregivers were identified from community service centers and face-to-face interviewed using structured questionnaires. Data were analyzed with descriptive statistics, Pearson correlation and hierarchical multiple regression using SPSS WIN 10.0 program. RESULT: Family caregivers reported high levels of depression, moderate levels of social support, and moderate utilization of coping strategies. Female caregivers who (beta=.22) utilized 'negative' coping strategies more often (beta=.48) and 'cognitive reconstructuring' coping strategies less often (beta=-.23) were more likely to report higher depression (R2=0.63). CONCLUSION: Nursing interventions increasing family caregivers' utilization of positive coping strategies such as problem solving, existential growth, and help seeking and decreasing their utilization of negative coping strategies such as self-blaming are needed to decrease their depression levels.
Adult* ; Caregivers* ; Dementia* ; Depression* ; Female ; Humans ; Methods ; Nursing ; Problem Solving ; Social Welfare

Blood Platelets ; Bone Density ; Hand ; Hardness ; Humans ; Hyaluronic Acid ; Intercellular Signaling Peptides and Proteins ; Osteoblasts ; Osteogenesis ; Pilot Projects ; Platelet-Rich Plasma ; Prospective Studies ; Thrombin ; Tissue Donors ; Transplants

OBJECTIVES: We reviewed cellular and synaptic dysconnectivity, disturbances in micro- and macro- circuitries, and neurodevelopmentally-derived disruptions of neural connectivity in the pathogenesis of schizophrenia. METHOD: We reviewed the selected articles about disturbances in neural circuits which had been proposed as a pathogenetic mechanism of schizophrenia. RESULTS: The literature review reveals that schizophrenia may be a disease related to disturbance in neurodevelopmental mechanism, shown as 'a misconnection syndrome of neural circuit or neural network'. In descriptive psychopathological view, definition of a disorder of brain connectivity has limitation to explain other aspects of schizophrenia including deterministic strictness in thought process. CONCLUSION: Schizophrenia is considered as a disorder of brain connectivity as well as a neurodevelopmental disorder related with genetic and environmental factors. We could make a suggestion that "JoHyeonByung (attunement disorder)" denotes the disturbances of psychic fine-tuning which correspond to the neural correlates of brain dysconnectivity metaphorically.
Brain* ; Metaphor ; Schizophrenia