• Title/Summary/Keyword: Intervention Strategies

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A Correlation Study of Suffering, Burden and Meaning of Life in Cancer Patients (암환자의 부담감 및 삶의 의미와 고통과의 관계연구)

  • 강경아;오복자
    • Journal of Korean Academy of Nursing
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    • v.30 no.2
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    • pp.331-341
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    • 2000
  • Since cancer is not easily curable, patients who suffer from cancer may have physical, psychological and spiritual problems for the rest of their lives. Especially when cancer patients do not have much to live for and are placing a burden on their family they will experience more suffering emotionally as much as physically. This study was conducted to provide a basis of data for nursing intervention strategies to minimize a cancer patient`s suffering and to understand the relationship between suffering, burden and the meaning of life in cancer patients. The samples were composed of 160 cancer patients who were inpatients or outpatients of two university hospitals and two general hospitals in Seoul. Data collection were carried out from January, 25, 1999 to February, 26, 1999. The data were analyzed using a SAS program for descriptive statistics, pearson correlations, ANOVA, and Duncan tests. The results were as follows; 1. The scores on the two suffering scale ranged from 132 to 40 with a mean of 87.3(SD 17.5). The mean scores on the burden scale is 28.9(SD 6.9) and the score of the meaning of life ranged from 35 to 51 with a mean of 95.6(SD 18.4). 2. There were significant correlations between the amount of suffering and the magnitude of burden (r=.74, p=.00), the suffering and the meaning of life (r=-.59, p=.00) and the burden and meaning of life (r=-.61, p=.00). 3. In the degree of the suffering, the burden and the meaning of life were two very strong factors, the level of the suffering in cancer patients by age (F=2.64, p=.03) and education level (F=4.16, p=.00). The level of the burden in cancer patients differed by education level (F=4.70, p=.00) and type of cancer (F=2.97, p= .03). Also the level of the meaning of life in cancer patients was different by education level (F=3.55, p=.02). In conclusion, the burden and the meaning of life was identified as important variable that is contributed to reduce the suffering of cancer patients.

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Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea (익명의 알코올중독자(AA) 모임 참여자의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Lee, Jongeun;Park, Woo-Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.305-314
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    • 2016
  • Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

Evidence Based Practice in Long Term Care Settings

  • Specht, Janet K.
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.145-153
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    • 2013
  • Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

A study on the grief and coping pattern of mothers who have a chronically ill child (만성질환아를 가진 어머니의 비통감과 이에 대응하는 정도에 관한 연구)

  • Han, Jeong-Seok;O, Ga-Sil
    • The Korean Nurse
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    • v.29 no.4
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    • pp.73-88
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    • 1990
  • This study was done in order to identify symptoms of grief and patterns of coping in mothers of chronically ill children. Nurses, as health professionals, must understand helpful coping methods for mothers who have chronically ill children. Based on this knowledge, nurses can develop appropriate nursing intervention strategies, and so help the mothers to develop effective ways of coping and give support to mothers with chronically ill children in process of coping with this grief. The research questions guiding this research were: 1. what type of grief does the mother have at the time of child's diagnosis and at present\ulcorner 2. what are the problems confronting the mother 3. what are the coping patterns of the mother\ulcorner 4. is there a difference according to child's diagnosis in the mother's grief and coping pattern\ulcorner The subject for this study were obtained by taking a convenience sample of 120 mothers with a chronically ill child. Interviews took place in four medical school hospitals and one medical center in Seoul from March 19th to May 16th 1990. The tools used in this study were Mcfarlan's(1983), Grief contents, Folkman & Lazarus(1983), Ways of Coping and Hymovich's (1983) the Chronicity Impact and Coping Instrument. The findings were as follows; 1. Grief items had a maximum score of three points. The highest item scrores at the time of diagnosis, were in order, heart broken, talkative, and could not do anything, at the present, 'talkative', 'heart broken' and 'busy myself with other things'. 2. The problems confronting the mothers were 'worry about ill child's future', 'her responsibilities in taking care of the ill child.' 3. Most of the mothers used similar ways of coping, that is 'problem focused coping', 'detachment', 'wishful thinking', 'seeking social support" and 'focusing on the positive and hardly any of them used 'tension reduction'. 4. There was a sinificant difference in coping methods according to the childs diagnosis, leukemia, cancer hemophillia and nephrotic syndrome. The most frequently used coping method was detachment, especially for the mother of the child with. 5. At the time of diagnosis there was a positive correlation between the level of grief and the coping method of detachment and seeking social support.

