• 제목/요약/키워드: Supportive nursing

검색결과 333건 처리시간 0.027초

일 도시지역 방문간호 대상 가족의 문제유형 및 자가관리능력 (Family Characteristics and Self-care Ability in Visiting Nursing Service based on Urban Public Health Center)

  • 조윤희;김광숙
    • 한국보건간호학회지
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    • 제21권1호
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    • pp.15-24
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    • 2007
  • Purpose: The study aim was to provide basic data needed for formulating systematic visiting nursing strategies by comprehending the characteristics and self-care ability of the object families of public health centers in Korea. Method: The research examined 252 families and 339 family members of the vulnerable class that were registered in a visiting nursing program of an urban public health center. The data of 220 families were analyzed using descriptive analysis, t-test, and ANOVA, after excluding any incomplete data. Result: 1. The most frequent characteristics of families were solitary families (52.8%) and financially vulnerable families (87.3%). The most frequent way of family detection was request of the community office. 2. The most frequent type of family problems were vulnerable families (93.2%), followed by patient families (91.0%). 3. The mean score was 11.67 for family self-care ability. 4. The variables of the number of family members, disease type of the patient family members, and the type of vulnerable family showed a significant difference of family self-care ability. Conclusion: This study suggests that vulnerable families demand specific nursing interventions focused on their own problems and that visiting nurses need to obtain and use supportive resources.

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디스트레스 간호중재가 부인암 환자의 디스트레스, 면역 및 삶의 질에 미치는 효과 (Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer)

  • 박정숙;오윤정
    • 성인간호학회지
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    • 제24권3호
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    • pp.219-231
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    • 2012
  • Purpose: The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress. Methods: We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program. Results: There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-${\gamma}$ and lower TGF-${\beta}$ between before and after the distress nursing intervention. Conclusion: The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.

수술실 간호사의 간호업무 분석 (An Analysis of Nursing Work of Operating Room Nurses)

  • 권성복;박영숙;김동옥;이여진;이은희;조경숙
    • 간호행정학회지
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    • 제14권1호
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    • pp.72-84
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    • 2008
  • Purpose: The purpose of this study was to identify nurses' duties and tasks for job analysis of the nurses in the operating room. Methods: This study was descriptive investigation research using the 3-point likert scale questionnaires and the level of importance, difficulty and the frequency of each duty and task were analyzed. Data were collected by 422 OR nurses from 57 hospitals. Results: Job of OR nurses included 13 duties and 105 tasks. The 13 duties were 'management of operative patient' 'assistive work for operation' 'supportive work for operation' 'infection control in OR' 'management of equipments and instruments for operation' 'administrating medicine for operation' 'supplies management for operation' 'safety management for operation' 'environmental management for operating room' 'administrative work for operation' 'education for operating room personnel' 'development of operation procedure books' and 'elf development of OR personnel' Conclusion: This study identified duties and tasks performed by OR nurses. Based on these results, the importance, frequency, and difficulty in this study will provide research evidence for developing training programs for OR nurses.

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마음챙김 명상프로그램이 간호대학생의 스트레스 지각, 우울 및 자아효능감에 미치는 효과 (The Effect of Mindfulness Meditation Programs on Nursing College Students' Perceived Stress, Depression, and Self-efficacy)

  • 염영란;최금봉
    • 동서간호학연구지
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    • 제19권2호
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    • pp.104-113
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    • 2013
  • Purpose: Due to the academic demands from a theory and practice-based educational program, nursing students often experience psychological burdens. The purpose of this study was to investigate the effect of mindfulness meditation programs on nursing students' perceived stress, depression, and self-efficacy. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two nursing colleges. The sample consisted of an intervention group (n=29) that participated in a mindfulness meditation program and a control group (n=30). The experimental group participated in the program for 120 minutes a week for a total of 8 sessions. The data were collected prior and after the intervention using self-administered questionnaires. Data were analyzed using descriptive statistics, $X^2$-test, Fisher's exact probability test, and the t-test. Results: After the application of the mindfulness meditation program, the experimental group showed a significant difference in perceived stress(t=-10.33, p<.001), depression (t=-2.17, p=.035), and self-efficacy (t=2.57, p=.013) scores. However, there was no significant differrence in the control group. Conclusion: These findings provide a supportive evidence of mindfulness meditation program as a behavioral intervention to reduce stress, depression and increase self-efficacy among nursing students.

한국 사회에서 동성애자의 삶 (Life of Homosexuals in Korea)

  • 김현지;장미영;김정호;송지현;김란;홍현주;신성희
    • 동서간호학연구지
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    • 제25권1호
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    • pp.69-80
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    • 2019
  • Purpose: The purpose of this study was to understand the nature of life among homosexuals in Korea. Method: Phenomenological methodology was used for the study. From February 2015 to January 2016, data were collected from 8 homosexuals through in-depth interviews and analyzed using Colaizzi's framework. Result: Five theme clusters and fourteen themes were identified for the life experiences of homosexuals. The five theme clusters were 'alien in an intolerant society', 'a fateful gender that can't be denied', 'process of coming out', 'endure as a homosexual', and 'future perspectives where expectation and anxiety coexist'. Conclusion: This study provides deep insight into the experience of homosexuals's lives in changing society and culture of Korea. Nursing practices should be improved for supportive attitudes.

