• Title/Summary/Keyword: Clinical Practice Stress

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Critical Review of the Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress and Health-related Quality of Life (QOL) (Mindfulness Based Stress Reduction (MBSR) 프로그램이 스트레스 및 삶의 질에 미치는 효과에 대한 분석)

  • Song, Yeoung-Suk;Lindquist, Ruth;Choi, Eun-Ju
    • Korean Journal of Adult Nursing
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    • v.22 no.2
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    • pp.121-129
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    • 2010
  • Purpose: In numerous studies, MBSR programs have been shown to reduce stress and improve health-related QOL. Although MBSR programs have been shown to be beneficial, its effects have not been well-determined among Korean populations in clinical nursing practice. The purpose of this review was to describe the effects of MBSR on stress and health-related QOL so that the potential benefits of this intervention may be evaluated for wider application in Korea. Methods: Articles published in peer-reviewed journals in the English or Korean language up to 2009 were reviewed; 14 articles met the inclusion criteria for this review and there were no Korean papers. Results: MBSR groups were found to have significantly reduced stress outcomes relative to non-MBSR groups in 6 of 11 studies. In regards to health-related QOL, participants of the MBSR programs had increased scores after MBSR intervention relative to control groups in 5 of 7 studies. Conclusion: MBSR programs was effective in decreasing stress and increased the health-related QOL in the majority of studies reviewed. MBSR merits study in Korean patients to determine whether similar salutary patient outcomes may be obtained.

The Effects of Stress and Spirituality on Quality of Life of Nursing Students (간호대학생의 스트레스, 영성이 삶의 질에 미치는 영향)

  • Lee, Jung Lim;Kang, Seok-Jung
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.87-93
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    • 2021
  • Purpose: The purposes of this study were to investigate the relationship between stress, spirituality and quality of life and verify the effect of mediating spirituality in the relationship between stress and quality of life among nursing students. Methods: A total of 173 fourth-year nursing students who have experienced clinical practice participated in this study. Data were collected using structured questionnaires to measure the stress, spirituality and quality of life in nursing students from November 9 to December 9 in 2020. Data analysis was conducted using independent t-test, ANOVA, Pearson's correlation coefficient, and mediated regression analysis of Baron and Kenny. Results: The results show that stress were negatively correlated with quality of life (r=-.49, p<.001) and spirituality (r=-.40, p<.001). In addition, spirituality was positively correlated with quality of life (r=.56, p<.001) and had a partial mediation effect on the relationship between stress and quality of life. Conclusion: The results of this study indicate that in order to reduce stress and improve the quality of life of nursing students, it is necessary to actively apply a spirituality promotion program recognizing and developing nursing student's spirituality.

A Review on Clinical Research Trends in the Treatment of Hatha-Style Yoga for Post Traumatic Stress Disorder (외상후 스트레스장애에 대한 하타 스타일 요가 치료의 해외 임상연구 동향)

  • Hong, Hee-Yeon;Hong, Min-Ho;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.1
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    • pp.13-23
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    • 2020
  • Objectives: The purpose of this study was to review the research trends in the treatment of hatha-style yoga on Post Traumatic Stress Disorder (PTSD). Methods: We searched articles in Pubmed and the China National Knowledge Infrastructure (CNKI) January 2010-December 2019, for studies to treat PTSD using hatha-style yoga. Selected studies were evaluated by the CLEAR-NPT (A Checklist to Evaluate a Report of a Non-pharmacological Trial). Results: Seven randomized controlled clinical trials were selected. PSS-I (PTSD Symptom Scale-Interview) was the most frequently used as diagnostic criteria. The PCL (PTSD Checklist) was also the most commonly used outcome measurement. Of the seven articles, most studies reported that hatha-style yoga was effective to reduce symptoms of PTSD. Conclusions: Hatha-style yoga practice intervention can be used to relieve symptoms of PTSD. More studies should be conducted to make hatha-style yoga as protocol (complementary therapy) for PTSD patients.

