• Title/Summary/Keyword: Health Uncertainty

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The Contribution of Competence in Parenting: Uncertainty related Children's Diseases, and Nursing Educational Need (입원 환아 어머니의 부모 역할 효능감 영향 요인: 질병에 대한 불확실성, 간호 교육 요구도)

  • Nam, Hyun A;Lee, Hwa Jin;Kim, Mi Ok
    • Korean Parent-Child Health Journal
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    • v.17 no.1
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    • pp.29-36
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    • 2014
  • Purpose: Competence in parenting helps the parent to recognize the ability to resolve problems arising to children, allowing positive interactions with children through desirable child-rasing behavior and smooth communication with children. This study aims to identify the contribution of uncertainty and educational needs to the competence in parenting. Methods: Total 159 mothers responded a questionnaire developed to measure uncertainty, educational needs, and competence in parenting. t-test, ANOVA, and stepwise multiple regression with the SPSS program were used to analyze the data. Results: We found that uncertainty, nursing educational need, and mothers' age had influence to the competence in parenting. Conclusion: Nursing interventions provided to the mothers of hospitalized children for better parental competence need to include programs for alleviating uncertainty and satisfying the need for nursing education.

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Perception of Uncertainty and Satisfaction for Nursing Service of Children's Parents Visiting to Pediatrics Outpatient Department and Emergency Room (소아과 외래와 응급실 내원 아동 부모의 불확실성 인지와 간호서비스 만족도)

  • Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.13 no.1
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    • pp.35-43
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    • 2010
  • Purpose: This study was a descriptive research to provide fundamental data in ensuring a high quality of nursing service needed by children's parent according to perception of uncertainty and care satisfaction of them between pediatric outpatient department and emergency room. Methods: For this study, 192 children's parents were questioned in a general hospital located in Busan from August 1 to 31. 2009. The collected data were scored by use of frequencies, $x^2$ test, t-test, AONVA, Pearson's correlation coefficient via SPSS/WIN 17.0. Results: With the compare of characteristics related to children's parents visiting emergency room and pediatric outpatient department, there were statistically significant difference in relation and age of parent, main caregiver, cause of arrival, and waiting time from arrival to procedure. The perception of uncertainty for parent in the emergency room showed significant difference to outpatient department. In nursing service, the highest score was category of professional skill and technic. In addition, overall parents' perceptions on providing information showed lower than any other nursing service. Last but not least, a significant correlation indicated between the perception of uncertainty and satisfaction of nursing service. Conclusion: Efforts to improve parent satisfaction for nursing service are needed to decrease their perception of uncertainty. Providing information and communication by nurses are necessary to improve quality of nursing service.

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Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients (뇌졸중 환자의 불확실성, 생리적 위험지표, 자기효능감이 자기관리에 미치는 영향)

  • Cho, Sook Hee;Yun, Kyung Soon
    • Journal of muscle and joint health
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    • v.23 no.2
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    • pp.114-124
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    • 2016
  • Purpose: The purpose of this study was to investigate the level of uncertainty, physiological risk factors, self-efficacy, and self-management among stroke patients and to identify factors influencing their self-management. Methods: A descriptive correlational design was used for this study. A convenience sample of 149 patients with stroke were enrolled at C national university hospital from February to April in 2016. Data were collected using a structured questionnaire and electronic medical record. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis with the SPSS/WIN 21.0 program. Results: There were significant negative correlations between uncertainty and self-efficacy (r=-.56, p<.001); between uncertainty and self-management (r=-.56, p<.001); and between total cholesterol and self-management (r=-.23, p=.005). There were significant positive correlations between self-efficacy and self-management (r=.78, p<.001); between uncertainty and total cholesterol (r=.24, p=.003). The significant factors influencing self-management were uncertainty and self-efficacy. Theses variables explained 62.7% of the variance in self-management. Conclusion: The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of self-efficacy among patients would improve the self-management of stroke patients.

A Study on the Impact of Mastery on Appraisal of Uncertainty in Women Patients with Rheumatoid Arthritis (극복력(Mastery)이 여성 류마티스 관절염 환자가 자각하는 불확실성 인지에 미치는 효과)

  • Yoo, Kyung-Hee
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.249-259
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    • 2002
  • Objectives: This study was conducted to investigate the effects of mastery on appraisal of uncertainty in women patients with rheumatoid arthritis. Methods : The study subjects consisted of 168 patients who were recruited from the outpatient clinic of a rheumatic center in Seoul. Self report questionnaires were used to measure the study variables that included uncertainty, mastery, danger appraisal of uncertainty, and opportunity appraisal of uncertainty. Cronbach's alpha reliabilities of these instruments ranged from .72 to .93. For data analysis. the SPSSWIN 10.0 program was utilized to exam descriptive statistics. Pearson's correlation. and regression analysis. Results: The results were as follows.: 1) The uncertainty scores of the subjects ranged from 33 to 87 with the mean score of 63.27. 2) The mastery scores of the subjects ranged from 10 to 27 with a mean score of 18.70. 3) The danger appraisal of uncertainty scores of the subjects ranged from 8 to 32 with a mean score of 20.22. 4) The opportunity appraisal of uncertainty scores of the subjects ranged from 7 to 28 with a mean score of 17.80. 5) Significant factors that explained the danger appraisal of uncertainty were mastery (=-.444. p<.001), and education level (=-.184. p<.05). 6) Significant factor that explained the opportunity appraisal of uncertainty was level of uncertainty (=-.328. p<.001). Conclusion: Among the independent variables. the most significant factor that explained the danger appraisal of uncertainty in the women patients with rheumatoid arthritis was mastery. Therefore, a nursing intervention with strategies to improve sense of mastery should be developed for women patients with rheumatoid arthritis.

