• Title/Summary/Keyword: psychosocial nursing care

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Undergoing Noninvasive Mechanical Ventilation (비침습적 인공호흡기 적용 환자의 불편감 연구)

  • Shin, Hyun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.69-80
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    • 2009
  • Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

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The Impact of Psychosocial Health and Self-nurturance on Graduate Nurse Experience (신규간호사의 사회심리적 건강과 자기 돌봄이 실무 적응 어려움에 미치는 영향)

  • Lee, Ji Yun;Lee, Mi Ja;Pak, So Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.459-468
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    • 2015
  • Purpose: The purpose of this study was to identify the effect of Psychosocial health and Self-nurturance on the experience of new graduate nurses. Methods: A cross-sectional survey design was used. The participants in this study were 149 nurses who had less than 12 months of nursing experience and were working at one of 4 general hospitals. The data were collected by a self-administered questionnaire from Nov. 2012 to Oct. 2014. Results: The total mean score for Psychosocial health was $3.07{\pm}0.60$, Self-nurturance, $3.38{\pm}0.44$, and graduate nurse experience, $2.59{\pm}0.27$. The effect of Psychosocial health and Self-nurturance predicted 23% of variance in graduate nurse experience. Conclusion: These results indicate that Psychosocial health and Self-nurturance have a positive relationship to graduate nurse experience. Therefore, further studies including approaches that support Psychosocial health and Self-nurturance are recommended to help in the adaptation of newly graduated nurses to clinical settings.

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community (통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과)

  • Jung, Gwang Ha;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.69-78
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    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Influence of Psychosocial Factors on Energy Drink Consumption in Korean Nursing Students: Never-consumers versus Ever-consumers

  • Choi, Jihea
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.48-55
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    • 2019
  • Purpose: This study aimed to investigate the status of caffeine-containing energy drink consumption among Korean nursing students and to identify associated psychological factors. Methods: In total, 187 Korean nursing students participated in this cross-sectional study. A self-administered questionnaire was used to identify participants' general characteristics and psychosocial factors (self-esteem, academic stress, depression, and college adjustment) associated with energy drink consumption. Data were analyzed with SPSS using descriptive statistics, the $x^2$ test, the t-test, and logistic regression. Results: More than two-thirds (73.3%) of the participants had consumed energy drinks. Among the investigated psychological factors, depression appeared to most strongly influence energy drink consumption behaviors in this population. Conclusion: The consumption of caffeine-containing energy drinks was found to be common among nursing students preparing to become health care professionals; depressed nursing students were more likely to have consumed energy drinks than non-depressed students. Nursing educators should emphasize the early detection of unhealthy beverage consumption habits and provide appropriate education to enhance healthy behaviors in future health care professionals.

Women's Health Status Working at Traditional Marketplaces and Their Needs for Public Health Care Services (전통시장 근로여성의 건강실태 및 보건의료요구도 조사)

  • Hwang, Won Ju;Kim, Jin Ah;Kim, Hee-Gerl
    • Research in Community and Public Health Nursing
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    • v.28 no.1
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    • pp.44-54
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    • 2017
  • Purpose: The purpose of this study is to analyze health status of women working in traditional marketplace and their needs for public healthcare services. Methods: A descriptive survey of 500 women working at three traditional marketplaces was conducted. Results: street vendors' health status were much poorer than store merchants'. Furthermore, psychosocial factors like job stress and depression were increased in street venders. Thus, the public healthcare programs required by them included exercise programs (28.2%) and health checkup (26.8%). In addition, 31.2% of the participants reported that they needed visiting nursing care services. The rate of occupational health and safety or employment insurances was as low as 10.8%. Conclusion: Effective interventions including psychosocial factors for women workers at traditional marketplaces need to be developed based on these results. Also, it is recommended that public health care services such as outreach services and visiting nursing care services for women working at traditional marketplaces be provided. Furthermore, institutional provisions such as insurances for protecting these vulnerable groups' health are needed.

Effects of Self Efficacy Promoting Programs on Self Efficacy, Self Care Behavior and Psychosocial Adaptation in Patients with a Colostomy (자기효능 증진 프로그램이 결장루 형성술 환자의 자기효능, 자가 간호 행위 및 심리사회적 적응에 미치는 효과)

  • Kim, Kyoung-Mi;Baek, Eun-Seon;Kang, Nam-Hee;Yoon, Kyung-Eun;Bae, Na-Young;Cha, Bo-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.288-296
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    • 2007
  • Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

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The Effects of Psychosocial Intervention on Depression, Hope and Quality of Life of Home-Based Cancer Patients (심리사회적 중재 프로그램이 재가 암 환자의 우울, 희망 및 삶의 질에 미치는 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.594-605
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of psychosocial intervention on depression, hope and quality of life of home-based cancer patients. Methods: The study design was a nonequivalent control group pretest-posttest design. Data were collected from September 21 to November 13, 2009. The subjects consisted of 81 cancer patients randomly selected who were registered at four public health center in Daegu, Korea. The 39 subjects in the experimental group received a psychosocial intervention and the 42 subjects in the control group received the usual nursing care. The weekly psychosocial Intervention protocol was comprised of health education, stress management, coping skill training and support (60 min) for eight weeks. Data were analyzed by using the SPSS/WIN 12.0 program. Results: Depression (F=23.303, p<.001) scores in the experimental group were significantly less than that of the control group. Further, hope (F=58.842, p<.001) and quality of life (F=31.515, p<.001) scores were significantly higher than those reported by the control group. Conclusion: The findings indicate that the psychosocial intervention was an effective intervention in decreasing depression and increasing hope and quality of life of home-based cancer patients.

