• Title/Summary/Keyword: nursing intervention

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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness (만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과)

  • Park, Chorong;Song, Misoon;Cho, Belong;Lim, Jaeyoung;Song, Wook;Chang, HeeKyung;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.192-201
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    • 2015
  • Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer (생활습관중재가 부인암 환자의 피로와 영양상태 및 삶의 질에 미치는 효과)

  • An, Hyunjin;Nho, Ju-Hee;Yoo, Sunyoung;Kim, Hyunmin;Nho, Minji;Yoo, Hojeong
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.812-822
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    • 2015
  • Purpose: The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer. Methods: A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks. Results: Significant group differences were found for fatigue (p =.037), nutritional status (p =.034) and social/family well-being (p =.035) in these patients with gynecologic cancer. Conclusion: Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

The Effects of Dumbbell, Walking, and Yoga Exercise Interventions for the Community-Dwelling Women (성인여성의 덤벨운동, 걷기운동 및 요가운동중재 효과)

  • Shin, Kyung Rim;Kang, Youn Hee;Choi, Kyung Ae;Baek, Hyo Jin;Choi, Mi Jin;Yun, Ok Jong
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.771-780
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    • 2006
  • Purpose: The purpose of this study was to examine the effects of exercise intervention, including dumbbell(weight lifting), walking, and yoga, on the body composition, physiologic factors, body image, and perceived health in the community-dwelling women. Method: This study utilized pretest-posttest design with three types of exercise interventions. The types of exercise intervention included dumbbell, walking, and yoga. Results: A total of 136 subjects were included: 49 for dumbbell, 67 for walking, and 20 for yoga. As measures of body composition, BMI, body weight, and body fat rate were significantly improved only after dumbbell intervention(p<.01). Systolic blood pressures were significantly decreased in the groups of dumbbell and walking. Diastolic blood pressure was significantly declined only in the walking group. Vital capacities and body image were improved in all groups(p<.01). However, total cholesterol levels were not improved in all groups(p>.05) and none of the measures for perceived health state were not significantly changed in all groups(p>.05). Conclusion: From the findings of this study, it was demonstrated that the effects of exercise interventions were differentiated by their types and variables to be affected. Therefore, future studies that apply the tailored exercise intervention to each age-categorical group are needed.

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The Review and Study Trend of Moxibustion - Focusing on Donguibogam(東醫寶鑑) Vol. Acupuncture & Moxibustion(鍼灸篇) - (뜸에 대한 문헌고찰 및 국내 연구동향 분석 - 동의보감(東醫寶鑑) 침구편(鍼灸篇)을 중심으로 -)

  • Chun, Sang-Hee;Wang, Myoung-Ja
    • Journal of East-West Nursing Research
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    • v.8 no.1
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    • pp.135-146
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    • 2003
  • Moxibustion plays an important role not only in the medical service, but also in the health care of Korea. So this study attempted to review of moxibustion and analyze of domestic study trend. And it also intends to examine the usefulness of moxibustion treatment in Korean nursing intervention. "Donguibogam" is famous for the most comprehensive medical book in ancient Korea, indicates that moxibustion makes up a large part of it and that its contents were composed of material, size, time, caring of one's health, indication, operational procedure, contraindication in the documented in the 25 reference books. Also, It confirms that it has been widely used since old times. Especially, it seems to be a great help to researchers because its content lay a theoretical foundation. From the literature, we identified that moxibustion was most widely using method for health promotion and an efficacious cure for a disease. I searched and investigated the journals and dissertations supplied by KERIS and RICH with the key word "moxibustion". Of 10 articles with moxibustion intervention, the trend of domestic studies shows, that of an area relating to nursing was 5. Therefore, moxibustion intervention steadily increases in frequency in nursing academic circles year by year. But there is no distinction between hand moxibustion and moxibustion. According to the above results, we need to develop moxibustion learning program and well designed experimental study with moxibustion for Korean Nursing intervention.

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The Influence of Thermal Head and Feet Support on Early Stage Weight Gain in Premature Neonates (미숙아의 머리 및 발 보온이 출생초기 체중에 미치는 영향)

  • Paik Seung Nam;Hong Hye sung;Sung Mi Hae;Cho Kyoul Ja;Yhee Hyun Joo
    • Child Health Nursing Research
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    • v.6 no.3
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    • pp.397-410
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    • 2000
  • This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interven- tions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.

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The Effects of Brain-wave Biofeedback Training Nursing Intervention upon Self-regulation of Emotional Behavior Problem in Adolescents at School (뇌파 바이오피드백훈련 간호중재가 학교 청소년 정서행동문제 관심군의 자기조절에 미치는 효과)

  • Choi, Moon-Ji;Park, Wan-Ju
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.254-267
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    • 2021
  • Purpose: The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods: A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant's demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results: The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion: The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.

