A Study on Health Risk Behaviors in Adolescents / 기본간호학회지

PURPOSE: The purpose of this study is to identify health risk behaviors in adolescents according to grade in school and to offer basic data to develop a health promotion for adolescents. METHODS: A descriptive survey design was used and the SPSS 12.0 program was used for the data analysis, which included Chi-square test and Spearman correlation coefficients. The instrument for this study was based on the 1999 Youth Risk Behavior Surveillance System developed by the Centers for Disease Control and Prevention. RESULTS: The results indicate that adolescent have an average of 2 risk behaviors out of 10 health risk behaviors categories. There are various types of risk behaviors, which are different for each grade, such as physical fights, using alcohol, using heroin, weight control, and the lack of AIDS education. Physical fights, and the lack of AIDS education are common in the 9th grade, using alcohol, heroin, and weight control are common in the 11th grade. Physical fights were correlated with using cigarettes and sexual intercourses. Using alcohol was correlated with using cigarettes, heroin, sexual intercourses and weight controls. Using heroin was correlated with sexual intercourse and weight control. CONCLUSION: For the promotion of health in adolescents, different approaches to health education and prevention of health risk are needed for each grade because the health risk behaviors differ between grades.

The Relationships of Patient Learning Needs and Health Promoting Behavior, Health Concept in Women with Disabilities* / 기본간호학회지

PURPOSE: this study was to describe patient learning needs and the relationship between health promoting behavior and health concept with women with disabilities. METHODS: A descriptive survey design was used and the SPSS 11.0 program was used for data analysis, which included t-test, ANOVA and Pearson correlation coefficients. The women (n=50) were in-patients in a rehabilitation center. RESULTS: The study results indicate that they had high levels of patient learning needs and the most important information for patient learning needs was support and care. Patient learning need was correlated with health promoting behavior. CONCLUSIONS: The findings of this study give useful information to construct further studies in educational programs and rehabilitation nursing care and to support a healthcare system for women with disabilities.

A Study of Stage of Change of Exercise in Young Adults / 기본간호학회지

PURPOSE: The purpose of this study was to identify the change processes for exercise behaviors in each stage. METHOD: Participants for this study were randomly selected from adults between the ages of 20-44. Data were collected using questionnaires over a 2 week period at the end of May, 2003. The instrument, Stages of exercise behavior change developed by Marcus et al. (1992b), and the instrument, Changing phases of exercise behaviors developed by Nigg et al. (1999) and translated by Kwon (2002) were used to investigate the behaviors. RESULT: 1. Related to stage of exercise behavior change of participants, it was found that 55.2% of participants exercised regularly. 2. Among the change processes according to stage of change showed that dramatic relief was the most frequently used process for all stages. Environmental reevaluation and social liberation were used most in the contemplation stage, while environmental reevaluation and stimulus control were used most in the preparation stage. In addition, scores for stimulus control and environmental reevaluation were high in the action stage. In the maintenance stage, social liberation and counter-conditioning were used most frequently. 3. The process of exercise behavior change which differentiates the stages of exercise behavior change were shown to be counter-conditioning, which was an influential factor that differentiates the contemplation stage and maintenance stage. CONCLUSION: The results suggest that change process management should be the focus to enhance the stage of change for exercise in this group.

An Analysis of Learning Objectives and Test Items in Fundamentals of Nursing in Korea / 기본간호학회지

PURPOSE: To analyze the learning objectives and test items for Fundamentals in Nursing which were established between 1999 and 2000 and to develop these items toward a nationwide faculty workshop for national board examination for Korean nurses. RESULTS: 1. According to Bloom's taxonomy, learning objectives established in 1999 mainly consisted of two domains, comprehension (56.1%), and knowledge (27.7%). The learning objectives established in 2000, mainly consisted of comprehension (45.2%) and application (25.4%). 2. According to McGuire's taxonomy, domain of test items established in 1999 consisted of recall (66.7%), interpretation (28.0%) and problem solving (4.9%). Domain of test items established in 2000, consisted of recall (65.1%), interpretation (22.0%) and problem solving (12.9%). 1) Department of Nursing, Chung-Ang University 2) College of Nursing, Yonsei University 3) College of Nursing, Seoul National University 4) Department of Nursing, Kyung-Hee University 5) College of Nursing, Ewha University 6) College of Nursing, The Catholic University of Korea(corresponding author, Email: sky@catholic.ac.kr) 7) National Medical Center Nursing College 8) Red Cross Nursing College 9) Department of Nursing, Gachun Gil College 3. The proportion of learning objectives in the knowledge and comprehension domains established in 200, decreased from 27.7% to 13.5%, and from 56.1% to 45.2% respectively over that of 1999. But the domain of application increased from 5.3% to 25.4% over that of 1999. 4. With regard to McGuire's taxonomy, the proportion for the recall and interpretation domains established in 2000 decreased from 66.7% to 65.1%, and from 28.0% to 22.0% respectively. But the proportion for the problem solving domain increased from 4.9% to 12.9% over that of 1999. For type of test items, the proportion of A type established in 2000 decreased from 47.2% to 37.6%, and K type increased from 52.1% to 60.8% over that of 1999. CONCLUSION: The learning objectives and test items established in 2000 showed remarkable improvement compared to those established in 1999. For better learning objectives and test items in Fundamentals of Nursing, further research is recommended on essential content and standardization of job analysis for national board examination for nurses in Korea.

