• Title/Summary/Keyword: nursing intervention

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Metabolic Syndromes Improvement and Its Related Factors among Health Checkup Examinees in a University Hospital (일개 대학병원 건강검진 수진자의 대사증후군 호전과 관련요인)

  • Jo, Mal-Suk;Suh, Soon-Rim;Kim, Keon-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.147-156
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    • 2016
  • The purpose of this study was to identify the factors associated with the improvement of metabolic syndrome, and provide basic data for the health management of clients. The subjects were 280 adults who were diagnosed with metabolic syndrome in 2013, and who were examined from January 2013 to December 2014. The data were analyzed by descriptive statistics, t-test, ${\chi}^2$-test, and logistic regression analysis with SPSS WIN 18. The change rate from 3 to 2 risk factors was 60.6% among those clients whose metabolic syndrome improved. The improvement group showed a decrease in their waist circumference, systolic blood pressure, triglycerides and increase in their HDL cholesterol in 2014 compared to 2013, as well as decreased drinking, increased exercise, proper calorie, protein and carbohydrate uptake, and increased consumption of a lipid lowering agent. Exercise, calorie uptake and maintenance of an oral hypoglycemic drug influenced the improvement of the metabolic syndrome. In conclusion, it is necessary to have an intervention program including exercise enhancement and diet modification and to reinforce the health education for continuing health management.

Effects of Participation in Physical Group Occupational Therapy on Cognitive Function, Behavioral and Psychological Symptoms of Dementia(BPSD), Social Behavior Function in the Elderly with Wandering Dementia (배회가 있는 치매노인에게 신체 그룹 작업치료 참여가 인지기능, 심리행동증상 및 사회적 행동기능에 미치는 효과)

  • Song, Byung-Nam
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.85-96
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    • 2012
  • Objective : The purpose of this study was to effects of the Participation in physical group occupational therapy on cognitive function, neuropsychiatric, social behavior in elderly with wandering dementia. Methods : Thirteen elderly with wandering dementia who live in nursing home in this study. Assessment tools were made by using Cognitive function scale(CFS), Algase Wandering Scale-V2(AWS-2), Neuropsychiatric Inventory-Questionaire(NPI-Q), social-behavioral function measure(SBFM). physical group occupational therapy performed for forty minute, once a week for 9weeks. the assessment tools were made twice: before, after the intervention. Results : Significant differences between pre-treatment and post-treatment were found in the AWS(p<0.05) score and SBFM(p<0.05) score, NPI-Q behabioral and psychological level(p<0.05) score. The cognitive function and neuropsychiatric number showed improvement. but score was not significantly(p>0.05) difference after physical group occupational therapy Conclusion : The findings suggest that the physical group occupational therapy used in this study may be helpful and effectiveness in elderly with wandering dementia, further studies with more subjects and longer treatment period, including will be performed to justify these findings.

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A Convergence Study on the Depression Factors of Permanent Rental Apartment Residents : Focusing on K-Metropolitan City (영구임대아파트 입주자의 우울 영향요인에 관한 융합연구 : K 광역시를 중심으로)

  • Lee, Hyoung-Ha;Park, Jong-Seon
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.319-329
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    • 2020
  • The purpose of this study is to identify the link that affects depression, a negative mental health problem for permanent rented apartment tenants, and to provide policy and practical support for reducing depression at the community level. To this end, 1,920 households of permanent rental apartment residents in K Metropolitan City were used in the survey. The results are as follows. First, more than half of the subjects surveyed 51.1% were found to have depressive symptoms. Second, among the demographic variables, the gender, age, single-person households, and social security benefits have a positive effect on depression. On the other hand, age squared and participation in economic activities were identified as factors to reduce depression. Third, among the residential community variables, the consideration for neighbors and their willingness to participate in the community were identified as factors to reduce depression. Fourth, physical health difficulties and mental health difficulties among the health status variables were identified as the determinants of depression. Based on the results of the study, the methods for intervention and follow-up studies to reduce depression in permanent rental apartment residents were discussed.

