• Journal of Acupuncture Research
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• v.35 no.2
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• pp.95-100
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• 2018

Background: The aim of this study is to assess the feasibility of acupuncture treatment for the management of subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures. Methods: A total of 30 participants who have undergone thoracotomy after traumatic multiple rib fractures will be recruited. Participants will be invited and equally randomised into acupuncture plus usual care and usual care alone groups. A computer-generated random number sequence will be used and concealed using opaque, sealed, sequentially numbered envelopes. Twelve sessions of manual and electrical acupuncture performed by Korean medicine doctors will be provided over a span of 3 months to participants allocated to the acupuncture group. Participants in the usual care group will continue pain medication, exercise and physical therapy as required. Study feasibility will be measured based on the proportion of patients who complete the measurement of pain at 12 or 24 weeks after baseline. The clinical outcomes will include; the average pain intensity over the recent week at rest, movement and cough, quality of life, patient's global assessment of recovery, respiratory function measured by the pulmonary function test and use of pain medication at 4, 8, 12 and 24 weeks after enrolment. Adverse events will be recorded for all participants. Written informed consent will be obtained from all participants. The local ethics committee has approved the study. This pilot trial will inform further studies investigating the potential role of acupuncture for subacute and chronic post-thoracotomy pain in patients with traumatic multiple rib fractures.

• Journal of Digital Convergence
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• v.14 no.9
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• pp.399-406
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• 2016

This study aimed to identify the level of knowledge, attitude toward the elderly, competence of carers, and the correlation between these variables. Research design employed a cross sectional descriptive study using structured questionnaires. Data were collected from 145 carers who have worked in long term care facilities from June 2014 to September 2014. Descriptive statistics, ANOVA, independent t-test, and Pearson correlation coefficient were performed to identify the relationship among variables. The competence of carers was related to a positive attitude and a higher knowledge of caring for the elderly. Therefore, educational content that considers improvement among carers who have a low level of educational status should be developed. It should require carers to have a positive attitude toward the elderly through improving the job environment in order to increase the quality of long term care.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.2
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• pp.723-730
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• 2015

Background: This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. Results: Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. Conclusions: These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psychooncology services provided are to be recommended.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.2 no.2
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• pp.213-227
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• 1995

Today, although hospital infectious diseases are readily diagnosed, are treatable and preventable, many of these continues to be a major health problem in the developing countries, as well as the advanced nations. In the advanced countries efforts for hospital infection control has been presented but in Korea. The importance of being knowledgeble concerning hospital infection control is not much recognized yet. Presently in Korea good quality of care and services in the hospital is a main issue of discussion, therefore the subject of hospital infection control can't be over emphasized. Hospital infection control measures ranged from almost non existent to none when the pathogen transmission were not fully understood. As the knowledge of the transmission and contraction of the diseases expanded, newer and more effective procedures evolved. To be vital it is required to have good system for hospital infection control and inspection, rules and regulations and many numbers of persons with dedication. The strategy has been applied for hospital infection control standards as outlined by the centers for disease control and prevention(CDC). The hospital infection control committee is the factor to be well managed. Especially nurses are the important part of any hospital infection control program because they are the one who makes function properly. It is also required the responsibility of every employer who has employees who are exposed to blood, blood products or other potentially hospital infectious materials. Laws enacted by agencies of the federal government but the emphasis, and the demands for initiating and maintaining these control measures should be practiced on a routine and daily basis. The forgoing facts and requirements will assist us in assuring our hospital infection control program is successful.

