• The Journal of Korean Academic Society of Nursing Education
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• v.4 no.1
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• pp.81-94
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• 1998

This study was designed and undertaken to identify the degree of burden and quality of life in family caregivers of patients with stroke and to determine whether burden was directly related to quality of life. The data were collected from October 3rd, 1997 to March 20th, 1998. The subjects in this study were 126 caregivers as a family member and 126 patients with stroke who were hospitalized in two oriental medicine hospitals, three general hospitals located in Taegue City and Pusan City. The questionnaires consisted of questions regarding burden(25 items) and quality of life (18 items) of caregivers. Data were analyzed using percentages, mean, 1-test, ANOVA and Pearson-correlation coefficients done with the SPSS program. The results of thi study are as follows : 1. The score for family caregiver's burden was higher than the middle score. 2. The score for family caregiver's quality of life was relatively low. 3. The relationship between burden and quality of life was showed a significant inverse correlation. 4. The family caregivers' age had statistically significant differences in the degree of burden. 5. The education and monthly income of caregivers had statistically significant differences in the quality of life. That is, the higher the level of education and the higher the monthly income, the higher the degree of quality of life. 6. The age and sex of patients had affected the qualiry of life of caregivers sigmificantly. That is, caregivers felt more burden when caring for the patient group in sexties than any other age group and female patients than for male patients. 7. In the relationships between quality of life and general characteristics of the stroke patients, only the patients' sex was showed a statistically significant difference. That is, caregivers felt more quality of life when taring for male patients than female patients.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.1
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• pp.51-60
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• 2010

Purpose: The purpose of this study was to compare the effects of nursing simulations between multi-mode simulation and $SimMan^{(R)}$ simulation on nursing students' nursing competency, satisfaction, and simulation participation experience in nursing care for patients with dyspnea. Method: Subjects were 107 junior nursing students in R College of Nursing in Seoul from June to November in 2009. Students were allocated to either a Multi-mode simulation group or a $SimMan^{(R)}$ simulation group. The multi-mode simulation consisted of standardized patients combined with Vital Sim, comparing the $SimMan^{(R)}$ group. Result: The Multi-mode simulation group reported higher levels of nursing competency (p=.017) but lower communication skills (p<.001) compared to the $SimMan^{(R)}$ simulation group. There were no meaningful differences in satisfaction of simulation education between the two groups. The $SimMan^{(R)}$ simulation group received a substantial health assessment and the Multi-mode simulation group experienced reality in caring for standardized patients. Conclusion: The findings of this study demonstrated that Multi-mode simulation has similar educational effects like $SimMan^{(R)}$ simulation and suggest that nurse educators should match simulation fidelity with educational goals for effective education.

• Journal of Korean Academy of Nursing Administration
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• v.7 no.2
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• pp.237-251
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• 2001

It is important for nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses for the effective management of them. The purpose of this Phenomenological study was to explore the lived experience of nursing care for the dying patients in clinical nurses and identify the meaning and structure of their lived experience. This study was conducted from 1 of June, 2000 to 1 of November, 2000. Data were collected with several in-depth interviews until data were fully saturated, from 1 of June, 2000 to 10 of September, 2000. The Subjects were five nurses who had more than three-year job experience in caring for dying patients, three protestant christians and two atheists, one married and four unmarried persons. The range of their age was from 28 to 36. Data were analysed by the Colaizzi's methodology. Ten themes were extracted from fifty-one fomulated-meanings. Fomulated-meanings were extracted from the restatements and the significant-statements which were deriven from the raw data. Finally ten themes took form of five structures. Five structures of 'The lived experience of nursing care for the dying patients in clinical nurses' were : 1. Experiencing guilty feeling and anger due to their and other's manneristic and ignored attitude toward dying patients 2. Feeling heartily the necessity of the education of hospice care because of their incompetence due to lack of knowledge of hospice care 3. Recognizing the human rights of dying patient's thinking themselves and their families 4. Felling satisfaction with their nursing accomplishments and reflecting their life through nursing care of the dying patients 5. Experiencing low self-respect due to the other's negative perspective toward their job The results of the study would give useful information to nursing managers to understand the lived experience of nursing care for dying patients in clinical nurses and establish adequate strategies to support them.

