• Title/Summary/Keyword: Nursing intervention program

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A Mentoring Program for Stress Management among Korean Adolescents (청소년의 스트레스 관리를 위한 멘토링 프로그램)

  • Shin, Yun-Hee;Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.259-268
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    • 2009
  • Purpose: The purpose of this study was to develop a mentoring program for stress management among Korean adolescents and to assess the effects of the program. Methods: The nonequivalent control group (CG) pretest-posttest design was used in this study. The mentoring intervention was delivered to 18 middle school students (males and females) but nothing was done to the control group consisting of 18 students. The mentoring intervention was conducted by seven nursing students who participated in the program as mentors using various methods such as individual meetings and group activities. The dependent variable was stress level. Results: The program consisted of group and individual mentoring. At follow-up, although the mentees's satisfaction was high and they stated qualitatively positive experience, the difference of stress level between the two groups was not significant. Conclusion: If future mentoring programs reflect the limitation of the current program, they may have potential as developmentally appropriate interventions for stress management of adolescents, and enable nursing students to gain confidence in their professional capability.

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Effect of Tai Chi Exercise on Fatigue, Anxiety, and Sleep Patterns in Nursing Students (타이치 운동이 간호대학생의 피로, 불안 및 수면양상에 미치는 효과)

  • Park, Young Ju;Kim, Ja Ok
    • Journal of muscle and joint health
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    • v.23 no.1
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    • pp.61-69
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    • 2016
  • Purpose: The purpose of this study was to determine the effect of the Tai Chi exercise program (Sun style 31 forms) on fatigue, anxiety, and sleep patterns in nursing students. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Nursing students who participated in this study were assigned to an experimental group (n=24), and a control group (n=26). The experimental group participated in Tai Chi exercise program for 60 minutes per session, and 3 times a week for 7 weeks. The Tai Chi exercise program consisted of 10 minutes for warm-up, 45 minutes for main session, and 5 minutes for cooling down exercises. The data were collected prior and after the intervention using self-administered questionnaires. Data were analyzed using descriptive statistics, $x^2$-test, Fisher's exact probability, t -test, and the general linear model. Results: After the application of the program, the experimental group showed a significant difference in fatigue (F=20.62, p<.001), anxiety (F=16.96, p<.001), and sleep pattern (F=15.70, p<.001) scores. Conclusion: These findings show that the Tai Chi exercise program can be an effective nursing intervention to improve sleep pattern and to reduce fatigue and anxiety in nursing students.

Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia (조현병 환자를 위한 수용전념기반 인지행동 프로그램 개발 및 효과)

  • Lee, Jae Woon;Park, Hyun Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.342-354
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    • 2018
  • Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

A Chronic Disease Self-management Program for the Elderly in Korea (지푸라기 자가관리 프로그램의 적용 효과: 노인의 건강증진을 중심으로)

  • Park, Jee-Won;Yoo, Hye-Ra
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.404-414
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    • 2005
  • Objectives: The present study proposed to evaluate 1st-month and 3rd-month health status, depression, self-efficacy and medical expenses of a community-based health promotive self-management program for old Koreans. Method: Participants in the CDSMP were selected from elders in a community health center through convenient sampling. The program included a 3-hour session per week for 14 weeks. Outcomes of evaluation in the 1st month and the 3rd month included modified Self-rated Health Status Scale, Center for Epidemiologic Studies Short Depression Scale, Self-Efficacy for Managing Chronic Disease 6-item Scale, and 1-item Medical Expenses Scale. Results: Self-rate health scores increased significantly just after the intervention (16.22), in the 1st month (17.57) and in the 3rd month (19.04) (x2=32.06. p=.000); Depression scores (reversed) also increased significantly just after the intervention (6.04), in the 1st month (7.75) and in the 3rd month (8.39) ( $x^2=29.92$. p=.000); Self-efficacy score increased significantly just after intervention (12.87) but it decreased in the 1st month (12.73) and in the 3rd month (12.04). But all of the three scores were still higher than those before the intervention (8.65) ($x^2=32.42$. p=.000): Medical expense score decreased at the end of the intervention (1.57) but the cost score increased in the 1st month (2.48) and in the 3rd month (2.39) ($x^2$=7.81. p=.050). Conclusion: CDSMP is effective in increasing self-rate health and self-efficacy and in decreasing depression in the Korean elderly. However, no significant effect of the program was observed in decreasing the medical cost of the Korean elderly.

