Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 / 임상간호연구

Purpose@#The purpose of this study was to identify the factors that affect the posttraumatic growth (PTG) among nurses caring for patients with COVID-19. @*Methods@#The subjects of this study were 194 nurses working at COVID-19 designated hospital who had experience in providing direct care for patients with COVID-19. Data were collected in November 2020 using self-administered questionnaires. @*Results@#Deliberate rumination(β =.51, p<.001), calling (β=.20, p=.001), and religion (β=.11, p=.023) were found to affect the PTG of the subjects. @*Conclusion@#The findings of this study demonstrate that it is necessary to develop intervention programs and policies to enhance deliberate rumination and calling in order to promote PTG among nurses providing care for patients with emerging infectious diseases.

Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 / 임상간호연구

Purpose@#The purpose of this study was to identify the factors that affect the posttraumatic growth (PTG) among nurses caring for patients with COVID-19. @*Methods@#The subjects of this study were 194 nurses working at COVID-19 designated hospital who had experience in providing direct care for patients with COVID-19. Data were collected in November 2020 using self-administered questionnaires. @*Results@#Deliberate rumination(β =.51, p<.001), calling (β=.20, p=.001), and religion (β=.11, p=.023) were found to affect the PTG of the subjects. @*Conclusion@#The findings of this study demonstrate that it is necessary to develop intervention programs and policies to enhance deliberate rumination and calling in order to promote PTG among nurses providing care for patients with emerging infectious diseases.

Effect of Lifestyle Modification Using a Smartphone Application on Obesity With Obstructive Sleep Apnea: A Short-term, Randomized Controlled Study

OBJECTIVES: To investigate the short-term effects of a lifestyle modification intervention based on a mobile application (app) linked to a hospital electronic medical record (EMR) system on weight reduction and obstructive sleep apnea (OSA). METHODS: We prospectively enrolled adults (aged >20 years) with witnessed snoring or sleep apnea from a sleep clinic. The patients were randomized into the app user (n=24) and control (n=23) groups. The mobile app was designed to collect daily lifestyle data by wearing a wrist activity tracker and reporting dietary intake. A summary of the lifestyle data was displayed on the hospital EMR and was reviewed. In the control group, the lifestyle modification was performed as per usual practice. All participants underwent peripheral arterial tonometry (WatchPAT) and body mass index (BMI) measurements at baseline and after 4 weeks of follow-up. RESULTS: Age and BMI did not differ significantly between the two groups. While we observed a significant decrease in the BMI of both groups, the decrease was greater in the app user group (P 45 dB was significantly improved in the app user group alone (P =0.014). In either group, among the participants with successful weight reduction, the apnea-hypopnea index was significantly reduced after 4 weeks (P =0.015). Multiple regression analyses showed that a reduction in the apnea-hypopnea index was significantly associated with BMI. CONCLUSION: Although a short-term lifestyle modification approach using a mobile app was more effective in achieving weight reduction, improvement in OSA was not so significant. Long-term efficacy of this mobile app should be evaluated in the future studies.

Identifying Research Direction for Mental Health of North Korean Refugees Using Delphi Technique / 신경정신의학

OBJECTIVES: Refugees from North Korea are at risk of a range of mental health problems, posing urgent problems to their care. A review of research on mental health prevalence and services can indicate directions for further study. METHODS: The authors administered a Delphi survey to 16 professionals who are working for North Korean refugees, including professors and field workers. The collected data was analyzed by descriptive statistics including mean and standard deviation and verified with content validity ratio. RESULTS: The results are as follows: 1) The most serious problem in the research area is the importance of quantitative research rather than qualitative for North Korean refugees, who are often very negative and uncooperative with questionnaires. 2) There is a great need to develop competence of mental health professionals who are working for North Korean refugees. 3) Most participants agreed to the necessity of longitudinal study to define the factors facilitating successful adaptation among North Korean refugees. CONCLUSION: The following are our recommendations: 1) Appropriate measurements for North Korean refugees need to be developed reflecting their uniqueness. 2) Research of North Koreans has inherent selection bias. 3) It is essential to provide primary education on mental health to North Korean refugees.