Effects of a Spouse’s Aromatherapy Hand Massage on Fatigue, Stress, and a Couple’s Relationship in Pregnant Women

Purpose@#The purpose of this study was to investigate the effect of a spouse’s aromatherapy hand massage on fatigue, stress, and a couple’s relationship in pregnant women. @*Methods@#A nonequivalent control group pretest-posttest design was used. Pregnant women were selected as participants on prenatal education program of 2 health centers. For the experimental group, 28 pregnant women were selected from 1 health centers. Thirty-two pregnant women were assigned to a control group from another. Bergamot, lavender, and sandalwood oil were mixed at a ratio of 1:1:1 and diluted to 1% in a jojoba carrier oil. This oil was used for aromatherapy and had already been identified as not being hazardous to pregnant women. Participants received an aroma hand massage from their spouses 5 times a week for 4 weeks, a total of 20 times. Pre and post written survey were collected from both groups. The data were analyzed by χ2 test, independent t-test, paired t-test and analysis of covariance using IBM SPSS Statistics ver. 25.0 program.Result: There was a statistically significant difference in stress (F=17.39, p<0.001) and the couple’s relationship (F=18.87, p<0.001) between the experimental group and the control group. Fatigue was not significantly different between the 2 groups (F=2.61, p=0.112), but there was a difference pre and post the experimental group (t=-5.30, p<0.001). @*Conclusion@#These findings indicate that a spouse’s aroma hand massage is effective as a nursing intervention for pregnant women to relieve fatigue and stress, and improve the couple’s relationship.

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms / 임상간호연구

Purpose@#This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. @*Methods@#A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. @*Results@#Safety nursing activity was significantly different in relation to nurses’ level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. @*Conclusion@#To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

Concept Analysis of Married Immigrant Women Acculturation to Korean Culture

PURPOSE@#The purpose of this study is to clarify attributes, antecedents, and consequences of married immigrant women acculturation to Korean culture.@*METHODS@#According to the procedure that Walker and Avant presented, the concept of married immigrant women's acculturation to Korea culture is analyzed.@*RESULTS@#The defining attributes of married immigrant women acculturation to Korean culture are good communication, family and social support, mothers parenting capacity, and acceptance of mutual culture. The antecedents are interracial marriage, moving to Korea and prejudice against married immigrant women. The consequences are psychological well-being and satisfaction with family life.@*CONCLUSION@#The cultural adaptation process for the stable settlement of married women in Korean society has 4 attributes: good communication, family and social support, mothers parenting capacity, and acceptance of mutual culture. Therefore, this application will help people in the cultural adaptation process especially when they approach married women.

Factors Related to Positive Psychological Capital among Korean Clinical Nurses: A Systematic Review and Meta-Analysis / 임상간호연구

PURPOSE@#The purpose of this study was to systematically review and identify factors relevant to the positive psychological capital of clinical nurses.@*METHODS@#These was no limit on year of publication. Articles related to Korean clinical nurses were retrieved from computerized database using a manual search. A systematic review was conducted based on the PRISMA flow. The total correlational effect size (ESr) for each related factor was calculated from Fisher's Zr. Funnel plots, fail-safe numbers, and Egger regression tests were used to evaluate publication bias in meta-analysis studies. The correlational effect size of 25 studies was analyzed through meta-analysis using Comprehensive Meta-Analysis software 3.0 (CMA).@*RESULTS@#The review included 25 studies. In the systematic review, 14 demographic factors and 46 organizational factors were found to be influential. Eleven factors (6 demographic factors and 5 organizational factors) were appropriate for meta-analysis. The overall effect size was .26. The demographic total correlation effect size of related factors was .20 and the total effect size of organization was .46. Organizational commitment (ESr=.38) and job satisfaction (ESr=.54) were statistically positively related variables. Negative variables were burnout (ESr=−.61), turnover intention (ESr=−.41) and workplace bullying (ESr=−.33). The total effect size of the organizational factors was larger than the demographic total effect size. There was no publication bias except for demographic variables.@*CONCLUSION@#Organizational factors and adjustable variables have a significant impact on positive psychological capital. The results of this study support the need for development of interventions focusing on organizational factors.

