• 간호행정학회지
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• 제16권2호
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• pp.121-142
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• 2010

Purpose: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. Methods: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS $Pc^{+}15.0$. Results: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. Conclusion: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.

• 중환자간호학회지
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• 제14권3호
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• pp.141-156
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• 2021

Purpose : This study aimed to systematically review the preventive interventions for delirium in Korean intensive care unit (ICU) patients and evaluate their efficacy. Methods : For this systematic review and meta-analysis, we searched the literature and selected studies from data sources that included the RISS, KISS, National Central Library, National Assembly Library, DBpia, Science on, MEDLINE, and Cochrane Library. We used Cochrane's revised tool for risk of bias in randomized trials and non-randomized studies of intervention tools to assess the quality of the selected studies. The effect size of the intervention was calculated as odds ratio (OR) and standardized mean difference (SMD). Results : Preventive interventions reported in 23 studies with a total of 4,799 ICU patients were effective in reducing the occurrence of delirium (OR=0.64, 95% CI : 0.49~0.91, p=.011), but not the duration (SMD=-0.22, 95% CI : -0.51~0.08, p=.148). As a result of a subgroup analysis, non-pharmacological interventions were effective in reducing the occurrence of delirium (OR=0.66, 95% CI : 0.47~0.94, p=.020), while pharmacological interventions had no effect (OR=0.68, 95% CI : 0.33~1.40, p=.295). Among the non-pharmacological interventions, multi-component intervention had the largest effect size (OR=0.38, 95% CI : 0.26~0.55, p<.001). Conclusion : Non-pharmacological interventions were effective in reducing the occurrence of delirium. We recommend the development and application of multi-component interventions to prevent delirium in the Korean ICU patients.

• 성인간호학회지
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• 제13권4호
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• pp.517-528
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• 2001

목적: 본 연구의 목적은 미국 아이오와 대학에서 개발된 Nursing Interventions Classification (NIC)을 사용하여 신경기계 병동과 정형외과 병동에 근무하는 간호사들이 가장 빈번히 수행하는 간호중재를 파악함으로서 이러한 부서의 간호중재 리스트를 개발하는데 있다. 그리고 확인된 간호중재의 리스트를 미국 간호협회의 핵심 간호중재 목록과 비교함으로써 양국간의 간호중재의 유사성과 차이를 비교함으로써 한국간호의 발전을 도모하는데 있다. 방법: 8개의3차병원 및 종합병원 근무하는 간호사에게 NIC을 번역하여 소개한 뒤 가장 자주 수행하는 간호중재 30개를 선택하게 하였다. 선택된 간호중재는 빈도와 백분율 이용하여 분석하였고 미국의 핵심간호 중재목록과 영역(domain)별, 분류군 (class)별로 비교하였다. 결과: 신경기계 병동은 30개의 간호중재를 정형외과 병동은 34개를 핵심간호중재로 확인하였다. 한국과 미국의 간호중재를 비교해본 결과 신경기계 병동의 간호중재와 미국American Association of Neuroscience Nurses (AANN) 의 핵심간호중재 목록과는 단지 5개의 간호중재가 일치하였지만 정형외과 병동의 간호중재목록은 미국의 National Association of orthopaedic Nurses (NAON) 의 핵심중재목록과 27개의 간호중재가 일치되어 더 많은 유사성을 나타내었다. 두 나라의 간호중재를 영역(domain)별로 비교해보면 한국 간호사의 간호중재는 미국간호단체의 핵심간호 중재 목록보다 신체적 간호에 보다 많은 편중을 보였다. 결론: 한국간호사의 간호중재가 신체적 간호중재에 집중되어 있으므로 환자간호에 보다 전인적인 간호중재가 수행될 수 있도록 노력해야 할 것이다. 그리고 본 연구를 통해 개발된 핵심 간호중재 목록은 병원의 간호정보시스템을 개발하는데 사용될 수 있으며, 간호지식의 확장이나 staffing, 간호 수가화, 그리고 궁극적으로는 간호의 효과성 연구를 자극할 수 있을 것이다.

• Perspectives in Nursing Science
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• 제17권1호
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• pp.12-27
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• 2020

Purpose: Bullying is a global problem, and various programs are under way to prevent it. The purpose of this study was to review school bullying interventions for Korean school-age children and adolescents. Methods: Online databases such as RISS, KISS, DBpia, NDSL and KMBASE were searched, identifying 32 intervention studies published from January 2009 to November 2018. Results: Thirty-two intervention studies were identified: 23 included school bullying prevention and 9 included school bullying treatment for victims or youth at high risk for bullying. The main purpose of preventive intervention was to decrease the bystander's attitude toward group bullying and treatment program was to improve the psychosocial adaptation of bullying victims. The school bullying interventions varied from group counseling, social skills training, art therapy, bibliotherapy using role-play, game & activities. Classroom environment variables and self-esteem, peer-related variables improved significantly after the school bullying prevention programs and school bullying treatment programs, respectively. Conclusion: There is potential for enhancing the outcomes of the behavioral, interpersonal psychological variable. Integrated interventions considering the individuality, gender and physical health of children and adolescents will also be needed. However, a rigorous study design is required to compensate for the methodological limitations.

