Perceptions of Barriers to Cardiovascular Risk Factors and Decision to Seek Treatment among Middle-aged Men with Acute Myocardial Infarction / 성인간호학회지

PURPOSE: This study was designed to identify meaningful themes related to the recognition of lifestyle risk factors and barriers in seeking treatment following an acute event of first-time acute myocardial infarction. METHODS: A methodological mixed method of thematic content analysis and a quantitative analysis was used. The sample consisted of 120 male patients < 65 years of age who agreed to be in the study were interviewed using a semi-structured during 2008-2009. Data were analyzed according to the procedure of thematic content analysis and the meaningful themes were coded into SPSS data for quantitative analysis. RESULTS: Pre-hospital delay greater than three hours reported by 58.3% (n=70) of the sample and similarly 63.3% had no recognition about their symptoms as cardiac in origin. The mean number of risk factors was 3.9+/-1.8 out of 11 when lifestyle and psychosocial factors were included. From the interview data among the 70 patients delayed greater than three hours, thirty-five themes categorized into 12 main themes influenced the delayed decision which was identified according to personal-cognitive, socio-cultural, and contextual factors. CONCLUSION: Health care providers should consider these themes in designing individual interventions to make lifestyle changes and to facilitate more prompt decisions to seek care.

An Explanatory Model for Patient Adherence of Rehabilitation in patients with Spinal Cord Injury / 성인간호학회지

PURPOSE: The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables. METHODS: Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program. RESULTS: The overall fitness of the model was good (GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy. CONCLUSION: To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.

A Study on Food Intake and Family Support in Patients with Coronary Artery Disease / 성인간호학회지

PURPOSE: This study was to examine the food intake and family support of patients with Coronary Artery Disease(CAD). METHODS: 90 hospitalized patients who received CAD medical treatment were randomly selected. The food intake frequency and family support instrument were utilized. Collected data was analyzed by SPSS/WIN 14.0: t-test, Chi-square-test and Pearson's correlation coefficient. RESULTS: The mean score of food intake frequency was 5.65(total mean score 97.50) which was relatively healthy food intake based on the CAD treatment guidelines. Undesirable food intake items were fruit, fish, milk etc. The mean score of family support was 2.44(range: 1 - 4). Food intake showed a significant(p < .001) positive correlation with family support. There was significant difference(p < .05) on family support according to exercise. There was significant difference(p < .05) on LDL level, one of the CAD risk factors, between first admission patients and readmission patients. CONCLUSION: These findings suggest that nursing intervention education programs should be developed to appropriately care for CHD patients for needed changes.

Migrant Workers' Quality of Life Related to Health / 성인간호학회지

PURPOSE: The purpose of this study was to collect basic data in the quality of life related to health in migrant workers. METHODS: Data from 133 migrant workers was collected from August to December 2007 using a questionnaire from two free clinics located in Seoul and Gyeonggi-do. The data was scored by mean and standard deviation. Differences were evaluated according to the subjects' general characteristics by the t-test and the ANOVA test. The relationships in the quality of life related to health between the 9 sub-scales were evaluated by the Pearson's correlation coefficient. RESULTS: 1) Total average score of migrant workers' quality of life related to overall health is 61.09 +/- 13.68. The score of the quality of life related to physical health is 64.39 +/- 15.21 and the quality of life related to mental health is 57.80 +/- 16.18. 2) With respect to the general characteristics of subjects, the quality of life related to health was significantly different in age(F=3.852, p=.013), especially in physical health(F=6.868, p=.000). 3) The relationship between physical health and mental health was significant(r=.663, p=.000). CONCLUSION: Program development to improve quality of life related to health for migrant workers is needed.

Comparisons on Coping Skills and Physical Health between Realistic Optimists and Unrealistic Optimists in University Students / 성인간호학회지

PURPOSE: The purpose of this descriptive study was to compare ways of coping and physical symptoms of realistic optimist with unrealistic optimist in university students. METHODS: The participants for this study were students from three university, located in Seoul and Gangwon province. The data were collected by a questionnaire given to the students. RESULTS: The most frequently used coping skills of realistic/unrealistic optimist was the pursuit of social support. Realistic optimists are likely to use not only active coping skills but also passive coping skills, on the other hand unrealistic optimists tend to less use all coping skills. But in physical health, it doesn't show a significant differences except gastro-intestinal symptoms between two group. CONCLUSION: Based on the finding of this study, it is needed nursing intervention for strengthening realistic optimism for helping university students cope with stress and health.