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Effectiveness of a Reducing Alcohol Intervention Program for Workers (근로자 절주 프로그램의 효과)

  • Kim, Keum-Ee
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.611-623
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    • 2007
  • Purpose: To evaluate a reducing alcohol intervention program for workers. Method: The intervention program employed one-group pretest-post-test design with repeated measuring by quasi-experimental study. The program was developed from literature review based on the Transtheoretical Model, and evaluated from April 6 to June 22, 2006. Sixteen white collar male workers participated. At the beginning, the subjects were at the pre-contemplation stage (50%) and contemplation stage (50%). The intervention was applied personally or in group twice a week for 9 weeks. Results: The scores of each stage of change in the post-test increased significantly compared with those in the pretest. The scores of process (cognitive and behavioral) of change in the post-test increased significantly compared with those in the pretest. The score of self-efficacy of change in the post-test increased significantly compared with that in the pretest. The score of pros-cons for drinking in the post-test decreased significantly compared with that in the pretest. The consumption of alcohol a week and a day in the post-test decreased significantly compared with that in the pretest. The levels in ALT, AST, GGT, total cholesterol, triglyceride, B.P. and BMI in the post-test did not decrease significantly compared with those in the pretest, but the level of FBS decreased significantly compared with that in the pretest. Conclusion: The above result informs us that a stage-based reducing alcohol intervention program for workers has the effect of increasing the stages of change, the process of change (cognitive and behavioral) and self-efficacy, and decreasing pros-cons for drinking alcohol consumption and FBS, and it also has a value as an effective means of nursing for workers.

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The Effects of a Death Preparing Education Program on Death Anxiety, Spiritual Well-being, and Meaning of Life in Adults (죽음준비교육 프로그램이 성인의 죽음 불안, 영적 안녕 및 삶의 의미에 미치는 효과)

  • Yoon, Me-Ok
    • Research in Community and Public Health Nursing
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    • v.20 no.4
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    • pp.513-521
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    • 2009
  • Purpose: The purpose of this study was to analysis the effect of death preparing education on death anxiety, spiritual well-being and meaning of life in adults. Methods: This study adapted the one group pre-posttest design. Data collection and intervention were performed from January 19 to 25, 2009. The participants were 30 adults (aged 20 or older) from Jeonju City. The death preparing education program consisted of five steps. Data were analyzed through paired t-test with SPSS/WIN 12.0 program. Results: There were significant differences in death anxiety, spiritual well-being and meaning of life between before and after the death preparing education program. Conclusion: The death preparing education program for adults was confirmed to be an effective intervention to lower death anxiety and to improve spiritual well-being and the meaning of life. Therefore, I look forward to broad application of this program to adults.

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The Effects of Psychosocial Interventions to Improve Stress and Coping in Patients with Breast Cancer (유방암 환자의 스트레스 대응능력 증진을 위한 심리사회적중재의 효과)

  • Kim Cho Ja;Hur Hea Kung;Kang Duck Hee;Kim Bo Hwan
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.169-178
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    • 2006
  • Purpose: The purpose of this study was to examine stress, coping, and immune response effects of a psychosocial intervention program based on the PNI model and Stress-Appraisal-Coping for Korean patients with breast cancer. Methods: A nonequivalent control group pretest-posttest design was used. The participants who had survived breast cancer and lived in Wonju city and the surrounding area were assigned to an intervention group (N=21) or a control group(N=18).We conducted a 12-week intervention, 2 hours a day weekly, and measured the variables at baseline, six and twelve weeks later. Dependent variables are: stress, anxiety-depression and anger, and immune response. Results: Patients in the psychosocial intervention program reported significantly less stress perception (U=31.500, p=.023), more problem solving ability and less problem avoidance in coping (U=20.500, p= .013; U=29.500, p=.040), and less anxiety-depression (U=22.000, p=.023). No difference, however, was found in anger and. immune responses between the two groups. Intervention effects were evident at week 6 and 12 for anxiety-depression, and at week 6 for problem avoidance in coping, the same time that NK cell counts and the T8 decreased. Conclusions: These results suggested positive effects of a psychosocial intervention program. However, the results are inconclusive due to the small sample.

