Factors influencing self-care agency of chronic diseases with: disabilities Focused on health literacy, social support and perceived involvement in care / 의료커뮤니케이션

Purpose@#This descriptive research study was conducted to investigate the factors influencing self-care agency of disabled persons with chronic diseases. @*Methods@#The participants were 124 disabled persons with chronic diseases who were using a welfare center for the disabled in Seoul. Using a structured-questionnaire, the data was collected from April 15, to October 8, 2021. The data was analyzed using descriptive statistics, t-tests, ANOVA, scheff tests, pearson correlation coefficients and hierarchical multiple regression with the IBM SPSS/WIN 21.0 program. @*Results@#Self-care agency was positively correlated with the health literacy (r=.27, p=.002), social support (r=.38, p<.001) and perceived involvement in care (r=.28, p=.002). Factors influencing self-care agency were education (β=0.21, p=.014), social support (β=0.24, p=.006) and perceived involvement in care (β=0.17, p=.037). The input variables explained .241 of self-care agency. @*Conclusion@#The results of the study indicated that approaches focusing on enhancing perceived involvement in care and social support could potentially improve self-care agency of disabled persons with chronic diseases.

Factors Associated with the Need for Breastfeeding Information Among Women with GestationalDiabetes Mellitus: A Cross-sectionalStudy

Purpose@#Analyzing information based on individual needs can maximize the effectiveness of education, leading to changes in personal health behaviors. This cross-sectional descriptive survey study aimed to identify the characteristics of mothers who experienced gestational diabetes mellitus and correlate the factors associated with their information needs. @*Methods@#The participants were 298 women between the ages of 20 and 49 years who were pregnant and diagnosed with gestational diabetes at the time of the study, or who were diagnosed with gestational diabetes mellitus within five years after delivery. The average age of the participants was 34.28 years. After comparing participants’ demographics, diabetes, and breastfeeding-related characteristics according to their need for information on breastfeeding, a multiple logistic regression analysis was performed. @*Results@#Factors associated with participants’ need for information on breastfeeding were economic conditions, usual body mass index, current pregnancy, and experience of breastfeeding. @*Conclusion@#The findings can be used to implement programs that meet the needs of these women and help improve maternal and pediatric health and quality of life.

Factors Associated with the Need for Breastfeeding Information Among Women with GestationalDiabetes Mellitus: A Cross-sectionalStudy

Purpose@#Analyzing information based on individual needs can maximize the effectiveness of education, leading to changes in personal health behaviors. This cross-sectional descriptive survey study aimed to identify the characteristics of mothers who experienced gestational diabetes mellitus and correlate the factors associated with their information needs. @*Methods@#The participants were 298 women between the ages of 20 and 49 years who were pregnant and diagnosed with gestational diabetes at the time of the study, or who were diagnosed with gestational diabetes mellitus within five years after delivery. The average age of the participants was 34.28 years. After comparing participants’ demographics, diabetes, and breastfeeding-related characteristics according to their need for information on breastfeeding, a multiple logistic regression analysis was performed. @*Results@#Factors associated with participants’ need for information on breastfeeding were economic conditions, usual body mass index, current pregnancy, and experience of breastfeeding. @*Conclusion@#The findings can be used to implement programs that meet the needs of these women and help improve maternal and pediatric health and quality of life.

Knowledge and Health Beliefs of Gestational Diabetes MellitusAssociated with Breastfeeding Intention Among Pregnant Women inBangladesh

Purpose@#This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh. @*Methods@#This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh. @*Results@#Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM. @*Conclusion@#Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.

