• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.27 no.4
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• pp.406-414
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• 2018

Purpose: The purpose of this study was to investigate the relationship between cell phone dependency and aggression in elementary school students with the mediating effect of leisure activities in South Korea. Methods: Data were cross-sectional in study design with 1,555 fourth grade elementary school students participating in the 4th-year Korean Children and Youth Panel Survey. Data analysis was performed using the SPSS/WIN 23.0 and AMOS 21.0 program. Results: Cell phone dependency has a significant effect on aggression, but it did not act as a control variable in the relationship between the protective factor, weekly book reading time and the amount of daytime play with aggression. Weekly entertainment time and weekly TV and video viewing time had a significant statistical effect on aggression, thus this study confirmed that cell phone dependency acts as a control variable in relation to aggression. Conclusion: As the entertainment time for elementary school students, the time spent watching TV and videos play a negative role, it is necessary to prepare a leisure activity management practice and strategies with an emphasis on entertainment time as well as, TV and video viewing as elementary school students' leisure activities for a healthy school life.

• Korean Journal of Occupational Health Nursing
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• v.14 no.2
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• pp.129-137
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• 2005

Purpose: This study was performed to verify the effect of acupressure on the spots of auricular with semen sinapis albae in male grown up employees for nicotine dependency. Method: The subjects investigated for this study were fifty male grown up employees(the 25 subjects belong to experimental group and the remaining 25 subjects belong to control group) who are employed at a company. The experimental group(N=25) underwent acupressure on the spots of auricular with semen sinapis albae and the control group(N=25) underwent no treatment. Result: The nicotine dependency of experimental group who underwent acupressure with semen sinapis albae on the spots of auricular decreased much more than in those of control group who didn't undergo acupressure with semen sinapis albae on the spots of auricular. Conclusion: Accounting from the research, it was proved that the acupressure on the spots of auricular with semen sinapis albae is very effective for nicotine dependency.

• Journal of Korean Clinical Nursing Research
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• v.27 no.2
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• pp.199-209
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• 2021

Purpose: This study was conducted to investigate the nursing needs and workload of nurses according to nursing dependency for effective placement of nursing staff in the emergency department (ED). Methods: In June 2020, 256 adult patients who visited the ED were classified as two groups, suspected COVID-19 patients and general patients. The participants'electronic medical records were analyzed using descriptive statistics, t-test, 𝑥²-test, and Fisher's exact test using the SPSS. Results: The patient dependence score showed a significant difference between the two groups, with an average of 13.99±1.85 for the suspected COVID-19 patient group and 10.58±2.10 for the general patient group (t=12.42, p<.001). There were statistically significant differences in communication (t=3.28, p=.001), mobility (t=3.29, p=.001), nutrition, elimination, and personal care (t=7.34, p<.001) among the six domains of nursing dependency. In the domains of environment, safety, health, and social needs, the dependency score was 3 for all suspected COVID-19 patients and 1 for all general patients. Conclusion: The results of this study confirmed that infection control activities of emergency patients who need isolation affect the patients' nursing dependency on nursing care.

• Research in Community and Public Health Nursing
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• v.16 no.3
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• pp.282-288
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• 2005

Purpose: This study was to verify the effects of a smoking cessation program for adolescents. Method: This study was designed to use one group with one pre-test and two post-tests. One post-test was done immediately after the completion of the program and the other after eight weeks. The subjects were 21 male high school students who were smokers when this study was carried out. The smoking cessation program consisted of 5 sessions with smoking cessation education and e-mail service after the program. Variables in this research were nicotine dependency (using Fagerstrom Tolerance Questionnaire) and self-efficacy. Data were analyzed by descriptive statistics and Wilcoxon signed rank test. Results: Immediately after the program and eight weeks later, nicotine dependency for continuous smokers decreased significantly (after the program: Z=-2.319, p=.020, eight weeks later: Z=-1.999. p=.046) and self-efficacy increased significantly (after program: Z=-3.024. p=.002. eight weeks later: Z=-2.381. p=.017). Conclusions: The smoking cessation program was effective in decreasing nicotine dependency in the continuous adolescent smokers and in increasing their self-efficacy, Further study needs to be made with a lager number of smoking adolescents using control group design.

• Journal of Korean Academy of Rural Health Nursing
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• v.9 no.1
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• pp.33-45
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• 2014

Purpose: This study was done to identify attitudes to smoking, beliefs about smoking and factors influencing nicotine dependence in woman smokers. Methods: Data was collected from 131 women smokers, who visited a public health center between January and July. 2012. Collected data were analyzed using the SPSS 18.0 program. Results: Mean score for attitude to smoking was $23.7{\pm}3.2$, beliefs about smoking, $18.6{\pm}2.9$, and nicotine dependence, $4.3{\pm}2.1$. Attitude to smoking of the woman smokers was significantly different according to marital status, beliefs about smoking were significantly different according to marital status and being employed. Nicotine dependence was significantly different according to frequency of alcohol consumption, stress, number of cigarettes smoked. There was a correlation between attitude to smoking and beliefs about smoking. Age when starting to smoke, number of cigarettes, and length of time one has smoked accounted for 31.0% of nicotine dependence. Conclusion: The results indicate that increasing knowledge and improving attitudes toward smoking as well as training on stress management and exercise are needed. Also, a distinct mediation should be developed for women smokers. Especially, in-depth research is needed to identify psycho-social behavior-related variables for the health promotion of young women smokers.

