• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.501-510
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• 2019

This study aimed to find health related lifestyle factors that influence glycemic control for diabetes mellitus (DM) management strategies. This study used nested case-control design with matching variables that were not controlled by individuals such as age, sex, insulin or oral hypoglycemic agent (OHA) use, disease duration, education level and household income. This study analyzed 983 subjects with type 2 DM who enrolled in the $7^{th}$ (2016-2017) Korean National Health and Nutrition Examination Survey (KNHANES). The target HbA1c level of controlled glucose was defined as less than 6.5%, and 289 (30%) were achieved. Conditional multivariable logistic regression analysis was performed to find self-control factors associated with HbA1c levels. The results statistically significant for variables such as duration of diabetes, insulin or OHA use in overall cohort and body mass index (BMI), smoking and fundus Examination in matched cohort. These results are expected to provide as evidence for the intensive care criteria(disease duration, drug use) and lifestyle management strategy(BMI, smoking, fundus examination).

• Journal of the Korea Convergence Society
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• v.12 no.10
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• pp.353-363
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• 2021

This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

• Journal of Hospice and Palliative Care
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• v.2 no.1
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• pp.23-35
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• 1999

Purpose : The hospice movement began about 30 years ago in Korea. However, basic studies have seldom been conducted about the general public's knowledge concerning hospice care and their needs for it. The purpose of this study was to investigate the general public's knowledge of and attitude toward hospice, and their needs for hospice care, and to analyze the needs for hospice care in relation to their knowledge and attitude in residents from a specific community. Methods : The survey was conducted with 924 people randomly selected from a district in Seoul. The data were collected through a self-reporting questionnaire constructed by the authors. With 30 items given in the questionnaire, the level of hospice needs showed Cronbach's alpha .89 in a pilot study and .92 in this study and the items were classified into four areas by a factor analysis. The data collected were analyzed by means of t-test and ANOVA. Results : 1) The average age of the respondents was 38. The majority of the respondents were well-educated. 2) Regarding awareness of hospice care, 54%(501 people) indicated they have heard of hospice. About 74% thought that people should be able to prepare for death in advance. About 83% wanted to be informed when they have life threatening illnesses such as terminal cancer. Also, about 63% responded that patients with terminal diseases should be provided with physical, spiritual, and psychological care for minimizing pain and peaceful death. Regarding the attitude toward hospice care, 74% responded that they would use hospice care if needed. The number of the respondents who preferred home visitation by the hospice team to care for the terminally ill ranked first with 34%. Concerning needs for hospice care : 1) By needs area, physical need showed highest mean(M=4.37), followed by social need(M=3.96), emotional need(M=3.87), and the spiritual need(M=3.79). The overall need level showed the mean value of 4.00 which reflects a considerable need for hospice care. 2) By demographic characteristics, people age over 50, the married, and the unemployed indicated higher level of needs for hospice care. Women showed higher level of needs than did men, and Catholics demonstrated higher level of needs than believers of other religion(P<0.0001). 3) As for the knowledge of and attitude toward hospice rare, the level of hospice care needs was significantly higher in the following groups: those who have heard of hospice, those who are aware of death preparation, those who want information on terminal diseases, those who want to use every method to sustain life, and those who are aware of hospice needs(P<0.001). Conclusion : It is assumed that the findings of this study on the knowledge, attitude, and needs for hospice care in the public can contribute to planning a successful hospice care program. Furthermore, the findings of this study will serve as useful data for the promotion of home hospice care to improve the quality of life of community residents, and contribute to the development of hospice care as a whole.

• Journal of Korea Entertainment Industry Association
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• v.13 no.6
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• pp.329-339
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• 2019

This study intends to identify the effect of the simulation-based adult nursing education on resilience, clinical competence, and role transition of nursing students. Similar experimental study of a single group pretest-posttest design was used to investigate the effects of the program. The study was conducted from March to June, 2017 on senior nursing students at the university in M city who take an 'Integrated nursing practice I' class for the semester. Data were collected through self-report questionnaires and data of 52 participants were analyzed. The data were analyzed by frequencies, paired t-test and pearson's correlation coefficient using SPSS 21.0 program. As a result, the effectiveness of the simulation-based adult nursing education on resilience, clinical competence, and role transition were found. The result of this study showed that the improvement after simulation education was significant in resilience(t=-2.51, p=.016), clinical competence(t=-4.18, p<.001), and role transition(t=-2.89, p=.006). Resilience was found to be positively correlated with clinical competence(r=.464, p<.001) and role transition(r=.473, p<.001). These findings imply the value of simulation education to enhance the resilience, clinical competence, and role transition of nursing students. In the future, more studies should be conducted in the same group with control group to validate the effectiveness of variables.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.314-327
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• 2014

This is a quasi-experimental study involving one group design with pretest and posttest for evaluation of an effectiveness of an emergent care management simulation education among senior nursing students according to their learning styles. Participants were 58 senior nursing students. Learning style and educational effectiveness (critical thinking disposition, problem solving process, cooperation, satisfaction with learning, and self-confidence) were measured. Learning styles of senior nursing students were converger 46.6%, assimilator 34.5%, accommodator 15.5%, and diverger 3.4%. Critical thinking disposition, problem solving process, cooperation, and self-confidence were significantly enhanced by an emergent care management simulation education. Otherwise, educational effectiveness according to learning styles were not significantly different. Based on the results, devising stratagem to maximize an educational effectiveness will be needed trough re-evaluation of relationship between learning styles and effectiveness of a simulation education.

