• Title/Summary/Keyword: Intervention design

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Community Based Intervention for Tobacco Cessation: A Pilot Study Experience, North East India

  • Bhagabaty, Srabana Misra;Kataki, Amal Chandra;Kalita, Manoj;Salkar, Shekhar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.811-814
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    • 2015
  • Background: North East India has a high prevalence of tobacco consumption, but only few individuals seek help for tobacco cessation. Impact of community based tobacco cessation intervention in this part needs more research. Materials and Methods: Retrospective analysis was done on the dataset from a community-based tobacco cessation intervention pilot project conducted in Guwahati metro during 2009-10. Subjects, both male and female tobacco users, age > 15 years, permanent residents of these blocks giving consent were included in the study. Results: The sample was 800 tobacco users, of whom 25% visited any health care provider during last 12 months and 3% received tobacco cessation advice. An 18% quit rate was observed at six weeks follow up, more than the National average, with a 47% quit rate at eight months, while 52% of subjects reduced use. Conclusions: Higher tobacco quit rate and reduced tobacco use, no loss to follow up and negligible relapse was observed with this community based intervention design. Such designs should be given more emphasis for implementation in specified communities with very high tobacco consumption rates, cultural acceptance of tobacco and less motivation towards quitting.

The Effect of Informational Intervention Delivered by Electronic Patient Information Board in The Waiting Room on The Anxiety of Mothers Whose Children Underwent Elective Surgery (수술대기실 환자현황판을 이용한 수술진행 정보제공이 환아 어머니의 불안에 미치는 효과)

  • Hong, Hee Jung;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.388-397
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    • 2004
  • Purpose: The purpose of this study was to explore the effectiveness of informational intervention delivered by electronic patient information board in the OR waiting room for reduction of anxiety of mothers with child having operation. Method: Nonequivalent control group non-synchronized design was used in this study. The subjects was 52 mothers whose children underwent elective surgery in one Pediatric Hospital. Informational intervention in this study consisted of four critical stages. State anxiety by Spielberger, mean arterial pressure, and heart rates at preoperative and postoperative period were measured. The data were analyzed by using Chi-Square test and t-test with SPSS/PC 10.0 program. Results: 1) There was a significant difference in the state anxiety between the control and the experimental groups. 2) There was no significant difference in the mean arterial pressure between the two groups. 3) There was no significant difference in the heart rate between the two groups. Conclusion: The results of this study indicate that informational intervention delivered by electronic patient information board would be an effective intervention during the operation in reducing anxiety of mothers with child having operation.

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Effects of Hand Stimulation Intervention on Fatigue and the Blood Cortisol Level of Pregnant Women (손자극 간호요법이 임부의 피로와 혈중 코티졸에 미치는 효과)

  • Shin, Hye-Sook;Song, Young-A;Hwang, Jee-In
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.212-219
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of hand stimulation intervention by moxa on fatigue and the blood cortisol level in pregnant women. Method: This study was conducted using a nonequivalent control-group pretest-posttest design from Oct 13 to Dec 15, 2005. The participants were pregnant women in the Gyeong-gi area. The numbers of experimental and control subjects were 16 and 13, respectively. The hand stimulation intervention by moxa was applied to the experimental group three times a week, for a total of fifteen times for five weeks. Result: The blood cortisol level was statistically significantly different between the two groups. However, the degree of fatigue was statistically insignificant. Conclusion: These results suggest that hand stimulation intervention by moxa can be used as an effective nursing intervention in pregnant women. The implications for nursing practice and directions for future research are discussed.