• Journal of Korean Academy of Nursing
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• v.37 no.2
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• pp.242-248
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• 2007

Purpose. Parkinson's disease (PD) is a common neurodegenerative disorder characterized by motor disabilities and increasing dependence on others for daily life activities with consequent impact on patients' and caregivers' quality of life. The aim of this study was to elucidate the burden on primary caregivers of patients with PD, and identify related factors. Methods. A cross-sectional descriptive study. Seventy-six primary caregivers of PD patients in a neurology out-patient clinic, Seoul, Korea completed structured questionnaires, of which 68 were analyzed. The structured self-report questionnaire included (1) demographic information on the caregivers, (2) information regarding the disease characteristics of the patients, and (3) the subjective and objective caregiver burdens as assessed on Montgomery, Gonyea, & Hooyman's scale. Results. The mean age of the caregivers was 54.56 years, and spouses represented the largest proportion (47.0%). Caregivers of PD patients experienced high levels of burden (mean scores on the subjective and objective burdens were 45.22 and 34.90, respectively), which were comparable to the caregiver burdens in stroke, and higher than the caregiver burdens in general chronic disease. Older caregivers and spousal caregivers experienced significantly higher burdens (p=.004 and p=.019, respectively). A greater motor disability and higher modified Hoehn and Yahr grade were related to higher caregiver burden (p=.001 and p=.018, respectively). Conclusion. Caring for PD patients is associated with a high level of caregiver burden. Therefore, healthcare professionals should identify the burden of caregivers who look after PD patients and develop comprehensive management strategies both for patients and their caregivers.

• The Journal of the Korea Contents Association
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• v.15 no.6
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• pp.346-357
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• 2015

Purpose: This descriptive study was to examine uncertainty and performance of infection control in the VRE patients' caregivers. Methods: The participants were 82 caregivers who involved with the VRE patients care in D tertiary hospital in D metropolitan city. Data were analyzed with number, percentage, t-test, and ANOVA using SPSS/Win 21.0. Results: The participants' uncertainty was 56.99 and performance of infection control was 35.09. Performance of infection control was significantly different by age (F=121.38, p<.001), education (F=102.77, p<.001), relationship with the patient (F=17.80, p<.001), hours of caring per day (t=3.14, p=.002), and type of family (t=-8.65, p<.001). There was a significant negative correlation between participants' uncertainty and performance of infection control (r=-.96, p<.001). Conclusion: The results of the study will be used to develop nursing intervention program and standard protocol for infection control for the VRE patients' caregivers.

• Journal of Hospice and Palliative Care
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• v.21 no.1
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• pp.33-39
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• 2018

Purpose: This study aimed to identify how an education program on palliative care affects nursing home caregivers' perception of hospice care and attitude towards terminally ill patient care. Methods: This study was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 101 certified care workers: 58 in the experimental group and 43 in the control. The experimental group completed the palliative care education program consisted of 20 hours of classroom training and 20 hours of clinical practicum. An ANCOVA was performed to compare the score changes to outcome variables. Results: Compared with the control group, the experimental group showed significant pretest-posttest differences in both the perception of hospice care (F=21.09, P<0.001) and attitude towards caring for terminally ill patients (F=13.28, P<0.001). Conclusion: These results indicate that the palliative care education program for caregivers is effective in preparing participants to provide hospice/palliative care service. Further study is warranted to explore the effects of this program on palliative caregivers' performance.