• Journal of the Korean housing association
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• v.25 no.2
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• pp.19-26
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• 2014

The number of elderly who wants to access to Nursing Homes (NH) will increase due to the rapid aging society and domestic changes. Those who move into NH expect 24/7 care service in safe environment. Providing space free from danger, especially from fall, for the frail elderly is essential. The purpose of this study is to categorize performance needs of flooring materials in the aspect of safety, and analyze materials so that adequate ones for each space in NH can be suggested. Performance needs are as follows; slip resistance (dry/wet), fire resistance, resilience, water resistance, soil retardant, anti-bacterial, gloss, sound absorbtion. maintenance, durability, ease replacement, color and pattern variety, visual and tactual texture, tactile warmth, IAQ, sustainable material (before use), impact to nature (after use). They are categorized under function, economy, sensibility and sustainability. It was found that there are better materials than common ones that has been used repeatedly in NHs, such as vinyl sheets and VCT. In overall, Cork flooring and nylon carpet met all four categories, followed by wool carpet, rubber and linoleum. For bedroom, wood flooring, Cork, rubber, wool carpet, nylon carpets were suggested. In bathroom with shower, rubber, vinyl sheet and porcelain tiles were safe materials. As living/dining room and corridor floors, wool carpet, nylon carpet, cork flooring would be excellent as they are resilient and durable. The result of this paper can be used by both NH managers and material companies, resulting better quality of life of the elderly by providing safe environment.

• Women's Health Nursing
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• v.1 no.1
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• pp.68-80
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• 1995

Housewife plays a significant role in maintaining a health family life. If she can not function adequately due to high stress, it will affect quality of life of the household members. It also interferes with the normal process of family development. Futhermore, dysfunctional family will have effects on morale of the servicemen in military. This is a descriptive study. The main purpose of this study is to compare the level and types of stress between a group of military wives and a group of civilian wives and provide a data which can be used to develop a stress management program. Sample consist with 250 military wives and 250 civilian wives residing in metro Seoul area. Data collection was done during October 4, 1994-November 30, 1994. Stress was measured with the instrument developed by the researcher. The cronbach's ${\alpha}$ score of the instrument was .91. The data was analyzed by using SPSS-PC. The results of this study are : 1. The stress score was 47.09 for military wives, 36.56 for civilian wives. The range of score was 0-192. The stress level of military wives was greater than civilian wives. (t=4.80, P<.000) 2. The rank order of stressors of military wives were 1) move 2) residential environment 3) purchase of house 4) holidays. The rank order of stressors of civilian wives were 1) husband late return after work 2) arguments with husband 3) holidays 4) husband's drinking problem. The result shows that the main stressors of military wives are frequent moves, residential environment, uncertainty of the future, unsafe work environment of husband, and the lack of private life which are all associated with the military. Therefore, it is urgently needed to distribute this facts through military journal to understand the characteristic of the stress of military wives, and to develope appropriate health care program to lessen the stress.

• Women's Health Nursing
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• v.19 no.4
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• pp.211-218
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• 2013

Purpose: The purpose of study was to examine effects of aromatherapy on stress, sleep, nausea and vomiting of women after laparoscopic hysterectomy. Methods: The participants were 60 women who had laparoscopic hysterectomy: experiment group for aromatherapy (n=30) and control group for routine care (n=30). The experimental group received inhalation aromatherapy for 5 minutes, twice; the first was done right after the operation, the second was at 9 pm before sleep on the same day-while the control group had no inhalation. Data were collected from July to September, 2012 at G hospital. Results: The degree of psychological stress was not significantly different between two groups (t=-1.96, p=.054). Yet, there were significant differences between two groups for degree of physiological stress (t=-3.20, p=.002), the level of cortisol (t=-2.01, p=.049), the score of sleep status (t=2.47, p=.016), the score of sleep satisfaction (t=2.43, p=.018), and the score for nausea and vomiting (t=-2.58, p=.012). Conclusion: Inhalation aromatherapy using the mixed oil of lavender, mandarin, and marjoram was effective in decreasing the level of physiological stress, cortisol, and the score for nausea and vomiting, and also allowed the participants to have a better sleep. Therefore, inhalation aromatherapy could be effective in improving the quality of life of these women during recovery.

• Journal of Trauma and Injury
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• v.25 no.4
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• pp.254-260
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• 2012

Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.