• Title/Summary/Keyword: Nursing approach

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Model Development of Change of Family Functioning with Chronic illness (만성질환으로 인한 가족기능 변화 모형 - 완성된 확장기 가족을 대상으로 -)

  • ;Hesook Suzie, Kim
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.467-484
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    • 1999
  • The main objectives of this study were to investigate the concept of family function from the perspective of the contemporary Korean family, and to construct model of change of family function with chronic illness. The hybrid model approach was applied in which three phases(theoretical phase, empirical phase, and analytic phase) of concept development were explored for family functioning. The study was conducted from 1997 to 1998. In empirical phase, two groups of purposive samples were drawn : normal family group composed of six families without ill family member, and ill family group composed of seven families of which wives have rheumatoid arthritis. Only families with child(or children) in primary or secondary schools were included in the study. The results were as follows : In theoretical phase, six dimensions of family concept were emerged : affective, structural, control, cognitive, financial, and reproductive dimension. In order to analyse the Korean normal family function in middle class with middle-aged women, financial and reproductive dimension were not included. In empirical phase, five dimensions(affective, structural, control, cognitive, and external relationship) were found from the normal family data. External relationship dimension is very important factor as a resource of the support, especially when their parents or siblings had no help or support to them. In the affective dimension, Korean family emphasized harmony and balance rather than affective expression between couples and between parents and children. They also showed common goals of the families to solve their problems to control the family members. The priority of the goals was getting into the higher education of their children or helping their unhealthy parents or family members. Six dimensions (affective, structural, control, cognitive, external relationship, and financial) of family functions were emerged from the ill family data. From the analysis of ill family data, types of restructuring house chore after wives illness were developed : (a) negociated, (b) accomodated, and (c) isolated, enduring types. Although the dimensions of family functioning identified in this study are similar to the conceptualizations that exist in the western literature, there were distinct differences in the nature of major themes and subconcepts under these family function dimensions.

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A Study of Women’s Menopausal Experiences (여성의 폐경경험에 관한 연구)

  • 김미영;최수정;양승애
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1263-1272
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    • 1999
  • This study was alone to identify the meaning and the essence of the menopause experience by means of the Colaizzi’s phenomenological method. The participants were eight women, 48-60 years old, who were experiencing perimenopause or postmenopause. They were selected using a theoretical sampling technique. Data were collected through in-depth interviews from April 6 to May 20, 1999. The interviews took from 40 to 90 minutes. Interviews were tape- recorded and analyzed using the constant comparative method. Significant statements from data were extracted. From these formulated meanings, 18 themes, 8 clusters of themes and 3 catagories were constructed. Final descriptions were found to be valid through the interviewee validation process. Essential themes of the menopausal experience which emerged were “coming of change”, “inclined to deny the in mind”, and “adapted life”. Menopause, as coming of change was the turning point in the women’s life cycle acompaning changes, in body and mind and marital life changes. Especially, the unpredictable menopausal changes were an opportunity to hide the fact of menopause and not to talk with anybody. Such a phenomenon reflected on the psychological attributes of menopausal woman such as an inclination to deny in the mind. Their experiences of menopause as adapted life were generally regarded as signalling the end of fertility and were interpreted as a natural developmental process that indicates a life transition. In conclusion, participants depicted the menopause as a natural stage in the life cycle. In order to help women have a positive life change and self accomplishment, nurses need to understand the essential themes of the menopausal experience. Thus, the importance of an open approach in eliciting the phenomena of menopause cannot be overemphasized. In conclusion, the results of this study suggest that exercise program is one of the effective interventions to improve the self-efficacy and also to lower the fatigue in the sample of female college students.

