• Journal of Korean Biological Nursing Science
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• 제21권3호
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• pp.161-168
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• 2019

Purpose: The purpose of this paper (a literature review study) was to confirm the trend of nursing research for head and neck cancer patients in Korea. Methods: Research databases were reviewed and analyzed from 13 papers (2004 through 2019 using KISS, NDSL, RISS, DBpia, and the National Assembly Library. As a result of this paper, we found that there were many studies that used questionnaires. Results: Measurement variables related to head and neck cancer patients were physical variables related to oral condition, psychological variables related to depression and anxiety, social support, family support related to family, and quality of life as a result variable. Conclusion: Therefore, integrated nursing intervention strategies and clinical nursing research considering the physical, psychological, social, and family aspects of head and neck cancer patients are needed. Based on the results of this study, we propose qualitative research on head and neck cancer patients, development of educational programs, intervention studies to verify effects, and development of clinical practice guidelines.

• 핵의학기술
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• 제26권1호
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• pp.27-32
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• 2022

전신 뼈 검사를 시행할 경우 검출기와 밀접한 거리로 인해 심리적 어려움을 겪고 있는 환자들이 많다. 최근 의료분야에서 가상현실(Virtual reality, VR) 장비를 사용하여 주의분산법(distraction method)을 통해 집중력이 약한 소아 환자 또는 중증 치료를 받는 환자에게 진통경감 효과를 줄 수 있다는 보고가 있다. 이에 본 논문은 핵의학 검사 시 환자들에게 심리적 안정을 주기 위해 VR 장비를 사용하였고, 이를 임상에서 활용할 수 있는지 평가해보고자 한다. VR 장비로는 ALLIP Z6 VR (ALLIP, Korea)을 사용하여 휴대전화에 연결한 후 실험을 진행하였다. 대상자는 2021년 9월 1일부터 2021년 9월 30일까지 전신 뼈 검사를 시행한 환자 30명으로 하였다. ^99mTc-HDP를 정맥주사한 후 3시간~6시간 뒤에 VR 장비를 착용하고 전신영상을 얻었다. 검사 후 설문조사를 실시하였고 검사에 대한 심리적 불안도와 VR 장비에 대한 만족도는 리커트 척도 5점을 이용하였다. 설문조사에 관한 가설검증 및 신뢰도는 SPSS Statistics 25 (IBM, Corp., Armonk, NY, USA)를 통해 분석하였다. 기존 전신 뼈 검사에 대한 불안감은 3.03±1.53인 반면 VR 장비 착용 후의 불안감은 2.0±1.21으로 불안도가 34%로 감소 한 것으로 나타났다. VR 장비에 대한 환자의 집중도가 검사에 대한 불안감에 미치는 영향력을 회귀분석 했을 때 B값은 0.750 (p<0.01), t값은 6.181 (p<0.01)으로 VR 장비에 집중할수록 검사 시 불안도가 감소하고 75%의 영향력이 있음을 나타냈다. 또한 전체적인 VR 장비에 대한 만족도는 3.76±1.28이었고 재사용의사율은 66%였다. 설문지의 신뢰도계수 Cronbach α값은 0.901로 나타났다. VR 장비를 사용할 경우 환자들의 주의가 분산되면서 불안감이 감소되고 심리적으로 안정되는 효과가 나타났다. 향후 VR 장비 기술이 발전됨에 따라 장비의 소형화가 가능해지고 VR 콘텐츠영상의 해상력이 증가하는 등 보다 사실적으로 환자에게 안정감이 제공된다면 임상에서도 다양하게 활용될 수 있을 것이라 사료된다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권2호
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• pp.63-76
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• 2014

Objectives: The purpose of this study was to explore the effects of 'affirmative language' experiment upon freshmen nursing students' negative affect, self-efficacy and stress coping style. Methods: A nonequivalent control quasi-experiment was conducted on the subjects of 55 freshmen nursing students for 26(experimental group) and 29(control group). Data were analyzed using x2-test and t-test for participants' homogeneity test and conducted content analysis of process diary record and personal impressions. Results: As for negative affect, in case of the experimental group, depression(t=-2.384, p=.022) and anxiety(t=-2.243, p=.025) were significantly low with no difference for the control group. As for self-efficacy, both experimental and control groups showed significance and as for stress coping style, the control group used sub-categorized strategies better than the experimental group. There were 4 topics and subsequent 15 topics derived from the content analysis. 'Affirmative language' experiment showed alleviation of depression and anxiety helpful for study participants in self-reporting measurement, and helpful for stress self-management competence. Conclusion: It is necessary to connect the curriculum operation with interest of competence and practice of students stress self-management through the participating experiment experience.

