• Title/Summary/Keyword: Nursing approach

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A Literature Review of Return-to-Work Interventions for Cancer Survivors (암 생존자 직장복귀 중재 프로그램 연구 고찰)

  • Bae, Ka Ryeong;Cho, Juhee;Jeon, Seo Heui
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.2
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    • pp.83-93
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    • 2019
  • Purpose: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. Methods: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. Results: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. Conclusion: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors' needs and characteristics in the RTW field.

Tree-based Approach to Predict Hospital Acquired Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.8-13
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    • 2019
  • Despite technical advances in healthcare, the rates of hospital-acquired pressure injury (HAPI) are still high although many are potentially preventable. The purpose of this study was to determine whether tree-based prediction modeling is suitable for assessing the risk of HAPI in ICU patients. Retrospective cohort study has been carried out. A decision tree model was constructed with Age, Weight, eTube, diabetes, Braden score, Isolation, and Number of comorbid conditions as decision nodes. We used RStudio for model training and testing. Correct prediction rate of the final prediction model was 92.4 and the Area Under the ROC curve (AUC) was 0.699, which means there is about 70% chance that the model is able to distinguish between HAPI and non-HAPI. The results of this study has limited generalizability as the data were from a single academic institution. Our research finding shows that the data-driven tree-based prediction modeling may potentially support ICU sensitive risk assessment for HAPI prevention.

Systematic Literature Review and Meta-Analysis on the Effect of Exercise Intervention Programs on Blood Lipids in Obese Adolescents in Korea according to Sex (국내 비만 청소년을 대상으로 실시한 운동 중재 프로그램의 혈중지질 효과에 대한 체계적 문헌고찰과 메타분석: 성별 차이 분석)

  • Kim, Juri;Lee, Mikyoung
    • Journal of the Korean Society of School Health
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    • v.34 no.2
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    • pp.87-97
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    • 2021
  • Purpose: The authors used a meta-analysis approach to investigate the effects of exercise on gender-specific triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C) in obese adolescents. Methods: This study is a systematic review and meta-analysis study to confirm the effect of exercise intervention according to gender for obese adolescents. PICO were obese a adolescents, exercise intervention, comparative intervention (control and general group),TG and HDL-C. Results: The group of obese male adolescents showed a statistically significant decrease of 51.72 in TG (n=175, MD=-51.72; 95% CI -52.44 to -51.00).There was a statistically significant increase of 4.44 in HDL-C (n=175, MD=4.44; 95% CI 3.79 to 5.10) in the group of obese male adolescents. Conclusion: Triglyceride and high-density lipoprotein cholesterol were analyzed to determine the effect of exercise interventions in obese adolescents according to gender differences. The results of this study can be used as basic data for the design of future exercise intervention studies, subjects, exercise methods, and intervention periods.

Factors Affecting Nurses' Performance of Cancer Pain Management in a Tertiary Hospital

  • Kang, Minhwa;Seo, Minjeong
    • Journal of Hospice and Palliative Care
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    • v.25 no.3
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    • pp.99-109
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    • 2022
  • Purpose: More than 60% of patients with advanced cancer experience pain, and uncontrolled pain reduces the quality of life. Nurses are the closest healthcare providers to the patient and are suitable for managing cancer pain using pharmacological and non-pharmacological interventions. This study aimed to identify factors affecting the performance of cancer pain management among nurses. Methods: This study was conducted among 155 participating nurses working at a tertiary hospital who had experience with cancer pain management. Data collection was performed between October 18, 2021 and October 25, 2021. Data analysis was conducted using descriptive statistics, the independent-sample t-test, one-way analysis of variance, and hierarchical regression analysis. Results: There were 110 subjects (71.0%) who had no experience of cancer pain management education. The results of regression analysis indicated that barriers included medical staff, patients, and the hospital system for cancer pain management (𝛽=0.28, P<0.001). The performance of cancer pain management was also affected by experience of cancer pain management training (𝛽=0.22, P=0.007), and cancer pain management knowledge (𝛽=0.21, P=0.006). The explanatory power of the variable was 16.6%. Conclusion: It is crucial to assess system-related obstacles, as well as patients and medical staff, in order to improve nurses' cancer pain management performance. A systematic approach incorporating multidisciplinary interventions from interprofessional teams is required for effective pain management. Furthermore, pain management education is required both for cancer ward nurses and nurses in other wards.

