• Title/Summary/Keyword: Intervention Strategies

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Current Issues in Evaluating Health Promotion Programme Using Traditional Korean Medicine in Korea

  • Han, Dong-Woon;Kim, You-Kum;Lee, Young-Ho
    • The Journal of Korean Medicine
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    • v.29 no.5
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    • pp.126-133
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    • 2008
  • Purpose : The aim of this study is to identify current situation and issues of outcome measures to evaluate the public health programs using traditional medicine by public health centers in Korea. Method :This study analyse and review existing data and documents related to traditional Korean medicine and health policy using contents analysis method. To collect the information on outcome measures evaluating the programmes, this study reviewed annual reports for health promotion programmes using traditional Korean medicine(HP-TKM) of Hub public health centers, as pilot public health centers, which have implemented the health promotion programmes collectively. Additionally, the review included research articles, government documents and book chapters on the topics related assessments in health promotion. Results :HP-TKM are stroke prevention education, smoke free program, health promotion according to Four Constitutional Medicine, home visiting treatment, etc. However, there are only a few studies of traditional medicine focused health promotion evaluation strategies. The benefits of health promotion programs using TKM can be categorized as non-health benefit, physiological, psychological and physical effects. To manage and monitor the intervention programmes efficiently, attention should be given to developing relevant and valid outcome measures for evaluating the programmes by government and public health center. Conclusion :Up to now, considering number of researchers, research projects undertaken or published articles and reports, within traditional Korean medicine there is a lack of capacity in research. Thus, government should pay more attention to developing relevant and valid outcome measures for evaluating the programs.

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The Relationship between Attitude, Subjective Norms, Perceived Behavioral Control and Intention of Safer Sexual Behavior in the Non-Experienced University Students of Sexual Intercourse (성 경험이 없는 대학생의 태도, 주관적 규범, 지각된 행위통제와 안전한 성행위 의도간의 관계)

  • Kim, Ye-Jean
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.381-389
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    • 2014
  • This purpose of this study was to identify the relationships between attitude, subjective norms, perceived behavioral control and intention of safer sexual behavior in non-experienced university students of sexual intercourse. The study participants were 604 students of university in Seoul. Considering the extremely private and sensitive topic of this study, data collection was performed through online and mobile media form April 1 to 14, 2013. Collected data were analyzes using the SPSS 21.0 Programs. As a results, Intention of safer sexual behavior had a meaningful relationship with attitude, subjective norms, perceived behavioral control. Bsaed on these results, it is suggested that the results the of this study are used to develop nursing intervention strategies for the promotion of sexual health, such as sex education programs or sex counseling programs targeting university students.

Influencing Factors on Social Acceptance of Autonomous Vehicles and Policy Implications (자율주행자동차의 사회 수용에 미치는 영향 요인과 정책적 시사점)

  • Lee, Jihye;Chang, Hyungsik;Park, Young il
    • Journal of Korea Technology Innovation Society
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    • v.21 no.2
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    • pp.715-737
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    • 2018
  • The introduction of autonomous vehicles will bring about not only changes in existing automotive ecosystem but also widespread changes in our lives, society, economy, and culture. Social acceptance is one of important influencing factors for the commercialization of autonomous vehicles. The purpose of this study analyzes influencing factors in the acceptance of autonomous vehicles in terms of consumers. Autonomous vehicles in this study were defined as PAV (Partial Autonomous Vehicles) and FAV (Full Autonomous Vehicles) by drivers' intervention or not. The survey was conducted over 20 years old including not only drivers but also non-drivers. The results showed that the factors affecting acceptance of PAV and FAV were different. Factors directly related to drivers influenced PAV acceptance while external environmental factors influenced FAV acceptance. This study is proved that is should need different strategies between PAV and FAV for increasing those acceptance

Seasons Variation of House Dust Mites Allergen and Perceived Allergic Symptoms (집먼지진드기 항원량과 알레르기 자각증상의 계절적 변화 - 알레르기 천식환자가구와 정상가구의 비교 -)