• 가정∙방문간호학회지
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• 제2권
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• pp.35-51
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• 1995

This study was done to define nursing diagnose and to test the validity of the characteristics for patients with cerebrovascular accidents being seen at home by home health care nurses. This study was a descriptive study. The sample consisted of 10 experts(professors and home health care nurses) who had had a variety of experience using nursing diagnoses in clinical practice, and 336 nurse progress notes for 18 patients with cerebrovascular accidents. First, 32 nursing diagnoses were defined by the analysis of 336 nurse progress notes, and ten nursing diagnoses were selected according to a criteria of frequency and four nursing diagnoses from home health care clinical practice. Second, content validity was examined by an expert group which considered the sign / symtoms of the fourteen nursing diagnoses. The instrument used for this was a checklist for sign / symtoms based on the nurse progress notes and literature : Carpenito(1993), Kim Cho Ja et al (1994), Lee Sun Ok et al.(1994), Kim Mae Ja et al. (1992), Seoul University Hospital (1993) , Kim Mi Ja et al. (1991). The data were collected from March 1995 to April 1995. Data were analyzed using Content Validity Incidence where if 80% or more of the expert group agreed, characteristics were defined as a major sign/symtoms, if between 50% and 79% of the expert group agreed with the characteristic it was defined as a minor sign / symtoms. The results of this study are summarized as follows : 1. Thirty-two nursing diagnoses related to patients with cerebrovascular accidents were defined. There was a high frequency for the following : 'Potential for disuse syndrome (61%)', 'Impaired physical mobility(50%)', 'Impaired skin integrity (44.4%)', Potential for aspiration(33.3%)', 'Potential for infection: respiration(33.3%)', 'Self-care deficit : bathing /hygine(27.8%)', 'Ineffective family coping(22.2%)', 'Potential for trauma(22.2%)', 'Alteration in nutrition: less than body requirements(22.2%)'. The following diagnoses were also used in home health care clinical practice : 'Anxiety in family (50%)', 'Caregiver fatigue(27.8%)', 'Ineffective treatment behavior (22.2%)', 'Ineffective Levin tube management and Levin tube feeding(22.2%)'. Fourteen nursing diagnoses were selected. 2. Ten of the nursing diagnoses for patients with cerebrovascular accident were listed as nursing diagnoses by NANDA but four nursing diagnoses were new nursing diagnoses used in home health care clinical practice. 3. Characteristics of the ten Nursing Diagnoses from NANDA were developed from the sign /symtoms in the literature and in the nurse progress notes. These characteristics was verified as major or minor sign / symtoms by the expert group. 4. Characteristics of the four nursing diagnoses used in home health care were not defined by the literature but only by the nurse progress notes and verified as major or minor signs /symtoms by the expert group. On the basis of the findings of this study, the following recommendations are made : 1. Continual study is necessary to identify other signs /symtoms not verified in this study. 2. It is necessary to use verified signs /symtoms in home health care clinical practice. 3. It is necessary to define related factors which define each diagnoses in this study. 4. It is necessary to develop of standardized nursing are plans which include defined signs and symtoms. 5. It is necessary to study the outcomes of the standardized nursing care plans.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권3호
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• pp.161-171
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• 2024

The efficient management of pain and discomfort is essential for successful dental treatment and patient compliance. Dental professionals are commonly evaluated for their ability to perform treatment with minimal patient discomfort. Despite advancements in traditional local dental anesthesia techniques, the pain and discomfort associated with injections remain a concern. This scoping review aims to provide a comprehensive overview of the literature on novel dental anesthetics and associated devices designed to alleviate pain and discomfort during dental procedures. The Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews guidelines were used to prepare the review. Six databases and two sources of gray literature were searched. This review analyzed 107 sources from 1994 to 2023. Local anesthesia devices were grouped into computer-controlled local anesthetic delivery (CCLAD) systems, intraosseous anesthesia (IOA), vibratory stimulation devices, and electronic dental anesthesia (EDA). CCLAD systems, particularly the Wand and Single-Tooth Anesthesia, have been the most researched, with mixed results regarding their effectiveness in reducing pain during needle insertion compared to traditional syringes. However, CCLAD systems often demonstrated efficacy in reducing pain during anesthetic deposition, especially during palatal injections. Limited studies on IOA devices have reported effective pain alleviation. Vibrating devices have shown inconsistent results in terms of pain reduction, with some studies suggesting their primary benefit is during needle insertion rather than during the administration phase. EDA devices are effective in reducing discomfort but have found limited applicability. These findings suggest that the CCLAD systems reduce injection pain and discomfort. However, the evidence for other devices is limited and inconsistent. The development and research of innovative technologies for reducing dental pain and anxiety provides opportunities for interdisciplinary collaboration and improved patient care in dental practice.