Knowledge and Health Beliefs of Gestational Diabetes MellitusAssociated with Breastfeeding Intention Among Pregnant Women inBangladesh

Purpose@#This study aimed to investigate the knowledge of gestational diabetes mellitus (GDM) and thehealth beliefs about GDM management, as well as to investigate the effects of these factors on breastfeedingintention in Bangladesh. @*Methods@#This study involved a cross-sectional survey of 358 healthy pregnant women who visitedantenatal clinics in Bangladesh. @*Results@#Perceived susceptibility, perceived benefit, and self-efficacy were identified as significant factorsfor breastfeeding intention (p < .05). Participants had a poor understanding and a lack of knowledge ofGDM, which can lead to inadequate health behavior. Health beliefs were significantly associated withparticipants’ breastfeeding intention related to GDM. @*Conclusion@#Antenatal education for breastfeeding in GDM mothers should focus on providing accurateinformation on GDM and strengthening their health beliefs such as self-efficacy within the context of themothers’ culture.

The Effects of Welfare Center's Cognitive Improvement Program on the Community Elderly Provided by Nursing Student Volunteers and Social Welfare / 의료커뮤니케이션

PURPOSE: This study was conducted to investigate effects of welfare center's cognitive improvement program on the community elderly provided by nursing student volunteers and social welfare.METHODS: A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were the community elderly with or without mild cognitive impairments (experimental group: 17, control group: 15). The experimental group participated in the cognitive improvement program for four months based on the demonstration program of the special grade of dementia in long-term care insurance for the elderly.RESULTS: After the intervention, the satisfaction with perceived social support (F=9.30, p=.005) was improved statistically between the experimental group and the control group, but there was no significant difference in MMSE-K, IADL, depression, EQ-VAS, and EQ-5D variables.CONCLUSION: These results indicated that a multidisciplinary approach or a variety of manpower is needed, in order to prevent the dementia of the elderly. However, in order to provide a systematic cognitive-based intervention, it was once again recognized that the training of relevant experts and the quality planning on them were very important.

The Effects of Major Health Issues and Job Stress on Presenteeism among Clinical Nurses / 산업간호학회지

PURPOSE: The purpose of this study was to investigate the effects of major health issues and job stress on presenteeism among clinical nurses. METHODS: The investigator conducted a survey on 226 clinical nurses at a general hospital in Seoul from March 3 to April 15, 2017, and analyzed their responses. RESULTS: The findings showed that job stress did not have a significant effect on the nurses' presenteeism. Fatigue (t=3.55,p < .001) impacted job loss, one of the subcategories of presenteeism, with an explanatory power of 12.1%. Premenstrual syndrome (t=-2.67,p=.008) and fatigue (t=-2.46,p=.015) affected perceived productivity with an explanatory power of 23.6%. CONCLUSION: Based on these findings, the study highlighted the need for effective management programs to tackle fatigue and premenstrual syndrome among clinical nurses' major health issues in order to reduce their productivity loss.

The Effects of Major Health Issues and Job Stress on Presenteeism among Clinical Nurses / 한국직업건강간호학회지

PURPOSE@#The purpose of this study was to investigate the effects of major health issues and job stress on presenteeism among clinical nurses.@*METHODS@#The investigator conducted a survey on 226 clinical nurses at a general hospital in Seoul from March 3 to April 15, 2017, and analyzed their responses.@*RESULTS@#The findings showed that job stress did not have a significant effect on the nurses' presenteeism. Fatigue (t=3.55,p < .001) impacted job loss, one of the subcategories of presenteeism, with an explanatory power of 12.1%. Premenstrual syndrome (t=-2.67,p=.008) and fatigue (t=-2.46,p=.015) affected perceived productivity with an explanatory power of 23.6%.@*CONCLUSION@#Based on these findings, the study highlighted the need for effective management programs to tackle fatigue and premenstrual syndrome among clinical nurses' major health issues in order to reduce their productivity loss.

