The Effect of Meridian Acupressure on Constipation in the Bed-ridden Aged with Stroke / 성인간호학회지

PURPOSE: The purpose of this study was to identify the effect of meridian acupressure on constipation in bed-ridden aged inpatients. METHODS: The research design was a non-synchronized non-equivalent control group pretestposttest design. The subjects consisted of 28 bed-ridden aged inpatients. Meridian acupressure was administered to the experimental group at 30 minutes before breakfast every morning for two weeks. Each meridian was pressured for 10 seconds, 10 times. The frequency of defecation and stool form were examined every day. The data was analyzed by the chi-square-test, Fisher's exact test, t-test and repeated measures ANOVA. RESULTS: The experimental group given Meridian Acupressure had a higher frequency of defecation(F = 59.372, p = .000) and normal stool(F = 46.046, p = .000) than the control group. CONCLUSION: The results suggest that Meridian Acupressure was an effective method for the relief of constipation for bed-ridden aged inpatients. A follow -up research is needed to validate that other patients with constipation can use the Meridian Acupressure as a non-invasive nursing intervention instead of a laxative or enema.

A Study on the Nurses' Appreciation and Use of Humor / 성인간호학회지

PURPOSE: This study is a descriptive research study to develop the Nurse's Humor Questionnaire, and then analyze humor's appreciation and use by Korean nurses. METHOD: The three stages used to develop the questionnaire were to make a conceptual framework, make an open questionnaire through the 2nd preliminary inquiry, and make a structured questionnaire based on collected statements through the developed open questionnaire. The subjects that carried out completely a structured questionnaire were 337 nurses. RESULT: 1) The final developed questionnaire consists of 6 domains and 67 items. The reliability of 'When feeling humor's expression'( =0.7079), 'The barrier factors of humor's use'( =0.7895), and 'Humor's values'( =0.8336) was high. 2) The results related to Humor's values of nurses that showed significant differences were as follow: (1) age, marital status, and current position (2)a negative correlation between stress and humor's values (3) humor's sources: daily life and conversation (4) frequency of used humor (5) types of used humor: word humor, imitation, adequate situation and technical terms, and (6) when using humor's expression: tense atmosphere, awkward atmosphere and adequate situation. CONCLUSION: The developed tool can be used for understanding nurse's humor. This will help to develop the humor program as a nursing intervention for health promotion.

A Study on the Life Style in Clients with Colo-Rectal Cancer / 성인간호학회지

PURPOSE: This study was to prepare the basic data for prevention of colo-rectal cancer and protection against its spread. METHOD: The subjects for the study were 204 patients with colo-rectal cancer from the G.S. wards of five general hospitals in Busan for the period of June 1 to September 1, 2001. The instrument used was a questionaire which was developed by Junho Shin(1995). The data was analyzed by descriptive statistics, McNemar test, x2 test, paired t-test, and ANOVA. RESULT: 1. 57% of the studied subjects were male, 42.7% were more than 60 years old, 54.9% were of standard physique, 49.5% were the Buddhists, 50.5% were the middle or high school graduates, 83.8% were city dwellers, 48% were jobless, 69.6% had no-history of alimentary disease, 44.1% had no-family history of cancer, 82.8% were married. 2. Constipation(x2=36.45, p=0.0001) in clients showed a significant positive association for the pre- diagnosed, but diarrhea(x2=3.947, p=0.047) showed a significant positive association for the post-diagnosed. The preference for high seasonings(t=6.23, p=0.0001) and animal fat (t=8.35, p=0.0001) was higher significantly in the pre-diagnosed, but physical activities(x2= 30.22, p=0.0001), an eutrophic or tonic medicine(x2=30.22, p=0.0001), was of and vegetables(t=-6.20, p=0.0001) was higher significantly in the post-diagnosed. 3. There were significant differences in the life style of the pre-diagnosed according to the general characteristics except religion. CONCLUSION: Results of the above study reveal we should be very sensitive to the change of defecation styles and consider the necessity of improving life styles as regards eating habits. When an education program is developed, the general characteristics of the subjects need to be considered.

