• Child Health Nursing Research
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• v.26 no.4
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• pp.434-444
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• 2020

Purpose: The aim of this retrospective study was to analyze the characteristics of peripheral arterial ischemia and tissue necrosis in premature babies, as well as the effects of nitroglycerin. Methods: In total, 513 newborns were enrolled who were admitted to the neonatal intensive care unit with a gestational age of 34 weeks or younger. Data were collected on general personal and clinical information, peripheral arterial ischemia, and nitroglycerin patch application in the premature infants. The collected data were analyzed using the χ² test, t-test, Mann-Whitney U test, logistic regression. Results: Thirty-six (7.0%) infants had peripheral arterial ischemia, while 477 (93.0%) infants did not. Lower gestational age (χ²=35.97, p<.001), lower birth weight (χ²=29.40, p<.001), lower blood pressure (χ²=23.10, p<.001), and insertion of an umbilical artery catheter (p<.001) were significantly associated with the occurrence of peripheral arterial ischemia. Among the preterm infants in whom nitroglycerin patches were applied, 30 (83.3%) premature infants without necrosis improved without complications, 4 (11.1%) showed hypotension, and 2 (5.6%) showed skin damage. Conclusion: Based on a review of our experiences with nitroglycerin patches, we recommend closely observing skin color and using nitroglycerin patches on the skin to help improve flow in premature infants with peripheral arterial ischemia.

• Child Health Nursing Research
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• v.10 no.2
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• pp.180-187
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• 2004

Purpose: This study was designed to investigate effect of sensory stimulation on the mother-infant interaction in premature infants. Method: The subjects of this study consisted of 36 pairs of premature infants and their mothers from NICU of one university hospital located in Taegu, 18 pairs for intervention group and 18 pairs for control group. The data were collected from May, 1999 to October, 2000. For the intervention group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00-11:00 in the morning and 7:00-8:00 in the afternoon by researcher and mother). To determine mother and infant interaction during feeding, tool developed by Kim Mi-Ye(1999) was used. Collected data were analyzed with SAS program using chi-square test and t-test. Result: Significant differences were found in mother-infant interaction between two groups(t=-5.38, p=.00). It indicates that sensory stimulation was effective in improving mother-infant interaction. In the aspects of the quality of mother-infant interaction, sensory stimulation was most effective in improving sensitivity to mother and infant's synchronic behaviors(t=-5.43. p=.00) and followed by growth fostering(t=-5.07, p=.00), sensitivity to infant's cues(t=-4.53, p=.00), clarity of infant's cues(t=-3.03, p=.00) and responsiveness to the mother's behaviors(t=-2.14, p= 0.04). Conclusion: Based on the result of this study, it is suggested that maternally administered sensory stimulation should be applied clinical practice to improve interaction of premature infants and their mothers.

• Health Policy and Management
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• v.24 no.4
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• pp.312-321
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• 2014

Background: To evaluate the quality of chronic care provided by public health centers located in a South Korean metropolitan city using a modified Assessment of Chronic Illness Care (ACIC). Methods: We conducted self-evaluation surveys and collected data using a modified ACIC from twenty five public health centers. Cultural validity of the original ACIC was examined by the public health and nursing science experts. Based on expert reviews, cognitive interviews, pre-test results, five items of the original ACIC that were not relevant were deleted. The response scale was changed from twelve-point Likert scale to Guttman scale but its scoring system was maintained. Results: Eighty eight percent of public health centers in this study reported that their overall quality of chronic care was at a limited or basic level. About 68% of the centers reported that the organization was as reasonably good or fully developed to provide chronic care. On the other hand, 96% of the public health centers reported that the clinical information system was at a very limited or basic support level. The decision support, the integration of Chronic Care Model components, the delivery system design, the community linkages, and the self-management support were evaluated as limited or basic level of support by more than half of the public health centers, respectively. Conclusion: In a metropolitan area of South Korea, quality of chronic care in public health centers was not found to reach acceptable levels of services. It is critical to enhance the quality of chronic care in public health centers.

