• Journal of Korean Academy of Nursing
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• v.35 no.8
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• pp.1451-1460
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• 2005

Purpose. The purpose of this study was to evaluate the premature infants' responses to infant massage (tactile and kinesthetic stimulation). These responses measured by weight, physiological (vagal tone, heart rate, oxygen saturation) and behavioral responses (behavioral states, motor activities, and behavioral distress). Methods. This study was conducted using an equivalent control pretest-posttest design. The sample was divided into two groups of 13 infants with gestational age less than 36 weeks at birth, birth weight less than 2000g, and no congenital anomalies. The experimental group received the massage intervention twice daily for 10 days. The data were collected for 10 minutes prior to and 10 minutes after the massage. Results. The vagal tone was significantly higher after massage than before massage in the experimental group, while no change in the control group. The experimental group had significantly higher scores for awake state and motor activity than the control group. Significantly greater awake state, more fidgeting or crying, and increased motor activity were reported after massage than before massage. Conclusions. The results of this study showed that massage therapy might enhance optimal physiological responses and behavioral organization of premature infants. Nursing staff in the NICU can use massage to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.3
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• pp.466-478
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• 2000

The purpose of this study was to identify the effects of music therapy on anxiety of cesarean section wemen. The research design was a nonequivalent control group non-synchronized design. The subjects of this study were 65 cesarean section wemen scheduled for surgery. The study was conducted from October 15, 1999 to January 5, 2000. Two groups consisted of subjects assigned : one the experimental group(33 wemen), and the other the control group(32 wemen). The music therapy was performed 3 times to experimental group just before surgery day, on surgery day. The level of anxiety was measured by State Anxiety Inventory, blood pressure, pulse rate, respiratory rate. The data were analyzed using descriptive statistics, $x^2-test$, t-test, Repeated measures of ANCOVA. The results of study were as fellows : 1) State anxiety scores were significantly different between the experimental group and the control group after music therapy. 2) Systolic blood pressures and diastolic blood pressures were significantly different between the experimental group and the control group after music therapy. 3) Pulse rates were significantly different between the experimental group and the control group after music therapy. 4) Respiratory rates were significantly different between the experimental group and the control group after music therapy. According to these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety of cesarean section wemen.

• Journal of Korean Academy of Nursing
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• v.36 no.7
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• pp.1123-1134
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• 2006

Purpose: The purpose of this study was to identify the effects of aromatherapy on blood pressure and stress responses of clients with essential hypertension. Method: There were fifty-two subjects divided into an essential oil group, placebo group, and control group by random assignment. The application of aromatherapy was the inhalation method of blending oils with lavender, ylangylang, and bergamot once daily for 4 weeks. To evaluate the effects of aromatherapy, blood pressure and pulse were measured two times a week and serum cortisol levels, catecholamine levels, subjective stress, and state anxiety were measured before and after treatment in the three groups. Data was analyzed by repeated measures of ANOVA, one-way ANOVA, and $X^2-test$ using the SPSS 10.0 program. Results: The blood pressure, pulse, subjective stress, state anxiety, and serum cortisol levels among the three groups were significantly statistically different. The differences of catecholamine among the three groups were not significant statistically Conclusion: The results suggest that the inhalation method using essential oils can be considered an effective nursing intervention that reduces psychological stress responses and serum cortisol levels, as well as the blood pressure of clients with essential hypertension.

• Korean Journal of Adult Nursing
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• v.25 no.4
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• pp.473-482
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• 2013

Purpose: The purpose of this study was to investigate the effects of a structured preoperative instruction upon anxiety and postoperative self-care compliance. Methods: A randomized control group pre-post design was used. Sixty subjects undergoing cataract surgery were randomly assigned to one of two groups. The instruction consisted of cataract surgery procedure, sensory information, deep breathing, use of eye drop, and post op self-care regimen and was provided to the experimental group with control group receiving an usual treatment. State anxiety NRS, pulse, BP, and self-care compliance scale developed by Cho & Rho were used. Data were collected at two time periods: on the day of surgery in the clinic and prior to anesthesia in the operating room. The postoperative self-care compliance scores were measured at their second visits to the hospital after surgery. Data were analyzed using Kolmogorov Smirnov test, t-test, and Mann-Whitney U test. Results: There were significant differences between the two groups in the postoperative state anxiety (t=-3.57, p=.001) and the postoperative self-care compliance score (t=3.92, p<.001). There were no significant difference between the two groups in the postoperative blood pressure and pulse rate. Conclusion: The results of this study suggest that the structured preoperative instruction could be a nursing intervention for cataract surgery patients.

