• Title/Summary/Keyword: 지지적 간호중재

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Effects of Stroke Prevention Education Program of Oriental Nursing on Self-Health Perception Change, Health Behavior Change, Self-Care and Physiological Index of adult and elderly people (한방간호 중풍예방교육프로그램이 성인 및 노인의 자가 건강인식 변화, 건강 행태변화, 자가관리와 생리적 지수에 미치는 영향)

  • Chang, Koung-Oh;Oh, Mi-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.111-120
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    • 2019
  • This study is a quasi experimental study to investigate the effects of stroke prevention education program of Oriental Nursing on self-health perception, health behavior change, self-care and physiological index of adults over 55 years old and elderly people. The data were collected from August 12 to November 29, 2017. The 53 study subjects comprised 26 experimental subjects who agreed to participate in the education program and 27 control subjects. In the results, there was no statistically significant difference between the experimental group and the control group in general characteristics and research variables before the program; further, the two groups were homogenous. In the hypothesis test, the change in self-health perceptions of the experimental and control groups was t = -5.28 (p <.001), health behavior change was t = -4.24 (p <.001), self-care was t = -5.28 (p <.05), systolic blood pressure was t = 2.48 (p <.05), diastolic blood pressure was t = 2.78 (p <.05), and cholesterol was t = -3.94 (p <.001). There were statistically significant differences between the two groups and all four hypotheses were supported, which demonstrated the effectiveness of the program. These study results suggest that it is an effective program to change the self-perception of health and health behavior, improve self-care ability, and control the physiological index. It is expected that these findings will be useful in developing a future effective oriental nursing intervention. The education program should be continuously carried out, and the area needs to be expanded.

The Effect of the Death Education Program on the Death Anxiety and Attitudes toward Nursing Care of the Dying Patients of Nursing Student (죽음교육 프로그램이 간호 대학생의 죽음불안과 임종간호태도에 미치는 영향)

  • Cho, Hea-Jin;Kim, Eun-Sim
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.163-172
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    • 2005
  • Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.

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The Effect of Supportive Nursing Intervention on Patient's Response of Anxiety during Emergency Room Staying (지지적 간호중재가 응급실 환자의 불안반응에 미치는 효과)

  • Yoon Jung Won;Park Young Sook;Park Chung Ja
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.100-113
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    • 2000
  • The purpose of this study is to examine the effect of supportive nursing intervention on patient's response of anxiety in emergency room as the suspected experimental research sequentially designed for the unequal control group. This study collected the data from 100 patients including 50 patients of experimental group and 50 patients of control group in emergency room of the only one university hospital from July 12. to September 30, 1999. This study used questionnaires that Kim, Jung Taek and Shin. Dong Kyun revised the measurement of STAI(State-Trait Anxiety Inventory) of Spielberger(1972) to measure their anxiety with using physical. spiritual. and informative support of the supportive nursing intervention, and measured blood pressure. pulse and respiration by physiological response of anxiety. After then. this study analyzed the frequency and percentage by using SPSS 7.5 program, $x^2-test$, t-test and ANCOVA. The results are as follows: First hypothesis : the point of STAI of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=22.943, p=.000). Second hypothesis : the sistolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F=42.603. p=.000). Third hypothesis. the diastolic blood pressure of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention(F= 18.482, p=.000). Fourth hypothesis: the pulse of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. Fifth hypothesis : The respiration of experimental group who received the supportive nursing intervention during emergency room staying will be lower than that of control group without the supportive nursing intervention. In the above-mentioned result. the supportive nursing intervention was considered to be useful intervention that raised the effect on patient's response of anxiety during emergency room staying.

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Total Pain of Patient with Terminal Cancer (말기 암환자의 총체적 고통)

  • Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.60-73
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    • 2000
  • Purpose : The purpose of this study was to describe a total pain model in patients with terminal cancer and to identify factors relating to total pain using the Twycross Pain Management Model, which included physical, psycho-social and spiritual pain. Method : The study was a retrospective descriptive study. The first stage included 87 patients who received hospice service at Y hospital in 1997. The second stage included five model patients who suffer severe pain as selected by the four hospice nurses. Data collection was from 1) chart analysis and 2) in-depth interviews with the hospice nurses about their selected patients. Data analysis was performed using SPSS-WIN and content analysis. Result : 1) The main problems of 3 patient with terminal cancer were pain(77%), constipation (25.3%), family coping(35.6%), psycho-spiritual distress(17.2%)and other symptoms. 2. The Twycross model was a useful model. However, new items were added; loneliness, depression, and no improvement in condition as depression factors. In anger, new items were anger due to family neglect, at God and in relationships. The case studies identified the followsing; 1) Patient suffer from physical pain as well as multiple other symptoms when cancer is advanced. 2) Body concept, role change, threat to self concept, fear of pain, fear of death, anxiety, family conflict, financial burden, spiritual distress, hope for a cure, are all affected. Conclusion : 1) It is believed that the Twycross model is useful but further tests and revisions are necessary for deciding priorities in the care plan. 2) Pain management must improve culturally appropriate and family support, psychological, spiritual care are imperative for patient with terminal cancer. 3) Further study is recommended to test correlations of depression, anxiety, spiritual distress and family coping using valid instruments. A qualitative study on the spiritual journey of the patient with terminal cancer is also recommended.

