• Title/Summary/Keyword: 성인간호학

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Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income (소득수준에 따른 성인여성의 심혈관계 건강상태와 건강행위)

  • Park, Young-Joo;Shin, Nah-Mee;Yoon, Ji-Won;Choi, Ji-Won;Lee, Sook-Ja
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.831-843
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    • 2010
  • Purpose: In this study cardiovascular health status and health behavior of Korean women based on their household income were explored. Methods: For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests. Results: Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor. Conclusion: Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.

A Survey Study on Urinary incontinence of Adult Women (일부지역 여성의 스트레스성 요실금 경험에 대한 조사연구)

  • Kim Ae-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.257-268
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    • 1998
  • The purpose of this study were to identify the characteristics of urinary incontinence in adult women and to identify it's relating factors, daily living and sexual problem related urinary incontinence. Subjects were 60 community dwelling women in the age of 25-60 years old at 1 cities in Korea. The data were collected from January 1988 to May. 1998. Subject were interviewed with structured questionnaire. Questionaire was composed of item of general characteristics, obstetrical characteristics, measuring tool of severity of urinary incontinence, discomfort due to urinary incontinence. The data were analyzed with SAS program, descriptive statistics, T-test, ANOVA test. The results of study were as followings. 1) Most of incontinence women were mildly incontinent subjects(mean=7.40). 2) The common activity related to the urinary incontinence were coughing, sneezing, laughing aloudly exercising. 63.5% of women reported small volume accidents of only 1 to 2 drops. 3) The incidence of urinary incontinence was significantly higher in woman who had more pariety and older age of last delivery, menopause, itching sense of vagina. 4) 73.3% of the episodic urinary incontinence were not treated because the felt that urinary incontinence was not disease(70.4%) was shamful(18.1%), was incurable inspite of treatement attempt(4.5%). 5) Daily living problem related to urinary incontinence were as follows : Voiding before going out(66.6%), odor of urine(10.0), frequent underwear change.(88.3%). 6) Sexual intercourse problem related to urinary incontinence were as follows : Pain during sexual intercourse(30.0%), sexual life trouble,(8.3%), urine leakage.(11.7%) The results indicate that urinary incontinence is common in adult women. Health care provider should develop and provide adequate nursing intervention for prevention and early treatment of urinary incontinence.

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Risk Factors and Clinical Outcomes of Unplanned Reintubation after Planned Extubation in Adult Patients admitted to the Intensive Care Unit after Cardiac Surgery (성인 심장수술 후 중환자실에 입실한 환자의 계획된 발관 후 비계획적 기관 재삽관 위험요인과 임상결과)

  • Lee, Ju-Hee;Choi, Hye-Ran
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.88-100
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    • 2022
  • Purpose : This study aimed to identify risk factors for unplanned reintubation after planned extubation and to analyze the clinical outcomes in patients admitted to the intensive care unit after cardiac surgery. Methods : The study examined patients who underwent intubation and planned extubation admitted to the intensive care unit after cardiac surgery between January 1, 2017, and December 31, 2021. The reintubation group comprised 58 patients underwent unplanned reintubation within 7 days of planned extubation. The maintenance group comprised 116 patients who did not undergo reintubation and were matched with the reintubation group using the rational for matching criteria. Data were collected retrospectively from electronic medical records. We used the independent t-test, Mann-Whitney U test, 𝑥2-test, Fisher's exact test, and logistic regression analysis with SPSS/WIN 27.0. Results : The multivariate logistic regression analysis demonstrated that albumin (odds ratio [OR]=0.38, 95% confidence interval [CI]=0.20-0.72), surgery time (OR=1.54, 95% CI=1.20-1.97), PaO2 before extubation (OR=0.85 per 10 mmHg, 95% CI=0.75-0.97), postoperative arrhythmia (OR=2.82, 95% CI=1.22-6.51), reoperation due to bleeding (OR=4.65, 95% CI=1.27-17.07), and postoperative acute renal failure (OR=2.97, 95% CI=1.09-8.04) were risk factors for unplanned reintubation. The reintubation group had a higher in-hospital mortality rate (𝑥2=33.74, p<.001), longer intensive care unit stay (Z=-7.81, p<.001), and longer hospital stay than the maintenance group (Z=-8.29, p<.001). Conclusion : These results identified risk factors and clinical outcomes of unplanned reintubation after planned extubation after cardiac surgery. These findings should be considered when developing and managing an intervention program to prevent and reduce the incidence of unplanned reintubation.

