• Title/Summary/Keyword: 가정간호 효과

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The Effects of an Exercise Program on Joint Angles, Blood Pressure, and Self-efficacy in Elderly Community-dwelling Adults (유연성 운동프로그램이 노인의 관절각도, 혈압 및 자기효능감에 미치는 효과)

  • Yoo, Moon-Sook;Chae, Sun-Mi;Kim, Yong-Soon
    • Journal of Home Health Care Nursing
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    • v.15 no.1
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    • pp.29-36
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    • 2008
  • Purpose: The purpose of this study was to develop and evaluate an exercise program for elderly community-dwelling adults. The program was intended to improve joint flexibility and self-efficacy and to reduce blood pressure. Methods: A quasi-experimental, nonequivalent control group pre-post test design was used to evaluate the program. Twenty-six subjects were enrolled in the experimental group, and twenty-seven subjects were enrolled in the control group. The program was carried out between March 6 and May 4, 2006. The experimental group subjects participated in the exercise program once a week for eight weeks and received a phone call weekly to encourage self-exercise at home. Results: After program participation, the experimental group subjects showed significantly higher flexibility in the right shoulder joint and higher self-efficacy than subjects in the control group. Systolic and diastolic blood pressures were also significantly lower in the experimental group subjects. However, there were no significant differences in knee joint flexibility between the two groups after the intervention. Conclusion: The eight-week exercise program was effective in decreasing blood pressure and improving joint flexibility and self-efficacy in older adults. This study suggests that this exercise program could be utilized as an effective independent nursing intervention modality in elderly persons.

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Development and effects of basic cardiopulmonary resuscitation education program for trainee care workers (요양보호사 교육생을 위한 기본심폐소생술 교육프로그램 개발 및 효과)

  • Lee, Sung Hee;Choi, Jeong Sil
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.224-232
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    • 2016
  • Purpose: This study set out to use a one-group pretest-posttest experimental design to develop a highly motivating CPR program for help care workers who lack CPR education, and to evaluate its effects on their knowledge about program application, attitude, and self-efficacy. Methods: For this purpose, 140 questionnaires were administered to subjects who underwent training at an educational institution for care workers in S city and G province. The program was developed from April, 25 to May, 15 in 2016, and the evaluation period was from May to July, 15. The collected data were analyzed through SPSS version 23, and a paired t-test was conducted. Results: The program spanned 240 minutes, including 80 minutes on theoretical education and 160 minutes on practical education. Knowledge of CPR in the post-test proved to be higher than that in the pre-test, from 6.4 to 9.2 (t=-15.72, p<.001),; the score on attitude increased from 38.4 to 41.7 (t=-5.89, p<.001),; and self-efficacy increased from 41.0 to 66.7 (t=-21.83, p<.001). Conclusion: The basic CPR education program emphasizing motivation was effective for the care worker trainees and could be used for other curriculum by expanding the scope of the subject.

Effects of a Home-based Exercise Program for Patients with Stomach Cancer Receiving Oral Chemotherapy after Surgery (수술 후 경구항암화학요법을 받는 위암 환자의 가정운동 프로그램 효과)

  • Choi, Jin-Yi;Kang, Hyun-Sook
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.95-104
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of a home based exercise program for patients with stomach cancer who were undergoing oral chemotherapy. Methods: The home-based exercise program was developed from the study findings of Winningham (1990) and data from the Korea Athletic Promotion Association (2007). The home-based exercise program consisted of 8 weeks of individual exercise education and exercise adherence strategy. Participants were 24 patients with stomach cancer who were undergoing oral chemotherapy following surgery in 2007 or 2008 at a university hospital in Seoul. Patients were randomly assigned to either the experimental group (11) or control group (13). The effects of the homebased exercise program were measured by level of cancer related fatigue, NK cell ratio, anxiety, and quality of life. Data were analyzed using SPSS/WIN 13.0 version. Results: The degree of cancer related fatigue and anxiety in the experimental group decreased compared to the control group. The NK cell ratio and the degree of quality of life of experimental group increased while that of the control group decreased. Conclusion: This study result indicate the importance of exercise and provide empirical evidence for continuation of safe exercise for patients with cancer during their chemotherapy.

