The Effects of Abdominal Meridian Massage on Abdominal Distention, Pain, and Recovery of Bowel Motility after Sedated Colonoscopy / 기본간호학회지

Purpose@#This study investigated the effects of abdominal meridian massage on abdominal distention, abdominal pain, and bowel motility recovery after sedated colonoscopy. @*Methods@#This quasi-experimental study was conducted from July 29, 2019 to September 10, 2019. Participants who underwent sedated colonoscopy at a general hospital in B city were assigned to experimental and control groups (n=27 each). The experimental group received abdominal meridian massage for 10 minutes at five acupoints (cheonchu, jungwan, gwanwon, gihae, daehoeng) post-colonoscopy. As outcomes, abdominal distention (subjective sensation of abdominal bloating and abdominal circumference), abdominal pain, and recovery of bowel movement (time of return of bowel sounds and passing gas post-colonoscopy) were measured. Data were analyzed using the independent t-test, x2 test, Fisher's exact test, analysis of covariance (ANCOVA), and repeated-measures ANCOVA using SPSS for Windows version 25.0. @*Results@#Statistically significant between-group differences were found for subjective sensation of abdominal bloating (F=3.89, p<.024), abdominal circumference (F=11.05, p<.001), time of return of bowel sounds (x2=33.40, p<.001) and passing gas (x2=32.88, p<.001), but not abdominal pain. @*Conclusion@#Abdominal meridian massage reduced abdominal distention and was effective for the early return of bowel function. Therefore, abdominal meridian massage can be used as a nursing intervention for relieving abdominal discomfort post-colonoscopy.

Risk Factors according to Fall Risk Level in General Hospital Inpatients / 기본간호학회지

Purpose@#This study was conducted to identify the predictors of falls according to the fall risk level in general hospital inpatients. @*Methods@#Data were extracted from electronic medical records from January 2017 to December 2019. This study included 170 fallers and 340 non-fallers, who were matched for gender, age, clinical department, and length of stay before falls among inpatients aged 18 years and over. The collected data were analyzed with the x2 test, Fisher exact test, independent t-test, and logistic regression analysis using SPSS for Windows version 24.0. @*Results@#In the low-risk group, defecation disorder (odds ratio [OR]=12.49, 95% confidence interval [CI]=1.16~134.33, p=.037) and laxative use (OR=9.62, 95% CI=2.14~43.22, p=.003) were statistically significant risk factors for falls. In the medium-risk group, disorientation (OR=2.40, 95% CI=1.11~5.19, p=.026) was a statistically significant risk factor for falls. In the high-risk group, disorientation (OR=12.54, 95% CI=1.39~113.26, p=.024) and hypoglycemic agent use (OR=5.39, 95% CI=1.58~18.44, p=.007) were statistically significant risk factors for falls. @*Conclusion@#The results of this study show that risk factors for falls differed among the fall risk groups. It is necessary to use fall prevention strategies tailored to fall risk groups and fall risk assessment tools that have been revised accordingly.

Incidence and Predictors of Cataract among People with Type 2 Diabetes Mellitus: Using Secondary Data Analysis from the Ansan Cohort of the Korean Genome and Epidemiology Study

Purpose@#This study investigated the incidence and risk factors of cataract in people with diabetes mellitus (DM) using data from Ansan cohort of the Korean Genome and Epidemiology Study (KoGES). @*Methods@#Data from a total of 329 patients with type 2 DM without cataract who participated in Ansan cohort of the KoGES from baseline survey (2001–2002) to fifth follow-up visit (2011–2012) were examined.The characteristics of the subjects were analyzed with frequency and percentage, and mean and standard deviation. Cataract incidence was measured as incidence proportion (%). For risk factors of cataract, hazard ratio (HR) and 95% confidence interval (CI) were obtained using the Cox proportional hazard model. @*Results@#The cataract incidence over a 10-year follow-up period was 19.1% (15.1 in males and 25.8 in females), and mean age at the incidence of cataract was 63.48 years (61.58 years in males and 65.31 years in females). Age (HR=1.09, 95% CI=1.05–1.13) and HbA1c (HR=1.21, 95% CI=1.07–1.37) or the duration of DM (HR=1.05, 95% CI=1.00–1.09) were found to be independently associated with cataract development. @*Conclusion@#Cataract development in people with DM is common, and its likelihood increases with age, HbA1c, and the duration of DM. Considering negative effect of cataract on their quality of life and economic burden, nurses should identify people with DM at a higher risk of cataract development, and plan individual eye examination programs to detect cataract development as early as possible.

