• Title/Summary/Keyword: Intervention Strategies

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The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty (건강코칭프로그램이 빈곤계층 고혈압대상자의 자기효능감, 건강행위실천 및 삶의 질에 미치는 효과)

  • Eom, Sun Ok;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.380-391
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    • 2017
  • Purpose: This study was designed to determine the effects of health coaching and mediating variables on quantitative aspect of health in low-income hypertensive people. Methods: The experimental group for the current study consisted of 21 clients who received health coaching services, and the control group consisted of 22 clients who received home-visiting nursing services. Two groups received health coaching or home-visiting nursing services once a week for 8 weeks. The evaluation variables were self-efficacy, nutrition management, health behaviors, self-rated health, and quality of life. Results: The results revealed that the level of nutrition management was significantly higher in the experimental group than the control group (F=10.33, p=.005). Conclusion: These results confirm that health coaching is a useful strategy that encourages clients to continuously maintain their own health behaviors. Thus, the findings of the current study provide useful data for establishing measures for the health management of those afflicted with chronic disease, such as hypertension. Furthermore, health coaching may be developed into useful intervention strategies for dealing with chronic diseases and improving home-visiting nursing.

Tone Deafness and Implications for Music Therapy Strategies for Treatment

  • Chong, Hyun Ju
    • Journal of Music and Human Behavior
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    • v.2 no.2
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    • pp.69-79
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    • 2005
  • This study was purported to examine the definition of tone deafness, various factors for the cause based on literature review of research findings, and to examine therapeutic application of music for treatment of tone deafness. With research, it was found that there can be three different kinds of tone deafness; amusia, agnosia, and asonia. Literature review showed that tone deafness has been frequently dealt in many research in order to verify the causal factors, such as gender, age, and environments. With time, the research trend on tone deafness has shifted towards neurological approach closely examining brain activity, presenting the statement that the brain's capacity to perceive modest pitch changes may be congenitally impaired. Also physiological factors contribute to tone deafness called diplacusis, which is a phenomenon wherein a given tone is heard as different pitches by the two ears, resulting in conflicting bilateral perception of pitch. Music can be used for treatment of various factors causing tone deafness. The most efficient intervention was singing program. Pitch-matching training can be effective training using operant conditioning procedure. Successive approximation or reinforcement of correct response alone was more efficient procedure in helping uncertain singers to sing on pitch. Also progressive breathing exercises helped the training the pitch-matching where one had to coordinate hearing and voice.

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Correlation between Depression and Spiritual Health in Women with Cancer (여성암 환자의 영적 건강과 우울의 관계)

  • Tae, Young-Sook;Kim, Mi-Yea
    • Asian Oncology Nursing
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    • v.7 no.2
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    • pp.169-178
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    • 2007
  • Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, "the Depression Scale" developed by Zung(1965) and "Spirituality Health Inventory" developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p= .016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.

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Factors Affecting HPV Vaccination Rates of Daughters Aged 12 years (만 12세 초등학생 딸의 자궁경부암 예방접종 실태 및 영향요인)

  • Moon, Hee
    • Journal of Korean Biological Nursing Science
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    • v.20 no.2
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    • pp.114-121
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    • 2018
  • Purpose: The purpose of this study was to investigate the rate of human papilloma virus (HPV) vaccinations among 12-year-old daughters and to analyze factors influencing the mothers' decisions to vaccinate their daughters. Methods: A cross sectional descriptive study was conducted using a convenience sample of 139 mothers. Data was analyzed using SPSS WIN 23.0. Descriptive statistics and a logistic regression analysis were conducted. Results: The vaccination rate of HPV among children was 43.9%. Mothers showed a higher knowledge of the HPV vaccination than of cervical cancer and of human papilloma virus. In self-efficacy scores, the subscores of self-regulation efficacy were higher than self-confidence and task difficulty preference. The factors influencing the vaccination of daughters included the age of the daughters at the time of the vaccination, the provision of information on the HPV vaccine, knowledge of the HPV vaccination, and self-confidence. Conclusion: In order to increase the HPV vaccination rate, it is necessary to provide accurate scientific knowledge to mothers. A variety of intervention strategies should be developed to enhance the confidence of mothers so that mothers who want to provide the HPV vaccination to their daughters are able to follow through and provide the vaccination.

