The Effects of a Health Management Program on Health-promoting Lifestyle and Depression in Older Adults Living at Home / 재활간호학회지

PURPOSE: This study was performed to identify the effects of a health management program on health-promoting lifestyle and depression for the elderly living at home. METHODS: Study design was a quasi-experiment with one group pre-test and post-test. Twenty-four elderly were participated in this study. The health management program for the elderly consisted of health education, health consultation, and exercise. The program was conducted for 60 minutes, once a week for 10 weeks. Data were analyzed using descriptive statistics and paired t-test with SPSS/WIN 18.0 version. RESULTS: After the health management program, health-promoting lifestyle (t=14.14, p<.001) and depression (t=-4.78, p=.001) in the elderly were significantly improved. CONCLUSION: The health management program was effective for the elderly. Further research is needed to validate the effects of this program including control groups and a larger sample.

Task Analysis of Managers in the Customized Visiting Health Services

PURPOSE: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. METHODS: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. RESULTS: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. CONCLUSION: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

The Analysis of Intervention Studies for Snoezelen / 재활간호학회지

PURPOSE: The purpose of this study was to analyze intervention studies related to Snoezelen (multisensory environment). METHODS: Studies related to Snoezelen (multisensory environment) published between 1995 and 2010 in both Korean and International journals were systematically reviewed, and analyzed following guidelines. Based on inclusion criteria, 23 studies including 5 Korean and 18 International articles were selected. RESULTS: Most studies were conducted in various area of research such as medicine, nursing, and occupational therapy. There was no publication related to Snoezelen (multisensory environment) in Korean nursing journals. In terms of target population, more than 65% of the study subjects were patients with dementia, mental retardation, and learning disability. Intervention was implemented mostly in less than 30 minutes, once a week for 2 to 4 weeks. The effects on behavior, physical, and psychological contexts were assessed as outcome indicators. There was more 'positive' than 'no effect' in self-stimulatory behaviors, problem behaviors, heart rate, pain, mood state, and anxiety, whereas more 'no effect' than 'positive' in blood pressure, respiration, enjoyment, and relaxation. CONCLUSION: Future studies are needed to develop the protocol and outcome indicators for effective use of this new intervention in Korea.

Educational Needs Based on Analysis of Importance, Frequency and Difficulty of ICU Nursing Practice for ICU Nurses / 기본간호학회지

PURPOSE: The purpose of this study was to assess the educational needs of ICU nurses based on an analysis of importance, frequency, and difficulty for ICU nursing practice. METHOD: A cross-sectional survey was conducted using a questionnaire with 80 questions in 14 ICU nursing categories. Data were collected from August to October 2009. A total of 295 ICU nurses from five hospitals who had minimum of one year clinical experience participated. Data were analyzed with using descriptive statistics. RESULTS: For importance, emergency care had the highest score, followed by physical assessment, communication, cardiovascular care, and ICU basic nursing. Regarding the frequency, physical assessment had the highest score, followed by communication, medication, ICU basic nursing, and respiratory care. Cardiovascular care was the most difficult task, followed by neurological care, emergency care, other ICU related nursing care, diagnostic test, and communication. CONCLUSION: The findings indicate a high educational need in the areas of communication, medication, physical assessment, diagnostic test, emergency care, and cardiovascular care. Thus the development of educational programs on communication, medication, physical assessment, diagnostic test, emergency care, and cardiovascular care are needed for ICU nurses.

Lifestyle, Depression, and Health Related Quality of Life among Women in Jeju Province

PURPOSE: The purpose of this study was to investigate relations among lifestyle, depression and health-related quality of life (HRQoL) of adult women in the Jeju Province. METHODS: This study sampled 154 women aged 20 or older through convenience sampling and surveyed them from January to February, 2008. RESULTS: The mean score for lifestyle was 3.7, for depression 12.1, and for HRQoL 75.2. There were significant negative correlations between lifestyle and depression, and between depression and HRQoL. There was a significant positive correlation between lifestyle and HRQoL. CONCLUSION: The results indicate that HRQoL of women is associated with lifestyle and depression. When developing programs to enhance health in women, consideration should be given to lifestyle and depression.

