• Title/Summary/Keyword: Intervention Strategies

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Work-Related Musculoskeletal Pain and Job Stress in Physical Therapists (물리치료사의 직무관련 근골격계 통증과 직무 스트레스)

  • Yong, Joon-Hyoung;Yi, Chung-Hwi;Kwon, Oh-Yun;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.53-61
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    • 2010
  • This study investigated the relationships between Work-related musculoskeletal disorders (WMSDs), contributing factors, and the occupational stress of physical therapists. Self-reported questionnaires were given to 180 physical therapists in Gangwon Province. Variables examined included the prevalence of pain sites related to WMSDs; pain intensity; pain pattern; and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Among physical therapists, work-related musculoskeletal pain commonly affected the low back (30.1%), shoulder (29.3%), and wrist (12.2%). The sites of work-related musculoskeletal pain treated medically were the low back (22.8%), shoulder (19.8%), neck (12.7%), and wrist (12.1%). "Repeating the same work constantly" was suggested to be the major cause of the pain. The younger therapists were significantly more likely to feel high job stress due to the physical environment (p<.05), job demand (p<.05), and organizational system (p<.01). Women were more likely to feel greater job stress related to job demand, insufficient job control, the organization system, and job rewards. Men were more likely to feel greater job stress related to job insecurity. Weak positive relationships were observed between work-related musculoskeletal pain and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Physical therapists appear to be at higher risk of WMSDs because 80.1% of the physical therapists studied experienced work-related musculoskeletal pain. To reduce the risk, we need intervention strategies such as preventive education, ergonomically designed medical equipment, a psychosocial approach to work conditions, improved mechanical conditions related to therapeutic patterns, and an institutional infrastructure with sufficient personnel and scheduling.

Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital (노인요양병원 간호사의 영성과 임종간호태도)

  • Lee, Keum-Jae;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.347-357
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    • 2015
  • The purpose of this study was to identify the relationship between nurses' spirituality and attitude toward terminal and to provide basic data for enhancement of the quality of terminal care in geriatric hospitals. Data analysis was done with SPSS/WIN 18.0 program and included t-test, ANOVA, scheffe test, Pearson's Correlation Coefficient. Results: The subjects' spirituality was significantly correlated with attitude toward terminal care in geriatric hospital. Conclusion: This study suggests the need for nursing education program and development of a variety of intervention strategies to help them to achieve a positive attitude toward terminal care in terms of geriatric hospital by familiarizing themselves with the concept of spirituality.

Factors Affecting Beliefs on Usefulness of Resources to Alleviate Depressive Symptoms among Korean Adults: Implications for Mental Health Prevention (우울증상 해결자원의 유용성 신념에 영향을 미치는 요인: 정신건강예방에 대한 함의)

  • Lee, Sun-Hae;Suh, Jin-Hwan;Chung, Sul-Ki
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.1-13
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    • 2011
  • Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of 'psychological/relational/activity-oriented', 'lifestyle/cultural', and 'physical/medical' approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.

Incheon Occupational Disease Surveillance System in Korea-Providing Updated Information and Education

  • Lee, Jong-Han m;Hong, Yun-Chul;Won, Jong-Uk;Jaehoon Roh
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.330-335
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    • 2001
  • The occurrences of occupational illness and injury have been seriously underestimated in Korea. Surveillance systems for occupational diseases have recently emerged as important strategies for the control of occupational hazards and the implementation of intervention programs to protect workers. However, health service providers do not actively diagnose occupational diseases and are unwilling to report occupational diseases. With the rapid growth of Internet usage in Korea, the computer network has become the predominant means of communicating and sharing information. Therefore, we developed a web-based updated information and education network to assist the health services providers in reporting occupational diseases. Information systems for occupational disease surveillance were also designed to support occupational disease reporting. Commonly available database systems, such as web databases, are useful to manage occupational diseases data efficiently. Standardized case definitions and report guidelines were also established, which included cumulative trauma disorder, occupational asthma, occupational contact dermatitis, and occupational cancer. This system may provide the basis of an efficient and continuously updated source of educational information and provide specific information concerning the occurrence of occupational diseases in specific areas. Background information on occupational diseases obtained in this way will be invaluable for preventing hazards and enforcing occupational disease prevention programs. Moreover, our experiences in establishing these information systems will be of great use in other countries and settings.