Influence of Personal Characteristics, Childhood abuse and Stressful Experience on Suicidal Ideation in Middle School Students (중학생의 성격특성, 아동기 학대경험 및 스트레스가 자살생각에 미치는 영향)

  • Lee, Seog Hee;Kim, Kyung Hee;Kim, Ji Su;Kim, Ki Sook
    • Research in Community and Public Health Nursing
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    • v.23 no.4
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    • pp.386-394
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    • 2012
  • Purpose: The purpose of this study is to investigate the factors influencing suicidal ideation in middle school students. Methods: Suicidal Ideation Questionnaire (SIQ) results, personal characteristics, child abuse experiences, and stress were obtained from a sample of 657 middle school students from 3 conveniently selected schools in S city. Results: Suicidal ideation of participants was positively correlated with child abuse experience, stress, psychosomatic symptoms, antisocial personality and depressive tendencies, whereas sociability and self-esteem were negatively correlated with suicidal ideation. Significant factors influencing suicidal ideation included an antisocial personality tendency, stress related to the family environment, mental abuse, gender (female), depressive trend, running away from home, sociability, and stress related to academic performance. These factors explained 39.9% of the variance. Conclusion: These results suggest that earlier screening and intervention programs for depression and stress in middle school students will be helpful in reducing suicidal ideation. Further studies are needed in which other strategies that could prevent suicidal ideation in middle school students are examined.

Factors affecting Smoking Middle School Students' Intention to Quit Smoking: On the Basis of the ASE Model (흡연 중학생의 금연의도에 영향 미치는 요인: ASE 모델 적용을 중심으로)

  • Seo, Young Sook;Kim, Young Im
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.471-479
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    • 2013
  • Purpose: This study was conducted to identify factors for smoking middle school students' intention to quit smoking on the basis of the social influence and self-efficacy [ASE] model. Methods: Data were collected from 2,015 students from five middle schools in Daegu with a structured questionnaire in March, 2013 and analyzed by using $x^2$-test, ANOVA, pearson's correlation and multiple regression analysis. Results: The smoking rate was 6.1% among the total subjects and 85.4% of the smokers had intention to quit smoking. The mean value of attitude toward quitting smoking was $2.15{\pm}0.34$, that of social influence $3.38{\pm}0.65$, and that of self-efficacy $2.84{\pm}0.95$. The multiple regression analysis showed an explanatory power of 24.7%, and experience of trying to quit smoking was the strongest factor affecting the intention to quit smoking (${\beta}$=.34, p<.01), followed by school years and social influence. Conclusion: In order to increase smoking middle school students' intention to quit smoking, intervention strategies are needed to increase positive social influence or to offer public information to younger smoking students in low school years.

A Study on Gender Differences in Influencing Factors of Office Workers' Physical Activity (남성과 여성 사무직 근로자의 신체활동에 미치는 영향요인 비교)

  • Chae, Duck Hee;Kim, Su Hee;Lee, Chung Yul
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.273-281
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    • 2013
  • Purpose: The purpose of this study was to determine gender differences in effects of self-efficacy, exercise benefits and barriers, and demographic factors on the physical activity. Methods: Seventy sedentary office workers, 35 male and 35 female, from a major airline company, completed a questionnaire from March 28 to April 5, 2012. Steps and body mass indices were measured using a CW-700/701 (Yamax) pedometer and Inbody 720 (Biospace), respectively. Data were analyzed using t-test, $x^2$-test, multiple linear regression, and simultaneous quantile regression. Results: For male workers, exercise self-efficacy had a significant effect on physical activity, but only when respondents were at 10%(3,431 steps/day, p=.018) and 25%(4,652 steps/day, p=.044) of the physical activity distribution. For female workers, marital status was significantly related to physical activity, but only when respondents were at 10% (3,537 steps/day, p=.013) and 25%(3,862 steps/day, p=.014) of the physical activity distribution. Conclusion: Quantile regression highlights the heterogeneous effect of physical activity determinants among office workers. Therefore intervention strategies for increasing physical activity should be tailed to genders as well as physical activity levels.

