• Title/Summary/Keyword: Psychological nursing practice

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Test of the Health Promotion Model (건강증진모델의 검증을 위한 일연구)

  • Lim Nam Young
    • Journal of Korean Public Health Nursing
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    • v.4 no.2
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    • pp.25-34
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    • 1990
  • The Purpose of this study were 1) to find out the characteristics of health promoting Ii festyles of the study samples, 2) to determine the relationships of physical health and mental health, 3) to determine the relationships of health promoting lifestyles and health status. The health promotion model was tested with a volunteer sample of 141 female students in a university in Seoul. The health promoting lifestyle was measured by the scales developed by Walker and Pender(1987). Health status was measured by Cornell medical Index. Pearson's product moment correlations and stepwise multiple regression technique were used to analyze the data. The results are summarized as follows; 1. The items with the highest frequency of the subscales of health promoting lifestyle were 'look forward to the future' $(133,\;95.0\%)$ in self actualization, 'Enjoy being touched and touching people close to me' $(122,\; 87.14\%)$ in relationships with others. The strongest correlation was between general competence In self care and nutritional practice(r=5388, P<. 0001). 2. Fatigability, frequency of illness, miscellaneous diseases, habit, mood and feeling patterns were predictive of mental health. 3. Total health promoting lifestyles explained $14\%$ of the variance for health status. Relationships with others explained $20.9\%$ of the variance for health status. In conclusion, because the most variance explained was $420.9\%$, there must be other variables not accounted for by the model. that influence health promoting behaviors. Psychological factors accounted for more variance than other factors. Intervention studies focused on psychological factors as a means of altering behaviors have great potential for the design of interventions to increase health promoting behaviors. Further testing of the model with this population should be done.

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The Lived Experience of Suffering of Family with Cancer Patients: Parse's Human Becoming Research Method (암환자 가족의 고통체험 - Parse의 인간되어감 연구방법 -)

  • Choi, Ye-Sook
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The purpose of this study was to discover the structure of the lived experience of suffering of families with cancer patients to develop a theoretical foundation that can be used to reinforce nursing practice for cancer patients and their families. Methods: A qualitative study was performed using Parse's research method. Participants were four families with cancer patients. From February 2009 through April 2010, data were collected via dialogical-engagement between participants and the researcher and analyzed through the extraction-synthesis and heuristic interpretation processes. Results: The structure was identified as follows. The families' lived experience of suffering was a process through which they experienced a psychological shock of cancer diagnosis and difficulties associated with reshuffled roles among family members, and made efforts to care for the patients. Conclusion: Amidst sadness, pain, anxiety, guilt, fear and agony, the families focused on the human-health-universe aspect and found meanings of their experiences as love, triumphant, responsibility and hope. As such, the study results suggest that the suffering of families with cancer patients is a human becoming process of positive transformation.

An Ethnographic Study about Taegyo Practice in Korea (태교 실천에 대한 일상생활 기술적 연구)

  • 김현옥
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.411-422
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    • 1997
  • The purpose of this study is twofold : (i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception : and (ii) to comprehensive investigate socio-cultural back-grounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing with Taegyo, and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August.1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis. taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's (1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse." "physical check-up," "physical good health, " "praying, " and so on. 2. When the marriod couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are : "having sex at specific time, " "having sex in nice place." "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical. psychological, emotionmental. environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music. " "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things." "to eat food in good shape, " "to avoid drugs," "eating Korean herbal medicine." "sexual abstinence," "to avoid dangerous places," "to keep emotional tranquility," "moderate exercises and rest." "leading a pure life." "praying." "being aware of their words and behavior." "for the couple to keep a good relationship." "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition. the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role. 5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the mass media. As the husband -and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, her family support, and her neighbor's support. The mass media factors include the broadcasting media, books specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits are leading the public behavior pattern to a prodigal one. Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the development of the unborn child's intelligence and talents, the expectation of the unborn child's good features. shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.

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Survey on Relationship among Health Relating Factors Sasang Constitution and Stress (건강 요인과 사상체질 및 스트레스의 관련성 설문 조사)