The Effects of Kyongrak Massage in the Elderly with Chronic Pain / 재활간호학회지

PURPOSE: this study was implemented to develop new nursing intervention, Kyongrak massage, and to examine its effect on chronic pain in elderly women. METHOD: Kyongrak massage is a manipulation massaging on Kyonghyul site, and Duboo, Kyongchoo, Chucksoo, Hajee, Sangjee Kyongrak massages were used in this study. The subjects(11persons) took Kyongrak massage on head, neck, spinal cord, upper extremities and back lower extremities for 25minutes daily during 5days. The dependent variables were subjective health state. pain, blood pressure, pulse and body temperature. This study was carried out, at 10-12 o'clock, from August 7th. to 22th, 2000. Data were analyzed using frequency, percentage, mean, standard deviation. paired t-test by SPSS PC RESULTS: subjective health statet=-3.560, p=.005), body temperature(t=-2.557, p=.029) were increased, and pain level(t=7.884, p= 0.000), systolic blood pressure(t=2.923, p= .015) were decreased significantly by Kyongrak massage. CONCLUSIONS: The above results have informed us that this Kyongrak massage program(Duboo, Kyongchoo, Chucksoo, Hajee, Sangjee) for 25minutes is a useful nursing intervention to decrease chronic pain in each life styles.

The Analysis of Exercise Therapy in Nursing Research / 간호학회지

This study is aimed at analyzing the trend of research on the use of exercise in nursing research, through suggesting directions for future research and implementation of the various exercise therapies. Research studies were taken from dissertations and theses selected from the Academic Society Journals of nursing science, Journals from universities, medical and nursing schools, research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The research published between 1970 and 1997 in Korea were analyzed, 51 research were selected. The research are analyzed according to: published time, source of the research, research design, subjects, sample size, dependant variables, exercise therapy, and effect of exercise therapy. The results were as follows: 1. Research on exercise therapy increased rapidly in the 1990's. At this time, 88.2% of research was published. 2. Research areas included: 54.9% non- degree research, 27.5% Doctoral theses, and 17.6% Master's theses. 3. The experimental design included: 66.7% non- equivalent control group pre-test/ post-test design and 29.4% one group pre-test/post- test design. 4. Out of the Subjects: 52.9% were patients with various health problems, and 47.1% were healthy individuals. 5. Sample size included: 52.9% with above 31 subjects, 11.8% with 11~15 and 26~30. 6. Exercise therapy was analyzed by type, intensity, frequency, duration, and period. 1) The Types: Aerobic exercise at 60.8% was the most common, active exercise for muscle strengthening and building made up 21.6%. 2) Exercise with 40~65% intensity comprised 25.5%, 70~85% with 7.8%, and no description of the intensity was 66.7%. 3) Frequency of 3~5 per week was the most common at 78.4%. 4) Duration: 15~60 minutes was the most common length of time at 76.5%. 5) Periods: More than 5 weeks at 82.3% were the most common in their categories. 7. Dependant variables: Psychological response was measured as a dependant variable in 92.2%, Cardio-pulmonary function 88.2%, Body Composition was 86.3%, Physical Response was 60.8%, Lipid Metabolism was 58.8%, Physical Strength was 49.0%, Glucose Metabolism was 25.5%, Activities of Daily Living was 17.6% and others added to be 3.9%. 8. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', and 'no effect' according to dependant variables: Having a positive effect - Glucose Metabolism (93.3%), Physical Response (85.0%), Activities of Daily Living (81.8%), Psychological Response (71.6%), Lipid Metabolism (67.6%), Cardio- pulmonary Function (63.6%), Physical Strength (68.1%), and Body Composition (56.4%). The following suggestions can be made on the above findings: 1. Research findings on Exercise Therapy as a Nursing Intervention need to be described by their elements of type, intensity, frequency, duration and period. 2. Toproperly study the positive effects of Exercise Therapy, there needs to be (1) appropriate research design, (2) selection criteria for the subjects (3) contents of exercise prescription to individuals or groups (4) measurement criterion for the dependent variables. 3. Meta-analysis on exercise therapy also needs to be done to analyze and integrate the various results.

