• Title/Summary/Keyword: 지지적 간호중재

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Needs of Hospice Care and Quality of Life for Cancer Patients (암환자의 호스피스 간호 요구와 삶의 질)

  • Seo, In-Sun;Shin, Mi-Hwa;Hong, Se-Hwa
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.89-97
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    • 2010
  • Purpose: This study investigated the relationship between the needs for hospice care and quality of life in cancer patients. Methods: Data were collected from 127 cancer patients hospitalized at a university hospital in Chonbuk between October, 2006 to March, 2007. Two instruments were used: cancer patients' need for hospice care, developed by Kang and Kim and quality of life developed by Tae et al. Results: The mean scores were 3.11 out of 4 for hospice care needs, and 5.25 out of 10 for quality of life. The correlation between needs for hospice care and quality of life was moderate and negative (r=-0.395, P<0.01). Among the four groups of needs, physical need was the most strongly correlated with quality of lifer (r=-0.388, P<0.01). The need for hospice care was significantly different according to participants' religion (t=6.02, P<0.05), and duration of disease (F=3.45, P< 0.05). Quality of life was significantly different according to participants' monthly income (F=3.38, P<0.05). cancer stage (F=8.10, P<0.01) and chemotherapy (t=6.09, P=0.015). Conclusion: The results suggested that the cancer patients' hospice care needs should be answered in order to improve their quality of life. While doing so, participants' characteristic need should also be considered.

Adaptation Experiences of Male Students in the Department of Nursing (간호학과 남학생들의 학과 적응 경험)

  • Kim, Seong-Hyuk;Kim, Soon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.113-126
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    • 2016
  • The main purpose of this study is to provide the necessary information for educational intervention by discovering the components and factors related to the adaptation experience of male students in the department of nursing. The participants were seven male nursing students. Data were collected from in-depth interviews, and the results were analyzed by the Giorgi's phenomenological analysis method. The main components of adaptation experience of participants were summarized into four categories: 'hopes and expectations for the future careers,' 'conflicts and wandering under realistic issues,' 'compromise and emotion management,' and 'efforts for self-growth.' Causative, accelerative, and recursive characteristics were shown among these components. The adaptation process was structured in the temporal context. The results suggest that for amicable adaptation, internal controls, such as 'improving willpower,' 'inspiring solid career awareness,' and 'selecting adaptation strategy' were all critical. Moreover, the support of families, relatives, college seniors, and department professors were revealed as the factors that help in the adaptation experiences. Based on the results, further studies are required to identify the dropout rates by maladaptation of male nursing students, and analyze possible factors that contribute to dropout and maladaptation. In addition, it is necessary to construct various coping methods and practical support systems, as well as to develop appropriate educational programs.

Impact of Risk Factors, Autonomy Support and Health Behavior Compliance on the Relapse in Patients with Coronary Artery Disease (관상동맥질환 위험요인, 자율성 지지 및 건강행위 이행이 관상동맥질환자의 재발에 미치는 영향)

  • Park, Ae Ran;So, Hyang Sook;Song, Chi Eun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.32-40
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    • 2017
  • Purpose: The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD). Methods: Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial treatment and 54 were selected because there was a relapse. Data were analyzed using ${\chi}^2$ test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression. Results: Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence. Conclusion: Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.

Effects of Family-Participated Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior Compliance, and Family Support of Patients with Percutaneous Coronary Intervention (가족참여 심장재활 프로그램이 경피적 관상동맥중재술 환자의 자기효능감, 건강행위이행 및 가족지지에 미치는 효과)

  • Kim, Soo Jin;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.2
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    • pp.143-153
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    • 2015
  • Purpose: The purpose of this study was to develop a family-participated cardiac rehabilitation program and to test the effects of the program on self-efficacy, health behavior compliance, and family support for patients with percutaneous coronary intervention. Methods: The design of this study was a nonequivalent control group non-synchronize design. There were 30 participants in the experimental group and 29 in the control group. The program consisted of six consecutive cardiac rehabilitation education and counselling sessions for 5 weeks. Data were analyzed using $x^2-test$, Fisher's exact test, and t-test using the SPSS program. Results: Self-efficacy, health behavior compliance, and family support scores were significantly increased in the experimental group compared to those in the control group. Conclusion: These results suggest that this program may improve self-efficacy, health behavior compliance, and family support in patients with percutaneous coronary intervention. Therefore, this program in which family members were included in supporting patients' adherence to health behaviors is recommended for use in clinical fields for the cardiac rehabilitation.