Impacts of Symptom Clusters, Performance and Emotional Status on the Quality of Life of Patients with Gynecologic Cancer

PURPOSE: To determine impacts of symptom clusters, performance and emotional status on the quality of life of gynecologic cancer patients. METHODS: Subjects completed questionnaires consisting of four measurements: symptom cluster, performance and emotional status, and the quality of life. A total of 104 completed data sets were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis using the SPSS 21.0 program. RESULTS: Fatigue was identified as the most prevalent symptom (77.9%) and sweating (2.08) as the most severe and uncomfortable symptom (1.80). Six symptom clusters, performance status, anxiety and depression were negatively correlated with quality of life. Four symptom clusters were positively correlated with performance status, and six symptom clusters were positively correlated with anxiety and depression. Factors affecting quality of life were abdominal discomfort cluster (β=−0.23, p=0.005), performance status (β=−0.20, p=0.020), and depression (β=−0.42, p < 0.001). The model was statistically significant explaining 42.5% of variance (F=26.369, p < 0.001). CONCLUSION: The findings supported that symptom clusters and depression negatively influence the quality of life and need to be addressed as we are caring for patients and promoting quality of life.

A Model for Role Transition of Older Mothers with Preschool Children

PURPOSE: The purpose of this study was to construct a model to explain the parenting satisfaction associated with the role transition of older mothers with preschool children. METHODS: The participants of this study were mothers of 3– to 6–year–old children who gave birth after 35 years of age, and were drawn from 16 child care centers and 8 kindergartens in 4 administrative districts of B city. Data were analyzed using SPSS for Windows version 22.0 and AMOS for Windows version 22.0. RESULTS: Parental stress, mother-child interactions, parental beliefs regarding personality, and socioeconomic status(income, education, and occupation) had direct effects on parenting satisfaction. Social support also showed direct and indirect effects. Among the sub factors of child temperament, sociability had a significant effect. These variables explained 57.4% of the variation in parenting satisfaction. CONCLUSION: The results of this study will contribute to the development of effective programs to enhance the parenting satisfaction of older mothers, and will help older mothers through the role transition necessary for the growth of their children.

Development and Evaluation of a School Adjustment Model for Juvenile Delinquents

PURPOSE: The aim of this study was to develop and evaluate a structural model including relevant factors to identity the variables that affect school adjustment in juvenile delinquents. On the basis of a review of the literature on school adjustment of juvenile delinquents and on Bronfenbrenner's bio-ecological model, a hypothetical model was developed by setting home environmental factors (e.g.,economic conditions, parent child communication, parenting attitudes, peer relationships, and academic stress) as exogenous variables, and personal factors (e.g., ego identity and psychological well-being) as endogenous variables. METHODS: Data were collected from January 29 to March 3, 2015 by a survey of 206 students attending junior high and high schools in City B. The collected data were analyzed using the SPSS and Amos 22.0 software. RESULTS: The verification of the hypothetical model indicated a good fit for the model: χ²=0.009 df=13, χ²/df=2.161, GFI=0.97, AGFI=0.90, RMESA=0.07, CFI=0.98, TLI=0.95, and RMR=0.01. CONCLUSION: The results suggest that ego identity and parent-child communication do not directly affect school adjustment of juvenile delinquents but influence it depending on the psychological well-being of delinquents. High levels of psychological well-being, better economic conditions, better parent-child communication, and low academic stress were abserved to contribute to better school life. Therefore, to improve the school adjustment of juvenile delinquents, appropriate measures need to be taken and programs need to be designed for improving ego identity and parent-child communication, thus promoting psychological well-being.

