• Title/Summary/Keyword: Nursing approach

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Convergence Analysis of Risk factors for Readmission in Cardiovascular Disease: A Machine Learning Approach (의사결정나무분석을 이용한 심혈관질환자의 재입원 위험 요인에 대한 융합적 분석)

  • Kim, Hyun-Su
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.115-123
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    • 2019
  • This is descriptive study to 2nd analysis data KNHANES IV-VI about risk factors of readmission among patients with cardiovascular disease. Among the total 65,973 adults, 1,037 with angina or myocardial infarction were analyzed. The analysis was conducted using SPSS window 21 Program and CHAID decision tree was used in the classification analysis. Root nodes are economic activity(χ2=12.063, p=.001), children's nodes are personal income(χ2=6.575, p=.031), weight change(χ2=12.758, p=.001), residential area(χ2=4.025, p=.045), direct smoking(χ2=3.884, p=.031). p=.049), level of education(χ2=9.630, p=.024). Terminal nodes are hypertension(χ2=3.854, p=.050), diabetes mellitus(χ2=6.056, p=.014), occupation type(χ2=7.799, p=.037). We suggest that the development and operation of programs considering the integrated approach of various factors is necessary for the readmission management of cardiovascular patients.

Relationship between Health Behaviors and Physical Activity for Adolescents' Life Care (청소년의 생활습관관리를 위한 신체활동과 건강행위와의 관련성 연구)

  • Han, Geun-Hye
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.127-138
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    • 2019
  • This study was a secondary data analysis using statistics from the 13th (2017) Korea Youth Risk Behavior Web-based Survey (KYRBS) to investigate the relationship between health behaviors and physical activity among Korean adolescents. A total of 62,276 adolescents in middle and high schools enrolled in this study. Physical activity utilized moderate and vigorous physical activity variables. Health behaviors used smoking, drinking, eating, sedentary behavior, and sleep duration variables. Statistical analyses were performed applying complex sample analysis method. Chi-square tests were used to compare physical activity according to health behaviors. Multivariate multinomial logistic regression analyses were conducted to examine the relationship between health behaviors and physical activity, adjusted for general characteristics. Current smoking and current drinking were associated with high levels of moderate and vigorous physical activity. Consuming fruits≥1 times/day, vegetables≥3 times/day, and sweet drinks≥3 times/week were associated with high levels of moderate and vigorous physical activity. Eating breakfast≥5 times/week was associated with high levels of moderate physical activity, but not with vigorous physical activity. Sedentary behavior≥2 hour/day was associated with low levels of moderate and vigorous physical activity. Sleep duration<7 hour/day was associated with high levels of moderate physical activity and low levels of vigorous physical activity. These findings suggest that since there is an interrelationship between health behaviors and physical activity among adolescents, intervention programs aiming at promoting physical activity and healthy lifestyles should consider a multiple behavior approach rather than an individual behavior approach.

Associations between Weight Control Behavior and Health Behaviors in Korean Young Women: 2013 Community Health Survey (젊은 여성의 체중조절행위와 건강행위와의 관련성: 2013년 지역사회건강조사자료를 바탕으로)

  • Kim, Jae-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4734-4744
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    • 2015
  • The purpose of this research is to investigate factors that influence weight control behavior(WCB) of young women in Korea. Data were obtained from the 2013 Community Health Survey which was conducted nationally. The study subject comprised 13,351 women ranging in age from 19 to 29. Data were analyzed using ${\chi}2$-test and multivariate logistic regression analysis. WCB showed differences in age, marital status, education, family type, BMI, perceived health status, subjective obesity, high risk drinking, weekday sedentary leisure-time activity, breakfast skipping, sleeping time, perceived stress, depression and suicidal ideation. And the significant predictors of WCB were age, marital status, education, family type, BMI, perceived health status, subjective obesity, high risk drinking, weekday sedentary leisure-time activity, perceived stress and depression. In conclusion, it is suggested that approach to WCB should be considered in correlation between WCB and other health behaviors.

