Welfare Center Research Articles

Effect of Oral Function Training on Swallowing Function in Community-Dwelling Older Individuals

Background: Dry mouth, masticatory discomfort, and swallowing in older individuals are important factors affecting overall health. To improve their quality of life, efforts are required to improve their oral function. Therefore, this study implemented a training program evaluating oral function to confirm improvements in swallowing. Methods: The study was conducted for approximately 4 months, from Jul to Oct 2023. Participants aged 65 yr or older were selected from welfare facilities in the metropolitan region, with 24 participants in both the intervention and control groups. Results: As a result of a study conducted on oral function training program, the intervention group exhibited significant improvements in the simulated swallowing flow rate (P <0.05), bite force (P <0.001), and tongue pressure (P <0.001). Conclusion: The oral function training program effectively improved simulated swallowing flow rate, bite force, and tongue pressure. Consequently, there is an opportunity to implement oral function training programs at accessible welfare centers for older individuals in the community.

Mental Illnesses and Stigma among Medical Undergraduates in India.

The current Medical Education system of India, with its enormous workload and academic demands tend to cause the medical students stress. There is evidence showing medical students at a higher risk of depression, anxiety and burnout compared to other Indian students. Despite, the huge reported numbers, the proportion of students and doctors who seek help for their problems is alarmingly low. One of the reasons provided for the same is stigma towards mental health and an apprehension regarding labels and treatment history on the careers of the students. Increased awareness and with a National Health Programme catered towards mental health, there has been a boost in the utilization and provision of mental health services but it rarely translates into better mental health facilities for the healthcare providers. The special set of challenges faced by a medical students are gradually being recognized and efforts are being made to address them. Curriculum guidelines, teaching methods, student welfare centres and helplines have been the areas of intervention. There should also be changes in approaches towards the students who face problems and providing a safe environment for them to discuss their problems, including encouraging peer support. Thus, a fine balance needs to be present between ensuring the protection of the mental health of a medical student and ensuring a quality medical education for them. Further exploration to address stigma and building empathy among the students and evaluation of the intervention methods devised to address the same becomes very necessary to ensure fruitful interventions. It is the need of the hour to help Indian Medical students overcome their struggles with mental health.

The Effect of a Biofeedback-Based Integrated Intervention for Older Adults with Orthostatic Hypotension: A Secondary Analysis on Psychological Health Outcomes in a Non-Randomized Pilot Trial.

Aging-related physical changes and dysfunctions in the autonomic nervous system (ANS) often lead to orthostatic hypotension (OH) in older adults. OH negatively impacts both the physical and psychological well-being of those affected. Previous studies have demonstrated that the biofeedback-based integrated program (BBIP), a multicomponent intervention focused on heart rate variability biofeedback, effectively improves OH, as well as symptoms related to ANS function. This substudy aims to examine the effects of the BBIP on psychological health outcomes among community-dwelling older adults with OH. This study employed a non-randomized controlled trial design with a convenience sampling strategy. A total of 51 older adults with OH were recruited from two senior welfare centers and randomly assigned to either the intervention group (n = 27) or the control group (n = 24). The intervention group participated in a 12-week BBIP, which included weekly biofeedback sessions and group education on lifestyle modification to alleviate OH. Telephone counseling was also provided to promote compliance. The intervention group showed significant improvements in health-related quality of life, depression, anxiety, and fall efficacy after the 12-week BBIP, whereas the control group exhibited no significant changes. There was a significant reduction in the percentage of participants in the intervention group reporting problems in all five dimensions of the EQ-5D (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). The BBIP was effective in improving the psychological health outcomes of older adults with OH. Future studies should explore the long-term effects of the BBIP using a larger sample size and a randomized controlled trial design.