Trends of Research on the Case Management of Medicaid Beneficiaries in Korea (의료급여 사례관리 관련 국내 연구동향)

  • Kim, Soon Ock;Cho, Jeonghyun
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.412-425
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    • 2015
  • Purpose: This study was conducted to understand the trend in research by analyzing previous studies related to the case management of Medicaid and to explore the direction of future research. Methods: Thirty three studies conducted from January 2003 to June 2015 were analyzed according to characteristics of researchers and subjects, research methods, measurable variables, and key words. Results: Of the studies analyzed, 69.7% were conducted on Medicaid beneficiaries, and 65.6% were conducted on the group of high risk for over medical utilization. The mainly used research design was a survey study design, which was 51.5% of them, followed by experimental (24.2%), and qualitative (12.1%) study design. Most frequently measured variables were medical utilization (62.5%), needs for case management (41.7%), and health status (25.0%). The topics most frequently studied were related to medical utilization, effect of case management, self-care, and program development in Medicaid beneficiaries and job and socio-psychological factors in case managers. Conclusion: The future direction of nursing research in Medicaid case management is to be vitalized through the expansion of the research population, and concretization and diversification of the research topics. In addition, conduct of further studies on intervention strategies and contents for improving quality of case management program is also needed.

Factors Influencing Happiness Index of Nursing Students (간호대학생의 행복지수 영향요인)

  • Kim, Young Suk;Han, Mi Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.501-510
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    • 2015
  • Purpose: The purposes of this study were to identify the effects of social support, resilience, stress and satisfaction in major on the happiness index of nursing students. Methods: Data were collected from March 16 to April 10, 2015 through a self-report questionnaire survey. Participants were 205 students in three different nursing colleges located in Busan and Yangsan. Measured variables were social support, resilience, stress, satisfaction in major and Happiness index. Results: Social support, resilience, satisfaction in major, and personal relationships had significant positive effects on the happiness index, while stress had a negative effect on the happiness index. Explained variance for the happiness index was 46% and social support was the most significant factor in the happiness index of nursing students. Conclusion: The results from this study suggest that resilience, social support, stress, satisfaction in major, and personal relationships should be considered as the main influential factors when developing intervention strategies to increase of the happiness index of nursing students.

The Effects of Sasang Constitutional Diet for Essential Hypertension on Blood Pressure, Fat, and Serum Lipid - on the subjects with aerobic exercise and low salt diet at the same time - (사상체질식이 적용이 본태성 고혈압 환자의 혈압, 비만도 및 혈중지질에 미치는 효과 - 유산소 운동과 저염식이 병용환자를 대상으로 -)

  • 전은영
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.673-683
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    • 2002
  • This study was conducted to evaluate the effects of SaSang constitutional diet for essential hypertension on blood pressure, fat, and serum lipid on the subjects with aerobic exercise and low salt diet at the same time. Method: A non-equivalent control group time-series design was used. For the experimental group, aerobic exercise and SaSang constitutional diet were taught by researcher at health center. Test for hypothesis was done by repeated measured ANOVA. Result: There was significant decrease in systolic, diastolic, and MAP between the experimental group and control group over three different times. There was significant decrease in body weight, BMI, and body composition over three different times. But, there was no significant difference between groups and interaction by groups or over time. There was significant decrease in T/G and cholesterol over three different times. But, there was no significant difference in T/G, HDL, LDL, and total cholesterol between groups and interaction by groups or over time. Conclusion: Findings indicate that this study will contribute to develop nursing strategies for the regulation of the blood pressure as a means of alternative- complementary nursing intervention.