• Title/Summary/Keyword: Nursing assessment

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The Mediating Effects of Nutritional Status on the Relationship between Symptom Experience and Functional Status in Patients with Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환 환자의 증상경험과 기능상태의 관계에 미치는 영양상태의 매개효과)

  • Jang, Jun Hee;Min, Hye Sook
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.112-121
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    • 2018
  • Purpose: This study was conducted to explore the mediating effect of nutritional status on the relationship between symptom experience and functional status of patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: A total of 141 COPD patients visiting D hospital and I hospital in B city were enrolled in this study. Data were collected from January 2017 to July 2017. Outcome variables were measured by Mini Nutritional Assessment Short-Form (MNA-SF) for nutritional status, The Memorial Symptom Assessment Scale (MSAS) for symptom experience, and The Functional Performance Inventory Short Form (FPI-SF) for functional status. The data were analyzed with descriptive statistics, Pearson's correlation, and path analysis using SPSS/WIN 21.0 and AMOS 25. Results: There was a significant negative correlation between symptom experience and nutritional status (r=-.61, p<.001), a significant negative correlation between symptom experience and functional status (r=-.40, p<.001), and significant positive correlation between nutritional status and functional status (r=.47, p<.001). Symptom experience had indirect effects on functional status through nutritional status. Conclusion: For enhancing functional status in COPD patients, it is necessary to develop nursing intervention programs to enhance symptom management as well as nutritional status.

The Administration Patterns of Sedatives for Sedation of Mechanically Ventilated Patients and Patient Assessment by Nurses (기계환기기 치료 환자들의 진정상태유지를 위한 투약양상 및 사정내용에 대한 일 조사연구)

  • Kim Hwa-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.370-378
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    • 2002
  • Purpose: The purpose of this descriptive study was to investigate the administration patterns of sedatives and paralytic agents for mechanically ventilated patients. Method: The participants were 18 adult patients who received mechanical ventilation therapy for more than 1 day in the MICU. Collected data were type of injected medications, administration interval, injected amount, administration purpose and patient assessment by nurses. Result: Mean age of the patients was 61 years old. Seventy-two percent were male. Only 2 drugs (midazolam and norcuron) were administered to most of subjects. The type of medication administered was less heterogeneous than in previous studies. Most of the patients received sedatives and paralytics intermittently. Six different methods were used by nurses to administer sedatives and paralytics. The mean injection frequency was 9.3 times/day for sedatives and 10.8 times/day for paralytic agents. The most common purpose for administration of the drugs was full sedation of the patient (57%). Conclusion: Since a few patients received sedatives and paralytic agents higher than usual dose and a few Patients received those drugs lower than usual dose, nurses need to use proper protocols and guidelines for sedation to avoid oversedation and undersedation.

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Effects of Distraction by a Cellular Phone on Pain and Fear During Venipuncture Procedure for Hospitalized Preschool Children (휴대폰을 이용한 관심전환이 학령전기 입원 아동의 정맥주사시 통증과 두려움에 미치는 효과)

  • Lim, Jung-Hee;Shin, Yeong-Ee
    • Child Health Nursing Research
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    • v.13 no.4
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    • pp.506-511
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    • 2007
  • Purpose: The purpose of this study was to investigate effect of distraction by use of a cellular phone on pain and fear during venipuncture procedure for hospitalized preschool children. Method: Fifty four preschool children aged 3-6 were recruited from one university affiliated hospital in Daegu. Participants were assigned to the control(n=27) to receive usual care or intervention group(n=27) to receive distraction plus usual care. For the assessment of children's pain, FACE scale and mothers' perceptions of their own children's pain, visual analogue scale(VAS) were used. For the assessment of fear, Procedure Behavioral checklist developed by Lebaron and Zeltzer was used. Results: Results showed that intervention group demonstrated significantly less pain scores on FACE(t=2.19, p<.03) as rated by children and on VAS(t=2.78, p<.01) as rated by their mothers. Intervention group showed also significantly less fear scores(t=2.30, p<.02) as rated by the researcher. Conclusion: Distraction with cell phone for relieving pain and fear during venipuncture procedure was effective for the hospitalized preschool children.

