Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients / 정신간호학회지

PURPOSE: The purpose of this study was to test the effects on stress and depression by developing and implementing an integrated stress management program for inpatients in the psychiatric closed ward. METHODS: The study was a one-group pretest-posttest design. A total of 36 patients in the closed ward participated in this study. Data were collected through self-report questionnaires to measure hospital stress and depression. Data were analyzed by using t-tests and one-way ANOVA with SPSS/WIN 21.0. RESULTS: Integrated stress management program was designed based on Lazarus and Folkman stress-appraisal-coping model. Total of eight 1-hour sessions were delivered for four weeks in the group. There were significant differences in the inpatient stress scores before and after the intervention. However, the integrated stress management program showed some reduction in depression but did not show signifiant differences statistically. CONCLUSION: Our study findings confirm that the use of the integrated stress management program can reduce stress of the patients, that enable them to stabilize their minds at hospitalization. However, further study is needed to confirm the effects on depression. Thus, it would be beneficial to provide psychiatric nursing intervention tailored to psychiatric patients' symptoms, especially for reducing inpatient stress.

The Influence of Health Status and Type of Health Management on Depression in Middle-Aged Women / 한국간호교육학회지

PURPOSE: This study aimed to investigate the influence of health status and types of health management on depression in middle-aged women. METHODS: A convenience sample of 188 participants was recruited from health centers in S city. Using a structured questionnaire, data was collected and analyzed by t-test, ANOVA, Pearson's correlation, and linear regression using SPSS/WIN 23 program. RESULTS: Results of the regression analysis showed that perceived current health status (β=−0.55, p < .001), no caregiver (β=0.47, p < .001), chronic diseases lasting more than three months (β=0.36, p < .001), perceived health status compared to peer group (β=0.32, p < .001), walking for health (β=−0.20, p=.002), caregiver except family (β=0.18, p=.001), and gastrointestinal disease (β=0.10, p=.022) influenced depression in middle-aged women. Overall, approximately 69.7% of total variance explained this model (adjusted R2=0.678, F=57.21, p < .001). CONCLUSION: This study suggests that it is more important to understand the level of perceived health status in middle-aged women. Furthermore, it is necessary to develop programs that include various health management methods and strengthen the health care with the help of families and neighbors in order to manage depression in middle-aged women.

Human Rights Sensitivity, Advocacy Attitudes, and Advocacy Interventions for Mentally Disabled People in Psychiatric Nurses and Nursing Students / 한국간호교육학회지

PURPOSE: This study aimed to verify the relationship between human rights sensitivity, advocacy attitudes, and advocacy interventions for mentally disabled people in psychiatric nurses and nursing students. METHODS: This is a descriptive study. Using questionnaires, data were collected from 206 participants who were recruited from one mental health institute, one general hospital, and one university in S city. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient using SPSS/WIN 22. RESULTS: The mean age was 33.8±12.89. The mean scores of human rights sensitivity, advocacy attitudes, and advocacy intervention was 37.7±18.09, 53.7±5.67, and 47.4±7.08, respectively. Human rights sensitivity correlated significantly with advocacy attitudes (r=.25, p=.020) and advocacy intervention (r=.17, p=.015). Also, there was a significant positive correlation between advocacy attitudes and advocacy intervention (r=.44, p<.001). CONCLUSION: These findings highlight that advocacy attitudes and advocacy interventions for mentally disabled people could be improved by increasing human rights sensitivity. Tailored education programs will be effective in the field of mental health care services to increase human rights sensitivity.

Effects of Health Status and Health Management on Activities of Daily Living among Urban-Dwelling Older Koreans / 한국간호교육학회지

PURPOSE: The purpose of this study was to identify the effects of health status and health management on activities of daily living (ADL) in older, urban-dwelling Koreans. METHODS: A total of 206 subjects were recruited from one senior welfare center, six senior citizen centers, and subjects' home in two cities. Data was collected with self-reported questionnaires in order to measure health management, health status, and ADL. Data was analyzed by t-test, ANOVA, and stepwise multiple linear regression using SPSS/WIN 22.0. RESULTS: ADL in this subject were different depending on their age, education, marital status, type of family, and average monthly living expenses. Multivariate analysis showed that age (beta=-0.35, p<.001), exercise ability (beta=0.20, p<.001), diabetes (beta =-0.17, p<.001), osteoarthritis (beta=-0.15, p<.001), caregiver (beta=0.14, p=.005), frequency of health management (beta =-0.13, p=.006), smoking (beta=-0.11, p=.019), hypertension (beta=-0.10, p=.027), and type of family (beta=-0.10, p=.036) were significantly associated with ADL. Overall, approximately 60.2% of total variability in ADL could be explained by the 11 variables in this model (R2=0.602, F=32.06, p<.001). CONCLUSION: This study suggests that individualized health care should be continued for older, community-dwelling Koreans in order to improve their ADL. Moreover, we need to develop self-care programs and encourage them to participate in those programs.

Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly / 재활간호학회지

PURPOSE: The purpose of this study was to identify health status and the use of complementary and alternative therapies in the community dwelling pre-elderly and elderly. METHODS: A total of 193 subjects participated in this study. They were recruited from one senior welfare center, four senior citizen centers and subjects' home in two cities. Data were collected with self-reported questionnaires to measure health status and the use of complementary and alternative therapies. Data were analyzed by t-test, ANOVA using SPSS/WIN 22.0. RESULTS: Health status in this subjects was different depending on their age, sex, education, religion, type of family, and average monthly living expenses. Most used items as complementary and alternative medicine are diet therapy, herbal medicine such as health supplement food therapy, vitamin therapy, and Korean folk remedies. There were statistically significant differences in using complementary and alternative therapies according to one's current health status (F=7.09, p<.001), comparing health status to peers (F=3.67, p=.013), and chronic disease having more than three months (t=-2.50, p=.013). CONCLUSION: This study suggest that individualized health care should be continued for the pre-elderly and elderly. Moreover, we need to prepare long term care plans such as educations for applying complementary and alternative therapies.

Cultural Competence, Health Promotion Behavior, and Quality of Life in Married Immigrant Women in Korea / 한국간호교육학회지

PURPOSE: The purpose of this study was to identify the correlation coefficient cultural competence, health promotion behavior, and quality of life of married immigrant women in Korea. METHODS: The participants included 88 married immigrant women who applied to educational programs for medical tour coordinators and agreed to participate in the study. Data were collected through self-report questionnaires that were constructed to include scales to measure cultural competence, health promotion behavior, and quality of life. Data were analyzed using ANOVA, Pearson correlation coefficients with SPSS/WIN 19.0. RESULTS: Both cultural competence and health promotion behavior were different according to the husband's occupation. There was a positive correlation between cultural competence and quality of life, a positive correlation between health promotion behavior and quality of life, and a positive correlation between health promotion behavior and cultural competence. CONCLUSION: From a long-term point of view, various programs for married immigrant women should greatly strengthen their cultural competence and help them become genuine members of our society and live an independent life. Developing detailed and active programs for nursing intervention to constitute a healthy lifestyle and improve the quality of life is recommended.

Teaching Effectiveness and Adequacy of Practical Training in Nursing Students / 한국간호교육학회지

PURPOSE: The purpose of this study was to identify the teaching effectiveness and adequacy of practical training in nursing students. METHODS: This descriptive research was conducted using a convenience sampling. The sample consisted of 619 nursing students with experience in practical training among five colleges, located in four cities. The data collection was performed using self-reported questionnaires. Research tools, developed by Kim (1996), were used to measure the effectiveness of clinical instructors and the adequacy of practical training developed by researchers. The data was analyzed using SPSS 20.0. RESULTS: The average of teaching effectiveness was 3.43 (out of 5) and adequacy of practical training was 3.33 (out of 5). Teaching effectiveness and adequacy of practical training showed a significant positive correlation (r=.74, p<.001). Teaching effectiveness and each sub-area: adequacy of practical training, practical contents (r=.59, p<.001), practical attitude (r=.45, p<.001), practical instructor (r=.62, p<.001), practical environment (r=.46, p<.001), and practical evaluation (r=.64, p<.001), revealed a significant positive correlation. CONCLUSION: Nursing students prefer the actual training from professors who are more professional and clinical experienced. Professors presenting the theory lectures should also be aware of clinical practice so that education can be more professional and effective in terms of clinical practice.