Comparisons on Coping Skills and Physical Health between Realistic Optimists and Unrealistic Optimists in University Students / 성인간호학회지

PURPOSE: The purpose of this descriptive study was to compare ways of coping and physical symptoms of realistic optimist with unrealistic optimist in university students. METHODS: The participants for this study were students from three university, located in Seoul and Gangwon province. The data were collected by a questionnaire given to the students. RESULTS: The most frequently used coping skills of realistic/unrealistic optimist was the pursuit of social support. Realistic optimists are likely to use not only active coping skills but also passive coping skills, on the other hand unrealistic optimists tend to less use all coping skills. But in physical health, it doesn't show a significant differences except gastro-intestinal symptoms between two group. CONCLUSION: Based on the finding of this study, it is needed nursing intervention for strengthening realistic optimism for helping university students cope with stress and health.

Attitudes to Smoking Cessation Interventions and Importance of Participation in Tobacco Control Policy Among Clinical Nurses / 기본간호학회지

PURPOSE: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. METHOD: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation. RESULTS: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. CONCLUSION: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

Factors Effect on Quality of Life of Spinal Cord Injury Patients / 간호학회지

The purpose of this study is to act nursing intervention strategies to promote quality of life (QOL) in Spinal Cord Injury patients. Therefore, the study is designed to evaluate religion, marital status, educational background economic status, level of injury, voiding pattern, transportation by driving, rehabilitation education, self-concept, sexual status, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL, perceived hopelessness, personality and pain for QOL at the same time. It was gathered empirical data was collected using a self report questionnaire from 61 patients during a six month period after SCI at 5 general hospitals, at 2 rehabilitation centers and at 2 rehabilitation schools located in Seoul, Dae-jeon city, and Kyung-ki province from Jun. 18, 1999 through Sep. 28, 1999. The reliability of the 19 instruments was tested with Cronbach's alpha which ranged from .6319 to .9769. For the data analysis a SAS program was used for Pearson correlation coefficients, and stepwise multiple regression. The results were as follows; 1. The mean of total item score in the QOL scale was 2.814, which showed a much lower score than the cancer points. 2. There was a significant correlation between self concept, transportation by driving, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL and QOL.(gamma= .27~-.79, p< .05) 3. Stepwise multiple regression analysis showed that; a) Depression was the main predictor of QOL and account for 53.7% of the variance in QOL. b) Hope, ecomic status and body satisfaction accounted for 8%, 4%, 3.4% respectively and these variables combined accounted for 69.2% of the variance in QOL. In conclusion, to begin with, it is important to reduce depression and to help for SCI points to inspire hope, economic status and body satisfaction. That will be short cut for nursing strategies to enhance QOL.

A Study for the Development of a Problem-based Learning Package for Patients with Perception-Adjustment Disorder / 성인간호학회지

The purpose of this study is to present an actual example for procedures for developing a PBL package based on philosophical backgrounds derived from Problem-based learning. To perform a systemic study on the operations of an intergrated curricula under multi-disciplines, a research team made up of several professors with different academic backgrounds was formed. Among the four situations for the patients with perception-adjustment disorder, especially a procedure for the development of PBL package which can be used in the emergency room situation has been proposed. The little(2000)'s PBL package model has been applied for this study. Tha package includes course objectives, learning objectives, concept map, situation scenario, tutor guide, and evaluation method. It is believed that learning objectives achievement procedures designed as a part of a problem-based learning package development procedures for the nursing of patients with perception-adjustment can be achieved at the same level as the learning objectives for the science of nursing founded by the Korean Nurses Association.

The Importance of Parental Attitudes and Behavior upon Adolescent Smoking Behavior / 성인간호학회지

The purpose of this study was to find out the relationships between parental attitudes about smoking and parental smoking behavior as factors associated with adolescent's smoking behavior. Data were collected from Nov 20, 1997 to Feb 30, 1998 from 295 male high school students located in the Kyung Gi Do Province. Specific questions for adolescents concerning their parent's attitudes about their smoking, parental smoking behavior and the youth smoking behavior were included. Data were analyzed using a SPSS/PC program for the descriptive and chi-square statistics. Results indicated that parental attitudes are significantly associated with adolescents' smoking, both in behavior and amount smoked. Whereas parental behavior showed difference in means of adolescent's smoking behavior and smoking amount. In conclusion, parental attitudes toward adolescent smoking have a significantly greater effect on both the behavior and on the amount smoked than does parental antismoking educational efforts may find it helpful to include this factor.