PURPOSE: The purpose of this study was to identify the level of knowledge about dementia and to find the related factors in middle-aged adults. METHOD: The research design was a descriptive study by using a constructive self-report questionnaire with 34 items. Data were collected from 397 middle-aged adults using structured questionnaire. Data analysis was done by SPSS/WIN Programs using frequency, range from minimum to maximum, percentage, mean, SD, chi-square-test, t-test, ANOVA, and Duncan's Multiple Range test. RESULTS: The rate of correct answer of middle-aged adults was 68.7%, showing the mid-level of knowledge about dementia. There were significant differences according to age, education, marital status, job, income, information and information sources for dementia in middle-aged adults. CONCLUSION: These results indicate that Korean middle-aged adults need more education and counseling on dementia. Further studies are needed to overcome regionalism in sampling of this study and to develop standard measuring tools for the level of knowledge about dementia.
Adult* ; Counseling ; Dementia* ; Education ; Humans ; Marital Status ; Research Design ; Statistics as Topic ; Surveys and Questionnaires

Purpose: The purpose of this study was to confirm the factor structure of the McGill Quality of Life Questionnaire-Revised (MQOL-R) in the context of Korean culture and to verify its reliability and validity. Methods: The participants comprised terminal cancer patients aged 25 or older, and data from 164 participants were analyzed. The study was conducted in the following order: translation, expert review, reverse translation, preliminary investigation and interviews, and completion of the final version. Confirmatory factor analysis was applied to evaluate the validity of the instrument, and the Beck Depression Inventory, Korean version (K-BDI) was applied to confirm the criterion validity of the MQOLR Korean version. The Cronbach’s alpha coefficient, representing internal consistency, was measured to evaluate reliability. Results: Cronbach’s alpha for all 14 questions was 0.862. The model fit indices for confirmatory factor analysis were within the acceptance criteria. The factor loadings of all four factors were over 0.50, and convergent validity and discriminant validity were confirmed. Regarding criterion validity, a negative correlation was found between the four factors of MQOL-R Korean version and the K-BDI. Conclusion The MQOL-R Korean version, the reliability and validity of which were verified in this study, is a 15-item tool consisting of 14 items dealing with four physical, psychological, existential, and social factors and a single item evaluating the overall quality of life. The MQOL-R Korean version is an instrument that can more concisely and effectively measure the quality of life of patients with life-threatening diseases.

Purpose: This study aimed to evaluate the validity and reliability of the Korean version of the Quality of Life in LifeThreatening Illness - Family Carer Version 3 (QOLLTI-F v3) among Korean family caregivers of patients with terminal cancers. Methods: A total of 198 family caregivers of terminal cancer patients were investigated using the Korean version of QOLLTI-F v3. Its psychometric properties were examined in terms of factor structure, convergent validity, discriminant validity, criterion validity and internal consistency. Results: The convergent validity of the Korean version of QOLLTI-F v3 showed that the standardized regression weights for each item were above .50 except for two out of 16 items, the average variance extracted was above .50 for four out of five factors, and the critical ratio ranged from .50 to .85. The discriminant validity of the items across all factors was confirmed. The value for Cronbach’s α of 16 items was .84. Conclusion The Korean version of the QOLLTI-F v3 is a reliable instrument with acceptable convergent and high discriminant validity for measuring the quality of life of families of people with life-threatening illnesses, including families of people with terminal cancers.

PURPOSE: The purpose of this study was to investigate disease prevalence, parent's educational needs, and disease management according to severity of respiratory infections in early childhood. METHODS: Participants for this study were 173 mothers whose child was admitted to I university hospital in Seoul and whose child was an infant or toddler. Data were collected from December, 17, 2014 to February, 15, 2015 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 21.0 program. RESULTS: There were significant differences in the severity of respiratory infection according to neonatal admission due to dyspnea, feeding type, atopic dermatitis in the infant or allergic disease in father and siblings. Parent's educational needs for the severe respiratory infection group were higher than for the non-severe group. Parent's disease management for the severe respiratory infection group was lower than the non-severe group. CONCLUSION: As important care factors in neonatal admissions include dyspnea, cow milk feeding, eczema, family history of allergies, parent's educational needs and disease management, they should be considered when caring for young children with respiratory infections and their parents.
Child ; Dermatitis, Atopic ; Disease Management* ; Dyspnea ; Eczema ; Fathers ; Humans ; Hypersensitivity ; Infant ; Milk ; Mothers ; Parents ; Prevalence* ; Respiratory Tract Infections* ; Seoul ; Siblings

PURPOSE: The purpose of this study was to analyze life respect-related content in the 7th to 10th grade textbooks of middle and high schools. METHODS: Sixty two textbooks adopted as middle and high school textbooks were analyzed for content on life respect. RESULTS: There were 6 categories related to life respect content in the 7th to 9th grade textbooks ('prevention of accidents and the first-aid', 'mental health', 'sex and health', 'prevention of drug abuse, smoking and drinking', 'normal life and health', and 'society and health'). Content on life respect in the 10th grade textbooks was categorized as 'drug abuse, smoking, drinking, and health', 'sex and health', 'mental health', 'life science and treating human life too lightly', 'normal life and health', and 'society and health'. CONCLUSION: Content on life respect attached importance to more practical issue such as prevention of violence and suicide rather than fundamental understanding about self and life. These results suggest that the content on life respect should help adolescents find their own values and meaning of life within the concept of coexistence.
Adolescent ; Drinking ; Humans ; Smoke ; Smoking ; Substance-Related Disorders ; Suicide ; Value of Life ; Violence