Lived Experiences of Parents of Children with Celiac Disease: A Descriptive Qualitative Study

  • Nesibe S. Kutahyalioglu;Gamze Kas Alay
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.3
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    • pp.146-157
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    • 2024
  • Purpose: Celiac disease (CD) is one of the most prevalent food-related illnesses in children, with a global prevalence of approximately 1.4%. CD can create an emotional burden, particularly on mothers, who are mainly responsible for managing challenges related to adherence to a gluten-free diet, high food costs, and food problems in schools and social areas. There is a gap in the literature, and parental experiences of raising children with CD should be explicitly examined. This qualitative study sought to provide insights into the experiences of parents raising a child with CD in the Turkish context. Methods: This study used a descriptive qualitative research methodology and conducted individual semi-structured video-based dyadic interviews with 19 parents. Results: Participants experienced both challenges and motivators through management of their children's CD. Analyses of the interview transcripts through the data uncovered three main themes focusing primarily on parental concerns: (1) parental challenges in child's disease management, (2) supportive care needs, and (3) parental expectations. Conclusion: A multidisciplinary team should approach the child and family immediately after diagnosis, and facilities should support parents with continuing education and psychological, financial, and social assistance.

A Study of Sexual Attitudes in University Students - Q-methodological approach- (대학생들의 성의식에 대한 태도 유형 - Q-방법론적 접근 -)

  • Kweon, Hyun Joo;Chung, Hae Kyung;Ryu, Eun Jung;Chung, Yeon Kang
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.229-241
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    • 1998
  • Because sexual awareness is changing, I have tried to classify university students' attitudes toward sex. This study examined male and female university students and used a Q-method to measure these attitudes. Out of a total of 202, 33 statements were abstracted, and a P-sample of 1-7 parties consisting of 26 persons were studied. I Q-sorted the statements with a standard of 9 points for normal distribution and analyzed the data by means of a Principal Component Analysis with a Quan PC Program. According to the result of this research, university students' attitudes toward sex are divided into three types. Type 1 are called open-minded open: They may have a surgical abortion in case of an unexpected pregnancy and sexual intercourse occurs when a man and woman feel love for each other. They don't see sexual intercourse as a means reproduction nor virginal purity as unconditional. It is remarkable that these students regard sexual intercourse as a natural thing and sex as a basic desire of human beings. In short, they show an open-minded attitude toward sex. Type 2 are supporters of virginal purity; They regard virginal purity with great importance. They insist that both man and woman should be chaste but that sexual intercourse before marriage is unfavorable only to the woman. They do not believe in sexual intercourse without love and emphasize purity in sex education. Differen from type 1, they are very negative about surgical abortion. Type 3 experss love through sex. They belive that sexual intercourse makes a couple happy and a way to express their affection for each other. In other words, the relationship between man and woman is improved through sexual intercourse. They do not think of sexual intercourse in terms of childbirth.

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Integrated approach to the working experience of non-regular outpatient nurse (비정규직 외래간호사의 근무경험에 대한 융합적 접근)

  • Lee, Hye Jin;Lee, Do Young
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.111-120
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    • 2016
  • The goal of this thesis is to have a subjective and general insight to the working experience of non-regular outpatient nurses working in general hospital to understand them. As for the study subjects, 7 non-regular outpatient nurses working in general hospital with rich working experience were randomly selected, and they were analyzed by Colaizzi's phenomenological qualitative research method which drew out 4 categories and 8 subcategories. As the result, non-regular outpatient nurses, due to its distinct characteristics of employment as contract worker, felt satisfaction in working environment on the surface, but found out there were reversed emotion in feeling dissatisfaction for the compensation or development. The results mentioned above will provide useful data in understanding the essence of working experience of non-regular outpatient nurses, and expect these results will be the supporting grounds to have interests and access to realistic problem that the non-regular outpatient nurses are facing.