• Journal of East-West Nursing Research
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• v.10 no.1
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• pp.106-116
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• 2004

This study is about the quality of life of cerebral infarction patients' guardians. The subject of this study was a group of 159 guardians of patients diagnosed of cerebral infarction and being hospitalised in a general hospital located in Seoul. The measurement tool consisted of quality of life of cerebral infarction patients' guardian, self-esteem, burden of responsibility, family unity, health status of the guardian. The collected data have been processed using SPSS/PC 12.0 programme: The results of this study are as follows: 1. The point for quality of life of cerebral infarction patients' guardians was 3.08(five-point scale), and for the related factors, the points for self-esteem was 3.67, burden of responsibility was 3.26, family unity was 4.13, health status was 6.10(ten-point scale). 2. There was a significant difference in the quality of life according to Self-esteem, Burden of responsibility, Family unity and general characteristics. 3. In the quality of life of cerebral infarction patients' guardians, a positive correlation was noted in some factors according to the characteristics of the guardians such as health status, self-esteem, family unity, monthly income, and time spent for caring the patient. Whilst a negative correlation was noted in the others such as burden of responsibility and age of the guardian. By confirming the results above, it is concluded that we must understand the major factors which are related to quality of life, find the causes that deteriorate the quality of life, and apply proper nursing intervention to improve the quality of life of cerebral infarction patients' guardians.

• Journal of Korean Clinical Nursing Research
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• v.23 no.2
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• pp.222-235
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• 2017

Purpose: The purpose of this study was to investigate the reality, status of clinical nurses' emotional labor and the relationship with physical discomfort, burnout, depression and social support. Methods: A thousand three hundred sixteen clinical nurses from 42 hospitals nationwide participated in this study. Questionnaires were developed for evaluating the reality and status of emotional labor of clinical nurses after interviewing focus groups and reviewing literatures. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. Results: Ninety eight percent of nurses had answered having emotional labor and they experienced 82 times per year, 9.6 times during last a month which means they experience it every other day. The one who provoke emotional labor were patients, guardians, physicians, supervisor, and colleagues in sequence. Eighty percent of nurses had intention to leave their jobs after experiencing emotional labor. They were doing more surface acting than deep acting of emotional labor. Conclusion: Clinical nurses in Korea experienced excessively high level of emotional labor and delayed responding to clients' requests due to lack of time for caring each patient was revealed as one of the main causes of emotional labor.

• YAKHAK HOEJI
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• v.54 no.2
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• pp.75-90
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• 2010

Biomarkers are likely to be important in the study of various pulmonary diseases for many reasons. Research efforts in developing biomarkers and surrogate endpoints of lung diseases have resulted in the identification of new risk factors and novel drug targets, as well as the establishment of treatment guidelines. Government agencies, academic research institutions, diagnostic industries, and pharmaceutical companies all recognize the importance of biomarkers in new drug development and advancing therapies to improve public health. In drug development, biomarkers are used to evaluate early signals of efficacy and safety, to select dose, and to identify the target population. Identification of suitable end points not only would help investigators design appropriate clinical trials but would assist clinicians in caring for this patient population. Though the area of pulmonology has received much attention in the past decades, it still lags behind with regard to the development of biomarkers, particularly those of health effects and susceptibility. This review critically summarized several biomarker researches such as Evaluation of COPD Longitudinally to Identify Predictive Surrogate End-points (ECLIPSE) study with objectives of identifying the parameters that predict disease progression of COPD, as well as biomarkers that may serve as surrogate end-points.

• Journal of the Korean Applied Science and Technology
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• v.38 no.2
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• pp.521-531
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• 2021

This study was conducted to examine the relationships between nursing students' knowledge on dementia, care performance, and empathy, thus providing the foundation of dementia patient nursing intervention strategies for nursing students. For the analysis to examine the relationships, this study used descriptive statistics, t-test, ANOVA, Scheffé test, and Pearson's correlation coefficient. The analysis showed that the higher students' year of study and the higher their interest in dementia (F=5.02, p=.008), the higher their knowledge on dementia (t=-4.03, p<.001), and also that the higher their satisfaction with clinical training (F=3.91, p=.023), the higher their care performance. It was found that nursing students' knowledge on dementia and their care performance (r=.21, p=.023) were positively correlated at a statistically significant level. Based on the results, this study suggests the need to develop and utilize education programs that can help students gain knowledge on dementia prior to clinical training so that they can have more knowledge on dementia and be encouraged to practice caring for patients with dementia.