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Application of Evaluation Criteria for Web sites to Sexuality Education (인터넷상의 성교육 사이트 평가기준의 적용)

  • Kang, Nam-Mi;Hyun, Tai-Sun;Lee, Pil-Ryang;Kim, Jin
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.373-381
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    • 2001
  • Web sites on the internet are excellent resources for the younger generation to gain information related to sexuality education. The potential benefits of the information of sexuality education on web sites are obvious. But the information of sexuality education on web sites could also result in potentially negative effects. Yet the quality of the information of sexuality education on web sites is variable and difficult to assess. There is no rating criteria for quality assessment of the information on web sites. The rating criteria for quality assessment of information of sexuality education were investigated and reviewed. Among the criteria, best 15 items to evaluate the information of sexuality education on web sites were selected and identified in this study. 15 items were categorized to reliability ( 3 items ), content ( 6 items ), goal ( 2 items ), design & technology ( 4 items ). This 15-items questionnaires is considered as commonly implementable criteria for the information of sexuality education on web sites in Korean. 20 web sites related to sexualtiy education were evaluated and the results were discussed.

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Implication and Evaluation of Pain Monitoring Program for Oncology Nurses (암 병동 간호사를 위한 통증모니터링 프로그램 개발 및 효과)

  • Kim, Yeon-Hee;Gong, Sung-Hwa;Choi, Jin-Sun;Jung, Ji-Young;Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.196-204
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    • 2006
  • Purpose: This study was purposed to identify the effect of pain monitoring program for improving the knowledge, attitude and assessment ability of cancer pain in oncology nurses. Methods: In this study pain monitoring program was developed based on the literature, and constructed it with various teaching method including several group lectures, workshop, focus group and implementation at the clinical practices. In order to test the effect of this program, contrast group, pretest-post test quasi-experimental design was designed. 46 oncology nurses randomly assigned to either control or experimental group. The tool used are 32 item scale for the evaluation of the nurses' knowledge, attitude toward pain modified by Kim(1997), which was originally developed by McCaffery and Ferrel(1995). Results: The pain monitoring program for the oncology nurses was statistically significant for improving the level of the knowledge about and attitude toward pain management, and pain assessment behavior. Conclusion: More sensitive multiple measurement tool for the attitude toward pain management needs to be developed. Nurses need more knowledge and effective attitude toward cancer pain management. Pain monitoring program in this study is effective to improve the quality of pain management.

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Effects of Aroma Massage on Constipation in Women College Students (아로마 복부마사지가 여대생의 변비에 미치는 효과)

  • Chung, Mi Young
    • Journal of Korean Academy of Rural Health Nursing
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    • v.6 no.2
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    • pp.78-86
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of abdominal aroma massage on constipation in college women with functional constipation. Methods: The participants were 24 college women residing in a dormitory of D college located in Gangwon Province. Thirteen were selected for the abdominal aroma massage group (experimental) and 11 for the simple abdominal massage group (control). The experimental treatment was abdominal aroma massage given 5 days a week for 2 weeks. The aroma massage was given using aroma oil mixed with lemon, lavender, rosemary, and cyprus with carrier oil. Weekly defecation frequency, length of time for defecation, and constipation assessment score were measured before the treatment and at 1 week, and 2 weeks after the treatment. Effects of the treatment were tested using repeated measures ANOVA with the SPSS program. Results: There was no significant difference between the two groups, but there was a significant difference within the experimental group in length of time for defecation (1st and 2nd week) and in constipation assessment score (2nd week). Conclusion: Results of this study indicate that abdominal aroma massage is useful in relieving constipation and can contribute to the reduction of use of stool softeners, suppositories, or enemas. after different duration of experiment.

