• Title/Summary/Keyword: Nursing assessment

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The Influence of Family Function and Self-efficacy on the Health Promotion Behavior of University Students (대학생의 가족기능과 자기효능감이 건강증진행위에 미치는 영향)

  • Ryu, Eun-Jin;Park, Mi-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.2
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    • pp.156-164
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    • 2017
  • Purpose: This study was conducted to identify the factors influencing health promotion behaviors. Methods: The subjects were 200 students sampled from the population that attend four universities in G and J city. Data were collected with a questionnaire and were analyzed by t-test, ANOVA, correlation, and stepwise multiple regression. Results: The mean age of subjects was 21. Family function and self-efficacy were identified as determinants of health promotion behaviors, which explained 53% of the total variances of health promotion behavior. Conclusion: The findings provide evidence to help health assessment and activity related to the health promotion behavior of university students.

Measurement Issues across Different Cultures

  • Lee, Ju-Hee;Jung, Duk-Yoo
    • Journal of Korean Academy of Nursing
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    • v.36 no.8
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    • pp.1295-1300
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    • 2006
  • Purpose. The purposes of this methodologic paper are to (1) describe theoretical background in conducting research across different cultures; (2) address measurement issues related to instrument administration; and (3) provide strategies to deal with measurement issues. Methods. A thorough review of the literature was conducted. A theoretical background is provided, and examples of administering instrument in studies are described. Results. When applying an instrument to different cultures, both equivalence and bias need to be established. Three levels of equivalence, i.e., construct equivalence, measurement unit equivalence, and full score comparability, need to be explained to maintain the same concept being measured. In this paper, sources of bias in construct, method, and item are discussed. Issues related to instrument administration in a cross-cultural study are described. Conclusion. Researchers need to acknowledge various group differences in concept and/or language that include a specific set of symbols and norms. There is a need to question the philosophical and conceptual appropriateness of an assessment measure that has been conceptualized and operationalized in a different culture. Additionally, testing different response formats such as narrowing response range can be considered to reduce bias.

The Prevalence and Factors of Falls among the Community-Dwelling Elderly (재가 노인의 낙상 경험률과 관련 요인)

  • Jang, Insun;Park, Eunok
    • Journal of Korean Public Health Nursing
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    • v.27 no.1
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    • pp.89-101
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    • 2013
  • Purpose: The purpose of this study was to investigate the prevalence, characteristics, and factors related to falls occurring among the community-dwelling elderly. Methods: The subjects were 299 community-dwelling-elderly in Jeju Province. Data were collected via in-person interviews by five visiting nurses in October, 2012. Fall risk assessment tools developed by the CDC, K-ADL, HDS-K, and GDS were used for data collection. Results: A significant number of subjects (34.1%) had experienced a fall at least once within the last six months. Living arrangements, strokes, urinary incontinence, main daily activities, and depression were significant factors related to these falls. Other risk factors included heavy use of medications, difficulties in walking and standing, needing arms to stand up from a chair, and hearing loss. Conclusion: The results reveal critical factors related to falls among the community-dwelling elderly. These information should be used to develop and implement fall prevention programs in communities.

A Study on the Family Functioning in the Family with the Cancer Patient (암환자가족의 가족기능에 대한 조사연구)

  • Han, Suk-Jung
    • Asian Oncology Nursing
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    • v.3 no.2
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    • pp.155-163
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    • 2003
  • This study was designed to assess the level of family function between cancer patient's families and normal families, and to seek better quality family-Mcentered nursing care. The subjects for this study were 95 ca patient's families who were selected from th university hospitals and 95 normal families who selected from 1 university hospital. The instrument used for this study was McMaster Family Assessment Device (FAD) developed by Epstein, Baldwin and Bishop (1983). The scale consisted of 53 items covering 7 areas: 'problem solving', 'communication', 'roles', 'affective responsiveness', 'affective involvement', 'behavior control', and 'general functioning'. As for data analyses, descriptive statistics, ${\chi}^2-test$, t-test, ANOVA were adopted using SAS program. The result of this study was as follows: There there was no significant difference between cancer patient's family function and normal family function. Also there was no significant difference on cancer patient's family function with regard to family characteristics, disease's characteristics, and clinical stage of cancer.

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Evidence-based Nutritional Support in the Intensive Care Unit (중환자를 위한 근거중심 영양지원)

  • Yi, Young-Hee;Oui, Mi-Sook
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.79-88
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    • 2010
  • Optimal nutrition serves to maintain normal organ function and to preserve body energy stores to guarantee survival during times of shortage of food. Adequate nutrition of intensive care unit (ICU) patients improves outcome, while malnutrition is strongly associated with increased morbidity and mortality rates among critically ill patients. Previously published researches showed that trials of nutritional support in critical illness rarely fulfill basic quality requirements. Nutrition support plays a vital role in the prevention and treatment of nutritional deficiencies in at-risk, critically ill patients. This paper reviewed the challenges in determining critically ill patients' nutrition requirements including nutrition assessment, determination of caloric requirements then providing them with adequate nutrition support while in the ICU with the guidelines published by Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Nutrition support can be effectively enhanced by using the guidelines.