  • Jeong, Mi-Young;Kim, Hee-Young;Chung, Young-Hae;Namkung, Eun;Ann, Hwa-Young;Park, Soo-Jung
    • The Journal of Korean Medicine
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    • v.36 no.3
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    • pp.14-22
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    • 2015
  • Objectives: The objective of the present study was to assess the factors that influence the health of workers, especially nurses, and to propose methods for health management. Methods: A total of 246 nurses were surveyed to ascertain the health status score, Sasang constitution diagnosis, health-related life and job factors, psychosocial stress, and job stress. Depending on their health status score, the subjects were categorized into unhealthy, intermediate, or healthy groups, and each factor was compared with the stress score of the groups. Further, each Sasang constitution factor was also compared with the stress scores. Results: Analysis based on the health status scores indicated that the patients in the intermediate group were older and had longer tenure than those in the unhealthy or healthy groups. The healthy group had higher number of married individuals, and they were subjectively assessed as healthy. Patients in this group were more satisfied with their work than those in the unhealthy group. Analysis of the Sasang constitution showed that a lower percentage of individuals with a Soeumin constitution were married, and most considered themselves to be unhealthy during the subjective health assessment. Conclusions: The findings of this survey revealed that in order to maintain health, efforts should be made to improve the work environment, achieve health confidence, and practice health behavior while considering one's own body, mental state, and constitution.

Feasibility Evaluation of Korean Advance Directives (K-AD) (한국판 사전의료의향서(K-AD)의 가용성 평가)

  • Kim, Shin Mi;Hong, Sun Woo;Kim, Jin Shil;Kim, Ki Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.639-649
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    • 2014
  • Purpose: This study evaluates the feasibility of Korean Advance Directives (K-AD) developed earlier. Method: From January 1 to February 28, 2013, data were collected from 330 adults through a self-reported questionnaire established by the authors based on literature review and expert consultation. The feasibility of K-AD was multi-dimensionally evaluated through four criteria: cognitive, psychological, document making and socially expecting aspects. Data were analyzed using t tests, one-way ANOVA, and Scheffe post hoc tests via the SAS 9.1.3 program. Results: The feasibility of K-AD differed significantly by gender (p=.003), educational level (p<.001), religion (p=.002), and self-reported health status (p=.039). Differences in the level of easiness with K-AD by gender (p=.008) and education (p=.047) were significant. Perceived simplicity of AD differed significantly by religion (p=.005), and the necessity of AD differed significantly by gender (p=.025) and religion (p=.005). Conclusion: K-AD are sufficiently feasible to be tentatively utilized in practice. This is the first study to explore the feasibility of K-AD on the basis of multiple aspects. However, further studies involving diverse populations and methodologies to validate the usefulness of K-AD are warranted.

An Exploratory Study about the Importance of Selected Nursing Activities during the Puerperal Period, as Viewed by Women in the Puerperal Period and by Nurses Caring for Them (산모와 간호원이 본 선택된 산욕기 간호활동의 중요도에 관한 탐색적 연구)

  • 박주봉
    • Journal of Korean Academy of Nursing
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    • v.8 no.1
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    • pp.152-162
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    • 1978
  • The desire to maintain health is increasing, consequently the role of nursing which has as one chief aim the solving of man′s basic problems is more and more important. Today, in spite of a growing concern about the nursing activities which nurses provide for individual human having specific needs, clinically in fact, it is questionable that individual′s expectation of nursing activities agrees with nurse′s performance of nursing activities. In this study the importance and agreement of the importance of the nursing activities during the hospitalized puerperal period as viewed by women in the puerperal period and by nurses caring for them, were assessed. The present study was undertaken in an attempt to furnish the basic data for expediting the progress of research activities in this area and further to be helpful in planning maternity nursing practice. The study population defined and selected was nurses (13) caring for women in the puerperal period and doing duty on obstetric & gynecologic ward at Y. hospital, and the women in puerperal period (39) as sum of 3 women selected by each nurse during the period of May 13th-June 4th 1976. The study data was collected by the direct interview method based on the questionnaire which the investigator made out. The study result was analyzed by percentage, t - test. The findings can be summarized as follows: 1. General characteristics of nurses doing duty on puerperal ward: a. Nurses′average age was 24.8 years old. b. 84.6% had educational background of 4 years of college. c. 69.2% had a religion. d. 53.8% were married. e. 53.8% had clinical experience of 1 year -3 years. f, 61.5% did duty on puerperal ward during 1 year -3 years. g. 46.2% desired to do duty on obstetric ? gynecologic ward. 2. General characteristics of the women who were studied during their puerperal period: a. Women′s average age was 26.4 years old. b. 79.5% had educational background above high school. c. 56.4% had a religion. d. 84.6% had living standard above medium. e. 89.7% had no occupation. f, 53,8% had previous hospitalization experience. g. 56.4% had previous delivery experience. 3. Examining the importance of 39 nursing activities during puerperal period selected by investigator, studied group of women considered that the most important nursing activity was "Record precisely about condition, medical treatment and nursing activity results etc". Nurses considered that the most important nursing activity was "Notice whether having pain and care for that". Both groups considered that the least important nursing activity was "Talk with her about topics such as news, hobbies, other interests". 4. Examining the importance of nursing activities in 4 specific categories, studied group of women considered that the most important nursing activity in physical nursing category was "Be sure of safety measure to prevent accidents, injuries", and nurses considered that the most important nursing activity was "Make her sleep and rest sufficiently". Studied group of women considered that the most important nursing activity in psychological category was "Explain about medical treatment and nursing activity ahead of time so she knows what to expect" , and nurses considered that the most important nursing activity was "Explain about puerperal period so she understands". Studied group of women considered that the most important nursing activity in relation to medical care was "Record precisely about condition, medical treatment and nursing activity results etc.", and nurses considered that the most important nursing activity was "Observing, cleaning and protecting the perineum" Studied group of women considered that the most important nursing activity in nursing category in preparation for discharge was "Instruct about personnel hygiene during puerperal period", and nurses considered that the most important nursing activity was "Instruct self-care to protect the perineum". 5. The analysis of this study showed a significant amount of disagreement computed by subtracting the nurse′s score from the patient′s score. Studied group of women put greater importance on physical nursing category, psychological nursing category, nursing in relation to medical care, than the nurses. These results were statistically significant at 0.01 level.