Assessing the Suitability of Interruption Intervention Strategies in Nursing Medication Administration: A Delphi Study (간호사의 투약업무흐름 중단 중재전략 적합성 연구: 전문가 델파이 조사를 중심으로)

  • Seung Ju Baek;Seung Gyeong Jang;Sang Hee Hong;Soo Ok Han;Won Lee
    • Quality Improvement in Health Care
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    • v.30 no.1
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    • pp.88-104
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    • 2024
  • Purpose: This study explored the suitability of interventions for medication interruption and intervention preferences. Methods: Two rounds of Delphi surveys were conducted with 18 expert panels comprising staff (or charge) nurses, nursing managers, and Quality Improvement (QI) team nurses working in a tertiary general hospital. For 47 situations involving the location of interruption, medication step, and source of interruption, the suitability of three interventions (no-interruption zone, medication safety vest, and education) was evaluated using a 5-point scale. Results: A total of 51 interventions for each situation were found appropriate by satisfying the degree of convergence and consensus. Patients or caregivers, peer nurses, doctors, telephones, and call bells were sources of interruption and were identified as appropriate for the application of interventions. 'Responding to requests and inquiries' by patients or caregivers showed high overall suitability. The nurses' preferred color for the intervention design (no-interruption zone, medication safety vest) is blue text on a yellow background. The priority groups for education related to medication interruptions were patients or caregivers, nurses, and non-nursing staff, in that order. Conclusion: Effective implementation of tailored intervention strategies that consider the specific characteristics of medication interruptions is crucial for mitigating interruptions and enhancing patient safety. Comprehensive educational programs aimed at reducing medication interruptions by improving awareness are necessary. Moreover, future research should evaluate these strategies in clinical settings to ensure their effectiveness in enhancing patient safety.

Comparison on Nursing Importance and Performance of Nursing Interventions linked to Nursing Diagnoses-focused on 5 NANDA Nursing Diagnoses (간호진단과 연계된 간호중재의 중요도와 수행도 분석 - 5개 간호진단을 중심으로 -)

  • 이은주;최인희
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.210-219
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    • 2003
  • Purpose: The purpose of this study was to identify nursing importance and the performance of nursing interventions linked to five nursing diagnoses and find out core nursing interventions to each of the five nursing diagnosis. The five nursing diagnoses were Pain, Diarrhea, Constipation, Hyperthermia, and Infection: Risk for. Method: Data was collected from nurses working in four different hospitals. Data were analyzed using mean, SD, and paired t-test to compare difference between importance and performance of each intervention. Result: In general interventions related to medication, such as Medication Administration: IV, Medication Administration: IM, Medication Administration: Oral, Medication Management were all considered highly important and performed very often regardless of nursing diagnoses. And the level of importance was higher than the performance in most of all the interventions linked to five nursing diagnoses. Only two interventions, Medication Administration and Intravenous (IV) insertion had higher level of performance than importance in the diagnoses of Pain and Diarrhea respectively. Conclusion: Using the above findings, we now know which intervention should be performed more frequently to solve nursing problems and which interventions are more critically important to nursing diagnosis. This information can be very helpful for developing nursing information system.

The Effect of a Postpartum Nursing Intervention Program for Immigrant Mothers (결혼이민자 산모에 대한 산후 간호중재 프로그램의 효과)

  • Bang, Kyung-Sook;Huh, Bo-Yun;Kwon, Mi-Kyung
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.11-19
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    • 2014
  • Purpose: The purposes of this study were to develop a postpartum nursing intervention program for immigrant women and evaluate the effects on postpartum depression, child rearing confidence, home environment, and infant temperament. Methods: This research was a non-equivalent control group pre-test and post-test design. Participants were pregnant immigrant women from China, Vietnam, and the Philippines residing in Kyunggi province and Seoul. Twenty women were assigned to the intervention group, and 19 women to the control group. For the intervention group, the women were visited at home and provided emotional support and parenting education for three months. To analyze the intervention effects, repeated measure ANOVA and t-test were used. Results: Child rearing confidence was higher in the experimental group than the control group at interaction effect of time and group, six weeks and three months postpartum. However, there were no significant effects for maternal depression, infant temperament, and husband support. Home Observation for Measurement of the Environment (HOME) score in the experimental group was higher than that of the control group at three month postpartum. Conclusion: Results indicate that the nursing intervention program had positive effects and can be used to further the health status of immigrant mothers and children.

The Analysis of Research about Foot Reflexology in Nursing (발반사마사지에 관한 간호학 논문 분석)

  • Kim, Gyung-Duck;Suh, Soon-Rim
    • Journal of Korean Biological Nursing Science
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    • v.10 no.1
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    • pp.33-40
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    • 2008
  • Purpose: This study was performed to analyze the trend of foot reflexology research in nursing in Korea. Method: Of studies published in nursing literature between January 1990 and August 2007. The 74 articles were analyzed according to the published year and journal, type of research and study design, subject, and the outcome variables of interventions. Result: Prevailing research designs were experimental research (nonequivalent control group pretest-posttest design). Prevailing characteristics of subjects were patients with hypertension, diabetes mellitus, hemodialysis, cancer and others disease (osteoarthritis, cerebral vascular accident, pneumoconiosis). The most frequently performed intervention was Foot-Reflexo-Massage (FRM). The most frequently used outcome variables were fatigue and sleep. The effect of foot reflexology was inconclusive. Conclusion: The finding suggests that a robust research design in foot reflexology research is needed to accumulate a strong scientific evidence and to adopt nursing intervention from the foot reflexology modalities. Meta analysis of foot reflexology research should be done to analyze and integrate the results of various studies.

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