• Title/Summary/Keyword: Intervention Strategies

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The Current Status and Propects of Community Nutrition Services - II . The Perception and Needs of Community Nutrition Services among the Residents of the Pilot Service Areas (보건영양사업의 현황과 전망 - II. 시범보건소 영양사업 지역 주민의 보건영양사업에 대한 인식 및 요구조사)

  • Park, Hye-Ryeon;Gwon, Ji-Yeong;Jo, Gyeong-Ja
    • Journal of the Korean Dietetic Association
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    • v.5 no.1
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    • pp.54-63
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    • 1999
  • The purposes of this study were to investigate the perception and needs of community nutrition programs for 379 community residents of 23 health centers where the pilot community nutrition programs are intervening. The awareness rate of the nutrition programs was 54.3% and the reason of the awareness was mainly happened to know when visiting health centers'. More than 90% of the respondents responded that public health nutrition services are necessary. But the residents who experienced the nutrition services showed higher needs of the programs(97.3%) and improved the impression about the roles of health centers(93.6%). They also showed a higher rate of balanced dieting, stronger intentions to change their inappropriate eating style and a higher practicing rate. The more they believed in the provided nutrition information, the more they showed concerns about their diet and practicing rate of the advices from nutritionists. These results show the positive and successful impact of the pilot nutrition programs on the community residents. We need strategies for a more active improvement of the programs and to maintain more qualified public health nutritionists to carry out targeted community nutrition programs.

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A Study on the Stage of Change of Exercise Behavior and Related Factors in Patients with Chronic Arthritis (만성 관절염 환자의 운동행위 변화단계에 따른 관련변인에 관한 연구)

  • Lee, Yun-Jeong;Lim, Nan-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.409-418
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    • 2006
  • Purpose: This study was done to identify the process of change, decisional balance and self-efficacy corresponding to stage of exercise behavior based on the Transtheoretical model in patients with chronic arthritis. Method: The participants were 151 patients with chronic arthritis using an out-patient pain clinic and hospital in C city. The collected data were analyzed using ANOVA, Sheffe test and discriminant analysis with SPSS/WIN. Results: The patients were distributed as follows for each stage of exercise behavior 21.8% in the precontemplation stage, 26.5% in the contemplation stage, 25.2% in the preparation stage, 7.3% in the action stage, and 19.2% in the maintenance stage. Significant effects for stage of change were found for nine of the 10 processes of change and Pros, Cons, self-efficacy. Scores on these variables were found to increase across the stage of exercise behaviors from precontemplation to maintenance. Discriminant analysis revealed that self-efficacy and stimulus control, and reinforcement management were the major correlates of the stage of exercise behaviors. Conclusion: The findings of this study give useful information for exercise intervention, by using strategies of exercise for chronic arthritis patients in different stages of exercise behavior.

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Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension (고혈압 환자의 복약순응행위 변화단계에 영향을 미치는 요인)

  • Byeon, Young Soon;Kim, Soon Ock;Cho, Jeong-Hyun
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.189-200
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    • 2012
  • Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Experience of Treatment Adherence in Korean Patients with HIV (한국 HIV 감염인의 치료 순응경험)

  • Park, Yunhee;Seo, Min Jeong;Kim, Sanghee;Park, Soon-Young
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.407-417
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    • 2014
  • Purpose: The purpose of this study was to explore the subjective experience of Highly active Antiretroviral therapy (HAART) adherence in Korean patients with HIV. Methods: A phenomenological methodology was used for the study. Data were collected from March to December, 2013 using open-ended questions during in-depth interviews. Participants were taking HAART for HIV, and were contacted through purposive techniques. Results: Four men and 4 women whose average treatment period was 5.9 years participated in this study. Seven themes emerged from the analysis using Colazzi's method: (a) Seizing life in a deep sense of despair, (b) Struggling with medication, (c) Facing harsh treatment from health care providers, (d) Spoiling healthy pattern, (e) Hungering for communication and emotional support, (f) Turning to accepting HIV, (g) Becoming adherent to HIV treatment. Conclusion: Prejudice from health care providers and lack of emotional support were barriers to HAART in Korea. Intervention strategies are needed to decrease prejudices from health care providers and to increase family support.

Health-Illness Transition of Patients with Young-Onset Parkinson's Disease (젊은 나이에 발병한 파킨슨병 환자의 건강-질병 전환 경험 과정)

  • Kim, Sung Reul;Lee, Sook Ja
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.636-648
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    • 2013
  • Purpose: The purpose of this study was to explore the health-illness transition of patients with Young-Onset Parkinson's Disease (YOPD). Methods: From June to November 2011, 17 patients with YOPD who visited a neurologic clinic in a tertiary hospital participated in the study. Data were collected through in-depth interviews and analyzed using the grounded theory of Strauss and Corbin. Results: The core category of the participants' health-illness transition emerged as 'reshaping identity following uncontrollable changes'. The participants' health-illness transition process consisted of six phases in sequence: ego withdrawal, loss of role, frustration, change of thought, modification of life tract, and second life. Although most participants proceeded through the six phases chronologically, some returned to the frustration phase and then took up the remaining phases. Conclusion: The study results provide an in-depth understanding of health-illness transition experiences in the participants. These findings suggest a need to develop appropriate nursing intervention strategies according to the different phases in the health-illness transition of patients with YOPD.