Predictive Factors on Breast Self-Examination Intention and Behavior in Middle Aged Women: Based on the Theory of Planned Behavior (계획된 행위이론에 근거한 중년기 여성의 유방자가검진 의도 및 행위 예측요인)

  • Bae, Phil Won;Suh, Soon Rim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2349-2359
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    • 2013
  • The purpose of this study was to predict the factors which are related to the intention and behaviour for breast self-examination (BSE) of middle aged women using the theory of planned behavior (TPB). A survey using a structured questionnaire was conducted wih 217 middle aged women. BSE behaviour was assessed at 1-month follow-up. The overall fit of the structural model to the date was acceptable(${\chi}^2$=1246.6(p<.001), ${\chi}^2$/df=2.72, CFI=.831, TLI=.817, RMSEA=.089). The BSE behavior rate within one month was 56.2%. The TPB explained 43.9% of the variance in BSE intentions and 10.9% of the variance in BSE behavior. The subjective norm(${\beta}$=.364, p<.001) and the perceived behavioral control(${\beta}$=.553, p<.001) both positively influenced the behavioral intention, and the behavioral intention(${\beta}$=.768, p<.01) positively influenced the behavior. This study shows the model's applicability in explaining BSE behavior of middle aged women, and suggests that health intervention programs should focus on strengthening the intention for the promotion of BSE behavior.

Prevalence and Related Factors of Metabolic Syndrome in Korean Adolescent (청소년의 대사증후군 유병률 및 관련요인)

  • Bang, So Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.309-316
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    • 2018
  • Purpose: This study was conducted to identify the prevalence and related factors of metabolic syndrome in Korean adolescents. Method: Based on data from the Korea National Health and Nutrition Examination Survey of 2015, 404 adolescents aged 12-18 years were enrolled. We used the adolescent Ford method as the diagnostic criteria for adolescent metabolic syndrome. The data were analyzed using descriptive statistics, t-test, $x^2$-test, and logistic regression with SPSS WINDOW 23.0 program. Results: The prevalence of metabolic syndrome in Korean adolescents was 6.5% (6.5% for boys and 6.4% for girls). Among metabolic syndrome components, the prevalence of elevated blood pressure (28.8%) was the highest, followed by elevated triglycerides (21.3%), increased waist circumference (14.1%), decreased high density lipoprotein-cholesterol (11.5%), and elevated fasting blood sugar (7.8%). The only factor associated with metabolic syndrome in both boys and girls was the Body Mass Index (BMI), and the likelihood of a metabolic syndrome increased by 1.6 to 2.3 times (Adjusted OR=1.552 to 2.313, p=0.001) as the BMI increased. Conclusion: Based on the results of this study, an intervention program should be developed and provided to maintain the BMI in the normal range for the prevention and management of metabolic syndrome in Korean adolescents.

The Effects of Bed Baths with 2% Chlorhexidine on the Incidence of Methicillin-resistant Staphylococcus aureus and Blood Stream Infection in Intensive Care Units (2% 클로르헥시딘 침상목욕 간호가 중환자실 입원환자의 메티실린 내성 황색포도상구균과 혈류감염 발생에 미치는 효과)

  • Yoon, Hyeng-Sook;Choi, Eun-Hee;Kim, Jin-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.838-848
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    • 2014
  • The purpose of this study was to identify the effects of bed baths with 2% chlorhexidine on the incidence of Methicillin-resistant Staphylococcus aureus (MRSA) and blood stream infection (BSI) and to suggest guidelines on the therapeutic bed baths using skin cleaner. This study was designed to compare the incidence of MRSA and BSI of the experimental group(n=188) who received the bed baths with 2% chlorhexidine with the incidence of MRSA and BSI of the control group(n=199) who received the existing bed baths with soap and skin cleaner. A research design used in the study was a randomized control group posttest-only design. The experimental group had 6.7% decrease in MRSA acquisition than the control group (7.4% vs 14.1%, p=.036). The experimental group was decreased in the incidence density of MRSA than the control group (9.32 cases per 1,000 patient-days at risk of experimental group vs 15.44 cases per 1,000 patient-days at risk of control group; p=.099). The experimental group had 4.5% decrease in the rate of BSI than the control group (0.5% vs 5.0%, p=.011). The experimental group was decreased in the incidence density of BSI than the control group (0.67 cases per 1,000 patient-days at risk of experimental group vs 5.52 cases per 1,000 patient-days at risk of control group; p=.052). These finding indicated that bed baths with 2% chlorhexidine is an effective nursing intervention to decrease the incidence of MRSA and BSI.

The Effects of Married Nurses' Parenting Stress and Job Involvement on Retention Intention (기혼간호사의 양육스트레스와 직무몰입이 재직의도에 미치는 영향)

