• Korean Journal of Adult Nursing
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• v.20 no.6
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• pp.917-931
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• 2008

Purpose: This study was aimed to determine the optimum low-density lipoprotein : high-density lipoprotein-cholesterol (LDL : HDL-C) ratio for predicting coronary heart disease(CHD) in Korean people. Methods: It was analyzed this data of 5,431 adults who had undergone health examinations in a hospital in Gyeonggi-do between January 2006 and December 2007. The covariation of the coronary risk factors such as age, HbA1C, systolic blood pressure(SBP), and waist-to-stature ratio(WSR) were analyzed by using logistic regression analysis. Results: The LDL : HDL-C ratio in the male and female groups was mostly distributed between 1.5 and 4.0. The LDL : HDL-C ratio was the most significant cholesterol-related parameter influencing CHD (male: B = .306, p = .054, female : B = .940, p = .010), followed by LDL-C and total cholesterol. It was observed a sharp increase in the odds ratios for LDL : HDL-C ratios of 2.25 - 2.50(male) and 2.00 - 2.25(female). A significant difference was observed in both male(2.25 : $x^2$ = 2.494, p = .072) and female(2.00 : $x^2$ = 413.742, p = .000) groups. Conclusion: The risk level of CHD was set to 2.25 for males and 2.00 for females. Therefore, the optimum LDL : HDL-C ratio for Koreans should be far lower than that for the people in western countries.

• Korean Journal of Adult Nursing
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• v.20 no.1
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• pp.33-43
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• 2008

Purpose: This study was to investigate the sex differences in risk of cardiovascular disease(CVD), depression and self-care activities in type 2 diabetes with metabolic syndrome. Methods: The descriptive correlational design was conducted using a convenient sample. One hundred and twenty-nine diabetic patients with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, the Pearson correlation coefficient, Students' t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The risk of CVD in diabetic patients with metabolic syndrome indicated a significantly negative correlation to self-care activities and age, and positive correlation to waist_C, SBP, DBP and TG. The metabolic syndrome is associated with an approximate 1.7-fold increase in the relative risk in CVD in diabetic women. The main significant predictors influencing CVD risk of diabetes with metabolic syndrome were age, waist_C, SBP and TG, which explained about 29.7%. Conclusion: These results indicate that patients with diabetes with metabolic syndrome with a high degree of waist_C, SBP and TG are likely to be high in risk of CVD.

• Journal of Korean Academy of Nursing
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• v.29 no.3
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• pp.688-699
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• 1999

This study was to find out the perceptions of toward death and caring behavior of lay persons in one community : One Island in Puan County, Chonbuk. The methodology of this study was ethnography. For this study, the fieldwork was conducted from October 1997 to July 1998. Data collected by in-depth interview and participant observations. The participants consisted fo were 17 persons of both sexes. The key informants were four specific people. The result of this study is as follows ; The people perceived two different kinds of death. Normal death, which means death from old age. The person was respected as an ancestor God and was believed to exist forever with their offspring. Abnormal death was regarded as negative, many had fears toward this kind of death. The causes of abnormal death were supernatural phenomena and had absolute holy meanings. Whether death was good or bad, the death was not personal, but collective events as family or community affairs and was interpreted as death and birth for their offsprings. Funeral rites were family-centered and/or com munity-centered. They did normal procedures for normal deaths for abnormal deaths, there were many protective ceremonies(BuJungMagi : the prevention of the taboo of uncleanliness) for the remaining people. These ceremonies combined confucism and shamanism. Caring behavior for dying persons was ruled as community-centered, reciprocal and reality-centered principles.

• Journal of Korean Public Health Nursing
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• v.22 no.1
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• pp.27-38
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• 2008

Purpose: To determine the degree of cardiovascular disease risk according to socioeconomic factors among midlife women in the community and thereby provide baseline data for the development of health promotion programs. Method: A total of 200 women participated in health screenings and a health survey. The survey was performed in November and December, 2006. The survey instruments included socioeconomic factors, health behavior (smoking and exercise), and family history. Biophysical measurement included BMI and blood pressure. Blood samples were drawn for glucose and total cholesterol tests. Results: The mean age was 52.5 years, 34.0% had received education less than 6 years, 70.0% earned a monthly income of less than \1,500,000, and 61.5% were homemakers. Cardiovascular disease risk was significantly different by age (BMI, systolic BP, and exercise), education (systolic BP), monthly income (T. cholesterol), marital status (smoking), and occupation (exercise). Most women had 2 or 3 cardiovascular disease risks. Older age, lower education, and lower income were significantly associated with increased cardiovascular disease risk. Conclusion: Efforts should be made to decrease the number and severity of cardiovascular disease risk factors for midlife women in the community by developing health promotion programs targeting to modify their cardiovascular disease risk factors.

