• Title/Summary/Keyword: Nursing counseling

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Predictors of Intention to Quit Smoking in Elderly Smokers following a Stroke (뇌졸중 흡연노인의 금연의도 예측요인)

  • Do, Eun Su;Seo, Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.1
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    • pp.48-56
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    • 2014
  • Purpose: This study was done to identify factors based on the theory of planned behavior that predict smoking cessation in elderly smokers following a stroke. Method: Between March and May 2013, data related to intention, attitude toward the behavior, subjective norm, and perceived behavioral control, were collected through questionnaire from 223 elders who smoked and who had a stroke. Data analysis was performed using PASW (SPSS) 18.0 program, and included t-test, one-way ANOVA, Pearson correlation coefficients, and multiple stepwise liner regression analysis. Results: Results showed a positive correlation between intention and attitude toward the behavior (r=.494, p<.001), subjective norm (r=.390, p<.001), and perceived behavioral control (r=.189, p=.005). These variables such as perceived behavior control, subjective norm, number of cigarettes per day, and usefulness of quitting smoking explained 50% of intention to quit smoking. Conclusion: The results of this study indicate that there is a need to develop smoking cessation nursing strategies for elderly smokers following a stroke in order to provide effective counseling on subjective norm and perceived behavioral control.

Dementia Knowledge and Related Factors in Middle-aged Adults (중년 성인의 치매지식과 관련요인)

  • Kim, Jeong Ah;Ko, Ja Kyung;Moon, Suk Nam
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.293-303
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    • 2006
  • Purpose: The purpose of this study was to identify the level of knowledge about dementia and to find the related factors in middle-aged adults. Method: The research design was a descriptive study by using a constructive self-report questionnaire with 34 items. Data were collected from 397 middle-aged adults using structured questionnaire. Data analysis was done by SPSS/WIN Programs using frequency, range from minimum to maximum, percentage, mean, SD, ${\chi}^2-test$, t-test, ANOVA, and Duncan's Multiple Range test. Results: The rate of correct answer of middle-aged adults was 68.7%, showing the mid-level of knowledge about dementia. There were significant differences according to age, education, marital status, job, income, information and information sources for dementia in middle-aged adults. Conclusion: These results indicate that Korean middle-aged adults need more education and counseling on dementia. Further studies are needed to overcome regionalism in sampling of this study and to develop standard measuring tools for the level of knowledge about dementia.

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The Effects of Obese Program on the BMI, Body Composition, Physical Fitness, Knowledge, Eating Behaviors in Obese Elementary School (비만관리프로그램이 초등학교 비만아동의 비만도, 신체조성, 체력, 지식 및 식행동에 미치는 효과)

  • Kim Young-Hae;Park Nam-Hee;Lee Sun-Mi
    • Child Health Nursing Research
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    • v.10 no.1
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    • pp.14-21
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    • 2004
  • Purpose: The purpose of this study was to identify the effects of the obese program on BMI, body composition, physical fitness, knowledge, eating behaviors among the elementary school obese children. Method: They ranged from the third to sixth grades with over 30% body fat ratio. The subjects consisted of 31 obese children who participated in the obese program and 34 obese who did not participate in the program. The contents of the programs for nine weeks from contained obese education, counseling and exercises once a week. The program lasted from Oct. 8 to Dec. 22, 2001. The Data were analyzed using SPSS program. Result: Flexibility was significantly higher for the program participants than the nonparticipants at the post-test. Agility was significantly higher for the program participants than the nonparticipants at the post-test. Knowledge were significantly higher for the program participants than the nonparticipants at the post-test. Conclusion: This study provides evidence that obese program is effective in changing the flexibility, agility, knowledge in obese elementary children over 9 weeks.

