ABSTRACT
Purpose@#The purpose of this study was to develop a SHIP (Sexual Health Improvement Program) for women with gynecologic cancer and to evaluate the program effect. @*Methods@#The SHIP was developed using a needs assessment derived from an in-depth interview and analysis of literature based on the sexual health framework. This program consisted of providing information about sexuality, Kegel exercises, group art activities, and psychodrama and group counseling. The program was held for two hours, once a week for six weeks. A pre-post quasi-experimental design was employed (experimental group 15 and control group 15). Data collecting was conducted by using the Female Sexual Function Index (FSFI), as well as body image and sexual communication questionnaires. Data were analyzed using SPSS/WIN 18.0. @*Results@#The SHIP experimental group showed significantly increased scores for FSFI (U=31.00, p<.001), body image (U=50.00, p=.009), and sexual communication (U=26.00, p<.001) compared with the control group. @*Conclusion@#The SHIP adopted in this study was found to be an effective method to increase sexual function, body image, and sexual communication for women with gynecologic cancer, and is therefore recommended.
ABSTRACT
Purpose@#The purpose of this study was to develop a SHIP (Sexual Health Improvement Program) for women with gynecologic cancer and to evaluate the program effect. @*Methods@#The SHIP was developed using a needs assessment derived from an in-depth interview and analysis of literature based on the sexual health framework. This program consisted of providing information about sexuality, Kegel exercises, group art activities, and psychodrama and group counseling. The program was held for two hours, once a week for six weeks. A pre-post quasi-experimental design was employed (experimental group 15 and control group 15). Data collecting was conducted by using the Female Sexual Function Index (FSFI), as well as body image and sexual communication questionnaires. Data were analyzed using SPSS/WIN 18.0. @*Results@#The SHIP experimental group showed significantly increased scores for FSFI (U=31.00, p<.001), body image (U=50.00, p=.009), and sexual communication (U=26.00, p<.001) compared with the control group. @*Conclusion@#The SHIP adopted in this study was found to be an effective method to increase sexual function, body image, and sexual communication for women with gynecologic cancer, and is therefore recommended.
ABSTRACT
PURPOSE: The purpose of this study was to investigate the effects of preclinical clinical performance examination (CPX) on nursing students' confidence in their nursing skills and critical thinking competence. METHODS: The design of this research was one-group pretest-posttest, and the participants were 112 nursing students. The preclinical CPX consisted of a clinical examination, patient-nurse relationship, oral test of related knowledge, written test of the nursing process, and debriefing using comprehensive scenarios based on real patient cases. The confidence of nursing skills consisted of an 8-item NRS and the critical thinking competence consisted of a 12-item 4-point scale developed by researchers and measured in both the pretest and posttest. The collected data were analyzed using paired t-tests, ANOVA, and Pearson correlation coefficients. RESULTS: The score for confidence in nursing skills (t=10.60, p<.001) and that for critical thinking competence (t=7.03, p<.001) increased significantly after preclinical CPX. CONCLUSION: This study showed that preclinical CPX was effective in improving nursing students' confidence in their nursing skills and critical thinking competence. Therefore, preclinical CPX is expected to be utilized in nursing practice education. Additional studies including those on control groups are recommended to compare differences between the preclinical CPX group and control group.
Subject(s)
Humans , Education , Mental Competency , Nursing Process , Nursing , Students, Nursing , ThinkingABSTRACT
PURPOSE: This study was to identify predictors of sexual function in gynecologic cancer patients. METHODS: The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0. RESULTS: The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.R2=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%). CONCLUSION: The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.
Subject(s)
Female , Humans , Academic Medical Centers , Body Image , Data Collection , Depression , Korea , Lubrication , Marital Status , Surveys and QuestionnairesABSTRACT
PURPOSE: This study was to analyze the characteristics and effect size of intervention studies that used acupressure for the control of chemotherapy-induced nausea and vomiting (CINV). METHODS: Nine electronic databases including Korea Education Research and Information, the National Assembly Library, KISS, Korea Med, NDSL, PubMed, EBSCO, Cochrane library, and OVID (to December, 2009) were searched. Thirteen studies of randomized controlled trials (RCTs) or controlled clinical trials (CCTs) were selected. Data were analyzed by SPSS/WIN 18.0. RESULTS: Overall effect size of acupressure was moderate (0.684). Nausea had a moderate effect size (0.770) and nausea and vomiting had a high effect size (0.899). Acupressure using sticker needles had a high effect size (1.368) among finger acupressure, si-acupuncture, and wrist band treatment. CONCLUSION: This study suggests that acupressure using sticker needles on the spots of nei-guan, chok-samni and hap-kok can reduce the levels of nausea and vomiting in cancer patients receiving chemotherapy. For improving the reliability of the meta-analysis results, further randomized controlled trials with better study methodology are needed.
Subject(s)
Humans , Acupressure , Electronics , Electrons , Fingers , Clinical Trial , Korea , Nausea , Needles , Vomiting , WristABSTRACT
PURPOSE: To identify the agreed opinion of experts on oriental health promotion services and nursing in Korea. METHOD: The study is based on the 3-round Delphi method. As a Delphi panel, a total of 28 people with at least three years of experience in the area of oriental medicine consisted of this. RESULTS: The experts suggested that Yangsaeng, lectures on prevention of CVA, correct understanding of the misuse/abuse of oriental medicine, daily health care, meridian/acupoints massage, and Kigong therapy should be included in the promoting oriental health nursing servies. CONCLUSION: The agreed opinions by the experts on the oriental health promotion services and nursing, can help enhance the understanding of oriental health promotion. The curriculum should be developed further and tested with the development of the Korean oriental nursing intervention methods which is appropriate to Korean culture.