The Analysis of Exercise Therapy in Nursing Research / 간호학회지

This study is aimed at analyzing the trend of research on the use of exercise in nursing research, through suggesting directions for future research and implementation of the various exercise therapies. Research studies were taken from dissertations and theses selected from the Academic Society Journals of nursing science, Journals from universities, medical and nursing schools, research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The research published between 1970 and 1997 in Korea were analyzed, 51 research were selected. The research are analyzed according to: published time, source of the research, research design, subjects, sample size, dependant variables, exercise therapy, and effect of exercise therapy. The results were as follows: 1. Research on exercise therapy increased rapidly in the 1990's. At this time, 88.2% of research was published. 2. Research areas included: 54.9% non- degree research, 27.5% Doctoral theses, and 17.6% Master's theses. 3. The experimental design included: 66.7% non- equivalent control group pre-test/ post-test design and 29.4% one group pre-test/post- test design. 4. Out of the Subjects: 52.9% were patients with various health problems, and 47.1% were healthy individuals. 5. Sample size included: 52.9% with above 31 subjects, 11.8% with 11~15 and 26~30. 6. Exercise therapy was analyzed by type, intensity, frequency, duration, and period. 1) The Types: Aerobic exercise at 60.8% was the most common, active exercise for muscle strengthening and building made up 21.6%. 2) Exercise with 40~65% intensity comprised 25.5%, 70~85% with 7.8%, and no description of the intensity was 66.7%. 3) Frequency of 3~5 per week was the most common at 78.4%. 4) Duration: 15~60 minutes was the most common length of time at 76.5%. 5) Periods: More than 5 weeks at 82.3% were the most common in their categories. 7. Dependant variables: Psychological response was measured as a dependant variable in 92.2%, Cardio-pulmonary function 88.2%, Body Composition was 86.3%, Physical Response was 60.8%, Lipid Metabolism was 58.8%, Physical Strength was 49.0%, Glucose Metabolism was 25.5%, Activities of Daily Living was 17.6% and others added to be 3.9%. 8. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', and 'no effect' according to dependant variables: Having a positive effect - Glucose Metabolism (93.3%), Physical Response (85.0%), Activities of Daily Living (81.8%), Psychological Response (71.6%), Lipid Metabolism (67.6%), Cardio- pulmonary Function (63.6%), Physical Strength (68.1%), and Body Composition (56.4%). The following suggestions can be made on the above findings: 1. Research findings on Exercise Therapy as a Nursing Intervention need to be described by their elements of type, intensity, frequency, duration and period. 2. Toproperly study the positive effects of Exercise Therapy, there needs to be (1) appropriate research design, (2) selection criteria for the subjects (3) contents of exercise prescription to individuals or groups (4) measurement criterion for the dependent variables. 3. Meta-analysis on exercise therapy also needs to be done to analyze and integrate the various results.