A Study on the Satisfaction and Stress Factor of Clinical Practice for Students in the Department of Dental Hygiene (치위생과 학생의 임상실습에 따른 만족도와 스트레스요인에 관한 연구)

  • Park, Mi-Young
    • Journal of dental hygiene science
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    • v.6 no.4
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    • pp.243-249
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    • 2006
  • The purpose of this survey research was to investigate the satisfaction and the factor of stress of 183 dental hygienic students for the dental clinical training who were at 3 colleges which were located in Incheon-city and Kyunggido. This survey was carried out from 12th of September to 19th of October and analyzed using SPSS WIN 12.0. As a result of analysis, the following conclusion were obtained. 1. 86.3% dental hygienic students for satisfaction for the major, 75.9% for training, and 91.8% for future occupation reflected as more than good. 2. In case of the factor of stress, Ideal and value was found out as $3.54{\pm}1.23$ and personnel relationship as $1.74{\pm}1.20$. 3. In case of satisfaction according to general characteristics, there were more or less significant differences according to motive of department choice (P = 0.003) for satisfaction of the major and motive of department choice (P = 0.036) for satisfaction of future occupation. 4. Correlation among each satisfactions showed as the more they were satisfied with the major, the more they were satisfied with training, moreover, they were also satisfied with future occupation. 5. For factor of stress affecting to satisfaction for training, role and ideal and value were showed as affecting variables.

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Factors Affecting the Quality of Life of Nursing Students before and after Clinical Practice (임상실습 전·후 간호 대학생들의 삶의 질에 영향 요인)

  • Kim, Kyeong-Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.774-785
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    • 2018
  • This study was conducted to evaluate the factors affecting the quality of life before and after clinical practice for nursing students. The data were collected from 256 nursing students in the third and fourth years at H college and G University through a questionnaire from February 19 to June 29, 2018. The collected data were compiled using the SPSS/WIN 18.0 statistical program with Paired t-test, ANOVA, Spearman rho Correlation, Kendall Correlation, and Multiple Linear Regression. The factors that significantly explained the quality of life of nursing students before and after clinical practice were the reason for application (t=5.268, p<.001), school record (t=4.771, p<.001), depression (t=-4.600, p<.001), monthly income (t=3.383, p=.001), and satisfaction in nursing department (t=3.344, p=.001). The coefficient of determination for these factors, R2, showed an explanation force of 68.5%. These results also inferred that the quality of life of nursing college students is high, with high satisfaction in nursing departments and regular school record and low economic hardship and depression. Therefore, programs should be developed that can improve the quality of life of nursing students before and after clinical practice by continued improvement in the controllable factors of school record and satisfaction in nursing departments and by reducing depression, since the reason for application and the monthly income of nursing students cannot be controlled.

Dietary Behavior, Health Status, and Perceived Stress of University Students (대학생의 식행동과 건강 상태 및 스트레스에 관한 연구)

  • Cho, Jee-Ye;Song, Jae-Chul
    • The Korean Journal of Food And Nutrition
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    • v.20 no.4
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    • pp.476-486
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    • 2007
  • This study was performed to investigate the dietary behaviors, perceived stress, and health-related factors along with their correlations in University students. The number of subjects was 150(64 males and 86 females), and the results of the study were as follows: Stress was felt by over 80% of the male and female students. The male students were more stressed than the females for economic value, gender difference, professor and drinking-related stress factors, and there was a significant difference between the genders. The female students had more clinical symptoms from stress than the male students in terms of dizziness, indigestion and constipation(p<0.01, p<0.001). The amount of food intake under stress was significantly different by gender. The female students preferred sweet tasting items, whereas the male students preferred hot tasting item when under stress. Also the intake of candy and chocolate when under stress in the male and female students was $2.00{\pm}0.74$ and $2.41{\pm}0.75$, respectively. The female students consumed candy and chocolate more than the male(p<0.01). Furthermore, 62.5% of the male students and 30.2% of the female students exercised to get rid of stress: the use of ball games as exercise in male and female students was $1.59{\pm}0.83$, $1.01{\pm}0.11$, respectively. Many students drank alcohol and smoked while under stress. In particular, the male students smoked more than normal as compared to the females, and there was a significant gender difference(p<0.001). The clinical symptoms positively correlated with the life stress level were degree of nervousness, sweaty, achy neck and shoulders, sore back, dizziness, eye fatigue, headache and indigestion. The amount of food intake under stress was positively correlated to the clinical symptom of headache. These results indicate the effects of life stress on dietary behaviors, food choice, and health status. Stress not only changed dietary behaviors, but was also related to health status. Therefore, education with regard to nutrition is necessary if college students are to practice food eating habits to correctly manage life stresses.