The Effect of Denture Care Skills Education Program on Denture Self-care, Denture Satisfaction and Oral Health-related Quality of Life (OHIP-14) among the Elderly

PURPOSE: The purpose of this study was to investigate the effect of denture care skills education program on denture self-care, denture satisfaction and subjective oral status among the elderly. METHODS: The research design for this study was a non-equivalent control group quasi-experimental design. Total 61 elderly who visited a seniors center, Seoul, Korea, participated in this study. Participants were 31 elderly for the experimental group and 30 elderly for the control group. The experimental group received a lesson in denture care skills education program which was developed by the researchers. Using a structural questionnaire, the elderly's perception about denture self-care, denture satisfaction and subjective oral status were measured before and after the intervention. Descriptive statistics, independent t-test, chi-square test, and ANCOVA test were performed using SPSS WIN 21.0. RESULTS: The experimental group showed significantly higher scores in denture satisfaction(p<.001), QOL of oral health(<.001), concern for oral health(p=.005), subjective oral health status(p<.001), bad breath(p=.010), oral dryness(p<.001) and number of denture clearing(p<.001). CONCLUSION: The results suggest that the denture care skills education program for elderly at a senior center was effective. Further work is required to develop more effective denture care skills education programs and an oral health promotion program to improve the health status of the elderly.

Factors affecting the Pregnancy Rate of Intra-Uterine Inseminations in Unexplained Infertile Couples in Korea: Focusing on Treatment Type for Inducing Ovulation

PURPOSE: The purpose of this study is to identify factors influencing the pregnancy rate among unexplained infertile couples who received treatments of assisted reproductive technology (ART) and intra-uterine inseminations (IUI). METHODS: The medical records of 24,201 cases of unexplained infertility among a total of 31,684 intrauterine insemination treatment cases, (which benefited by 'National Medical-aid Program for ART in 2011') were used for this analysis. RESULTS: Woman's age (OR=0.94), frequency of IUI (OR=0.86), and treatment type (OR=1.54) were significant factors on pregnancy rates in the logistic regression analysis. CONCLUSION: Factors, such as the age of the infertile woman, frequency of IUI, and treatment type used to induce ovulation were shown to positively influence pregnancy rate. However, the age of the spouse was not a significant variable. Infertile couples having unprotected sexual intercourse with unexplained infertility had priority. The results demonstrated that about 70% of infertile Korean couples had unexplained infertility. This was a higher rate of unexplained infertility than that of the clinical standard. Therefore, we should assess for causes through future studies. In addition, affective or emotional factors influencing unexplained infertility need to be researched further.

A Comparative Study on Nurses' Organizational Culture and Job Satisfaction according to the Hospital Size Differences / 산업간호학회지

PURPOSE: This study was conducted to compare the characteristics of organizational structure and occupational satisfaction among nurses in general hospital and small to medium-sized hospital and to investigate the affecting factors on their occupational satisfaction. METHODS: The study was based on the cross-sectional descriptive survey. A self-report questionnaire was used to collect data from 343 nurses between June and July, 2010. Data were analyzed by chi2-test, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 14.0 program. RESULTS: Hierarchical structure was dominant in general hospital whereas relationship was highly valued in small to medium-sized hospital. Occupational satisfaction was positively correlated with work environment built on relationship, innovation and tasks. Factors significantly influencing on occupational satisfaction in general hospital included innovative work environment, nurses' income and their health status (R2=40.3%). For the small to medium-sized hospital, they included innovative work environment, satisfaction in life, tasks and professionalism (R2=40.4%). CONCLUSION: Organizational structure, especially innovative work environment and relationship-oriented attitude had a significant influence on nurses' occupational satisfaction. Therefore, nursing administrators have to develop and consider organizational structure to improve occupational satisfaction.

Affecting Factors of Nurses' Burnout in Secondary General Hospitals / 간호행정학회지

PURPOSE: This study was conducted to identify factors affecting nurses' burnout in secondary general hospitals. METHODS: Data were collected through structured questionnaires from 241 nurses working at the secondary general hospitals with below 400 beds in the P, C, and S city between April and May, 2009. Data analysis was done with independent t test, ANOVA, Pearson correlation coefficient, and multiple stepwise multiple regression with SPSS WIN v 17.0. RESULTS: Burnout was significantly different according to religion, age, clinical experiences, and shift work. Burnout score of the subjects was 58/100. Burnout of the subjects were positively correlated with job stress and negatively correlated with hardness, self efficiency, self esteem, spiritual wellbeing, social support, and job satisfaction. The explained variances for burnout was 51.8% and factors affecting nurses' burnout in secondary general hospitals were job stress, hardness, self efficiency, job satisfaction and shift work. CONCLUSION: These results showed the significant factors fo nurses' burnout in secondary general hospitals. These findings can be utilized to development of strategies for reducing job stress and enhancing hardness, self efficiency and job satisfaction.