The Effect of the Health Education Program for Mothers with Developmental Disabled Children on Health Care Behavior and Parenting Stress (발달장애 아동을 위한 어머니 건강교육프로그램이 자녀 건강관리행위와 양육스트레스에 미치는 효과)

  • Kim, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.338-346
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    • 2016
  • This study was conducted to develop a health education program to help mother's cope with developmentally disabled children's health, and to test the effects of the program. The contents of the health education program were based on the results of a discussion with experts and previous studies. The program consisted of two parts, physical health and psychosocial health, which were measured over 4 weeks. The results of the study showed that the program helped mothers improve the level of health care and reduce parenting stress level. These findings suggest that studies for handicapped children's health should be conducted in the future using an interdisciplinary approach.

The Validity and Reliability of a Screening Questionnaire for Parkinson's Disease in a Community

  • Kim, Jong-Hun;Cheong, Hae-Kwan;Lee, Chong-Sik;Yi, Sung-Eun;Park, Kun-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.1
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    • pp.9-17
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    • 2010
  • Objectives: Parkinson's disease is one of the most common neurodegenerative diseases in the elderly population. In order to estimate the prevalence of Parkinson's disease in the community, the application of a good screening tool is essential. We evaluated the validity and reliability of a Parkinson's disease screening questionnaire and propose an alternative measure to improve its validity for use in community surveys. Methods: We designed the study in a three-phase approach consisting of a screening questionnaire, neurologic examination, and confirmatory examination. A repeated survey was administered to patients with disease detected in the community and on 150 subjects. We examined internal consistency using Cronbach's alpha test, test-retest reliability using the kappa statistic, and validity using sensitivity, specificity, and ROC curves. Unadjusted odds ratios were utilized for the estimation of weights for each questionnaire item. Results: The Cronbach's alpha of the questionnaire was 0.708. The kappa statistic for test-retest reliability was good to generally fair in most of the items. When newly proposed weighting scores were used, the optimum cut-off value was 7/8. When cut-off value was 5/6 for surveying prevalence in a community, the sensitivity was 0.98, and the specificity was 0.61, with simultaneous improvement in reliability. Conclusions: We recommend 5/6 as the ideal cut-off value for the survey of PD prevalence in community. This questionnaire designed for the Korean community could help future epidemiologic studies of PD.

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

  • Bayrami, Roghieh;Taghipour, Ali;Ebrahimipour, Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10071-10077
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    • 2015
  • Background: Cervical cancer has become a major public health problem worldwide. Iran, like other developing countries, is facing a number of challenges in managing the disease. This qualitative study documents challenges encountered in cervical cancer preventing programs in Iran. Materials and Methods: In-depth interviews were conducted with 28 participants including eleven patients with cervical cancer, three gynecologic oncologists, five specialists in Obstetrics and Gynecology, five midwives, three health care managers and one epidemiologist in Mashhad Iran, between May and December of 2012. The sample was selected purposively until data saturation was achieved. Data credibility verified via allocated sufficient time for data collection, using member checking and peer debriefing. Data analysis was carried out using conventional content analysis approach with ATLAS. ti software. Results: Findings from data analysis demonstrated 2 major themes and 6 categories about challenges of providing cervical cancer prevention programs including: individual and social challenges (cognitive/behavioral challenges and socio/cultural challenges) and health system challenges (stewardship, financing, competency of health care providers and access to services). Each category included some subcategories. Conclusions: Managing the cervical cancer prevention programs need to include the consideration of individuals, health care providers and health system challenges. Addressing the low level of knowledge, negative attitudes, socio cultural challenges, Poor intersectional collaboration and coordination and intra-sectional management, financing and competency of health care providers are essential steps toward significantly reducing the burdens of cervical cancer.

