• Korean Journal of Adult Nursing
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• v.19 no.5
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• pp.115-126
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• 2007

Purpose: The present study is a quasi-experimental research for examining the effects of imagery on stress, anxiety and immune cells in acute leukemia patients receiving chemotherapy and utilizing the therapy for their self control and stress management. Methods: The subjects were 60 patients who were diagnosed with acute leukemia and scheduled to receive chemotherapy at A hospital in Seoul during the period from November 2006 to March 2007. After the start of chemotherapy, the experimental group received imagery for 4 weeks, three sessions a week, so a total of 12 sessions and 156 minutes. Results: The decrease of stress was larger in the experimental group than in the control group. Systolic blood pressure decreased significantly more in the experimental group than in the control group. In the experimental group, state anxiety decreased significantly in the 2nd week of the experiment and after the final stage of the experiment. The total number of white blood cells, and the absolute number of neutrophils and lymphocytes were showing significant differences between the time points. Conclusion: Imagery is an effective intervention for reducing stress and state anxiety and stabilizing blood pressure in acute leukemia patients receiving chemotherapy.

• Journal of Korean Academy of Nursing
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• v.32 no.6
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• pp.784-791
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• 2002

The anxiety and stress of nursing students on performance intramuscular injection diminished nursing skill performance. The purpose of this study was to identify the effects of the guided imagery program on anxiety, stress and nursing skill performance of nursing students. Method: The study design was time series with a nonequivalent control group pretest- posttest study. The Data were collected from the 30th of Oct. to the 6th of Nov. 2001. The objects of this study were 36 sophomores of university(18 for the experimental group, 18 for the control group). The Instruments used in this study were State Trait Anxiety Inventory developed by Spielberger (1972), Visual Analogue Scale for Stress and Nursing skill performance developed by the researcher. The guided imagery was provided through audiotapes to the subjects for 8 minutes. The pretest was given before the therapy to measure variables for both groups and the posttests were performed after intervention. The data were analyzed by the SAS program using t-test and paired t-test. Result: The results of this study are as follows. The level of anxiety of students who received the guided imagery were significantly lower than that of control group. the level of stress had a deeling tendency and the nursing skill performance level was significantly higher than that of control group. Conclusion: The guided imagery suggested as an effective nursing intervention did reduce the anxiety and promoted nursing skill performance of nursing students.

• Journal of Korean Academy of Nursing
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• v.32 no.2
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• pp.265-276
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• 2002

This study was to identify the trends and contents of imagery interventions and to evaluate the effects of imagery interventions by using meta-analysis. Method: The materials used for this study were 15 imagery intervention studies carried out from Jan. 1995 to Dec. 2001. The studies were analyzed and evaluated in different categories: 1) types of dependent variables 2) types of imagery 3) interval of imagery 4) total duration of imagery 5) sample characteristics 6) intervention method. Result: 1) Behavioral imagery was more prevalent than dynamic imagery. There were wide variations in duration, and interval of interventions. Imagery intervention had moderate effects on psychological variables (state of anxiety, depression & and stress etc.) and had moderate to large effects on physiological variable(pulse rate, cortisol etc.). Behavioral imagery had larger effects than dynamic imagery. Imagery applied to the public had larger effect on decreasing the state of anxiety and stress than applied to the patients. But imagery applied to the patients had a larger effect on decreasing depression than applied to the public. The imagery intervention method by using the individual approach had greater effect than group approach method. Conclusion: These results of this study will be used to guide the development of imagery interventions to nursing practice. Also, various types of imagery interventions need to be developed based on the characteristics of nursing practice.

• Korean Journal of Occupational Health Nursing
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• v.9 no.2
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• pp.79-85
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• 2000

All clinical nurses are not only faced with the physical and emotional needs of patients but also exposed to the heavy workload. In clinical settings, the nurses' stress becomes more and more critical. Understanding the stress experienced by nurses is essential for planning programs to enhance patient care and to promote nurses health. Many methods to reduce the stress were practiced for patients. In this study, the investigator examined how the imagery influence the reducing the stress of clinical nurses. For this study, the recorded tape for imagery developed in the Society of Rheumatics was applied. In order to evaluate the effect of imagery on the stress of clinical nurse, stress score, serum cortisol, blood pressure, and pulse were measured on 20 clinical nurses for 20 days. The results were as follows: 1. Stress score decreased significantly in the experimental group. And the rate of decrease in stress score was significantly higher in experimental group than in the control group. 2. The level of serum cortisol decreased significantly after the application of imagery. 3. Systolic blood pressure decreased significantly after the application of imagery. These results indicate that after applying the method of imagery on the nurses, stress score, serum cortisol level, and systolic blood pressure were significantly decreased. Therefore, this study proves that imagery is one of the methods to reduce the stress of clinical nurses.

• Journal of Korean Biological Nursing Science
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• v.5 no.2
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• pp.31-39
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• 2003

The purpose of this study was to test the effect of guided imagery on blood pressure and pulse rate. The subjects were thirty-nine nursing students in I university located in Busan, Korea To enhance the effect of treatment, they were trained getting themselves absorbed in guided imagery on three different occasions before the study. Actually in the study, the subjects were given instruction in Mason's guided imagery for 19 minutes and 58 seconds. Blood pressure and pulse rate were measured before and after guided imagery application. The data were analyzed through paired t-test. The Results were as follows : 1) There was a significant decrease in systolic blood pressure after the use of guided imagery. 2) There was no significant decrease in diastolic blood pressure after the use of guided imagery. 3) There was a significant decrease in pulse rate after the use of guided imagery. These results indicate that guided imagery is a helpful technique for decreasing blood pressure and pulse rate, which are increased in stress condition.