• Research in Community and Public Health Nursing
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• v.25 no.2
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• pp.75-84
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• 2014

Purpose: This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency. Methods: This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students ($22.5{\pm}2.59$ yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency. Results: The mean value of nicotine dependency was $4.2{\pm}1.96$ and the percentage of participants who had strong nicotine dependency (${\geq}7$) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (${\geq}3$ times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking. Conclusion: Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.4
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• pp.429-437
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• 2013

Purpose: The purpose of this study was to identify factors influencing nicotine dependency among college students intending to quit smoking, and to provide data for the construction of programs that will be successful in helping the students quit smoking. Method: In this study a cross-sectional survey to analyze was used. The data were collected between April 22 and April 24, 2013 from 218 college students who had unsuccessfully tried to quit smoking in the past but were now intending to try and quit smoking again. Data were analyzed using frequency, independent t-test, one-way ANOVA and multiple regression with the SPSS 21.0. Results: Factors influencing nicotine dependency were self-efficacy for smoking abstinence (t=-6.60, p=<.001), length of time since beginning to smoke (t=5.39, p<.001), level of carbon monoxide intake (t=2.38, p=.018), and withdrawal symptoms as reasons why the students failed to quit smoking (t=2.22, p=.028). These 4 variables accounted for 35.0% of the variance with regard to nicotine dependency. Conclusions: To conduct a successful program for students who intend to quit smoking, self-efficacy for smoking abstinence, length of time since beginning to smoke, level of carbon monoxide, and withdrawal symptoms as reasons for failing to quit smoking should be considered.

• Journal of Korean Academy of Nursing
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• v.37 no.7
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• pp.1073-1079
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• 2007

Purpose: The purpose of this study was to identify the effects of a smoking cessation program on the amount of smoking and nicotine dependence and the self-efficacy of smoking cessation for smoking workers. Methods: The total number of subjects was 38 smokers and was divided into two: 16 smokers were placed in the experimental group and 22 in the control group. A nonequivalent control group pretest-posttest design was used. The smoking cessation program consisted of two sessions and was implemented for two hours daily for five days. Data was analyzed by using the SPSS/WIN 11.0 program with $X^2-test$, t-test or Mann-Whitney U and ANCOVA. Results: After the treatment, those belonging to the experimental group showed a significantly decreased amount of smoking, a decreased nicotine dependency and increased self-efficacy compared to the control group. Conclusion: The smoking cessation program was effective for diminishing the amount of smoking, decreasing nicotine dependence and improving self-efficacy. Therefore, this program is recommended as a smoking cessation strategy for adult smokers.

• Journal of Korean Academy of Nursing
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• v.33 no.6
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• pp.705-712
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• 2003

Purpose: The purpose of this study was to explore factors that influence care dependency of institutionalized patients with dementia. Method: This study utilized descriptive correlational design. The convenience sample was composed of 110 residents with dementia of two long-term care facilities in Korea. Stepwise multiple regression was used to identify significant factors influencing care dependency in patients with dementia. Care dependency was measured using the Care Dependency Scale, Korean version(CDS-K). Cognition was measured by the MMSE-K. Functional disability was measured by the PULSES Profile. Behavioral dysfunction was measured by the modified E-BEHAVE AD. Result: Care dependency was significantly influenced by cognition, functional disability, behavioral dysfunction, and duration of dementia. This regression model explained 61 % of the variances in care dependency. Cognition explained 37% of the variances, and functional disability explained 21% of the variances. Conclusion: Results of this study suggest that professional caregivers intervene more effectively in caring for their patients with dementia by recognizing the patients cognitive, functional, behavioral disability, and its periodic change. Individually, remaining abilities-focused intervention should be applied to enhance patient to be dependent and to prevent unnecessary independency.

• Journal of Korean Clinical Nursing Research
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• v.26 no.3
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• pp.395-406
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• 2020

Purpose: The purpose of this study was to analyze nurse staffing according to patients' acuity and dependency by measuring nursing hours. Methods: The study sample included patients who visited the adult emergency departments (EDs) of three tertiary referral hospitals and nurses who worked on shifts for 48 hours from October 24 to 26, 2019. Hourly patient census and nurse staffing were analyzed. Patient acuity was measured using the Korean Triage and Acuity Scale (KTAS), ranging from Level 1 (highest) to Level 5 (lowest). Patient dependency was measured using six items (e.g., clinical attention and communication) and classified into four groups. Nursing activities were observed every 10 minutes and nursing hours per patient and nurse staffing were analyzed according to acuity and dependency. Results: Nurse-to-patient ratio ranged from 1:1.8 to 1:4.2 during the 48 hours of observation. The average work hours of nurses, excluding breaks and meals, was 8.57 hours; 42.5% of which was spent providing direct care. Higher acuity and dependency were associated with higher nursing hours and staffing level. Patients with KTAS Level 1 were provided 74.3 minutes per hour, 5.02 times higher than Level 5 (14.8 minutes). Patients in the highest dependency group were provided 87.4 minutes per hour, 5.75 times higher than the lowest group (15.2 minutes). Newly arrived patients received more nursing hours than continuously stayed patients within the same KTAS Levels. Conclusion: Large variations were found in hourly patient census, acuity, and dependency. Nurse staffing in EDs should be determined based on patient acuity and dependency.