• Title/Summary/Keyword: 간호중재 표준

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Effect of Supportive Nursing Intervention on Hopelessness, Self-Esteem, Self-Concept of Operative Patient with Head and Neck Cancer (전인적 지지간호중재가 두경부암 수술환자의 절망감, 자아존중감 및 자아개념에 미치는 효과)

  • Seok, Jung-Hee;Kang, Eun-Sil;Choi, Hwa-Sook
    • Journal of Hospice and Palliative Care
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    • v.7 no.2
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    • pp.189-199
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    • 2004
  • Purpose: Despite the small incidence, head and neck cancer may cause a wide range of physical transformation by surgical operation, damage to active functions such as eating and speaking. It may provoke hopelessness, change self-esteem and self-concept after its operation, influencing the quality life of head and neck cancer patients. Thus nursing intervention should be developed to provide supportive nursing for head and neck cancer patients and play roles as competent supporters. Methods: This study was a nonequivalent, control group, pretest-posttest, non-synchronized quasi-experimental research designed to determine how supportive nursing intervention effects on hopelessness, self-esteem and self-concept of head and neck cancer patients. Subjects of the study included 40 adult inpatients of K University hospital in Pusan who were diagnosed as having head and neck cancer and operated. They were divided into experimental and comparison groups, each consisting of 20 members. The data were collected during the period from December 1, 1999 to April 11, 2000. Tools of the study included the protocol of supportive nursing intervention which was developed by researcher by means of reference, literal review and expert's advice. The measurement tool of hopelessness was translated by Won was the device of hopelessness self-evaluation from Beck, the tool for self-esteem measurement was developed by Rosenberg and translated by Kim, and the device of self-concept used by Lee et al, modified by Lee were used respectively. Data were analyzed using the SPSS/PC 9.0 program. The homogeneity of the subjects were tested using $x^2-test$ and t-test. 3 hypotheses were tested using t-test. Results: The results of the study can be summarized as follows. 1. The third hypothesis that the experimental group receiving supportive nursing intervention showed a little hopelessness than the control group not receiving supportive nursing intervention was supported (t=4.550, P=.000). 2. The third hypothesis that the experimental group receiving supportive nursing intervention showed more self-esteem than the control group not receiving supportive nursing intervention was supported (t=-6.40, p=.000). 3. The third hypothesis that the experimental group receiving supportive nursing intervention showed more self-concept than the control group not receiving supportive nursing intervention was supported (t=-6.065, P=.000). Conclusion: Supportive nursing intervention was effective nursing intervention strategy for reducing hopelessness and increasing self-esteem and self-concept of head and neck cancer patients. Then the quality of life of head and neck cancer patients can be enhanced by providing supportive nursing intervention in nursing practice.

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The Study on the Effects of Hospice Care on the Pain Management of the Terminal Cancer Patients (호스피스간호가 말기암환자의 통증에 미치는 효과에 관한 연구)

  • Yoon, Mae-Ok
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.34-44
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    • 2003
  • Purpose : The purpose of this study was to elucidate the effects of hospice care on pain management of the terminal cancer patients. Method : The subjects of the study were 37 terminal cancer patients hospitalized in the general hospital in JeonJu with the hospice care nit. The data were collected using the questionaire with interviews from July to Nov. in 2000. The severity and interference of pain were examined with the self reported survey based on the Korean version of Brief Pain Inventory (BPI-K). The data were analyzed with the mean, SDs, paired t-test. The hospice care to provide for three weeks. Results : 1) The mean scores of the worst pain for the last 24-hours measured with the pain severity of BPI-K were pre-intervention (6.35) and post (4.76). The pain interference of BPI-K in pre-intervention was enjoy (8.22), work (7.46), walk (7.08) and activity (7.08), while post was of enjoy (6.62), work (6.43), walk (6.11) and activity (5.78), respectively. 2) In pain severity, significant difference was found between the pre-intervention and post in all of followings. - worst pain for last 24 hours (t=4.085, P=.000) - least pain for last 24 hours (t=4.020, P=.000) - average pain for last 24 hours (t=4.254, P=.000) - pain right now (t=4.017, P=.000) 3) In pain interference, significant difference was found between the pre- intervention and the post in all of followings. - activity (t=3.137, P=.003) - mood (t=6.713, P=.000) - walk (t=2.027, P=.050) - work (t=2.132, P=.040) - relate (t=4.143, P=.000) - sleep (t=4.071, P=.000) - enjoy (t=3.881, P=.000) Conclusion : The terminal cancer patients who were offered hospice care had significantly lower hospice care pain and pain interference than those without hospice care. According to these results, hospice care can be regarded as an effective modality in relief of pain in the terminal ill-patients.