Implementing PBL in Physical Therapy Education (물리치료학 교육의 변화에 부응하는 문제중심학습방법(Problem Based Learning))

  • Hwang, Hyun-Sook;Lee, Woo-Sook;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.179-186
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    • 2002
  • This study addresses the need to adopt teaching-learning approaches in physical therapy education that develop links between theory and clinical practice in a meaningful way. Problem-based learning (PBL) is presented as a useful way to educate physical therapy for the future. The essential characteristics of problem-based learning include: curricular organization around problems rather than disciplines; an integrated curriculum rather than one separated into clinical and theoretical components; and an inherent emphasis on cognitive skills as well as on knowledge. PBL as implemented in the health sciences, is an educational method in which the focus of learning is a small-group tutorial in which students work through health care scenarios. The goals of the health care scenarios are to provide a context for learning, to activate prior knowledge, to motivate students, and to stimulate discussion. Learning is student-centered rather than faculty-centered, and self-directed learning is emphasized. Whereas the former focuses on critical thinking and clinical judgement, the latter's emphasis is on clinical competency. The physical therapist (PT) program at Cheju Halla college is a partial integrated problem-based curriculum. The history and process of PBL in general and in the PT program are reviewed. Long-term advocates of PBL stress that it is the only known method for preparing future professionals to be able to adapt to change, learning how to reason critically, enabling a holistic approach to health.

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Nursing Approach of an Offered Blanket on the Anxiety of Patients Undergoing Brain MRI (담요제공이 Brain MRI 검사를 받는 환자의 불안에 미치는 간호중재적 접근)

  • Park, Jin-Yeong;Kim, Kye-Ha
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.623-632
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    • 2016
  • The purpose of the present study was to evaluate the effect of an offered blanket on the anxiety of patients undergoing brain MRI. The participants were 52 patients who underwent brain MRI in C university hospital of G city. Blanket was applied to the experimental group (n=26) before MRI. Data were collected from May to December 2015, and analysed using the chi-squared test, the independent t-test, and repeated measures ANOVA. The results showed that there was no significant difference in the anxiety measured by STAI of the two groups. But, the level of anxiety measured by the visual analog scales was reduced in the experimental group (t=-2.75, p=0.008). There were no difference in the blood pressure and pulse rate in the experimental and control groups. Therefore, further study is needed to decrease the level of anxiety of patients undergoing brain MRI.

Construction of the Structural Model on Woman Adolescents' Suicidal Ideation based on Developmental Approach Theory of Risk Behavior (위험행동 발달적 접근이론을 적용한 여자 청소년의 자살생각 구조모형 구축)

  • Kwon, Yunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3804-3814
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    • 2013
  • This study examined the fitness of a structural model on the relationship among biological risk disposition, sociocultural risk factors, self-control, social support, and suicidal ideation for woman adolescents. Data were collected from December 3, 2012 to March 28, 2013 by questionnaires from 343 middle and high school students in the D metropolitan city. The data was analyzed by the SPSS and AMOS programs. Biological risk disposition, sociocultural risk factors, self-control, and social support showed a direct effect on suicidal ideation for woman adolescents, while biological risk disposition and sociocultural risk factors showed an indirect effect on suicidal ideation for woman adolescents. Biological risk disposition and sociocultural risk factors showed a direct effect on self-control and social support for woman adolescents. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reducement of biological risk disposition, sociocultural risk factors and enhancement self-control and social support in order to prevention woman adolescents' suicidal ideation.

Convergence Factors to Posttraumtic Growth in Female Urogenital Neoplasm Survivors (여성생식기 암 대상자의 외상 후 성장을 위한 융합적 관련 요인)

  • Kang, Hye-Kyung
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.115-124
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    • 2017
  • The purpose of the study was to investigate the convergence factors to posttraumatic growth(PTG) in survivors with female urogenital neoplasm survivors. A self-reported questionnaire was completed by 141 female urogenital neoplasm survivors via e-mail from September to October, 2016. The questionnaire consisted of PTG inventory, illness intrusiveness rating scale, cancer coping, family cohesion evaluation scale, and medical outcomes study social support survey. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis. Total score of PTG was 84.13points and statistically significant according to age, religion, marital status and positively associated with coping, family cohesion and social support. Results of the regression analysis showed religion(${\beta}=.127$), marital status(${\beta}=.081$), coping(${\beta}=.232$) and family cohesion(${\beta}=.415$), it were explained 44.7%. This study indicates that it is important to understand general characteristics of personal. And a convergent approach is needed to promote PTG by hospital and community.