• 한국보건간호학회지
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• 제36권1호
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• pp.5-19
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• 2022

Purpose: The purpose of this systematic review and the meta-analytic study was to examine the effectiveness of the interventions for smartphone addiction problems in youth on alleviating their levels of anxiety, depression, impulsiveness, self-control, self-esteem, and smartphone addiction. Methods: Relevant literature was searched from six electronic databases, and studies were searched by rigor PICOS framework. A total of 31 studies were included for the meta-analysis, which met the inclusion criteria of this study. Comprehensive Meta-Analysis 2.0 was used for analysis. Results: Overall effect size of the intervention was Hedges' g 1.02 (95% CI: 0.86~1.17), which was a large effect size with a statistical significance. The effect sizes of the outcome variables were significant. Self-control showed the largest effect sizes (g=1.73), followed by smartphone addiction (g=1.49), self-esteem (g=0.99), impulsiveness (g=0.82), anxiety (g=0.77), and depression (g=0.67). Interventions targeting smaller groups showed a higher effect size than larger groups. Conclusion: This study indicates that the interventions targeting Korean youths can reduce anxiety, depression, impulsiveness, self-control, self-esteem, and smartphone addiction of Korean youth. This study can provide evidence for further interventions to prevent smartphone addiction and related programs in Korean youths.

• 한국보건간호학회지
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• 제32권2호
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• pp.194-207
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• 2018

Purpose: The purpose of this study was to identify the trends regarding diet and exercise intervention studies for Korean obese children between 2010 and 2017. Methods: This study was synthesized and reviewed systematically by meta-analysis. In addition, a total of thirty nine studies were investigated. The random effect model was used for meta-analysis. Results: Most studies used single interventions and that their theoretical frameworks still required improvement. In addition, on-line education programs still need to increase their number over that of off-line ones. Regarding the dependent variables for understandings the influences obesity may have on Korean children, most studies took advantage of biological indicators. In terms of the effects of obesity management programs, multiple interventions have gained a competitive edge over single ones for Korean obese children's diet and exercise. In a similar vein, healthy eating habits and adequate physical activities would have more positive effects on Korean children' obesity management programs. Conclusion: Further various studies will be needed for the early detection and prevention of obese children through varied interventions and qualitative improvement of studies.

• Journal of Korean Biological Nursing Science
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• 제4권2호
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• pp.79-92
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• 2002

This study was aimed to analyze the variables measuring stress and immune responses, to identify the relationship between stress and immune responses, and to find out the effect of nursing interventions associated with stress and immune responses by reviewing thirty-four published articles since 1970 in Korea. The articles were selected in the field of nursing, stress management, and masters or doctoral dissertations and limited to human subject. Among these, the thirty-one articles were published since 1996 and mainly distributed in nursing (44.1%) and medicine(44.1%). The prevailing research design was nonequivalent control pre-post experimental design(41.1%). The research subjects were 55.9% for patients and 44.1% for healthy general persons including 20.6% of university students. To evaluate stress, both physiologic and psychosocial measures were adapted together in 35.3% of the articles. The most frequent two variables measuring stress and immune response were cortisol level(15.9%) and number or activity of natural killer cell(25.9%). The relation between stress and immune responses was positive in 4 articles, negative in 9 cases, and none in 12 cases. Decreased stress and enhanced immune function have been found when massage, abdominal breathing, exercise, relaxation, and touch were provided as nursing interventions. The articles to investigate the relationship between stress and immune function were limited and the tested variables were diverse. Also there was no consistent evidence to correlate the stress and immune function at present. Further studies are needed to construct a valid research design and to investigate the relationship between stress and immune responses. Nursing interventions to decrease stress should be developed to result in the increased immune function and the effect of these interventions would be verified.

• 여성건강간호학회지
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• 제14권2호
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• pp.104-113
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• 2008

Purpose: This study was to identify the meaning of the experience of 'well-being' of female college students in Korea and provide fundamental materials to improve nursing interventions. Methods: The participants were six female students who gave consent to participate in this study. This study was conducted between August 2006 and November 2006. Each interview took one to three hours. The contents of the interviews were recorded and dictated afterwards. In addition, the interviews were carried out such a way that the gathered information was sufficiently saturated. The data was analyzed with the phenomenological analytic method suggested by Giorgi (1985). Results: As a result of analysis, the following have been identified.: proper dietary treatment, proper physical treatment, harmonized psychological treatment, environmental-friendly treatment, and hypersensitivity to the mass media. Conclusions: The finding of this study offers profound information on the 'well-being' of female college students in Korea and provides fundamental materials to improve the quality of nursing interventions.

• 지역사회간호학회지
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• 제19권1호
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• pp.66-75
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• 2008

Purpose: The purpose of this study was to investigate influencing factors on self-care in the elderly with essential hypertension. Method: The research instruments included the Self-Care Scale, the Knowledge Scale Related to Hypertension, the Self-Efficacy Scale and the Family-Support Scale. Results: The self-care was significantly associated with knowledge (r=.510, p=.000), self-efficacy (r=.708, p=.000), and family support (r=.403, p=.000). The major factors that affected subjects' self-care were knowledge and self-efficacy which explained 58.7% of self-care. Conclusion: Hypertension knowledge and self-efficacy are important factors for nursing interventions in caring for elderly patients with hypertension. It is needed to develop nursing programs for elderly patients with hypertension and to provide nursing interventions to improve knowledge and self-efficacy and, thereby, improving the self-care of elderly patients with hypertension.

• 대한간호학회지
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• 제48권5호
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• pp.545-553
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• 2018

Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.