• Title/Summary/Keyword: evidence-based programs

Search Result 231, Processing Time 0.026 seconds

Effects of Treadmill Exercise on Pulmonary Function and Gait Capacity in Stroke Patients : A meta-analysis (트레드밀 운동이 뇌졸중 환자의 폐기능과 보행능력에 미치는 효과 : 메타분석)

  • Cho, Sunghyoun;Choi, Kibok
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.8 no.2
    • /
    • pp.169-185
    • /
    • 2020
  • Purpose : This study aimed to conduct a comprehensive meta-analysis to evaluate the effect size for pulmonary function and gait capacity of treadmill exercise in stroke patients. In addition, we aimed to examine the current status of treadmill interventions and compare the effect sizes of treadmill training to provide evidence-based practice for future development and application. Methods : The meta-analysis study was conducted using research articles that applied treadmill exercise to stroke patients and were published between January 2005 and February 2020. For a systematic meta-analysis, we conducted a search using the PICOS framework and selected 25 domestic stroke- and treadmill-related studies. The Comprehensive Meta-Analysis program was used to calculate the effect sizes for lung function and gait capacity (6-minute walk test and 10 m walk test). As Cohen's d has a tendency to overestimate the effect size, we used Hedge's g to increase the accuracy in computing the effect size. Results : Based on the results of the meta-analysis, the total effect size of treadmill exercise was 0.535, which was statistically significant, with a medium effect size (p<0.05). The effects of treadmill exercise in stroke patients were divided into dependent variables, namely pulmonary function (0.372) and gait capacity (0.584). In addition, for gait capacity, the effect sizes were evaluated for both the 6-minute walk test (0.756) and the 10 m walk test (0.514). Conclusion : This study provides objective evidence of the effectiveness of treadmill-based gait training programs. We hope that the results of this study will help support the development and implementation of treadmill-based gait training in stroke patients. Treadmill training is expected to improve not only pulmonary function, but also the gait capacity of stroke patients. Long-term investigations on the effects of treadmill training in stroke patients are necessary.

Analysis of Experimental Research Trends on Doctoral Dissertations in Nursing (간호학 박사학위논문의 실험연구 경향 분석)

  • Yoon, Heun-Keung;Kim, Hee-Soon;Yun, Hyun-Jung
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.17 no.3
    • /
    • pp.464-477
    • /
    • 2011
  • Purposes: The purpose of this study was to identify recent trends of experimental research by analyzing doctoral dissertations in all colleges of nursing in Korea. Methods: The areas of research, the content, methodological and intervention characteristics used in this study were explored in experimental research on doctoral dissertations (n=132) published from 2006 to 2010. Results: In the issues of research, practice/clinical issues were most frequently used. As to outcome measurement, physiological variables increased more than psychological/emotional variables. Most theory applied in the research was taken from other disciplines, and nursing theory was only Roy's adaptation theory. A large majority of the research was quasi-experimental designs and the number of true-experimental designs was very low. In more than half of the dissertations, internal validity was not described, and the described external validity rate was very low. There were more single intervention programs than bundle ones and education/exercise programs were most frequently used as the source of intervention. Conclusion: Doctoral dissertations need to increase and encourage more high quality experimental research to expand nursing knowledge and to develop evidence based nursing practice.

Comparison of Ideas of Dental Hygiene Education Programs between Korea and America (한국과 미국의 치위생 교육이념의 비교)

  • Kim, Nam-Hee;Jang, Sun-Ok;Jun, Hyun-Sun;Kim, Young-Nam;Chung, Won-Gyun
    • Journal of dental hygiene science
    • /
    • v.6 no.3
    • /
    • pp.193-199
    • /
    • 2006
  • The purpose of this study was to compare the ideas of dental hygiene education programs between Korea and America. The America dental hygiene education program aimed at development capacity such as comprehensive dental hygiene care, critical thinking and problem solving, self-assessment skill to prepare for and engage in life-long learning, effective interpersonal and communication skill which evidence-based approach to dental hygiene process.

  • PDF

Factors Influencing Neonate Pain Management Performed by Nurses (간호사의 신생아 통증관리 수행에 영향을 미치는 요인)

  • Noh, In-Suk;Oh, Jin-A
    • Child Health Nursing Research
    • /
    • v.17 no.3
    • /
    • pp.190-197
    • /
    • 2011
  • Purpose: The purpose of this study was to identify factors influencing neonatal pain management by nurses in order to provide evidence-based data for the development of more efficient neonatal pain care programs. Methods: This study used a descriptive research design to survey 204 registered nurses working in neonatal intensive care units and nurseries in Busan. Data collection was done from July to September 2010. General knowledge of pain and pain scale, pain intervention, neonatal pain management, and barriers to pain management were measured. Data were analyzed using stepwise multiple regression with SPSS 17.0. Results: it was found that among the factors affecting neonatal pain management by nurses, the unit where the nurse worked was the most important influential factor, followed by knowledge of pain management, education level, and barriers from medical personnel in that order. The explanatory power of these four variables accounted for 42.0% of neonatal pain management. Conclusion: Study results indicate that it is necessary to develop education programs to increase knowledge of neonatal pain management for nurses caring for neonates. Also, plans for reduction of obstacle factors in medical personnel should be prepared.