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Effects of High-fidelity Simulation-based Education on Nursing Care for Patients with Acute Chest Pain (시뮬레이션을 활용한 급성 흉통환자간호 실습교육의 효과)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1515-1521
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    • 2014
  • This study applies simulation-based education and care for acute myocardial infarction nursing students to investigate the effect of critical thinking, problem solving, and academic achievement of a single group before and after the raw experimental design. A total of 137 subjects were arbitration period September-October 2011, enforcement and arbitration were evaluated after simulation-based training six weeks total. Data analysis was performed using SPSS Win17.0, Paired t-test, the mean and standard deviation, Pearson's correlation coefficient was used. Research results of simulation-based training program to improve critical thinking, problem solving, and academic achievement were As increase critical thinking and problem solving ability was improved. whereas, Critical thinking skills and problem solving ability was no significant difference with academic achievement. Simulation-based training program to improve the practical skills of nursing students learning was found how useful it, that there is a need to take advantage of hands-on training in a variety of cases that can be common in the field of clinical scenarios developed by. To do this, It seems to be necessary to the development and operation more varied and appropriate hands-on training method.

Influencing Factors on Uncertainty of Patients Undergoing Chemotherapy for Lung Neoplasms (항암화학요법을 받는 폐암환자의 불확실성 영향요인)

  • Mo, Moon-Hee;Chung, Bok-Yae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.248-259
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    • 2017
  • This descriptive correlational study was conducted to identify the factors influencing the uncertainty of patients undergoing chemotherapy for lung neoplasms. One hundred and eleven patients were recruited from the chemotherapy clinic of a university hospital. Data were collected from July 25 to December 31, 2014, and analyzed by descriptive statistics, the t-test, ANOVA, the Scheffe test, Pearson's product moment correlation coefficients and multiple regression analysis with SPSS for Windows Version 18.0. The mean score of the uncertainty of the patients undergoing chemotherapy for lung neoplasms was 2.61(${\pm}0.46$), which was higher than that of the patients with other diseases. The uncertainty was positively correlated with the seriousness of the illness (r=.74, p<.01) and consistency of the symptoms (r=.27, p<.01). Multiple regression analysis showed that the (main) factor influencing the uncertainty was the seriousness of the illness, which explained 54% of the uncertainty of the patients undergoing chemotherapy for lung neoplasms. As a result, nursing interventions are needed to reduce the uncertainty of lung neoplasm patients who are receiving chemotherapy. The seriousness of the illness should be considered when developing nursing interventions to reduce the uncertainty of lung neoplasm patients.

Effects of Health Care Nursing Policy Education on Nursing Students' Political Efficacy, Political Participation, and Political Interest (보건의료 간호정책 교육이 간호대학생의 정치효능감, 정치참여 및 정치 관심도에 미치는 효과)

  • MinJi Kim;Kyeng-Jin Kim
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.125-134
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    • 2023
  • This study attemped to examine the effects of health care nursing policy education on nursing students' political efficacy, political participation, and political interest. It attempted to guide the direction of policy education within nursing curriculum. The subjects consisted of 89 nursing students of G-university from March 8, 2023, to June 21, 2023, including 44 in the experimental group and 45 in the control group. The health care nursing policy class was developed using the ADDIE(Analysis, Design, Development, Implementation, Evaluation) model of instructional design. Data analysis used the SPSS 25.0 program through mean, standard deviation, and independent sample t-test. The experimental group that participated in this education showed statistically significant improvement in political efficacy(t=2.34, p<.05) and intrinsic political efficacy(t=2.75, p<.05), as well as passive political participation score(t=2.22, p<.05) compared to before the intervention. Based on the findings of this study, it is suggested that health care nursing policy education should be structured to enhance external political efficacy and promote active political participation in future nursing curriculum.

The Effect of Psychological Intervention for Pain Reduction in Osteoarthritis Patients : A Meta-analysis (골관절염 환자의 통증 감소를 위한 심리적 중재의 효과 : 메타분석)

  • Lee, Chun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.109-117
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    • 2019
  • This study was conducted to provide for the development of psychological interventions through meta-analysis of the effects of psychological intervention for pain reduction in patients with osteoarthritis. R version 3.5.1 program was used to identify the effectiveness of psychological mediating by December 30, 2018, while the Korean and foreign literature published by PubMed, EMBASE, Ovid-MEDLINE, CINAHL, and Korean databases were searched. As a result, 12 studies with a total of 1,847 participants were analyzed in a total of 1,822 literature. The results showed that the overall effect size of psychological intervention for pain reduction in osteoarthritis patients was small effect -0.31(95% CI: -0.50, -0.11, p<.001). In the moderator analysis, the effect size showed a significant difference depending on the intervention type, intervention duration and the intervention provider. The funnel plot analysis was used to analyze the publication bias, and it was visually asymmetric but not asymmetric after the egger's regression test (bias = -3.24, p = .077). The results of this study suggest a standard of efficacy for psychological interventions to improve pain symptoms, which is a major symptom of osteoarthritis, although the number of studies included in the meta-analysis is low and has provided a clinical basis during intervention and intervention providers.