• Korean Journal of Occupational Health Nursing
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• v.24 no.2
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• pp.67-75
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• 2015

Purpose: The objective of the present study was to evaluate the effects of occupational exposure to low dose organic solvents on the prevalence of cardiovascular risk factors. Methods: Study design was retrospective cohort study subjected on 191 exposures and 118 controls working in a petrochemical manufacture company. The eight indicators related to CVD risk were followed up for five years from 2008 to 2012. The risk level was compared during the follow up years and subject's characteristics, and the change of risk level were analyzed with repeated measures ANOVA and multiple logistic regression analysis. Results: At the start year 2008, the rate over cutoff value (ROCV) of BS (p<.001) and mean systolic BP (p=.017) were higher in organic solvent exposure group and the others showed no difference. And by the subject's characteristics, odds ratio of the ROCV of BS were higher in organic solvent exposure group and work shift group as 2.51 and 3.07. Comparing the results in 2012 to those of 2008, cardiovascular disease risk in organic solvent exposure group was about 1.5 times higher than that of in the control group. Conclusion: Gradual increase in the CVD risk was identified in organic solvent exposure group. However, the risk might be influenced by shift work and bad behaviors rather than organic solvent exposure.

• Journal of Korean Academy of Rural Health Nursing
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• v.5 no.1
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• pp.33-39
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• 2010

Purpose: This study was done to identify change in self-concept of smoking experience in middle school students. Method: The study was a longitudinal survey design and used only the responses on self-concept and smoking state from the data of the Korea Youth Panel Survey (KYPS). The sample for this study consisted of 3,449 middle school students and the data were collected over a two-year period (2003-2004). Results: Self-esteem scores for the first and second year were significantly higher and self-stigma and aggression scores were significantly lower in the non-smoking maintenance group. There was a significant increase in self-esteem scores for students in second year who quit smoking compared to those in first year. There was a significant decrease in scores for attachment to surrounding people and emotional sense of control in second year students compared to those first year for students in the non-smoking maintenance group and the group that quit smoking. Self-intimacy scores were significantly lower in the smoking maintenance group. There was a significant increase in sex-role identity scores in second year students compared to those in first year for students in the group who newly started smoking. Conclusion: Findings from this study can contribute to designing appropriate smoking prevention strategies to improve self-constructs related smoking experiences in adolescents.

• Journal of Korean Biological Nursing Science
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• v.21 no.2
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• pp.123-132
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• 2019

Purpose: The purpose of this study was to identify influencing factors of metabolic index and cardiovascular risk factors, on depressive and non-depressive groups, in vulnerable diabetic elderly women. Methods: Participants were 137 vulnerable diabetic elderly women, using health centers in D city. Data were collected through interviews September though December 2017. The metabolic index was measured using National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), and cardiovascular risk factors were measured using Framingham Risk Score (FRS). Depressive and non-depressive groups were divided by the score of Geriartric Depress Scale Short Korea Version (GDSSF). Collected data were analyzed using a x2 test, independent t-test, and binary logistic regression, with the SPSS/WIN 25.0 program. Results: Vulnerable diabetic elderly women, did not exercise in the depressive groups, and had higher triglyceride (TG), total cholesterol (TC) and larger waists, than in the non-depressive group. Results show that lack of exercise (OR= 6.30), is the highest risk factor, influencing the depressive symptom in vulnerable diabetic elderly women. Conclusion: These results suggest that to reduce depressive symptom levels among vulnerable diabetic elderly women, nursing interventions are needed to increase exercise and decrease TG, TC, and waist size, particularly in improving exercise of vulnerable diabetic elderly women.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.82-90
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• 2020

This study investigated the effects of empathy, self-control, and smartphone dependency on the interpersonal relationships of nursing students. The survey participants were 157 students in A city. The data was collected through self-report questionnaires that were obtained from May 27 2019 to May 31 2019. The data was analyzed using descriptive statistics and Independent t-tests, One-way ANOVA, Pearson correlation coefficients, and Stepwise multiple regression analysis of the SPSS 14.0 program. As a result, self-control (F=5.319, p=.006) and smartphone dependency (F=4.854, p=.009) showed significant differences according to the school records. Smartphone dependency (t=-3.381, p<.001) showed significant differences according to smartphone use. Age was found to have a statistically positive correlation with self-control (r=.194, p=.015) and it had a negative correlation with smartphone dependency (r=-.223, p=.005). Self-control was found to have a statistically positive correlation with empathy (r=.244, p<.01), interpersonal relationship (r=.540, p<.001). and negative correlation with smartphone dependency (r=-.432, p<.001). Empathy was found to have a statistically positive correlation with interpersonal relationships (r=.476, p<.001). Stepwise multiple regression analysis revealed that the predictors of interpersonal relationships were self-control (β=.477, p<.001), empathy (β=.359, p<.001), and smartphone use (β=.208, p<.01) which accounted for 45.0% of all the variance (F=12.029 p<.01). An enhancement program of nursing students' interpersonal relationships is needed that considers their self-control, empathy, and smartphone use.

• The Journal of the Convergence on Culture Technology
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• v.4 no.2
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• pp.53-60
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• 2018

The purpose of this study was to research the perception and performance of patient private information protection(PPIP) of 76 nursing students with clinical practice of 18 weeks. The mean score of perception on PPIP (4.62 points/5 points) was significantly higher than the performance(3.84 points/5 points). There was a statistically significant positive correlation between perception and performance. In the future, it is necessary to study the interdisciplinary convergence study to understand the factors affecting the perception and performance of PPIP of nursing students and to Develope and apply of PPIP education program for nursing students. Also it is necessary to seek joint plans between medical institutions and universities to improve the perception and performance of PPIP.

• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.42-55
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• 2023

Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.