Relations on Self-esteem, Empathy and Interpersonal Relationship for Reinforcing Competence in Communication of Nursing Students / 한국간호교육학회지

PURPOSE: This study was done to identify the relations on self-esteem, empathy and interpersonal relationship to reinforce competence in communication skills of nursing students. METHOD: Participants consisted of 84 entire 1st year students of a nursing college. Variables included self-esteem, empathy, interpersonal relationship and demographic variables. Data was analyzed by frequencies, ANOVA and Pearson's correlation. RESULTS: Satisfaction in nursing science of the subjects was 97.5% above average, Self understanding of the subjects was 93% above average. There were significant difference in self-esteem, empathy and interpersonal relationship among satisfaction in nursing science and self understanding of the subjects. Self-esteem positively correlated to empathy, empathy positively correlated to interpersonal relationship and interpersonal relationship positively correlated to self-esteem. CONCLUSION: In order to improve core competence in effective communication skills of nursing students, it is important to actively intervene for improving self-esteem and empathy and interpersonal relationship. Therefore, when organizing a communication subject of a nursing college, it is crucial to develop a program that leads to higher learning satisfaction of nursing study by improving self-esteem and empathy and interpersonal relationship skills.

Social Support and Health Status based on Characteristics of Leisure Activity of Middle-Aged Women / 기본간호학회지

PURPOSE: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. METHODS: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. RESULTS: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. CONCLUSION: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.

Resilience, Coping Methods, and Quality of Life in Middle-aged Women / 정신간호학회지

PURPOSE: The purpose of this study was to identify resilience, coping methods, and quality of life according to general characteristics of middle-aged women. METHODS: Participants were 119 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include scales to measure resilience, coping methods and quality of life. Data were analyzed using ANOVA, Pearson's correlation coefficients and multiple regression analysis with SPSS/WIN 18.0. RESULTS: Resilience was different depending on economic state. Quality of life was different depending on education, economic state, and occupation. There was a positive correlation between resilience and quality of life. There was a positive correlation between coping methods and quality of life. Multiple regression analysis showed resilience and coping methods significantly influenced quality of life in middle-aged women. CONCLUSION: The results that the quality of life increases in proportion to one's ability to cope with tasks and resilience. Thus, programs for nursing interventions to strengthen resilience and coping methods should be developed for middle-aged women.

The Effects of an Obesity Control Program for Children in Pediatric and Adolescent Psychiatric Hospital / 정신간호학회지

PURPOSE: This research was conducted to compare the effects of an obesity control program on knowledge of obesity, diet habit, exercise habits, and weight loss of children in a pediatric and adolescent psychiatric hospital. METHODS: A non-equivalent control group non-synchronized design was used for this study. Eighteen patients were participated in the experimental group and seventeen were participated in the control group. For 8 weeks, the experimental group received the interventions for fifty minutes weekly, which were consisted of knowledge of obesity, diet habit, and exercise habits and weight loss, while the control group received the usual care during the same period. The outcome variables were measured before and after the program. Data were analyzed using t-test with SPSS/WIN 18.0. RESULTS: The experimental group showed more significant improvement in knowledge of obesity, diet and exercise habits than the control group, but weight loss was not different between the groups. CONCLUSION: To be more effective obesity control program, nurses should collaborate with other staffs including doctors and social workers, and consistently educate the families of the patients.

The Effect of a Wellness Program on Nutritional and Diet Knowledge, Exercise and Weight Control Knowledge, and Weight Control of Schizophrenia / 정신간호학회지

PURPOSE: This research was conducted to compare the effect of a wellness program on nutrition and diet knowledge, exercise and weight control knowledge, and weight control of schizophrenia patients. METHODS: A nonequivalent control group pretest-posttest design was used for this study. A total of 34 patients were randomly divided into the experimental group (17) and the control group (17). The experimental group received about 1 hour of a nutrition and diet knowledge intervention for 6 weeks and about 1 hour of an exercise and weight control knowledge intervention for another 6 weeks, while the control group received the usual care. The outcome variables were measured before and after the program. Data were analyzed by t-test using SPSS/WIN 14.0. RESULTS: The experimental group showed significant improvement in nutrition and diet knowledge, exercise and weight control knowledge, and reduction in body weight. CONCLUSION: The wellness program was effective on increasing nutrition and diet knowledge, exercise and weight control knowledge, and decreasing body weight of schizophrenia patients.

