• Title/Summary/Keyword: 자가간호 수행

Search Result 155, Processing Time 0.026 seconds

Effects of Individualized Cardiac Health Education on Self Care Behavior and Serum Cholesterol in Patients with Coronary Artery Disease (심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과)

  • Cho, Hye-Young;Kim, Hee-Seung
    • Korean Journal of Adult Nursing
    • /
    • v.22 no.3
    • /
    • pp.322-328
    • /
    • 2010
  • Purpose: The purpose of this study was to investigate the effects of an individualized cardiac health education on self-care behavior and serum cholesterol levels patients with coronary artery disease. Methods: Twenty-two patients in the intervention group and 22 in the control group were assigned randomly in this study. The intervention group received an individualized cardiac health education program which consisted of four different sessions for a total of four sessions. Specifically, two sessions occurred during the patients' hospitalization with a third session at the time of discharge with a fourth session scheduled via telephone one week post discharge. Data were collected through a questionnaire for self-care behavior and a blood test for total cholesterol at the time of admission and the two weeks after discharge. The questionnaire for self-care behavior was a standardized instrument and serum cholesterol was measured by Accutrend GC (Roche, Germany). Results: Self-care behavior scores included diet, medication, exercise, risk factor, blood pressure measurement, and visits to hospital were significantly more in the experimental group compared to the control group. Conclusion: The above findings indicate that the individualized cardiac health education was effective in increasing of self-care behavior.

The Relations among Self-care, Symptom Experiences, and Disease Status of the Patient with Liver Cirrhosis (간경변증 환자의 자가간호수행과 증상경험 및 질병상태와의 관계)

  • Jung, Kyong Sun;Min, Hye Sook
    • Korean Journal of Adult Nursing
    • /
    • v.19 no.2
    • /
    • pp.318-328
    • /
    • 2007
  • Purpose: The purpose of this study was to examine the degree of self-care, symptom experience and disease state among the patients with liver cirrhosis and to identify its correlation. Methods: The subjects were 220 patients with liver cirrhosis who were treated in D-university hospital in Busan. The instruments used for study were the self-care inventory, the symptom experience inventory and modified childpugh classification scale. Results: The average points of the patient's self-care performance, symptom experience, and disease status were 3.67, 29.10 and 6.12 respectively. Their self care was negatively correlated to symptom experience, and symptom experience was positively correlated to disease state. Conclusion: This research findings suggested that active self-care by patients with liver cirrhosis might contribute to reduce various symptoms they can undergo and to prevent aggravation of disease state. Therefore, patients with liver cirrhosis have to carry out self care actively in daily life and discreet nursing intervention should be offered to facilitate their self-care.

  • PDF

Understanding on Chemotherapy and Self-Care in Cancer Patients after an Individual Education (항암화학요법 개별교육을 받는 암 환자의 교육이해도와 자가간호수행 정도)

  • Kim, Eun-Mi;Kim, Hee-Jin;Kim, Soo-Jin;Kim, Bo-Kyung
    • Asian Oncology Nursing
    • /
    • v.10 no.2
    • /
    • pp.163-170
    • /
    • 2010
  • Purpose: This study was conducted to examine understanding of chemotherapy of cancer patients after they received individual education on it and their execution of self-care for symptoms. Methods: Thirty-two participants who received individual education on chemotherapy from nurses specializing in education for cancer patients when they started to take chemotherapy were asked to complete the questionnaire on their understanding in education and execution of self-care. Results: Understanding on chemotherapy education of the participants recorded 4.30 on a scale of one to five with five the highest. Regarding self-care for symptoms, all participants carried out one or more methods of self-care except for one person each for vomiting, diarrhea, and constipation. Conclusion: This study showed that cancer patients who received individual education on chemotherapy performed self-care for their symptoms.