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Sleep Quality in Lung Cancer Patients

  • Akyuz, Ruveyda Gelisken;Ugur, Ozlem;Elcigil, Ayfer
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2909-2913
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    • 2013
  • Background: The aim of this study was to determine factors affecting sleep quality of 100 patients with advanced stage lung cancer. Methods and Results: it was a descriptive study. A variety of assessment tools were used to provide sleep scores to examine the relation between adverse effects caused by the treatment (nausea, vomiting, fatigue) and sleep quality. As a result, no statistically significant relation between coughing and respiratory problems of patients, or existing depression, and average sleep quality score was found (KW:0.872, p=0.646, KW: 3.174, p=0.205, u: 441.000 p=0.916). It was revealed that nausea and loss of appetite experienced also did not affect the sleep quality score (p>0.05), whereas problems such as vomiting and fatigue did exert effects (p<0.01). Conclusions: Patients with advanced stage lung cancer suffer from sleep problems and cancer related symptoms also affect their sleep quality negatively. Nurses should plan interventions that can control symptoms such as pain, vomiting and fatigue, which affect the sleep of patients.

Review of Patient Satisfaction with Case Management (사례관리 만족도 측정에 관한 고찰)

  • Park, Eun-Jun
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.311-320
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    • 2007
  • 연구 목적: 사례 관리(CM) 환자 만족도 측정에 관한 연구 결과를 고찰하여 사례관리 실무에서 활용할 수 있는 근거를 제공하고자 한다. 연구 방법: MedLine, CINAHL에서 주요용어로 case management, care management, 주제어로 patient satisfaction, client satisfaction을 이용해 문헌 검색을 실시하였다. 연구 결과: 만족도에 대한 개념은 관련 연구가 매우 부족하며, 서로 다른 이론적 접근을 하고 있으므로 그 측정에 어려움이 있다. 신뢰할 만한 만족도 측정을 위해서는 설문 문항을 서술하는 여러 가지 방법들, 측정 척도의 종류, 만족도에 영향을 미치는 혼란변수들을 주의 깊게 고려하여야 한다. 만족도는 사례관리 연구에서 흔히 측정되는 성과이지만 대부분의 관련 연구에서 사례관리의 특징이 반영된 측정 도구를 사용하지 않고 있었다. 따라서 본 논문은 다섯 개의 사례관리 만족도 측정 도구를 제시하고 그 특징을 소개하였다. 또한, 간호성과분류체계(The Nursing Outcomes Classification)에 제시된 만족도 측정항목들 중 사례관리와 관련이 높은 약 40%의 항목들을 발견하였다. 결론: 사례관리 만족도 측정 도구가 매우 부족하므로 표준 사례관리 측정도구 개발이 시급하다. 한편 사례관리사들은 만족도 측정에 대한 이해를 높이고 기존 연구 결과를 활용함으로써 보다 정확한 사례관리 만족도 평가가 이뤄지도록 노력해야 한다.

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The Effects of a Weight Control Program with Competence (유능감 강화 체중 조절 프로그램의 효과)

  • Seo, Yeong-Mi;Suh, Sun-Lim
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1177-1183
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    • 2007
  • Purpose: The purpose of this study was to identify the effects of a weight control program and compliancy in overweight women. Method: This program was composed of strategies to modify diet and exercise and to change compliance and self determination over an 8 week period. The subjects were 19 overweight women who participated in our project voluntarily. Data was collected from May 4 to Jun 30 of 2007. The program consisted of regular rapid walking exercise, diet, mobile phone messages and e-mail. The data was analyzed by Repeated Measures ANOVA using the SPSS WIN program. Result: According to 3 assessment periods, there were significant differences in body weight, body mass index, and compliance. There were no significant differences in self determination. Conclusion: These findings suggest that more intensive interventions may be needed to demonstrate a change in self determination.

Influencing Factors for Fear of Falling in Degenerative Arthritis Patients (퇴행성관절염 환자의 낙상공포에 영향을 미치는 요인)

  • Kim, Jeong-Sun
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1184-1192
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    • 2007
  • Purpose: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. Method: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. Results: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. Conclusion: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.

A Study on Anxiety of the Hospitalized Pregnant Women for Conducting tabor (병원분만 임산부의 분만전 불안에 관한 조사연구)

  • Park, Young-Sook;Hur, Young
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.29-35
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    • 1986
  • The Purposes of this study are for the assessment of anxiety level and for identification for factors relating to the anxiety of the normal Pregnant women who are impendign or entering labor. The State-Trait Anxiety Inventory is used as the measure of anxiety. The results of the study are as follows: 1. The correlation between state-anxiety and trait-anxiety is 0.459 and the linear regression is y(State-anxiety) : 0.251$\chi$(Trait -anxiety)+29.27. 2. The maternal state-anxiety is not related to the variables of the age, the educational level, the occupation, the prenatal care, parity, show, labor pain and delivery type except for the premature or early rupture of the fetal membranes. 3. The maternal trait-anxiety is not related to the above-mentioned variables.

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