• Journal of Sensor Science and Technology
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• v.26 no.5
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• pp.306-313
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• 2017

An early detection of infiltration in veins is essential to minimize the injuries caused during infusion therapy, which is one of the most important tasks for nurses in clinical settings. We report that bioelectrical impedance analysis is useful in the early detection of infiltration at puncture sites. When infiltration was intentionally induced in the vein of a rabbit's ear, impedance parameters showed significant difference before and after infiltration. In particular, the relative resistance at 20 kHz in the vein of rabbit's ear reduced largely at infiltration, decreased slowly, and then stayed at a constant value. This indicates that the vein in the ear of the rabbit is small, and hence the infiltrated intravenous (IV) solution no longer accumulates after 3 minutes of infiltration. However, when infiltration was induced in the vein of a human's forearm, the relative resistance at 20 kHz decreased gradually over time. In the $R-X_c$ graph, the positions in infiltration induced in the rabbit's ear rapidly shifted before and after infiltration whereas the positions in infiltration induced in the human's forearm changed gradually during infiltration. Our findings suggest that bioelectrical impedance analysis is an effective method to detect the infiltration early in a noninvasive and quantitative manners.

• Journal of Digital Convergence
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• v.13 no.7
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• pp.249-258
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• 2015

This study was conducted to determine the affecting factors among patients with drinking behavior of liver cirrhosis. Data were collected by questionnaire from 157 patients who were diagnosed with liver cirrhosis at a tertiary hospital located in D-city. Measurements included patients' demographic characteristics, clinical characteristics, disease-related of symptom experience, emotional-factors of anxiety-depression and social-factor of social support. Data were analyzed using t-test, and logistic regression analyses. The incidence rate of drinking behavior was 31.8%. Multivariate analysis revealed that smoking(yes), men, symptom experience, social support and anxiety were more likely to report high level of drinking behavior. Future research should consider managing drinking behavior as an essential component of comprehensive care for patients with liver cirrhosis.

• Journal of Korean Clinical Nursing Research
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• v.20 no.1
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• pp.134-145
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• 2014

Purpose: The purpose of this study was to develop and apply a video dietary instruction program for hemodialysis patients to understand dietary compliance as well as the effect on the physiological indicator. Methods: This is a quasi-experimental study of a nonequivalent control group pre-post test design. Data were collected from August 6, 2012 to January 10, 2013. Twenty patients were assigned to an experimental group and twenty-one patients were assigned to a control group. A video dietary instruction program was developed and applied only to the experimental group once a week for a total of 8 weeks. Dietary compliance and physiological indicators were subsequently measured. Results: Dietary compliance was improved in both groups over time. There was no significant change in the physiological indicator value in both groups, indicating that there was no correlation between the treatment type and time. Conclusion: The video dietary instruction program could not make a statistically significant change on the physiological indicator value of the experimental group; however, this change was maintained within the allowable limits. Therefore, the video dietary instruction program can be utilized continuously as a standardized nursing intervention program in order to maintain the dietary compliance of hemodialysis patients.

• Journal of Korean Clinical Nursing Research
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• v.14 no.1
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• pp.113-123
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• 2008

Purpose: This study was done to provide support material to traditional nursing interventions through investigation of the effect of Auricular acupressure therapy for female staff in the hospital who have dysmenorrhea but cannot be absent from work even with severe symptoms affecting their work and therefore cannot get proper pain management. Method: The participants in this study were 62 women were working in the G-university hospital in Jin-ju, assigned to experimental (30) and 32 control groups (32). The study method was a quasi-experimental, nonequivalent control group non-synchronized design. The experimental group received acupressure treatment (a pin was attached to tape) on the special stimulation points in the inside of the ear, 5 times for 5 seconds, morning, afternoon, and night. Tape without the pressure pin was applied to the same points for women in the control group to evaluate placebo effect. Data were collected from May to November 2007 and were analyzed using SPSS PC+ 12 version. Descriptive statistics, t-test, $x^2-test$, Fisher's exact test, paired t-test, were used to analyze the data. Results: The experimental group showed a significant decrease in dysmenorrhea compared to the control group (t=-2.743, p<.01). In the sub-part, the experimental group showed menstruation related pain (t=-3.726, p<.01), menstruation related to behavioral change (t=-2.421, p<.05) and symptoms however, there was no significant difference related to attention deficit, water retention, and negative image. Conclusion: Application of auricular acupressure therapy was approved for this study and although auricular acupressure therapy was not effective for all of the symptoms, it was effective for dysmenorrhea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.9
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• pp.4061-4067
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• 2011

