• Title/Summary/Keyword: Structured Patient Education

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The Effect of structured Patient Education on Knowledge and Behavior about Selfcare in Hemodialysis Patients (구조화된 환자교육이 혈액투석환자의 자가간호 지식과 수행에 미치는 영향)

  • 정영란
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.120-127
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    • 1997
  • The purpose of this study was to identify the effect of structured patient education on knowledge and behavior about selfcare in hemodialysis patients, and to find the strategy to promote their selfcare behavior. In conclusion, structured patient education in hemodialysis patients was improved the level of knowledge and behavior about selfcare. But there was a little relationship between the knowledge and behavior about selfcare. That is ; structured patient education is the effective nursing intervention to improve their selfcare knowledge and behavior. but further research is needed to find the factor to increase selfcare behavior in hemodialysis patients.

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Effects of a Structured Patient Controlled Analgesia (PCA) Education on Knowledge and Attitude Regarding PCA Usage, Pain, and Consumption of Analgesics in Colorectal Surgery Patients (체계적인 통증자가조절기에 대한 교육이 수술 후 통증자가조절기 사용에 대한 지식과 태도, 통증 및 진통제 사용량에 미치는 효과 -대장암 수술 환자를 중심으로-)

  • Lee, Jin Hee;Jo, Hyun Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.455-466
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of a structured preoperative PCA education on the knowledge and attitude regarding PCA usage, level of pain, and the consumption of analgesics after operation for colorectal surgery patients. Methods: This study was conducted from 18 Feb to 2 May, 2008. Participants were 80 colorectal cancer patients who would use the IV-PCA after colorectal surgery in a cancer hospital in Gyeonggi-do, Korea. Two groups, experimental and control were consisted of 40 patients each. The 20-minute structured education regarding PCA usage was applied to each patient individually in the experimental group but only the routine anesthetic consultation was given to each patient in the control group the day before the surgery. The SPSS/PC 10.0 program was introduced to analyze the collected data on frequency, percentage, mean, standard deviation, $x^2$-test, t-test and paired t-test. Results: The experimental group with the structured preoperative PCA education showed higher knowledge and more positive attitudes regarding the PCA usage than the control group. Also the experimental group showed better pain control and lower consumption of analgesics at 4, 8 and 24 hours after than the control group. Conclusion: The structured preoperative PCA education is an effective nursing intervention for improving the knowledge and attitude of the colorectal surgery patients on the PCA usage, and enabling the patient to take the analgesic more effectively with lower consumption, while reducing the patients' pain after operation.

The Effect of Education on Preoperative PCA upon Postoperative Pain (수술 전 통증자가조절기에 관한 교육이 수술 후 통증에 미치는 효과)

  • Seo, Hyo-Shin;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.449-458
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    • 2002
  • Purpose: The purpose of this study was to compare the effectiveness of a structured preoperative PCA education to that of the usual informal teaching provided by hospital staff in alleviating postoperative pain through more effective use of PCA therapy. Method: As an advanced research, the knowledge about the use of PCA therapy and the attitude about the use of the pain medicine were estimated, and then as a later research, the knowledge about the use of PCA therapy, the attitude about the use of the pain medicine, and the score of the pain were estimated. Result: The experimental group those who received structured preoperative PCA education had statistically significant higher knowledge regarding the use of PCA therapy(p=0.026) and more positive attitudes toward using pain medicine(p=0.004). The experimental group those who received structured preoperative PCA education reported better pain control 4(p=0.002), 8(p=0.014) and 24 hours(p=0.018) after the operation. Conclusion: The structured preoperative PCA education increases the knowledge for the use of patient's PCA therapy and changes their attitude toward the use of the pain medicine positively and consequently enable the use of PCA therapy to be more effective and then finally reduced the patient's pain after the operation.

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Perception of student pharmacists on the utilization of standardized patients for patient counseling and Objective Structured Clinical Examination (OSCE) in South Korea (국내 약학대학 학생들의 표준화 환자를 활용한 복약상담 교육 및 OSCE에 대한 인식)