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Menstrual Discomfort and Dietary Habits in Adolescents (여중생의 월경 불편감과 식습관 관련 특성)

  • Hong Kyung-ja;Kim Hae-won;Ahn Hye-young
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.330-339
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    • 2005
  • Purpose: This study was done to identify menstrual discomfort and dietary habits, and factors related to the menstrual discomforts. Method: Participants were 320 female middle school students in G city. The Menstrual Discomfort Questionaire(MDQ) and dietary habit lists were used as tools. Results: Factors related to MDQ were found to be the VAS scores (r=.361, p=.002), a mount of menstrual bleeding (r=.131, p=.019), height (r=.134, p=.016), adequacy of meal time (t=7.19, p=.008), consumption of milk & milk products (F=3.20, p=.042) and, hot, salty & irritant foods (f=8.01, p=.000), eating more than 3 kinds of side-dishes with each meal (F=8.32, p=.000), and various protein foods (F=5.15, p=.006). In stepwise regression, 4 variables (VAS scores, height, hot, salty & irritant foods, more than 3 kinds of side-dishes with each meal) explained $20.3\%$ of the variance in the total MDQ scores. Conclusion: Reduction of hot, salty & irritant foods and having more than 3 side-dishes with each meal would be effective in menstrual discomfort management. As well, good and, balanced dietary habits should be encouraged for early adolescent girls. To keep up with the ideal dietary habits, nutritional education & counseling should be continued. In a further study, a replication study with larger samples and more specified nutritional assessment are recommended.

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Factors Influencing Infertility-related Quality of Life in Women Undergoing Assisted Reproductive Techniques: Focusing on Depression and Resilience (보조생식술 받은 여성의 난임 관련 삶의 질에 미치는 영향 요인: 우울과 극복력 중심으로)

  • Jung, You Jung;Kim, Hye Young
    • Women's Health Nursing
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    • v.23 no.2
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    • pp.117-125
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    • 2017
  • Purpose: The purpose of this study was to investigate factors affecting on infertility-related quality of life in women undergoing assisted reproductive techniques focusing on depression and resilience. Methods: With correlational survey design, 125 infertile women who were receiving inpatient and outpatient treatment in K university hospital in D city completed a structured questionnaire. Results: There was a significant negative correlation between depression and resilience and between the depression and the quality of life. There was a significant positive correlation between resilience and the quality of life. The factors affecting on infertility-related quality of life were depression, burden of expenses, and relationship with husband which explained 48% in the quality of life. Conclusion: It is necessary to develop and apply nursing programs that include individual counseling and education for infertile couple. Social support including financial support and better environment for these women will be also essential.

Factors Predicting Maternal Conflict in Mothers of Toddlers (유아기자녀를 가진 어머니의 모성갈등 예측요인)

  • Cho Hee-Jung;Ahn Suk-Hee;Shin Jae-Sin;Lee Sun-Ok
    • Child Health Nursing Research
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    • v.11 no.1
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    • pp.5-13
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    • 2005
  • Purpose: This study was done to identify degrees of maternal conflict, differences, and factors predicting conflict in mothers of toddlers. Method: A convenience sample of 300 mothers living in G city, Kyounggi-do whose child was between 12 to 36 months old was used. Data were collected through a questionnaire survey and analyzed using SPSS WIN 10.0. Results: The average score for maternal conflict was 67.35 (SD=10.18), somewhat lower than moderate in level. 'I as a human being' was the area of the 6-sub areas with the most conflict. Mothers experiencing higher maternal conflict were those who were less satisfied with marriage, quality of life, and maternal role, and whose child was stubborn and hard to please, who were unsatisfied with baby sitters or who had to rush their sick child to hospital. Factors that were significant in predicting maternal conflict were low satisfaction with maternal role and marriage, and a child who was difficult to care for. These factors accounted for 22% of explained variance. Conclusion: Nurses should help mothers resolve maternal conflict through education and counseling on the maternal role, but at the same time nurses should consider relationship of the mother with her husband and also special characteristics of her child.

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Perceptions of the Risk of Cardiovascular Disease in Middle-aged Male Taxi Drivers: Focus Group Interviews (중년남성 택시운전자의 심혈관질환 위험성에 대한 인식: 포커스그룹 인터뷰를 중심으로)

  • Park, Sun-Jung;Ko, Ga-Yeon;Park, Byung-Jun
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.288-294
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    • 2020
  • Purpose: This study aimed to comprehensively examine middle-aged male taxi drivers' perceptions of the risk of cardiovascular disease. Methods: A qualitative method was used, with focus group interviews. The participants were middle-aged male taxi drivers who had been driving for more than ten years and for more than six hours daily. Results: The data were analyzed using qualitative thematic analysis. Middle-aged male taxi drivers' perceptions of the risk of cardiovascular disease were categorized into three main themes: "individual perceptions of cardiovascular disease", "possibility of behaviors for cardiovascular disease" and "motivations of behaviors for cardiovascular disease". Six sub-themes were extracted as follows: "perception of vulnerability", "perception of seriousness", "perception of profitability", "perception of disability", "self-awareness" and "advancing toward health care". Conclusion: It is necessary to invigorate support systems through measures including education, counseling, and web-based programs to prevent cardiovascular disease in middle-aged male taxi drivers.