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A Study on Eco-systemic Factors that Effect the Married Immigrant Women's Employment (결혼이민자 여성의 취업에 영향을 미치는 생태체계적 요인에 관한 연구)

  • Lee, Eun-Hee;Lee, Eun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.66-72
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    • 2012
  • The purpose of this study is to examine the eco-systemic factors that affect the married immigrant women's employment. The subjects were 229 married immigrant women who live in Ulsan city. Collected date were analyzed through frequency, percentage, and logistic regression analysis. The results are as follows. The factors that affect the married immigrant women's employment are the education level of husband, acquisition of citizenship, Korean language ability, job training experience, and the support of their parent-in-law. According to these findings, intervention strategies that focus on increasing the married immigrant women's employment are suggested.

A Comparative Analysis of Drinking Attitudes and Behavior among College Students in Busan (부산지역 남녀 대학생의 음주태도 및 음주행태 비교분석)

  • Kang, Ji-Eun;Choi, Han-Seok;Choi, Ji-Ho;Yeo, Soo-Hwan;Jung, Seok-Tae;Kim, Mihyang
    • The Korean Journal of Community Living Science
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    • v.25 no.1
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    • pp.19-27
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    • 2014
  • This study investigates drinking attitudes and behaviors of university students. The sample included 355 students living in Busan, Korea. The questionnaire addressed general background information (gender, age, grade and monthly pocket money), drinking attitudes (understanding the effects of alcohol on the body, stereotype of drink, age at the first drink, the drinking companion at the first drink, reasons for starting to drink, main drinking companions, major reasons for drinking, the history of drinking alone, and reasons for drinking alone), drinking behaviors (the cost of each drinking occasion, drinking amounts, the frequency of drinking, the frequency of heavy drinking, the type of alcoholic beverage, and the places of drinking). A few respondents (both male and female students) started drinking while in high school (p<0.05), and most respondents drank with friends (males: 91.0%, female: 92.2%). The main reasons for drinking were the mood for male student (46.3%) and relationships for female student (49.1%) (p<0.05). Male respondents consumed more than seven glasses of soju (39.9%), whereas female respondents, five to seven glasses (49.7%) (p<0.05). On average, the respondents drank one to two times a week (males: 47.9%, females: 51.5%) and experienced heavy drinking one to three times every three months (males: 19.1%, females: 21.0%) (p<.05). The results suggest that students with frequent alcohol consumption and heavy alcohol dependence are likely to face problems and thus require aggressive intervention strategies that target them specifically.

Comparison of Self-Esteem in the Gifted & Ordinary Boys and Analyses of Psychosomatic Symptoms and Aggression according to Self-Esteem Patterns in the Gifted (영재와 일반 남아의 자존감 비교 및 영재 남아의 자존감 유형별 신체증상 및 공격성 분석)

  • Park, Hye-Won;Ha, Jung-Yun;Moon, Ji-Hye
    • Journal of Gifted/Talented Education
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    • v.21 no.1
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    • pp.83-105
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    • 2011
  • Explicit & implicit self-esteems were measured with 132(23 elementary & 109 middle school students) gifted & 282(29 elementary & 253 middle school students) ordinary students. Additional measures on psychosomatic symptoms & aggression were obtained with gifted students. Gifted boys reported higher ESE on most of subscales except the athletic self-esteem. However there was no difference in ISE between two groups. Self esteem types significantly predicted psychosomatic symptoms & aggression in the gifted. Especially the discrepancy between ESE & ISE was the most important predictor for both internalized & externalized behavior problems. The behavior problem ratings were higher in the self-esteem discrepant groups compared to the congruent groups. This study showed that the congruency between ESE & ISE is important from childhood and later studies need to find intervention strategies against the self-esteem discrepancy.