종합병원 수간호사의 직무 스트레스 경험 (The Experiences of Job Stress on Head Nurses in General Hospitals)

  • 강성례
    • 대한간호학회지
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    • 제37권4호
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    • pp.501-509
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    • 2007
  • Purpose: The purpose of this study was to identify job stress experienced by head nurses of general hospitals. Methods: Data was collected from 10 head nurses with in-depth interviews about their actual experiences. The main questions were when, why, and from whom they get stress in the work field; how they are affected by the stressful situation; and how they cope with this stress. All the interviews were recorded and transcribed. The collected data was analyzed using a consistent comparative data analysis method. Results: Job stress of head nurse was formed by 3 axis; causes, reactions, and coping strategies in complicated situational context such as human relationship, culture of hospital, individual characteristics, social support. Conclusion: The results of this study yields very useful information for nursing mangers to identify, by stages, the demands of the head nurses in their role adaptation process. The findings of this study contributes to developing programs and supportive policies that palliates the head nurses' job stress.

긍정심리자본에 대한 개념분석 (Concept Analysis of Positive Psychological Capital)

  • 이순늠;김정아
    • 간호행정학회지
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    • 제23권2호
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    • pp.181-190
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    • 2017
  • Purpose: This study was done to clarify the concept analysis of positive psychological capital. Methods: Walker and Avant's concept analysis process was used in this study. CINAHL, ProQuest, Web of science, NDSL, RISS databases from 2004 to 2016 were searched using the keywords 'Positive psychological capital' and 'PsyCap'. Sixty-one relevant articles and three book were finally selected. Results: Analysis of identified literature indicated that positive psychological capital attributes were developable potential, positive cognition, expression of emotion, multiple psychological capability, and resources with positive effect. The antecedents were goal achievement, training, leader's motivation, and supportive organizational environment. The consequences were overall wellbeing which is composed of individual's physical, psychological and social wellbeing and enhancement of work outcome. Conclusion: The findings in this study provide a definition of the concept of positive psychological capital and theoretical evidence for the future research for nurses including program development.

초등학교 여학생의 성적 성숙도, 부모자녀 의사소통 및 성숙 불안에 관한 연구 (Association of Sexual Maturation and Parent-Child Communication on Maturity Fears in Elementary School Girls)

  • 조헌하;문소현
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.137-144
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    • 2016
  • Purpose: The purpose of this study was to investigate factors that influence maturity fears in elementary school girls. Methods: The participants were 118 3rd and 4th grade students from 3 elementary schools in 3 cities in Korea. Data were collected using questionnaires which included measurement scales for the relative variables and demographic data. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchial regression analysis with SPSS/WIN 21.0. Results: The significant predictors of maturity fears were weight, father-child communication, frequency of maturity communication with father, and close relation with mother. Conclusion: For effective management of maturity fears in elementary school girls, programs including weight control, functional communication with father and supportive nurturance of mother should be developed.

말기 폐암환자를 대상으로 한 가정 호스피스와 병원입원치료의 비교 -서비스 내용과 건강관리비용 중심- (Comparison of the Casts of Care and Nursing Services for Terminally III Patients Receiving Home Hospice Care in Comparison to Institutional Care)

  • 이태화;이원희;김명실
    • 대한간호학회지
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    • 제30권4호
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    • pp.1045-1054
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    • 2000
  • As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

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지지 전화를 이용한 자조타이치 프로그램 적용 효과 (Effects of the Self-help Tai Chi Program for Arthritis with Supportive Follow up Phone-Calls)

  • 최정숙;이은희;소애영;이경숙
    • 근관절건강학회지
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    • 제16권2호
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    • pp.174-183
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    • 2009
  • Purpose: The purposes of this study were to develop and examine the self-help and Tai Chi program for arthritis, and to identify the effect when combined with a supportive follow up phone-calls. Method: The design for this study was a 3*2 quasi-experimental design. Sixty-six participants were recruited in W-city, and assigned to Exp 1 group (n=21) or Exp 2 group (n=24) according to supportive follow-up phone call method, or to the control group (n=21). Fifty-two subjects (17 and 20 in Exp 1 and 2, and 15 in the control group) completed pretest and posttest. Both experimental groups participated in the self-help and Tai Chi program for arthritis once a week for 8 weeks. Exp 1 received automated follow up phone-calls made up in KT-SHUT program, and Exp 2 received follow up phone-calls made up by researchers. The control group received no education and no phone call. Measures used to examine the effect self-help and Tai Chi program for arthritis were joint flexibility, hand muscle strength, balance with closed eyes and self-efficacy. The final analysis of the post-test measures was conducted by ANCOVA with age and self efficacy as covariates. Results: Both experimental group had significantly increased right shoulder flexibility (p=.002), left shoulder flexibility (p=.000), right hand grip (p=.024), and self efficacy (p=.008) compared with the control group. But there were no significant differences between two experimental groups in any physical indicators and self efficacy. Conclusion: Automated follow up phone-call would be helpful in managing the self-help and Tai Chi program for arthritis as well as researcher's phone call. The automated follow up phone-call program which was a new method could be recommended for use to encourage home exercise practice and the program participation.