Effects of a Competency-Based Education Program for Inpatient Psychiatric Nurses: A Pre-Post Intervention Study / 정신간호학회지

Purpose@#This study aimed to develop a competency-based educational program for strengthening the competency of psychiatric nurses and evaluate its effects. @*Methods@#The study used a quasi-experimental design. Participants included 64 psychiatric nurses in South Korea: 33 nurses (32 females, 1 male) in the experimental group and 31 nurses (26 females, 5 males) in the control group. A competency-based education program for psychiatric nurses was developed through a literature review and discussion with 12 experts. The program addressed eight topics and provided 24 hours of education over 4 days, for 6 hours each day. The collected data via questionnaires were analyzed statistically. @*Results@#The education program enhanced overall clinical nursing competence and strengthened professional self-growth competence. The management and teaching competencies of both the experimental and the control groups also increased significantly. @*Conclusion@#The findings of this study presented an educational program to strengthen the clinical competency of psychiatric nurses and it was proven that the education had a capacity-building effect.

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.

Sexual Health Care Attitudes and Practices of Nurses Caring for Patients with Cancer

PURPOSE: The purpose of this study was to examine nurses' sexual health care attitude and practice while caring for cancer patients. METHODS: Data were collected using a structured questionnaire from 236 nurses caring for patients with cancer from June 30, 2014 to July 6, 2014 at a University Hospital in Daegu, Korea. RESULTS: The mean score for sexual health care attitude of nurses caring for patients with cancer was 27.75+/-6.45 of a possible range 17 to 51 and the mean score for a sexual health care practice of nurses was 3.67+/-3.30 of a possible range 0 to 21. The scores of a sexual health care attitude and practice were significantly different by age, education, department, experience in gynecology or urology departments, and position. Sexual health care attitude and practice had a significantly positive correlation (r=.16, p=.015). CONCLUSION: The nurses caring for patients with cancer recognize the importance of sexual health care, but their sexual health care practice rate was very low. Therefore specific and differentiated nurse education programs designed to increase sexual health care practice are required for young nurses and staff nurses that are not practicing sexual health care often.

Two Cases of Reversible Skin Rash Associated with Quetiapine-Valproate Combination Treatment / 대한정신약물학회지

Skin rash is one of the most common drug-induced side effects. Most of the lesions are usually self-limited and subsided by quitting causal drugs. However, generally, prescriptions involve intake of various drugs, so it is not easy to establish the cause. We report two cases of the patients who had experienced the skin rash in their first manic episode of bipolar I disorder while taking valproate and quetiapine. Their lesions had clearly subsided after quetiapine and valproate were stopped. In clinical practice, polypharmacy is an effective treatment strategy of bipolar disorder. Thus in case of prescribing various drugs, the close observation of drug-induced side effects is needed and drug interaction should be kept in mind.

Effect of beta-carotene Supplementation on Lipid Peroxides and Antioxidative Enzyme Activities in Hyperlipidemic Rats

This study was performed to investigate the effect of dietary beta-carotene supplementation on lipid metabolism and antioxidant enzyme activities in hyperlipidemic rats. Fifty Sprague-Dawley male rats aging 7 weeks were fed the control diet (CD, 5% corn oil) and the high fat diet (HFD, 15% beef tallow + 1% cholesterol) for 4 weeks and then 0.02% beta-carotene was supplemented to CD and HFD group for 8 more weeks. Serum lipid compositions, lipid peroxides and antioxidative enzymes in liver were analyzed at 4, 8 and 12week of the experiment. Serum levels of total lipid, total cholesterol, triglyceride, LDL-cholesterol, VLDL-cholesterol were higher in HFD groups than in CD groups (p < 0.001). Serum levels of HDL-cholesterol were higher in CD groups than in HFD groups (p < 0.01). The effect of beta-carotene supplementation was not significant in all groups but tended to be lower in total lipid, total cholesterol and triglyceride. Thiobarbituric acid reactive substances (TBARS) levels in plasma and liver were showed significantly higher in HFD groups (p < 0.001, p < 0.05). The effects of beta-carotene supplementation on the level of plasma and liver TBARS were not found except HFD groups at 12 week. Liver conjugated diene levels in HFD groups were higher than in CD groups (p < 0.01), but the effect of beta-carotene supplementation did not show any differences. Liver lipofuscin levels were not significantly different among all groups. The activities of superoxide dismutase (SOD) and catalase were significantly lower in HFD groups at 8 week (p < 0.001) but were not significantly different at 4 and 12week. The activity of SOD in beta-carotene supplemented HFD group was significantly higher at 8 week (p < 0.01). Glutathione peroxidase (GSHPx) activity was significantly lower in HFD groups (p < 0.01) and was significantly increased in groups supplemented beta-carotene (p < 0.05). It is suggested that beta-carotene supplementation partly decreases the serum lipid and lipid peroxide levels and increases the activities of antioxidant enzymes in hyperlipidemic rats.

Effect of Maengjong-Juk ( Phyllostachys Pubescens) Extract Coated Rice Diet on Antioxidative System of C57BL/6 Mice Fed Atherogenic Diet / 대한지역사회영양학회지

To evaluate the antioxidative effect of maengjong-juk (Phyllostachys pubescens) extract coated rice in vivo system, maengjong-juk extract coated rice diets were fed to C57BL/6 mice for 16 weeks. Plasma total antioxidative capacity, hepatic lipid peroxidation, protein oxidation, activities of antioxidative enzymes and total glutathione content were measured. Plasma total antioxidative capacity was elevated significantly in maengjong-juk extract diets supplemented group in a dose dependant manner. Hepatic TBARS contents were significantly decreased in maengjong-juk extract diets supplemented group compared to high cholesterol group. Maengjong-juk extract coated rice diets suppressed the protein oxidation significantly in liver. Activities of hepatic antioxidative enzymes such as total SOD, Cu,Zn-SOD, Mn-SOD, GSH-Px and catalase activities of maengjong-juk extract coated rice diets were significantly higher than those of high cholesterol diet. Total hepatic glutathione content was significantly increased by maengjong-juk extract coated rice diets administration. According to this study, numerous antioxidative materials and phytochemicals containing in maengjong- juk extracts appear to protect antioxidative systems in C57BL/6 mice fed bamboo extract coated rice diet.

A case of carcinomatous polyarthritis / 대한암학회지

No abstract available.