Effects of a Short-term Home-based Pulmonary Rehabilitation Program in Patients with Chronic Lung Disease (만성폐질환자를 위한 가정 호흡재활 단기 프로그램의 효과)

  • 오의금;김순희;박희옥;방소연;이춘화;김소희
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.570-579
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    • 2003
  • Purpose: The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients. Method: Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study. Result: Significant improvements in lung function, exercise tolerance, and health related quality of life were found only in the experiment group. Conclusion: This study yielded evidence for the potential and beneficial effects of home-based pulmonary rehabilitation program in patients with moderate to severe chronic lung disease. The program could be adequately utilized for improvement of health related quality of life in chronic lung patients.

Effects of the Exercise Program Combined with Telephone Coaching on Postural Balance, Grip Strength and Depression of Elderly Living Alone in the Community (전화코칭을 병행한 운동 프로그램이 지역사회 거주 독거 노인의 균형능력, 악력 및 우울에 미치는 효과)

  • Lee, Seo-Hyun;Lee, Su-Yeon;Kim, Yuna;Cho, Mun-Kyung;Kim, Jae-Eun;Kim, Jo-Hyeon;Bong, Min-Ji;Oh, Soo-Kyung;Jo, Soo-Ah;Jo, Young-Woo;Cho, Yoon-Jin;Lee, Ha-Young;Lee, Soo-Yeon;Han, Eun-Kyoung
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.3
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    • pp.397-406
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    • 2022
  • This study is an experimental study on the single group pre-post test design for the effects of the exercise program combined with telephone coaching on postural balance, grip strength and depression of the elderly living alone. The subjects of this study were 20 elderly living alone who registered at a senior welfare center located in S City, Gyeonggi-do. A total of 12 session programs were applied from July 3 to October 14, 2021. Before and after the program, the participant's home was visited and 4 stage standing balance test(4 SBT), grip strength and depression were measured. The contents of the intervention consisted of elastic bands and grip balls, and weekly telephone coaching interventions were provided. In the result of this study, the exercise program combined with telephone coaching were statistically significant differences in 4 SBT(3stage)(t=-2.37, p=.029), 4 SBT(4stage)(t=-2.46, p=.024), right grip strength(t=-2.18. p=.042) and depression(t=2.82, p<.001). Therefore, it is expected that the exercise program combined with telephone coaching can be applied as a nursing intervention to improve postural balance, grip strength and reduce depression in the elderly living alone in the community.

Effects of Home-Based Intervention Program to Prevent Child Abuse for Parents: A Meta Analysis (부모를 위한 아동학대 예방 가정방문 프로그램 효과 메타분석)

  • Park, Hyun-Jung;Kim, Hyun Kyoung
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.479-493
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    • 2017
  • Purpose: This study was done to conduct a meta-analysis of articles describing randomized controlled trials which showed substantiated effects for home-based child abuse prevention programs for all parents. Methods: The articles regarding child abuse prevention programs for parents were investigated using the systematic review method. A literature search was conducted in PubMed, CINAHL, PsycINFO, Cochrane central library, Eric, and RISS on material published. Article searches and quality appraisal through RoB (Risk of Bias) yielded 14 records. Results: The total random effect size was 0.344 (Parents outcome, 0.333; Child outcome, 0.310; Environment, 0.275). The home based intervention for parents was effective for prevention of potential child abuse. Conclusion: This study supports the effectiveness of health care professional directing child abuse prevention programs for all parents whose children are in the early years of life including during the period of pregnancy.

Effect of Individual Patient Teaching through Home Visiting on Compliance with Sick Role Behavior in Diabetic Patients and Duration of the Effect of the Teaching (가정방문을 통한 개별교육이 당뇨병환자 역할행위 이행에 미치는 영향과 교육효과의 지속에 관한 연구)

  • 박오장
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.174-184
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    • 1990
  • In order to determine the effect of individual patient teaching through home visiting on compliance with sick role behavior and the blood sugar level in diabetic patients, to determine if the effectiveness of the education was still present four year later and to inquire as to the effective time for a repeat education program this study was done through two quasi-experimental researches. The subjects consisted of 52 diabetic patients. The results of the study may be summarized as follows ; 1. Hypothesis I, in which the compliance with sick role behavior, the knowledge on diabetes and the health belief of the experimental group who received a diabetic education program will be higher than those of the control group who didn't receive the diabetic education, was supported by both studies in 1984 and 1988, confirming the effect on diabetic patients of the individualized education through home visiting ; In the 1984 study : Compliance(t=-11.7, p<.001) Knowledge(t=-5.41, p<.001) Health belief(t=-4.74, p<.001) In the 1988 study : Compliance(t=-4.85, p<.001) Knowledge(t=-2.85, p<.01) Health Belief(t=-2.99, p<.005) 2. The Hypothesis II, the blood sugar level of the experimental group will be lower than that of the control, was rejected in both studies, 1984 and 1988. 3. The Hypothesis III, the compliance, knowledge and health belief of the expermental group who received the education program in 1984 will not last till 1988, was supported in part, in compliance and health belief, but not in knowledge. In conclusion those who received the education program twice with an interval of 2 weeks, 4 years ago still had knowledge of diabetes but compliance and health belief had disappeared.