Comparison of Family Support and Mental Health Between the Rural and Urban Elderly (농촌과 도시지역 노인의 가족지지와 정신건강에 관한 비교)

  • Min, Kyung-Hwa;Kim, Sang-Soon
    • Journal of agricultural medicine and community health
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    • v.20 no.2
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    • pp.175-185
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    • 1995
  • This study is to compare family support and mental health between the rural and the urban elderly. In order to do that I collected the data through questioning 238 people in 3 urban areas in Busan and 201 people in 9 rural areas near Daegu. The degree of their family support is 36.70 on the average in the rural area and 40.77 in the urban area. The degree of family support of urban elderly is a little higher. According to general characters between the differences of family support in both areas, in the rural area there are differences in sex, age, whether they have a spouse or not, education level, financial state, number of children, number of co living, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity. In the urban area there are differences in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, amount of pocket money, how much they are participating in leisure activity and house pattern. In the stepwise multiple regression analysis the main variables that affect degree of family support in the rural area are age, whether they have a spouse or not and financial state which account for 33% of the total variance and in the urban area are subjective health status, financial state, whether they have a spouse or not and number of co-living which account for 35%. Health status is better in the urban area(average 36.87) than in the rural area(57.42). In each item the people whose mark was more than 75%(low) have Depression 8.4%, Somatization 8.0% in the urban area and Somatization 8.5%, Depression 8.5%, Anxiety 4.0%, Phobic anxiety 4.0%, Obsessive compulsive reaction 2.5%, Hostility 2.0%, Paranoid ideation 2.0%, Psychoticism 1.5% and Interpersonal sensitivity 1.5% in the rural area. In the mental health condition, on the basis of 4 points in both areas, the average is Somatization(rural : 1.69, urban : 1.51), Depression (rural : 1.64, urban : 1.37) and Obsessive compulsive reaction(rural : 1.33, urban : 0.99). According to the differences between mental health conditions by general characters, in the rural area the differences are presented in sex, age, whether they have a spouse or not, religion, education level, financial state, number of children, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity, in the urban area the differences are presented in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, house pattern, amount of pocket money and how much they are participating in leisure activity. In the stepwise multiple regression analysis the main variables that affect mental health condition in the rural are family support degree subjective health status, religion sex, age and financial state which account for 43% of the total and in the urban area are family support degree, subjective health status and financial state which account for 51%. In the matter of family support degree and mental health condition the rural area was -0.4555, of urban area was -0.6446. The rural area that has a high percentage in family support degree and mental health condition Depression was -0.5036, Psychoticism was -0.4265 in the urban area Psychoticism was -0.6452, Depression was -0.5955. Family support has a great influence on mental health of old people and family support and mental health condition can be different according to living area. So in their problems nursing intervention through family and nursing strategies according to living area should be established.

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Factors Influencing on the Subjective Happiness of Senior Nursing Students (고학년 간호대학생의 주관적 행복감에 영향을 미치는 요인)

  • Cho, In Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.118-128
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    • 2020
  • This descriptive study investigated the factors influencing on subjective happiness of senior nursing students. The participants were 235 nursing students in grades 3 and 4 in K city from May 1, 2019 to May 28, 2019. The data was collected using self-report questionnaires that contained items on subjective happiness, professional intuition, human relationship, major satisfaction, family health, and social support scale. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression analysis with the SPSS 22.0 program. The subjective happiness of the subjects averaged 4.75±1.16 on the 7-point scale, and the subjective happiness according to the general characteristics of the subjects showed a significant difference in health status (F=6.826, p<.001). The most influential factors on the subjects' subjective happiness were health status (β=.177 p=.005), academic satisfaction (β=.138, p=.027), and family health (β=.268, p<.001), and the explanatory power of the model was 16.7% (F=15.160, p<.001). The results of this study may provide a foundation to develop an efficient intervention program to improve the happiness of senior nursing students.

Factors Influencing Type D Personality of Female Undergraduate Students Majoring in Nursing (간호학전공 여대생의 D유형 성격에 영향을 미치는 요인)

  • Noh, Jun Hee;Lim, Eun Ju;Jeong, Yong-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6265-6274
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    • 2013
  • The aim of this study was to clarify the variables influencing the Type D personality of female university students majoring in nursing. The subjects were 353 female students attending a nursing college, and multiple regression analysis was performed using the PASW 18.0 program. The distribution of Type D personality in the subjects was 34.8%. The factors influencing the Type D personality included the support of family and friends, satisfaction with their major, self-esteem, life stress, and resilience. The factor with the greatest influence among the variables was life stress, and the explanatory power of this model was 36.3%. Intervention programs should be developed to reduce the level of Type D personality among nursing college students to provide them with the appropriate expertise as prospective nurses.