  • Nam, In Suk;Kim, Seonho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.155-164
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    • 2017
  • The purpose of this study is to identify correlations among married nurses' parenting stress, job involvement and intent to stay, as well as to clarify factors that affect nurses' intent to stay. This is a descriptive study conducted based on evaluation of 174 married nurses from one university hospital and two general hospitals (200 beds or above) located in C region, all of who had at least one child <6 years of age. Data were collected from Aug 20 until Sep 15, 2016, after which data were analyzed by aT-test, ANOVA, Pearson's coefficient, and stepwise multiple regression. The mean score of parenting stress was $2.67{\pm}0.54$ out of 4, while that of job involvement was $3.11{\pm}0.58$ out of 5, and intent to stay was $3.56{\pm}0.79$ out of 5. Intent to stay was significantly negatively correlated with parenting stress(r=-0.186, p=0.014), while it was positively correlated with job involvement(r=0.345, p<0.001). Factors influencing intent to stay were education level(${\beta}=0.28$, p=0.042), job satisfaction(${\beta}=0.60$, p<0.001), weekend work(${\beta}=0.20$, p=0.042), job involvement(${\beta}=0.31$, p<0.001) and parenting stress(${\beta}=-0.22$, p=0.038). These factors explained 36.8% of intent to stay(F=21.18, p<0.001). Overall, the results indicate that intervention strategies may be necessary to increase intent to stay by reducing parenting stress and enhancing job involvement.

Burden and Needs of the Family Members of the Intensive Care Unit Patients (중환자실 입원환자 가족의 부담감과 요구도)

  • Lee, Ji-Won;Lim, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.421-429
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    • 2014
  • This study set out to investigate the burden and needs of family members of ICU(Intensive Care Unit) patients facing a crisis situation of a family member being hospitalized in ICU and check their connections. Data were collected from May to October 2013. The subjects include 93 main family caregivers of patients hospitalized in ICU at four general hospitals in the B area for three days or longer. Collected data were put to t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficient analysis with the SPSS WIN 20.0 program. As a result, the family members of ICU patients scored mean 3.56 points(out of five) on burden and mean 3.58 points(out of four) on needs, recording a moderate or higher level in both the areas. There was significant difference(F=3.463, p=.036) in burden according to the general characteristics with the number of days in the hospital. There was significant positive correlation(r=.332, p<.001) between their burden and needs. Those findings indicate that an active nursing intervention to reduce the burden of the families of ICU patients in a crisis situation and check their needs will be able to mitigate the family crisis and further have positive influences on the recovery of ICU patients.

Mental Health and Quality of Life by Type-D Personality of the Patients with Coronary Artery Disease (D 유형 성격에 따른 관상동맥질환자의 정신건강과 삶의 질)

  • Cha, KyeongSook;Im, SuMi;Cho, Ok-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.286-294
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    • 2013
  • The purpose of this study was to confirm the mental health and quality of life by type-D personality of the patients with coronary artery disease (CAD). The participants in the study were 111 hospitalized patients with CAD at a hospital in Gyeonggi-do. The type-D personality was assessed by the Type-D Personality Scale (DS14). The mental health was measured with Symptom Checklist-90-Revision (SCL-90R) while quality of life was assessed with World Health Quality of Life Assessment Instrument (WHOQOL-BREF). The data analysis revealed that 36.1% of CAD patients were identified as having type-D personality traits. Non type-D personality patients have shown better mental health state than type-D personality patients (p<.001) have. The level of quality of life in the type D personality patients were significantly lower than that of non type-D counterparts (p<.001). It is necessary for type-D personality to be considered, when the nursing intervention programs for improving the mental health and quality of life of the patients with CAD are developed.

The Effects of Emotional Labor and Health Promotion Behavior on Premenstrual Syndrome in Clinical Nurses (임상간호사의 감정노동과 건강증진행위가 월경전증후군에 미치는 영향)

  • Koo, Jung Sun;Kim, Seonho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.225-235
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    • 2018
  • This study was conducted to investigate the relationship among clinical nurses' emotional labor, health promoting behaviors and premenstrual syndrome (PMS), as well as to clarify factors that affect nurses' PMS. This was a descriptive study of 195 clinical nurses working in one university hospital and two general hospitals in the C region. Data collection was conducted from Jul 3 until Jul 21, 2017. T-test, ANOVA, Pearson's correlation coefficient and multiple regression were used for analysis. The mean score of emotional labor was $3.35{\pm}0.63$ out of 5, that of health promoting behavior was $2.08{\pm}0.40$ out of 4 and that of PMS was $2.94{\pm}1.09$ out of 6. Premenstrual syndrome was significantly positively correlated with emotional labor (r=0.292, p<0.001) and interpersonal relationships in health promotion behavior (r=0.208, p=0.004). Factors influencing PMS were interpersonal relationships (${\beta}=0.54$, p=0.001), emotional labor (${\beta}=0.40$, p=0.001) and degree of menstrual pain (${\beta}=0.14$, p<0.001), which explained 30.0% of PMS (F=9.33, p <0.001). The results of this study suggest that intervention strategies may be necessary to decrease PMS by reducing menstrual pain, emotional labor and interpersonal relationship stress.