This study was conducted to verify the effects of preparatory information, the anxiety level of premedication as well as physiologic variable of patients undergoing bronchoscopy. Data collection was performed from June 4 from December 28 2007 with 102 patients. The degree of anxiety of the subjects was measured by the Spielberger State Trait Anxiety Inventory (Korea version). A booklet constructed by researcher as a research tool was used or patients education. Data were analyzed by using SPSS 14.0 program. As a result of the effect that preparatory information and premedication to the subjects undergoing bronchoscopy was statistically effective in reducing the degree of anxiety(p=.005) and controlling pulse rate(p=.033), respiratory rate(p=.006) on the specific threatening procedure but show no significant effectiveness on stabilizing systolic pressure(p=.062) and diastolic pressure(p=.189). Therefore it is thought that it can be actively applied to clinical practice.

• Journal of Korean Clinical Nursing Research
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• v.21 no.2
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• pp.223-233
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• 2015

Purpose: This study was done to investigate the correlation of uncertainty, coping and health-promoting behavior in patients with gastric cancer who have undergone a gastrectomy. Methods: A descriptive correlational design was used and the participants were 120 gastric cancer patients from one general hospital. The structured questionnaire included Mishle's Uncertainty in Illness Scale, the Korean Cancer Coping Questionnaire, and the Health Promoting Lifestyle Profile. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: There were significant negative correlations between uncertainty and intrapersonal coping (r=-.657, p<.001); between uncertainty and interpersonal coping (r=-.223, p=.014); and between uncertainty and health promoting behavior (r=-.594, p<.001). There were significant positive correlations between intrapersonal coping and health promoting behavior (r=.790, p<.001); and between interpersonal coping and health promoting behavior (r=.502, p<.001). Uncertainty, intrapersonal coping, and interpersonal coping explained 49% of health promoting behavior (F=21.312, p<.001). The factors that influenced health promoting behavior were intrapersonal coping (${\beta}=.582$, p<.001), and interpersonal coping (${\beta}=.246$, p<.001). Conclusion: The findings of this study indicate that intrapersonal coping and interpersonal coping were significant variables for health promoting behavior in patients with gastric cancer who had undergone a gastrectomy in the past six months.

• The Korean Journal of Pain
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• v.35 no.1
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• pp.86-96
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• 2022

Background: To explore the association between low back pain (LBP) and pelvic pain (PP) and rectus abdominis diastasis (RAD) in postpartum women and identify the characteristics and risk factors. Methods: Women diagnosed with RAD and a history of labor and delivery, between 2009 and 2018, were identified from six hospitals within the Partners Healthcare System. Univariate and multivariable binary logistic regression analyses were used to identify the risk factors associated with pain. Results: Age at onset of RAD in the non-cesarean delivery group was earlier than those in cesarean delivery (CD) group (P = 0.017). Women who underwent CD demonstrated 4.5 times greater risk of RAD than those who had no CD exposure. The cumulative composition ratio of LBP at every age stage of the period from 8 years pre-first delivery to 8 years post-first delivery was significantly higher than the other five conditions (RAD, umbilical hernia, PP, depressive disorder [DD], and strain of muscle, fascia, and tendon [SMFT]) (P for trend < 0.001). Women with DD, SMFT, and PP were more likely to have LBP (odds ratio [OR] = 1.91, 95% confidence interval [CI] 1.06 to 3.47, P = 0.032; OR = 4.50, 95% CI 1.64 to 12.36, P = 0.003; OR = 2.14, 95% CI 1.17 to 3.89, P = 0.013; respectively). Conclusions: In postpartum women with RAD, DD, SMFT, and PP were found to be risk factors contributing to the development of LBP. Race and LBP also played roles in the development of PP.