Chronic Fatigue and Related Factors in Adults / 기본간호학회지

PURPOSE: To identify characteristics of chronic fatigue, difference between the duration of fatigue and characteristics of chronic fatigue, and association between chronic fatigue and related factors in adults. METHOD: The subjects for this study were 180 adults who had experienced fatigue for over one month. The measurement tools were the Revised Fatigue Scale by Chalder et al. (1993), the Visual Analogue Scale-energy developed by Lee et al. (1991), the BEPSI (Brief Encounter Psychosocial Instrument) by Frank & Zyzanski (1988), Zung's self rating depression scale (1965) and life style items including exercise, sleep, drinking, smoking and diet as developed by the researchers. RESULTS: Those who complained of fatigue over six months experienced higher disturbances in their daily life compared to those who had suffered from fatigue less than six months. There were a significant correlation between severity of fatigue and depression (r=0.46, p<.001), stress (r=0.41, p<.001), and sleep (r=0.20, p<.01) Statistically significant relationships were found between severity of fatigue and amount of exercise per week (F=3.79, p<.05), disturbed sleep (t=-2.66, p<.01), number of times awakened during the night (F=3.48, p<.05), types of drinking (F=2.65, p<.05), and diet regularity (F=5.83, p<.01). The construction of a multiple regression model revealed an adjusted R2 of .27 with the depression score serving the major predictor variables for severity of fatigue. Men and people in the younger age group were more energetic than women and those in other age groups. Also married people experienced more fatigue than people who were single, divorced or separated. CONCLUSION: In nursing interventions for fatigue, medical personnel should consider sociodemographic characteristics of the clients, ways to reduce of stress and counter disturbances in daily life and develop strategies for a health promoting life style.

The Research Trends in Fundamental Nursing : Based on the Analysis of Journal of Korean Academy of Fundamental Nursing / 기본간호학회지

PURPOSE: This study was to analyze the trends and content of all the research (171 research papers) published in the Journal of Fundamentals of Nursing from 1994, when it began to 2000 using an objective tool developed by the researches, and to identify the direction for the future research in Fundamentals of Nursing. METHOD: Research published in the Journal of Fundamentals of Nursing from 1994 were reviewed. RESULT: Most of research (94.2%) was non-degree based and funded research was very limited. The average number of researchers per research study was 2.2 and collaborative research has been gradually increasing. The total number of key words was 331 and the average was 2.6 per research. The major key words were not different from other nursing departments and included home care nursing (10 times), health promotion (8 times), self-care (7 times), self-efficacy (7 times), and hemo-dialysis (6 times). Eighty seven percent of the research was quantitative research, and there were very few qualitative studies. Considering theory level, it was found that 40% were factor related research. For study design, non-experimental studies were most frequent (66%), and the rate, especially of surveys, has remarkably decreased. Selection of subjects by convenience sampling, was most frequent and there were very few studies that provided the rationale for the calculation of sample size. The major subjects of study were patients (44.8%) with various diagnoses. The subjects usually gave oral consent to take part in that study. Giving information (46.9%) and exercise (26.5%) were common nursing interventions, and physiological indices (16.5%), vital signs (10.3%), physical functioning (8.2%), level of knowledge/skill (7.2%) and level of activity (6.2%) were frequently measured as outcome. Variables questionnaires were the major approach used to collect data, and 57.8% of the research provided the Cronbach alpha to guarantee internal consistency of study instruments. Data were analyzed with computerized statistical packages using, ANOVA (42.0%), T test(39.5%), and chi-square test. For the last seven years, nursing research in Fundamentals of Nursing has gradually improved in both quantity and quality. CONCLUSION: It was difficult to find any uniqueness or difference compared to other departments of nursing. In fact, because the history of the Journal of Fundamentals of Nursing is rather short, we can expect that there will be further improvement in quality and content in the future.