Relationship of Satisfaction with Appearance, Self-Esteem, Depression, and Stress to Health Related Quality of Life in Women across the Lifespan / 기본간호학회지

PURPOSE: The purpose of this study was to examine the relationship of adult the women' s satisfaction with their appearance, self-esteem, depression and stress to health related quality of life (HRQOL) across the lifespan. METHOD: In this study a convenience sample of Korean women aged 20 years and over was used. There were 1152 women and data were collected from November 2007 to February 2008. RESULTS: There was no difference in satisfaction with appearance in all age group. Elderly women reported lowest self esteem and HRQOL and highest depression and stress. There were statistical significances between satisfaction with appearance, self-esteem, depression, stress and HRQOL for all age groups. The most significant predictors of HRQOL in early adulthood women were stress and depression. The most significant predictors of HRQOL in middle adulthood women were stress, disease, depression, self-esteem, and monthly income. The most significant predictors of HRQOL in elderly women were stress, disease, depression, and satisfaction with appearance. CONCLUSION: The results indicate that HRQOL of Korean women is associated with psychological distress as with stress and depression. When developing programs to enhance health in elderly women, consideration should be given to body image as well as psychological distress and chronic conditions.

The Adaptation Process of Male Students in Colleges of Nursing / 기본간호학회지

PURPOSE: The purpose of this study was to understand the adaptation process of male students in colleges of nursing. METHOD: The data were collected by individual in-depth interview with 12 male students in their final year of nursing and were analyzed using grounded theory methodology. RESULTS: Male nursing students were experienced a process of 'Come into the world again through overcoming gender differences'. The adaptation process advanced in 4 stages, 'introduction period', 'shaking period', 'meditation period', and 'adjustment period'. CONCLUSION: Specific strategies should be developed to aid the adaptation of male students in colleges of nursing.

The Relationship between Trait Anger, Life Style and Physical Symptoms in Elderly People / 기본간호학회지

PURPOSE: The purpose of this study was to identify relationships among trait anger, life styles and physical symptoms in elderly people. METHOD: The participants were 348 elderly persons over 65 years of age who lived in Seoul, Geonggi Province, South Chungcheong Province and South Jeolla Province. The data were analyzed using descriptive chi-square-test, t-test, one-way ANOVA and Pearson's correlation coefficient with SPSS win 12.0. RESULTS: Physical symptoms of the participants correlated with trait anger and life style. Trait anger in the elderly people had a significant positive correlation to cardiovascular symptoms. Smoking showed a significantly positive correlation to alcohol drinking and cardiovascular symptoms. Regular diet showed a significantly negative correlation to general symptoms, cardiovascular symptoms and gastrointestinal symptoms. Caffeine intake significantly negative correlation to general symptom and cardiovascular symptom. CONCLUSION: These results suggested that elderly people with a high degree of trait anger are likely to be high in perceived physical symptoms. Therefore nursing interventions to reduce levels of trait anger and change life style should be provided for elderly people.

Knowledge, Attitude and Self-Confidence of Student Nurses Regarding Nosocomial Infection Control / 기본간호학회지

PURPOSE: This study was conducted to identify the knowledge, attitude and self-confidence of student nurses regarding control of nosocomial infections and to provide data for preparation of an efficient policy and education program regarding nosocomial infections. METHOD: A descriptive survey design was utilized, and, using a questionnaire, which included 15 items for knowledge, 81 items for attitude, 81 items for self-confidence, data were collected from 520 student nurses. Descriptive statistic, t-test, one-way ANOVA and Pearson's correlation coefficients, and Stepwise multiple regression analysis were used with SPSS win 12.0 to analyze the data. RESULTS: The mean score for knowledge was 0.63, for attitude, 4.38 and for self-confidence, 3.50. There was a significant positive correlation between knowledge, attitude and self-confidence in control of nosocomial infections. Attitude, practical attitude, and education were significant factors affecting self-confidence regarding nosocomial infection control. CONCLUSION: These research findings should be useful in promoting continuous and repeated educational programs on nosocomial infection for student nurses.

Process of Seeking Positive Life of Patients with Parkinson's Disease / 간호학회지

PURPOSE: The purpose of this study was to help understand the life and illness-experiences of focusing on a positive lifestyle, patients with Parkinson's disease, METHOD: The present study adopted a ethno graphic methodology. The participants for this study were 4 men and 3 women, who were treated for Parkinson's disease. Data was collected by an interview and participant observations from August 2003 to September 2004. Tape-recorded interviews were transcribed after the interview and classified and described to realistic tale. RESULT: Patients with Parkinson's disease experienced the stage of retake-off pursuing positive life by overcoming the acceptance process of illness including the stage of recognition of change, the stage of disruption and the stage of acceptance. The factors of positive life of Patients with Parkinson's disease were their strong will and social support. CONCLUSION: This study may be used in future studies as an important resource to develop nursing intervention strategies and programs for patients with Parkinson's disease that can help the patients to achieve strong willingness and positive life in Korea.