Factors Influencing Self Care Performance in Patients with Parkinson's Disease (파킨슨병 환자의 자가간호수행에 영향을 미치는 요인)

  • Kim, Yu-Ri;Min, Hye-Sook
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.13 no.2
    • /
    • pp.140-150
    • /
    • 2010
  • Purpose: This study aims to find the factors that affect the degree of self-care performance in Parkinson's disease (PD) patients. Method: This study used a descriptive correlational design. The data were collected using a sample of 80 PD patients, from the university affiliated Parkinson Center in Busan. Pearson's correlations and multiple regression analyses were conducted using the SPSS 18.0. Results: The mean score of the self-care performance was 3.61 (${\pm}0.40$). The highest score observed of self-care performance subscale was medication subscale ($4.55{\pm}0.50$) and the lowest score was observed in the exercise subscale ($3.03{\pm}0.64$). The self-care performance had significant correlations with depression (r=-.32, p<.01), self-care knowledge (r=.28, p<.05), function of motion (r=.25, p<.05), ability of daily activity (r=.22, p<.05), self-efficacy (r=.24, p<.05), and support from medical staff (r=.24, p<.05). The significant predictors of self-care performance included depression (${\beta}=-.28$), status of employment (${\beta}=-.27$), self-care knowledge (${\beta}=-.21$), support from medical staff (${\beta}=-.28$), and educational level (${\beta}=-.28$), accounting for 34% of the variance in the self-care performance. Conclusion: Depression, self-care knowledge, medical support are significant predictors which affect the self-care performance with PD patients.

The Effects of Individualized Education on Stroke Patients' Post-discharge Anxiety and Self-care Compliance (개별화된 교육이 허혈성 뇌졸중 환자의 불안과 자가간호수행에 미치는 효과)

  • Park, Hyoung-Sook;Lee, Mee-Hun;Ha, Jae-Hyun
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.16 no.1
    • /
    • pp.1-8
    • /
    • 2013
  • Purpose: This study aimed to identify the effect of individualized education on stroke patients' post-discharge anxiety and self-care compliance. Methods: It was a pretest-posttest design with non-equivalent groups. A total of 32 hospitalized stroke patients in experimental group were given individualized education three times at one day before, the day of and one week after discharge. Data were analyzed using descriptive statistics, t-test and $x^2$-test. Results: The scores of anxiety at posttest were $45.66{\pm}9.58$ in control group and $35.44{\pm}8.21$ in the experimental group. Self-compliance scores were $44.00{\pm}7.99$ in control and $61.06{\pm}7.69$ in the experimental group. These indicate that anxiety score is significantly lower (t=-4.58, p<.001), and self-compliance score is significantly higher (t=8.70, p<.001) in experimental group. Conclusion: If stroke patients receive a relevant individualized education, it could help reduce their anxiety. Also it would be useful to maintain and improve their self-care compliance after discharge.

Effects of pain, sleep and self-care behavior in patients underwent robotic minimally invasive cardiac surgeries (로봇을 이용한 심장수술이 환자의 통증, 수면 및 자가간호수행에 미치는 영향)

  • Park, Soohyun;Jang, Insil
    • Journal of Digital Convergence
    • /
    • v.17 no.7
    • /
    • pp.265-274
    • /
    • 2019
  • The purpose of this study was to know the difference in pain, sleep, self-care behavior in patients performed by sternotomy and robotic minimally invasive cardiac surgeries. The participants were 64 patients with sternotomy and 64 patients with minimal thoracotomy in heart valve surgeries at a tertiary hospital in Seoul. Data were analyzed using descriptive statistics, ${\chi}^2$ test, paired t-test. with SPSS/WIN(22.0). The participants with minimally invasive thoracotomy felt severe pain than the patients with thoracotomy at post operation day 2 & 5. The severe pain site were the surgical site in both groups. The participants with sternotomy had better sleep than minimally invasive thoracotomy patients. Self-care behavior was higher in the minimally invasive thoracotomy group. Therefore, despite the many advantages of robotic surgery such as rapid recovery and shortening of length of stay in hospital, accurate pain assessment and application of differentiated protocols are needed for the management of pain in the patients with robotic minimally invasive cardiac surgeries. In addition, a structured education program intervention is needed to improve comfort by considering gender, age, and method of operation.