• Journal of Korean Biological Nursing Science
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• v.8 no.1
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• pp.15-21
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• 2006

Purpose: The purpose of this study was to test the effect of pleasant guided imagery on the vital signs of elderly. Method: The subjects of this study were 15 elderly women. Collecting data were blood pressure, pulse rate, body temperature, the degree of imagination and relaxation. Data were analyzed using SPSS PC+ program with percentage, paired t-test. Result: After practicing of pleasant guided imagery, systolic blood pressure and pulse rate were significantly lowered than before practicing of pleasant guided imagery. After practicing of pleasant guided imagery, Diastolic blood pressure and body temperature were not significantly changed. After practicing of pleasant guided imagery, the degree of imagination and relaxation were relatively higher in old women. Conclusion: Pleasant guided imagery can be used for elderly patients with hypertension. And it can be used to promote relaxation of elderly with stress.

• Women's Health Nursing
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• v.17 no.2
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• pp.178-186
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• 2011

Purpose: The purpose of this study was to identify effects of guided imagery on stress including cognitive, affective, marital and social, and anxiety among women receiving in vitro fertilization (IVF). Methods: Data were collected between April, 21 and June, 17, 2008. The participants in this study were 57 women (26 for the experimental group, 31 for the control group) receiving IVF for primary or secondary infertility in one of the outpatient infertility centers in Seoul. The guided imagery (Suk, 2001) was provided through audio CD to the experimental group by themselves 8 minutes per day for 2 weeks. Data were analyzed by SPSS 12.0 windows program. Results: After guided imagery, the experimental group showed significantly lower affective stress and total stress scores. Anxiety scores increased significantly in the control group, but not in the experimental group after treatment. Conclusion: The findings suggest that guided imagery is an effective nursing intervention for reducing stress especially affective stress and anxiety among infertile women receiving IVF in outpatient infertility center.

• Journal of Korean Academy of Nursing
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• v.36 no.6
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• pp.976-982
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• 2006

Purpose: The purpose of this study was to compare the feeling state guided imagery(FSGI) and end state guided imagery(ESGI) on stress and performance of an intramuscular injection of nursing students. Method: The design was a time series with a nonequivalent control group pretest-posttest study. Data was collected from the 23 rd to the 25th of Nov. 2004. The subjects of this study were 40 female sophomores (21 for the ESGI, 19 for the FSGI). The instruments used in this study were the Visual Analogue Scale for Stress and the Nursing Skill Performance Check-list on Intramuscular Injection developed by the researchers(10 items). Guided imagery was provided through audiotapes for 8 minutes. A pretest was given before applying the guided imagery, posttest 1 was performed after the intervention, posttest 2 was performed before the intramuscular injection and then evaluation of the performance of the intramuscular injection was done. Data was analyzed using t-test, and Repeated Measures ANOVA. Result: The level of stress for those who received the ESGI and FEGI was not significant and the level of the nursing skill performance for those who received the ESGI was significantly higher than that of students who received the FEGI. Conclusion: The use of ESGI has an effect on learning psychomotor nursing skills and further research is needed on stress.

• Child Health Nursing Research
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• v.7 no.3
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• pp.359-370
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• 2001

The purpose of this study was to identify the effects of the guided imagery program on stress of adolescents. The study design was nonequivalent control group pretest-posttest study. The Data were collected from the 1st to 30th of September in 2000. Two schools were selected as an experimental group and a control group. Each group included two classes. The experimental group was consisted of 40 male students and 42 female students and the control group was consisted of 41 males and 42 females. The guided imagery was provided with audiotapes to the subjects in the classroom for 8 minutes per each therapy, 5 times a week for 4 weeks. The pretest was given before the therapy to measure variables for both groups and the posttests were performed twice after 2 weeks and 4 weeks from the start of intervention. The Instruments used in this study were perception of stress scale developed by Park(1996), Vividness of Imagery Scale; short form of bett's test scale developed by Sheenhan(1967). The data were analyzed by the SAS program using Chi-square test, t-test, repeated measure ANOVA and Bonferroni correction. The results of this study are as follows: 'The level of stress of adolescents who received the guided imagery will be significantly lower than that of control group' was supported(F=10.14, p=.00). In conclusion, the guided imagery was suggested as an effective nursing intervention did reduce the stress of adolescents which school nurses could utilize for adolescents at school.

• Journal of Korean Academy of Nursing Administration
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• v.10 no.3
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• pp.311-316
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• 2004

Purpose: The purpose of this study was to identify the effects of Guided Imagery on the stress and anxiety of nursing students in clinical practice. Method: The research design was a nonequivalent control group pretest-posttest design. The data were collected from the 20th of June to the 11th of July 2003. The objects of this study were 32 nursing students of college(16 for the experimental group, 16 for the control group). The instruments used in this study were State Trait Anxiety Inventory, the stress scale developed by Choi(1991). The guided imagery was provided through audiotapes to the subjects for 8 minutes, a time for 5 days. The pretest was given before the therapy to measure variables for both groups and the posttest was performed after intervention. The data were analyzed by the SAS program using t-test. Result: The results of this study are as follows. The stress scores of students were decreased in the experimental group, but were not significantly different between the experimental group and the control group after the guided imagery. The anxiety scores of students were significantly different between the experimental group and the control group after the guided imagery. Conclusion: The guided imagery can be suggested as an effective nursing intervention to reduce the anxiety. Further studies to identify the effects of stress reduction according to the frequency of the guided imagery can be needed.