• Title/Summary/Keyword: Nursing care need

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Effects of Academic Stress and Resilience on Quality of Life for Life Care in School-age Children (학령기 아동의 학업스트레스, 회복탄력성이 라이프케어를 위한 삶의 질에 미치는 영향)

  • Yang, Mi-Ran;Yu, Mi
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.563-572
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    • 2019
  • This study was conducted to investigate the effects of school stress and resilience on school children's quality of life. The participants for this study were 266 children of 4, 5, and 6 grades at two elementary schools in G Metropolitan City. Data were collected from September to October, 2019. The participants were assessed for academic stress, resilience, quality of life, and analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficient, and multiple regression analysis. As a result, factors affecting the quality of life of school-age children were academic stress (β= -.29, p<.001), extracurricular academic stress (β= -.19, p= .004), and resilience (β= .19, p<.001), this variable explained 31.2% of the quality of life of school-age children. The lower the academic stress and the higher the resilience, the higher the quality of life. Therefore, in order to improve the quality of life of school-age children, providers need to develop intervention programs that take these factors into account.

A Study on Civil Complaint Communication Service Model Based on Public Data -Focusing on Communication Between Teacher and Student's Parents- (공공데이터 기반 민원 소통 서비스 모델에 관한 연구 - 교사와 학부모 간 소통을 중심으로 -)

  • ChangIk Oh;Taekryong Han;Jihoon Choi;Dongho Kim
    • Convergence Security Journal
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    • v.23 no.4
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    • pp.53-59
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    • 2023
  • Various problems are occurring as teachers and student's parents communicate directly through mobile phones. In this study, a service model was proposed that allows teachers and student's parents to communicate through SNS platforms without knowing each other's mobile phone numbers. In the civil complaint communication service model proposed in this study provides, communication key sets are provided as public data, and a commonly used SNS platform uses the relevant relationship information to implement communication. This model also has expandability that can be applied not only to teachers, but also to ① officers who need to communicate with the parents of soldiers, ② nursing, health and nursing care personnel who frequently contact patient caregivers, and ③ welfare officials.

Factors for the Prediction of Pain in Terminally Ill Cancer Patients in Hospice Units (호스피스 병동에 입원한 말기 암환자의 통증 예측요인)

  • Yong, Jin-Sun;Han, Sung-Suk;Ro, You-Ja;Hong, Hyun-Ja
    • Journal of Hospice and Palliative Care
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    • v.5 no.2
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    • pp.125-135
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    • 2002
  • Purpose : The purpose of this study was to investigate the impact of depression, discomfort, spirituality, physical care, and opioid use on pain with terminally ill cancer patients in the hospice units. Method : The convenient sample of this study consisted of 58 terminally ill cancer patients at three hospice units in university-affiliated hospitals. Patients were interviewed with structured questionnaires. The data was analyzed using ANOVA, Pearson correlation coefficient, and multivariate multiple regression. Result : The results of this study were as follows : 1) The mean age of the participants was approximately 57 years. Regarding diagnosis, stomach cancer showed the highest frequency (24.1%), followed by lung cancer (17.2%) and rectal cancer (13.8%). Regarding motivation for admission to the hospice unit, the majority of the participants indicated pain control (67.2%), followed by spiritual care (39.7%), and symptom relief (27.6%). 2) The mean pain level measured by VAS was 5.13 (${\pm}2.61$). Regarding pain type, the highest pain frequency the participants experienced was deep pain (53.4%), followed by multiple pain (20.7%), intestinal pain (17.3%), and neurogenic (5.2%) and superficial pain (3.4%). 3) Regarding the factors influencing pain, the pain level was significantly affected by the depression level (P<0.01) and the opioid use (P<0.01). Conclusion, In summary, the higher the level of pain the terminally ill cancer patents had the higher the depression level as well as the opioid use. Thus, health care professionals need to continuously provide holistic care for them to die comfortably.

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A Systematic Review of Illness Perceptions Using the IPQ-R or BIPQ in South Korea (질병지각에 대한 체계적 문헌고찰 - 국내 학술지 논문을 중심으로 -)

  • Kim, Hyejin;Byun, Jinyee
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.432-441
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    • 2019
  • We systematically reviewed the studies administering the Illness Perception Questionnaire-Revised (IPQ-R) or the Brief Illness Perception Questionnaire (BIPQ) in South Korea. Following the PRISMA guidelines, a literature search of 4 electronic databases was conducted, yielding 10 relevant articles. All studies used a cross-sectional design and the majority of the studies (n = 7; 70%) used the total scores of the BIPQ. The factors related to participants' illness perceptions were coping strategies or health outcomes such as depression, quality of life, self-care, and social support; however, findings suggested that such factors varied across the studies. This review highlights the need for using each dimension of illness perception to examine which perceptions are most strongly related to outcomes, and need for considering an individual's illness perceptions when developing biobehavioral interventions.

