• Title/Summary/Keyword: Effective intervention

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Effects of Limited Hyperextension at Knee Joint Using Limited Motion Knee Brace on Balance, Walking in Patients with Hemiplegia (슬관절 움직임 제한 보조기를 이용한 슬관절 과신전 제한이 편마비 환자의 균형과 보행에 미치는 영향)

  • Lee, Eun-Hyuk;Min, Kyung-Ok;Lee, Kang-Sung
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.258-265
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    • 2010
  • The purposes of this study was to determine the effects of limited hyperextension at knee joint using Limited Motion Knee Brace on balance and walking in patients with hemiplegia. The subjects of this study were 20 post-stroke hemiplegic patients admitted. Subjects were randomly assigned to either experimental group (Limited Motion Knee Brace group) or control group (manual restriction group). Both groups received traditional physical therapy intervention. The effects of each therapeutic method were evaluated by measurements of gait ability assesment, Berg balance scale (BBS), 10-meter walk speed (10MWS), Timed Up & Go (TUG) Test. The results of this research were as followings: (1) After treatment, there were significant BBS scores differences in both experimental and control group compared with pre-treatment(p<0.05). (2) After treatment, there were significant TUG test scores differences in both experimental and control group compared with pre-treatment (p<0.05). (3) After treatment, there were significant 10MWS differences in both experimental and control group compared with pre-treatment (p<0.05). (4) There were significant BBS scores differences in third and fourth week between experimental and control group (p<0.05). It was concluded that Limited Motion Knee Brace was effective for improving balance and for reducing fatigue for experimental group. Therefore, further studies are required to investigate the effect of knee orthosis for improving balance and walking in patients with hemiplegia.

Effects of integrated obesity management program on obese elementary school children (초등학교 비만아동을 위한 통합비만관리프로그램의 효과)

  • Cho, In-Sook;Ryu, Hyun-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.5
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    • pp.1378-1389
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    • 2020
  • The purpose of this study was to develop a integrated obesity management program and measure the effects of the program on obesity, life style, dietary self-efficacy and exercise self-efficacy among obese elementary school children. The integrated obesity management program was provided for the experimental group of 4~6th grade elementary school students for 8 weeks. The program included obesity related health educations based on behavior modification and self-efficacy once a week, exercise classes three times a week. Method: There were 30 children with obesity in the experimental and 28 in the control groups. The collected data were analyzed by the 𝑥2-test, independent t-test and repeated measure ANOVA. Results: After 8weeks of participation in the program, the experimental group showed significantly lower body mass index (p<.01), percent body fat(p<.05) and obesity index(p<.01), significantly higher life style (p<.05)), dietary self-efficacy(p<.001), exercise self-efficacy(p<.05) than those in the control group. Conclusion: This study provides evidence that integrated obesity management program is effective nursing intervention for managing child obesity.

Effects of the Fall Prevention Education Program (FPEP) for Caregivers in Elderly Care Facilities on Fall-related Knowledge, Fall-related Burden, and Caring Behaviors for Fall Prevention (노인요양시설 요양보호사를 위한 낙상예방교육프로그램이 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과)

  • Kim, Minsuk;Kim, Jeong Sun
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.778-790
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    • 2013
  • The purpose of the study was to examine the effects of the Fall Prevention Education Program (FPEP) on those providing direct care in elderly care facilities regarding fall-related knowledge, fall-related burden, and caring behaviors for fall prevention. The FPEP developed in the study was implemented for 80 minutes per session and four sessions in total. Participants included a total of 47 subjects, 24 in the experimental group and 23 in the control group. The program was implemented from July 16 through August 31, 2012. Data were analyzed using ${\chi}^2$-tests, Fisher's exact probability tests, independent t-tests, and analyses of covariance using the SPSS/Win 19.0 program. According to the pre-and post-test, the experimental group participated in the program showed an increase in fall -related knowledge (t=6.71, p<.001), a decrease in fall-related burden (t=-2.31, p=.026), and an increase in caring behaviors for fall prevention (F=49.50, p<.001) as compared to the control group. The results of the study demonstrated that the FPEP developed for those providing direct care in elderly care facilities was an effective intervention for decreasing fall-related burden and increasing fall-related knowledge and caring behaviors for fall prevention.

