• 동서간호학연구지
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• 제26권2호
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• pp.109-117
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• 2020

Purpose: We aimed to develop domains for the resilience improvement of unmarried mothers to prevent child abuse based on a nursing model of resilience. Methods: We conducted a literature review and in-depth interviews with unmarried mothers. Results: Based on Polk's nursing model of resilience, we derived 4 patterns, 10 domains, and 24 sub-domains for improving the resilience of unmarried mothers. Philosophical pattern includes the domain of parenthood preparation and dispositional pattern includes the domains of emotional support, control of emotions, and child abuse awareness correction. Situational pattern includes the domains of maternal health promotion, understanding of child development and improvement of parenting skills, and assessment of the domestic environment and modification of risk factors. Relational pattern includes the domains of enhancement of mother-infant attachment, family support, and social support. Conclusion: We identified domains for enhancing resilience based on the situational and personal characteristics of unmarried mothers. The results of this study may contribute to child abuse precention by promoting the resilience of unmarried mothers.

• 대한간호학회지
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• 제35권1호
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• pp.56-64
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• 2005

Purpose: The purpose of this study was to verify the effect of aromatherapy massage on constipation in the elderly. Method: This study for 10 day, employed a randomized control group pretest-posttest design. The experimental group received abdominal massage using essential oils with Rosemary, Lemon, and Peppermint, and the control group received a placebo massage. To evaluate the effect of aromatherapy, the degree of constipation was measured using the CAS (constipation assessment scale) and the number of bowel movements per week. Data was analyzed by repeated measures of ANOVA using the SPSS program. Result: The score of CAS of the experimental group was significantly lower than that of the control group. In addition the average number of bowel movements in the experimental group was higher than that of the control group. The effect of aromatherapy lasted 2 weeks after treatment, while the placebo effect lasted 7~10 days after treatment. Conclusion: The finding of this study showed that aromatherapy helps relieve constipation in the elderly.

• 여성건강간호학회지
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• 제21권3호
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• pp.207-215
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• 2015

Purpose: This study aimed to develop a scale measuring sexuality information needs of patients with cancer. Methods: Nine items of sexuality information needs were based on the PLISSIT model and concepts of sexual rights. A factor analysis using principal axis factoring and Cronbach's ${\alpha}$ were performed to test validity and reliability. Data were collected from 211 patients with cancer visiting a cancer center in Seoul, Korea. Results: Factor loadings of the 9 items of sub scales ranged from .43 to .96. Three factors in this study explained 74.4% of the total variance. Cronbach's ${\alpha}$ of the 9 items was .83. Conclusion: The scale of information needs about sexuality showed acceptable construct validity and reliability. This scale would be useful to assess the levels of information needs for sexuality for patients with cancer. The possibility of the scales' expansion to other group could be investigated in future studies.

• 한국보건간호학회지
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• 제26권2호
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• pp.289-302
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• 2012

Purpose: The purpose of this study was to compare the effectiveness of case management in elderly medicaid beneficiaries according to geographic location. Methods: Data were collected from 23,633 elderly medicaid beneficiaries assigned from over users of medicaid. We used the need assessment tool developed by the government, which consists of 19 items with four subscales. Results: Among elderly medicaid beneficiaries, statistically significant differences in effectiveness of case management were observed for quality of life, self-care competency, medical care utility, and support system. Differences in case management effectiveness were higher in urban areas than in metropolitan or rural areas. Conclusion: The differentiated and tailored intervention model based on characteristics of participants, resource distribution, and geographic location may be needed for effective case management for elderly medicaid beneficiaries.

• 한국보건간호학회지
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• 제26권2호
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• pp.258-267
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• 2012

Purpose: The purpose of this study was to examine the validity and reliability of injury risk perception in preschool children. Method: Employing a methodological research design, data were collected using questionnaires from a sample of 178 child day care center preschooler selected by convenient sampling located at Kwangwon-Do. Descriptive statistics, content analysis, and Pearson correlation coefficient were used in performance of data analysis. Results: Through conduct of validity testing, 27 items were finally selected. The internal consistency was acceptable with a Cronbach's alpha of .66 and a Guttman Split-half coefficient of .70. Conclusion: The injury risk perception scale showed adequate validity and reliability in preschool children. It can be used for assessment of injury risk and for development of injury prevention programs for preschool children.