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The Effects of Guided Imagery on Stress, State Anxiety, Test Anxiety and Core Basic Nursing Skill Performance Score of Undergraduate Nursing Students (지시적 심상요법이 간호대학생의 스트레스, 상태불안, 시험불안 및 핵심기본간호술 수행점수에 미치는 효과)

  • Hong, Eunyoung;Kim, Bo Ram
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.1
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    • pp.16-24
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    • 2020
  • Purpose: This study examined the effects of guided imagery on stress, state anxiety, test anxiety and core basic nursing skill performance score of undergraduate nursing student. Methods: An equivalent control group pretest-posttest design was utilized. A total of 45 senior nursing students were randomly assigned to either an intervention group to receive guided imagery, or a control group (experimental group=23 students, control group=22 students). The guided imagery was provided via audio files to the intervention group for eight minutes, once a day for five days. The pretest was given before the intervention to measure variables for both groups, and the posttest was performed immediately afterward and three days after the intervention. Results: Significant differences were found between the two groups in stress ((F=4.94, p=.012), state anxiety (F=5.99, p=.005), and basic core nursing skill performance scores (Z=-2.45, p=.015). Conclusion: Guided imagery for nursing students has been identified as effective for stress, state anxiety, and basic core nursing skill performance scores. Guided imagery can be used as an effective intervention before performance tests. These study results can provide useful data for nursing education.

Effects of a Smart Phone Individualized Distraction Intervention on Anxiety in Pre-Op Pediatric Patients (스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향)

  • Lee, Kyoung-A;Kwon, Mi-Kyung;Kim, Hae-Won;Lim, Ji-Eun;Pyo, Chang-Ok;Park, Chan-Sook
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.168-175
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    • 2015
  • Purpose: The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children. Methods: This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room. Results: For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t=-3.11, p=.003). Conclusion: The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.

Effectiveness of Intervntion for Cardiovascular Disease Prevention in Construction Workers (건설근로자 대상 심혈관질환 예방 중재의 효과)

  • Hwang, Sun-Kyung;Lee, Yoon-Ji;Kim, Bo-Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.2
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    • pp.74-84
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    • 2017
  • Purpose: This study aimed to assess the risk of developing cardiovascular disease (CVD) and to evaluate the effects of intervention for CVD prevention in construction workers. Methods: A total of 497 workers participated the health status survey and finally 90 workers were analyzed for evaluation of the intervention with the one-group pretest-posttest design. The data were collected from the questionnaires and health examinations in the healthcare service for road constructor's CVD prevention as secondary analysis. The intervention of the healthcare was composed of CVD prevention education for all workers and face to face counselling for the high risk group of CVD risk during 6 months in workplace. Data were analyzed with descriptive statistics, $x^2$ test, Wilcoxon signed rank test, and paired t-test. Results: The moderate and high risk groups of CVD were 9.7% and 0.8%. After the intervention, the physical activity (MET-min/week) significantly increased (Z=-5.46, p<.001). But, there were no significant differences in blood pressure, fasting glucose, body mass index, and CVD risk appraisals between pre and post intervention. Conclusion: The findings imply that it is necessary to develop the health promotion program for construction workers which fully reflects the characteristics of individuals and the organization.

Effects of Motivational Interviewing Intervention for Patients with Total Knee Replacement (슬관절 치환술 환자 대상 동기상담 적용 운동 프로그램의 효과)

  • Yu, Jihyoung;Lee, Haejung
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.139-151
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    • 2016
  • Purpose: The study was conducted to examine the effects of motivational interviewing intervention on exercise performance and maintenance, exercise and pain self-efficacy, functional status, and quality of life in the patients with total knee replacement. Methods: This study used a nonequivalent control group non-synchronized design. A total of 100 patients with total knee replacement (33 patients in motivational interviewing group (MG), 33 patients in exercise group (EG), 34 patients in comparison group (CG)) were participated in this study. MG and EG had 7 scheduled sessions for 4 weeks. Data were analyzed with repeated measures ANOVAs by using IBM SPSS Statistics 20. Results: MG showed better exercise maintenance, higher exercise and pain self-efficacy, higher muscle strength, and mental component of quality of life than the other groups. MG and EG showed better knee flexion, less knee extension, longer walking distance for 6 minutes, and better functioning than CG. Conclusion: The results showed that motivational interviewing intervention is an effective intervention for elderly patients with total knee replacement. Future study examining long term effects of motivation interviewing intervention is necessary.

