• Title/Summary/Keyword: Intervention Strategies

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Factors Influencing Suicidal Ideation by Age Group in Adults (성인의 연령계층별 자살생각에 영향을 미치는 요인)

  • Jung, Eun Sook;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.326-336
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    • 2016
  • Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

Affecting Factors on Depression among Female Labor Workers (생산직 여성근로자의 우울에 영향을 미치는 요인)

  • Jung, Eun-Sook;Shim, Moon-Sook
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.822-831
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    • 2011
  • This study was to examine factors related to depression of female labor workers. In order to identify health promotion strategies and intervention program to reduce depression of female labor workers. The participants were 176 female workers of manufacturing industries. Data were collected using a structured questionnaire that consisted of personal characteristics, duty related, work related characteristics and depression. Using a SPSS/WIN 17.0 Program, descriptive statistics, $x^2$-test, ANOVA and Stepwise Multiple Regression procedures were employed. As follows on the results; In Correlation analysis, work intensity, work concentration, vibration, work difficulty and job stress were positively correlated with depression. In multiple Regression, work intensity and work difficulty were significantly explained by depression. Given the findings, Do nevertheless support the need to develop effective depression intervention programs to reduce factors which work related condition and depression.

Phenomenological Research on Recovery Lived Experience of Stroke Inpatients (뇌졸중 입원 환자들의 회복체험에 관한 현상학적 연구)

  • Song, A-Young;Kim, Su-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.200-207
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    • 2017
  • The components that influence recovery were investigated to understand the recovery lived experience of stroke inpatients. Using the phenomenological research methodology reported by Giorgi, 3 conversation sessions were performed on 12 stroke inpatients. The conversations were recorded through agreement, in which the data were analyzed according to the scientific phenomenological methods. Sixteen summarized meaning units were integrated to deduct 10 main meanings and 6 themes. The themes of the restoration experience included the burden of help, performance of independent roles, self-overcoming, return to society, psychological support, and enhanced motivation for recovery. This can be used as data to predict the difficulty that stroke patients experience during hospitalization and propose a direction of intervention for restoration. Rehabilitation experts must provide intervention for the restoration of stroke patients based on the formation of a therapeutic relationship to strengthen the psychological support and motivation, and make strategies for self-overcoming and a proper cooperation relationship with their family.

Changes in Nutrient Intake in Patients at Nutritional Risk (영양 불량 입원 환자에서 영양소 섭취 변화 분석)

  • Lee, Ho Sun;Shin, Kyung Hun;Rha, Sun Young;Chung, Moon Jae;Song, Si Young;Song, Seung Eun;Ham, Hye Jin;Kim, Hyung Mi
    • Journal of the Korean Dietetic Association
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    • v.20 no.4
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    • pp.285-295
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    • 2014
  • The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included 106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was $59.0{\pm}11.6$ years old and 59 patients were male (59.7%). The majority of diagnosis was cancer (94.3%). We evaluated patients' nutritional status by scored patient-generated subjective global assessment (PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedance analysis), hand grip strength, biochemical and dietary assessment. The patients' daily intakes of energy and protein ($1,019.5{\pm}706.4kcal$, $40.4{\pm}27.7g$) during hospitalization were significantly lower than their usual intakes ($1,382.0{\pm}499.8kcal$, $54.4{\pm}25.1g$, P<0.001). Serum levels of albumin, cholesterol, and total lymphocytes were significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake were anorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could be used to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.

An Effect of Health Promotion Program on Health Behavior, Perceived health Status and Life Satisfaction in the Elderly (건강증진프로그램이 노인의 건강행위, 지각된 건강상태 및 생활만족도에 미치는 효과)

  • Jung, Young-Mi;Kim, Ju-Hee
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.327-336
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    • 2002
  • Purpose: This study is designed to develop a health promotion program for improvement of health status by means of a change of life-style and health behavior in the elderly. The purpose of this study is to provide a basis for nursing intervention strategies to promote health behaviors. Method: The health promotion program consisted of health education, group discussion, emotional support, health and telephone counsel. As a quasi-experimental design, the none-quivalent control group pretest-posttest design was utilized for this study. The subjects of this study consisted of 50 people, over 60 years of age attending 2 senior colleges in S city. They were divided into two groups: 24 in the experimental group and 26 in the control group. Data was collected from July 2, 2001 to August 21, 2001. For the analysis, SPSS PC 10.0 Window version was adopted and descriptive analysis, ${\chi}^2-test$, t-test, paired t-test, MANOVA were used for data analysis. Result: The health behavior and life satisfaction of the elderly improved significantly (F=18.305, p=.000 ; F=17.478, p=.000). But there is no significant difference in the perceived health status(F=3.807, p=.057). Conclusion: The health promotion program is confirmed as proper to promote the health in the elderly. In addition, assessment and support will be simultaneously done to manage the health of the elderly. Finally this study supports intervention for the elderly and provides a basis for further investigations.

