• Title/Summary/Keyword: 성인간호학

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A Study on urinary Incontinence of Adult Women : Preliminary Study (성인여성의 요실금에 관한 기초 연구)

  • 최영희;홍재엽;김문실;김애정;김정아;백성희
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.171-183
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    • 1998
  • The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with an SPSS/PC$^{+}$ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 20-39(17.8%), 40-49(27.3%). 50-59(22.3%), 60-69(12.9%), 70-79(6.1%). 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(155%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%). more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed. and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency. 22.3%, nocturia. 40.8%, urgency, 71.2%, bladder pain 47.8%, unexplainned incontinence, 32.4%, noctural incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse. 8.8%. 5. Life style problems related to urinary incontinence were as follows : fluid intake restriction, 20.0%, affected daily task, 24.5%. avoidance of placess and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people. 19.0%. interference in relationships with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lifves the women reported : perfectly happy, 11.3%. pleased, 16.9%. mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate. 1.0%. In conclusion. this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurse working with adult women should develop and provide adequate care for these women.n.

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A Study on Serum Ferrum, TIBC, and Ferritin's Circadian Rhythm in Normal Adults (정상 성인의 혈청 철과 TIBC 및 Ferritin의 Circadian Rhythm에 대한 연구)

  • Jeong Suk-Heui;Kim Myung-Ae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.1
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    • pp.113-122
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    • 2002
  • Purpose: The purpose of this study was to identify characteristics of serum ferrum, TIBC and ferritin's circadian rhythm in normal adults and to prepare a standard to determine the examination material extraction time. Method: Nine women and ten men made up the convenience sample for this study they were from the staff of D university hospital and students in D medical School located in K city who met the qualifications for inclusion in the sample. The value of serum ferrum, TIBC and circadian rhythm were calculated as follows : First. each variable's amplitude. the acrophase and average were measured for a 24 hour cycle using the cosinor method, and then each person's rhythm was analyzed. Results: There were significant serum iron circadian rhythm for both men and women (p<.05). For the men, mesor was $105.91{\mu}g/dl$. amplitude was $29.52{\mu}g/dl$, and the acrophase was 9.76 hour. For the women, mesor was $108.17{\mu}g/dl$, amplitude was $28.09{\mu}g/dl$, and the acrophase was 11.42 hour The rhythm change of TIBC was only significant for the women (p<.05), mesor was 383.39mg/dl, amplitude was 60.29mg/dl. and the acrophase was 14.93hour. As for the circadian rhythm of the ferritin, there are no diurnal variation in either sex, men were between 134.0ng/ml and 137.4ng/ml, and women, between 29.1ng/ml and 30.1ng/ml. Conclusion: To help diagnose the boundary line between normal or deficiency in iron, measurement should be carried out at a fixed time in the morning and evening, or a more proper time would be in the afternoon at the time when the width of amplitude is the least.

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The Effects of the Self-identity and Parent's Child Rearing Attitudes on Emotional Intelligence Among Early Adult (자아정체감과 부모의 양육태도가 초기 성인의 정서지능에 미치는 영향)

  • Kim, Hyun Ji;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.23 no.1
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    • pp.26-32
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    • 2017
  • Purpose: The study aimed to establish a theoretical basis for nursing intervention to improve the quality of life during early adult by identifying emotional intelligence, his or her parents' child rearing attitudes and self-identity and analyzing how the parents' child rearing attitudes and self-identity influence on emotional intelligence during that period. Method: Data were collected from August 20 2011 to September 30, 2011. Two hundred men and women who lived in the areas of Seoul and Gyeong-gi Province were recruited. A total of 189 questionnaires were used for final analysis. Collected data were analyzed through SPSS/WIN18.0. Result: The participants' emotional intelligence and self-identity proved to have positive relationship. The participants' emotional intelligence also had the positive relationship with their mothers' and fathers' child rearing attitudes. The research shows that the mother's child rearing attitude(${\beta}=.40$, p<.001), the father's child rearing(${\beta}=.10$, p<.001) and self-identity(${\beta}=.23$, p<.001) can determine emotional intelligence to a degree of 43.4% and the mother's attitude was the most influential. Conclusion: It is necessary that emotional intelligence should be enhanced referring to the two variables in nursing intervention. Furthermore, parents whose children are in childhood or adolescence need to be educated about the importance of the parents' child rearing attitudes.