The Use of Exercise Therapy in Korea as an Adjunct to Nursing Practice / 성인간호학회지

This study aimed at analyzing the trend of research on the use of exercise therapy in Koera, suggesting directions for future research and implementation of the various exercise therapies. The target population was taken from studies on Exercise Therapy as a nursing interverntion in Domestic Nursing Science, Physiology, Rehabilitation Medicine, and Athletics. Research studies were taken from dissertations and theses selected from Academic Society Journals of nursing science, physiology, rehabilitation medicine and athletics, Journals from universities, medical and nursing schools, and research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The studies selected were conducted between 1970 and 1997. The total sample number was 86 different research papers. These studies were analyzed according to Time of Presentation, Theses for a Degree, Experimental Design, Subject, Sample Size, Dependant Variables, Exercise Therapy, and Effect of Exercise Therapy. The results were as follows: 1. The Learning Domain included: 59.3% from Nursing Studies, 22.1% from Athletics research, and 18.6% from the Medical field. 2. Research on exercise therapy has increased rapidly in the 1990's. At the time of this presentation 80.2% of the studies were from the 1990's, and 19.8% were from the 1980's. 3. Thesis areas included : 62.8% non-degree research, 20.9% Doctoral studies, and 16.3% Master's theses. 4. Experimental design parameters includ[ed : 59.3% non-equivalent control group pre-test/post-test design, 30.3% one group pre-test/post-test design, and 10.4% one group post-test only design. 5. Of the Subjects : 54.7% were healthy individuals, and 45.3% were patients with various health problems. 6. Sample size included : 46.5% with above 31 subjects, 15.1% with 11~15 and 12.8% with 6~10. 7. Dependant variables were categorized as : Glucose Metabolism, Lipid Metabolism, Cardio-pulmonary function, Body Composition, Physical Strength, Physical Response, Psychological Response, Activities of Daily Living and the others. Cardio-pulmonary function was measured as a de pendant variable in 91.8%, Body Composition in 89.6%, Lipid Metabolism in 72.1%, Psychological Response in 55.9%, Physical Strength in 47.7%, Physical Response in 46.4%, Glucose Metabolism in 31.4%, Activities of Daily Living in 11.6% and others composed 3.5%. 8. Each Exercise Therapy was analyzed by Type, Intensity, Frequency, Duration, and Period according to each Learning Domain. 1) In the area of Nursing Science : the Type Rhythmic Exercise at 31.4% was the most common, Walking, Jogging, and Running composed 25.5%, Muscle Building Exercise made up 19.6%, and Aquatic Exercise were the least common at 11.8%. Exercise with 40~65% Intensity-comprised 25.5%, Frequency -3~5 X weekly was the most common at 78.4%, while Duration of 15~60 minutes at 76.5%, and Periods-of more than 5 weeks at 82.3% were the most common in their categories. 2) In the area of Medicine : the Type-Walking, Jogging, and Running was the most common at 81.3%, Intensity- of 50~80% was the most common at 31.3%, Frequency of 2~3 X a week was the most common at 31.3% also, while 4~5X a week at 25.0%, and 6 X weekly was the least common at 12.5%. Duration-of 15~60 minutes per session was the most common at 50.0%, while sessions of more than 2 hours were 18.8% and 5~10 minutes sessions were only 12.5%. Periods-of 5 weeks were the most common at 75.0%. 3) In the area of Athletics : the Type Walking, Jogging, and Running at 47.4% was the most common, with Rhythmic Exercise second at 31.6%, and Aquatic Exercise third at 15.8%. Intensity-of 50-80% was the most common at 73.7%. Frequency-of 3~5X a week was the most common at 84.2%. Duration-of 30-60 minutes per session being the commonest choice, while sessions of 6~12 minutes or more than 90 were 15.8%. Exercise periods of more than 8 weeks were the most common at 78.9%, while those of 6 weeks were 15.8%. The exercise methods used to attain Intensity (66.7, 26.3, 62.5%), Frequency(3.9, 15.8, 25.0 %), Duration( 15.8, 21.4, 18.8%) in Nursing Science, Athletics and Medicine were not described in detail. 9. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', 'no effect'according to dependant variables : Having a positive effect Glucose Metabolism and the Others (80.0%), Physical Response (75.7%), Activities of Daily Living(75.0%), Physical Strength (70.7%), Body Composition(67.0%), Psychological Response(62.7%), Cardio pulmonary Function (61.8%). and Lipid Metabolism(55.1%). The following suggestions can be made on the above findings: 1. Research which includes patients with chronic disease needs to be studied. 2. Research findings on Exercise Therapy as a Nursing Intervention need to described by their elements of Type, Intensity, Frequency, Duration and Period. 3. To properly research the positive effects of Exercise Therapy, there needs to be (1) appropriate research design, (2) selection criteria for the subjects of the studies, (3) sample size parameters, and (4) measurement criterion for the dependant variables. 4. Meta-analysis on Exercise Therapy needs to be done to analyze and integrate the various results. 5. The patterns of Exercise Therapy need to be compared with existing international research and current trends for the most effective program design and implementation.