  • Kim Yong Soon;Park Jee Won;Song Young Shin
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.30-44
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    • 2002
  • The purpose of this study were to identify seasons variation of house dust mites allergen and perceived allergic symptom. The subjects were consisted of 29 family with allergy patients and 34 family without allergy patients. Perceived allergic symptoms were accessed and house dust was sampled from beds, floor of bedroom, kitchen and livingroom in spring(August), summer (July), fall(October) and winter(January) and tested using two-site ELISA. The results were as follows; 1) In all family, amount of house dust mites allergen(Der fI) of livingroom floor was the highest in summer$(4.73{\mu}g/1g\;of\;dust)$, and then fall$4.67{\mu}g/1g\;of\;dust)$, winter$(3.94{\mu}g/1g\;of\;dust)$, spring$(1.73{\mu}g/1g\;of\;dust)$. 2) In family with allergy patients, amount of house dust mites allergen(Der fI) of bedroom floor was highest in fall $(9.75{\mu}g/1g\;of\;dust)$. 3) In family with allergy patients, amount of house dust mites allergen(Der fI) of mattress was highest in fall$(8.23{\mu}g/1g\;of\;dust)$. 4) Perceived allergic symptom scores of family with allergy patients were higher than family without allergy patients in all seasons. In family without allergy patients, perceived allergic symptom scores was the highest in spring(4.29) and perceived allergic symptom scores of family with patients was the highest in winter(2.49). 5) The relationship of house dust mites allergen and perceived allergic symptom scores were positively related (r=.941, p=.000). Perceived allergic symptoms were correlated with amount of house dust mites allergen, That is, perceived allergic symptoms were became worse by house dust mites allergen. So House dust mites allergen reducing strategies and intervention should be recommended in further study.

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A study on the Nurses' Perception of Comfort (임상간호사가 지각하는 환자의 안위에 관한 연구)

  • Kim Keum-Soon;im Kyung-HeeK;Kang Ji-Yeon;Seo Hyun-Mi;Won Jong-Soon;Jeong In-Sook;Chung Hae-Kyung;Sohng Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.2
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    • pp.300-310
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    • 2002
  • Purpose: This study describes the perception of comfort by hospital nurses. Q-methodological was used. Method: The participants completed a 37-item a sort made up of statements which could be ranked in terms of their relevance to the subjective meaning of comfort Result: Three interpretable types of comfort were identified. They are as follows : Type I, emotional and spiritual well-being style: The nurses perceived that patients feel comfortable when they feel emotional support from others and spiritual easiness. The nurses felt that the patients put worth in hope for a healthy life. free from pain and fear of death. Type II, acceptive medical environment style: The nurses perceived that patients have a secure and satisfied attitude towards prompt responses, exact information and skilled Intervention techniques. They also perceived that patients feel safe and secure when they feel free of pain and medical staff are kind. Type III, physical well-being style; The nurses perceived that patients feel safe and comfortable when they feel free of pain and have a good sleep and are able to maintain a comfortable position. They perceived that patients put a high value on meeting the basic needs of safety, such pain, sleep and positioning. Conclusion: The result of this study can be used as a basis to develop nursing measures for promoting comfort. Further studies are recommended on factors which influence nurses' perception of comfort and strategies to promote comfort according to the style of the patients.

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Acculturation, Social Network, and Health-related Quality of Life in Korean-Chinese Immigrants (조선족 이민자의 문화적응, 사회적 관계망과 건강 관련 삶의 질의 관계)

  • Lee, Meenhye;Lee, Hyeonkyeong;Kim, Sue;Jang, Yeonsoo
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.438-450
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    • 2013
  • Purpose: The purpose of this study is to identify relationships between acculturation, social network, and health-related quality of life (HRQOL) among Korean-Chinese immigrants. Methods: A cross-sectional descriptive study was conducted with 147 Korean-Chinese immigrants who were residing more than 1 year in Korea. Physical and mental dimensions of HRQOL were assessed by Short Form-12 Health Survey that consisted of a physical component summary (PCS) and a mental component summary (MCS). Data were analyzed with Pearson's correlation and multiple regression. Results: The mean PCS score was $41.14{\pm}10.72$ and the mean MCS score was $49.09{\pm}11.31$ (possible range 10-70). Depression (${\beta}$=-6.43) and Social network frequency (${\beta}$=2.44) explained 28.4% of the variance in PCS while depression (${\beta}$=-11.54) and visiting clinic/hospital (${\beta}$=-4.00) explained 34.3% of the variance in MCS. Acculturation was not significantly associated with HRQOL. Conclusion: This study confirmed that the social network frequency influences HRQOL among Korean-Chinese Immigrants. The findings suggest that social network analysis should be considered in the process of developing health intervention strategies for Korean-Chinese immigrants.