Factors Associated with the Continuous Abstinence Rate from Smoking on Smoking Cessation Program over 6 Months in College Students of Daejeon, Korea (대전 지역 대학생의 6개월 금연 성공 관련 요인)

  • Seo, Eun-Seon;Kim, Chul-Woung;Lee, Seung Eun;Im, Hyo-Bin;Lee, Sang-Yi;Kang, Jung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.247-257
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    • 2020
  • Despite the various smoking cessation programs that are available for college students, students have lower rates of quitting smoking than do other age groups. This study identifies the variables associated with continuous abstinence from smoking among college students. This study used the data from the National Tobacco Control Center and 781 college students who participated in the program conducted by the Daejeon Tobacco Control Center from June, 2015 to December, 2016. The results showed that the expiration CO level and the frequency of attending smoking cessation counseling were the significant variables related to the continuous abstinence rate at 4, 12, and 24 weeks. Students who had a low expiration CO level (?10 ppm) had a higher abstinence rate than did the students who had a high expiration CO level (≥10ppm), and the OR was 2.53 at 4-week, 2.33 at 12-week, and 2.13 at 24-week. The ORs for the 4-week, 12-week, and 24-week abstinence rates with one additional counseling session were 12.39, 13.13, and 12.21, respectively. This study suggests the need to increase the number of smoking cessation counseling sessions for effective smoking cessation intervention among college students.

The Effects of Contraceptive Education Program on Contraceptive Knowledge, Contraceptive Attitude and Contraceptive Self-efficacy among High School Students (피임교육 프로그램이 고등학생의 피임 지식, 피임 태도와 피임 자기효능감에 미치는 효과)

  • Kim, Yu-Jin;Kim, Dong-Hee;Park, Jung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.246-255
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    • 2017
  • This study aimed to develop and evaluate the program of contraceptive education for high school students. A nonequivalent control group design was used. The contraceptive education program was developed and applied to the experimental group. The control group was provided with a handout and video educational instrument after the intervention. The population of the study comprised 146 high school students in the third grade at two high schools in U city. The collected data were analyzed by descriptive statistics, the ${\chi}^2$-test, t-test and repeated measure ANOVA using the PASW 18.0 program. The content and learning guidance validities of the contraceptive education program were 0.93 points and more than 4 points, respectively. There were statistically significant increases over time in contraceptive knowledge(F=56.71, p<.001), contraceptive attitude(F=4.31, p=.018) and contraceptive self-esteem (F=8.15, p<.001) in the experimental group. The results indicate that the contraceptive education program is effective in improving the contraceptive knowledge, contraceptive attitude and contraceptive self-esteem among high-school students. Further study is recommended to confirm the long-term effects of the contraceptive education program.

An Analysis of Nursing Decision Tasks, Characteristics, and Problems with Decision Making (환자 간호에 대한 간호사의 의사결정 내용과 특성 및 의사결정 장애요인에 관한 분석)

  • 최희정
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.880-891
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    • 1999
  • The purpose of this study was to describe nursing decision tasks, their characteristics, and problems associated with decision making. The subjects were 32 nurses who had at least one-year nursing experience and worked on medical-surgical units or intensive care units(ICU). They were asked to describe their decision making experiences in patient care situations and to identify the characteristics of each decisions. They were also asked to describe perceived problems associated with decision making in nursing. The responses on nursing decision tasks and problems were analyzed with content analysis and the decision characteristics were identified by statistical analysis of variance. It was found that there were 16 nursing decisions which are as follows : decisions related to interpreting and selecting appropriate strategies for pain management(6.6%) ; decisions related to providing emotional support (0.7%) ; decisions related to explaining the patient's condition and rationale for procedures(1.1%) ; decisions related to assisting patients to integrate the implications of illness and recovering into their lifestyles(2.9%) ; decisions related to detecting significant changes In patients and selecting appropriate intervention strategies (17.2%) ; decisions related to anticipating problems and selecting preventive measures(4.2%) ; decisions related to identifying emergency situations(0.4%) ; decisions related to effective management of patient crisis until physician assistance becomes available(2.8%) ; decisions related to starting and maintaining intravenous therapy(2.6%) ; decisions related to administering medications(8.1%) ; decisions related to combating the hazards of immobility(7.3%) : decisions related to treating wound management strategies(5.5%) ; decisions related to relieving patient discomfort(13.9) ; decisions related to selecting appropriate strategy according to the changing situation of the patient(18.2%) ; decisions related to selecting the best strategy for patient management(5.3%) ; and decisions related to coordinating, ordering, and meeting the various needs of the patient (3.1%). The nurses reported the fellowing problems in decision making : difficulties due to lack of knowledge and experience (18.6%) ; uncertainty and complexity of decision tasks(15.2%) ; lack of time to make decisions(2.9%) ; personal values which conflict with other staff(15.7%) ; lack of selection autonomy(30.0%) ; and organizational barriers(7.6%). Continuing education programs and decision support systems for frequent nursing decision tasks can be established on the basis of these results. Then decision ability in nurses will increase through the education programs and decision support systems, and then quality of nursing service will be better.