Effects of Auricular Acupressure on Insomnia in Korean Adults (귀 지압이 한국 성인의 불면증에 미치는 영향)

  • Jang, Yun-Jeong;Shin, Hye-Yeon;Jo, Ha-Yeon;Park, Min-Ji;Lee, Eun-Jin
    • Journal of muscle and joint health
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    • v.30 no.2
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    • pp.129-137
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    • 2023
  • Purpose: The purpose of this study was to investigate the effect of auricular acupressure on insomnia. Methods: Forty-four adults with insomnia for >1 month were recruited and randomly assigned to either the experimental or control group. In the experimental group, acupressure stickers were attached to the areas of Pineal Gland (TG1), Aggressivity point (LO2), Point Zero (HX1), and Occiput (AT3) for 1 week. Sleep hygiene education materials were provided to the control group, but acupressure was not provided. The collected data were analyzed using the SPSS ver. 26 program. Results: As a result of controlling for the severity of insomnia (F=5.40, p=.025) and headache (F=4.60, p=.038), which showed a significant difference in the homogeneity test as covariates, the Pittsburgh Sleep Quality Index score in the experimental group decreased compared to that in the control group . Conclusion: The result of this study showed that auricular acupressure was helpful in improving insomnia.

Effects of the Rhy-Kwon Exercise with Motion Beat Music on Physical Fitness and Mood among Adult Women (모션비트 음악을 이용한 리권운동이 성인여성의 체력 및 기분에 미치는 영향)

  • Cho, Kyung-Sook;Kim, Woo-Won
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.125-134
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    • 2009
  • Purpose: The purpose of the study was to compare the effects of the Rhy-Kwon exercise with motion beat music program to the Rhy-Kwon with ordinary beat music program on physical fitness and mood in employed women. Method: Total of 29 women who did not have any particular disease were randomly assigned either to a Rhy-Kwon with motion beat music group or to a Rhy-Kwon with ordinary beat music group. Nine subjects in each group completed posttest measures (physical fitness and mood) in 8 weeks. Results: After the 8 weeks of the study period, there were significant improvement in sargent jump and mood especially for the subscale of vigor in the Rhy-Kwon with motion beat music group compared to their counterparts. But no significant differences were found between the groups in other physical fitness measures. Conclusion: The results showed that Rhy-Kwon with motion beat music program would partially improve physical fitness and mood (vigor). Further studies are needed to confirm the effects of Rhy-Kwon with motion beat music program with various populations.

Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.

A Study on Adult's Perception of Nursing Concept (간호 개념의 의미에 대한 조사연구(경인지역 성인을 대상으로))

  • Yang Kwang Hee
    • Journal of Korean Public Health Nursing
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    • v.4 no.1
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    • pp.5-16
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    • 1990
  • 'What is nursing' this question could always be arised and such a question could bring forth the new possibility to definete the nursing concept more clearly. At the middle of 19th Centry, Mrs. Nightingale defined the concept of nursing as follows; 'Nursing is a kind of treatment act to aid the patient so that the health of patients may be recovered naturally, as keeping the most comfortable circumstances.' But after then, the role and function of nurses about purpose and method of nursing has continuously been studied, as the social circumstance has been changed. The fact that care provider and client have the same concept about nursing is very important at the first step of assessment. But at the present time, the care provider and client have not same concept yet, so the difference of unrsing concept between care provider and client is analyzed in this study. This study would be belived to be helpful for the advance of nursing in the future. In this study, 20 questionare from nursing objectives developed by Abdellah(basic care needs, sustenal care needs, remedial care needs and restorative care needs) are used for adult. The data of this study by the 6 point rating scale are analyzed by SAS as follows; 1. Respondent's view is that nursing is necessary in case of group(school or company) rather than private and in case of abnormal conditions rather than normal conditions. 2. Every questionares of nursing objectives are divided into 4 points of view such as basic care needs, sustenal care needs, remedial care needs and restorative care needs are examined. The evaluation by 6 point rating scale revealed that $5.08\pm0.65$ point in basic care needs $4.93\pm0.68$ point in sustenal care needs $4.91\pm0.80$ point in remedial care needs and $4.61\pm0.91$ point in restorative care needs. While basic care needs and substenal care needs that need more physical care show high points, remedial care needs and restorative care needs that need more psychological, social and spiritual care show low points. 3. It was checked whether there is any significant difference between above 4 point of views in nursing objectives and qeneral characteristics or not. As a result, there is significant difference between 4 point of view and ages, educational level, marriage, composition of children. And also there is significant difference between religion and basic care needs, remedial care needs and restorative care needs. But there is no significant difference between any point of view and sex, occupation, experience of admission and experience of family admission. As this study is based on the data gethered from a restricted area, the result can not represent the opinion of all the clients. Therefore the same kind of study should be carried out on many areas repeatedly and also it should be tried to extract objective concept. And also periodical study is needed to observe the changing process of nursing concept.

