• The Korean Journal of Rehabilitation Nursing
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• v.4 no.1
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• pp.20-30
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• 2001

Stroke is known as a detrimental disease that leaves serious sequelae. The stroke patients suffer from limitations of physical and social activities. The patients try to adapt themselves to the limitations in order to achieve rehabilitation. This study was performed to clarify the lived experience of rehabilitation from the stroke patients. In collecting data for this study, in-depth personal interviews were made by a researcher from February to April in 2001 at rehabilitation clinics and physical therapy centers locate in Iksan city. The methodological approach was van Manen's hermeneutic phenomenological methodology in order to understand the meaning and nature of stroke patients' experiences in rehabilitating their physical limitations. Collected data were analyzed with phenomenological way of study that was develope by van Manen. The 8 patients who agreed to participate in this research were inter viewed by researcher under the private and comfortable environment. Personal interviews were done three or five times per each patients and each interview took 70 to 90 minutes. The statements were analyzed and finally revealed three essential themes : Theme 1 - Desperateness to achieve freedom again Theme 2 - Seizing hope of recovering Theme 3 - Seeking support from family members, relatives and friends Based on these themes, stroke patients' rehabilitation experience are described as following. The stroke patients have strong desire to achieve freedom again in order to escape from social isolation. The stroke patients want to go back to the state of their previous health state. The stroke patients strongly try to do anything for their recovering and also to have positive thinking. In the other hand, they feel pity for themselves through desperation, fear, sorrow, and self-pity. The stroke patients have dissatisfaction about neighbors' rumor and attitude toward themselves. The stroke patients have experiences to rely on neighbors' support seeking a warm word of consolation. This research showed us that van Manen's hermeneutic phenomenological methodology leads us to understand stroke patients' rehabilitation process more comprehensibly. Based on this research, it is suggested that further studies provide a foundation for the development of a rehabilitation theory for Korean stroke patients.

• Korean Journal of Occupational Health Nursing
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• v.15 no.2
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• pp.94-103
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• 2006

Purpose: This study was to understand foreign workers' experiences exposed hazard chemical materials in korean industry. Method: The research subjects were 92 foreign workers worked in seoul, namyangju, ansan, suwon, pocheon, incheon, jincheon, and daejeon. It was that grounded theory method as qualitative approach was applied with in-depth interview, recording and dictation, and collected data was analysed line-by-line by research teams. The analysis process of in depth interview data was three phase. Results: The first phase was that find out meaningful data and confronted data for meaningful data was 53 meaningful items. The second phase was coding process of meaningful data, total coding items were 9, difficulty of new environment, existence of health hazard factors originated in work, performance of basic health management, management of hazard materials in work-site, self care of hazard materials in work-site, discrimination of disaster-compensation originated in work, perception of work stress, motivation of leaving position, satisfaction for present life. The third phase was 5 adaptation process, copying phase for new environment, management phase for health hazard factors, health change phase, life change phase, illegal stay phase. Conclusion: In summary, as a results it was concluded that foreign workers was experienced new environment and then has various problems in working site. But these evidences were not different from korean workers basically, undoubtedly reality of a korean small and medium enterprise. And foreign workers with long time stay have had many health problems probably, but they have want to long stay and so reach an unexpected result, illegal long stay. Therefore, we should make efforts for adequate foreign workers' health management at work-site and overall life in governmental and industrial nursing level.

• Women's Health Nursing
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• v.10 no.1
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• pp.32-41
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• 2004

Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.3
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• pp.258-267
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• 2015

Purpose: The purpose of study was to compare depression, marital intimacy, sexual function and quality of life between a group of sexually active women and a group of women who were sexually inactive. All of the women were post-menopausal married women. Methods: Post-menopausal married women (n=395) of 40 to 59 years old participated in the study. Data were collected through self-report questionnaires which included items on general characteristics, and tools on depression (CES-D), marital intimacy (MIQ), sexual function (FSFI), and quality of life. Data were analyzed using descriptive statistics, t-test, $X^2-test$, ANCOVA, and Pearson correlation coefficients. Results: About 42% of the participants were identified as sexually inactive. Marital intimacy, sexual function, and quality of life in the sexually active group were significantly higher than the inactive group (F=17.12, p<.001; F=36.86, p<.001; F=16.78, p<.001). Depression scores in the sexually active group were significantly lower than in the inactive group (F=14.64, p<.001). Also, there was a significant relationship of depression, marital intimacy, and sexual function to quality of life in both groups. Conclusion: The results of this study indicate that health professionals need to counsel and provide a psychosexual approach especially when caring for post-menopausal married women who are sexual inactive.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.8
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• pp.2141-2149
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• 2009

This research is based upon the nursing statistical data published by the Institute of Nursing Policy in 2007, on behalf of Korea nursing association. We analyzed the problems on the healthcare human resources supply in Korea. We suggest that a solution is to adopt immigration policy for foreign workforce employment. The result of the research shows that more than 1,000 nurses are registrated every year except for 2004, according to the yearly status of healthcare jobs. The variance of doctors' registration was quite significant. Compared to 750 registrations in 2004, 4000 doctors were registered in 2002. The healthcare accounts for the property of citizens in terms, which represents the health and lives of everyone, so the country must take all measures to supply the healthcare services in need. Focusing on the underdeveloped region where it is difficult to approach the medical services, the foreign workforce could be added into the healthcare profession field. We conclude that employing foreign healthcare professionals will contribute to the improvement of lives in those people living in underdeveloped region, as well as unity of the local community.