Focus Group Study on Psychosocial Distress of Cancer Patients (치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구)

  • Yi, Myung-Sun;Kim, Jong-Heun;Park, Eun-Young;Kim, Jong-Nam;Yu, Eun-Seung
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.19-30
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    • 2010
  • Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

A Study of Nursing Care Satisfaction and the Image of Nurses As Compared Between Home Health Care and Hospitalized Clients (가정간호대상자와 입원간호대상자의 간호만족도 및 간호사이미지 비교)

  • Yong, Jin-Sun;Han, Sung-Suk;Yoo, In-Ja;Hong, Hyun-Ja
    • Journal of Home Health Care Nursing
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    • v.9 no.1
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    • pp.14-26
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    • 2002
  • The purpose of the study was to compare both the nursing care satisfaction and the image of nurses as experienced by home health care clients and hospitalized clients. For the descriptive survey study. data were collected from 69 home heath care clients and 342 in-patients in a university hospital. The tools used for the study were modified by Quality Patient Care Scale(Wandelt & Ager. 1974) and Image of Nurses (송인자, 1993). The data were analyzed using Pearson Correlation. Scheffe test. factor analysis. t-test. and ANOVA. The major findings were as follows: Regarding nursing care satisfaction, the mean score of total nursing care satisfaction in home health care clients was 3.28 out of 4.0. Among five domains, the domain with the highest score was the psychosocial domain, followed by the general. the professional. the physical. and the communication domain. The level of nursing care satisfaction was not significantly different according to demographic variables except for age: the age group of 41-60 showed the highest score (p<0.05). The mean score of total nursing care satisfaction in hospitalized clients was 2.95 out of 4.0. Among five domains, the domain with the highest score was the psychosocial domain, followed by the physical and the communication. the professional. and the general domain. The level of nursing care satisfaction was not significantly different according to demographic variables except age: the higher the age the higher the score (p<0.05). The levels of nursing care satisfaction in all five domains were significantly higher in home health care clients than in hospitalized clients(p=0.0005). Regarding image of nurses, the mean score of total image of nurses in home health care clients was 3.32 out of 4.0. Among four domains, the domain with the highest score was the sincerity domain, followed by the kindness. the spirit. and the knowledge and skill domain. The level of image of nurses was not significantly different according to demographic variables. The mean score of total image of nurses in hospitalized clients was 3.05 out of 4.0. Among four domains. the domain with the highest score was the sincerity domain, followed by the kindness, the knowledge and skill, and the spirit domain. The level of image of nurses was not significantly different according to demographic variables. The levels of image of nurses in all four domains were significantly higher in home health care clients than in hospitalized clients (p=0.001). Both the levels of nursing care satisfaction and image of nurses, part of an evaluation for quality of nursing care were significantly higher in home health care clients than in hospitalized clients. In light of the findings, we could consider that home health care nurses provided client-centered comprehensive nursing care. However, nurses need to have methods that more promote the social recognition of the image of nurses and nursing care services as well as professional knowledge and skills.

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Needs for Pediatric Palliative Care among Parents of Children with Complex Chronic Conditions (복합만성질환을 가진 자녀를 둔 부모의 소아청소년 완화의료 요구도)

  • Yun, Hyeseon;Hwang, Ae Ran;Kim, Sanghee;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.527-536
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    • 2018
  • Purpose: The purpose of this study was to investigate the needs for pediatric palliative care (PPC) among parents of children with complex chronic conditions (CCCs) and to investigate differences in the needs for PPC according to their general characteristics. Methods: A cross-sectional survey was conducted between March 28 and May 18, 2018. Parents (N=96) who had a child under 18 years with a CCC were recruited. Data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Results: The overall average need for PPC was $3.58{\pm}0.33$ out of 4.00. In terms of care for the subjects' children, the highest need was physical care, followed by psychosocial and spiritual care. In the sub-dimensions, preservation of physical function received the highest score. Of the items, the highest need was for seizure control. In terms of care for the subjects themselves, the highest need was for psychosocial care, followed by bereavement and spiritual care. In the sub-dimensions, communication received the highest score. Of the items, the highest need was for smooth communication with medical staff. Differences in needs for PPC according to participants' general characteristics were not statistically significant. Conclusion: Medical staff should provide PPC according to the priorities of parents' perceived needs.