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The Study of Smoking Behavior in College Women : A Grounded Theory Approach (일부 여대생의 흡연경험에 관한 연구)

  • 김문실;김애경
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.315-328
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    • 1997
  • The purpose of this study was to explore the process of smoking behavior of college women with a history of smoking. The subject were 48 female students selected by theoretical sampling from a womens' university in Korea. The data were collected by in-depth interviews using audiotape recordings done over a period of seven months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to strauss and corbin's methodology. Analysis of the data resulted in identification of 15 categories representing 34 concepts. The results of this study were as follows : 1. Smoking in college women is caused by either curiosity or antagonism toward male smokers 2. The meaning(phenomena) of smoking behavior in college women is justifiable or regretable 3. Smoking occurs in connection with eating, during period of psychological conflict or as an habitual practice 4. Smoking behavior is related to the perception of harmfulness to health, influence of others and the accessability of cigarettes. 5. College women experinced a change in their state of health, emotional relaxation, change in their social relationships It is suggested that the results of this study may contribute to the development of strategies for the purpose of decreasing smoking behavior among female college students.

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A case study on the effect of musical experience through Korean music, Samulnori with abdominal breathing on liver cirrhosis

  • Ko, Kyung-Ja
    • CELLMED
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    • v.5 no.3
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    • pp.21.1-21.7
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    • 2015
  • The purpose of this article is to argue that the joy of musical experience through Samulnori with abdominal breathing plays significant role in improving liver cirrhosis. Samulnori is one of the most popular programs in music education in Korea. It helps fully express the player's emotions. The data are based on interview and observation drawn from field experience. Interviewee has continued to practice in charity performances of Samulnori in nursing homes once a month since 2011. Through learning and practicing, musical experience of Samulnori produces a large measure of physical health and psychological satisfaction. This article concludes in-depth interview, a patient with liver cirrhosis that has shown gradual improvement through Samulnori with abdominal breathing from 2011 to 2014.

Development and Application of Telephone Counseling Services for Care of Patients with Colorectal Cancer

  • Lin, Wen-Li;Sun, Jia-Ling;Chang, Shu-Chan;Wu, Pei-Hua;Tsai, Tsung-Chih;Huang, Wen-Tsung;Tsao, Chao-Jung
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.969-973
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    • 2014
  • Background: The number of colorectal cancer (CRC) patients in Taiwan has increased in recent years; therefore, the effective dissemination of information related to symptom care has become especially important. Previous studies indicated that the physical and psychological status of cancer patients can be effectively improved by telephone counseling services (TCS). Thus, determining the most effective means of establishing a TCS to support the clinical practice of oncology has become a crucial goal for nursing. The purposes of this study were to analysis the content of the TCS for CRC and explore stratification of the TCS. Materials and Methods: The study design was retrospective. A total of 850 calls were made to CRC patients in the cancer center of Southern Taiwan during the period of January 2007- December 2011. A structure questionnaire was adopted to analysis satisfaction. Results: Responses provided by the TCS included information regarding nutrition, side effects resulting from chemotherapy and pain. Moreover, 28.7% of CRC patients needed advanced treatment. More than 90% satisfaction with all aspects of the calls was found. Conclusions: The TCS coulkd be shown to provide an effective means by which to expand the reach of nursing care to different times, places and patients, allowing for greater cost efficiency and more rapid service.

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure

  • Lee, Sang Rim;Lee, In Sook;Oh, Seung-June;Kim, Sung Hwa;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.467-475
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    • 2018
  • Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.