Effects of Providing Animated Information on Anxiety and the Nursing Satisfaction of Children who have Received Strabismus Surgery and their Guardians

PURPOSE: This study was designed to test the effects of providing animated information on preoperative anxiety and postoperative nursing satisfaction of children who had received strabismus surgery as well as any effects on their guardians. METHODS: The subjects of the study consisted of hospitalized school-aged children and their guardians who were waiting for strabismus surgery in the P university hospital in B metropolitan city. There were 20 pairs of experimental groups and 20 pairs of control groups. The animated information was provided twice before and after the surgery. The data was analyzed using χ2-test, t-test and ANCOVA using the SPSS program. RESULTS: The preoperative anxiety of children and their guardians was significantly improved in the experimental group compared to those in the control group. Postoperative nursing satisfaction was also significantly increased in the experimental group. CONCLUSION: These results suggest that providing such animated information may reduce preoperative anxiety and increase nursing satisfaction after the performance of strabismus surgery operations on children as well as effects on their guardians. Therefore, animated information is recommended for use in clinical fields for children who are to receive strabismus surgery child in addition to their guardians as an efficient nursing intervention.

Analysis of Research Trends in Papers Published in the Journal of Korean Academy of Child Health Nursing (2005-2009)

PURPOSE: The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research. METHODS: Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed. RESULTS: Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies. CONCLUSION: Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

Relationship between Goodness-of-Fit for Mother-Preschool Child and Parenting Stress in Mother

PURPOSE: This study was done to identify the relationship between goodness-of-fit for mother-preschool child dyads and parenting stress experienced by the mother. METHODS: Study participants were 500 mothers who had children aged 3 to 5 who attended one of ten kindergartens or infant schools in M City or B City. Descriptive statistics and Pearson's correlation coefficients were calculated using the SPSS program. RESULTS: Comparison of goodness-of-fit scores for mother-preschool child dyad according to the characteristics of the participants, showed a significant difference according to child's age, gender, and birth order, mother's education and occupation, father's age and education, family income, and the chief caregiver in the family. There was a positive correlation between goodness-of-fit scores for mother-child dyad and parenting stress scores for mothers. CONCLUSION: The findings of the study indicate a need to identify differences between children's behavioral problems and parenting styles according to the degree of discord in the mother-child temperaments. It is also necessary to develop and apply nursing programs to promote harmonizing of temperaments, programs in which the characteristics of the child and the mother are considered.

Reorganization of the Everyday Lives of Women with Lymphedema / 성인간호학회지

PURPOSE: This qualitative study aimed to understand the experiences of reorganization of everyday lives among the women with chronic health problem. METHODS: In this study, the approach and its process of sociology of everyday lives were adopted. Data for the study came from 6 informants and 9 family members of the informants by interview and participant-observation from January, 2004 to May, 2006. Qualitative content analyzing methods were adopted. RESULTS: Informants' everyday lives were reorganized as follows. During the experiences of shock from unpleasant and unclear symptoms of their body, their sight fixed on the body part. Their time also fixed on a point of present. They started to wander from medical care to folk and lay care. After they were informed that the health problem could not be treated completely, they reduced the world of everyday life and protected themselves from the chaotic unfamiliar world by setting -a- side duties as a family member and severing unessential social relationship. As they achieved a skill for managing their health problem, they gained their former pattern of everyday lives as a woman, a family member, and a social member. Finally, they created a new life world. CONCLUSION: We need more study on the development of an adaptive strategy by the informants, to intervene in the crisis of everyday life.

Factors Influencing the Emotional State of Patients with Lymphedema / 간호학회지

PURPOSE: The purpose of this study was to investigate the emotional state and related factors in patients with lymphedema. METHODS: The subjects of this study consisted of 95 patients with lymphedema at 8 hospitals in Busan and Seoul. Data was collected by a self-administered questionnaire between March 2001 to December 2001. Data was analyzed by Pearson correlation coefficient, and stepwise multiple regression using SPSS Win 12.0. RESULTS: The mean score of the emotional state of the subjects was 3.06; of their physical symptoms, 1.84; of their Activities of Daily Living(ADLs), 2.30; and of their social activities, 3.67. The emotional states of lymphedema patients correlated with their physical symptoms, their ADLs, and their social activities. The Factor influencing the emotional state of the subjects was social activities. CONCLUSION: These results suggest that a negative emotional state is very common in patients with lymphedema, to which appropriate attention should be given. Rehabilitation programs must be implemented to improve lymphedema patients' emotional state, physical symptoms, ADLs, and social activities.