PURPOSE: The purpose of this study was to explore nursing students' experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. METHODS: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students' descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. RESULTS: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. CONCLUSION: This study succeeded in charaterizing learners' experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students' core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.
Diagnostic Self Evaluation ; Education ; Education, Nursing* ; Humans ; Infant, Newborn ; Intensive Care, Neonatal* ; Learning ; Nursing* ; Patient Simulation ; Students, Nursing

Purpose: To provide basic data for the development of a nursing intervention program in order to improve intention to receive human papillomavirus (HPV) vaccination intention of mothers of elementary school girls by confirming the mediating effect of self-efficacy in the relationship between knowledge of HPV vaccine, attitude towards vaccination, subjective norm, and intention to receive vaccination. Methods: The subjects of this study are 171 mothers of elementary school students in grades 5–6 in Yangsan city. The health teacher delivered the questionnaire to the mothers via the female elementary school students in the classroom, the mothers filled out the questionnaire by self-filling, and the questionnaires were collected through the health teacher. Results: The fully mediating effect of self-efficacy in the relationship between the knowledge of the HPV vaccine and the intention of the mothers of female elementary school students to receive vaccination. The partial mediating effect of self-efficacy was confirmed in the relationship between attitude towards HPV vaccination and the intention to receive vaccination. The partial mediating effect of self-efficacy was confirmed in the relationship between the subjective norm for HPV vaccination and the intention to receive vaccination. Conclusion It is necessary to develop an HPV vaccine vaccination promotion program that can enhance the level of knowledge, attitudes towards vaccination, and subjective norm of HPV vaccine for female elementary school mothers and to strengthen their sense of self-efficacy.

Purpose: To provide basic data for the development of a nursing intervention program in order to improve intention to receive human papillomavirus (HPV) vaccination intention of mothers of elementary school girls by confirming the mediating effect of self-efficacy in the relationship between knowledge of HPV vaccine, attitude towards vaccination, subjective norm, and intention to receive vaccination. Methods: The subjects of this study are 171 mothers of elementary school students in grades 5–6 in Yangsan city. The health teacher delivered the questionnaire to the mothers via the female elementary school students in the classroom, the mothers filled out the questionnaire by self-filling, and the questionnaires were collected through the health teacher. Results: The fully mediating effect of self-efficacy in the relationship between the knowledge of the HPV vaccine and the intention of the mothers of female elementary school students to receive vaccination. The partial mediating effect of self-efficacy was confirmed in the relationship between attitude towards HPV vaccination and the intention to receive vaccination. The partial mediating effect of self-efficacy was confirmed in the relationship between the subjective norm for HPV vaccination and the intention to receive vaccination. Conclusion It is necessary to develop an HPV vaccine vaccination promotion program that can enhance the level of knowledge, attitudes towards vaccination, and subjective norm of HPV vaccine for female elementary school mothers and to strengthen their sense of self-efficacy.

Purpose: The purpose of this study is to demonstrate the mediating effect of happiness in the relationship between internet addiction, depression and suicidal ideation among adolescents from multicultural families. Methods: 1,065 adolescents from multicultural families who participated in the 16th (2020) Adolescent Health Behavior Survey were selected as the final subjects for the study, and were analyzed with descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression. Results: There was a fully mediating effect of happiness in the relationship between internet addiction and suicidal ideation of the adolescents from multicultural families (F=6.65, p<.001). There was a partial mediating effect of happiness in the relationship between depression and suicidal ideation of the adolescents from multicultural families (F=10.01, p<.001). Conclusion To mitigate the suicidal ideation of adolescents from multicultural families, it is necessary to develop and apply a positive psychological treatment program that enhances happiness for adolescents from multicultural families who are experiencing internet addiction and depression.

PURPOSE: Brain metastasis is estimated to occur in 20~40% of solid tumor patients and the most common primary tumor is lung cancer. Even though the prognosis of brain metastasis is grave and the 1-year survival rate is only 15%, symptom palliations are made with whole brain radiation therapy. We retrospectively evaluated the clinical features and prognostic factors of lung cancer with brain metastasis. MATERIALS AND METHODS: From January 1987 to October 1999, 50 lung cancer patients with brain metastasis underwent whole brain radiation therapy. We reviewed the improvement in neurologic symptoms and survival according to the following parameters; performance status, histological type, presence of brain metastasis at the initial diagnosis of lung cancer, presence of extracranial metastasis, multiplicity of brain lesion, presence of primary lung symptom and treatment modalities. RESULTS: The most frequent symptom with brain metastasis was a headache (50%). Palliation of the headache and other symptoms was achieved in 81% of the patients. Median overall survival after brain metastasis was 21 weeks and the 1 year survival rate was 15%. Patients without extracranial metastasis had a longer median survival than those with, 38 weeks versus 15 weeks, respectively (p=0.01). CONCLUSION: In lung cancer with brain metastasis, neurologic symptoms can be palliated with whole brain radiation therapy, and in this study among such patients, absence of extracranial metastasis can be a good prognostic factor.
Brain* ; Diagnosis ; Headache ; Humans ; Lung Neoplasms* ; Lung* ; Neoplasm Metastasis* ; Neurologic Manifestations ; Prognosis* ; Retrospective Studies ; Survival Rate