The effects of remdesivir on mortality and the requirement for mechanical ventilation in patients with COVID-19: a systematic review stratified by disease severity

  • Seungeun Ryoo;Miyoung Choi;Su-Yeon Yu;Young Kyung Yoon;Kyungmin Huh;Eun-Jeong Joo
    • The Korean journal of internal medicine
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    • v.39 no.1
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    • pp.160-171
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    • 2024
  • Background/Aims: The effectiveness of remdesivir treatment in reducing mortality and the requirement for mechanical ventilation (MV) remains uncertain, as randomized controlled trials (RCTs) have produced conflicting results. Methods: We searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and other data resources to find RCTs published prior to April 10, 2023. The selection of studies, assessment of risk of bias, and meta-analysis were conducted according to PRISMA guidelines. The primary outcomes were all-cause mortality and the need to initiate MV. Results: A total of 5,068 articles were screened, from eight RCTs comprising 11,945 patients. The meta-analysis found that, compared to standard care or placebo, remdesivir treatment provided no significant all-cause mortality benefit (pooled risk ratio [RR], 0.93; 95% confidence interval [CI], 0.85-1.02; 8 studies; high certainty evidence), while subgroup analyses revealed a trend towards reduced mortality among patients requiring oxygen but not MV (pooled RR, 0.88; 95% CI, 0.77-1.00; 6 studies; I2 = 4%). The need to initiate MV (pooled RR, 0.74; 95% CI, 0.59-0.94; 7 studies; moderate certainty evidence) in remdesivir-treated patients was also reduced compared to controls. Remdesivir significantly increased clinical improvement and discharge and significantly reduced serious adverse events. Conclusions: In this systematic review and meta-analysis of RCTs, it was found that remdesivir treatment did not show a substantial decrease in the risk of mortality. However, it was linked to a reduction in the necessity for additional ventilator support, suggesting remdesivir could be beneficial for COVID-19 patients, particularly those who are not on MV.

A STUDY OF PARENTAL KNOWLEDGE AND ATTITUDE ABOUT INFANT ORAL HEALTH CARE (유아의 구강관리에 관한 보호자의 인지도 조사)

  • Kim, Myoung-Jin;Shun, Ye-Kyung;Shim, Youn-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.292-299
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    • 2000
  • The purpose of this study was to investigate parental knowledge and attitude and practices relating to infant oral health care and to promote their motivations to their children's oral health care. Authors interviewed 350 persons in Ilwon-Dong and whose children were between 0 to 36 months old and acquired questionnaire from them. The questionnaire constituted of questions about general knowledge of tooth eruption, methods of oral hygiene care, and opinions about preventive dental visit. The collected data were analysed and compared with other researches. The important results obtained from this study were : 1. Females and highly educated persons had more dental knowledge than males and poorly educated persons. But age and economic status did not affect their level of dental knowledge. 2. Fifty nine percents of respondents thought that tooth began to be formed before birth. 3. Seventy six percents of respondents thought that infant oral health care should begin before tooth eruption, but actually only 63% started oral hygiene care before age one. 4. Seventy percents of respondents used gauze for infant oral care. 5. Fifty seven percents of respondents still gave bottles to their children after they reached age one or more and 55% of respondents never heard of nursing caries. 6. Ninety percents of respondents agreed that carious deciduous teeth need restorations, and 31% of respondents thought that age two is the appropriate time for the first dental visit. 7. Forty seven percents of parents did not think that dental caries is an infectious disease. 8. Only Thirty three percents of parents visited dental clinics for examination and prevention during pregnancy and only 11% of expecting parents were offered dental health care education in pediatric or obstetrician clincs. 9. Information about oral health care was mostly given from baby megazines. 10. Overall parental knowledge about infant oral health care was not sufficient to maintain appropriate dental care for infants.

