• Journal of Korean Clinical Nursing Research
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• v.14 no.2
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• pp.47-57
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• 2008

Purpose: The purpose of this study was to examine the effects of an electric heating pad on abdominal pain and anxiety during the colonoscopy procedure. Method: Data were collected from 70 adult patients (experimental group (35), control group (35)) who underwent colonoscopy in a general hospital in Seoul, South Korea between January 6 and May 4 2006. For the experimental group the electric heating pad was applied from 20 minutes before the test through the whole procedure. Objective pain was measured during the test, and subjective pain, state anxiety, blood pressure and pulse rate were measured after the procedure. Results: The experimental group with the electric heating pad reported significantly lower subjective pain and anxiety than did the control group. There were no significant differences in objective pain between experimental and control groups. Patients with an electric heating pad showed significantly lower systolic and diastolic pressure than did those in the control group. There was no significant difference in pulse rate between the groups. Conclusion: Use of an electric heating pad was efficient in reducing subjective pain and anxiety among patients undergoing colonoscopy. This is a convenient and useful nursing intervention to reduce anxiety and pain among patients having a colonoscopy.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.459-469
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• 2007

Purpose: The purpose of this study was to identify the effect of supportive nursing intervention on the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery. Methods: The research design involved a non-equivalent control group pretest-posttest non synchronized design. The subjects consisted of 43 mothers of children who were expected to undergo open heart surgery, and were divided into two groups; an experimental group of 22 and a control group of 21. The experiment was administered to the experimental group a total of four times, following supportive nursing intervention protocols. The research tools used were Spielberger's State Anxiety Inventory for anxiety and Park Jung-Eun's nursing satisfaction. The data were analyzed using the $x^2$-test, and t-test with SPSS/WIN 12.0 program. Results: Hypothes 1, 'The experimental group who are given supportive nursing intervention will have a lower anxiety score than the control group' was supported(t=5.658, p=.000). Hypothesis 2, 'The experimental group who are given supportive nursing intervention will have a higher nursing satisfaction score than the control gropu wasl supported(t=-9.549, p=.000). Conclusion: The supportive nursing intervention protocol was effective in reducing anxiety and increasing the nursing satisfaction of mothers with children undergoing open-heart surgery.

• Journal of Korean Biological Nursing Science
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• v.19 no.3
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• pp.206-213
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• 2017

Purpose: The purpose of the study was to compare salivary cortisol levels, self-reported occupational stress, and anxiety before duty to those after duty in the shift and regular work nurses, and the relationships among them. Methods: Thirty nurses working in a tertiary hospital participated in the study. Salivary specimens were collected before and after daytime duty for 2 days. The occupational stress and state anxiety were also evaluated using self-report questionnaires. Results: The average level of salivary cortisol was $0.40{\mu}g/dL$ before duty and $0.20{\mu}g/dL$ after duty in Korean nurses. Overall levels of salivary cortisol, self-reported occupational stress, and anxiety were higher in shift working nurses than regular working nurses. In shift working nurses, the salivary cortisol gap between before and after duty was attenuated on the first day of daytime duty. Significant positive correlation was found between the level of cortisol before duty and anxiety after duty. Conclusion: Strategies to alleviate occupational stress and anxiety are needed for shift working nurses, especially for those with elevated levels of cortisol. It seems to require 3days to recover from attenuated cortisol rhythm during nighttime duty in shift working nurses.

• Journal of Korean Academy of Nursing
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• v.16 no.3
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• pp.123-130
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• 1986

This Study is aimed at showing the effect of relaxation technique on reduction of anxiety of nursing students in the first clinical practice. The samples of this research were eighty fresh-man students of Dong San Junior College of Nursing. Of them thirty-eight were experimental group and remaining forty-two were control group. This study has been conducted from October 14 to 22, 1985. Subjects in all two groups had measured their trait anxiety, after then, the researcher carried out Byun's relaxation technique with experimental group every other day After the experimental period, subjects in all two groups had measured their state anxiety. The tools of this study were two kinds: Spielberg, Gorsuch & Lushene's STAI, and Byun's relaxation technique. To test the statistical difference in the subjects' trait anxiety, score of lecture in pre-clinical practice and score of practice pre-clinical practice, t-test was performed. To verify the hypotheses, ANCOVA was performed. Results of this study were as follows: The main hypothesis that the nursing students who use relaxation technique will have less degree of anxiety in the first clinical practice than the nursing students who don't use relaxation technique was accepted (P<.005). Conclusively, the researcher thinks that it is necessary that nursing students were prepared with relaxation technique to reduce anxiety in their first clinical practice.

• Journal of Oriental Neuropsychiatry
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• v.27 no.1
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• pp.23-31
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• 2016

Objectives: This study was performed to investigate the research trends of physical activities interventions such as yoga, taichi, and qigong to reduce anxiety. Methods: Korean databases were searched for articles related to survey of physical activity interventions (yoga, taichi, qigong) to reduce anxiety from 2009 to 2015. Results: Fifteen articles published in Korean journals from 2009 to 2015 were retrieved. The quality of studies were generally low and characteristics of subject were not homogeneous. Spielberger State Trait Anxiety Inventory (STAI) was used most frequently as an assessment tool. The included publications included 9 articles on yoga, 4 articles on qigong, and 2 articles on taichi. Of these, 8 of 9 articles on yoga, 2 of 4 articles on qigong, and 2 of 2 articles on taichi reported that intervention group showed statistically significant decrease of anxiety symptoms. Conclusions: In this study, physical activity interventions such as yoga, taichi and qigong might be beneficial for reducing anxiety. However, more scientifically designed research on physical activity- based treatments are needed to prove the efficacy and effectiveness.