The Effectiveness of a Forest-experience-integration Intervention for Community Dwelling Cancer Patients' Depression and Resilience (숲 체험 통합 중재가 재가 암 환자의 우울과 회복탄력성에 미치는 효과)

  • Choi, Yeon Hee;Ha, Young Sun
    • Research in Community and Public Health Nursing
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    • v.25 no.2
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    • pp.109-118
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    • 2014
  • Purpose: This study examined the effectiveness of a forest-experience-integration intervention in community dwelling cancer patients. Methods: The study was done with a nonequivalent control group pretest-posttest design. The subjects of the present study were 53 community dwelling cancer patients who were registered in a community health center in Gyeongsangbuk-do. The subjects were divided into an experimental group (n=26) who participated in the forest-experience-integration intervention and a control group (n=27) who did not participate. Data were collected from May to June in 2011. Collected data were analyzed using SPSS PC+ 19.0 through $x^2$ test, and independent t-test. Results: There were significant differences between the groups in depression (t=-4.51, p<.001), self-regulation resilience (t=6.95, p<.001), interpersonal resilience (t=10.10, p<.001), positivity resilience (t=9.67, p<.001), and total resilience (t=13.93, p<.001) measurements. Conclusion: The forest- experience-integration intervention delivered to community dwelling cancer patients was an effective method for relieving depression and enhancing self-regulation resilience, interpersonal resilience, positivity resilience, and total resilience, and can be utilized as an effective nursing intervention for community dwelling cancer patients.

Effects of Internet Diabetic Education on Blood Glucose in Hyperglycemic Patients (인터넷 당뇨교육이 고혈당환자 혈당 개선에 미치는 효과)

  • Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.444-451
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    • 2005
  • Purpose: The purpose of this study was to evaluate whether the effect of the Internet diabetic education on plasma glucose in people with hyperglycemic diabetes. Method: A randomized design with control and experimental groups being assessed pre- and post-intervention was used. Twenty-two patients were randomly assigned to an intervention group and 21 to a control group. Participants were requested to input the blood glucose level weekly in http://www.biodang.com by cellular phone or wire Internet for 3 months. The researcher sends optimal recommendations to each patient using short message service(SMS) of cellular phone and wire Internet weekly. Results: Patients in the intervention group had a mean decrease of 1.3% in glycosylated haemoglobin ($HbA_1c$) levels and those in the control group had no significant difference. There was a significant mean change in 2-hour postprandial blood glucose(2HPPG) for the intervention group, with a mean change of-75.2mg/dl. The mean change in the control group was, however, not significant. Conclusion: These findings indicated that a web-based intervention using SMS of cellular phone improved $HbA_1c$ and 2HPPG.

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Effects of Web-based Diabetic Education in Obese Diabetic Patients (비만형 당뇨환자의 웹기반 당뇨 교육 효과)

  • Kim Hee-Seung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.924-930
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effect of web-based diabetic education on plasma glucose and serum lipids in obese people with diabetes. Method: A random allocation design with control and experimental groups being assessed pre- and post-intervention was used. Eighteen patients were randomly allocated to an intervention group and 16 to a control group. Participants were requested to input their blood glucose levels weekly for 3 months at http://www.biodang.com by cellular phone or wire Internet. The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service (SMS) of the cellular phone and wire Internet. Results: Patients in the intervention group had a mean decrease of $1.2\%$ in glycosylated haemoglobin ($HbA_{1}c$) levels and those in the control group had no difference in HbA1c levels. There was a significant mean change in 2-hour post prandial blood glucose (2HPPG) for the intervention group, with a mean change of -120.1 mg/dl. The mean change in the control group, however, was not significant. Conclusion: These findings indicate that this web-based intervention using SMS of the cellular phone for 3 months improved $HbA_{1}c$ and 2HPPG, but did not affect total cholesterol, triglyceride, and high density lipoprotein cholesterol in obese type 2 diabetic patient.