A Study of Health Promotion Behavior and Health Status based on Adult's Constitution (성인의 체질별 건강증진 행위 및 건강상태)

  • Kim Sook-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.3
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    • pp.441-452
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    • 2000
  • This study was a descriptive research to investigate the health promotion behavior and health status based on Korean adult's constitution. The subjects for the study were 96 adults who were the residents either in Seoul or Taegu city. The instruments used for this study included a survey of general characteristics, health promotion behavior and health status. The data were analyzed using t-test, ANOVA, Pearson correlation coefficient and Scheffe method as post hoc test. The results of this study were summarized as follows : 1) There was no significant difference on the health promotion behavior and health status by constitutions. But, in the relationship between five factors of the health promotion behavior and constitution, there was significant difference on health responsibility by constitutions(F=3.31. P=.041). According to the scheffe test, Taeumin group performed better behavior for the health promotion than soyangin group. 2) Health promotion behavior was significantly related to health status (r=-.24, P=.025), suggesting that the person with high health promotion behavior get higher health status scores. 3) In the relationship between general characteristics variables and health promotion behavior, there were significant differences in education(F=3.12, P=.031), economic status(F=4.09, P=.021), religion (F=3.12, P=.031). The level of health promotion behavior of high educated persons and high economic status persons was high. The persons who believe in Catholicism performed better behavior for the health promotion than the persons who don't get religion. Based on these results, to determining and fully understanding client's constitution are the foundations of Eum-Yang and personal character. Therefore, we have to consider the constitution when we provide nursing care. When we consider the differences of health promotion behavior according to constitution, we can provide the client with the kind of nursing care and health education to satisfy their demands.

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Knowledge regarding cervical cancer, human papillomavirus and acceptance of vaccination in Korean adult men (자궁경부암, 인유두종 바이러스(HPV)에 대한 성인 남성의 지식 및 백신 접종 의향)

  • Park, Soo-Joung;Park, Hyo-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.2
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    • pp.201-211
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    • 2012
  • Purpose: The purpose of this study was to investigate knowledge of cervical cancer and HPV in adult men and their acceptance of vaccination for HPV. Methods: A convenience sample of 229 men between 19 and 39 years of age, responded to self-report questionnaires on knowledge of cervical cancer and HPV, vaccination intention, and general and sexual characteristics. Data were collected during September and October, 2010 and analyzed using t-test, ${\chi}2$-test, and ANOVA. Results: Mean scores for knowledge of cervical cancer and HPV were 4.88, and 7.87 respectively. Seventy-five percent stated they intended to be vaccinated. There were significant differences in knowledge of cervical cancer depending on education (F=3.04, $p$=.030), sexual frequency (F=4.62, $p$=.011), condom use (t=2.19, $p$=.029), and frequency of condom use (F=3.28, $p$=.040), and in knowledge of HPV depending on sexually activity (t=2.35, $p$=.020), condom use (t=0.03, $p$=.019), and frequency of condom use (F=4.65, $p$=.011). There were significant differences in vaccination intention depending on education (${\chi}2$=10.47, $p$=.015), but sexual characteristics were not significant for vaccination intentions. Conclusion: The results indicate a need to consider levels of education and knowledge of cervical cancer and HPV in target populations of men, when planning a cervical cancer prevention education program for men.

The Effects of a Epilepsy Education Program on Self Efficacy and Self Management in Patients with Epilepsy (간질교육 프로그램이 성인 간질환자의 자기효능과 자기관리에 미치는 효과)

  • 박영숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.405-417
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    • 1999
  • The purpose of this study was to test the effects of a epilepsy education program as a nursing intervention for patients with epilepsy. A quasi treatment research (non equivalent control group pretest-posttest design) was used in this study. The subjects were 40 epilepsy patients visiting an outpatient department of a general hospital in Daegu city.(treatment group : 20 patients, control group : 20 patients). The study was carried out from June, 1998 to September, 1998. Data was collected before the education program (pretest), immedately after(posttest 1) and 4 weeks later(posttest 2) and were analyzed with repeated measures ANOVA, t-test, Chi-sqare test and Pearson correlation coefficient. The results are as follows : There was a significant difference in epilepsy self efficacy between two groups(F=26.27, p=.000). There was a significant difference according to pretest, posttest 1 and posttest 2(F=111.20, p=.000), and interaction effect between treatment and time(F=109.42, p=.000). There was a significant difference in epilepsy self management between two groups(F=78.02, p=.000). There was a significant difference according to pretest, posttest 1 and posttest 2 test(F=94.02, p=.000), and interaction effect between treatment and time(F=88.14, p=.000). There was a significant correlation(r=.76, p=.000) between epilepsy self efficacy and epilepsy self management. These results suggest that a epilepsy education program is effective ill promoting self efficacy and self management of the patient with epilepsy. Thus this program can be recommended as an effective nursing intervention for the epilepsy patients.

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Nicotine Dependence, Smoking-related Attitude, and Subjective Norms across the Stages of Change for Smoking Cessation among Adults Smokers in a Rural Area (일 농촌지역 성인흡연자의 금연변화단계별 니코틴의존도, 흡연태도, 및 주관적 규범)

  • Kim, Young-Hee;Seo, Nam-Sook;Kang, Hae-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.1023-1032
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    • 2006
  • Purpose: The purpose of this study was to identify nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adult smokers in a rural area. Method: The subjects were 276 current smokers (male=243, female=33). There were 3 stages of change for smoking cessation: pre-contemplation, contemplation, and preparation stage. Data was collected by an interview or self-reporting from February 12th to March 5th 2004, and analyzed with frequency, percentage, $X^2-test$, Fisher's exact probability test, ANOVA, and Scheffe test using the SPSS-PC program. Result: According to the stages of change, 114(41.3%) current smokers were in pre-contemplation, 110(39.9%) in contemplation, and 52(18.8%) in the preparation stage. There was a higher percentage of males than females ($X^2-test$=8.99, p=.011) in the preparation stage. The mean score of the smoking-related attitude (F:7.43, p=.001) and subjective norm(F=27.41, p=.001) were both lowest in the pre-contemplation stage and increased positively during the stages of change for smoking cessation. Conclusion: Based on these findings, the authors recommend that community-based smoking cessation programs should be developed by considering the intention or motives of current smokers and should be initiated in the preparation stage and primarily for male groups.