Effects of Yoga Exercise on Physical Flexibility and Perception of Posture Management in Adolescents / 아동간호학회지

PURPOSE: This study was done to evaluate the effects of Yoga exercise on improvements in physical flexibility, posture management behavior, and self-efficacy in adolescents. METHOD: In this study, the design was a quasi-experimental research design with a one group pretest-posttest design. Participants were 32 students from one high school in Busan Metropolitan City, Korea, who did not engage in regular aerobic exercise and were willing to participate in this study. Yoga exercise was conducted for 70 minutes twice a week for 15 weeks. The data were collected from March 16 to June 22, 2004. The data were analyzed using descriptive statistics, and paired t-test with SPSS Win 12.0. RESULTS: Trunk flexibility, posture management behavior, and self-efficacy significantly increased after the yoga exercise. CONCLUSION: Yoga exercise is recommended as a useful nursing intervention that could help prevent spinal-curvature-related disorders among adolescents.

The Effects of Abdominal Meridian Massage on Constipation among CVA Patients / 간호학회지

PURPOSE: This study was aimed at developing an efficient nursing method for the management of constipation by comparing the effects of abdominal meridian massage on the symptoms of constipation. METHOD: The subjects were determined by the Rome II criteria and the Constipation Assessment Scale from Aug 30 through Sep 26, 2002. They were randomly divided into two groups: one experimental group of 16, another control group of 15. Abdominal meridian massage was given to the experimental group and no massage was given to the control group. The frequency of defecation and severity of constipation by CAS were measured. The data was analyzed with the t-test, chi-square-test, and repeated measures ANOVA. RESULTS: There was a significant improvement in frequency of defecation, and severity of constipation in the experimental group compared to the control group. CONCLUSION: Abdominal meridian massage can be considered an effective nursing method for the management of constipation among CVA patients.

Effects of the Aroma Massage on Shoulder Pain, Depression, Sleep Disturbance in Hemiparesis Patients / 재활간호학회지

PURPOSE: The purpose of this study is to find out the effects of the aroma massage on shoulder pain, depression, and sleep disturbance in hemiparesis patients. METHOD: The research design was a nonequivalent control group nonsynchronized design. The data was collected from July 1 to August 31, 2003 at D medical Center in Busan. The subjects were 37 patients that they were assigned to two groups, nineteen subjects in the experimental group and seventeen subjects in the control group. The oil made from a blend of lavendar, clarysage, bergamot at a ratio 3:1:2 used for relieving shoulder pain, depression, sleep disturbance. The instruments used for this study were Visual Analogue Scale(VAS) for shoulder pain, Zung' depression scale, 4 score's scale for sleep disturbance. The data were analyzed using SPSS and hypotheses were examined with ANCOVA. RESULTS: Shoulder pain, depression, and sleep disturbance were significantly lower in the experimental group compared than the control group. CONCLUSION: The aroma massage using selected essential oils is an effective intervention for relieving shoulder pain, depression, sleep disturbance in hemiparesis patients. However differences between aroma massage and massage were not clear, further study needs to be done.

The Effects of a Stretching Exercise Program in Elderly Women / 간호학회지

PURPOSE: This study was aimed to identify the effects of a ten-week stretching exercise program on physiological, psychological functions, and activities of daily living(ADL) among elderly women. METHOD: Using a quasi-experimental design, the experimental group received a ten-week stretching exercise program 3 times a week from March to May in 2002. They were divided into 22 persons in the experimental groups in 2 halls where the program was incorporated, and 22 persons in the control group in 2 halls, where the program wasnot incorporated. Data was analyzed with descriptive statistics, the chi-square test, Fisher's Exact test, and ANCOVA was considered significant as a 2-tailed test. RESULT: There was a significant improvement in diastolic blood pressure(P=0.023), total cholesterol (P=0.019), triglycerides (P=0.002), spine ROM(P=0.000), trunk and hip-joint ROM(P=0.000), percent of body fat(P=0.039) as physiological functions, depression(P=0.041) as a psychological function, and activities of daily living(P=0.001) in the experimental group compared to the control group. CONCLUSION: A stretching exercise program showed good effects on improving physiological functions, psychological functions and activities of daily living among the elderly women in a city. Therefore, we recommend this program be utilized as a health promoting program for the elderly in the community.