The Impact of Seafarers' Welfare on the Operational Efficiency of Marine Vessels in Tanzania

This study explores the critical relationship between seafarers’ welfare and the operational efficiency of marine vessels in Tanzania. So the study aims to investigate the critical aspects of seafarers’ welfare and their impact on the operational efficiency of marine vessels in Tanzania. The objectives are, To identify the factors that affect the living and working conditions on the operational efficiency of a marine vessels inTanzania, To evaluate the working environment standard that influence the efficiency of a marine vessels, To examine the condition of their salary to afford the living standard. Tanzania ratified the MLC 2006, setting minimum international standards for seafarers' working and living conditions, significantly improving their welfare. Despite ratifying international conventions, Tanzanian seafarers face challenges on their welfare that the absence of a comprehensive maritime policy exacerbates these issues. This study employs a mixed methods research design, integrating both quantitative and qualitative data collection and analysis to provide a comprehensive understanding of the impact of seafarers’ welfare on the operational efficiency of marine vessels. A sample size of 80 participants from various marine vessels and ship managers were selected regression and thematic analysis was been used in data analysis and concurrent triangulation method was used in data intergration. The findings of this study underscore the importance of prioritizing seafarers’ welfare to ensure the sustainable and efficient operation of marine vessels in Tanzania. By addressing the identified welfare issues. The research recommend for policy changes and the development of a more supportive and productive maritime sector as well as establishment of welfare centers like Stella Maris and mision to seafarers, to support seafarers and fishing communities.

Knowledge, Attitudes, and Practices Regarding Exclusive Breastfeeding among Lactating Mothers in Rural Bangladesh

Background: Exclusive breastfeeding stands at the forefront of maternal and child health, serving as a fundamental pillar for ensuring the optimal growth and development of infants. It not only acts as a crucial source of nutrition but also plays a pivotal role in fortifying the physical and cognitive well-being of newborns, while simultaneously fostering a profound bond between mothers and their infants.Objective: This research seeks to gauge the level of awareness among lactating mothers regarding the significance and benefits of exclusive breastfeeding. It aims to comprehend their attitudes towards exclusive breastfeeding (EBF) and scrutinize their actual practices in implementing this vital aspect of infant care.Materials and Methods: A cross-sectional study was conducted at the Department of Community Medicine, ASWMC, Jashore, in 2018. Data collection took place in the Outpatient Department (OPD) of 'Ad-din Sakina Medical College Hospital' and 'Mother & Child Welfare Centre, Jashore.Results: The study demonstrates a high awareness and adherence to exclusive breastfeeding, with 94.4% aware, 90.9% knowledgeable about recommended duration, 49.9% recognizing advantages, 14.6% aware of disadvantages, and a substantial majority (92.5%) practicing exclusive breastfeeding, though 7.5% do not.Conclusion: Bridging knowledge gaps, cultivating positive attitudes, and promoting consistent breastfeeding practices emerge as crucial components of a comprehensive strategy to boost exclusive breastfeeding rates. The collaboration between healthcare providers, policymakers, and the community is indispensable for the success of such initiatives, ultimately contributing to the overall health and well-being of both infants and lactating mothers. KYAMC Journal Volume: 15, No: 01, April 2024: 46-49.

The Impact of the COVID-19 Pandemic on Suicidal Ideation and Depression in Community-Dwelling Elderly.

This study examined the effects of the coronavirus disease 2019 (COVID-19) pandemic on depression and suicidal ideation in community-dwelling elderly in Korea. Data were employed from a survey on elderly mental health in Jeollanam-do (southwest province in Korea), conducted by the Jeollanam-do Provincial Mental Health and Welfare Center. A total of 2423 people were recruited from all 22 cities in Jeollanam-do from April to October, 2021. We used self-reported questionnaires including sociodemographic factors, COVID-19-related stress, the Geriatric Depression Scale-Short Form Korean Version, the Multidimensional Scale of Perceived Social Support, the Satisfaction With Life Scale and the Brief Resilience Scale. Logistic regression was performed to examine the factors of depression and suicidal ideation. Of the 2423 subjects, 622 (25.7%) reported depressive symptoms and 518 (21.4%) reported suicidal ideation. The multivariate logistic regression analysis revealed that living alone, poor perceived health status, worry of COVID-19 infection, and restriction of daily activities due to COVID-19 pandemic are significantly associated with depression. Female gender, poor perceived health status, inability to perform household chores, and depressive symptom are risk factors of suicidal ideation. These findings show that old age, negative perception of health, and restriction of daily activities due to COVID-19 are risk factors of depression in community-dwelling elderly in the context of the COVID-19 pandemic. Female gender, poor self-perceived health status, and depression increase the risk of suicidal ideation among the elderly. Social support and life satisfaction are protecting factors of both depression and suicidal ideation. Resilience decreased risk of depression but not in suicidal ideation.