The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy (항암화학요법을 받는 유방암 환자의 극복력 구조모형)

  • Yang, Jeong Ha;Kim, Ok Soo
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.327-337
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    • 2016
  • Purpose: The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy. Methods: Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0. Results: Lower depression (${\gamma}=-.33$, p=.020) and symptom experience (${\gamma}=-.31$, p=.012) and higher self-efficacy (${\gamma}=.32$, p=.005) and hope (${\gamma}=.48$, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (${\beta}=-.18$, p=.016), higher self-efficacy (${\beta}=.49$, p=.023), and higher hope (${\beta}=.46$, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (${\beta}=.54$, p =.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (${\beta}=-.10$ p=.013), self-efficacy (${\beta}=.27$, p=.006) and hope (${\beta}=.25$, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors. Conclusion: The findings of the study suggest that breast cancer patients with greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

  • Ren, Liping;Kim, Hyunli
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.700-711
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    • 2017
  • Purpose: This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement. Methods: Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0. Results: The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and ${\chi}^2/df$ ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being. Conclusion: The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students' psychological well-being.

A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement (양측 슬관절 전치환술 여성노인의 건강관련 삶의 질 구조모형)

  • Lee, Hyun Ok;Yoo, Jae Soon
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.554-570
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    • 2020
  • Purpose: This study aimed to develop and test a structural equation model of health-related quality of life among older women following bilateral total knee replacement based on a literature review and Wilson and Cleary's model of health-related quality of life. Methods: One hundred ninety three women who were diagnosed with osteoarthritis, were older than 65 years, and were between 13 weeks and 12 months of having a bilateral total knee replacement were recruited from an outpatient clinic. Data were collected from July 2017 to April 2018 using a structured questionnaire and medical records. Data were analyzed using SPSS/WIN 22.0, AMOS 22.0, and Smart PLS 3.2.4. Results: The fitness of the hypothetical model was good, with coefficients of determination (R2) ranging between .28 and .75 and predictive relevance (Q2) between .26 and .73. The standardized root mean square residual of the model fit indices for the hypothetical model was .04; which explained 64.2% of physical and 62.5% of mental health-related quality of life. Self-efficacy, symptom status, functional status, and general health perceptions had a significant direct effect on physical health-related quality of life, while social support, symptom status, and general health perceptions had a significant direct effect on participants' mental-health-related quality of life. Conclusion: To improve the physical and mental quality of life of older women who receive bilateral knee replacement, nursing-based intervention strategies that reduce symptoms, improve functional status, and increase health perceptions, self-efficacy, and social support are needed. The most important factor is the symptom status.

Evaluation of Problem-Based Learning in an Undergraduate Nursing Course (간호학 문제 중심 학습 효과 평가 - 일개 교과목을 중심으로 -)

  • Kim Hee-Soon;Ko Il-Sun;Lee Won-Hee;Bae Seong Yeon;Shim Joung Ohn
    • Child Health Nursing Research
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    • v.10 no.4
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    • pp.395-405
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    • 2004
  • Purpose: The purpose of this research was to evaluate the application of the Problem-Based Learning(PBL) in nursing with regard to the learning process and learning outcomes. Method: PBL modules were provided to the students so that they could identify the nursing problems related to nutrition, regulation, and elimination, and implement appropriate nursing interventions according to the problems. PBL was also used to develop ability to use self-evaluation for nursing intervention outcomes. The modules were developed by the authors for the course, Nursing 1(3 credits) at Y university, and used during one semester, March to June 2003. Evaluation of the learning process and learning outcomes was done by self-report questionnaires and a semi-structured self -report developed by the authors. Result: The PBL evaluation included role of the facilitators, group work process, and self-directed learning attitude. The students evaluated the facilitator's role positively in fostering positive interactions and cooperative study among students and stimulating students to apply various problem-solving strategies. Students evaluated their own group work performances as a good opportunity to improve their group work participation, contribution, cooperation, and leadership through the PBL session. Their responsibility for their own learning and develop self-directed learning attitudes to connect present learning to long-term goals. Conclusion: Critical thinking, problem solving skills, self-directed learning and group work accomplishments in undergraduate student nurses were fostered and improved through the PBL program.

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