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Experience in Widow's Bereavement: Q Methodology - Widow Below 2 Years Bereavement - (배우자 사별여성들의 경험: Q 방법론 적용 - 2년 미만의 사별여성을 중심으로 -)

  • Yang, Soo;Hong, Jin-Ui
    • Journal of Hospice and Palliative Care
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    • v.12 no.2
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    • pp.80-87
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    • 2009
  • Purpose: The purposes of this study were to identify the types of widow's bereavement experience and understand the nature of it's bereavement by using Q-methodological approach. Methods: Contents Q sample included 46 statements obtained from literatures and interviews with 5 widows. P sample consisted of 13 widows who bereaved within 2 years. The data were collected from October 2004 to December 2006 and analyzed using Quanal program. Results: Two types of widow's experience were found. Type 1 was characterized by loss suffering, and type 2 was characterized by acceptance and adaptation Conclusion: Widows were found to experience different types of bereavement. Therefore, bereavement care team should assess the types of suffering pain and provide appropriate care to the widows. Also, need to be developed programs to relieve or prevent suffering of bereavement.

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An Analytic Study on Influencing Factors for Sexual Satisfaction in Women Who have had a Hysterectomy (자궁절제술 부인의 성생활 만족에 관한 요인 분석)

  • 장순복
    • Journal of Korean Academy of Nursing
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    • v.19 no.2
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    • pp.160-172
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    • 1989
  • This research was done to clarify the factors related to sexual satifaction in women who have had a hysterectomy, and to idenify which factors had statistically significant influence of sexual satisfaction of the subjacts. The objective of this study was to identify the variables related to sexual adaptation which might be changed by nursing intervention. This was a cross-sectional descriptive correlation study. There were 230 subjects in the study, and they were selected by a convenient sampling method. The tool. for this study was developed by the researcher through modification of the Dergatis Sexual Function Inventory(DSFI). A pilot study was done to determine the necessary modifications. Data collection was done between Sept. 1987 and Du. 1987 using a mailed questionnaire. The characteristics of the subjects were as follows : The mean age of the subjects was 42.3 years and 204(87.4%) of the subjects had nine or more years of education. The mean income of the subjects was 85.8870 won / month, and 179(77%) of them were housewives. The mean number of pregnancies and children were 4.9 and 2.5 respectively. Oophorectomies were included in the surgery for 66(28.7%) of the subjects. Only 12(5.2%) were planning to have more children. Only 88(38.3%) of the subjects had received information prior to the surgery regarding health problems related to the operation and less than half, 111 (48.3%), had received this kind of information before discharge. Lay persons were the source of information about the post-operation status for 196 (85.2%) of the subjects, but the content of the information did not significantly influence the sexual satisfaction score. Only 16(7.0%) of the subjects said they regretted having a hysterctomy while 102(44.3%) said they were pleased to have had a hysterectomy. Ninety (39.1 %) of the subjects reported that their husbands had “stress” and 164(71.3%) of the subjects reported “stress”. The results of this study are summarized as follows : 1. The mean score for sexual satisfaction of the subjects was 34.24 with a possible maximum score of 50.00. Eighty two(35.8%) were responded that they were satisfied with their sexual life but 61 (26.5%) were responded that they were dissatisfied with their sexual life 2. The following 15 factors extracted from the results of the data analysis were significantly related to sexual satisfaction(p<.05) ; support of husband, body image, emotion, knowledge of sex, menopausal symptoms, sexual behavior, the feelings the subjects had about the hysterectomy, stress for both subject and husband, the number of children, health information given before operation, job, age, level of education and income. The five most important factors influencing sexual satisfaction were identified by using stepwise multiple regression analysis. The most important factor was support of husband, which explained 17.83% of the total variance. The remaining factors in order of significance were : Knowledge of sex, income, job, and emotional status. Those five factors explained 35.16% of the sexual satisfaction. In conclusion, for the care of women who are going to be discharged from hospital after having had a hysterctomy, nurses have to work with the husbands to help them to understand the importance of their support. Nurses also need to make sure that the subjects have an adequeate knowledge of sexual life after a hysterectomy. Also nursing interventions should focus on subjects who do not have a job, who are of low economic status, and the subjects who are under the unpleasant mood.

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The Patterns of Accidental Injury in Young Children and Effect of Safety Education on Their Mothers Performance of Preventive Measures (영유아의 사고유형 실태조사와 안전교육 효과 분석)