Effects of Service Quality Factors of Yoga Clubs In Senior Welfare Centers On Customer Satisfaction and Revisit Intention

This study aimed to analyze the effects of service quality factors of yoga clubs in senior welfare centers on customer satisfaction and revisit intention. An online survey was performed from May 1 to 15, 2023, targeting the elderly aged 60 and older. This study utilized 182 valid copies from 190 participants experienced in silver yoga at five senior welfare centers in Korea. This study confirmed that women in their 60s, mainly from middle-class families, participated in silver yoga programs in senior welfare centers, and that they had been participating in yoga for less than a year, spent less than an hour per session, and attended two to three times per week. Also, the service quality factors that could affect the customer satisfaction of subjects participating in silver yoga classes were confirmed in the following order: health & hygiene (β=.361, p<.001), tangibles (β=.293, p=.001), and intangibles (β=.272, p=.007). Furthermore, health & hygiene (β=.593, p=.001) and tangibles (β=.421, p<.001) had a significant effect on revisit intention, but tangibles (β=.091, p=.442) did not. Customer satisfaction had a significant effect on revisit intention (β=.891, p<.001). The study identified that health & hygiene, and tangibles impact both customer satisfaction and revisit intention significantly, while intangibles affect revisit intention indirectly through customer satisfaction.

Dignity: the cornerstone of psychological health among victims of child labor, a qualitative study

BackgroundRespecting the dignity of child labor is one of their most urgent needs. In many cases, the dignity of child labor is not maintained in countries with unfavorable economic conditions. The aim of the present study was understand adolescents’ perceptions of their dignity in child labor.MethodsThis study is a qualitative research with conventional content analysis approach. Twenty teenagers who having work experience as child labor were selected from one welfare center and three charity centers in using purposeful sampling method in 2022–2023. Data was generated through individual, deep, and semi-structured interviews. In order to analyze the data was used Granheim and Lundman’s method.ResultsThree main themes were presented in this study including, “preservation of privacy and security”, “honoring individual identity to develop dignity” and “comprehensive support”, and 9 categories.Conclusionunderstand adolescents’ perceptions as child labor of their dignity, privacy and security of child labor victims and respect for their identity and all-round support are defined. And in this supportive environment, the dignity of working children is preserved and appropriate behavioral consequences are created. Therefore, it is suggested that a cultural and institutional background be provided in which all components of the child labor’s dignity are emphasized.

Desirable clinical settings in general dentistry: moving towards the improvement of the educational program

BackgroundThe main task of dental schools is to prepare professional dentists with a high social responsibility. This study provided some practical suggestions from experts regarding desirable clinical settings, in order to establish an infrastructure for practical studies in Endodontics, Periodontics, Oral and Maxillofacial Surgery, Restorative Dentistry, Pediatric Dentistry, Oral and Maxillofacial Medicine, Prosthodontics, Oral Health, and Social Dentistry.MethodsThis research was conducted using a modified Delphi technique in two rounds. The first round involved qualitative content analysis. Participants in interviews were selected purposeful and maximum diversity across the country. To determine the validity and reliability of the data, the four axes proposed by Lichon and Guba were utilized. The second round involved a researcher-made questionnaire, which consisted of 55 questions. This questionnaire was distributed to all dental schools across the country. The validity of the questionnaire were evaluated and by experts and then reviewed. The reliability of the tool was determined to be 0.96 using the alpha coefficient method.ResultsThe final codes from the interviews of the first round were divided into two categories: settings and educational programs. The final results of research were placed into 2 section: educational settings and instructors, and educational infrastructures. 70% participants agreed to use the college’s clinical morning sessions. More than 80% agreed to start up a main clinic with the proposed structure and professors. The use of the hospitalization area also had an agreement of more than 80%. Additionally, community areas such as health service centers, welfare centers, special patient centers, factories, schools, etc. obtained an agreement of over 70%.ConclusionsThe results of this study are presented in the form of suggestions for improving the general dentistry program in relation to educational setting, educators, and educational infrastructures. The common agreement among participants regarding educational settings and their diversity, educational programs, and desired instructors reviewed in the research shows the necessity of reviewing and changing their educational programs in Endodontics, Periodontics, Oral and Maxillofacial Surgery, Restorative Dentistry, Pediatric Dentistry, Oral and Maxillofacial Medicine, Prosthodontics, Oral Health, and Social Dentistry.

