• Journal of Korean Academy of Nursing
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• v.47 no.3
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• pp.406-419
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• 2017

Purpose: The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention. Methods: The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the ${\chi}^2-test$, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18. Results: The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (${\chi}^2=26.61$, p<.001). Conclusion: The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

• Journal of East-West Nursing Research
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• v.26 no.1
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• pp.39-51
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• 2020

Purpose: The purpose of this study was to develop family support oriented physical activity program for the male elderly with sarcopenia based on social cognitive theory. Methods: This program was developed through an analysis of 18 related intervention literatures, results of a focus group interview with 5 elderly men with sarcopenia and the content validity index of the program content adequacy and applicability by 6 experts. The combined exercise with resistance exercise and aerobic exercise was constructed in accordance with the recommendations of the American College of Sports Medicine (ACSM) and experts' opinions. Results: The program consists group education sessions (5 times, 60 minutes for each) for 12 weeks and family support oriented physical activity program composed of individual intervention (sending alarm for physical activity for 10 times and telephone monitoring for 2 times). The program also reflects the concept of self-efficacy and self-regulation, which are important factors for continuing physical activity through family support. The progressive resistance exercise was developed by composing 5-6 systemic movement forms that repeat 2-3 days a week and 2-5 sets at least. Conclusion: It is proposed to standardize the family support oriented physical activity program through the further studies so that the program can be utilized for the various groups of people who need increased level of physical activities.

• Journal of Home Health Care Nursing
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• v.15 no.1
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• pp.29-36
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• 2008

Purpose: The purpose of this study was to develop and evaluate an exercise program for elderly community-dwelling adults. The program was intended to improve joint flexibility and self-efficacy and to reduce blood pressure. Methods: A quasi-experimental, nonequivalent control group pre-post test design was used to evaluate the program. Twenty-six subjects were enrolled in the experimental group, and twenty-seven subjects were enrolled in the control group. The program was carried out between March 6 and May 4, 2006. The experimental group subjects participated in the exercise program once a week for eight weeks and received a phone call weekly to encourage self-exercise at home. Results: After program participation, the experimental group subjects showed significantly higher flexibility in the right shoulder joint and higher self-efficacy than subjects in the control group. Systolic and diastolic blood pressures were also significantly lower in the experimental group subjects. However, there were no significant differences in knee joint flexibility between the two groups after the intervention. Conclusion: The eight-week exercise program was effective in decreasing blood pressure and improving joint flexibility and self-efficacy in older adults. This study suggests that this exercise program could be utilized as an effective independent nursing intervention modality in elderly persons.

• Journal of Korean Academy of Nursing
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• v.47 no.5
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• pp.689-699
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• 2017

Purpose: This research aimed to investigate the effects of a cognitive rehearsal program (CRP) on workplace bullying among nurses. Methods: A randomized controlled trial was performed. Participants were 40 nurses working in different university hospitals in B city, South Korea. The experimental group was provided with a 20-hour CRP comprising scenarios on bullying situations, standard communication, and role-playing. To evaluate effects of the CRP, we measured interpersonal relationships, workplace bullying, symptom experience, and turnover intention at preand post-intervention. Follow-up effect was measured in the experimental group only at 4 weeks after the intervention. Results: After the intervention, there were significant differences in interpersonal relationships (F=6.21, p=.022) and turnover intention (F=5.55, p=.024) between experimental and wait-list groups. However, there was no significant difference in workplace bullying or symptom experience between the 2 groups. The beneficial effects on interpersonal relationships and turnover intention lasted at least up to 4 weeks after CRP. Conclusion: The CRP for workplace bullying improves interpersonal relationships and decreases turnover intention. So it can be utilized as one of the personal coping strategies to reduce the the turnover among nurses. Further studies on the effects of unit- or hospital-based CRP and on the long-term effects of CRP are necessary.

• Child Health Nursing Research
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• v.8 no.1
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• pp.97-109
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• 2002

This study was conducted to understand the degree and contents of stress which the mothers of high-risk infants can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to he nursing intervention program for these. Subjects were the 171 mother of hospitalized newborn in NICU of 1 University Hospital in Busan from June, 20, 2001 to September, 15, 2001, who agreed to take part in this study. The instruments used in this study were Parental Stressor Scale:NICU(PSS:NICU) developed by Miles et al. The questionnaire has 4 dimensions and 45 items ; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The data was analysed as average, frequency, Standard Deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study are as follows ; 1. The total perceived stress level score of mothers of high-risk infants was slightly high(3.44±0.71). The highest scored dimension was 'appearance and behavior of the baby'(4.06±0.80), and next were 'relationship with their baby and parental role change'(3.55±0.98), 'sight and sounds of NICU'(3.22±1.01), 'communication with health team'(2.93±0.91). 2. The total perceived stress level score was significantly correlated with birth weight (F=2.35, p<.05). 3. In sight and sounds of NICU, the perceived stress level score was significantly correlated with nursing in the incubator(t=2.28, p<.05) and birth weight(t=2.26, p<.05). In summary, information about physical environment of NICU, birth weight and nursing in the incubator must be included in nursing intervention program of mother's of high-risk infants in reducing the patents stress level. And, it is suggested that there need to find the coping mechanism of mother of high-risk infants.

• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.681-689
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• 2013

Purpose: The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands. Methods: The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program. Results: Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands. Conclusion: Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.

• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.1
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• pp.9-15
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• 2020

Purpose: The purpose of this study was to examine the effectiveness of smartphone use to enhance self-efficacy and decrease loneliness in elders through communication using the SNS Program Methods: Participants in this study were assigned to the experimental group (25) or control group (25). Data were collected from June 3 to July 12, 2019. For this study, the communication Program through SNS was run once for a total of 12 sessions. All data were analyzed using SPSS version 18.0 program, 𝑥² test, t-test, Repeated Measure ANOVA and Fisher's exact test. Results: It was found that H1 was supported (z=-4.12, p=.005) as "the experimental group participating in the communication Program through SNS had greater self-efficacy than the control group". H2 was supported as "the experimental group participating in the communication Program through SNS had less loneliness than the control group", (z=3.20, p<.001). Conclusion: This basic information may be used as an intervention on communication Program through SNS. Findings suggest the necessity of improving self-efficacy and reduction of loneliness through an intervention communication Program through SNS.

• Korean Journal of Adult Nursing
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• v.21 no.2
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• pp.199-211
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• 2009

Purpose: The purpose of this study was to develop a program for anger management based on self-efficacy. Methods: In this study, four types of approaches to enhance anger control were developed; 1) a role play for vicarious experiences; 2) an assertive training for anger expression; 3) a 30-minute long education program & a 20-minute long telephone call coaching for verbal persuasion; and 4) a booklet for anger management and self care behaviors. One group pretest-posttest design was used for evaluating the program. Study subjects were 6 cancer patients undergoing chemotherapy. The group were received a 4-week intervention, 60 ~ 90 minutes a day weekly, and measured the variables at baseline, 4 weeks later. Anger-in, anger-out, and anger-control were measured by STAXI-K. Data was analysed by Wilcoxon using SPSS/WIN 12.0 program. Anger situation was analysed according to primary anger-thoughts and secondary anger-thoughts based on cognitive theories of anger. Results: The program for anger management consisted of a role play, assertive training, education, telephone call coaching and a booklet. The program revealed significantly less Anger-in (Z = -1.997, p = .046), anger-out (Z = -2.207, p = .027). No difference, however, was found in anger control (Z= -1.826, p=.068). Conclusion: This evaluation suggested that more assertive training and longer intervention may be needed to maximize anger control.

• Journal of Korean Public Health Nursing
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• v.18 no.1
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• pp.61-73
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• 2004

This study is intended to suggest fundamental data necessary for developing MBTI program that can help improve interpersonal relation skills of nursing science major students and their cohesion. This study is pre-experimental research by one group pretest-post test design to examine the effect of MBTI(Myers and Briggs Type Indicator) basic program on the interpersonal relationship between nursing science major students and their group cohesion and the relationship between interpersonal relationship and their group cohesion. I selected 39 of sophomore students in the department nursing science of K university in I metropolitan city as test group. 35 of them joined post-test. Pretest and MBTI basic program were done before conducting MBTI program. Collected data were analyzed by SPSS window 7.5. The difference in test group before and after conducting program was examined by paired t-test. The correlation between interpersonal relationship and group cohesion was measured by using Pearson Correlation Coefficient. The findings are as follows. $\cdot$ The difference before and after conducting MBTI program by sub-factors of interpersonal relation: There was no significant difference, as the average figure of interpersonal relation in test group was 87.22 before conducting MBTI and 85.08 after conducting MBTI respectively. The average figure of sensitivity among the sub-factors of interpersonal relation was 7.71 before conducting MBTI and reduced to 7.08 after conducting MBTI and there was significant difference between before and after conducting MBTI(t=-2.484, p=.018) $\cdot$ The difference in group cohesion before and after conducting MBTI program: The average figure of group cohesion in test group was 56.68 before conducting MBTI and increased a bit to 56.80 after conducting MBTI\, but there was no significant difference between them. $\cdot$ The relationship between interpersonal relationship and group cohesion before and after conducting MBTI: As the relationship between interpersonal relationship and group cohesion before and after conducting MBTI is examined, there was positive correlation of the significance level. p<.05 before conducting MBTI(r=.320, p=.047), and of the significance level, p<.01 after conducting MBTI(r=.780, p=.000). The investigation on the relation between sub-factors of group cohesion and of interpersonal relation before conducting MBTI basic program revealed that there was positive correlation between openness, reliability, friendliness and satisfaction, and group intervention, between receptivity among group members and reliability, and between group atmosphere and satisfaction. The investigation on the relation between sub-factors of group cohesion and of interpersonal relation after conducting MBTI basic program revealed that there was positive correlation between openness, communication, understanding, friendliness and satisfaction. and group intervention. There was positive correlation between receptivity among group members and openness, communication, understanding, friendliness and satisfaction. There was positive correlation between openness, communication, friendliness and satisfaction, and group atmosphere. Based on the above findings, I realize that MBTI basic program is essential to the improvement of group cohesion. In addition, it is shown that the sub-factors of interpersonal relation such as openness, communication, friendliness, satisfaction, and understanding, and the sub-factors such as group intervention and receptivity among group members are major factors to improve interpersonal relationship and group cohesion. So, the future MBTI program should include sub-programs that deal with the above factors to improve interpersonal relationship and group cohesion.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.1129-1142
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• 2004

Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.