• Title/Summary/Keyword: patient education

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Development of Empowerment Program for the Diabetes Patients and the Experiences of Diabetes Patient's Empowerment Process - A Grounded Theory Methodology Approach (당뇨병 환자를 위한 엠파워먼트 프로그램 개발 및 당뇨병 환자의 엠파워먼트 과정 경험 -근거이론 방법론 적용-)

  • Choi, Eun-Ok
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.317-328
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    • 2001
  • The purposes of this study were to develop the empowerment education program, to describe the experiences of diabetes patient's empowerment process and to develop a theoretical model of the diabetes patient's empowerment process. Method 1. : The development of the empowerment program for the diabetes patients: The strategies of the empowerment education program were enhancement of problem - solving, decision making, self-efficacy, self-control. participation and mutual support. Method 2. : According to the grounded theory methodology of Strauss and Corbin, the qualitative data was collected with in depth interviews and participants observations until its saturation when the 25 consented subjects were participating and interacting with the other subjects in the empowerment education program. Results: With the analysis of the data, 29 categories were generated. The core category generated, which was a central phenomenon of the empowerment process, was named powerlessness. The intervening conditions facilitating or impeding the empowerment process were discovered as supportive systems through the participation of group meeting, problem solving dialogue, and the knowledge deficit of self-care. The action/interaction strategies were developed as the paricipating, dialoguing, questioning, supporting system, self-controlling, self efficacy, enhancing self-esteem. stress relaxing and instillation of hope.

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Effects of PCA (Patient Controlled Analgesics) Education Program including Practicum on Post-op Pain of Gynecologic Laparoscopic Surgery Patients (실물실습을 이용한 통증자가조절기 교육 프로그램이 부인과 복강경 수술환자의 수술 후 통증에 미치는 효과)

  • Hwang, Mi Sook;Kim, Joo Hyun
    • Journal of Korean Biological Nursing Science
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    • v.17 no.3
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    • pp.253-261
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    • 2015
  • Purpose: The purpose of this study was to identify the effects of the patient controlled analgesics (PCA) education program (including practicum) on post-op pain suffered by patients who have undergone gynecologic laparoscopic surgery. Methods: The research was designed for a nonequivalent control group before and after the test design. The subjects of this study were 54 in all and were divided into an experimental group and a control group. The program consisted of a brochure for PCA use and a practicum with an actual PCA instrument. Data were collected with questionnaires and observations and were analyzed on the basis of frequency, percentage, mean, standard deviation, ${\chi}^2$ and t-test. Results: Complaints regarding pain by the experimental group were significantly less than those of the control group in both post-op 24-hour and post-op 48-hour reporting. The experimental group pressed the PCA button much less frequently than the control group in post-op 24 hours. However, there were no significant differences in side effects between the two groups. Conclusion: Based on the results of this study, this PCA education program can be useful in the clinical nursing field and helpful for patients who use PCA.

Subjectivity of Female Nursing Student Providing Intimate Care to Patient (여자 간호대학생의 친밀한 신체간호에 대한 인식)

  • PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.27 no.4
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    • pp.1063-1074
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    • 2015
  • Nursing students are often embarrassed about offering an intimate care to patients in a clinical environment, and experience stress. In particular, nursing students is often a low level of interaction skill and nursing school has no education program for this intimate care. Therefore, these difficulties are increased while the clinical practice. The purpose of this study was to identify the attitude of female nursing students regarding intimate care to patient and the characteristics of the type by applying Q-methodology, and to create the basic data for the development of education programs for nursing student to prevent stress and embarrassed feeling. Data were collected by applying 35 Q statements to 32 female nursing students. Collected data were analyzed with the PC QUANL program. Results indicate that female nursing students' attitudes of intimate care were divided into four types: 'considering situation-professional obligation type' 'gender related risk avoidance type' 'transcendent professional care type' and 'pursuit of the ideal professional type.' The types of female nursing students' attitudes of intimate care to patient were discussed, focusing on the attitude type identified in this study.

Effect of Patient Controlled Analgesia (PCA) Education for Postoperative Patients (수술환자의 통증자가조절기 관리교육 효과)

  • Jeon, Hye-Won;Kim, Boon-Han;Lee, Soon-Woo
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.44-52
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    • 2010
  • Purpose: The study examined the effects of preoperative patient controlled analgesia (PCA) education on postoperative pain, knowledge of PCA, and attitude toward pain medication. Methods: The participants were patients who underwent surgery in H University Hospital,and were assigned to PCA group (experiment group, n=30) or the control group (n=30). Results: Knowledge of PCA and positive attitude toward pain medication were higher in the experiment group than in the control group. Postoperative pain scores in the experiment group were significantly lower than those in the control group at 48 and 72 hr after surgery, but there was no significant difference at 24 hr after surgery. The experiment group had more positive attitudes on the medication than the control group. Conclusions: Preoperative PCA education could be an effective nursing intervention for pain management of patients after surgery.