The Relationships of Family support, Self-efficacy and Self-care Performance in Patients with Chronic Illness / 성인간호학회지

PURPOSE: This study was to identify the relationship between family support, self-efficacy and self-care performance in patients with chronic illness. METHODS: The subjects were 100 in-and out-patients who were diagnosed with chronic illness at university hospital in Cheonan. The data analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression with SPSS WIN 12.0. RESULTS: The level of family support, self-efficacy and self-care performance were high. The family support in patients with chronic illness indicated a significant positive correlation to self-care performance but no significant correlation to self-efficacy. The self-efficacy in patients with chronic illness indicated a significant positive correlation to self-care performance. Family support and self-efficacy account for 24.4% of variance of the self-care performance. The most significant predictor which influenced self-care performance in patients with chronic illness was family support. CONCLUSION: The results of this study showed that family support and self-efficacy are very important variables in explaining the self-care performance. Therefore, these variables should be considered in nursing intervention development and education.

The Effect of Upper Extremity Exercise Program for Hemiplegic Stroke Patients / 성인간호학회지

PURPOSE: The purpose of this study was to explain the effects of upper extremity exercise program on hemiplegic stroke patients. METHOD: The research was designed by a non-equivalent pretest-posttest way. The data were collected from February to August 2003 at a community health center located in Seoul. The study subjects were a conveniently selected group of 27 hemiplegic patients. The subjects were divided into two groups, the experimental group and the control group. 14 subjects were assigned to the experimental group in which the subjects did the upper extremity exercise training for 2 hours once a week during four weeks, while 13 subjects were assigned to the control group. The outcomes were evaluated on the basis of the upper extremity motor ability(hand power, pinch power, upper extremity ROMs), amount of motor use and the degree of depression. RESULT: 1. After treatment, the motor abilities of the affected upper extremity(hand power, pinch power, ROMs of wrist flexion/extension, shoulder extension) were significantly different between the two groups. However, there were no significant differences in elbow and shoulder flexion between experimental and control group. 2. After treatment, amount of motor use of affected upper extremity were significantly different between the two groups. 3. After treatment, the degree of depression were significantly different between the two groups. CONCLUSION: In considering these results, the upper extremity exercise program could be effective for hemiplegic patients by improving the function of their upper extremity. Long-term studies are needed to determine the effects of upper extremity exercise program.

A study of the Nursing Interventions performed by the ICU nurses to the patients with Cerebrovascular disorders / 재활간호학회지

The purpose of this study was to analysis of nursing interventions performed by the ICU nurses to the patients with cerebrovascular disorder practically from one university hospital in Seoul. The data were collected from 15 nurses with 86 cerebrovascular disorder cases from one ICU with the questionaire to write frequency of nursing care done by the surveyee from May. 2, 2000 to July, 3, 2000 and the list of 66 nursing interventions selected out of 433 NIC(Nursing Interventions Classification) of Iowa University which were translated into Korean(44 items) and core nursing interventions by ICU nurses(22 items: Kim, Su-Jin, 1997). The data were analysed with SPS8 program. The results are as follow: 1. The most frequently used nursing interventions were vital sign monitoring, fall prevention, cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care, communication enhancement, technology management, bed rest care. respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological: Complex', 'Physio-logical:basic', 'Behavior', 'Safty', 'Health system' in rank. In the domain of physiological: basic, the most frequently used nursing interventions were bed rest care, urinary elimination management, tube care: urinary, physical restraints in rank. In the domain of physiological: complex, the most frequently used nursing interventions were cerebral edema management, dysreflexia management, neurologic monitoring, cardiac care in rank. In the domain of behavior, the most frequently used nursing interventions were communication enhancement. touch, active listening in rank. In the domain of safty. the most frequently used nursing interventions were vital sign monitoring, fall prevention in rank. In the domain of health system, the most frequently used nursing interventions were technology management. specimen management in rank. 3. some difference of the frequency practicing the nursing interventions according to the shift of duties was found. For example, medication administration was common at day duty, touch was practiced at evening duty, temperature regulation was performed.