• Journal of Oriental Neuropsychiatry
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• v.30 no.3
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• pp.275-285
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• 2019

Objectives: This study was performed to review the research trends in the treatment of Tai Chi on anxiety. Methods: We searched for articles in Pubmed and China National Knowledge Infrastructure (CNKI) from January 2009 to December 2018. The selected studies were evaluated by Jadad Scale. Results: One pre-post comparison study and seven controlled clinical trials were selected. HAMA (Hamilton Rating Scale for Anxiety) and STAI (State Anxiety Inventory) were the most frequently used diagnostic criteria. For outcome measurement, STAI was again the most commo. From Jadad Quality Assessment Scale of 8 articles, the overall quality of the studies was low. Conclusions: According to this study, it seemed that Tai Chi treatment on anxiety disorder is an effective and safe intervention. Therefore, based on this study, more clinical research on diverse forms of treatments of anxiety disorder should be performed in Korean medicine in the near future.

• Journal of Korean Biological Nursing Science
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• v.24 no.4
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• pp.227-234
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• 2022

Purpose: Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking. Methods: Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln. Results: Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p=.012) and PWI (p=.006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program. Conclusion: These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.2 no.1
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• pp.3-10
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• 1991

Test situations are relatively specific and are experienced by everyone. The major purposes of this overview are to review the current concepts and theories of test anxiety and based on this review to suggest future directions in test anxiety theory and research. Test anxiety can be explained in terms of drive-oriented approach. trait-state anxiety theory, cognitive theory, cognitive and emotional approach, and psychodynamic theory. Usually, high test-anxious students keep the following characteristics : 1) The test situation is seen as difficult, challenging and threatening. 2) The individual sees himself as ineffective, and inadequate in handling the task at hand. 3) The individual focuses on undesirable consequences of personal inadequacy. 4) Self-deprecatory preoccupations are strong and interfere or compete with task-relevant cognitive activity. 5) The individual expects and anticipates failure and loss of regard by others. Future directions in test anxiety research should be focused to elucidate the nature and construct of test anxiety and the etiological factors of test anxiety by conducting research on the relationship between parental or social attitude and test anxiety. The effects of test anxiety on memory, attention, and cue utilization should be performed to elucidate the relationship between test anxiety and performance.

• Psychiatry investigation
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• v.15 no.11
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• pp.1053-1063
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• 2018

Objective This study evaluated the psychometric properties of the Korean Anxiety Screening Assessment (K-ANX) developed for screening anxiety disorders. Methods Data from 613 participants were analyzed. The K-ANX was evaluated for reliability using Cronbach's alpha, item-total correlation, and test information curve, and for validity using focus group interviews, factor analysis, correlational analysis, and item characteristics based on item response theory (IRT). The diagnostic sensitivity and specificity of the K-ANX were compared with those of the Beck Anxiety Inventory (BAI) and Generalized Anxiety Disorder 7-item scale (GAD-7). Results The K-ANX showed excellent internal consistency (${\alpha}=0.97$) and item-total coefficients (0.92-0.97), and a one-factor structure was suggested. All items were highly correlated with the total scores of the BAI, GAD-7, and Penn State Worry Questionnaire. IRT analysis indicated the K-ANX was most informative as a screening tool for anxiety disorders at the range between 0.8 and 1.6 (i.e., top 21.2 to 5.5 percentiles). Higher sensitivity (0.795) and specificity (0.937) for identifying anxiety disorders were observed in the K-ANX compared to the BAI and GAD-7. Conclusion The K-ANX is a reliable and valid measure to screen anxiety disorders in a Korean sample, with greater sensitivity and specificity than current measures of anxiety symptoms.

• Journal of Korean Biological Nursing Science
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• v.13 no.1
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• pp.16-22
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• 2011

Purpose: Hand washing has received renewed emphasis in recent years as Swine flu epidemic threaten health of public. This study aimed to describe measures used to prevent new types of influenza (NTI); describe hand washing frequency; and analyze the relationship of hand washing to locus of control, uncertainty, and state anxiety. Methods: One hundred thirty three adults participate in the questionnaire survey in which participants indicated measures they used to prevent NTI, frequency of handwashing for the prevention of NTI. They also responded to questions related to locus of control, uncertainty and state anxiety. Data were analyzed using descriptive statistics, Pearson correlation and multiple regression. Results: A majority (66.9%) of the participants indicated that handwashing was an important measure to prevent NTI. Importance of hand-washing was related the highest among the measures they used and it was significantly related to participants who had high score in internal locus of control. Other significant factor to the hand-washing behavior was state anxiety, which explained 6.9% of the frequency. Conclusion: According to the results of this study, majority of participants indicated that handwashing was one of the most important measures to prevent NTI. Nurses need to continue educating public the importance of handwashing and pay attention to personal characteristics such as internal locus of control and anxiety to promote hand-washing.