Communication Patterns in Korean Families during BRCA Genetic Testing for Breast Cancer (BRCA 돌연변인 검사 중 유방암 환자 가족의 커뮤니케이션 패턴)

  • Anderson, Gwen;Jun, Myung-Hee;Choi, Kyung-Sook
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.200-209
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    • 2011
  • Purpose: The purpose of this micro-ethnography is to examine whether science and societal changes impact family communication patterns among a convenience sample of 16 Korean women. Methods: The authors observed family communication in the context of a new breast cancer genetic screening and diagnostic testing program to detect BRCA gene mutations in Korean women at highest risk. Results: Analysis of in-depth interviews and field notes taken during participant observation illustrated that communication patterns in families vary according to a woman's position in the family. If a grandmother tests positive for a gene mutation, her daughters make decisions on her behalf; they open and maintain the communication channel among family members. If a housewife is diagnosed with cancer and a genetic mutation, she immediately consults her husband and her sisters. The husband creates an open communication channel between his wife, his parents and his siblings. As a result, a woman's cancer is a concern for the whole family not merely a woman's secret or crisis. Conclusion: Cultural differences are important to consider when designing new genetic service programs in different countries.

Development and Evaluation of a Program to Promote Self Management in Patients with Chronic Hepatitis B (만성 B형간염 환자를 위한 자가관리 프로그램의 개발 및 평가)

  • Yang, Jin-Hyang
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.258-268
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of the program to promote self management for patients with chronic hepatitis B. Methods: The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 61 patients, 29 in the experimental group and 32 in the control group. A pretest and 2 posttests were conducted to measure main variables. For the experimental group, the self-management program, consisting of counseling- centered activities in small groups, was given for 6 weeks. Data were analyzed using $X^2$, t-test, and repeated measures ANOVA with PASW statistics program. Results: There were statistically significant increases in knowledge, self-efficacy, active ways of coping, and self-management compliance but not in passive ways of coping in the experimental group compared to the control group over two different times. Conclusion: The results of this study indicate that the self-management program is effective in increasing knowledge, self-efficacy, active ways of coping, and self-management compliance among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic disease as a nursing intervention for people with chronic hepatitis B.

An Integrative Review of Interventions for Internet/Smartphone Addiction among Adolescents (청소년 대상 인터넷/스마트폰 중독 중재연구에 대한 통합적 문헌고찰)

  • Kang, Kyungim;Hur, Sujin;Jo, Juhyun
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.70-80
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    • 2018
  • Purpose: The aim of this study was to investigate the characteristics of intervention programs for internet/smartphone addiction among adolescents through an integrative literature review. Methods: We searched MEDLINE(PubMed), CINAHL, Embase, DBpia, RISS, and KISS using a combination of "Internet or $phone^*$," "$addicti^*$," "adolescent," and "intervention or program or therapy." The searched studies were reviewed according to the criteria and an integrative literature review was conducted on the 14 selected papers published from January 1, 2013 to November 14, 2017. Results: Through the integrative review and analysis, a total of four attributes of interventions and their effects were derived. First, the number of group-focused interventions was significantly higher than that of individual-focused ones. Second, the interventions addressed various aspects of adolescents' problems while considering the complex nature of addiction problems. Third, there was a bias for region and sexual ratio. Lastly, most studies were actively conducted in community-based counseling or psychology settings. Conclusion: It is necessary to find more effective methods for addressing internet/smartphone addiction among adolescents through multidisciplinary approaches, including the consideration of various cultural and gender characteristics. This study provides a basis for developing future programs addressing addiction problems among adolescents.