Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 154
Filter
1.
Article in Korean | WPRIM | ID: wpr-764765

ABSTRACT

PURPOSE: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. METHODS: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. RESULTS: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. CONCLUSION: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.


Subject(s)
Hospitals, General , Humans , Job Satisfaction , Negotiating , Nursing , Tertiary Care Centers
2.
Article in Korean | WPRIM | ID: wpr-764683

ABSTRACT

PURPOSE: The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults. METHODS: A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks. RESULTS: The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group. CONCLUSION: The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.


Subject(s)
Alcohol Drinking , Chronic Disease , Diagnostic Self Evaluation , Follow-Up Studies , Health Behavior , Health Promotion , Humans , Motor Activity , Self Efficacy , Tobacco Products , Young Adult
3.
Mood and Emotion ; (2): 57-62, 2019.
Article in English | WPRIM | ID: wpr-786416

ABSTRACT

BACKGROUND: School bullying is considered the most common type of bullying, and bullying related to stressful relationships is a significant risk factor for college students' depression and suicide. However, bullying is often overlooked in college students. Therefore, we investigated the prevalence of peer victimization in Korean college students and identified factors associated with bullying victimization.METHODS: From the Jeju area, 941 college students were included in this study. The students were divided into two groups according to whether they had experienced bullying. Sociodemographic and clinical characteristics, including depression (Beck Depression Inventory) and health-related conditions, were compared between groups.RESULTS: In total, 82 students (8.7%) reported being bullied by other students. Factors associated with bullying were low socioeconomic status (odds ratio [OR], 2.00; 95% confidence interval [CI], 1.10–3.64), obesity (OR, 2.20; 95% CI, 1.13–4.29), body dissatisfaction (OR, 3.92; 95% CI, 2.36–6.50), and depression (OR, 2.42; 95% CI, 1.53–3.85).CONCLUSION: Our findings might have important implications for development of strategies and interventions to prevent bullying among college students.


Subject(s)
Bullying , Crime Victims , Depression , Humans , Obesity , Prevalence , Risk Factors , Social Class , Suicide
4.
Article in Korean | WPRIM | ID: wpr-717136

ABSTRACT

Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.


Subject(s)
Arthritis , Arthritis, Gouty , Diagnosis , Elbow , Foot , Gout , Hallux , Hand , Humans , Pathology , Spine , Wrist
5.
Article in English | WPRIM | ID: wpr-717124

ABSTRACT

BACKGROUND: The aim of this study was to evaluate the clinical and radiological outcomes of minimally invasive total knee arthroplasty (MIS-TKA) in obese patients. METHODS: We examined the records of 371 cases of MIS-TKA performed using the mini-midvastus approach from January 2006 to December 2006. According to body mass index (BMI), the cases were classified into group A (BMI 0.05). There was no difference in terms of the accuracy of the tibial implant alignment, with 97.6%, 95.2%, and 93.4% of each group showing 90°± 3° varus angulation (p > 0.05). With respect to the accuracy of the femorotibial angle, 93.9%, 94.6%, and 90.2% of each group had 6°± 3° valgus angulation, with group C demonstrating the lowest level of accuracy (p 0.05). CONCLUSIONS: MIS-TKA in obese patients showed satisfactory clinical and radiological results without significant difference in surgical results compared to nonobese patients.


Subject(s)
Arthroplasty, Replacement, Knee , Body Mass Index , Follow-Up Studies , Humans , Knee , Obesity , Range of Motion, Articular , Skin
6.
Journal of Breast Disease ; (2): 46-51, 2018.
Article in English | WPRIM | ID: wpr-718904

ABSTRACT

PURPOSE: Endocrine therapy is the preferred treatment for hormone receptor (HR)-positive metastatic breast cancer (MBC). We investigated the efficacy of combined aromatase inhibitor (AI) and luteinizing hormone-releasing hormone (LHRH) agonist in premenopausal patients with HR-positive MBC. METHODS: We retrospectively analyzed the medical records of 21 HR-positive premenopausal MBC patients treated with combined AI and LHRH agonist therapy. RESULTS: The median follow-up period was 32.9 months. The overall response rate was 47.6%, with three complete responses (14.3%) and seven partial responses (33.3%). Nine patients (42.9%) achieved stable disease lasting more than 6 months; thus, the clinical benefit rate was 90.4%. The median time to progression was 45.4 months. No patients experienced grade 3 or 4 toxicity. CONCLUSION: Combined AI and LHRH agonist treatment safely and effectively induced remission or prolonged disease stabilization, suggesting that this could be a promising treatment option for HR-positive premenopausal patients with MBC.