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Study of Physical Activities and Nutrient Intakes of Adults with metabolically healthy obesity and those with metabolically unhealthy obesity (대사적으로 건강한 비만 성인과 대사적으로 불건강한 비만 성인의 신체활동 및 영양소 섭취량에 관한 연구)

  • Han, Jeong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.7043-7052
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    • 2015
  • This study divides subjects into people with metabolically healthy obesity and those with metabolically unhealthy obesity to identify the physical activities and nutrients influencing adults with obesity. Participants in the sixth Korea National Health and Nutrition Examination Survey conducted from January through December 2013 were selected as the subjects, and an analysis of complex survey samples was conducted with them. It was found that the number of days of a flexibility exercise (Odds ratio (OR)=1.18, 95% confidence interval (95% CI)=1.01-1.38), water intake (OR=1.04, 95% CI=1.01-1.06) and protein intake (OR=1.07, 95% CI=1.02-1.13) for one week were higher in people with metabolically healthy obesity than in those with metabolically unhealthy obesity, while their fat intake (OR=0.99, 95% CI=0.98-1.00)and carbohydrate intake (OR=0.98, 95% CI=0.97-0.99) were lower. Based on the results of this study, it was found that nursing intervention for obesity would need an approach according to the metabolic condition of obesity.

The Sexual Experiences of the Mentally Disabled based on the Grounded Theory (정신장애인의 성경험에 대한 근거이론적 접근)

  • Choi, Je-Woo;Oh, Geum-Sook
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.427-436
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    • 2016
  • This study attempts to suggest a theoretical basic frame that is needed for nursing intervention regarding the sexual experiences of the mentally disabled. The data were collected through a series of interviews with 14 participants. With permission of the mentally disabled, the interviews were recorded and transcribed. The data were analyzed using the framework of grounded theory mapped out by Strauss & Corbin(1998). The following 3 theories were confirmed on the basis of repetitive relations: becoming nest type, exercising self-restraint type, getting tangled type. Therefore, it is necessary to develop a realistic sex education that is relevant to hospital, community mental health center, and culture. The nurse is required to activily participate in educating the mentally disabled with a diverse approach to instill and nurture the sober perspective about sex such as the pleasure, life, intimacy based on sexual equality.

An Analysis of Health Counseling in One Rheumatic Center Homepage by the Internet (일 병원 류마티스센터 홈페이지의 인터넷 상담내용 분석)

  • Sohng, Kyeong-Yae;Paik, Seung-In;Kwon, Eun-Ha
    • Journal of muscle and joint health
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    • v.10 no.1
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    • pp.54-61
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    • 2003
  • Due to the development in computer mediated communication, there are many homepages on the web, which provide medical on health counseling and education. The internet is becoming increasingly important and essential in medicine. But little was known about what problems can be counseled and what difficulties are met during the computer mediated counseling. This study was performed to investigate the content and purpose of health counseling on the web. The data were collected from March 1st, 2002 to February 28th, 2003, from 199 questioners visited one rheumatic center homepage questionary/answering(Q/A) site. Most of the questioners consulted health problems of their own or their families. The 51.3% of them were diagnosed medically Rheumatoid arthritis was the most frequent disease and followed systemic lupus erythematosus, gout and ankylosing spondylitis. Most of the questioners needed to know treatment principles, diagnosing process, and information regarding the clinic. During the one-year period, the average number of users questioning was 29.4 cases and answering was 44.8 cases. Above findings suggest that computer mediated health counseling of rheumatic patients may be useful supplement of health education for them. Communication using internet has become popular, but this kind of approach needs a proper guideline. It is highly recommended that nurses be familiar with the e-health and e-medicine.

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An Analysis of Convergence Factors on Smoking Behavior in College Students: Based on a Health Belief Model (대학생의 흡연에 영향을 미치는 융합적 요인 분석 : 건강신념모델에 근거하여)

  • Yang, Sun-Yi;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.205-213
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    • 2017
  • This study was conducted to identify convergence factors affecting smoking behavior among college students through the lens of a Health Belief Model. A descriptive study was carried out with 417 college students in Jeju, South Korea. Descriptive statistics and multiple regression analysis were performed using the SPSS 19.0 program. The results showed that sex(t=-7.44, p<.001), pocket money(t=-2.06, p=.040), smoking in the family(t=4.43, p<.001), smoking of close friends(t=9.59, p<.001), and perceived barriers(t=0.87, p=.014), cues to action(t=6.33, p<.001) were statistically significant variables influencing smoking. These findings indicate that among smoking-related and health belief-related variables needs to be considered for preventive and therapeutic approach to stop smoking in college students.