The Mediating Effect of Regimen Distress in the Relationship between Medication Adherence and Glycemic Control in Men with Type 2 Diabetes Mellitus (제2형 당뇨병 성인 남성 환자의 약물치료 이행과 혈당 조절 수준 간에 치료 스트레스의 매개효과)

  • Seo, Yeong-Mi;Choi, Won-Hee
    • Journal of East-West Nursing Research
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    • v.22 no.2
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    • pp.170-177
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    • 2016
  • Purpose: The purpose of this study was to examine the mediating effect of regimen distress in the relationship between medication adherence and glycemic control in men with type 2 diabetes. Methods: A total of 116 patients with type 2 diabetes was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for medication adherence was 6.32, and the mean glycemic control level (HbA1c) was 7.47%. The mean score was 2.37 for regimen distress. There were significant correlations among medication adherence, regimen distress, and HbA1c. Regimen distress had a partial mediating effect (${\beta}$=.22, p=.005) in the relationship between medication adherence and HbA1c (Sobel test: Z=2.47, p=.013). Conclusion: Regimen distress was found to be associated with glycemic control in men with type 2 diabetes. Based on the findings of this study, nursing intervention programs focusing on decreasing regimen distress are highly recommended to improve level of glycemic control in patients with type 2 diabetes.

Comparison of sleep and related variables between young and old adults (일반성인과 노인의 수면양상과 수면방해요인의 비교연구)

  • 김신미;오진주;송미순;박연환
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.820-830
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    • 1997
  • Sleep is an essential component for health and the quality of life of individuals, and is affected by multiple factors. Thereby, sleep impairment is known to be frequent even in healthy subjects. The purpose of the study is to compare sleep patterns and related factors between healthy young and old adults and to identify aging effects upon sleep in a cross-sectional way. The survey questionnaire was developed by translation and modification of two well-known sleep questionnaires which were originally developed by Monroe(1967) and Ellis, et al. (1982). Discussion with experts and pilot study were completed to finalize the contents of the questionnaire that was used in this study. Results are as follows : 1. Sleep complaints were lower in older adults. 2. The most frequent variables that explain sleep satisfaction were feeling rested in the morning in the older adults and feeling rested and failing asleep within five minutes in the young adults. 3. Regarding sleep-disturbing factors, physical factors were more frequently reported in the older adults and environmental factors are reported more frequently in the young adults, and there was no difference related to the emotional factors between the two groups. 4. Young adults were practiced strategies for better sleep more often than the older adults, and they were mainly in-home activities just before sleep. 5. Sleep patterns which change with aging were as follows : going to bed and waking up earlier : not staying in the bed long after waking up ; getting harder to fall asleep ; frequent arousal after sleep onset ; getting harder to go back to sleep after arousal during night sleep. From the results of this study, it can be concluded that sleep and related factors of the young and the older adults are different. Also, sleep patterns change with aging and those changes seem to be negative for sleep in the elderly. Repeated studies are needed to establish more concrete information regarding sleep patterns. In addition, further research is needed to develop more reliable, valid, and feasible sleep measure tools, and to develop and evaluate nursing interventions.

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Factors Affecting Preparation Stage to Quit Smoking in Men (성인 남성의 금연 준비단계에 영향을 미치는 요인)

  • Yeon, Jeong-Woon;Kim, Hyeong-Su;Lee, Kun-Sei;Chang, Soung-Hoon;Choi, Hee-Jung;Ham, Eun-Mi;Myong, Jun-Pyo
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.377-384
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    • 2012
  • Purpose: This study was done to investigate factors affecting preparation stage to quit smoking in men. Methods: Based on data from the Community Health Survey conducted in Chungbuk Province in 2008, we estimated rates and odds ratio (OR) of smoking cessation intention for 2,639 men who were current smokers. Multivariate logistic regression analyses were used to identify factors affecting preparation stage to quit smoking. Results: Among current male smokers, the rate of smoking cessation intention was 17.1%. The OR of factors affecting smoking cessation was as follows: Compared to men with middle school education, the OR for rate of smoking cessation intention in men with high school education was 1.47 (p=.018), and for college or higher, 1.55 (p=.017). Compared to being single, the OR for cohabitation after marriage was 1.61 (p=.011) and living alone after marriage, 2.23 (p=.005). The OR for attempt to quit smoking, exposure to secondhand smoke and participation in smoking education were 6.80 (p<.001), 1.32 (p=.020) and 1.69 (p=.005), respectively. Conclusion: Results of this study show that it is necessary to decrease exposure to secondhand smoke and to increase participation in smoking cessation education targeting current smokers to move them from precontemplation or contemplation stage to preparation stage.