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Comparison of Biological Markers and Lifestyle Factors on the Presence of Diabetes Mellitus in Middle-aged adults (중년기 성인의 당뇨병 유병형태에 대한 생리적 지표 및 생활습관 비교)

  • Keum, Hye-Sun;Suh, Soon-Rim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.104-111
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    • 2016
  • This study examined the effects of the biological markers and lifestyle factors on the presence of diabetes in middle-aged adults. A total of 5,363 adults aged 40-64 years were recruited from the 2010-2012 Fifth Korean National Health and Nutrition Examination Survey. The data were analyzed by descriptive statistics, Chi-square test, ANCOVA and logistic regression. The results were as follows. The body mass index was significantly higher in the prediabetes and diabetes group than in the normal group. Hypertension, abdominal obesity, hypercholesterolemia, hypertriglyceridemia, smoking, drinking, and carbohydrate intake were significantly different among three groups. Hypertension, hypercholesterolemia, hypertriglyceridemia, abdominal obesity, body mass index and drinking were the influencing biological markers and lifestyle factors in prediabetes. The significant factors influencing diabetes were hypertension, hypercholesterolemia, hypertriglyceridemia, abdominal obesity, body mass index, and smoking. Overall, the development of intervention programs for effective diabetes prevention in middle-aged adults by lifestyle modification of hypertension, obesity, dyslipidemia, drinking, and smoking is recommended.

The Effect of the Vestibular Stimulation Training on the Balance of Patient with Chronic Stroke (전정자극 훈련이 만성 뇌졸중 환자의 균형에 미치는 영향)

  • Nam, Ki-Won;Oh, Chae-Eun;Seo, Dong-Yel
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.597-604
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    • 2017
  • This study examined the effects of vestibular stimulation training on the static and dynamic balance of patients with chronic stroke. This study was conducted from July 15th to September 6th, 2014 and 20 subjects diagnosed with stroke participated in this study. The subjects were divided randomly into Group I (general therapeutic exercise, n=10) and Group II (vestibular stimulation training, n=10). Both groups were trained for 40 minutes, 3 times a week, for 6 weeks. The balance ability, static balance and dynamic balance, were evaluated using a Good Balance System and compared before-and-after intervention. In the vestibular training group, there were statistically significant differences in the left-right and anterior-posterior balance with the eyes closed and standing posture, in the left-right and anterior-posterior balance with the eyes open and standing posture, and moving time and distance. In the general therapeutic exercise group, there was no significant difference except in the left-right balance with the eyes open and standing posture. In conclusion, vestibular stimulation training had positive effects on the static and dynamic balance of chronic stroke patients, and this training can be effective in a treatment program to improve the balance ability of stroke patients.

A comparative study on Self-esteem, Organizational commitment, Transformational leadership of ROTC Cadets: focus on a non-smoker and smoker (학군사관후보생의 자아존중감, 조직몰입, 변혁적 리더십 비교 -비흡연자와 흡연자 중심으로)

  • Yoon, Hong-Gyu;Do, En-Su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.164-172
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    • 2017
  • This study was conducted to compare physical fitness, self-esteem, organizational commitment and transformational leadership among non-smoker and smoker ROTC cadets. This study used 425 questionnaires from male grade 3 and 4 ROTC cadets of 12 universities located in P city and G-do. Data were collected from May 1 to June 23, 2017. The data were analyzed by SPSS/WIN 23.0 using a ${\chi}^2-test$, independent t-test, and Pearson's correlation coefficient. Running 3km (t=3.26, p=0.046), self-esteem (t=1.06, p=0.003), organizational commitment (t=2.57, p<0.001) and transformational leadership (t=3.98, p<0.001) were significantly lower in the smoking group than the non-smoking group. There was a positive correlation between self-esteem, organizational commitment, and transformational leadership in both non-smokers and smokers. Therefore, to practice smoking cessation for the health promotion of ROTC cadets smokers, it is necessary to develop an effective education and intervention program that can enhance self-esteem, organizational commitment and transformational leadership.

Effect of Education and Counselling-based Cardiac Rehabilitation Program on Cardiovascular Risk, Health Behavior and Quality of Life in Elderly with Coronary Artery Disease (교육상담 기반 심장재활 프로그램이 노인 관상동맥질환자의 심혈관 위험도, 건강행위 및 삶의 질에 미치는 효과)

  • Won, Mi-Hwa
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.303-313
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    • 2015
  • Purpose: The purpose of this study was to investigate the effect of education and counselling-based cardiac rehabilitation program on cardiovascular risk, health behavior and quality of life in elderly with coronary artery disease. Methods: A quasi-experimental study used a non-equivalent control group pre-post test design. A five week education and counselling-based cardiac rehabilitation program for the elderly with coronary artery disease was developed and offered to the experimental group. Participants were drawn from hospital in Busan. Twenty two were selected for the experimental group while 22 were assigned to a control group. Cardiovascular risk, health behavior and quality of life were measured. Results: There was a statistically significant difference in the cardiovascular risk(U=118.5, p=.002), health behaviors(t=5.200, p=<.001) and quality of life(t=2.431, p=.001) between the experimental group and the control group. Conclusion: Education and counselling-based cardiac rehabilitation program can be not only an effective nursing intervention for old patients having coronary artery disease, but also the very basis of further research on aged people who have the same symptom.