  • Song In-Ja;Han Jung-Suk
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.55-74
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    • 1998
  • In the past most major accidents resulted in death, but today there is a dramatic increase in the number of people who survive such accidents but who are left with permanent injury. Particularly, children who are inquisitive about their surroundings but immature in their ability to assess danger, are more vulnerable to accidents and their causes as well as to determine attitudes towards prevention. The main objective of the study was to assess the effectiveness of using an accident prevention manual for accident for accident prevention education. The study was a quasi-experimental study using a questionnaire format. The subjects of the study were 393 mothers of children attending six day care centers in Seoul. Data collection was done between May 1 and June 15, 1997. The tools used for the study were a questionnaire developed the researchers and a manual for accident prevention. The collected data were analyzed using SPSS. The results of the study are as follows: 1. Types of accidents included stabbing, bums, falls from heights, choking, falls on slippery surfaces, traffic accidents, drowning, poisoning, and electrical shock in that order of frequency. 2. The main causes of accidents in children were from cosmetics and household medications. 3. The most frequent locations of accidents in the home were the bathroom, kitchen, and stairways in that order. 4. For $90.4\%$ of children safety seats were not used when the ridding in a car. 5. In examining the parents' accident prevention practices, it was found that many parents used only . one electrical outlet for many appliances, tending to overload the electricity lines and that they were not practically concerned bout the flammability of children's pajamas, indicating a less than positive attitude towards fire prevention. 6. The parents had not provided their children with any instruction on accident prevention or on what to do after an accident had occurred. 7. After the use of pamphlet in an accident prevention education program, it was found that there was a statistically significant difference in the degree to which children carried out safety measures (t=14.96, p=.000) and in their safety habits (t=-1.67, p<.1) indicating an effectiveness in this method of education. The results of this study showed that there are many things in a child's environment that can cause accidents and that the possibility of an accident occurring is high. So nurses looking after children should be aware of the need for safety education to prevent accidents in the home and plan to provide appropriate educational material to help parents with this education.

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Primiparous Couples' Knowledge, Attitude and Practice regarding Breastfeeding (초산부부의 모유수유에 대한 지식, 태도 및 실천의지)

  • Kang, Nam-Mi
    • Women's Health Nursing
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    • v.5 no.3
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    • pp.379-388
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    • 1999
  • Breastfeeding is an excellent way of feeding infants and continues to be an important source of nutrition and antibodies for infants. Although breast-feeding is believed to be important, the rate of breastfeeding among Korean women is very low. One reason for the low breastfeeding rate is that the health professionals in the past have given little practical help couples to overcome difficulties encountered during breastfeeding. The promotion of breastfeeding has recently become a high priority among health professionals because of the undisputed physiological, psychological, social, economic, and nutritional benefits. Fathers have been found to influence the course of breastfeeding, but no one has conducted a systematic investigation into in and included fathers perspectives of breastfeeding in Korea. It is important to find strategies to solve the problems by assessing the knowledge, attitude and practice of breastfeeding with fathers as well as mothers. The purpose of this research is to find ways to promote primiparous(first child) couples's breastfeeding by assessing their general knowledge, attitude and practice of it. More specifically its purposes is to identify the relationship between knowledge, attitude, practice and the background factors of breastfeeding of primiparous couples in order to promote and support breastfeeding. The data will help health professionals to guide first-pregnancy couples to prepare and overcome any difficulties encountered during breastfeeding. Data were collected through a questionnaire which included both structured and open-ended questions. The questionnaire was composed referencing earlier literature, studies and surveys. This survey was made postpartum 2-3days after childbirth on 96 couples. The numbers of subjects for data analysis were selected 51 couples through pilot screening test. Data were coded and analyzed using the Statistical Package for Social Sciences : Cronbach's alpha coefficient, T-test, ANOVA, Stepwise pearson's correlation coefficient. The relations between the variables of breastfeeding were examined using a Pearson's correlation coefficient. This study showed that, the internal validity of the instrument was tested by Cronbach's alpha. The result was : mother knowledge 0.72, mother attitude 0.88, and father knowledge 0.70, father attitude 0.92, practice 0.76 and planning of breast feeding 0.95. The average age of mothers in the sample was 28.9 years old, and the average age of fathers in the sample was 31.3 years old. The other descriptive informations available included. the study also found that fathers were more important than doctors or nurses. However results of the study indicate that there were no differences between father and mother knowledge of breastfeeding(t=-0.39, p=0.698), and father attitude was statistically significant higher than mother attitude of breastfeeding (t=2.24, p=0.030). In analysis, the variable 'practice' with breastfeeding was the relationship with mother knowledge (p=0.031) and mother attitude(p=0.015). In this study, the correlation between one couple' knowledge and attitude was not significant. Primiparous couples surveyed in the postpartum period regarding knowledge, attitude and practice about breastfeeding might be affected by recall bias, the effects of the euphoria of the first 24-48 hours postpartum, but these variables were not examined. This study results add to the body of knowledge about nursing care for breastfeeding mothers and fathers. This indicates that a need for education about breastfeeding and, that fathers be included in it as well as mothers.

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