Understanding the Older Adults" Physical Activity at Senior Welfare Centers in Korea in the Year of 2024

Understanding the Older Adults" Physical Activity at Senior Welfare Centers in Korea in the Year of 2024

High Protein Milk Effective to Increase the Hb Levels of Third Trimester of Pregnancy with Anemia

The high maternal mortality rate in Indonesia is still plagued by three main causes, one of which is anemia caused by iron deficiency. This weakness is related to protein deficiency, so the way to overcome it is by giving blood supplement tablets with additional protein intake to pregnant women. The aim of this study was to determine the effect of giving high protein milk intake on increasing hemaglobin levels in third trimester pregnant women with iron deficiency. This test plan was a pre-try one collection pretest-posttest. The population in this study was all third trimester pregnant women with pale faces in the work room of the Gondanglegi Welfare Center Malang Regime, with a sample of 33 people using total sampling. The measured test used was Wilcoxon Marked Rank Test. The examination results showed that the average hemaglobin level before treatment was 10.1 gr/dl, and after treatment was 11.1 gr/dl. The results showed that there was an effect of giving high protein milk on increasing hemaglobin levels in third period pregnant women with pale skin in the Gondanglegi Health Center Working Area (p-value = 0.000). The conclusion of this study is that milk protein consumption basically affects the increase in hemaglobin levels in pregnant women. It is recommended for pregnant women who get anemia to focus on their food intake, especially protein consumption.

Analysis of Integrated Service and Reference Systems in Overcoming Poverty

This research aims to describe and analyze the implementation of an integrated service and referral system to overcome poverty in Malang City. Moreover, it describes what factors support and inhibit implementing an integrated service and referral system to overcome poverty in Malang City. The research method used is a qualitative descriptive method. The theory used is policy implementation theory, George C. Edwards III, and implementation theory, which includes indicators of communication, resources, disposition, and bureaucratic structure. Data collection techniques are observation, interviews and documentation. Data analysis techniques through data collection, data reduction, and data verification. This research shows that Malang's integrated service and referral system became one unit of the Social Welfare Center in the implementation process. In the process, the integrated service and referral system is not only limited to the data collection process but also acts as the front guard for every community problem, such as poverty, neglected people, etc. There are four factors: communication, resources, disposition, and resources. Communication is carried out by outreach to employees and also to the community. Resources consist of human resources and infrastructure resources. Disposition is realized through performance assessment efforts and firmness in assigning tasks and functions. A bureaucratic structure regarding service procedures provides several stages that are made simple. It is hoped that this research can be used as material for consideration in optimizing the implementation of an integrated service and referral system in overcoming poverty and as literature to see the factors that influence this implementation.

The Effect of Wudhu Spiritual Therapy in Controlling Emotions in Patients at Risk of Violent Behavior

In the Limboto Health Centre working area, the behavioral changes of patients at risk of violent behavior were found to be that these patients had never received spiritual ablution therapy and were only given medication as prescribed or recommended. Mental disorders affect 970 million people worldwide. This study aims to determine whether ablution spiritual healing helps patients at risk of violent behavior in the Limboto Health Centre working area to control their emotions. Pre exploratory examination plan with one collection pretest-posttest configuration approach, the population of patients in danger of violent behavior in the working area of Limboto Community Group Welfare Centre, number of tests 15 people with complete examination procedures, information collected using the perception of signs and side effects sheet of patients in danger of violent behavior and tried using matched t-test measured parametric test. Results showed that before being given medication for otherworldly bathing treatment, all patients gave indications and side effects that generally appear in patients in danger of violent behavior. Still, after intercession, patients have the option to get mediation. control their feelings after being given bathing treatment given the consequences caused by paying attention to the symptoms and side effects. The p.value obtained from the paired t-test was 0.001 which is smaller than the value of 0.05. It was established in the Limboto Health Centre working area that the spiritual therapy of ablution helps patients at risk of violent behavior to control their emotions. Therefore, the health center is expected to support medical treatment to achieve more effective results in addition to using medical therapy which includes the administration of drugs

Identifying Protective and Risk Factors for Non-Suicidal Self-Injury Among Young Adults in Korea: Insights From Problem Behaviour Theory.