Emergency Nurses' Perceived Competency and Frequency of Educational Intervention (응급실 간호사의 교육중재 수행능력과 수행빈도)

  • Kang, Ji-Yeon;Lee, Eun-Nam;Kim, Bok-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.44-52
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    • 2009
  • Purpose: This study was done to investigate emergency nurses' perceived competency and frequency of 17 educational interventions. Methods: A mail survey was administered to a convenience sample of 744 nurses in 143 emergency departments across the nation. Results: The mean score for overall competency was 2.90 out of 4. The competency score for staff education (2.40 out of 4) was lower than that of patient/family education (3.40 out of 4). The mean score for overall frequency was 3.34 out of 5. The frequency score for staff education (2.27 out of 5) was lower than that of patient/family education (4.39 out of 5). Emergency nurses' perceived competency was significantly correlated with frequency of educational interventions. Overall competency score was different according to the nurses' age, education, position, hospital experience, emergency experience and the type of emergency department. Conclusions: Although the overall competency is high, the competency on some areas of educational intervention remains insufficient. Educational programs to reinforce emergency nurses' educational competency and evidenced based protocols on education should be developed.

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.

Changes of Stress and Coping Strategy in Families of Schizophrenic Patients after Brief Program of Family Education (정신분열병 환자 가족의 단기 가족교육 후 대처전략 및 스트레스 변화에 대한 연구)

  • Seo, Seung-Woo;Yi, Ho-Taek;Paek, Ju-Hee;Lee, Sang-Yeon
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.16-27
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    • 2001
  • Objectives : This study was aimed to investigate stress and coping strategy in the families of schizophrenic patient, and changes of knowledge, stress and coping strategy after brief program of family education compared with control group Methods : The education group consisted of twenty four people who were families with schizophrenic patients and attended the brief program of family education. The control group consisted of twenty two people with schizophrenic inpatients. Self-report questionnaires such as Family Coping Questionnaire(FCQ), Patient Rejection Scale(PRS), Worry Questionnaire, Knowledge Questionnaire, Beck Depression Inventory(BDI), and State-Trait Anxiety Inventory(STAI) were administered to the education group and the control group, twice at the pre-test and post-test. Results : 1) In the education group, scores of worry questionnaire, BDI and STAI-S at the post-test were significantly lower than those at the pre-test. Social interests score of FCQ and knowledge questionnaire score at the post-test were significantly higher than those at the pre-test. In FCQ factors, social interests associated with avoidance strategy score at the post-test was significantly higher than that at the pre-test. However, in the control group, there was no significant difference in all questionnaires. 2) In the education group, significant positive correlation existed between calculated differences of worry questionnaire and STAI-S, and between worry questionnaire and STAI-T, whereas significant negative correlation existed between positive communication of FCQ and PRS, and between knowledge questionnaire and STAI-S. In the control group, significant negative correlation existed between information of FCQ and PRS, and between positive communication of FCQ and PRS. 3) In the education group, significant positive correlation existed between calculated differences of worry questionnaire and age of patient, whereas significant negative correlation existed between knowledge questionnaire and duration of illness. However, in the control group, there was no significant correlation. Conclusion : The brief program of family education was effective in increasing knowledge about schizophrenia, decreasing worry and anxiety about the patients in families with schizophrenic patient. In the education group as knowledge about schizophrenia increased, anxiety about schizophrenic patient decreased, but there was no significant correlation in the control group. As relative's rejection feeling about schizophrenic patient decreased, positive communication strategy increased in both groups. However, the control group was more affected by rejection feeling than the education group.

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An Analysis on Nursing Activity in Oriental Hospital (한방근무 간호사의 업무분석)

