• Tuberculosis and Respiratory Diseases
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• v.84 no.4
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• pp.291-298
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• 2021

Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a standard diagnostic method for mediastinal and hilar lymphadenopathy. Although rare, fatal infectious complications can occur following EBUS-TBNA. However, to date, there is a lack of effective preventive strategies to reduce these complications. We started a trial to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA. Methods: This study is a single-center, parallel-group, assessor-blinded randomized controlled trial (RCT). We will enroll 112 adult participants undergoing EBUS-TBNA using a convex probe, and randomly assign them to two groups at a 1:1 ratio. The intervention group will gargle for 1 minute with 100 mL of 0.12% chlorhexidine gluconate before EBUS-TBNA, while the control group will have no mouthrinse before the procedure. Immediately after completion of EBUS-TBNA on all targeted lesions with an aspiration needle, a needle wash sample will be taken by instilling 5 mL of sterile saline into the used needle. The primary outcome is colony forming unit (CFU) counts in aerobic cultures of the needle wash samples. Secondary outcomes are CFU counts in anaerobic cultures, fever within 24 hours after EBUS-TBNA, and infectious complications within 4 weeks after EBUS-TBNA. Conclusion: This trial was designed as the first RCT to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA. Results from this trial can provide clinical evidence for a simple, safe, and cost-effective strategy to prevent infectious complications following EBUS-TBNA (ClinicalTrials.gov ID: NCT04718922, registered on 22 January 2021).

• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.331-341
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• 2021

This descriptive study was conducted to examine self rated health and factors influencing self rated health among e-cigarette smoking young and elderly community residents. The data were from the community health survey 2019 and the subjectis were 2,607 participants aged 19-50 years. Data analysis was conducted by descriptive statistics, χ² test, univariate multinominal logistic regression using SPSS 26.0 program and SPSS complex samples statistics. As a result of the study, 90.2% of the young and old e-cigarette smokers had a good subjective health condition and 9.8% had a poor subjective health condition. The factors affecting the subjective health status of e-cigarette smokers are gender(p=.006), age(p=.036), income level(p=.044) in Model I, and physical activity (p=.033) and stress (p<.001) in Model II. As a strategy to improve the subjective health status and quit smoking of e-cigarette smokers in the young and old, nursing intervention strategies are needed to increase physical activity and reduce stress.

• Korean Journal of Social Welfare Studies
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• v.48 no.4
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• pp.187-219
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• 2017

The purpose of this study was to examine the relationship among potential job-related risks, emotional dissonance, and job turnover intention of caregivers at the long-term care facilities in South Korea, and to explore the potential mediator role of burnout in this association. For the study, survey data of 434 caregivers at long-term care facilities were collected and analyzed using structural equation modeling method. The results showed that high level of caregivers'perception of the potential job-related risks led to increased burnout and turnover intention of caregivers. Second, caregivers'burnout partially mediated the effect of the potential job-related risks on turnover intention. Third, the more caregivers experience emotional dissonance, the higher the possibility of caregivers'burnout. On the other hand, emotional dissonance of caregivers did not give significant direct impact on turnover intention. Burnout fully mediated the relationship between emotional dissonance and turnover intention of caregivers. Lastly, the more caregivers experience burnout, the higher possibility of turnover intention. Based on the results, researchers suggested possible intervention methods as well as preventive measures to reduce the turnover of caregivers at long-term care facilities.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.370-379
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• 2018

This study was conducted 1) to investigate the effects of treatment and other factors on the quality of life of thyroid cancer surgical patients and 2) to provide fundamental data for development of an intervention and symptom management program to improve the quality of life of those patients. A total of 76 patients who were diagnosed with thyroid cancer and underwent thyroidectomy from July 2013 to December 2014 participated in this study. To investigate the factors affecting quality of life, a t-test and ANOVA analyses were conducted, after which multiple regression analysis was performed. The results were statistically significant between preoperative and one month after surgery of sex, cancer history, fatigue, and quality of life until 3 months after surgery of stage, cancer history, anxiety, and pain. Multiple regression analysis showed that the most influential factors affecting the quality of life were depression and fatigue at one month prior to and after surgery and anxiety at three months after surgery, while no factors were found to be influential at six months after surgery. Overall, the results of this study suggested that it is imperative to manage depression and fatigue one month prior to and after surgery to reduce the physical and psychological pain experienced by thyroid cancer patients. Moreover, three months after the surgery, anxiety should be closely monitored and controlled to improve the quality of life of the patients. This approach is expected to reduce the burden on the health care system and social costs, which will positively affect public health.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.362-371
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• 2019