Comparison of Antifebrile Effects of Hypothermia Blanket and Rectal Antipyretics for Infants after Open Heart Surgery (개심술 후 환아에게 적용한 저온담요와 직장용 해열제의 해열효과 비교)

  • Kim, Eun-Jung;Kim, Myoung-Hee
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.164-169
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    • 2012
  • Purpose: The purpose of this study was to compare the effectiveness for infants of antifebrile therapy using a hypothermia blanket or rectal antipyretics following open heart surgery. Methods: This was a retrospective study and 174 infants who had open heart surgery at P University Hospital, and whose body temperature body temperature exceeded $37.2^{\circ}C$ were included in the study. The assessment tool was composed of 32 items was used for assessment of fever therapy, physiological indexes and antifebrile duration. Physiological indexes included systolic blood pressure, diastolic blood pressure, heart rate, pH, $PaCO_2$, $PaO_2$, $HCO_3{^-}$, $SaO_2$, and $K^+$ and the antifebrile duration was minutes from having a fever until BT returned to normal levels. Results: The antifebrile duration with the hypothermia blanket was shorter than with rectal antipyretics. There were significant differences in the physiological indexes with either type of antifebrile therapy, but drop in BT was greater with the hypothermia blanket than rectal antipyretics. Conclusion: The results of this study indicate that a hypothermia blanket is a non-invasive, non-drug and safe antifebrile therapy. Therefore, a hypothermia blanket can be applied to infants with a fever following open heart surgery.

Quality of Life of Hepatocellular Carcinoma Patients with Transarterial Chemoembolization (간동맥화학색전술 치료를 받는 간세포암 환자의 삶의 질 관련요인)

  • Kim, Du-Mi;Park, Yeon-Hwan
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.46-53
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    • 2019
  • Purpose: The aim of this study was to examine the quality of life (QOL) and its associated factors in hepatocellular carcinoma patients with Transarterial Chemoembolization. Methods: A descriptive correlational study was used, 106 hepatocellular cancer patients participated through convenient sampling. Data were collected by self-report questionniares or face to face interviews during the period from June to December in 2014. Satisfaction for pain control, perceived health status, professional support and QOL were measured by Assessment of Patient Satisfaction for Pain Management, Health Self-Rating, Relationship Questionnaire, Functional Assessment Cancer Therapy-General. Results: The mean age of participants was 63.7 years and most of them were male (86.8%) and married (84.9%). The mean score of QOL was 67.42. QOL was significantly different by religion. Number of other disease and perceived health status were positively correlated to QOL. Pain intensity was negatively correlated to QOL. As a result of stepwise multiple regression analysis, perceived health status and religion were explained 41.0% (p<.001) of the variance in QOL. Conclusion: Perceived health status should be considered when developing nursing intervention to improve QOL among hepatocellular cancer patients with Transarterial Chemoembolization.

Validity and Reliability of Translated Multidimensional Assessment of Fatigue Scale for the Patients with Rheumatoid Arthritis (류마티스 관절염환자용 다차원적 피로척도의 타당도 및 신뢰도)

  • Lee, Kyung-Sook;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.206-221
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    • 1998
  • The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

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Grief Stages and Responses of Bereaved Mother Who Lost Her Children with Cancer (암으로 자녀와 사별한 어머니의 슬픔단계와 반응)

  • 이원희;황애란
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.847-855
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    • 2003
  • Purpose: This study was done to develop a bereaved family care program by identifying characteristics of a grief healing process in a child loss. Method: The subjects were five bereaved mothers who have lost their children with cancer. Data was collected with in-depth interviews using grief phase assessment tool and grief reaction assessment tool from 1, February, 2001 to 31 August, 2002. Data was analyzed on the basis of two tools. Result: Process of grief in general was as follows: evading phase was within one week - one month, confrontation phase was 5 - 12 months, and reconciliation phase was after 9 months and still going on when the study was finished. Grief reaction in five (physical, cognitive, emotional, social, and spiritual) dimensions was stabilized when the phase moved into reconciliation phase. Influencing factors were intimacy and expectation towards child, social support, personality, prior loss experience, coping style, religion, culture, family cohesion, openness of communication, and stress events. Conclusion: These results suggest that a bereaved family care program considering characteristics of Korean culture should be developed and activated.