This study aimed to identify protective and risk factors related to non-suicidal self-injury (NSSI) behaviour among young adults in their 20s in Korea, providing an integrated perspective based on the Problem Behaviour Theory (PBT). The subjects were 650 young people in their 20s recruited through the promotion of mental health welfare centres in Seoul, Gyeonggi-do and Jeju-si in Korea. A self-report scale was used to measure NSSI and resilience, social support, self-compassion, childhood adversity, depression, anxiety and anger. The collected data were analysed using the SPSS 27.0 program, and hierarchical logistic regression analysis was performed to identify the protective and risk factors related to NSSI behaviour. As a result of this study, out of 650 participants, 107 (16.46%) were found to have experienced NSSI. The NSSI group was younger and had a higher proportion of females compared with the non-NSSI group. In addition, self-compassion was identified as a protective factor and childhood adversity and depression were identified as risk factors associated with NSSI behaviour. The lower the self-compassion, the higher the childhood adversity and the higher the depression, the higher the likelihood of NSSI behaviour. Based on the results, mental health services should be provided to young people with childhood adversity and high levels of depression, and efforts should be made to respond appropriately to self-injury crises. In addition, it is considered necessary to develop a program to increase the level of self-compassion to protect against the NSSI behaviour of young people in their 20s in Korea.

치매노인 가족부양자의 우울감 감소를 위한 집단상담 프로그램 개발 요구도 조사

Objectives This study was attempted to provide basic data for the development of a group counseling program for family dependents for the elderly with dementia to reduce depression among family dependents (housewife dependents, other dependents). Methods The subjects of the study are family dependents living with 80 elderly people aged 65 or older registered in the dementia management project among the elderly who use the Daegu Metropolitan City Day Care Center and the Home Welfare Center. Data were collected through a questionnaire by dividing family caregivers into housewives (80 people) and other caregivers (80 people). The collected data were analyzed using descriptive statistics, cross-analysis, factor analysis, multiple regression analysis, and t-test. Results As a result of the study, 55.0% of housewives and 60.0% of other dependents living with the elderly with dementia said they were willing to participate in group counseling. As a result of statistical analysis, the burden of support for other dependents living with the elderly with dementia was positively significant in depression, indicating that depression also increased as the burden of support for family dependents increased. In the composition of the group counseling program, both housewives had a high demand for emotional support and empathy, and other dependents had a high demand for self-care and stress management. Among other supporters who want to participate in group counseling, 56.2% prefer online counseling to face-to-face counseling. Conclusions As a result of this study, special attention is needed not only for elderly housewives with dementia but also for other dependents in order to reduce depression among elderly families with dementia. There is an urgent need for a professional group counseling program for them. In order to maximize the effectiveness of the program rather than uniform group counseling, it is necessary to operate a customized program and prepare a system that applies various counseling methods for each subject.

Hubungan Pemberian ASI Ekslusif, Status Ekonomi, Pelayanan Kesehatan dengan Kejadian Stunting pada Balita Usia 1-5 Tahun di UPTD Puskesmas Tanjung Pinang Kota Jambi Tahun 2022

Inhibition episodes in young children can occur due to many factors, one of which is the choice of breast milk, family financial status, and health services. Providing nutrition does not completely depend on the mother's selective breastfeeding and the family's financial status. This research is a logical observational research with a cross sectional methodology conducted at the Tanjung Pinang Community Group Welfare Center, with a sample size of 57 respondents. The results of the research show that there is a relationship between selective breastfeeding, financial status, and welfare services and the frequency of obstacles in young children aged 1-5 years at the Tanjung Pinang Community Group Welfare Center, East Jambi.

Association between Alcohol Use Disorder and Suicidal Ideation Using Propensity Score Matching in Chungcheongnam-do, South Korea.