Subject(s)
Aromatase Inhibitors , Aromatase , Breast Neoplasms , Breast , Follow-Up Studies , Gonadotropin-Releasing Hormone , Goserelin , Humans , Lutein , Medical Records , Premenopause , Retrospective Studies
7.
Article in Korean | WPRIM | ID: wpr-91219

ABSTRACT

PURPOSE: This paper presented a descriptive study which aimed to identify the relationship among menstrual attitude, premenstrual distress and premenstrual coping in Korean college women and to propose fundamental data for the development of guidelines for effective management of premenstrual distress. METHODS: The data were collected from 111 college women and analyzed using descriptive statistics, t-tests, ANOVA and Pearson's correlation coefficients. RESULTS: The mean score of premenstrual coping was 3.25±0.60 out of 5 points. The ‘Awareness and Acceptance of Premenstrual Change’ score was highest and the ‘Avoiding Harm’ score was lowest. Menstrual attitude was significantly related to premenstrual distress (r=.37 p<.001) and the awareness and acceptance style of premenstrual coping (r=-.21. p=.021). And premenstrual distress was significantly related to the self-care coping style of premenstrual coping (r=.30, p=.001), the adjusting energy coping style of premenstrual coping (r=.45, p<.001) and the avoiding harm coping style of premenstrual coping (r=.48, p<.001). CONCLUSION: Results of this study support that positive attitude about menstruation is necessary for the effective management of premenstrual distress. Also, premenstrual coping programs that consider the level of premenstrual distress will be needed for college women.


Subject(s)
Female , Humans , Menstruation , Self Care
8.
Article in Korean | WPRIM | ID: wpr-788125

ABSTRACT

PURPOSE: This study investigated the effects that the use of a booklet for intensive care unit nurses had on radiation safety management education (knowledge about and behaviors in radiation safety management, and awareness of anxiety caused by radiation hazards).METHODS: A randomized control group pretest-posttest design was used. A booklet about radiation safety management developed by the authors was used as educational material. Participants (N=42) were intensive care unit nurses of P hospital in B city. Training was provided to the experimental group (N=21). Knowledge about and behaviors in radiation safety management and awareness of anxiety caused by radiation hazards were measured by questionnaires before and after the intervention. Data was analyzed by an χ2-test, non-paired t-test, and paired t-test.RESULTS: There was a significant difference between groups in knowledge of (t=-14.932, p < .001) and behaviors in (t=-8.297, p < .001) radiation safety management and awareness of anxiety caused by radiation hazards (t=9.378, p < .001).CONCLUSION: The levels of knowledge about and behaviors in radiation safety management and awareness of anxiety generated by radiation hazards of intensive care unit nurses increased after receiving one session of radiation safety management education using the booklet. Therefore, providing radiation safety management training is suggested as an effective strategy for improving radiation safety management.


Subject(s)
Anxiety , Critical Care , Education , Intensive Care Units , Pamphlets , Safety Management
9.
Article in Korean | WPRIM | ID: wpr-149609

ABSTRACT

PURPOSE: This study was to verify the effects of spiritual care module education programs by applying it to nurses. METHOD: The study employed a non-equivalent control group pretest-posttest design in a quasi-experimental basis. Subjects were 93 nurses (46 in an experimental group and 47 in a control group) with more than two years clinic experience, attending a bachelor program of K University, in I city, Korea. The program consists of courses with 2.5 hours per week for seven weeks. RESULT: Scores of spiritual needs and spiritual nursing competence increased significantly in the experimental group. The score of spirituality and spiritual well-being also increased in the experimental group, but not significantly. CONCLUSION: The spiritual care module education program was considered to be an effective nursing intervention education course. Nurses educated with this program seemed to perform better nursing interventions for subjects facing difficulties or confusion by helping them restore and cope with those problems by themselves. Therefore, it is recommended that spiritual care module education should be settled as a regular course of nursing college with consideration to the corrections and supplements mentioned in this study.


Subject(s)
Education , Korea , Mental Competency , Nursing , Spirituality
10.
Article in Korean | WPRIM | ID: wpr-32772

ABSTRACT

PURPOSE: This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer. METHODS: One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction. RESULTS: Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency. CONCLUSION: Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.