The Effects of Personality on Drinking Patterns and Drinking-related Problems among Male University Students / 기본간호학회지

The purpose of this study was to investigate the effect of personality characteristics on drinking patterns and drinking-related problems. Subjects were selected through convenience sampling from the two universities in Kyung-Ki area. Data were collected from Nov. 1st to Dec. 20th 2000 using a structured questionnaire that including general characteristics, Q-F(Quantity-Frequency) Methods, Personality Scales and Drinking-related Problem Scales. The results of this study show 1. 50.8% of subjects were heavy drinkers. 2. Heavy drinker scores higher on drinking-related problems and amount of smoking than light drinkers. 3. The Drinking patterns and drinking-related problems of heavy drinkers were selected to the influence of a depressive-tendency in personality and the amount of smoking. The results of this study suggest that the drinking-related problems of male university students are selected to the influence of depressive and anti-social characteristics. Therefore, it is necessary that further study on various nursing interventions be done and that personality be taken into consideration in developing programs aimed of preventing drinking-related problems in heavy drinkers.

Study on the Personality and Eating Behavior / 기본간호학회지

The purpose of this study was to explore the personality and eating behavior among adult women. The subjects for the study were 237 adult women, who live in Seoul. The survey instruments were to develop for personality and eating behavior. Data were collected between November 6 and November 27 in 2000 and analyzed using the SPSS program. The result of this study are as follows: 1. Six factors(perfection, emotion, autonomy, consideration for other, evaluate from other, dependency) emerged from personality, and these contributed 55.29% of the variance in the total score. 2. Three factors(craving, food intake according to emotion, eating habit) emerged from eating behavior, and these contributed 49.23% of the variance in the total score. 3. There were significant correlation between personality and eating behavior(r=0.32, p=0.00). 4. In the relationships between craving and personality, perfection, emotion, autonomy, consideration for other, evaluate from other, dependency showed a statistically significant correlation. 5. In the relationships between food intake according to emotion and personality, perfection, evaluate from other, dependency showed a statistically significant correlation. 6. In the relationships between eating habit and personality, perfection, autonomy, consideration for other, evaluate from other, dependency showed a statistically significant correlation. This study suggest that perfection, evaluation from other, dependency dimension of personality may be important factor for regulation of eating behavior.

Pathway of stroke patients seeking medical care / 기본간호학회지

The purposes of this study were to investigate the pathway which stroke patients take in seeking medical care and to identify factors which influence that pathway. This study was conducted by a survey. The subjects were 130 adults, who were diagnosed with a stroke between January and April of 2000. Data was collected by means of a interview, questionnaires, and an Activity Index. The result of this study are summarized as follows: 1. The mean age of subject was 61.58 years. Forty-nine percent were men and fifty percent were women. The majority of the subjects were married. For educational level, thirty-three percent finished elementary school, and twenty-three percent, high school. Most of the subjects reported "middle" economic status. Ninety-two percent lived with their spouse and children. The diagnosis for seventy-two percent was ischemic stroke and for twenty-two percent, hemorrhagic stroke. 2. The most frequent early sign of stroke was hemiplegia(43.3%), loss of consciousness (36.7%), dysarthria(33.3%). The type of hospital first used was a herb hospital (40.8%), or a western hospital(59.2%). The factors in their choice were; distance from the hospital to the place that the stroke occurred(47.5%), desire for a herb hospital(15.8%), and an invitation (12.9%). The ischemic stroke patients preferred herb hospitals, but hemorrhagic stroke patients preferred a western hospitals. 3. The pattern of stroke patients seeking medical care was that forty-three percent of stroke patients pass through step 1, forty-six percent, through step 2, and 8.5% through step 3. The more steps, the higher the use of herb hospitals. 4. The factors influencing the pathway of stroke patients seeking medical care were diagnosis, and level of consciousness. Ischemic stroke patients used herb hospitals, more frequently hemorrhagic stroke patients, who used western hospitals. The alert patient preferred a herb hospital, but stupor patients preferred a western hospital. 5. The Activity Index was not related to the pathway which stroke patients used in seeking medical care.