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Measurement Uncertainty of Nicotine in Environmental Tobacco Smoke (ETS)

  • Lee, Jeong-Il;Lee, Cheol Min;Shim, In-Keun;Kim, Seong-Mi;Lee, Woo-Seok;Kim, Yoon-Shin
    • Bulletin of the Korean Chemical Society
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    • v.34 no.8
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    • pp.2394-2398
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    • 2013
  • Nicotine is the main component of environmental tobacco smoke, and its presence in indoor air is widely used as a secondhand-smoke indicator. Environmental tobacco smoke is a major source of indoor air pollution, but sufficient investigation of the uncertainty of its measurement, which mirrors the reliability of nicotine measurement, has not been performed. We calculated the uncertainty of measurement of indoor air nicotine concentration at low, medium, and high concentrations of 11.3798, 10.1977, $98.3768{\mu}g/m^3$, respectively, and we employed the Guide to the Expression of Uncertainty in Measurements (GUM), proposed by the International Organization for Standardization (ISO). The factors considered in determining the uncertainty were uncertainty of the calibration curve (calibration curve and repeated measurements), desorption efficiency, extraction volume, and sampling airflow (accuracy and acceptable limits of flowmeter). The measurement uncertainty was highest at low concentrations; the expanded measurement uncertainty is $0.9435{\mu}g/m^3$ and is represented as a relative uncertainty of 63.38%. At medium and high (concentrations, the relative uncertainty was 13.1% and 9.1%, respectively. The uncertainty of the calibration curve was largest for low indoor nicotine concentrations. To increase reliability of measurement in assessing the effect of secondhand smoke, measures such as increasing the sample injection rate ($1{\mu}L$ or more), increasing sampling volume to increase collected nicotine, and using gas chromatography-mass spectrometry (GC/MS) or GC/MS/MS, which has a lower quantitation threshold, rather than gas chromatography with nitrogen phosphorous detector, should be considered.

Uncertainty and Estimation of Health Burden from Particulate Matter in Seoul Metropolitan Region (수도권 대기 중 입자상 물질로 인한 건강부담 추정과 불확실성)

  • Ha, Jongsik;Moon, Nankyoung
    • Journal of Korean Society for Atmospheric Environment
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    • v.29 no.3
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    • pp.275-286
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    • 2013
  • It is well known that exposure to high level of PM (particulate matter) can adversely affect human health. However, little is known about health burden of PM considering the relationship, exposed level of PM, and health level in local communities. And, there is scarcely methodical assessment of uncertainty for application to policies of these assessment results. The scope of this study is divided into two parts: firstly to estimate the death burden of PM10 (particulate matter less then $10{\mu}m$ in diameter) in Seoul metropolitan region, and secondly to evaluate potential uncertainties in these estimates. To estimate the death burden of PM10 in Seoul metropolitan region from 2005~2010, we firstly assessed the relationship between daily mean PM10 and daily death counts in Seoul from 2000~2010, and calculated the death burden of PM10 using BenMAP (Environmental Benefits Mapping and Analysis Program). After that, we identified and characterized uncertainties to substantially influence the results of death burden. The daily mortality risk was increased 1.000227 times (p-value/0.001) associated with $1{\mu}g/m^3$ increase of daily mean PM10 for all ages population, Seoul. And, death burdens of PM10 in Seoul metropolitan region were estimated from 5.51 in 2005 to 5.12 in 2010 per 100,000 people. Finally, we categorized context, model, and input uncertainty and characterized these uncertainties in three dimensions (i.e. location, level, and nature) using uncertainty typology. In our study, we argue that uncertainties need to be identified, assessed, reported and interpreted in order for assessment results to adequately support decision making, such as the establishment of air quality standards based on health burden of air quality.