Factors Affecting of life stress in Middle-aged on Depression: -Mediating effect of Self-esteem and Social support- (중년 남성의 생활스트레스가 우울에 미치는 영향 -자아존중감, 사회적 지지의 매개효과-)

  • Song, Ji Hyeun;Seong, Mi Hyeon
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.235-244
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    • 2021
  • This study was conducted to confirm the mediating effect of self-esteem and social support in the relationship between life stress and depression in middle-aged men. Data analysis was performed using the SPSS/WIN 25.0 program, t-test, ANOVA, pearson's correlation coefficient, SPSS Process Macro (Model 4), and bootstrapping approach. As a result of this study, when considering the effect of self-esteem, a parameter in the relationship between life stress and depression, the direct effect of life stress on depression was .49. Considering the effect of social support as a parameter, the direct effect of life stress on depression was .50. That is, when the parameters were not considered, life stress decreased compared to the overall effect of .62 on depression. Through this, it was confirmed that self-esteem and social support had a mediating effect in the relationship between life stress and depression.

A network pharmacology approach to explore the potential role of Panax ginseng on exercise performance

  • Kim, Jisu;Lee, Kang Pa;Kim, Myoung-Ryu;Kim, Bom Sahn;Moon, Byung Seok;Shin, Chul Ho;Baek, Suji;Hong, Bok Sil
    • Korean Journal of Exercise Nutrition
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    • v.25 no.3
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    • pp.28-35
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    • 2021
  • [Purpose] As Panax ginseng C. A. Meyer (ginseng) exhibits various physiological activities and is associated with exercise, we investigated the potential active components of ginseng and related target genes through network pharmacological analysis. Additionally, we analyzed the association between ginseng-related genes, such as the G-protein-coupled receptors (GPCRs), and improved exercise capacity. [Methods] Active compounds in ginseng and the related target genes were searched in the Traditional Chinese Medicine Database and Analysis Platform (TCMSP). Gene ontology functional analysis was performed to identify biological processes related to the collected genes, and a compound-target network was visualized using Cytoscape 3.7.2. [Results] A total of 21 ginseng active compounds were detected, and 110 targets regulated by 17 active substances were identified. We found that the active compound protein was involved in the biological process of adrenergic receptor activity in 80%, G-protein-coupled neurotransmitter in 10%, and leucocyte adhesion to arteries in 10%. Additionally, the biological response centered on adrenergic receptor activity showed a close relationship with G protein through the beta-1 adrenergic receptor gene reactivity. [Conclusion] According to bioavailability analysis, ginseng comprises 21 active compounds. Furthermore, we investigated the ginseng-stimulated gene activation using ontology analysis. GPCR, a gene upregulated by ginseng, is positively correlated to exercise. Therefore, if a study on this factor is conducted, it will provide useful basic data for improving exercise performance and health.

An Analysis of John Bowlby's Mourning Stages in Family Art Therapy as a Way to Help the Family Mourning Process

  • Seon Ah Yang;Sung Hee An;Cho Hee Kim;Min-Sun Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.27-41
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    • 2023
  • Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.

A Phenomenological Study on the Stress experiences of Pregnant Women During the Coronavirus Disease (COVID-19) Pandemic (코로나바이러스 감염증(COVID-19) 범유행시 임산부의 스트레스 경험에 관한 현상학적 연구)

  • Young-Mi Yang;Mi-Ock Cho
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.117-127
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    • 2023
  • The study is a qualitative study to understand the stress experience of pregnant women by exploring the vivid experiences of pregnant women during the COVID-19 pandemic through a phenomenological approach. As for the study subjects, 12 pregnant women who were pregnant during the COVID-19 pandemic were selected as subjects and in-depth interviews were conducted. Interviews with participants were conducted from June to October 2022, and data were analyzed through the Taguette program using the Colaizzi (1978) analysis method. As a result of the analysis, the category of experience was derived as 4 themes and 12 sub-topics. The main themes appeared as confusion due to inaccurate information, collapsed prenatal care, stress due to a controlled life, and body and mind adapting. It was confirmed that social support for the health of pregnant women and the establishment of a stable medical system need to be done overall. Further studies are needed to support this.