Current Status and Factors Affecting Prenatal Care by Married Immigrant Women / 여성건강간호학회지

PURPOSE: The purpose of this study was to identify factors affecting prenatal care (PNC) by married immigrant women. METHODS: This study was a secondary analysis of "Reproductive Health Status of Married Immigrant Women and Policy Directions in Korea" by the Korea Institute for Health & Social Affairs. The participants were 727 married immigrant women from Asia. Data were analysed using descriptive statistics, chi2 test and logistic regression with SPSS 14.0. RESULTS: Of the 727 women interviewed, 91.7% visited prenatal clinic. However, first time for PNC was late and total number of PNC was lower (9.07) than the average of Korean women. Timing and number of PNC in rural area were later and fewer than those in urban area. PNC by these women was significantly lower in those who had lived in Korea longer and for those who the employed. However, PNC was significantly higher in those who attended health education during pregnancy and had not experienced premature delivery. Those who attended health education during pregnancy (OR=2.84, CI=1.49~5.40) or were unemployed (OR=0.51, CI=0.26~0.99) were more likely to have PNC. CONCLUSION: These findings illustrate the need to strengthen the public information and provide special services to their demands about PNC for married immigrant women.

Nursing Students' Experience in Community Health Center Practice

PURPOSE: The objective of this study was to understand the meaning of experience on community health centers (post) practice of nursing students. METHODS: This is qualitative research using focus groups. Data were collected through in-depth interviews performed from November 10 to December 11, 2009. The focus group interviews were conducted to 22 nursing students on their subjective experiences. The data were analyzed by the Colaizzi's method, in which the meaningful statements were extracted. RESULTS: Seven theme-clusters were identified from fourteen themes and thirty-one sub-themes. The seven theme-clusters were 1) widening of experiences; 2) feeling of warm heart; 3) feeling of satisfaction; 4) feeling of being unfulfilled; 5) difficulties; 6) new awareness; and 7) good memories. CONCLUSION: Through a variety of relationships and self-regulation in community health centers (post) practice, the nursing students may have the feeling of worthiness, new awareness of community nursing, and visions for the future to rebuild.

A Study on the Correlation among Occupational Stress, Depression, Health-Related Behavior and Type A Behavior Patterns of Male Workers at a Steel Factory / 산업간호학회지

PURPOSE: This study investigates the relationship between job stress, depression, health-related behavior and type A behavior patterns among male workers at a steel factory. METHODS: The study was done on 171 male workers, using the structured questionnaire. The data were collected in April, 2009 and analyzed by descriptive statistics, t-test, ANOVA, and pearson correlation coefficient. RESULTS: The results showed that 65.5% of workers were under moderate stress, 25.7% high stress and 0.6% extremely high stress. The overall score of these workers' occupational stress was 41.9, lower than the Korean workers' average. Occupational stress was correlated with depression, type A behavior patterns, a very poor physical condition without sufficient sleep. CONCLUSION: Stress management program is strongly needed for these subjects working over 45 hours a week, with a very poor subjective physical condition, insufficient sleep, type A behavior patterns and signs of severe depression. Further longitudinal study is recommended to show the effect of such worker's stress management program to mitigate job-related stress.