The Effect of Elderly Nursing Care Education Programs on Nurses' Knowledge, Attitudes and Nursing Performance Toward the Elderly (노인간호 교육프로그램이 간호사의 노인에 대한 지식, 태도 및 간호수행도에 미치는 효과)

  • Choi, Keum Bong
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.18 no.3
    • /
    • pp.522-532
    • /
    • 2012
  • Purpose: The purposes of this study were to develop an elderly care nursing education program and evaluate its effect on knowledge, attitudes and nursing performance of nurses toward older adults. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. The sample consisted of an intervention group (n=29) that participated in the educational program and a control group (n=30). The data were collected prior to and 6 weeks after the intervention using self-administered questionnaires. Data analyses utilized $x^2$-test, Fisher's exact probability test, and t-test. Results: After the intervention, knowledge and nursing performance about the elderly care increased significantly in the experimental group compared to the control group. However, there was no statistically significant difference between the groups in their attitudes toward the elderly. Conclusion: Findings indicate that to provide better nursing care to the elderly, nurses need to be able to practically apply the knowledge they have acquired from the elder-care nursing education programs in hands-on situations. To achieve this, nurses should work to change their personal attitudes about the elderly. Also, evidence-based guidelines for elderly nursing care, administrative support of institutions, and multidisciplinary approaches are required.

The Effectiveness of Smoking Cessation Program in Adults: Systematic Review of Randomized Controlled Trials (성인 흡연자의 금연 프로그램 효과: 무작위대조군 실험연구의 체계적 문헌고찰)

  • Park, Seong-Hi;Hwang, Jeong-Hae;Choi, Yun-Kyoung;Kang, Chang-Bum
    • Korean Journal of Health Education and Promotion
    • /
    • v.29 no.3
    • /
    • pp.1-14
    • /
    • 2012
  • Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.

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

  • Yeom, Young-Ran;Choi, Keum-Bong
    • Journal of East-West Nursing Research
    • /
    • v.19 no.2
    • /
    • pp.104-113
    • /
    • 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.

Interventions to Reduce the Problems of Abused Children and Adolescents in Residential Facilities in South Korea: An Integrative Review

  • Kim, Sungjae;Bang, Kyung-Sook;Lee, Gumhee;Song, Min Kyung;Jeong, Yeseul
    • Child Health Nursing Research
    • /
    • v.25 no.3
    • /
    • pp.273-289
    • /
    • 2019
  • Purpose: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. Methods: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. Results: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. Conclusion: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

Impact of Consumer Ethnocentrism on Reasoned Action and Brand Equity: Empirical Evidence from Local Fashion Brands in Vietnam

  • VO, Minh Sang;NGUYEN, Mai Tran;LE, Tuong Vi;NGUYEN, Gia Bao;HO, My Duyen;PHAM, Thi Phuong Thao
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.9 no.5
    • /
    • pp.87-98
    • /
    • 2022
  • Purpose: The is study aimed to examine the impact of consumer ethnocentrism on reasoned action and brand equity on Generation Z in Vietnam. Research design, data and methodology: A quantitative study was undertaken on 302 Generation Z members. The data for the study was collected using a Google Form-based questionnaire from December 2021 to January 2022. Descriptive statistics, Cronbach's alpha, and structural equation modeling were among the data analysis techniques employed. The results: The results show that consumer ethnocentrism has a direct positive impact on reasoned action (subjective norms and attitude toward domestic goods) as well as an indirect positive impact on brand equity, including brand awareness, brand quality, and brand image. Major findings: According to the findings of this study, governments should continue to push propaganda and advocacy programs, call for national pride and encourage home consumers to support and use domestic goods. Domestic brands must strengthen their ties to the community and invest in community-oriented programs that promote domestic consumption. Vietnam's domestic fashion brands need to promote the exploitation of community-oriented and nationalistic content to call on domestic consumers to support them to consume domestic brands.

Development of Population-based Prevention Strategies for Childhood Obesity: Applied WHO Model (아동.청소년 비만 예방을 위한 인구기반 예방 전략 개발:WHO 모형의 적용)

  • Kim, Ki-Rang;Lee, Eun-Young;Kim, Hye-Ryun
    • Korean Journal of Health Education and Promotion
    • /
    • v.28 no.3
    • /
    • pp.43-55
    • /
    • 2011
  • Objectives: The objectives of this study were to describe population-based prevention strategies for childhood obesity and to discuss its application in a city in Korea. Methods: Literature review and empirical findings for ongoing programs were performed to develop population-based prevention strategies for childhood obesity with the framework and principles of WHO population-based prevention strategies for childhood obesity. Results: The developed framework had five key strategies (supportive policies, supportive environment, supportive program, strategic development & leadership, and monitoring & evaluation) under hierarchic objectives (long-term, middle-term and short-term) with the vision of healthy growth and development of all children and youth. Each strategy included evidence-based action plans with WHO principles. Conclusions: The developed strategies have advanced the existing strategies for childhood obesity prevention by providing the sustainable and systematic framework and action plans based on ecological approach. Further, the feasibility for operating the strategies needs to be verified.