The purpose of this study is to recognize kindergarten teachers' experiences of child violence for identifying the site's needs for the implementation of preventive education in early childhood and to provide basic data on child violence. To this end, nine teachers were interviewed in-depth. From the study results, first, child violence-related child behavior, which usually occurs in kindergartens, includes physical assault, aggression, verbal violence, threats and threats, and bullying. Second, teachers usually use direct intervention laws in cases of child violence, but were finding it difficult to intervene properly with many tasks or high teacher-to-child ratios. Teachers recognized the need for lower teacher-to-child ratios and placement of each class burden. Third, teachers were aware of the need for prevention education for child violence targeting infants, and instigated the following appropriate interactions immediately after problem behavior occurred: large group activities, specific multimedia education data and parent education. Fourth, teachers are concerned about the possibility of problem behavior being learned and imitated through education in the implementation of prevention education for children's violence. Therefore, this study proposed the need to develop various teaching methods that could be applied to infant education sites, focusing on the types of child violence-related problem behaviors that occur in kindergartens.

• Journal of agricultural medicine and community health
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• v.44 no.3
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• pp.115-123
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• 2019

Objective: This study was conducted to examine the effects of a health promotion program on the health condition of rural elderly women implemented at primary health care posts using Korean Frailty Index. Methods: The research was designed a nonequivalent control group pretest-posttest setting. The participants in this study were 50 residents (intervention group: 25, control group: 25) selected from 4 villages 2 primary health care posts in J city Gyeongsangnam-do. The health promotion program was conducted at the primary health care posts twice a week for 12 weeks. This program consisted of basic exercises(Gukseondo + Theraband muscle strength training) and additional activities(including modified Theraband activity, rubber ball exercise, ball massage, nutrition class, singing class). Collected data were analyzed by descriptive statistics, paired t-test, and repeated measures ANOVA with SPSS 21.0. Results: Results of the health promotion program showed that the health conditions(measured by perceived health status, frailty score, upper/lower flexibility, maximum grip strength, dynamic balance test Timed Up and Go) of the experimental group(25) all statistical significantly improved. Conclusion: Study findings indicate that the health promotion program implemented at primary health care posts on rural elderly women is effective and can contribute to a developed health promotion program for local residents in the future.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.393-405
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• 2019

This study is descriptive survey research to find out factors which violence experience, violence coping and social support affect. This study aims at reducing burnout of psychiatry nurses and founding problem-oriented violence handling standardized intervention. The subjects were 204 nurses who have worked for more than a year in a hospital. The data collection period was conducted with structured survey from July 1, 2018 to August 31, 2018. Collected data was analysed with average, standard deviation, t-test, ANOVA, Pearson's Correlation confident, Multiple Regression and this data will go to by SPSS. The results of the study were as follows. 92.2% of psychiatry nurses are experiencing verbal violence, 92.2% are experiencing physical threat and 75.5% are experiencing physical violence. Relations between violence experience and violence coping(r=0.15. p<.027), violence experience and burnout(r=0.16, p<.017) were positive correlation. Relation between violence coping and social support(r=0.30, p<.001) was positive correlation, and social support and burnout(r=-0.28, p<.001) was negative correlated. Also we found out that nursing job satisfaction, social support and physical violence experience affect burnout. Which shows model's explanatory power was 33.3%. Therefore preventive discipline which can reduce violence experience of psychiatry nurses, founding systems to reinforce social support and creating circumstance where nursing job satisfaction can increase will help reduce burnout and serve better nursing.