The Effect of an Empowerment Program on the Health-promoting Behaviors of Iranian Women Workers: A Randomized Controlled Trial

  • Noori, Fatemeh;Behboodimoghadam, Zahra;Haghani, Shima;Pashaeypoor, Shahzad
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.4
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    • pp.275-283
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    • 2021
  • Objectives: The workplace is an ideal place for encouraging health-promoting behaviors. Therefore, the aim of the present study was to determine the effect of an empowerment program on the health-promoting behaviors of women workers. Methods: This randomized clinical trial was conducted with 80 women workers employed at a food packaging facility in 2020. The subjects were selected using convenience sampling and were classified into intervention and control groups using block randomization. An empowerment program for women workers was conducted across 6 sessions based on an empowerment model. Data collection tools included a demographic questionnaire and the Health Promoting Lifestyle Profile-II, which participants completed both before the program and 8 weeks after the last session. Data analysis was performed in SPSS version 16 using descriptive analysis and inferential statistics. Results: There were no significant differences between the 2 groups in various health-promoting behaviors before the program. However, the intervention group's scores for nutrition (34.92±1.09 vs. 27.87±4.23), physical activity (24.40±2.94 vs. 17.40±5.03), stress management (26.35±2.60 vs. 23.05±4.27), spiritual growth (34.02±3.00 vs. 30.22±5.40), interpersonal relationships (30.82±2.38 vs. 27.60±4.61), and health responsibility (31.60±2.71 vs. 28.22±4.59) were significantly higher than the control group's 8 weeks after the program had ended. Moreover, there was a significant difference in the total score of health-promoting behaviors for the intervention group compared to the control group (179.00±9.22 vs. 151.42±20.25, p=0.001). Conclusions: An empowerment program for women workers led to significant improvements in the health-promoting behaviors of the participants. Similar programs can ultimately improve women's health in the workplace.

Development and Evaluation of a Web-based Support Program for the Maternal Role of Primiparas (초산모의 어머니 역할에 대한 웹기반 지지중재 프로그램 개발 및 평가)

  • Kim, Jeong-Soo
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.164-176
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    • 2005
  • Purpose: This study was conducted to develop and evaluate a Web-based program for the maternal role of primiparas who use the internet. Method: The study process was a systems requirements analysis, design and development of a program, program testing by experts, program implementation, and program evaluation by users. A nonequivalent control group non-synchronized design was used. The data was collected from October 5th, 2002 to February 24th, 2003. Result: 1. Based on inquiries into mothers' needs, a Web-based support program was developed. The program was then modified from feedback received from experts. 2. In a sub-scale analysis of mothers' perception of a baby, amenability and persistence was significantly higher in the intervention group. The differences in the mean score of maternal self-confidence and maternal satisfaction were significant. 3. Cyber counseling was done for a total of 73 cases and the most frequent problems for counseling were feeding and nutrition (28.8%), followed by baby care, and health problems. Conclusion: It was proven that a Web-based support program provided appropriate support to primiparas and was effective in promoting their maternal role. Therefore, this study suggests that a Web-based support program for primiparas can become a powerful nursing intervention on virtually all mother and infant health concerns.

Intervention Model Development of Health Promotion for Women Workers in Traditional Marketplaces: Using Community based Participatory Action Research (한국 전통시장 여성근로자 건강증진 프로그램 모형개발: 지역사회 참여형 연구틀 기반)

  • Kim, Hee-Gerl;Lee, Ryoun-Sook;Hwang, Won Ju
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.4
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    • pp.381-391
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    • 2015
  • Purpose: The purpose of this study was to describe the intervention model development of health promotion for women workers working in the traditional marketplace, using community capacity building framework. Methods: Need assessment of the target population, work-related environment investigation, social network group building, and setting health management in the marketplace were performed. Then the interventions including cardiovascular health, musculoskeletal health, and psychological health were conducted. The results were evaluated using NCEP-ATP III(National Cholesterol Education Program's Adult Treatment Panel III), OWAS, and CES-D. Results: It was found that the intervention program for the vulnerable group in marketplace was appropriate, promoting the improvement of metabolic syndrome and the reduction of pain complaints. Therefore, the intervention framework for health promotion of women workers in the marketplace was developed. Work-related environment assessment also was included in the framework development. Several community capacity building strategies, including developing community resources and promoting partnership, making small social network group, and promoting program participation. Conclusion: It is suggested that occupational health nurses and professionals consider the appropriateness of intervention framework development after identifying the needs of women workers' work-related environmental problems.