Study Objectives for the National Qualifying Examination and Course Contents of Fundamental Nursing / 기본간호학회지

The purpose of this study was to assess the present status of the course content of Fundamental Nursing in accordance with the study objectives which were developed for the National Qualifying Examination by the first Faculty-Workshop in January, 1999 and the study objectives as related to other Nursing courses. The study sample included all schools of nursing and the members of the faculty for Fundamental Nursing of seventy schools(66.7%), out of the target population of 105, responded to a questionnaire which was developed by the research team. The collected data were analyzed by frequencies, percentages, means, and standard deviation using the SAS(Statistical Analysis System). The results are as follows: 1) According to this survey the course content of Fundamental Nursing as described in the study objectives for the National Examination, 223(86.77%) study objectives were included in the course of Fundamental Nursing by more than 70% of the schools of nursing. But twenty-three of the study objectives are not included by 30~50% of the schools of nursing. They consider this content to be taught in other courses. The study objectives, which less than 50% of the schools reported as being included in their course in Fundamental Nursing were, all study objectives for "nursing assessment(communication)", "nursing assessment (physical examination)", "record and report", "sex", and 'use of computer program for nursing diagnosis' and 'use of computerized nursing planning program'. 2) Items that were not included in the study objectives for Fundamental Nursing but were included in course content for over 50% of the schools included, 'health of individual, family, community', 'change of nursing practice', 'professionality of nursing' and all of the study objectives belonging to "loss and grief" and "nursing during all stages of surgical operations". We hope that these results will be helpful in modifying the study objectives for the National Examination as developed by the first Faculty-Workshop and recommend the need for continuous survey research to produce content that is in accordance with study objectives and a National Examination that reflects the content of Fundamental Nursing.

Development of the Education Program and It Effect on Osteoporosis and Life Style among Women / 간호학회지

The purpose of this study was to develop the educational program based on the self-efficacy theory of Bandura(1986) and to identify the effect of the program among women. For this purpose a non-equivalent control group, and a pretest- posttest design was used between the experimental and the control group. The subjects in this study were female and were over the age 40, 37 in the experimental group and 46 in the control group. In this study, the educational program was developed to increase the level of osteoporosis self efficacy and to prevent osteoporosis. The program consisted of watching, videotapes, telephone contact, lectures, and small group discussions. This study was conducted to determine whether the 6 month educational program would increase osteoporosis self- efficacy, thus modifying life styles related to osteoporosis increas BMD. The instruments utilized in this study were the Lifestyle Questionnaire, and the Osteoporosis Self-Efficacy Scale. Also, bone marrow density (BMD) on the left wrist was measured by DTX-200. The findings are as follows: 1. A significant decrease in BMD was observed in the control group. By contrast, no significant change in BMD was observed in the experimental group. 2. The Osteoporosis Self-Efficacy was not significantly changed in both the experimental and control groups. 3. In the experimental group, the number of exercise participants and their exercise times were significantly increased. Also the amount of caffeine intake was significantly decreased.

Post-Surgical Recovery Patterns of the Elderly / 기본간호학회지

This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery in five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-320 P=.024), recovery time and pain(r=.404 p=.005). There were significant cerrelations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p= .002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health (physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health (physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

Life Style and Self-efficacy in Osteoporsis Women / 간호학회지

The purpose of this study was to investigate the life style, self-efficacy, and bone marrow Density(BMD) in osteoporosis female patients. The subjects were recruited at the four Osteoporosis Clinics. A Convenience sample of 190 women completed a survey instrument which included the Osteoporosis Self-Efficacy Questionnaire, Life Style Questionnaire and demographic items. BMD of L4 was measured by Dual Photon Absor photiometry. The sample ranged in age from 40 to 82 years (Mean=60.28). Eighty-one percent were married and 14.9% were widowed. Forty-four percent lived with spouse and children. Excercise, diet, medication, alcohol consumption, and smoking were measured to investigate the life style. Fifty-seven percent of the subjects exercised regularly. Mountain climbing, brisk walking, and free gymnastics were frequently cited exercises by the subjects in the study. Sixty percent drank one cup of milk and 34.7% had 1.13 cups of coffee in a day. Thirty-nine percent used calcium supplements, 9.5% drank alcohol, and 3.2% smoked cigarettes. Economic status and education level were related to self-efficacy. Age, Economic status, and education level were related to BMD. As a life style, exercise, diet(milk, ice cream, and coffee), and medication(calcium) were associated with self-efficacy. The subjects who exercised regularly and took calcium supplements for a longer time had a higher level of self-efficacy that those who did not. Smoking and alcohol consumption had no relationship with self-efficacy. Excercise, Medication(calcium), and alcohol consumption were related to BMD. The subjects who took calcium supplements for a longer time had a higher level of BMD. Alcohol consumption was not related to self-efficacy but related to BMD. The subject who drank alcohol had a higher level of BMD than those who did not drink. The amount of alcohol consumption was positively related to BMD.