Educational Needs for Home-Based Lung Cancer Patients Receiving Chemotherapy : focused on the content analysis (항암화학요법을 받는 재가 폐암환자의 교육요구 : 내용분석을 중심으로)

  • Mo, Moon Hee;Jang, Hee Jung;Kim, Hye Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.33-41
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    • 2022
  • This study is a qualitative study to identify the educational needs for home-based lung cancer patients receiving chemotherapy. The study participants were 20 patients with home-based lung cancer patients receiving chemotherapy at a university hospital at D city. Data collected through interviews from July 2016 to September 2017 were analyzed using Krippendorff's method. As a result, 3 categories, 9 themes, 19 sub-themes, and 54 meaningful statements were derived. The three categories of educational needs were 'psychological needs', 'knowledge needs', and 'social needs'. Home-based lung cancer patients receiving chemotherapy wanted to support prognosis and stress and receive accurate knowledge of side effects and information on social support systems through education. The results of this study are expected to be used as basic data for the development of educational intervention programs for home-based lung cancer patients receiving chemotherapy in the future.

A Predictive Model of Behavioral Problems in Elementary School Children (초등학교 고학년 아동의 문제행동 예측 모형)

  • Song, Hee Seung;Shin, Hee Sun
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.1-10
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    • 2014
  • Purpose: The purposes of the study were to develop and test a model which explains the relationship among factors affecting behavioral problems in elementary school children. Methods: The participants for the study were 368 elementary school children and their mothers at 3 elementary schools in one city. Data analysis was done using the SPSS 17.0 program for t-test, -test, and ANOVA and the AMOS 17.0 program for theoretical model testing. Results: The theoretical model showed a significant goodness of fit to the empirical data (Goodness of Fit Index: .96, Adjusted Goodness of Fit Index: .93 Comparative Fit Index: .95, Root Mean Square Error of Approximation: .06, Standardized Root Mean Square Residual: .02). Six paths were found to be statistically significant including from child rearing attitude to self-esteem, stress, stress coping and behavioral problems, and from self-esteem to stress and behavioral problems. Child rearing attitude showed a significant effect to behavioral problems by total effect. Self-esteem affected behavioral problems by total and direct effects. Conclusion: Child rearing attitude and selfesteem of children are important factors affecting behavioral problems in elementary school children.

The Effect of Social Support Intervention on Mood and Maternal Confidence of Premature's Mothers. (사회적지지 중재가 미숙아 어머니의 정서와 모성역할 자신감에 미치는 영향)

  • Lee, In-Hye
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1111-1120
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    • 2000
  • The purpose of this study is to examine the effect of social support intervention on mood and maternal confidence of premature's mothers. The social support intervention is known to induce improved mood state and provide information on caretaking so as to increase the maternal confidence in the mother of a premature. To systematically investigate its effect, this study employed a nonequivalent randomized post-repeated quasi-experimental design. The intervention was given individually to mothers of prematures five times spanning five weeks. The sample consisted of the 50 mothers (experimental 27, control 23) of a premature. The data were collected using the structured questionaires twice as post tests. Various instruments were used in this study. The POMS developed by Lee(1990) was used to measure the mothers' mood state, Mother and Baby Scales by Wolke et al (1987). The results are as follows: 1. For the hypothesis test to see the effect of the social support intervention, the mean of the experimental group and the control group was compared by means of t-test and the following results are obtained. Hypothesis I. "The mood state of mothers with social support intervention is more positive than that of the mothers without such intervention." was not statistically supported and thus discarded (t=.799, p=.429). However the mean scores were 49.68 and 51.38 for the experimantal and control group, respectively, indicating more positive mood for the experimental group. Hypothesis II. "The maternal confidence of mothers with social support intervention is higher than that of the mothers without the tervention." was statistically supported (t=3.667, p=.001). 2. The mean score of the mood state was highest before discharge (52.29), meaning most negative, declined to 49.68 shortly after the discharge, again increased a bit to 50.07 at four weeks after the discharge, and stabilized to 49.22 around six weeks after the discharge. On the other hand the mean score of the maternal confidence was continuously increased with time. In view of the above results, it is concluded that the social support intervention with a preprogrammed protocol has the definite positive effect on increasing the maternal confidence and positive effect on improving mother's mood state.

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