Comparative Effects and Ranks of Pressure Ulcer Preventive Programs in Intensive Care Units: A Network Meta-analysis (중환자실 욕창예방 프로그램 효과의 비교순위: 네트워크 메타분석)

  • Ko, Ji Woon
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.563-572
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    • 2021
  • This study conducted a network meta-analysis to compare the effectiveness and ranking of pressure ulcer preventive programs in intensive care units. A frequency network meta-analysis was performed to identify evidence from relevant randomized control trials. A total of 10 randomized control trials involving 5 intervention subgroups were included in this study. Based on the ranking probabilities(P-Score), preventive materials was ranked as the most effective among all programs (P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49). Next was silicone foam dressing(P-Score 84.5%: OR=0.14, 95% CI: 0.05, 0.38), care bundle(P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), reposition (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) and synthetic fabrics (P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65). It is necessary to develop practical and efficient interventions that can prevent pressure ulcers in intensive care unit patients, improve patient safety, and reduce nurses' workload.

Factors Affecting Social Interaction Anxiety of Nursing Students (간호대학생의 사회적 상호작용 불안에 영향을 미치는 요인)

  • Kim, Kyoung-Nam
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.417-424
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    • 2020
  • There is increasing tension and anxiety about being evaluated by others such as anxiety, which is felt when others' evaluation is expected or actual, and this is called social interaction anxiety. The purpose of this study was to develop a nursing intervention program that can reduce social interaction anxiety among nursing college students by analyzing factors affecting social interaction anxiety in nursing college students. The subjects of this study were four nursing college students in B city and C city. The survey data were analyzed using frequencies, percentages, means, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with the SPSS WIN 21.0 program. The results of this study show that social interaction anxiety was positively correlated with fear of negative evaluation (r=.67, p<.001), fear of positive evaluation (r=.56, p<.001), and intolerance of uncertainty (r=.44, p<.001). Factors affecting ambivalence over emotional expressiveness in terms of social interaction anxiety was interpersonal relationship (β=.19, p<.001), fear of negative evaluation (β=.43, p<.001), and fear of positive evaluation (β=.34, p<.001). The explanatory power of these variables was 58.1%. Therefore, it is thought that nursing college students need to provide a support system to maintain good interpersonal relationships, to reduce sensitivity to positive and negative evaluation, and to accept and positively evaluate their own ability.

Obesity related Factors for Childhood Obesity Prevention of Vulnerable Populations - For children who use Community Child Care(CCC) centers - (취약계층 아동의 비만예방을 위한 비만관련요인 - 지역아동센터를 중심으로 -)

  • Park, Sun-Hee;Choi, Eun-Suk;Lee, Sun-Hee;Seong, Jeong-Hye
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.641-650
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    • 2020
  • Purpose The purpose of this study was to confirm the relationship between dietary self-efficacy, physical self-efficacy, and parental rearing attitudes considering obese children from the vulnerable class that utilized Community Child Care (CCC) centers. Methods In this study, sampling was conducted and 126 children from the vulnerable class who visited 11 regional children's centers located in A city, K province were chosen. The collected data was analyzed using t-test and ANOVA using the SPSS Window 22.0. The Pearson's Correlation coefficient was determined through multiple regression analysis. Results Obesity factors of vulnerable children included dietary efficacy, parents' parenting attitude, family type, single-parent family, parental obesity. Parental obesity held the greatest explanatory power of these variables, as 32% of the vulnerable children had at least one obese parent. Conclusion It is suggested that it is necessary to develop a nursing intervention strategy in which children and parents can participate in consideration of the environmental factors, such as parental attitude and family type of vulnerable children visiting Community Child Care (CCC) centers in the future.

Relationship between Sleep Quality and Depression in Nursing Students (일 대학 간호학과 학생의 수면의 질과 우울의 상관관계)

  • Kang, Ji-Sook;Hwang, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.810-819
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    • 2014
  • Objectives: The aim of this study was to investigate the sleep quality and depression, and relationship between sleep quality and depression of nursing students. Methods: A cross-sectional, descriptive study was conducted. The subjects were 268 nursing students from a University. Data were collected on September, 2012 by using a structured questionnaire. The data were analyzed using SPSS/WIN 19.0 program. Results: The mean score of sleep quality was 6.65, among the students, 86.6% had sleep problem. The mean score of depression was 16.89, 25.4% of the students had mild depression, and 20.5% had severe depression. Sleep quality showed no significant differences, meanwhile depression showed significant differences according to the school year, satisfaction level with nursing major and university. There was a significant relationship between sleep quality and depression. Conclusions: These results suggest that some of the nursing students have sleep problem and depression. Therefore, it is needed to develop various nursing intervention strategies to improve physical, psychological health of the nursing students.