• Child Health Nursing Research
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• v.13 no.3
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• pp.357-366
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• 2007

Purpose: This study was conducted to survey and examine the relationship of family strengths, family function, ego-identity and depression in adolescence in Busan, and to provide basic data for a health promoting intervention to improve their family health. Method: Data were collected from four colleges in Busan and, 680 students were enrolled in the study. Descriptive statistics, t-test or ANOVA with Scheffe's test and Pearson's correlation coefficients were used to analyze the data. Results: The mean score for family strengths was 3.58, family function 4.31, ego-identity 55.4 and depression 17.9. The scores for family strengths differed significantly according to subjective social economic state and father's job, parent's religion, parent's marital status and family composition. The scores for family function differed significantly according to parent's religion, parent's marital status and subjective social economic state. The scores for ego-identity differed according to mother's education level, parent's religion, parent's marital status and family composition. There were a positive correlations between family strengths and family function, between family strengths and ego-identity, between family function and ego-identity. There were negative correlations between family strengths and depression, between family function and depression, between ego-identity and depression. Conclusion: In order to promote ego-identity and to decrease depression in adolescence, it is necessary to develop supporting interventions to develop family strengths.

• Journal of Korean Biological Nursing Science
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• v.11 no.2
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• pp.105-113
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• 2009

Purpose: The aim of this study was to examine the effect of listening to music on the level of anxiety, sedation, and vital signs of patients undergoing surgery with spinal anesthesia. Methods: A convenience sample of 70 adult patients, ASA physical status I-II, scheduled for elective urologic or orthopedic surgery with spinal anesthesia, was included in this study. They were assigned to either an experimental group (n=35), listening to music during surgery, or a control group (n=35), not listening to music. Their anxiety was measured with the Spielberg's Trait and State Anxiety Inventory (STAI-KYZ). Sedation level was monitored with the Bispectral Index, and the vital signs at beginning, 10, 20, 30, and 45 min after operation. Results: The music group reported significantly lower state anxiety level during surgery as compared with the control group (t=3.91, p<.001). Repeated measures of ANOVA indicated a significant by group interaction on BIS index scores of sedation (F=4.23, p=.006). Among the vital signs, only heart rate was a significant by group interaction (F=5.529, p=.004). Conclusion: These findings indicate that listening to music during surgery with spinal anesthesia is a useful and effective nursing intervention to reduce anxiety and to maintain proper sedation.

• Journal of Korean Public Health Nursing
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• v.28 no.3
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• pp.509-521
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• 2014

Purpose: This study was conducted in order to define factors influencing learned helplessness in undergraduates. Independent variables including external entrapment, internal entrapment, social support, trait anger, state anger, and anger expression were used to predict learned helplessness. Methods: Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. A total of 241 undergraduates recruited from September to November 2012 were included in the study. Results: Four factors of learned helplessness were founded to show significant correlation with external entrapment, internal entrapment, social support, trait anger, state anger and anger expression. Stepwise multiple regression analysis showed that 64% of the variance in learned helplessness was significantly accounted for by internal entrapment, social support and anger expression. Conclusion: This study showed that perceived entrapment and social support are important predictors of learned helplessness. Therefore, in order to reduce learned helplessness in undergraduates, it is necessary to design an intervention program with strategies to help in coping with and reducing perceived entrapments.