Development of Self-practice Program for Core Nursing Skills for Undergraduate Nursing Students based on Mobile Application (모바일 앱 기반 간호대학생 핵심간호술 자가학습 프로그램 개발)

  • Kim, Sun Kyung;Eom, Mi-Ran;Lee, Youngho;Go, Younghye
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.10
    • /
    • pp.343-352
    • /
    • 2021
  • A convergence study was conducted to develop a smartphone application for self-practice of core nursing skills and evaluate its usefulness for undergraduate nursing students. Mobile Application Rating Scale and seven essay questionnaire were used to for usability evaluation among 22 undergraduate nursing students. The score of the information domain was the highest with 4.19(SD 0.79). The subjective quality domain showed the lowest score of 3.08(SD 0.87). Participants' performance confidence score was 8.23(SD 1.60), and learning satisfaction score was 7.89(SD 0.87). Participants reported that the convenience and repetitive self-learning were the strengths of the app. In addition, design and technical supplementation, and lecturer-feedback would improve effectiveness of the current educational app. Findings of this convergent study would be helpful to promote the application of mobile apps for effective self-learning of core nursing skills in undergraduate nursing education. Future resesarch is needed to examine effectiveness study of mobile app on the performance of core nursing skills.

Effects of Importance in the Knowledge of Nursing Records, Critical Thinking Disposition and Self-confidence of Core Nursing Skills on Clinical Competence with Nursing Students (간호대학생의 간호기록 작성 지식의 중요도, 비판적 사고성향, 핵심간호술에 대한 수행 자신감이 임상수행능력에 미치는 영향)

  • Oh, Eun Young
    • Journal of Digital Convergence
    • /
    • v.19 no.12
    • /
    • pp.627-639
    • /
    • 2021
  • The purpose of this study was to identify the influence of importance in the knowledge of nursing records, critical thinking disposition and self-confidence of core nursing skills on clinical competence of nursing students. A self-reported questionnaire was filled out by 201 Korean nursing students from October to December, 2020. As a result of the study, the factors affecting the clinical competence of nursing students were in the order of critical thinking disposition, importance in the knowledge of nursing records and self-confidence of core nursing skills(β=.43, .31, .24), and explanatory power was 61.9%. Therefore, it is recommend to develop and implement a teaching strategy that can integrate the major factors identified in this study for improving clinical competence of nursing students.

Influence of Positive Psychological Capital and Death Awareness on Terminal Care Performance of Hematooncology Unit Nurses (혈액종양내과 병동간호사의 긍정심리자본과 죽음인식이 임종간호 수행에 미치는 영향)

  • Jung, Seo Yeon;Kim, Jeong Hye
    • Journal of Hospice and Palliative Care
    • /
    • v.22 no.2
    • /
    • pp.77-86
    • /
    • 2019
  • Purpose: The purpose of this study was to confirm the influence of hematoonchology unit nurses' positive psychological capital and death awareness on their terminal care performance. Methods: This descriptive study data were collected from self-reported questionnaire filled by 127 oncology nurses at a tertiary hospital in Seoul, Korea. The variables were positive psychological capital, death awareness, and terminal care performance. Data were analyzed using SPSS version 22.0 software. Results: The participants scored $3.93{\pm}0.83$ on positive psychological capital, $3.68{\pm}0.99$ on death awareness and $2.86{\pm}0.65$ on terminal care performance. The three variables were positively correlated. The factors affecting the nurses' terminal care performance were hope and resilience in the subcategory of positive psychological capital and experience of death of family members, relatives or friends within the past year; The explanatory power was 32.1%. Conclusion: It is necessary to develop educational programs to foster hope, resilience, etc. in hematooncology unit nurses to improve their quality of terminal care performance.

The Influence of Terminal Care Performance, Death Anxiety and Self-Esteem on Terminal Care Stress of Geriatric Hospital Nurses (노인요양병원 간호사의 임종간호수행과 죽음불안 및 자아존중감이 임종간호스트레스에 미치는 영향)

  • Kim, Won Soon;Cho, Hun Ha;Kwon, Suhye
    • Journal of Hospice and Palliative Care
    • /
    • v.19 no.2
    • /
    • pp.154-162
    • /
    • 2016
  • Purpose: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. Methods: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. Results: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. Conclusion: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.