Incidence and Risk Factors of Dyslipidemia after Menopause

Purpose@#This study was aimed at investigating the incidence and risk factors of dyslipidemia in menopausal women using a Korean community-based longitudinal study. @*Methods@#The subjects were 245 postmenopausal women without dyslipidemia who had participated in the Ansan-Ansung cohort study from 2001~2002 (baseline) to 2015~2016 (seventh follow-up visit). The dyslipidemia incidence was measured as incidence proportion (%) and incidence rate per 100 person-years. The predictors of developing dyslipidemia were analyzed with Cox’s proportional hazard model. @*Results@#The incidence of new dyslipidemia during the follow-up period was 78.4% (192 patients), and 11.9 per 100 person-years. Mean duration from menopause to developing dyslipidemia was 5.3 years in new dyslipidemia cases. The triglyceride/high density lipoprotein (TG/HDL-C) ratio at baseline (hazard ratio = 2.20; 95% confidence interval = 1.39~3.48) was independently associated with developing dyslipidemia. @*Conclusion@#Dyslipidemia occurs frequently in postmenopausal women, principally within five years after menopause. Therefore, steps must be taken to prevent dyslipidemia immediately after menopause, particularly in women with a high TG/HDL-C ratio at the start of menopause.

The Influence of Awareness regarding Particulate Matter, Perceived Respiratory Symptoms, and Physical Activities on Health Promotion Behavior of Elementary School Children / 기본간호학회지

Purpose@#The purpose of this study was to identify the influence of awareness regarding particulate matter, perceived respiratory symptoms, and physical activities on health promotion behavior in elementary school children. @*Methods@#Data were collected from 639 4th~6th grades students from 8 elementary schools in Busan and analyzed using independent t-test and ANOVA, Pearson correlation coefficients and multiple regression analysis. @*Results@#The average for awareness regarding particulate matter was 29.84±5.63, for perceived respiratory symptoms, 0.66±0.95, and for health promotion behavior, 7.85±1.76. The mean amount of time the students spent in sleeping or sitting on an easy chair and/or activity while sitting were 10.71±3.04 and 6.60±2.84 hours a day. Factors influencing health promotion behavior in elementary school children were being a girl (β=.09, p=.015), in 4th grade (β=-.09, p=.025), residence in Busanjingu (β=-.10, p=.005), residence in Bukgu (β=-.12, p=.001), more than 10 years residence period (β=-.09, p=.020) and awareness regarding particulate matter (β=.42, p<.001). The explanation power of these variables was 23% (F=22.21, p<.001). @*Conclusion@#It is recommended that for health education programs, gender, grade, length of residence and area’s air pollution level be considered and education program including guideline for particulate matter be provided continuously to elementary students to increase their level of awareness regarding particulate matter and proper physical activity.

Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study

PURPOSE: This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling. METHODS: From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the 7(th) to the 12(th) grades. Data were analyzed using χ² test for prevalence and multilevel modeling for related factors of unintentional injuries at school. RESULTS: About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education. CONCLUSION: School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

Factors related to Turnover Intention of Part-time Workers with Psychiatric Disabilities / 정신간호학회지

PURPOSE: The purpose of this study was to identify turnover intentions in part-time workers with psychiatric disabilities. METHODS: Participants were 146 part-time workers with mentally disabilities living in B-city and Y-city. The data were collected from October 15 to December 22, 2014 using self-report questionnaires which included measures of turnover intentions, working environment, job satisfaction, social support, family support and internalized stigma. For data analysis descriptive statistics, chi2-test, t-test, Pearson correlation coefficients, hierarchial multiple regression analysis were performed using SPSS/WIN 18.0. RESULTS: The average score for turnover intention was 3.1+/-0.7. Turnover intention was related to job satisfaction and case management satisfaction. The predicting factors for turnover intention were job satisfaction, case management satisfaction, male gender, monthly pay and number of disabled workers. These factors explained 82% of turnover intention. CONCLUSION: Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes case management and job satisfaction in order to decrease turnover intentions of part-time workers with mentally disabilities.

A Study on the Health Risk Behaviors of Adolescents from Multicultural Families according to the Parents' Migration Background

PURPOSE: This study aimed to compare health risk behaviors among adolescents according to whether or not the parents were born in South Korea. METHODS: From the database of the ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers classify adolescents into four groups: those whose parents were both native Korean, those whose mother only was a native Korean, those whose father only was a native Korean, and those whose parents were both foreign-born. Data were analyzed using chi2-test and multiple logistic regression with the SPSS/WIN 18.0 program. RESULTS: The adolescents with a foreign-born mother were less likely to smoke and drink alcohol than those with native Korean parents, but for other health risk behaviors the two groups were similar to each other. The adolescents with a foreign-born father were at a greater risk of drug use, intercourse, depression and violence at school than those with native Korean parents. The adolescents whose parents were born abroad were at a greater risk of smoking, drug use, intercourse, depression, suicidal ideation and violence at school than those with native Korean parents. CONCLUSION: Health promotion approaches differentiated by the type of multi-cultural family are needed in order to improve multi-cultural adolescents' health.

Factors Contributing to the Intention to Quit Smoking in Community-dwelling Elderly Smokers

PURPOSE: The purpose of this study was to investigate factors associated with the intention to quit smoking in community-dwelling elderly smokers. METHODS: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 448 elderly smokers over the age of 65. Data were analyzed with the chi2 test and multiple logistic regression using the SPSS/WIN 18.0 program. RESULTS: Of the respondents, 45.5% intended to quit. The factors associated with the intention to quit were relative youth, having limit of activity day living and having past attempts to quit. CONCLUSION: Population-based smoking cessation programs, especially those targeted at the elderly, should take these predictors into consideration in the design of interventions.

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.