Health Status and Health Behavior of Adolescents by Socioeconomic Characteristics (사회경제적 특성에 따른 청소년의 건강상태 및 건강행태 비교)

  • Lee, Yong-Chul;Im, Bock-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.13-28
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    • 2010
  • Objectives: The purpose of this study was to examine health status and health behavior of adolescents by socioeconomic characteristics. Methods: Secondary analysis of the 2008 Korea National Health and Nutrition Examination Survey was conducted for 836 adolescence respondents. Results: First, the score of health status was 3.75 and high in 12-15 ages, living together with parents and private medical insured person. The score of oral health status was 2.85 and high in 12-15 ages, employed health insured, living together with parents. Second, dental treatment need was high in female, low income and dental checkup high in 12-15 ages and high income. Influenza vaccination was high in 12-15 ages. Diet contents was good in high income, living together parents and private medical insured and having breakfast was high in male, 12-15 ages, high income, living together with parents and private medical insured person. Third, smoking experience was high in male, low income, living together with single father or mother and drinking age was high in high income family. Forth, sinusitis was high in high income and small pox was high in low income. Conclusion: There might be many differences in the health status and health behavior of adolescents by sex, age, house income, type of family, private medical insurance. Our findings suggest that the need to develop appropriate health education program for high health problem behavior and intervention strategies for socioeconomic specified groups at greater risk.

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Cluster policies, cluster evolution, and the transformation of old industrial regions (산업집적지의 구조변화와 클러스터 발전방향)

  • Sadler, David
    • Journal of the Korean Academic Society of Industrial Cluster
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    • v.2 no.1
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    • pp.1-13
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    • 2008
  • Despite growing recognition of the significance of industrial clusters to regional economic success, there has been only limited attention paid to the effectiveness of cluster policies in old industrial regions. Many of these regions still retain functioning industrial clusters, or have clusters which are adopting new strategies as part of a process of regeneration. This paper argues that the effectiveness of cluster policies in old industrial regions depends upon the extent to which they recognise the evolutionary nature of industrial clusters. It reviews the literature on the transformation of old industrial regions in Europe, and examines how cluster policies have risen to prominence as a policy tool. These strands ate brought together in an exploration of cluster policies in old industrial regions. A brief case study is presented of the evolution of the steel industry supply chain in north east England. The conclusions focus upon the data requirements that form a starting point for informed policy intervention into presses of cluster evolution.

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A Study on the Factors of the Older Adults' Memory Performance (노인의 기억수행에 영향을 미치는 요인에 관한 연구)

  • Min, Hye-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.2
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    • pp.181-195
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    • 2000
  • The purpose of this study is to find out the effects of personal characteristics, social support, depression, and metamemory on the older adults' memory performances. The subjects of the study consisted of 95 older adults over the age of 60 who are living in Busan. Some data were collected by means of the interview method, using questionnaires for metamemory (MIA questionnaire by Dixon, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986), social resoueces(Duke university, 1978), family support(Hyun-Sook Kang, 1985). The other data were collected by the testing method on the memory performance such as the immeadiate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998), and the face recognition task(Face Recognition Task tool developed by Hye-Sook Min). The results of this study were as follows; 1. The level of metamemory is 3.4 points in the 5 point scale, the grades of the task and the achievement are relatively high and the grades of the change, the control, and the anxiety are relatively low in the sub-concepts. 2. Metamemory have significant relation with age(r=-.44), educational attainment(r=.46), depression(r=-.58), family support(r=.20), social resources(r=.20). 3. The significant variables to predict older adults' metamemory are educational attainment(22%), sex(11%), age (8.3%), depression(4.7%), and illness state(3%). 4. The strong variables to predict memory performances are metamemory, age, depression, social resources, educational attainment, illness state, and limitation of daily living activity related to illness. In conclusion, the enhancement strategies of metamemory and the social support and the prevention or reduction of depression are necessary to increase older adults' memory performances. Ultimately in this respect nurses' roles are very important in developing and performing some intervention programs for old adults' memory improvement, which have significant meanings in the field of nursing science.

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