Effects of Dietary Habits on General and Abdominal Obesity in Community-dwelling Patients with Schizophrenia

Objective@#To investigate the effects of dietary habits on general and abdominal obesity in community-dwelling patients with schizophrenia spectrum disorder according to sex. @*Methods@#A total of 270 patients with schizophrenia spectrum disorder registered at mental health welfare centers and rehabilitation facilities were recruited. General obesity was defined as a body mass index ≥ 30 kg/m 2 , and abdominal obesity was defined as a waist circumstance ≥ 90 cm in men and ≥ 85 cm in women. Dietary habits were evaluated using dietary guidelines published by the Korean Ministry of Health and Welfare. Demographic and clinical characteristics along with dietary habits and information related to obesity were collected. Factors related to obesity were evaluated separately by sex. @*Results@#Dietary habits differed according to sex, in that scores for healthy eating habits were lower in men than in women. In men, the prevalences of general and abdominal obesity were 17.0% and 37.3%, respectively. In women, the prevalences of general and abdominal obesity were 23.1% and 38.5%, respectively. Regression analysis showed that the scores of regular eating habits were negatively associated with general and abdominal obesity in men, and the scores of healthy eating habits were negatively associated with general and abdominal obesity in women. @*Conclusion@#Among patients with schizophrenia, regular eating habits might reduce the risk of obesity in men, and healthy eating habits might reduce the risk of obesity in women. Nutrition education should be provided to community-dwelling patients with schizophrenia to prevent obesity in this population.

Effects of Nurse-parent Partnership and Job Stress on the Job Satisfaction in Pediatric Nurses / 의료커뮤니케이션

BACKGROUND: This study was to identify factors affecting the job satisfaction of pediatric nurse.METHODS: The participants were the 190 nurses who worked in five pediatric ward and hospital in G city. Data were collected using structured questionnaires from August 1 to August 31 2014, and analyzed using descriptive statistics, t-test, ANOVA, Tukey, Pearson correlation analysis, and multiple linear analysis with the SPSS PC+ 21.0 program.RESULTS: The variables that affect job satisfaction of pediatric nurses were nurse-parent partnership(β=.30, p<.001), Nursing duty(β=−.24, p=.006), Lack of professional knowledge and skills(β=−.24, p=.002), treatment of nurses(β=−.22, p=.014). These factors accounted for 31.0% of the variance in the job satisfaction.CONCLUSION: This study shows that the methods for increasing nurse-parent partnership and reducing job stress are needed, so as to enhance job satisfaction of nurses who are working pediatric ward.

Effects of Education about Action Plans according to Self-Monitoring on Self-Management Adherence, Knowledge, Symptom Control, and Quality of Life among Adult Asthma Patients: A Randomized Controlled Trial

PURPOSE: This study was conducted to identify the effects of education regarding action plans according to a self-monitoring program on self-management adherence, knowledge, symptom control, and health-related quality of life (HRQoL) among adults with asthma. METHODS: Thirty-four patients were randomly assigned to the intervention group and thirty-two to the control group in this study. A tailored 50-minute intervention based on the contents of self-monitoring and action plans developed by the National Heart Lung and Blood Institute was provided to the intervention group. Structured and well developed questionnaires were used to measure the dependent variables. RESULTS: There were no differences in all general and clinical characteristics, and the dependent variables between two groups in the pre-test. In the post-test, there were differences in the level of self-management adherence (t=4.41, p<.001), knowledge (t=2.26, p=.027), symptom control (t=-2.56, p=.013), and total HRQoL (t=2.14, p=.036) between the two groups, although there was a difference only in the sub-domain of emotion (t=2.03, p=.047) in HRQoL. CONCLUSION: This study found that action plans according to self-monitoring that enhance a participatory interaction in the treatment and care could help patients with moderate to severe asthma to engagead equately in self-care, to control their symptoms, and to improve their HRQoL. Further studies are still needed to identify longitudinal effects of this program.