Subject(s)
Female , Humans , Hysterectomy , Rivers , Urinary Bladder , Urinary Bladder, Neurogenic , Urination , Uterine Cervical Neoplasms
11.
Article in Korean | WPRIM | ID: wpr-50384

ABSTRACT

PURPOSE: The purpose of this study was to determine the effects of a low intensity exercise program with telephone coaching on the physical fitness and physiological index of elderly women who are receiving home visiting health program. METHODS: This study was conducted using a non-equivalent control group pretest-posttest design. The participants were 53 senior citizens. The subjects (15) in experimental group 1 performed only a low-intensity exercise program and the subjects (16) in experimental group 2 performed a low intensity exercise program with telephone coaching for 16 weeks. The low intensity exercise program consisted of muscle strength band exercise, stretching, and hand exercise using balls. RESULTS: There were statistical differences in the right grip strength (p=.030), left grip strength (p=.035), raising behind of right arm (p=.046), raising behind of left arm (p=.045), postprandial blood sugar (p=.021), body mass index (p=.029). CONCLUSION: The low intensity exercise program with telephone coaching is recommended as a physical fitness and physiological index for elderly women in a home visiting health program.


Subject(s)
Aged , Arm , Blood Glucose , Body Mass Index , Female , Hand , Hand Strength , House Calls , Humans , Muscle Strength , Physical Fitness , Telephone
12.
Article in Korean | WPRIM | ID: wpr-201202

ABSTRACT

PURPOSE: The purpose of this study was to determine the degree of undergraduate nursing student adaptation to college life and investigate the factors that influenced that adaptation. METHODS: First-year (undergraduate) students attending three nursing colleges were surveyed from November 24 through December 5, 2014; and data from 206 respondents were analyzed. For data analysis, multiple regression analysis was performed using the SPSS WIN 18.0 program. RESULTS: The findings showed that age (p=.002), emotional intelligence (p<.001), and self-efficacy (p<.001) were significant variables that influenced first-year undergraduate nursing student adaptation to college life. Undergraduate nursing student adaptation was explained by self-efficacy (beta=.327, p<.001), emotional intelligence (beta=.222, p=.001), satisfaction with education in their academic major (beta=-.217, p<.001), and academic achievement (beta=.136, p=.018); and, the explanatory power of these variables was 41.2%. CONCLUSION: To facilitate undergraduate nursing student adaptation to college life prior to clinical practice, developing and apply programs to improve self-efficacy, emotional intelligence, satisfaction with education in their major, and academic achievement is deemed necessary.


Subject(s)
Surveys and Questionnaires , Education , Emotional Intelligence , Humans , Nursing , Statistics as Topic , Students, Nursing
13.
Article in English | WPRIM | ID: wpr-159894

ABSTRACT

BACKGROUND: Validated simple calcium questionnaires are available to assess the intake of calcium and vitamin D in western countries, but they are not appropriate for Koreans since dairy products are not the major source of calcium and vitamin D in Korea. Thus, the objective of the present study was to develop and validate a simple and easy food frequency questionnaire (FFQ) of calcium and vitamin D for Korean. METHODS: Two hundred and fifty-six women were asked to complete the validated FFQ used by the Korean National Health and Nutrition Examination Survey (KNHANES) and a newly developed FFQ, the Korean Calcium Assessment Tool (KCAT), which contain the 7 food groups with 24 categories of 45 food items that are consumed frequently by Koreans. RESULTS: Calcium intake was not significantly different between the two methods; Pearson's correlation coefficient of 0.98 indicated a positive correlation, and Cohen's kappa coefficient of 0.78 indicated the subjects were correctly classified. Bland-Altman plot also showed that the mean differences of the calcium intake as assessed by the two methods were in high agreement. However, the vitamin D intake assessed by KCAT was significantly higher than that assessed by the FFQ used in KNHANES. The vitamin D intakes as assessed by the two methods were positively correlated but the two methods were in moderate agreement. CONCLUSIONS: The results suggested that the newly developed KCAT was a valid tool for assessing the calcium intake in Korean women, but it might overestimate the vitamin D intake.