  • Park, Tae Eun;Kang, Minku
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.1
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    • pp.8-12
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    • 2022
  • Background: Woosuk University College of Pharmacy delivered patient counseling education and administered Objective Structured Clinical Examination (OSCE) by utilizing standardized patients (SP) in Introductory Pharmacy Practice course. Surveys were conducted to examine students' perception of SP and its impact on experiential education. Methods: Students learned patient counseling by didactic lecture and role-play, followed by hands-on practice with SP. Then, patient counseling skills were assessed during OSCE by utilizing SP. The first survey was conducted immediately after OSCE, and the second survey after the completion of Pharmacy Practice Experiences (PPEs). Results: According to the surveys, majority of the students agreed that utilizing SP was effective in building confidence for conducting patient counseling, reflecting on strengths and weaknesses of communication skills, and preparing for PPEs. It was particularly more effective than role-play in simulating patient counseling in a real pharmacy and reflecting on oneself. Also, OSCE was an appropriate method to assess patient counseling skills and utilizing SP for this purpose was well-suited. Conclusion: Although it is very new in South Korea, other developed countries are already widely utilizing SP, and its importance and necessity have been proven by several studies. Therefore, Korean colleges of pharmacy should begin discussing how to utilize SP to improve students' communications skills and implementing OSCE to evaluate those skills.

The Effect of the Structured Education on the Early Rehabilitation Knowledge and Activity Performance of the C.V.A. Patients (구조화된 환자교육이 뇌졸중 환자의 조기재활에 관한 지식과 활동수행에 미치는 영향)

  • 이혜진;이향련
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.109-119
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    • 1997
  • This study has been attempted to set up the strategies of the nursing which can promote the activity performance for early rehabilitation for the patients by examining the effect of the structured patient education on the early rehabilitation knowledge and activity performance of the C.V.A patients. The study method has been done by investigating the experiment group and control group in advance through the question papers and interview and observation on 65 patients who had been hospitalized at oriental medicine hospital of K Medical Center from July 1st 1995 to the end of Sep, 1995. The analysis of the collected material had been done for the homogeneity test in which general characters of experiment group and control group had been tested by X²and the homogeneity test of ADL by t-test. To test the hypothesis the t-test had been given for the difference of the early rehabilitation knowledge and activity performance between the two groups and the correlation between early rehabilitation knowledge and activity performance had been tested by Pearson's Correlation Coefficient. The result of the test of the hypothesis is as the below. 1 The 1st hypothesis “The experiment group which had received the structured education should be higher in the early rehabilitation knowledge than the control group” was supported(t=4.45. p=.000). 2. The 2nd hypothesis “The experiment group which received the structured education should be higher in the early rehabilitation activity performance than the control group”was supported(t=2.11, p=.036). 3. The 3rd hypothesis “The higher the early rehabilitation knowledge of the patient the higher the activity performance degree” was rejected (r=.1546, p=.219). In conclusion, the patients who received the structured education showed the increase in the degree of early rehabilitation knowledge and activity performance, so it has been judged that education has been prerequisite in increasing the knowledge and activity performance of early rehabilitation.

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Effect of the Structured Education for Knowledge of Hepatitis B Type and Self Care Behavior in Chronic Hepatitis B Patients (구조화된 환자교육이 만성 B형 간염환자의 B형 간염에 관한 지식과 자가간호 수행에 미치는 효과)

  • Eum Sun-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.1
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    • pp.65-79
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    • 1998
  • The purpose of this study was to identify the effect of structured patient education on knowledge of Hepatitis B type and behavior about self care in chronic hepatitis B patients, and to fine the strategy to promote their self care behavior. The research design was quasi-experiment research. The study method had been done by investigating the experimental group and control group through the questionnaire on 50 patients who had been out patient medicine department in U university hospital in Ulsan from september 1st 1997 to the end of October, 1997. The analysis of the collected material had been done for the homogeneity test in which general characterics of experimental group and control group had been tested by $x^2-test$ and the homogeneity test of the knowledge of hepatitis B type and self care behavior before by t-test. To test the hypothesis the t-test had been given for the difference of the knowledge of hepatitis B type and self care behavior between the two groups and the correlation between knowledge of hepatitis B type and self care behavior performance had been tested by Pearson's correlation coefficient. The results as follows : 1. The 1st hypothesis 'The experimental group which received the structured education should be higher in the knowledge of hepatitis B type than the control group' was supported(t=-6.25, P=.000). 2. The 2nd hypothesis 'The experimental group which received the structured education whould be higher in the self care behavior performance than the control group' was supported(t=-5.15, P=.000). 3. The 3rd hypothesis 'The higher the knowledge of hepatitis B type in the patient the higher the self care behavior performance degree' was supported(r=.492, P=.001). In conclusion, the patients who received the structured education showed the increase in the degree of knowledge of hepatitis B type and self care behavior performance. so the structured education had been judged the nursing intervention had been prerequisite in increasing knowledge of hepatitis B type and self care behavior performance of the chronic hepatitis B patients.