The Effect of a Wellness Program on Nutritional and Diet Knowledge, Exercise and Weight Control Knowledge, and Weight Control of Schizophrenia / 정신간호학회지

PURPOSE: This research was conducted to compare the effect of a wellness program on nutrition and diet knowledge, exercise and weight control knowledge, and weight control of schizophrenia patients. METHODS: A nonequivalent control group pretest-posttest design was used for this study. A total of 34 patients were randomly divided into the experimental group (17) and the control group (17). The experimental group received about 1 hour of a nutrition and diet knowledge intervention for 6 weeks and about 1 hour of an exercise and weight control knowledge intervention for another 6 weeks, while the control group received the usual care. The outcome variables were measured before and after the program. Data were analyzed by t-test using SPSS/WIN 14.0. RESULTS: The experimental group showed significant improvement in nutrition and diet knowledge, exercise and weight control knowledge, and reduction in body weight. CONCLUSION: The wellness program was effective on increasing nutrition and diet knowledge, exercise and weight control knowledge, and decreasing body weight of schizophrenia patients.

Accuracy of References in Eight Nursing Journals in Korea / 간호학회지

PURPOSE: This study was to investigate the reference accuracy in major nursing journals in Korea. METHODS: The references in articles from eight nursing journals from 2006 were compared with PubMed for authors, year, title, journal, volume, and page accuracy. Four hundred sixty-six references were reviewed. Errors were classified as major or minor and categorized by bibliographic headings (author, title, journal, year, volume and page). RESULTS: Of the 466 references, 223(47.9%) had citation errors. The reference error rates ranged from 28.6% to 58.7%. Most errors occurred in the author element (37.9%), followed by title (20.9%), journal (19.0%), page (13.9%), volume (5.9%), and year (2.4%). CONCLUSION: This study identified a considerable error rate in the references of nursing journals. Inaccuracy of references is a reflection on scholarly work of authors and journals. Authors and Editorial committees are responsible for the accuracy of references.

Analysis of Research Papers Published in the Journal of Korean Academy of Nursing / 간호학회지

PURPOSE: This study was to determine the current trend of nursing research as exploring both quantitative and qualitative methodologies, and to provide the explicit direction to improve the quality of published papers. METHODS: Total of 366 articles published between 2004 and 2006 was reviewed using the criteria of analysis. RESULTS: There was more number of quantitative studies than qualitative studies. More studies were conducted with subjects who had health problems, and studies that targeted women and elderly population have been significantly increased. In quantitative methodology, utilization of experimental and quasi-experimental designs has been increased, however descriptive study was dominant as yet. In qualitative methodology, studies using grounded theory and phenomenology were frequently published. It was noted that theoretical framework and rational for sample size were rarely presented in quantitative study. Philosophical position and the process of preparation for study, which guided the research, were not clearly described in qualitative study. CONCLUSION: The findings of this review suggest that published studies have been improved and diversified, however, detailed and clear evaluation tool that assesses study process and method should be developed as a way to further improve the quality of published papers.

The Trends of Nursing Research in the Journal of the Korean Academy of Nursing / 간호학회지

This study examined all the research published in Journal of Korean Academy of Nursing (JKAN) for last 30 years, from its beginning year to year 1999, based on an objective frame of evaluation. The purpose of this study is to reflect the trend of nursing research in Korea to date, and to provide an optimal direction for future research. The total number of 959 studies were analyzed with the following results. 1. Since 1990s, the number of non-degree based research has been larger than that of degree-based research compared to 1970s and 1980s. Both collaborative and funded research has been particularly increased in a gradual rate. 2. Research on nurses or nursing students has decreased while research on more diverse populations such as patients, patient families, or community-dwelling healthy clients has increased. 3. While essential nursing concepts such as human, nursing, and health have been consistently dealt as main research topics, research related to the concept of environ- ment has been insufficiently conducted. 4. It was remarkable that the quality of nursing research has been improved due to the acknowledgement of the importance of the empirical research method within the nursing community. 5. Qualitative research has appeared in the journal since the late 1990s, but it is still regarded to be in its novice stage. 6. Although the utilization of research findings for expanding the nursing body of knowledge has been wide in diverse specialties, most studies are limited to focus on concept development or evolution yet. also, in some of these research finding are utilization already considerably as to develop nursing interventions. Based on these findings, conclusions are extended to the following discussions: For the last 30 years, nursing research in Korea has shown an acute methodological development in both quantity and quality. However, there has been a lack of research on theory development although it is one of the ultimate goals in nursing. Further research should be empirical enough to be utilized in an actual nursing care context, and thus to be basis of developing culturally competent nursing theories in Korea.