• Journal of Convergence for Information Technology
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• v.9 no.11
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• pp.28-37
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• 2019

The purpose of this study was to develop an application(app) on smoking cessation for patients with human immunodeficiency virus (HIV) infection and evaluate its usability. A methodological study design was applied. The program contents were developed by expert panel based on the theory of planned behavior, HIV infection, and smoking cessation and usability evaluation and then the application was developed by IT experts following usability testing composed of heuristic evaluation by 3 mobile experts and users evaluation was conducted using surveys and interviews by 10 individuals with HIV infection. Descriptive statistics and contents analysis were computed to evaluated the collected data. All participants were male and their age were ranged from 40s to 60s. The average of app usability was 4.2. The participants experienced no difficulties and responded somewhat satisfaction. The results showed that the app was feasible and useful on smoking cessation for HIV patients and could be used as an valid approach.

• Journal of the Korea Convergence Society
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• v.12 no.10
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• pp.321-331
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• 2021

The purpose of this study was to understand and define the health-promotion behavior of adolescents in Korea. This study collected data from twelve high school students using group and individual in-depth interviews. Data were analyzed qualitative study with grounded theory method by Strauss and Corbin(1998). As for the study result, the core phenomenon was the Lifestyle without health promotion and the mediation conditions for controlling were Parents' Care for Health, Friends with Health Behavior, and lack of exercise environment, and the action/interection strategy to correspond to this situation was Strengthening the will to practice health promotion, Imitate a friend with a nice body, Learning parental health behavior. This study will serve as basic data in developing health promotion programs for the practice health promoting behaviors of high school students.

• Nutrition Research and Practice
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• v.15 no.6
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• pp.703-714
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• 2021

BACKGROUND/OBJECTIVES: A dietary restriction on the intake of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) has been reported to be effective in the treatment of gastrointestinal (GI) tract complications. Enteral nutrition (EN) is widely used for patients who cannot obtain their nutritional requirements orally, but many studies have reported EN complications, especially diarrhea, in up to 50% of patients. SUBJECTS/METHODS: We performed a single-center, non-randomized, controlled trial to determine the effects of a low-FODMAP enteral formula on GI complications in patients in intensive care units (ICUs). Patients in the ICU who needed EN (n = 66) were alternately assigned to the low-FODMAP group (n = 33) or the high-FODMAP group (n = 33). RESULTS: Anthropometric and biochemical parameters were measured, and stool assessment was performed using King's Stool Chart. We excluded patients who received laxatives, GI motility agents, proton pump inhibitors, antifungal agents, and antibiotics other than β-lactams. There were no differences in GI symptoms during 7 days of intervention, including bowel sound, abdominal distension, and vomiting between the 2 groups. However, diarrhea was more frequent in the high-FODMAP group (7/33 patients) than the low-FODMAP group (1/33 patients) (P = 0.044). CONCLUSIONS: Our results suggest that a low-FODMAP enteral formula may be a practical therapeutic approach for patients who exhibit enteral formula complications. Our study warrants further randomized clinical trials and multicenter trials.

• Journal of the Korea Convergence Society
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• v.10 no.1
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• pp.317-328
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• 2019

The purpose of this study is to understand the experience and adaptation of North Korean defector who acquired Korean nurse license and living as a nurse in depth through qualitative data. The study sampled 7 North Korean defector nurses who can express their experiences well, and applied Colaizzi's phenomenological qualitative research method to draw out 5 theme clusters and 14 sub categories. As the result, subjects had proud of becoming nurse in Korea, acknowledged and accepted differences from Korean, wanted to be recognized as the Korean people, and they expected to becoming true Korean nurse by being integrated into Korean society with their passion and challenge toward a new dream. This study has helped to apprehend essence of experience of North Korean defectors as a nurse after acquiring Korean nurse license, and it is expected that it could provided basic data to realistically approach to seeking measures for the subjects to successfully adjust as Korean nurses.

• Journal of Korean Critical Care Nursing
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• v.14 no.1
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• pp.28-39
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• 2021

Purpose : This study investigated the occurrence of postoperative ileus and its related factors in patients after spinal surgery. Methods : After a retrospective review of data from patients who underwent spinal surgery at a single hospital located in Busan from 2012 through 2016, a total of 253 patients were included. The subjects were divided into non-ileus and ileus groups. We compared patient-, surgery-, and postoperative hematological-related factors. Results : A total of 41 (16.2%) out of 253 patients experienced postoperative ileus. Data analysis revealed significant differences between the two groups in mean age (68.44 vs 60.50 years), occupation (9.8 vs 28.8%), cardiovascular comorbidity (63.4 vs 37.7%), approach of surgery (supine/prone: 29.3/70.7 vs 12.7/87.3%), duration of anesthesia (5.86 vs 4.43 hours), narcotic use (75.6 vs 56.6%), postoperative serum hemoglobin level (3 days: 10.81 vs 11.41 g/dL), postoperative serum protein (immediately/3 days: 5.30/5.43 vs 5.62/5.68 g/dL), postoperative albumin level (3 days: 3.17 vs 3.40 g/dL), postoperative C-reactive protein level (3 days: 11.44 vs 8.36 mg/dL), postoperative bed stabilization period (3.32 vs 2.50 days), and onset of bowel movement (2.59 vs 1.94 days). In multivariate logistic regression, age and time of anesthesia were independent risk factors of postoperative ileus. Conclusion : To detect ileus after spinal surgery early, nurse education is needed with intensive screening on advanced age, surgery-related factors, and postoperative hematological indices.