Factors Affecting Dysmenorrhea among Adolescents / 아동간호학회지

PURPOSE: This research was to determine the characteristics of dysmenorrhea among girls, identify the factors affecting dysmenorrhea. METHOD: The study subjects were 1653 high school student in Busan Metropolitan city. The data were collected by a self-administered questionnaire between November 1 and November 30, 2002. Descriptive statistics, t-test, one-way ANOVA with Scheffe' test, and stepwise multiple regression analysis in SPSS program were used for data analysis. RESULT: Students suffering from slight dysmenorrhea made up the majority 52.9%, whereas those with serious cases represented 29.8%. Regarding the measures taken to cope with dysmenorrhea, most of the respondents took analgesics 52.8%. A high points of dysmenorrhea was associated with irregular meal habits(p<0.01), unbalanced diet(p<0.05), stress(p<0.01), and health awareness(p<0.01), first menstruation before they reached 13 (p<0.01), heavy bleeding(p<0.01), family history(p<0.01). Factors affecting the dysmennorrhea of the respondents included the extent of bleeding, family history, health awareness, age during the first menstruation, and degree of stress, accounting for 13.1% of the total variance. CONCLUSION: To manage dysmenorrhea among girls, the results of the research indicate that students need to have proper awareness of health and manage stress through health education. Likewise, they need to be given positive follow-up management through a holistic nursing approach.

The Effect of Meridian Massage on the Reduction of Pain and Subjective Symptoms of Myofascial Pain Syndrome / 재활간호학회지

PURPOSE: This research was for checking the effect of meridian massage on the reduction of pain and subjective symptoms of myofascial pain syndrome. METHOD: The method of the research was interruptive time series design. The research objects are 25 hospital workers with myofascial pain syndrome at B hospital in Busan from July 22. 2002 to August 18, 2002. SPSS Win 10.0 was used for data analysis, paired t-test and repeated measures ANOVA for hypothesis test. RESULT: The recipients of meridian massage felt less pain than before(F=12.587, p=.000). The recipients of meridian massage felt less often than before (F=6.705, p=.001). The recipients of meridian massage got lower score on subjective symptoms of myofascial pain than before(F=12.857, p=.000). The recipients of meridian massage had lower blood pressure than before(systolic blood pressure: t=4.697, p=.000, diastolic blood pressure: t=3.426, p=.002). The recipients of meridian massage did not get the lower number of pulse than before(t=0.33, p=.744). CONCLUSION: The above results show that meridian massage is effective on the reduction of pain and subjective symptoms of myofascial pain syndrome and makes stable the blood pressure. Therefore meridian massage can be apply as the effective intervention for the reduction of pain and subjective symptoms of myofascial pain syndrome.

A Study on Self-care among the Lymphedema Patients / 성인간호학회지

PURPOSE: The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients. METHOD: The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage. RESULT: For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage, and 13.0% with exercise. 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy. CONCLUSION: From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

Development of Comprehensive Nursing Intervention for the Client with Lymphedema / 성인간호학회지

PURPOSE: The purpose of this study was the development of a comprehensive nursing intervention program for the client with acute lymph stasis and stage I lymphedema. METHOD: The Quasi-experimental design using a non-equivalent control group was used. The subjects were 22 stroke patients with lymph stasis in the control group and 23 patients in the experimental group. The complex physical therapy of Casley-Smith was carried out to the control group for 10 hours, and comprehensive nursing intervention for the experimental group was carried out for 60 minutes. The data for this study was gathered from Feb. 2002 until June 2002 and pertains knowledge about lymphedema, self-care for managing lymphedema, and circumferences of affected limbs. Data was analyzed by mean, standard deviation, x2-test, and t-test. RESULT: The changes in knowledge about lymphedema, self-care practices, and circumference of affected limbs after nursing intervention did not show significant differences between control group and experiment group. CONCLUSION: It can be concluded that comprehensive nursing intervention had more efficiency than complex physical therapy in the treatment of edema for stroke patients because of it's simplicity and time saving. Thereby, the comprehensive nursing intervention program developed in this study would be a useful therapy for the clients with lymph stasis and early stage lymphedema.