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Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community (경도인지장애 노인의 우울 예측 요인)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Kim, Mi-Young;Jung, Duk-Yoo;Lee, Eliza
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.171-182
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    • 2012
  • Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.

A Comparison Study on Fatigue and Pain in Rheumatoid Patients - centered on AS, FM, and SLE patients (류마티스 질환자의 피로와 통증 비교연구 -강직성척추염, 섬유조직염, 루프스환자를 중심으로-)

  • Yi, Yeo Jin;Lim, Nan Young;Lee, Eun Young
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.560-572
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    • 2000
  • This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

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Quality of Life in Patients with Women Cancer across Treatment Phases (치료단계에 따른 여성암 환자의 삶의 질)

  • Tae, Young Sook;Jung, Youn Kung
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.138-149
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    • 2007
  • Purpose: This study was to identify the level of quality of life in patients with woman cancer across treatment phases. Methods: The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 226 female, who were in- and out-patients. They were diagnosed with breast and uterine cancer from three university hospitals and two general hospitals. The instruments used for this study included, "the Quality Of Life Scale(QOL)". The collected data were analyzed using Frequency, Percentage, ANOVA, Two-Way ANOVA. Results: Quality of life of women cancer patients was significantly different according to three treatment phases. Quality of life of women cancer patients was not significantly different according to areas of disease in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of fatigue in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of perceived health status in the three treatment phases(F=60.14, p=0.000). Quality of life of women cancer patients was significantly different according to education level(F=3.70, p=0.027) & occupation(F=5.67, p=0.018) in three treatment phases. Conclusion: Strategies for intervention are needed to improve the quality of life in women cancer patients across the treatment phases. The significant several characteristics of affecting on quality of life across treatment phases should be considered in sociopsychological nursing intervention.

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Effects of Community Health Promotion Project for Garlic Cultivating Farmers Based on Self-efficacy Theory and Community Capacity Building Framework (마늘재배 농업인을 위한 지역사회 건강증진사업 개발 및 효과 검증 - 자기효능 이론과 지역사회역량 이론의 적용 -)

  • Kim, Hyang-Sook;Gu, Mee-Ock
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.80-91
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    • 2011
  • Purpose: This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework. Methods: A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0. Results: For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group. Conclusion: The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.

A Study for the Development of a School-based Health Education of AIDS (AIDS의 학교 보건교육 도입에 관한 연구)

  • Kim, Hyeon Suk
    • Journal of the Korean Society of School Health
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    • v.9 no.2
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    • pp.249-266
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    • 1996
  • AIDS and the spectrum of Human Immunodeficiency Virus(HIV) infections present a monumental challenge to the health of the Korean public. In response to this special challenge, I think public education and voluntary behavior changes are the most effective measures to fight the spread of the disease. Adolescents represent a critical risk group for prevention and intervention programming. Research indicates sexually active adolescents, homosexual contact, illicit drug use are an gradually increasing. These characteristically adolescent risk-taking behaviors suggest the need for schools and communities to mobilize intervention strategies. Schools are highly efficient ways to reach a majority of young people in Korea with HIV prevention programs. These programs include substantial attention to sexual and drug use behaviors with the long term objective of a multidimensional school health program. Information resulting from risk behavior surveillance activities and guidance on school health curricula is particularly useful. What is needed for adolescents is a revamping of education to give students the critical thinking and analytic skills that allow them to apply knowledge, make decisions, and think independently. The best HIV preventive education provides young people with opportunities to learn and practice just those skills. In the early stages of HIV education were focused solely on information. Providing information is easy but unfortunately, behavior change is not that simple to activate. Information must be combined with values exploration and skilly building, including responsible decision making, negotiation, refusal, and critical thinking skills. The same knowledge, attitudes and skills needed for effective HIV prevention also prevent or reduce other risks, including other sexually transmitted diseases, unwanted pregnancies, and alcohol or other drug use. The role of other youth serving organizations in HIV prevention is also important: parental and youth involvement is needed; it's important to presidential and governament leadership is essential to prevention education; promote integrated adolescent programs, to enhance health and education sector collaboration; and of course, we need to expand research on adolescent health and engage the media in health promotion. Among these changes, a school-based systematic health education of AIDS is certainly one of the essentials.

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