Effects of Team-Based Learning on Communication Competence for Undergraduate Nursing Students / 정신간호학회지

PURPOSE: In this study an examination was done of the effects of a team-based learning program on enhancement of communication competence for undergraduate nursing students in South Korea. METHODS: quasi-experimental method with a non-equivalent control group pre- and post-test design was used. Participants were 68 undergraduate nursing students recruited from two universities. The experimental group (n=35) received a 5-week team-based learning program on enhancement of communication competence, while the control group (n=33) received traditional lectures. Data were collected using self-report structured questionnaires before and after the intervention, and were analyzed using χ² tests, Fisher's exact tests, and t-tests. RESULTS: Compared to the control group, the experimental group reported significant positive changes in communication efficacy (t=2.58, p=.012), communication ability (t=12.01, p<.001), and learning satisfaction (t=2.11, p=.039). CONCLUSION: The findings indicate that this program is an effective intervention strategy to enhance communication competence for nursing students.

The Validity and Reliability of a Psychiatric Nurses' Image Scale (PSYNIS) / 정신간호학회지

PURPOSE: This study was done to verify the validity and reliability of a Psychiatric Nurses' Image Scale (PSYNIS) for Korean psychiatric and mental health nurses. METHODS: A methodological study design was used with an exploratory factor analysis, Pearson's correlation, and a fitness of the modified mode for validity. Cronbach's alpha coefficients and an alternative-form method for reliability were used. Psychiatric Nurses' Image Scale (PSYNIS) was tested with 345 psychiatric and mental health nurses, residing in G city, J city, and J province. Data were collected from Jun. 1 to Aug. 2, 2012. Responses were obtained from respondents through self reports method and each item had a possible score of 5. Collected data were analyzed using the SPSS 20.0 and LISREL 8.54 programs. RESULTS: The 28 items making up the instrument were classified into the following 4 factors: 'Professionalism', 'Activism', 'Coordination competence', and 'Personalism'. These factors explained 63.2% of the total variance. Fitness of the modified mode was good (chi2= 1052.30, RMSEA=.05, GFI=.90, AGFI=.86, NFI=.97, and CFI=.98). The reliability of the PSYNIS was .95 (Cronbach's alpha). CONCLUSION: Results of the present study suggest that the PSYNIS is useful for efficiently evaluation of the image of psychiatric nurses.

Predictors of Protective Factors for Internet Game Addiction in Middle School Students using Data Mining Decision Tree Analysis / 정신간호학회지

PURPOSE: This study was done to identify protective factors which predict internet game addition in middle school students using data mining decision tree analysis. METHODS: The participants were 557 (Male=233, Female=324) middle school students from G city. Data were collected using structured questionnaires from March, 25 to May, 4, 2013, and analyzed using the descriptive analysis, t-test, ANOVA, decision tree, using SPSS 20.0 program. RESULTS: The result of this research showed the prediction model for protective factors related to internet game addiction. Causative factors included gender, family support and father's attitude as the family protective factor, and planning ability as the personal protective factor. Level of accuracy of the decision tree was 70.6%. CONCLUSION: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to gender and planning ability in internet game addiction.

Factors Affecting Social Competence in School-aged Children according to Alcohol Consumption by Parents'

PURPOSE: The purpose of this study was to identify factors affecting the social competence of school-aged children according alcohol consumption by their parents. METHODS: The participants were 558 5th grade elementary school students. Data were collected using structured questionnaires from September 17 to October 2 2013, and analyzed using descriptive statistics, chi2-test, t-test, ANOVA, Pearson correlation coefficients, and Stepwise multiple regression analysis with the SPSS PC+ 21.0 program. RESULTS: Participants were classified into three groups according to alcohol use; Non-use parent group (52.7%), social use parent group (31.0%), and problem use parent group (16.3%). Participants whose parents were problem users had significantly lower scores on emotional awareness and expression (F=14.45, p<.001), social support (F=5.82, p=.003), and social competence (F=16.33, p<.001) compared to students in the other two groups. In school-aged children with parents who were alcohol abusers, the variables that predicted social competence was friend support (66.0%). CONCLUSION: These results emphasize the importance of focusing on the crucial role of peer support in the development of social competence in school-aged children of parents who abuse alcohol. Further, for these children, interventions aimed at improving social support and children's emotional awareness and expression may be most beneficial.

Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning

PURPOSE: The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses. METHODS: A quasi-experimental study using a non-equivalent control group pre and posttest design was used. Participants were 67 maternity nurses caring for multicultural pregnant women in G city. The cultural competence improvement program was developed based on the 3-D Puzzle Model and was provided using case-based small group learning methods for the experimental group (n=31). The control group (n=36) did not receive any intervention. Data were collected using self-report structured questionnaires at two time points: prior to the intervention and after the intervention and were analyzed with descriptive statistics, chi2-test, and t-test. RESULTS: Compared to the control group, the experimental group reported significant positive changes for cultural knowledge (t=6.39, p<.001), cultural awareness (t=3.50, p<.001), and cultural acceptance (t=4.08, p<.001). However, change in cultural nursing behaviors (t=0.92, p=.067) was not significantly different between the two groups. CONCLUSION: Findings from this study indicate that a cultural competence improvement program with case-based small group learning is a useful intervention strategy to promote multicultural maternity care. Further, strategies to improve cultural nursing behavior should be developed to promote culturally congruent nursing care.

Effects of a Maternal Sexuality Education Program for Mothers of Preschoolers

PURPOSE: The purpose of this study was to evaluate effects of a maternal sexuality education program for mothers of preschoolers. METHODS: A quasi-experimental with non-equivalent control group pretest-posttest design was conducted. The participants were 55 mothers of preschoolers in G city (Experimental group=27, Control group=28). The experimental group received the maternal sexuality education, and the control group received the program after the experiment. Data were collected during October and November 2012 through self-administered questionnaires at two times: prior to the intervention and after the intervention. Data were analyzed using chi2-test, Fisher's exact test and t-test. RESULTS: After the intervention, mothers in the experimental group reported significant differences in knowledge of sex (t=3.74, p<.001), attitude toward sex (t=4.31, p<.001), parent-efficacy on child sexuality education (t=11.96, p<.001). compared to mothers in the control group. CONCLUSION: These results indicate that a sexuality education program for mothers of preschoolers is effective in improving knowledge of sex, attitude toward sex, and parent-efficacy on child sexuality education. Therefore further study should be done with larger and varied participants to confirm the effects of sexuality education programs for mothers of preschoolers.

Effects of School Adjustment on Higher Grade Elementary School Students' Internet Game Addiction: Focused on Gender Difference / 정신간호학회지

PURPOSE: The purpose of this study was to investigate factors predicting internet game addiction in higher grade elementary schoolers by gender in a city. METHODS: The participants were 356 elementary school students who were in the 5th or 6th grade. Data were collected by structured questionnaires from March 15 to May 10 2011, and analyzed using descriptive statistics, chi2-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with the SPSS/WIN 17.0 program. RESULTS: Prevalence rate of internet game addiction for elementary school students was 10.1% (boys 17.2%, girls 2.4%). School adjustment showed a negative correlation with internet game addiction by gender (boys: r=-.36, p<.001, girls: r=-.21, p=.005). In boys, variables that predicted internet game addiction were academic activity, amount of time for internet gaming per week, conforming to school norms, and parents' child-rearing attitudes (54.0%). In girls, variables that predicted internet game addiction were academic activity and amount of time for internet gaming per day (33.0%). CONCLUSION: The findings from this study indicate the need to develope school adjustment enhance programs, particularly for boys, to prevent internet game addiction in higher grade elementary school students.

The Effect of Using Standardized Patients in Psychiatric Nursing Practical Training for Nursing College Students / 정신간호학회지

PURPOSE: This study was done to examine the effects of using standardized patients in psychiatric nursing practical training for nursing college students. METHODS: This research design was a quasi-experimental pre-and-post-test control and experimental group methodological comparison study. Forty-four (Exp.=23, Cont.=21) nursing college students in G city participated in the study. The experimental group received psychiatric nursing practical training using standardized patients, and the control group received traditional practice. Data were collected between October 1 and 15. 2011 through self-report structured questionnaires and were analyzed with the Kolmogorov-Smirnov test, chi2-test, Fisher's exact test, and t-test using the SPSS/WIN 17.0 program. RESULTS: After the treatment, there were significant differences in the level of motivation of transfer (t=1.71, p=.047), and learning self-efficacy (t=4.70, p<.001) between the experimental and control groups. The mean score per item for learning satisfaction was 4.28. CONCLUSION: The above findings indicate that psychiatric nursing practical training using standardized patients is a useful method for practical ability. Therefore, enhancement of performance ability related to practice can be done by developing psychiatric nursing practical training programs with various cases and content.