A Study on the Level of Comfort in Korean Adults: Comparison between Healthy people and in-Patients / 기본간호학회지

The purpose of this study was to compare the comfort level between healthy people and adult in-patients in Korea. The sample consisted of 248 adults (healthy adults: 124, patients admitted in university hospitals in Seoul and Jinju: 124). The research tool used for the study was General Comfort Questionnaire(GCQ) which was developed by Kolcaba(1992) and was translated by Korean. The research tool consisted of 28 items (6 items on physical dimension, 9 items on psychospritual dimension, 7 items on environmental dimension, 6 items on social dimension). Data were analyzing using the SPSS, yielding t-test, ANOVA. The results are as follows: 1) Mean scores for comfort level in healthy adults were 2.92 on a 4 point scale. 2) Mean scores for comfort level in-patient adult were 2.72 on a 4 point scale. 3) There was a significant difference between the two groups on the comfort level. The healthy adults had higher comfort level than in-patients (t=4.44, p=0.000). 4) There was a significant difference between the two groups on the comfort level of physical and environmental dimension. The healthy adults had higher comfort level than in-patients (t=2.99, p=0.003) and environmental dimension (t=8.81, p=0.000).

The Survey of mouth care among cancer patients received chemotherapy / 기본간호학회지

The incidence of oral complications among adult cancer patients undergoing chemotherapy varies from 12 to 80%. Adequate oral hygiene has been shown to be important in prevention of oral complication and an essential role is reserved for the nursing staff. These considerations prompted the decision to survey by means of a questionaire, the nurses who give care to cancer patients. The Questions were included multidisciplinary treatment, inspection skill, nursing intervention, nursing education, problem in mouth care, solution for problem solving. Results are follow : 1. A total of 116 the nurses returned the questionaire. 2. According to 88.2% of the respondents, the policy with regard to oral hygine in determined by the physician and the nurse. 62.1% of nurses do not consult the dentist When oral complication is occurred. 3. In only 34.5% of case was a penlight used to provide the necessary extra illumination nursing Inspection of oral cavity. 4. Frequency of oral complication observed by the respondents is that they observed complications in < 25% of patients. The nature of the complication varied from ulcer, stomatitis, infection, dry mouth, candidiasis, herpes simplix, bleeding. 5. Percentages of respondents who use the intervention indicated 1) to prevent oral complication : 0.9% normal saline gargling(44%), 0.02% chlorhexidine gargling, oral dressing(38.8%), observation, nutrition, restriction of alcohol and tabaco(23.2%) 2) to deal with the early symptoms : 0.9% normal saline gargling(47.4%), cryotherapy(37.9%), 0.02% chlorhexidine gargling(20.7%) 3) to help alleviate severe complications : dental consult, holding the chemotherapy(34.5%), 0.9% normal saline gargling(31.1%), cryotherapy(18.0%) 6. According to 70% of the respondents, insufficient attention is given to oral complication during nursing education classes only 8.6% said that both the theory and the practical aspects had been deal with in sufficient detail during their training. The results of the survey indicate that oral care in cancer patients undergoing chemotherapy has a number of problem. There are not enough dentist to provide the necessary care for patients undergoing chemotherapy. The expertise of the nurses with respect to the pathogenesis of the complication is limited. In the training of nurses, additional attention to oral examinations and oral hygine is warranted. The care of patients should be the responsibility of a multidisciplinary team approach. The nurse occupies a key position with in this team, which includes the medical oncologist, a dentist.

Validity of nursing diagnosis: Fluid volume deficit / 기본간호학회지

A validation of the nursing diagnosis "fluid volume deficit" was completed by using the diagnostic content validity method. Articles pertaining to fluid volume depletion were reviewed to identify the signs and symptoms used to describe the nursing diagnosis. The topics addressed in the articles included hypovolemic shock, hemorrhage, trauma, fluid balance, hydration, burn injury, thirst, dehydration. A validation instruments was constructed of 52 signs and symptoms. A validation tool was examined by expert nurses group who work on intensive care unit, kidney transplantation unit, internal medicine and general surgery unit. The study sample rated the signs and symptoms on a scale from one to five, evaluating their relevance to this diagnosis. Of the 52 signs and symptoms on the validation tool, 10 were categorized as critical indicators and 34 were categorized as defining characteristics.