Subject(s)
Calcium , Dairy Products , Diet Surveys , Female , Humans , Korea , Methods , Nutrition Surveys , Vitamin D , Vitamins , Surveys and Questionnaires
14.
Asian Oncology Nursing ; : 44-51, 2012.
Article in Korean | WPRIM | ID: wpr-24125

ABSTRACT

PURPOSE: The study was to identify the relationships between levels of knowledge, attitude and preventive health behavior about cancer in university students. METHODS: The data were analyzed with the SPSS/WIN 18.0 program. The participants of this study were 200 university students. Three kinds of instruments were used for this study, questionnaires about cancer-related knowledge, attitude and preventive health behavior from Suh et al. (1998). RESULTS: The mean score for knowledge about cancer was 14.33+/-5.32, the mean score of attitude toward cancer was 31.76+/-3.75 and the mean score of preventive behavior for cancer was 57.20+/-8.48. There was slightly positive correlation between knowledge of cancer and attitude toward cancer. There was positive correlation between the attitude toward cancer and preventive health behavior for cancer. CONCLUSION: It is necessary to consider the related factors for the development and implementation of systematic education programs that can encourage and promote preventive health behavior for cancer among university students.


Subject(s)
Health Behavior , Humans , Surveys and Questionnaires
15.
Article in Korean | WPRIM | ID: wpr-59903

ABSTRACT

BACKGROUND: The purpose of this study was to investigate alcohol drinking related health characteristics for improvement of life stability and well-being in war veterans. METHODS: The research design was a descriptive survey design with a convenience sample. Data collection was performed using self-report questionnaires and included 163 veterans who were >60 years old and who visited a cardiovascular medicine out-patient department. The process of a change in drinking consciousness was investigated together with healthy action changes, including drinking temptation and deciding to drink alcohol. RESULTS: Failing at work was the greatest drinking temptation. The subjects knew that if they drank continuously, they would become addicted to alcohol. Most subjects experienced mental stress and difficulty living. CONCLUSION: These findings indicate that access to an evidence-based treatment program and systems of care should be provided for veterans who drink alcohol and have other health conditions and illnesses.


Subject(s)
Aged , Alcohol Drinking , Consciousness , Data Collection , Drinking , Humans , Male , Outpatients , Surveys and Questionnaires , Research Design , Veterans
16.
Article in Korean | WPRIM | ID: wpr-95236

ABSTRACT

PURPOSE: This study was to identify the effect of hand massage on comfort in women with gynecologic cancer undergoing chemotherapy. METHODS: A nonequivalent control group pretest-posttest design was used for this study. Hand massage was provided to the experimental group for 5 min (2.5 min for each side) once on admission day, twice from the second day until the day before discharge, and once in the morning on discharge day. RESULTS: Findings showed no significant differences in pre and post levels of general, physical, psycho-spiritual, social and environmental comfort. However, women's comfort levels in all domains were increased after the chemotherapy in the experimental group. CONCLUSION: Although there were some increases in women's comfort levels on all domains after the treatment, hand massage was not proved as a statistically useful nursing intervention in comforting women with gynecologic cancer. The results suggest that hand massage could be effective if it is applied longer than it was in this study. The future implications of hand massage in patients with various cancers are discussed.


Subject(s)
Female , Hand , Humans , Massage
17.
Article in Korean | WPRIM | ID: wpr-655129

ABSTRACT

Central venous catheterization is commonly used for supplying large amounts of fluids, total parenteral nutrition and for monitoring central venous pressure. Numerous complications exist with the technique, including pneumothorax, arterial puncture with vessel injury, catheter embolus, mediastinal hematoma, hydrothorax, and the thrombus of the vein. We reported an uncommon case of pleural effusion, due to catheter tip migration and penetration, which occurred 4 days after central venous catheterization.


Subject(s)
Catheterization, Central Venous , Catheters , Central Venous Catheters , Central Venous Pressure , Embolism , Glycosaminoglycans , Hematoma , Hydrothorax , Parenteral Nutrition, Total , Pleural Effusion , Pneumothorax , Punctures , Subclavian Vein , Thrombosis , Veins
18.
Korean Journal of Medicine ; : S48-S51, 2009.
Article in Korean | WPRIM | ID: wpr-197373

ABSTRACT

Metronidazole induced encephalopathy is a rare disease caused by the antibiotic drug, metronidazole. Metronidazole is a nitroimidazole antibiotic used for anaerobic infections, Helicobacter pylori infection and spontaneous bacterial peritonitis. Metronidazole has good cellular penetration and is believed to penetrate the CSF and central nervous system. The incidence of metronidazole induced encephalopathy is unknown, though several previous studies have addressed brain changes caused by metronidazole neurotoxicity. Neurologic side effects include peripheral neuropathy, seizures, encephalopathy, dysarthria, and ataxia. We experienced a case of metronidazole induced encephalopathy, diagnosed by brain MRI in a patient with spontaneous bacterial peritonitis and performed follow-up imaging after discontinuation of metronidazole.