Perceived Uncertainty and Rearing Attitude of Mothers with Chronically ILL Children (만성질환아 어머니의 질병에 대한 불확실성 정도와 양육태도)

  • Park Eun Sook
    • Child Health Nursing Research
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    • v.2 no.2
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    • pp.5-18
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    • 1996
  • The purposes of this study were to measure the degree of perceived uncertainty and to identify the rearing attitudes of mothers with chronically ill children, and to examine the relationship between the perceived uncertainty and the rearing attitude of these mothers. The subjects of this study consisted of 133 mothers with chronically ill children, registered at 2 university hospitals in Seoul. Data was collected from April 1 to May 31, 1996. The Parents' Perception of Uncertainty Scale(28-item 4 point scale) and the Maternal Behavior Research Instrument (49-item 5 point scale) were used. Data was analyzed by Cluster analysis, ANOVA MANOVA and t-test. Results of this study are summarized as follows : 1. Mothers perceived their uncertainty to be slightly high (Mn 2.48). The degree of perceived uncertainty by the four components slightly differed unpredictability(2.72), lack in clarity(2.58), vagueness (2.52) and lack of information(2.04) . The degree of perceived uncertainty of mothers with ill children revealed to be influenced significantly by the age of the ill children, duration of illness after the diagnosis, and the experience of hospitalization. 2. Among the rearing attitudes : moderatlely high affective(Mn 3.98) and resrictive(Mn 3.58) attitudes of mothers toward their ill children were identified. Mothers tend to give positive evaluations of their childrens' behaviors (Mn 3.38) and less rejection(Mn 2.81). 3. Mothers' rearing attitude were correlated with the degree of perceived uncertainty in illness ; mothers in the Low Perceived Uncertainty Group (Mn 1.99) revealed the highest affective (Mn 4.08), the lowest resrictive(Mn. 2.72) attitudes and tendency to give positive evaluations of their childrens' behaviors (Mn 3.54) compared to the High Perceived Uncertainty Group(Mn 3.26) and Moderate Perceived Uncertaity Group(Mn 2.57). 4. The degree of perceived uncertainty, the duration of illness after the diagnosis and the experience of hospitalization revealed to be significantly influential to the rearing attitude of mothers with chronically ill children. From the above results, it can be concluded that predicting and controlling mothers' uncertainty are necessary for improved, efficient nursing interventions and normal growth & development of the chronically ill children.

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Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies (보조생식술을 받는 여성의 불확실성과 배우자 지지가 난임 관련 삶의 질에 미치는 영향)

  • Lee, Hye Shin;Boo, Sunjoo;Ahn, Jeong-Ah;Song, Ju-Eun
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.72-83
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life (QoL) in women undergoing assisted reproductive technologies. Methods: In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Seoul participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. Results: The mean scores for uncertainty, spousal support, and infertility-related QoL were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related QoL was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related QoL was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related QoL. Conclusion: Uncertainty was an important factor influencing infertility-related QoL among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related QoL in the clinical setting.

Effect of Structured Information on Immediate Preoperative Anxiety and Uncertainty for Women Undergoing Laparoscopic Hysterectomy (수술 전 구조화된 정보제공이 복강경하 자궁절제술 여성의 수술대기 중 불안과 불확실성에 미치는 효과)

  • Cho, Youn Hee;Chun, Nami
    • Women's Health Nursing
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    • v.21 no.4
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    • pp.321-331
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    • 2015
  • Purpose: Purpose of this study was to identify the effect of structured information on immediate preoperative anxiety and uncertainty for women undergoing total laparoscopic hysterectomy. Methods: Sixty women who were admitted for total laparoscopic hysterectomy were recruited at a university hospital in Gyeonggi-do from June to October 2014. Thirty women were assigned to either the experimental or the control group. Women in the experimental group were provided structured information, which consisted of visual and auditory materials about surgical preparation and process, practical experience on devices such as IV-PCA pump and Inspiro-meter and actual experience on route to go to the operating room. State-anxiety, uncertainty, and blood pressure and pulse rate as biological indicators were measured before and after the intervention to examine the effect. Results: Significant group differences were found on state anxiety, uncertainty, including ambiguity, inconsistency, and unpredictability at the holding area. There was a significant difference on pulse rate in the operating room between the two groups. Conclusion: Findings demonstrated that the structured information provided for women undergoing laparoscopic hysterectomy preoperatively was effective on immediate preoperative anxiety and uncertainty. Nurses may contribute to decreasing patients' anxiety and uncertainty by utilizing this structured information preoperatively.

A Study on Mother's Perception of Uncertainty and Nursing Need Concerning Child's Hospitalization (입원아동어머니의 질병에 대한 불확실성의 인지와 간호요구)

  • Kim, Hyun-Ju;Kim, Mi-Hyun;Kim, Yeo-Kyung;Yu, Mi-Bok;Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.10 no.2
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    • pp.136-146
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    • 2007
  • Purpose: The purpose of this study was to provide fundamental data in ensuring a high quality of nursing needed by hospitalized child's mother through research of the mother's perception of uncertainty and nursing need concerning child's hospitalization. Method: 173 hospitalized child's mothers at G hospital in Busan are questioned. The tools used in this study are PPUS(Parent's Perception of Uncertainty Scale) and the nursing need of hospitalized children's mother. The data was analyzed by SPSS/PC program. Results: 1) The perception of total uncertainty for the hospitalized child's mother showed average 2.37 and the nursing need showed very high level, 3.37. 2) The perception of uncertainty in accordance with general character of the hospitalized child's mother shows non significant difference 3) Significant correlation indicated between the perception of uncertainty of hospitalized children's mother and nursing need. Conclusion: It is to be desired to prepare a program which can raise the level of perception developing a method that is able to practically assess and manage the level of perception of hospitalized children's mother.

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