A Study on Spiritual Well-Being, Depression, and Health Status of Elderly Women in a Community / 여성건강간호학회지

PURPOSE: The purpose of this study was to examine the relationship between spiritual well-being, depression, and health status of elderly women in a community for providing the basic data necessary to improve the practice of nursing. METHOD: The participants were 295 elderly women, over 65 years old in Gwangju and Kyongbuk province, Korea. The data were collected between April 15th and June 15, 2003 using a structured questionnaire and were analyzed using SPSS Win 8.0. RESULT: Factors such as religious belief (p< .001), type of religion (p< .001), participation of worship (p< .001), significance of religion (p< .001), education (p=.001), spouse (p=.015), financial supporter (p=.001), and living satisfaction (p< .001) showed a statistically significant relation with spiritual well-being. There was a negative correlation between spiritual well-being and depression (r=-0.32, p< .001), and between health status and depression (r=-0.50, p< .001). However, there was a positive correlation between spiritual well-being and health status (r=0.32, p< .001). CONCLUSION: In order to promote spiritual well-being in elderly women, it is necessary to develop a nursing intervention program classified by the type of religions, followed by studies on the results of proven intervention programs.

A Development of the Social Network Model for the Maternal Role of First-time Mother / 여성건강간호학회지

PURPOSE: The purpose of this study was to evaluate the factors which are related to the maternal role performance of first-time mother to improve the health of infant. Specifically a basic hypothetical model was developed based on the previous study about a model of social networks. METHOD: The survey was done from January to February in 2001. Total 257 mothers who have four to twelve month old first-time baby was interviewed in five community health center around country(Seoul, Choung-ju, Asan, Cheon-an, Jeju). Finally 247 data was analyzed. Data analysis was done with LISREL 8.20 program for covariance structural analysis. RESULTS: Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data(X(2)=167.55(p=.00), X(2)/df=1.48, GFI=0.97, AGFI=0.95, RMR=0.049, NFI=0.98, NNFI=0.99, CN= 222.53). All predictive variables of the maternal role of first-time mother explained 30% of total variance in model. Social network structural characteristics and social network interactional characteristics had significant effect on the emotional support and the information support. And social network interactional characteristics had significant effect on the service support, material support and social companionship support. The service support and social companionship support had significant effect on the maternal role strain. The emotional support and the social companionship support had significant effect on the maternal role of first-time mother. CONCLUSION: As the conclusion of this study, there is in need of the developing the programmes focussed on the social network for the first-time mother.

A Survey on doing Weaning Activities of First-time Mother / 아동간호학회지

It is an important task to give adequate nutritions to infants and to wean properly for rapid growth. This study was conducted to survey on doing the weaning activities of the first-time mother. This study was to provide basic data of health teaching and nursing intervention for the promotion of ideal weaning activities. Survey was done from January to February in 2001. Total 444 mothers who have first-time baby under twelve month old were interviwed in five community health center around contry (Seoul, Choung-ju, Asan, Cheon-an, Jeju). The results are summarized as follows; Starting time of weaning was common in four month old(40.4%). Most common daily weaning times by age showed once(under 3 months), twice(4 to 7 months), three times(8 to 12 months). The younger, the more commercial weaning products(p < 0.01). Education level showed relatively positive relation with home-made weaning food(p < 0.05). Items showed low scores in 4 to 7 months group were starting new food item, waiting at least one week interval to new food, feeding by milk bottle, allowing grasping spoon, consulting pediatrician for problems after weaning, starting from morning, regular schedule. Items showed low scores in 8 to 12 months group were feeding whole egg rather than yolk only up to 12 months, keeping weaning interval were increased, feeding by milk bottle, trying various cooking method, not giving commerical cooking and instant food and unproper raw milk feeding. In weaning activities by general factors, mother age, health status, marriage duration, monthly income were statistically significant (p < 0.05). To improve good weening activities, targetting on low maternal age and poor health status, and low income group, developing teaching materials and training program for items showed low scores and proper weaning time, type of easy home-made food and easy cooking method should be provided. Further study on effect of nursing intervention to improve weaning activities are needed.

Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care / 간호학회지

PURPOSE: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. METHOD: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). CONCLUSION: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.