Symptom Management to Predict Quality of Life in Patients with Heart Failure: A Structural Equation Modeling Approach (증상관리를 통한 심부전 환자의 삶의 질 예측모형)

  • Lee, Ja Ok;Song, Rhayun
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.846-856
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    • 2015
  • Purpose: The focus of this study was on symptom management to predict quality of life among individuals with heart failure. The theoretical model was constructed based on situation-specific theory of heart failure self-care and literature review. Methods: For participants, 241 outpatients at a university hospital were invited to the study from May 19 to July 30, 2014. Data were collected with structured questionnaires and analyzed using SPSSWIN and AMOS 20.0. Results: The goodness of fit index for the hypothetical model was .93, incremental fit index, .90, and comparative fit index, .90. As the outcomes satisfied the recommended level, the hypothetical model appeared to fit the data. Seven of the eight hypotheses selected for the hypothetical model were statistically significant. The predictors of symptom management, symptom management confidence and social support together explained 32% of the variance in quality of life. The 28% of variance in symptom management was explained by symptom recognition, heart failure knowledge and symptom management confidence. The 4% of variance in symptom management confidence was explained by social support. Conclusion: The hypothetical model of this study was confirmed to be adequate in explaining and predicting quality of life among patients with heart failure through symptom management. Effective strategies to improve quality of life among patients with heart failure should focus on symptom management. Symptom management can be enhanced by providing educational programs, encouraging social support and confidence, consequently improving quality of life among this population.

A Phenomenological Perspective and Meaning of joint-pain's Experience of Women's in an island (관절통을 경험한 도서지역 여성의 체험연구)

  • Kim, Gan-Woo
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.265-285
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    • 1998
  • This Qualitative nursing research was made with a hermeneutic phenomenological approach to find out the meaning and nature of human's experience. The purpose of the inquiry is to find out the meaning and to understand the nature of Joint pain's experience of women in the island and to apply the result to nursing practice. The study was guided by Shin Kyung Rim's four step that revised van Manen's method for doing research. The method of inquiry included : turning to interesting phenomenon. inquiring and investigating experience as it was lived rather than as conceptualized ; reflecting and analyzing essential themes which characterize phenomenon ; and describing phenomenon through art and literature. Multiple strategies for data collecting were needed : deep face to face interview ; analysis of joint pain of women's writings ; describing and analysis of examples of the phenomenon in art, literature. Through this process essensial them of the experience was emerged : Misery that I would like to cut off my body, Sea wind soaking deeply into the bones, Dull pain from the postpartum cold wind, The another suffer I should endure by myself, Recrudesce despite all the try I have made, Often forgetting the pain of every Joint for hardship of life. Findings from artistic and creative inquiry further was validated and meaning was discovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women joint pain's experience, implications, for education, research and practice, direction and need for continuing inquiry were identified.

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A Study on Types of Coping in School-Age Children : A Q-methodological Approach (학령기 아동의 대응 유형에 관한 연구 : Q방법론적 접근)

  • Jung Yun;Cho Kyoul Ja
    • Child Health Nursing Research
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    • v.4 no.1
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    • pp.116-127
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    • 1998
  • The purpose of this study was to examine the reliability of Q-sorting and to develope a typology of coping to stress in school-age children through the use of Q-methodology. For the study, Q-statements are selected from the literature and interviews of 30 Children, A total number 153 statement were collected and 31 Q-samples were finally selected. AP-sample of 76 was selected the elementary school children. Each of respondents were given 31 coping strategies questionnaire and set of 31 statements with cartoon on each of cards and sorted them according to the 9-point scale. The result of the C-sorting by each subject were coded and analyzed using the QUANAL PC and SPSS PC+ program. As a result of the analysis, There were significant relationship between score each item of question naire and score of sorted statement. Therefore, school-age children was able to Q-sorting(forced normal distribution). Also, the four types of coping were named as follows : Type I (n=35) : To search for the dynamic behaviors Type II (n=12) : To search for the intellectual behaviors Type III (n=22) : To search for emotional-spiritual behaviors Type IV (n=7) : To search for the self-abuse behaviors Throught the study, the implication for teachers, parents and school nurses is that there is needed to guide and to support adaptive coping behaviors. Also, it is recommended that the application of Q-methodology for study of children's subjective concepts like stress and coping.

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