• 한국정보전자통신기술학회논문지
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• 제9권4호
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• pp.388-403
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• 2016

2016년 7월 5일 울산 앞바다 규모5.0 지진은 대한민국이 지진에 안전하지 않을 수 있다는 불안감을 주었고 2016년 7월 20일 부산 가스냄새는 지역주민들에게 지진에 대한 괴담 확산으로 번졌다. 이와 같이 스마트 시티에서는 재난안전에 관한 정확한 정보가 중요하며 피해주민과 커뮤니티에 대한 빠른 대응이 재난회복에 영향을 주게 된다. 본 연구는 스마트시티의 피해주민을 대상으로 사회기술을 응용하여 재난에 대한 불안환기모델의 중요성을 밝히고, 동일본대지진 당시 가마이시시(釜石市) 주민들의 자조(自助)내용을 심도 있게 고찰하여 적용 방안을 찾아내고, 재난대응 및 회복을 위한 보완수단으로 주민들이 실천할 수 있는 자조방안에 대해 제시하고자 한다.

• 한국치위생학회지
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• 제17권3호
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• pp.515-526
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• 2017

Objectives: This study was carried out for the purpose of examining the levels of vocational awareness and the professional ethics recognition in the clinical dental hygienists. Methods: A survey was conducted targeting 500 members who participated in the supplementary education program for dental hygienists in the first half of 2017. Total 328 subjects' materials were analyzed. Results: A reason for working in terms of the occupational identity was very high with 81.4% in 'aiming to earn money'. A goal of working was the highest with 41.5% in 'financial independence'. The professional ethics approach level was indicated to be the highest with 3.33 points in the domain of human relation. It was shown to be in order of the job satisfaction level with 3.21 points, followed by the lifelong working with 3.17 points, the vocational ethics observance with 2.95 points, the workplace satisfaction level with 2.82 points, and the job anxiety level with 2.65 points. The domain in the job anxiety level according to general characteristics was indicated to be significantly high in the higher age and work career in case of the married and in case of Seoul as a workplace. The domain in the professional ethics observance was shown to be significantly high in the higher work career in case of the married and in case of Gyeonggi Province as a workplace. The domain in the lifelong working was indicated to be significantly high in case of the married. Conclusions: For the establishment of the right professional ethics as a dental hygienist and for the securement of its practice starting from the education for the dental hygiene department, the development of educational program will be needed aiming at the approach to the professional ethics and the reinforcement in the vocational ethics recognition.

• 대한불안의학회지
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• 제14권2호
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• pp.135-141
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• 2018

Objective : This study evaluated the role of smartphone application in the self-assessment of three psychiatric symptoms: stress, depression, and suicidal ideation. Methods : A total of 5,646 respondents were evaluated with three scales (Perceived Stress Scale, PSS, Center for Epidemiologic Study for Depression, CES-D, Scale for Suicidal Ideation, SSI) via smartphone application 'mindscan'. We analyzed the sociodemographic variables, the levels of three symptoms, and the association between the scores on all three scales. Results : The mean total scores of PSS, CES-D, and SSI were 24.86, 35.15, and 18.03, respectively. Women showed significantly higher scores on PSS, CES-D, and SSI when compared with men. Younger users showed a significantly higher score on all three scales when compared with older users. The scores on all three scales were higher than in other studies with off-line surveys. The PSS was positively correlated with CES-D (r=0.690), and with SSI (r=0.367). The CES-D was positively correlated with SSI (r=0.540). Conclusions : A smartphone application for mental health based on three scales (PSS, CES-D, and SSI) is a relatively useful screening tool compared with off-line general population surveys. The association between the three scales reflects the relationship between the three psychiatric symptoms observed in clinical practice.

• 대한간호학회지
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• 제35권1호
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• pp.65-76
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• 2005

Objective: The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program). Method: Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis. Result: Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others. Conclusion: Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.Objective: The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program). Method: Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis. Result: Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others. Conclusion: Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.

• 대한간호학회지
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• 제33권6호
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• pp.722-730
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• 2003

Purpose: This study attempted to describe the essential structure of the lived experience of a students transferring into the nursing program. Method: The data was collected from 14 graduates and undergraduates who enrolled in nursing school as transfer student. The analysis of the data was made by phenominological analytic method suggested by Colaizzi(1978). Result: In this study, 6 essential themes were extracted: ‘Constant anxiety of being a stranger’, ‘Feeling of constant burden’, ‘Thankfulness of a clinical practice group’, ‘Being supportive with each other between transferring students’, ‘Pleasure of studying a desired major’, ‘Feeling the responsibility of own choice of a new major’, Conclusion: With rapidly increasing number of transferring students, the significance of this study in the field of nursing is that by understanding the transferring experience of nursing students, it describes the need of systematic and emotional support for transferring students.