• Korean Journal of Occupational Therapy
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• v.26 no.4
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• pp.1-11
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• 2018

Objective : This study was conducted to determine the emotional labor of occupational therapists and the level of their feelings of depression and to examine the impact of their emotional labor on their depressive mood. Methods : Subjects of this study were clinical occupational therapists working at hospitals and clinics in Seoul and Gyeonggi regions. The factors of emotional labor were set as independent variables, the general characteristic variable and job characteristic variable which showed significant results in the chi-square test was set as the adjusted variable and whether the depression happens or not was set as the dependent variable, after which a multivariate logistic regression analysis was conducted. Results : Components of emotional labor, including frequency of emotional display(OR 1.699, 95% CI 1.202-2.401), attentiveness to required display rules(OR 1.436, 95% CI 1.070-1.982), and emotional dissonance(OR 1.866, 95% CI 1.336-2.607) all had a significant effect on depression. The possibility of depression was significantly higher in women than men(OR 5.736, 95% CI 1.746-18.846), those working for more than 8 hours per day than less than 8 hours per day(OR 8.609, 95% CI 2.306-32.137), and those working with children than those working with adults(OR 4.249, 95% CI 1.668-10.824). Conclusion : This study revealed that the emotional labor that occupational therapists are exposed to while interacting with patients and their caregivers exerts an influence on their feelings of depression. This suggests the need for developing various preventive intervention programs designed to alleviate the depressive symptoms of occupational therapists and formulating appropriate policies.

• The Journal of the Korea Contents Association
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• v.21 no.4
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• pp.278-291
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• 2021

This study performed a longitudinal research on the causal relationship between multidimensionality of problem drinking and poverty, and multidimensional deprivation meaning the inequality, focusing on gender difference. For this, this study examined the latent group of problem drinking change trajectory through the latent class growth analysis targeting total 3,770 men and 5,632 women by using the 6th-year Korea Welfare Panel Study data from 2013 to 2018, and then conducted the multinominal logistic regression analysis to verify the influence of multidimensional deprivation factors on this latent group. The main results of this study are as follows. First, the latent group of problem drinking change trajectory according to gender was classified into three latent groups in both men and women while the development aspect was different from each other. The male latent group with 'moderate level' or higher showed higher level of problem drinking than women. However, in case of 'drinking group with high level' according to gender, as time passed, the men tended to maintain it while the women tended to increase it. Second, in the results of examining the effects of multidimensional deprivation on the latent group of problem drinking change trajectory, the men with more experiences of social deprivation and the women with more experiences of social security deprivation showed the higher possibility to belong to the 'drinking group with high level' compared to the 'drinking group with low level'. Based on such results above, this study discussed the preventive/intervention measures for problem drinking according to gender.

• 한국노년학
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• v.36 no.4
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• pp.1141-1155
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• 2016

The purpose of this study was to compare the preventive effects of green tea and coffee drinking on postprandial hypotension in the elderly. A total of 30 women ($81.2{\pm}6.8years$) who had experience of postprandial hypotension participated 3 interventions by random order allocation. During the experimental interventions, each participant had a cup of instant coffee (60mg caffeine), or green tea (15.8mg caffeine) after lunch, and control group had only their lunch. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured with 15 minute interval from 30 minutes before the meal to 120 minutes after the meal. The preprandial SBP and DBP were not significantly different between three groups. Postprandial SBP reduction measured at the 1 hour after meal was significantly smaller in coffee group compared to the control group, whereas green tea group was not ($-15.1{\pm}17.9mmHg$ vs $-13.4{\pm}22.4mmHg$ vs. $-4.1{\pm}18.6mmHg$ for control, green tea, and coffee group, respectively, p=.032). Likewise, DBP decrement at the 1 hour after meal was significantly smaller in coffee than control group ($-12.8{\pm}13.0mmHg$ vs $-6.9{\pm}16.6mmHg$ vs $-0.8{\pm}13.4mmHg$ respectively, p=.033). The HR response of the three groups were not significantly different throughout the intervention. Coffee drinking was potentially beneficial for preventing postprandial hypotension and resultant falling event.