Evaluation of Physical Growth and Developmental Status of Infants and Children of Married Immigrant Women in Rural Areas (일 농촌지역 여성결혼이주자 자녀의 신체성장과 발달 평가)

  • Kim, Tae-Im;Kim, Mi-Jong;Kwon, Yun-Jung;Jun, Man-Kil
    • Child Health Nursing Research
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    • v.16 no.2
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    • pp.164-174
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    • 2010
  • Purpose: The purpose of this study was to evaluate the physical growth and developmental status of infants and children of married immigrant women. Methods: The participants were 92 infants and children aged from birth to 6 yr whose mothers were married immigrant women living in one rural area. Physical growth and developmental status were evaluated by using anthropometric assessment, and Korean Denver II developmental screening test. Results: Of the participants, 10.8% were below the 3rd percentile for weight, 13.0% for length, 5.4% for head circumference, and from 69.6% to 79.3% were distributed below the 50th percentile on growth charts. Further, 18.5% were classified as having questionable development. Factors related to low physical growth in infants and children were mother's weight and mother's level in Korean language classes. Conclusion: The physical growth and developmental status of children is vulnerable and serious. The study results suggest a need for regular growth and developmental evaluations. Political support is important for these mothers. In addition, there also is a need to develop early intervention strategies to promote growth and development of the infants and children of these married immigrant women.

An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children (입원 아동 대상 통증 완화 중재에 대한 통합적 고찰)

  • Cho, Haeryun;Lee, Jungmin;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.254-266
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    • 2020
  • Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba's Theory of Comfort. Methods: Whittemore and Knafl's integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child's response to pain, effective strategies for pain relief, and nurses' competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

Play Awareness of Occupational Therapists With Using the Sensory Integration Approach (감각통합치료를 하고 있는 작업치료사의 놀이에 대한 인식)

  • Lee, Sung-A;Choi, Jeong-Sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.2 no.1
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    • pp.43-52
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    • 2004
  • Objective : This study is to know about the play awareness of occupational therapists with using the sensory integration approach, and is to suggest educational strategies of play as occupation and research. Methods : 124 occupational therapists completed the questionnaires including the general use of play in occupational practice and the use of play assessments with preschoolers, and factors influence on the use of play in occupational therapy for children. Results : Respondents used the play as therapy modality and performed much with based on sensory integration and development approach in individual occupational therapy room with variable play tools. It was restricted to use as objective assessment tools and methods, and had important factors that influence on the use of play in occupational therapy for children; role of occupational therapy in work setting, personal frame of reference and availability of play assessments. Conclusion : The results suggest a need for increasing the emphasis on play in entry-level curricula and continuing education, improving clinician access to valid and reliable play assessments, and completing studies designed to examine the use and efficacy of play in sensory integration therapy intervention.

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Influencing Factors in Self-Efficacy among College Students (대학생의 자기효능감과 영향 요인)

  • Yoo, Kyung Hee;Yang, Jin-Hyang
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.3
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    • pp.435-442
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    • 2014
  • Purpose: The purpose of this study was to investigate influencing factors in self-efficacy among college students. Methods: The sample consisted of 553 college students in C & K cities. Self-report questionnaires were used to measure the variables. In data analysis, SPSS WIN 20.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: The mean score for Self-Efficacy was 66.62. Self-Efficacy was significantly different according to gender(t=2.076, p=.038), grade(F=11.077, p<.001), religion(F=4.666, p=.003), major(F=19.598, p<.001), economic status(F=6.570, p<.001), perceived health status(F=6.168, p<.001), and self-rated knowledge about health(F=12.936, p<.001). Multivariate analysis showed that major, self-rated knowledge about health, economic status, and perceived health status were significant predictors of self-efficacy and could explain 15.9% of total variability in this model. Conclusion: This study suggests that perceived health status and self-rated knowledge about health are significant factors in self-efficacy among college students. Therefore, the strategies of nursing intervention which improve these variables must be developed for college students.

A Qualitative Study on the Remarriage after Divorce -Focusing on Korean Immigrants with Adolescents at Home in Chicago Area- (재미한인교포의 이혼 후 재혼생활에 관한 질적 연구 - 청소년기 자녀가 있는 시카고지역의 재혼자를 대상으로 -)

  • Kim, Hyo-Soon;Um, Myung-Yong;Park, Mi-Jeong
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.5-28
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    • 2010
  • This study is to examine the process of divorce and remarriage as well as the remarried life after divorce of Korean immigrants in Chicago area. Researchers interviewed in depth 9 remarried Korean immigrants with adolescent stepchildren: 7 women and 2 men. The qualitative interview scripts were analyzed and categorized by case study methods. The case analysis revealed 17 subcategories resulting in 5 core categories: reasons for divorce, remarriage as new choice of life, conflicts in remarried life, coping resources, and stable stage of remarried life. Based on these results, possible intervention strategies were suggested for the social workers working with remarried Korean immigrants.

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