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Time Resource Transfers of Married Couples to Their Parents on Decision-Making Power (배우자간 의사결정력에 따른 노부모로의 시간자원 이전)

  • Yoon, Won-Ah
    • Journal of the Korean Home Economics Association
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    • v.48 no.4
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    • pp.83-102
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    • 2010
  • This paper investigates whether intra-household bargaining power affects couples' caregiving decisions during instances of competing parental demands for assistance. The primary focus is on examining how partners' bargaining power influences the relative allocation of time resources between parents and parents-in-law, assuming that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. The findings in this study reject the bargaining theory that couple's parental care behavior results from a bargaining process between the husband and the wife. More specifically, the results did not clearly show that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. Decision-making power, measured by final decision-making authority, also failed to affect the relative care transfers.

Association between hyperuricemia and metabolic syndrome (고요산혈증과 대사증후군과의 연관성)

  • Park, Yun-jin
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.5
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    • pp.674-682
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    • 2022
  • This study aims to examine the relationship between hyperuricemia and metabolic syndrome, which is a risk to health, and to analyze the effect of hyperuricemia on the body. The analysis data were downloaded and used for the 8th 2nd (2020) data of the National Health and Nutrition Survey, and in this study, 2,320 men and 2,893 women were finally analyzed. For the analysis of the data, Chi-square test and t-test were used for the difference values according to collected general characteristics and hyperuricemia, and the risk of eGFR rise was analyzed by regression analysis, and Pearson correlation was used to confirm the correlation with each variable. Through this study, it was found that hyperuricemia is significantly related to metabolic syndrome, and through this, preemptive management is needed to prevent metabolic syndrome from worsening into vascular diseases including kidney diseases. Therefore, it is proposed to develop a health program suitable for the patient's age through this study.

Developing the Sarcopenia Risk Assessment Model in Korean Adults (한국 성인의 근감소증 위험도 평가점수 모형 개발)

  • Eun-Jung, Bae;Il-Su, Park
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.4
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    • pp.81-93
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    • 2022
  • Objectives: The purpose of this study was to develop a model for comprehensively evaluating the risk of sarcopenia in Korean adults and to generate the sarcopenia risk scorecard model based on the results. Methods: The participants of the study were 7,118 adults without sarcopenia in the first basic survey, and a longitudinal analysis was conducted using data from the 1st to 8th survey (2006-2020) of the Korean Longitudinal Study of Aging (KLoSA). The data were analyzed using Rao-Scott chi-square test and weighted Cox proportional hazards regression of complex sampling design. The sarcopenia risk scorecard model was developed by Cox proportional hazards regression using points to double the odds (PDO) method. Results: The findings show that the risk factors for sarcopenia in Korean adults were gender, age, marital status, socioeconomic status, body mass index (BMI), regular exercise, diabetes and arthritis diagnosis. In the scorecard results, the case of exposure to the highest risk level was 100 points. The highest score range were given in the order of age over 65, low BMI, and low socioeconomic status. Conclusions: The significance of this study is that the causal relationship between various factors and the occurrence of sarcopenia in Korean adults was identified. Also, the model developed in this study is expected to be useful in detecting participants with risk of sarcopenia in the community early and preventing and managing sarcopenia through appropriate health education.