Objectives: This study aimed to analyze the association between alcohol use disorder (AUD) and suicidal ideation (SI) in the general Korean population. Methods: The 2022 Mental Health Awareness Survey was collected from the Chungcheongnam-do Mental Health Welfare Center (CHMHC). Before Propensity Score Matching (PSM), 823 participants were included in this study. After 1:4 PSM, the 255 participants were analyzed using the chi-square test and matched conditional logistic regression. Results: The AUD group had higher odds of experiencing SI than the non-AUD (adjusted odds ratio [AOR]: 2.40, 95% confidence intervals [CI]: 1.10-5.22). Stratified matched conditional logistic regression showed that, among the female, <40 years and single group, the AUD group was more likely to experience SI compared with the non-AUD, respectively (AOR:3.53, 95% CI: 1.20-10.44/AOR:3.45, 95% CI: 1.03-11.55/AOR:4.83, 95% CI: 1.18-19.69). However, among the male, ≥40 years and married group, we discovered no association between AUD and SI. Conclusions: Through this study, we found a strong association between the AUD group and SI. This association was particularly strong among female, <40 years, and single groups. This study elucidates the relationship between AUD and SI in the Chungnam region, which had not been previously identified in Korea, and it is expected to serve as foundational data for reducing the high suicide rate in this region. However, due to the limitation of being a cross-sectional study, future longitudinal research is required.

낙상사고를 경험한 외상 후 스트레스 장애(PTSD)아동을 위한 인지행동적 접근 기반 미술치료 사례연구

The purpose of this study is to explore the experiences of art therapy based on cognitive behavioral approach for a child with post-traumatic stress disorder(PTSD) resulting from the fall accident. For this purpose, a 10-year-old girl in the 3rd grade of elementary school in K district, was selected as a participant. The participant of this study had an accident two years ago in which a peer pushed her on a slide and fell vertically from a height of about 1 meter. From this accident, she suffered a wound on her forehead and arm, and she still has a large scar on her forehead and has undergone surgery twice. As a result of this accident, she was afraid of the place where the accident occurred and had difficulty forming interpersonal relationships. She also had a negative perception of her body. Art therapy based on a cognitive behavioral approach was conducted once a week, 50 minutes per session, for a total of 12 sessions at the social welfare center in K district. As a result of this study, through the art therapy based on cognitive behavioral approach, a study participant had positive experiences in relation to emotional expression and positive social interaction. In addition, she positively recognized herself and expressed emotions based on this, and by expressing various emotions in art, she became emotional stability by purifying and accepting emotions.

한국문화 부적응 결혼이주여성의 문화적응 스트레스 감소와 결혼만족도 향상 소집단미술치료 사례연구

The purpose of this study was to examine the effects of small group art therapy on reducing cultural adaptation stress and enhancing marital satisfaction in immigrant women expressing maladjustment to Korean culture. The subjects were married immigrant women who attended a Comprehensive Welfare Center in S city. The small group art therapy programs were implemented 1 to 2 times a week, totaling 13 sessions from January 10th to March 31st, 2024. The Cultural Adaptation Stress Scale, Marital Satisfaction Scale, Person in the Rain (PITR) Drawing Test, and Kinetic Family Drawing (KFD) Test were used as research tools and they were administered as pre- and post-tests for comparison and analysis. Qualitative analysis was conducted on the major changes over time according to these results. In summary, the results of this study indicate that small group art therapy had a positive effect on reducing cultural adaptation stress in married immigrant women expressing maladjustment to Korean culture. In the Person in the Rain (PITR) drawing tests, they showed changes in stress, coping resources, and coping abilities. Secondly, small group art therapy had a positive impact on improving marital satisfaction in married immigrant women expressing maladjustment to Korean culture. The Kinetic Family Drawing (KFD) tests showed changes of conversations and interactions among family members. Thirdly, upon examining qualitative changes, group members visually expressed internal anxiety, leading to alleviation of emotional conflicts and psychological symptoms. Based on the above results, it is significant that small group art therapy suggests the possibility of being utilized as an early intervention program for reducing cultural adaptation stress and enhancing marital satisfaction in married immigrant women expressing maladjustment to Korean culture.

Effect of Community Welfare Center Exercise Programs in Korea on Individuals with Intellectual Disabilities: A Systematic Review

Effect of Community Welfare Center Exercise Programs in Korea on Individuals with Intellectual Disabilities: A Systematic Review