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The Effects of Motivational Interviewing Training Program on Communication Skills and Self-Efficacy of Home Visiting Nurses (동기강화상담 교육훈련 프로그램이 가정방문간호사의 의사소통능력과 직무효능감에 미치는 효과)

  • Kim, Sungjae;Yang, Jeongwoon
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.274-287
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of Motivational Interviewing(MI) training program on communication skill and self-efficacy of home visiting nurses(HVNs). Methods: This study has a mixed-methods design that includes a one-group pre-post test study and focus group interviews(N=23). From April 16th to June 11th in 2014, total six two-hour sessions of MI training program were provided to the participants. The quantitative outcomes were collected using Global Interpersonal Communication Competence Scale(GICC-15) and Self-efficacy Scale, and the qualitative data were obtained by 5 focus group interviews. Group pre-post changes were evaluated by paired t-tests and the qualitative data were analyzed by content analysis method. Results: MI training program led to significant enhancement in communication skills(Z=-3.62, p<.001) and self-efficacy(Z=-3.67, p<.001). The qualitative study revealed that the participants had positive experiences to express empathy, support self-efficacy, and respect autonomy for their clients applying reflective-listening and affirmation skill. Conclusion: The HVNs who participated in the MI training program showed improved communication skills and self-efficacy in the quantitative and qualitative studies. A randomized clinical trial is needed to confirm the value of MI training program for HVNs.

Effects of Tai Chi combined with Self-help Program on Arthritic Symptoms and Fear of Falling in Women with Osteoarthritis (골관절염 여성에게 적용한 타이치 운동과 자조관리 프로그램의 관절염증상 및 낙상공포감에 대한 효과비교)

  • Song, Rha-Yun;Eam, Ae-Yong;Lee, Eun-Ok;Lam, Paul;Bae, Sang-Cheol
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.46-54
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    • 2009
  • Purpose: The purpose of the study was to compare the effects of the Tai Chi self-help program with a self-help program on pain, stiffness, physical functioning, and fear of falling in women with osteoarthritis. Method: Total of 82 women with Osteoarthritis recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi self-help group or a self-help group. Thirty subjects in the Tai Chi self-help group and 39 in the self-help group completed posttest measures(pain, stiffness, physical functioning, and fear of falling) at 6 months. Results: After the 6 month study period, the subjects in the Tai Chi self-help group reported significantly less difficulties in performing daily activities(mean difference=-0.16 vs. 6.19 for the self-help), and less fear of falling(mean difference=-3.20 vs. 0.27 for the self-help) than those in the self-help group. There were no significantly differences in pain and stiffness between the groups. Conclusion: The Tai Chi combined with self-help program was more effective than the self-help only program in reducing difficulties in performing daily activities and fear of falling in women with Osteoarthritis. Whether these changes prevent fall episodes requires further study.

Intervention of Environmental Health Behavior for Pregnant Women: A Scoping Review (임신여성의 환경적 건강행위 중재: 주제범위 고찰)

  • Kim, Hyun Kyoung;Ko, Eun Jung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.321-327
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    • 2022
  • This study explored the environmental health behavior intervention study for pregnant women using a scoping review. The evidence synthesis of intervention methods, research topics, outcome variables, and effectiveness was performed. Eight studies were extracted from the databases of PubMed, Cochrane Library, and RISS. The topics were nutritional interventions and behavioral interventions that can reduce exposure to fine dust, heavy metals, chemicals, and electromagnetic waves to pregnant women. The interventions were conducted through lectures, cartoons, workshops, interviews, messages, and home visits. The effect of the intervention was found to improve the health behaviors of pregnant women and to solve problems in the residential environment. Therefore, the environmental health behavior interventions for pregnant women were effective.