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Effects of Individual and Group Education Programs on Coping and Self-care Behaviors in Cancer Patients (암환자를 위한 개별교육과 집단교육프로그램이 암환자의 대처양상과 자가 간호행위에 미치는 효과)

  • Kim, Young Mi;Kim, Won Ock;Han, Sang Sook
    • Journal of East-West Nursing Research
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    • v.20 no.1
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    • pp.1-8
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    • 2014
  • Purpose: The purpose of this study was to investigate the effectiveness of the coping and self-care behaviors between the individual and group education using the structured programs for the patients in chemotherapy. Methods: The quasi experimental study was designed for this study, and 30 patients received individual education and 30 patients received group education. Collecting data had been done through the seven months from March to Oct. 2011. Results: Hypothesis 1: "There could be differences in aspects of coping between the two groups educated using a structured education program" was rejected (F=2.71, p=.105). Hypothesis 2: "The individually educated group using the structured education program will have higher scores than the group education in self-care behaviors" was supported because there were statistically significant differences (F=4.16, p=.046). Conclusion: It was confirmed that individual education programs, among the patient education for cancer patients can be adopted as nursing intervention in nursing practice to improve self-care behaviors. However, there were no differences between th two group in the aspects of coping.

The Effect of Education for Prevention of Osteoporosis Patients with Bone Fracture (골다공증교육이 골절환자의 지식과 생활양식변화 수행에 미치는 영향)

  • 이향련;김숙녕
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.194-205
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    • 2001
  • The purpose of the study was to identify the effect of structured patients education had on prevention of osteoporosis, with fracture and the resulting of life style changes in patients. In this study, a non equivalent control group pre and a post test design was employed. Data were collected through an interview process using questionnaires from April to December of 1999. The subjects, consisting of 59 patients with fractures and over 40 years of age, were diagnosed in K University Hospital. This study tested the patients knowledge at three times. The times were before the program 2 weeks into the program, and 6 months after education program. Life style change related to prevention of osteoporosis was shown twice (before and 6 months after the education program) in the experimental group, and control group went without it. The instruments used for this study were developed by literature review according to a reliability test. Data was analyzed using X2 test and t test to determine similarities between the experimental and control groups. The hypothesis was tested using repeated measures of ANOVA, t-test and Pearson correlation coefficients. The results of the study were summarized as follows: 1. The first hypothesis was accepted: a higher level of knowledge about osteoporosis was found in experimental groups who received education than to the control group during the period (F=19.82, p=.0001). 2. The second hypothesis was accepted: a higher level of life style changes about osteoporosis on experimental group were recorded than as compared to control group (t=3.55, p=.001). 3. The third hypothesis was accepted: the higher the knowledge about osteoporosis the higher the level of performance of life style changes about prevention of osteoporosis (r=.600, p=.0001). In conclusion, structured patient education in patient with fractures improved the level of knowledge about osteoporosis and more likely undergo of life style changes 6 months after the education program. Also reeducation would be needed 6 months after program ends. That is structured patient education in pamphlet form would be very effective in nursing intervention that may to result in life style changes. Therefore further research is needed to reinforce the education material and to generalize the education effect.

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Clinical Application of Objective Structured Clinical Examinations for Nursing Students (구조화된 객관적 임상시험을 이용한 간호대학생들의 실무능력평가)

  • Kang, Ki-Sun;Song, Young-A;Choi, Eun-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.175-182
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    • 2009
  • Purpose: Objective Structured Clinical Examination (OSCE) is a good way to evaluate clinical skills of nursing students. To do this, we need modules, evaluators, persons to run the examination, as well as models and standardized patient care if necessary. The main purpose of this study was to compare the effects of the OSCE method on nursing skills performance of students enrolled in a core skill lab of nursing courses. Method: Eight items were developed for the examination. Five minutes was allowed for each item. Two married women and third-year students played patient's roles. The participants were 2nd-year nursing students and the OSCE program was performed on December, 2008. Data analysis was done using SPSS WIN 12.0. Result: The evaluation score for BP check skill was 1.68 and hand washing skill was 1.87 by evaluators. Response of examinees to OSCE was favorable. Examinees did not express resistance for evaluation by OSCE run by SPs and students. Conclusion: The OSCE method is an effective tool for evaluating clinical nursing skills performance in student nurses. It is necessary to explore more efficient ways to develop OSCE cases in wider areas of nursing education. It is also recommended to replicate similar studies in nursing education.

Factors Influencing the Patient Safety Management Activity of Nursing Students (간호대학생의 환자안전관리활동에 영향을 미치는 요인)

  • Jang, Keong Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.4
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    • pp.358-366
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    • 2018
  • Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.