Subject(s)
Ataxia , Brain , Central Nervous System , Dysarthria , Encephalitis , Follow-Up Studies , Helicobacter Infections , Humans , Incidence , Metronidazole , Peripheral Nervous System Diseases , Peritonitis , Rare Diseases , Seizures
19.
Article in English | WPRIM | ID: wpr-134347

ABSTRACT

EC-18 (monoacetyldiacylglyceride) stimulates T cell production of IL-2, IL-4, IL-12, IFN-gamma, and GM-CSF in vitro. To study the effects of these cytokines stimulated by EC-18 on cancer cells, we applied hamster biliary cancer model, a difficult cancer to treat. Cancer (KIGB-5) cells were given intravenously to produce hematogenous metastatic lung lesions which were treated with EC-18 at 10, 25, and 50 mg/kg/day respectively. The fourth group was untreated control. At 4th, 8th, and 12th week the lungs were examined. EC-18 treated groups showed only a few microscopic lung lesions and no evidence of metastatic lesion with highest dose whereas widespread gross lung lesions were observed in untreated control. To investigate whether the anti-tumor effect of EC-18 is associated with suppression of tumor cell Toll-like receptor 4 (TLR-4) expression in addition to stimulation of the immune cells, KIGB-5 cells were exposed to LPS with or without EC-18. TLR-4 mRNA and protein expression, measured by reverse transcriptase PCR (RT-PCR), real-time quantitative PCR and western blot analysis, showed suppression of TLR-4 expression in KIGB-5 cells treated with EC-18 compared with control. In conclusion, EC-18 has a significant anti-tumor effect in this experimental model of biliary cancer suggesting potential for clinical application to this difficult cancer.


Subject(s)
Animals , Antineoplastic Agents/therapeutic use , Biliary Tract Neoplasms/drug therapy , Cricetinae , Cytokines/metabolism , Female , Glycerides/therapeutic use , Lung/pathology , Neoplasm Metastasis , T-Lymphocytes/immunology , Toll-Like Receptor 4/genetics , Tumor Cells, Cultured
20.
Article in English | WPRIM | ID: wpr-134346

ABSTRACT

EC-18 (monoacetyldiacylglyceride) stimulates T cell production of IL-2, IL-4, IL-12, IFN-gamma, and GM-CSF in vitro. To study the effects of these cytokines stimulated by EC-18 on cancer cells, we applied hamster biliary cancer model, a difficult cancer to treat. Cancer (KIGB-5) cells were given intravenously to produce hematogenous metastatic lung lesions which were treated with EC-18 at 10, 25, and 50 mg/kg/day respectively. The fourth group was untreated control. At 4th, 8th, and 12th week the lungs were examined. EC-18 treated groups showed only a few microscopic lung lesions and no evidence of metastatic lesion with highest dose whereas widespread gross lung lesions were observed in untreated control. To investigate whether the anti-tumor effect of EC-18 is associated with suppression of tumor cell Toll-like receptor 4 (TLR-4) expression in addition to stimulation of the immune cells, KIGB-5 cells were exposed to LPS with or without EC-18. TLR-4 mRNA and protein expression, measured by reverse transcriptase PCR (RT-PCR), real-time quantitative PCR and western blot analysis, showed suppression of TLR-4 expression in KIGB-5 cells treated with EC-18 compared with control. In conclusion, EC-18 has a significant anti-tumor effect in this experimental model of biliary cancer suggesting potential for clinical application to this difficult cancer.


Subject(s)
Animals , Antineoplastic Agents/therapeutic use , Biliary Tract Neoplasms/drug therapy , Cricetinae , Cytokines/metabolism , Female , Glycerides/therapeutic use , Lung/pathology , Neoplasm Metastasis , T-Lymphocytes/immunology , Toll-Like Receptor 4/genetics , Tumor Cells, Cultured
SELECTION OF CITATIONS
SEARCH DETAIL