The Controversy Regarding the Optimal Management of Chronic Low Back Pain: Interventional vs. Medical Treatment (만성요통의 적정 치료를 둘러싼 논란: 중재적 치료 대 보존적 치료)

  • Kwon, O-Hyun
    • Annals of Clinical Neurophysiology
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    • v.12 no.1
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    • pp.1-2
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    • 2010
  • Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economic expenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, the ways of management of CLBP are diverse and there is yet no general consensus about which approach is better than others or to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasive maneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcome of those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodological difficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolution of low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on the invasive management on CLBP are rather complimentary each other than to be contradictory.

An Integrative Review of Meditation Program for Stress Relief of Nurses (국내 간호사의 스트레스완화를 위한 명상프로그램에 관한 통합적 고찰)

  • Park, Ye-Ri-Ja
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.557-570
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    • 2022
  • The purpose of this study was to review meditation programs for stress relief of Korean nurses. Whittmore and Knafl's integrative review methods were used. The search yielded 97 articles, 7 of which met the criteria and were included in the review. One of the selected studies was a randomized controlled quasi-experimental design and six were a non-equivalent control group pretest-posttest design. Meditation programs varied from 5 to 8 sessions. All of the meditation programs measured the effect on stress as various meditation programs. However, there was one study confirming the degree of stress management maintenance after the end of the meditation program. Although there are contents to strengthen the practice and will of nurses, it was confirmed that it was difficult to evaluate sincerity. Therefore, a highly accessible program for nurses in various clinical situations and strategies to strengthen participants' practice and will needs to be included in the meditation program content.

Effects of Self-Foot Reflexology on Stress, Fatigue, Skin Temperature and Immune Response in Female Undergraduate Students (자가발반사요법이 여대생의 스트레스, 피로, 피부온도 및 면역반응에 미치는 효과)

  • Lee, Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.110-118
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students. Methods: The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program. Results: The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different. Conclusion: The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

Effects of the Cognitive Training Program on Cognitive Function, Stress and Depression of Elderly Patients in Geriatric Hospitals (노인전문병원 입원 노인의 인지훈련 프로그램이 인지기능, 스트레스 및 우울에 미치는 효과)

  • Kim, Yun-Kyung;Kim, Tae-Hoon;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.12 no.3
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    • pp.140-147
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of the cognitive training program on cognitive function, stress and depression in geriatric hospitals. Methods: The subjects of the experimental group were 17 elderly patients who attended the cognitive training program in Geriatric Hospitals and the subjects of the control group were 15 elderly patients who attended in geriatric hospitals. The persons in training group must take cognitive training program for 4 weeks by 3 times a week. The Mini-mental State Examination Korea version (MMSE-K), Geriatric depression Scaleshort form-Korea version (GDS-K) and Korean Computerized Neurobehavioral Test (KCNT) were utilized to determine cognitive function, stress and depression. The collected data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC 12.0 program. Results: Cognitive function (t=-7.625, p=.000) in the elderly after receiving the cognitive training program was significantly more improved than before intervention. Also, Stress and depression (t=2.73, p=.004) was significantly more reduced than before the intervention. Conclusion: This cognitive training program was partially effective in improving cognitive function, neurobehavioral performance and reduce stress and depression. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention in geriatric hospitals.