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Relationship of Job-stress, Work-family Conflict, and Mental Health according to Life-style of Married Office Worker (기혼 직장인의 라이프스타일에 따른 직무스트레스, 직장-가정 갈등 및 정신건강 간의 관계)

  • Jeon, Hae-Ok
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.378-385
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    • 2011
  • The purpose of this study was to investigate the relationship of job-stress, job-family conflict, and mental health according to lifestyles of married office worker. Data were collected by structured questionnaires form 185 married office worker by convenient sampling methods from May to August 2011. In our research outcomes, it found that job-stress was positively related to job-family conflict in the self-belief type, family-centralized type, heeding duty type and creative type. Job-family conflict was negatively related to mental health in the heeding duty type. And job-stress was positively related to metal health in the creative type and individual success pursuing type. These findings show that it is necessary to develop therapeutic psychosocial nursing intervention and to locate social-support-resources for reducing high job-stress, solving job-family conflict, and improving mental health in the married office worker.

Predictors of Early Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care Units (신생아중환자실에 입원 중인 미숙아 어머니의 산욕초기 산후우울 예측요인)

  • Lee, Jae-Young;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.87-95
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    • 2014
  • Purpose: This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum in mother of preterm infants. Methods: Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatal intensive care unit. Data were collected from June 2010 to January 2011. The instruments included 'Edinburgh Postnatal Depression Scale', 'Prenatal depression', 'Subjective health status of infant', 'Medical staff support', and 'Husband support'. Collected data were analyzed using t-test, ${\chi}^2$-test, and multiple logistic regression with SPSS/WIN version 18.0. Results: The point prevalence was 86.1% that postpartum depression occurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothers of preterm infants were identified; 'Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)', 'Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)', and 'Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)'. Conclusion: The results indicate that postpartum mothers should be screened for postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesarean section and should help mothers of preterm babies to develop positive perceptions of their babies.

Effects of a Multifactorial Fall Prevention Program on Physical·Psychological Function and Home Environmental Hazards in Community Dwelling Low-income Elderly (다면적 낙상예방프로그램이 지역사회 거주 저소득층 노인의 신체·심리기능과 가정환경 위험요인에 미치는 효과)

  • Kim, So Nam
    • 한국노년학
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    • v.32 no.2
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    • pp.377-395
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    • 2012
  • This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x2-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

Effects of Pregnant Women's Pregnancy Stress and Self-Esteem on Their Depression (임부의 우울에 임신 스트레스, 자아존중감이 미치는 영향)

  • Hwang, Ran Hee
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.469-477
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    • 2021
  • This purpose of this study was to survey pregnancy stress, self-esteem and depression in pregnant women and to identify factors influencing depression. Data were collected 154 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Stepwise Regression Analysis, Pearson's correlation coefficient. There was statistically significant difference in pregnancy stress on variable such as planned pregnancy. There were statistically significant difference in self-esteem on variables such as religion, occupation, gestational age. There was statistically significant difference in depression on variables such as planned pregnancy. Pregnancy stress was positively correlated with depression. depression was negatively correlated with self-esteem. Self-esteem was negatively correlated with pregnancy stress. Factor influencing depression were self-esteem, planned pregnancy, pregnancy stress, which explained 30.2%. Findings provide useful information for further studies in antenatal care of pregnant women. Therefore, to promote emotional support of pregnant women, it is necessary to standardized antenatal education program.

Predictive Factors to Health Promotion Behaviors in Breast Cancer Patients Using Pender's Health Promotion Model (Pender의 모형을 적용한 유방암 환자의 건강증진행위 예측요인)

  • So, In-Suk;Jeong, Hye-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.258-269
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    • 2017
  • This study was conducted to examine the predictive factors for health promotion behaviors of breast cancer patients, focusing on Pender's health promotion model (1996). Data were collected from 121 patients using a structured questionnaire from September 18 to October 26 in 2015. The data were analyzed with a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior of the participants were social support, commitment to a plan of action, prior behavior, activity related effects, perceived self-efficacy, family function, perceived benefits of action, and situational influences. The total explanatory power of these factors was 57.8%. Development and application of a nursing intervention plan that enhances patient compliance with health promotion behavior is needed to enable breast cancer patients undergoing rehabilitation to maintain their optimal health and live a high-quality life. Patients who showed a low degree of predictive factors identified in this study are in particular need of attention.

Influencing Factors for Post-traumatic Growth in Patients with Breast Cancer (유방암 환자의 외상 후 성장 영향 요인)

  • Choi, Sung-Hee;Lee, Young-Whee
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.499-509
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    • 2016
  • This study was undertaken to investigate the factors that influence post-traumatic growth in patients with breast cancer. The study subjects were 100 outpatients with breast cancer who visited the outpatient clinic of a university hospital. The instruments used for this study were Korean Post-traumatic Inventory (K-PTGI), Modified Medical Outcomes Study Social Support Survey (mMOS-SS), Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B) and Cancer Coping Questionnaire (CCQ). The data were analyzed by t-test, ANOVA, Pearson-correlation coefficient, and stepwise multiple regression using SPSS/WIN 21.0. The mean score of post-traumatic growth was $3.4{\pm}0.9$ out of 5. Post traumatic growth had statistically significant correlation with social support, breast cancer self-management self-efficacy, and coping behavior. In stepwise multiple regression analysis, post-traumatic growth was significantly influenced by therapeutic compliance related self-efficacy and positive reframing coping behavior and it was account for 29% of the total variance. These results suggest that these influencing factors should be considered in developing the nursing intervention to improve the post-traumatic growth in patient with breast cancer.