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Factors Associated with the Smoking Cessation Behavior according to the Transtheoretical Model in Korean College Students (범이론적 모델에 근거한 한국 대학생의 금연행위 관련 요인)

  • Paek, Kyung-Shin;Riley, Tracy A.
    • Korean Journal of Health Education and Promotion
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    • v.27 no.5
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    • pp.27-39
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    • 2010
  • Objectives: The purposes of this study were to examine the contribution of each of the Transtheoretical Model components in explaining stages of smoking cessation and to identify factors associated with the smoking cessation behavior among Korean college students. Methods: The participants for this study were 334 undergraduate students who enrolled in general education courses. Self-report surveys were distributed and returned. The survey variables comprised the stages of change for smoking cessation, self-efficacy, decisional balances and processes of change in smoking cessation. Results: Significant differences were noted in the five stages of change for self-efficacy, decisional balance, and the processes of change. The strongest factor associated with the smoking cessation behavior was self-efficacy. Conclusion: Study findings indicate application of the Transtheoretical Model may be useful to enhance future smoking cessation efforts in college students. The strategies to enhance smoking cessation self-eficacy in college students will be an important intervention component in future studies.

Current Guidelines on the Management of Dyslipidemia (이상지질혈증의 국내 및 국외 치료 가이드라인 비교)

  • Choi, Yunjeong;Lee, Song;Kim, Ju Young;Lee, Kyung Eun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

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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A Study on Model Development for Urban Community Nursing Center (일개 도시 지역사회 간호센터 모형개발을 위한 요구조사)

  • Yun, Soon-Nyoung
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.260-271
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    • 2002
  • Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

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The Effects of Social support, Self-efficacy and Perceived health status on Aging anxiety of the Middle-aged women (중년여성의 사회적지지, 자기효능감, 지각된 건강상태가 노화불안에 미치는 영향)

  • Jung, Young-Ok;Oh, Hyo-Sook
    • Journal of Korean Public Health Nursing
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    • v.30 no.1
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    • pp.30-41
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    • 2016
  • Purpose: This study was conducted to determine the effects of middle-aged women's social support, self-efficacy, and perceived health status on aging anxiety. Methods: Research subjects were 210 middle-aged women between 40 - 60 years living in G-city. Data were collected from July $21^{st}$ 2014 to August $8^{th}$ using a structured questionnaire and analyzed using t-test, One way ANOVA, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: Aging anxiety showed statistically significant differences in religion (t=2.44, p=.015), satisfaction with married life (F=4.39, p=.014), type of leisure activity (F=8.09, p<.001), and number of friends (F=3.23, p=.024). Aging anxiety showed correlation with social support (r=-.21, p=.003), self-efficacy (r=-.46, p<.001), and perceived health status (r=-.33, p<.001). Factors affecting aging anxiety were self-efficacy (${\beta}=-.33$, p<.001), perceived health status (${\beta}=-.23$, p<.001), leisure activity type (${\beta}=-.16$, p=.010), and religious affiliation (${\beta}=-.17$, p=.038). The predictive power of these variables was 25% (F=18.63, p<.001). Conclusion: Nursing intervention strategies for improving self-efficacy, perceived health status, and leisure activity are required to relieve aging anxiety of middle-aged women.

The Mediating Effect of Depression in the Impact of Cultural Adaptation Stress on School Life Adaptation of Multicultural Adolescents: Searching for Converged Intervention Strategies (다문화가정 청소년의 문화적응 스트레스가 학교생활적응에 미치는 영향에서 우울의 매개효과: 융합적 대응방안 모색)

  • Ann, Hye-Woo;Um, Myung-Yong
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.297-310
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    • 2020
  • The current study examined whether multicultural students' depression level mediated between cultural adaptation stress and school life adaptation in South Korea. A total of 1,329 students in the sixth year (2016) of the National Youth Policy Institute (NYPI) 's multicultural youth panel data were analyzed using regression analysis. The main results of the study are as follows. First, cultural adaptation stress of adolescents in multicultural families had a direct influence on school life adaptation. Second, depression partly mediated between cultural adaptation stress and school life adaptation. These findings have major implications for policies and interventions in regard to cultural adaptation stress and school life adaptation of the youth in multicultrual families.