Psycho-social Factors Associated with Depression in Pregnant Women / 정신간호학회지

PURPOSE: The purpose of the study was to investigate the psycho-social factors such as self-esteem, stress, and family support that affect the depression in pregnant women. METHODS: The participants were 149 pregnant women who were seen at the urban G and M woman hospital. Data were collected using structured questionnaires from January 10 to May 20, 2011, and were analyzed using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficients, and Stepwise Multiple Regression with SPSS/WIN 17.0 program. RESULTS: Mean age was 31 years, and 28.9% of the participants reported depression. Depression in the pregnant women showed a negative correlation with self-esteem (r=-.47, p<.001) and family support (r=-.38, p<.001), but a positive correlation with stress (r=.42, p<.001). In addition, variables that predicted depression in pregnant women were general health condition, stress, self-esteem, communication with husband, and planned pregnancy (39.0%). CONCLUSION: The findings from this study indicate the need to screen pregnant women for depression. There is also a need for programs to prevent depression in pregnant women and assess risk considering psycho-social factors.

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.

Effects of a Resilience Enhancement Program on Self-efficacy, Problem Solving Ability, and School Adjustment of Middle School Students / 정신간호학회지

PURPOSE: This study was done to examine the effects of a resilience enhancement program for middle school students. METHODS: The research design was a quasi-experimental pre-and-post-test control and experimental group methodological comparison study. The participants for the study were 124 (experimental=60, control=64) middle school students in G city. The experimental group received the program for eight sessions. The control group did not receive any treatment. From April to June 2009 data were collected using self-report structured questionnaires, and were analyzed using the Kolmogorov-Smirnov test, chi2-test, Fisher's exact test, and t-test with SPSS/WIN 15.0 program. RESULTS: After the treatment, significant differences were found between the experimental and control groups in terms of problem solving ability (t=2.52 p=.007) and school adjustment (t=1.66, p=.004), but not in level of self-efficacy (t=0.80, p=.212). CONCLUSION: The findings indicate that this program can be used in school based practice as an effective nursing intervention for adolescents.

Predictors of Depression in Residents of Geriatric Medical and Welfare Facilities / 정신간호학회지

PURPOSE: The purpose of this study was to identify factors which predict depression in resdents of geriatric medical and welfare facilities in metropolitan areas. METHODS: The participants were 125 elderly people who resided in geriatric medical and welfare facilities. A structured questionnaires was used to collect data during the period from Sept. 28 to Oct. 23, 2009, and data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and Stepwise Multiple Regression with the SPSS/WIN 15.0 program. RESULTS: The mean score per item for perceived health status was 2.6, and the mean depression score was 3.40. Depression showed a negative correlation with perceived health status (r=-.44, p<.001). Variables that predicted depression were perceived health status, perceived economic status, and attitude of staff towards the elders (33.6%). CONCLUSION: The findings indicate a need to develop, geriatric mental health program to prevent depression in elders who reside in geriatric medical and welfare facilities.

Test of Validity and Reliability of the Adolescent Mental Problem Questionnaire for Korean High School Students

PURPOSE: This study was done to test the validity and reliability of the Adolescent Mental Problem Questionnaire (AMPQ) for Korean high school students. METHODS: The AMPQ was designed to assess adolescents' mental health status and problem behavior (Ahn, 2006). A methodological study design was used with exploratory factor analysis, Pearson's correlation coefficients, and a fitness of the modified model for validity. Also, Cronbach's alpha coefficients and alternative-form method for reliability were used. AMPQ was tested with a sample of 36,313 high school students. The participants consisted of 18,701 males and 17,612 females. RESULTS: Seven factors were extracted through factor analysis: 'Psychiatric problems', 'Delinquency', 'Academic troubles', 'Family problems', 'Hazardous behavior', 'Harmful circumstance', 'Eating problems'. These factors explained 51.1% of the total variance. The fitness of the modified model was good (chi-square=38,413.76, Goodness of Fit Index [GFI]=.94, Adjusted Goodness of Fit Index [AGFI]=.93, Comparative Fit Index [CFI]=.95, Root Mean Square Error of Approximation [RMSEA]=.05), and concurrent validity with Korea-Youth Self-Report [K-YSR] was .63. Cronbach's alpha coefficient of the 31 items was .85. CONCLUSION: The results of present study suggest that the modified AMPQ instrument may be useful for efficiently assessing mental health status and problem behavior in late adolescent, high school students.

Health Experience of Depressive Adolescents: Reflected from Newman's Praxis Methodology

PURPOSE: Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. METHODS: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology. RESULTS: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. CONCLUSION: Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.