• 한국학교보건학회지
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• 제32권3호
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• pp.152-164
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• 2019

Purpose: This study was a descriptive methodological study to develop protocols for school health practice to manage health problems of primary school students effectively. Methods: The protocols were verified by 12 experts and 10 health teachers, respectively, to secure a two-step content validity. Results: The main 8 health problems of primary school students were headache, abdominal pain, musculo-skeletal, respiratory, circulatory, ophthalmic, and oral-dental problems, and fever. The developed protocols consist of 8 algorithms, which are to help decision making in the course of assessing health problems and to identify and link related factors and associated symptoms, 8 school nursing records based on the Omaha classification system, and the list of 441 links between nursing assessment and nursing intervention. Conclusion: The use of the protocols is expected to make it easier for health teachers to apply the nursing process in solving the health problems of primary school students and supporting the rational decision making process, eventually improving the quality of primary school health. Repeated studies for protocol standardization as well as studies dealing with various health problems not included in the protocols should be performed for the development of school health practice protocols.

• 지역사회간호학회지
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• 제16권3호
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• pp.249-259
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• 2005

Purpose: The purpose of this study was to understand the coping process that family caregivers experience during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin(1998). Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between February 2000 and February 2001. The subjects of this study were 17 women. Result: The result of the study is as follows. The coping process of family caregivers while taking care of the demented elderly was found to have six stages: problem recognition: undertaking care: struggling: mental control: burden mediation; and acceptance. These stages proceed with reciprocal action and in cycle. Conclusion: The result of this study is helpful for developing effective and individual nursing strategies suitable for each coping stage. It is necessary to develop an assessment tool that can judge caregivers' coping stage based on the result of this study. Moreover, we need continuous study to practice nursing mediation and to analyze the change about nursing effect and family members' adaptation.

• 여성건강간호학회지
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• 제18권3호
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• pp.200-208
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• 2012

Purpose: This study was aimed to examine the gap between predicted cesarean section rate and real cesarean section rate and it's determining factors of 44 tertiary hospitals. Method: This study is a cross-sectional analysis using the data of 25,623 deliveries in 2009 drawn from homepage of Health Insurance Review and Assessment Service. Data were analyzed with t-test, F-test, Scheff$\acute{e}$ test, and logistic regression. Result: There were statistically significant differences in the gap of cesarean section rate (more gap indicates higher quality of delivery) by grade of nurse staffing and delivery cases. Hospitals with nurse staffing grade 1 to 2 had more possibility to be classified into higher grade in quality of delivery (OR 5.67, 95% CI 1.07-30.08). Also hospitals with over 500 delivery cases had more possibility be classified into higher grade in quality of delivery (OR 4.92, 95% CI 1.14-21.23, respectively). Conclusion: The finding suggests that grade of nurse staffing may influence the real cesarean section rate because nurses do a vital role to prevent unnecessary cesarean section. Further study is required to provide evidence that nurse staffing influence on patient outcome and cost-effectiveness in order to obtain adequate number of nursing staffs.

• 대한간호학회지
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• 제39권2호
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• pp.207-216
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• 2009

Purpose: The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people. Methods: The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0. Results: Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group. Conclusion: A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.

• 성인간호학회지
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• 제20권4호
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• pp.573-587
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• 2008

Purpose: The purpose of this study was to identify the factors affecting sleeping patterns among hospitalized elderly. Methods: A descriptive correlational study was conducted. Participants were 121 hospitalized elderly in a hospital located in a county. A structured questionnaire was used for data collection. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Results: Almost a half of hospitalized elderly in this study suffer from sleep disturbances. As results of univariate analyses, physical symptoms, anxiety, depression, and environmental factors disturbed sleep among hospitalized elderly. However, the result of stepwise multiple regression analysis identified that anxiety and environmental factors were significant predictors of sleeping patterns for hospitalized elderly and these two factors accounted 32.5% of variance of sleeping patterns among hospitalized elderly. Conclusion: Sleep assessment should be conducted on admission to identify sleep difficulties and thereby to improve quality of nursing care. Nurses and other health care personnels should make efforts to decrease anxiety and to eliminate environmental barriers of sleep among hospitalized elderly. Educational programs for nursing staff that offer information about sleep and sleep promoting interventions for the elderly patients are critical. Moreover, sleep promotion intervention program should be developed, applied and evaluated.