• The Journal of Korean Society for School & Community Health Education
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• v.10 no.1
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• pp.61-86
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• 2009

본 연구는 영문으로 발표된 문헌고찰을 통해 한국의 청소년 자살행동의 예측요인을 종합적으로 이해하고 이과 관련된 정책과 중재프로그램의 동향을 파악하는데 그 목적을 두었다. 이 연구의 목적은 나아가 한국 청소년 자살을 감소시키고 억제하는데 필요한 효과적인 중재방안의 개발에 근거자료로 활용될 수 있다. 본 연구는 주제어 검색을 통해 4대 사회과학 검색엔진을 활용하여 문헌검색을 하였고 Citation Pearl Growing 기법을 적용하여 영문으로 발표된 학술지 게재 논문을 선별하였는데 추가적으로 국회도서관 전자 데이터베이스를 이용하여 최근 청소년 자살에 관한 대표적인 2개의 보고서를 찾아 고찰하였다. 본 문헌고찰은 청소년 자살예방 중재 프로그램 뿐만 아니라 청소년 자살행동에 영향을 주는 요인을 거시적, 미시적 차원으로 논하였다. 청소년 자살행동에 기여하는 거시적 또는 사회적 요인은 국가 경제수준, 대학입시에 대한 학업성취도 스트레스, 그리고 매체 및 인터넷 문화였다. 개인적 또는 미시적 위험요인은 6개의 영역으로 나누어 설명되었다. 일반적 특성, 가족 특성, 학교 환경, 약물 사용, 정신적 장애, 성적 정체성이었다 이 6개 영역의 위험요인들이 서로 조합되면서 청소년에게 자살 의도나 시도가 일어나도록 하는 경향이 높았으며 이중 청소년 자살 예방에 우선적인 3대 요소는 자아정체성 확립, 정신건강 중재서비스의 제공, 거시적 예방 정책의 구조화로 분석되었다. 종합적으로 학교는 정규학교교육과정과 학생 검사를 통해서 일반적인 정신건강교육을 실시하고 위험학생을 선별 하는데 핵심적인 장이다. 따라서 학교를 경유한 위험학생 선별사업과 이에 따른 교육 및 중재 프로그램의 지원이 활성화되는 것이 필요하다.

• International Journal of Contents
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• v.13 no.3
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• pp.49-58
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• 2017

This is a descriptive research study that classified Korean adults with obesity into those with Metabolically Healthy Obesity and those with Metabolically Unhealthy Obesity based on the data from the fifth and sixth South Korea's National Health and Nutrition Examination Surveys, designed due to the development of information and communication technology, to examine the impacts of obese adults' health behavior factors and mental health factors on their metabolic state. With respect to data analysis, the collected data were analyzed by complex sample statistics. The results of this study can be summarized as follows: Men who were smoking at the time of the survey had a 1.29 times higher probability of inclusion in the MUO group than in the MHO group. Women who had a high stress cognition rate had a 1.02 times higher probability of inclusion in the MUO group than in the MHO group. This study is significant as it provides the basic data for establishing strategies of nursing intervention for the promotion of obese adults' health, and it suggests that it is necessary to develop a program for the promotion of obese adults' health based on these results.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.9 no.4
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• pp.1548-1568
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• 2015

Korea's Compulsive Shutdown System bans online game providers from offering their services to children under 16 years of age from midnight to 6 a.m. Although it was introduced only after lengthy rounds of discussion, controversy over the system still continues. The key question is whether the system, which unilaterally emphasizes juvenile protection, infringes upon the freedom of playing games for teenagers, the freedom of business for game products related business operators and the right to foster children for parents, which are basic rights under the Constitution. It is very encouraging that the State took up the issue and prepared various systems for juvenile protection through the Compulsive Shutdown System. Yet the government has to plan as comprehensive and effective of a measure as it possibly can by predicting the trends of technology development and game use, and also set detailed standards to ensure that the system should not become an excessive or inappropriate regulation. Although the State's compulsive intervention may be positive since it is hard to expect a self purification capability to exhibit itself concerning game use among teenagers, a plan to prevent game addiction among adolescents from the long-term and fundamental perspectives should be prepared as well.