  • Kang, Hyun Sook;Cho, Kyoul Ja;Kim, Kwang Joo;Kim, Kwuy Bun;Cho, Mi Young;Suh, Yeon Ok;Shin, Hye Sook;Jeon, Eun Young;Chung, Sook Ja;Lee, Hei Jin
    • The Korean Nurse
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    • v.33 no.5
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    • pp.63-75
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    • 1995
  • The need of oriental nursing role is recently increasing. The implication of this trend is enormous not only for the need of independent of independent oriental nursing intervention. Hence, this study was designed to describe the characteristics of oriental nursing activity and identify the meaning of nursing activity in oriental hospital. A total of 24 nurses were selected by convenience sampling from eight units at one oriental hospital. A total of 168 data were collected using minute-by-minute recording during nurse s work shift. The data were analyzed using nova and scheffe method as post-hoc test The results of this study are as follows; 1. the category of nursing activity in oriental hospital 74.4% of nursing activity was the patient-oriented nursing care. The nursing activity included others (18.28%), the function-oriented nursing care (7.07%), and staff-oriented care (0.2%). 29.1 % of the patient-oriented nursing care was the direct care, and 24. 5 % of the patient-oriented nursing care was the indirect care. There was a lack of patient education and the communication patient. 2. Nursing activity in oriental hospital by characteristics 1) Nursing activity by unit For patient-oriented nursing care, there was a statistically significant difference among 8 units. In the critical care unit, the patient-oriented nursing care was mostly performed. For function-oriented nursing care, there was statistically significant difference among 8 units. In the physical therapy unit, the function-oriented nursing care was mostly performed. 2) Nursing activity in oriental hospital For all kinds of nursing activity, there was a statistically significant difference between shifts. In night shift patient-oriented nursing care, function-oriented nursing care, and other kinds of nursing care was mostly performed. Patient-oriented nursing care included indirect care, treatment set management, and the breaktime. In day shift, staff-oriented nursing care was performed. 3) Nursing activity in oriental hospital For all kinds of nursing activity, there was not a statistically significant difference by day. The day has not impact on nursing activity. 3. the meaning of activity in oriental hospital The results of this study show that the patient-oriented care was vital check, input! output check, medication, bedsore prevention, nasogastric feeding, oral care, catheterization care, perinatal care, nursing care associated with acupuncture and moxacautery, observation (fever, sweating), heat and cold application communication with patent and family, and patient room management In conclusion, two issues associated with the findings of the research appeated to be involved in the difficulty of nursing activity in hospital. The first issue was the nursing care in oriental hospital provided by nurses who have a limited understading of the principles of oriental medicine. The second issue was the deficiency of systematic guideling for oriental nursing activity. The findings suggest the need to develop the systematic guideline for oriental nursing activity. The need of continuing education for nurses who work in the oriental hospital, and the need of nursing education including oriental nursing are critical.

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Awareness of Patient Safety and Performance of Patient Safety Activities among Hospitalized Patients (입원환자의 환자안전인식과 환자안전활동 수행 정도)

  • Kim, An-Na;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.229-240
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    • 2021
  • The purpose of this study was to investigate the relationship between the awareness of patient safety and performance of patient safety activities among hospitalized patients, and to provide basic data for the development of programs to improve them. The subjects were 103 adult patients at a general hospital in D city. Data were collected from Feb. 22 to Mar. 12, 2021, using structured questionnaires to measure the awareness of patient safety and performance of patient safety activities. The mean (±standard deviation) scores of awareness of patient safety and performance of patient safety activities were 4.22±0.52 out of 5 and 3.35±0.48 out of 4, respectively. The awareness of patient safety varied significantly depending on patient safety education (t=4.85, p<.001). The performance of patient safety activities varied significantly depending on marital state (t=2.75, p=.007) and patient safety education (t=3.88, p<.001). There was a significant correlation between the awareness of patient safety and the performance of patient safety activities (r=.59, p<.001). It is thus necessary to promote the improvement of the patient safety culture by developing programs to improve awareness of patient safety and performance of patient safety activities in hospitalized patients and to apply them systematically in clinical practice.

Comparative Analysis of Understanding and Satisfaction of MRI Patients after Leaflet Training (리플릿 교육 후 MRI 환자의 이해도 및 만족도 비교분석)

  • Park, Chang-Hee;Han, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.2
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    • pp.123-129
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    • 2022
  • Recently, the penetration rate of Magnetic Resonance Imaging (MRI) is higher than the average among OECD member countries, and the number of MRI scans is increasing. However, MRI scans take longer than other medical devices, and patient movement must be minimized. Therefore, patient discomfort always follows. When the examination is performed in the discomfort of the patient, it is difficult to perform an accurate examination, and it is difficult to obtain an image of diagnostic value. So, in the past, the patient was asked to read the written guide for the risk and cooperation of MRI, but it was composed of technical terms and difficult-to-understand sentences, so it was difficult to understand. The purpose of this study is to supplement these problems and increase the understanding of MRI scans to help acquire images of diagnostic value. In addition, it is intended to evaluate the excellence of leaflet education by evaluating the understanding and satisfaction of patients. As shown in the results of this study, understanding and satisfaction scores were higher after education than before leaflet education, and it was found that there was a difference in understanding according to academic background. However, there was no difference in the number of MRI scans. That is, there was no difference in the number of inspections due to leaflet education. In the future, leaflet education will be widely used for MRI examination, and it is necessary to study the qualitative evaluation of images after leaflet education in the future.