• Journal of Korean Academy of Nursing Administration
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• v.4 no.1
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• pp.229-246
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• 1998

This dissertation classifies sample patients by a measure of K-DRG to identify the most frequent group. and investigates the differences in the dependency of nursing by patient classification system in the SICU of Seoul National University Hospital in Korea. It also calculates the mean nursing care hours and costs per craniotomy patient, who is shown to be the most frequent patient group. The results of the research can be used as basic data for the development of relevant nursing cost system in the future. The results of the research are as follows: 1. Using data from 97 sample patients, as many as 26 groups are identified when the patients are classified by K-DRG. KDRG-001 (craniotomy) is found to be the most frequent group(43.30%). 2. The result from patient classification system grouping in craniotomy patients shows homogeneity in terms of dependency of nursing with 35 patients in the 4th group, 145 patients(74.36%) are in the 5th group. and 15 patients are in the 6th group among the total 195 sample patients. 3. The direct nursing care hours for the 4th, 5th, and 6th patient classification system groups are found to be 381 minuites. 483 minuites, and 519 minuites, respectively, which shows that the nursing care hours increases as the dependency of nursing is intensified. The indirect nursing care hours are found to be 454 minuites(7.57 hours). The total mean nursing care hours, which is the sum of the direct nursing care hours(467 min.: 7.78 hours) and the indirect nursing care hours (454 min.: 7.57 hours), is 921 minuites(15.35 hours) per patient a day. 4. The nursing care cost is calculated to be 123,297 won per patient a day. Considering the average duration in the ICU, we can find the total nursing care cost is 610,318 won.

• The Journal of the Korea Contents Association
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• v.13 no.10
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• pp.394-402
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• 2013

The purpose of this study is to identify the effects on nursing students' interpersonal relationships and communication self-efficacy when their group activities were performed in interpersonal relationships and communication curriculum. This study employed one group pre test-post test study design. This course consisted of a total of 13 sessions, and was conducted for 100 minutes per session every week from September to December in 2012. Questionnaires were from Relationship Change Scale of Shlein and Guerney and Communication Self-efficacy developed by Ayres. Also, data were collected through the whole 161 cases, analyzed by descriptive statistics, and paired t-test along with PASW 18.0. As a result of this study, the scores of interpersonal relationships and communication curriculum self-efficacy were significantly increased. In light of these results, the application of this curriculum has an effect on interpersonal relationships and communication self-efficacy among nursing students. Accordingly, this study can be provided as basic data in order to develop and utilize the curriculum that can improve communication skills of nursing students in nursing education.

• Journal of Digital Convergence
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• v.14 no.1
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• pp.437-443
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• 2016

Purpose of this study was to develop a self-care program for patients with asthma and test its effects on self-efficacy, compliance, Quality of Life. One group pretest and posttest design was used to test the effects of the intervention. Sixteen asthma patients were recruited conveniently from C university hospital. Date were collected from February 1st to Spring 30th, 2011. Self-care program was composed asthma related education and demonstration of usage of MID & PEFR. The data were analyzed using Wilcoxon signed Rank test by SPSS 18.0. There was a significant increased in self-efficacy(Z=-3.26, p=.001), compliance(Z=-3.52, p<.001), QOL(Z=-3.41, p=.001). Based on data, we recommened the refinement of the intervention in the following areas for future studies: duration, research design, sample size.

• Journal of Digital Convergence
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• v.16 no.10
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• pp.253-260
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• 2018

The purpose of this study was to investigate the effect of SBAR(Situation-Background-Assessment-Recommendation) reports on communication clarity, communication skill and report confident for nursing students. This study used a one group pre-post test design. The subjects of this study were 44 nursing students from G city, and collected by self - report questionnaires from march 6 to april 20, 2018. Data were analyzed by frequencies, paried t-test using SPSS Win 23.0. After SBAR reports education, levels of nursing student's communication clarity(t=-8.12, p<.001), communication skill(t=-4.37, p<.001) and report confident(t=-7.67, p<.001) were significantly higher than levels before SBAR reports education. SBAR reports education improved the communication clarity communication skill and report confident. It is recommended to use a lot of SBAR in clinical practice.

• Journal of East-West Nursing Research
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• v.25 no.2
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• pp.183-192
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• 2019

Purpose: This study aimed to examine the mediating effect of illness perception on the relationship between family function and health behavior of patients with risk factors for metabolic syndrome. Methods: This is a cross-sectional correlational study. Data were collected from 160 patients using self-administered questionnaires including the Illness Perception Questionnaire-Revised, Family APGAR, and the Health Behavior Scale. The data were analyzed using Pearson's correlation coefficients, independent t-test and multiple linear regression analysis by the SPSS 23.0 program. Results: Health behavior was significantly correlated with family function (r=.30, p<.001) and illness perception of controllability by treatment (r=-.21, p=.007). Family function was a significant predictor of health behavior and illness perception, and the influence of family function on health behavior was partially mediated by illness perception of controllability by treatment. Conclusion: The findings of this study indicate that family function is a critical factor affecting health behavior and illness perception, and illness perception of controllability by treatment mediates the influence of family function on health behavior. It is necessary to develop a psycho-cognitive intervention program for enhancing supportive family function and for modifying negative illness perceptions to improve health behavior in patients with risk factors for metabolic syndrome.