• Title/Summary/Keyword: 지지적 중재

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Effects of Holistic Hospice Nursing Intervention Program on Self Esteem and Spiritual Well-being for Inpatients of Hospice Palliative Care Unit (전인적 호스피스 간호중재 프로그램이 호스피스완화의료병동 입원 환자의 자아존중감과 영적안녕에 미치는 효과)

  • Choi, Sung-Eun;Kang, Eun-Sil
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.209-219
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    • 2009
  • Purpose: This study was to testify the effects on self esteem and spiritual well-being of holistic hospice nursing intervention program ("Rainbow program") for inpatients of hospice palliative care unit. This was designed as a preliminary experimental study with one-group pre-post test. Methods: A total of 27 patients who were over 18 years old, and admitted in hospice palliative care unit of S hospital in P city, submitted informed consent for this study, participated in holistic hospice nursing intervention program(total 10 sessions and 1,200 minutes for 2 weeks) from April 6, 2004 to April 20, 2005. To test the effects of this intervention, Self Esteem Questionnaire (SEQ) and Spiritual Well-being Questionnaire were used. The collected data were analyzed by Paired t-test with SPSS/WIN 12.0 program. Results: (1) Hypothesis No. 1 "The experimental group which received Rainbow program will have a higher degree of self esteem than before" was supported (t=11.554, P<0.001). (2) Hypothesis No. 2 "The experimental group which received Rainbow program will have a higher degree of spiritual well-being than before" was also supported (t=6.387, P<0.001). Conclusion: This Holistic Hospice Nursing Intervention Program was effective in increasing self-esteem and spiritual well-being of patients in hospice palliative care unit. Therefore, it can actively be used and also applied to hospice palliative care practice, research, and education as a useful model of interdisciplinary team approach by hospice professionals.

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Risk Factors, Symptoms, and Intervention Analysis of Delirium Subtypes in Hospitalized Patients (입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석)

  • Ryu, Ahyun;Kang, Young-Ok;Song, Rhayun
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.353-363
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    • 2021
  • This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

Influences of Social Support and Social Stigma on Quality of Life of HIV Infected People : Mediating Effect of Hope (HIV 감염인의 사회적 지지, 사회적 낙인이 삶의 질에 미치는 영향 : 희망의 매개효과)

  • Kim, Il-Ok;Shin, Sun-Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.247-256
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    • 2016
  • The purpose of this study was to identify the mediating effect of hope relationships among social support, social stigma and quality of life. It was conducted to measure social support, social stigma, hope and quality of life from 197 HIV-infected people. Data collection was carried out through one-on-one interviews by counselling nurse. The mediating effect was analyzed through Structure Equation Model using AMOS 21.0 program and indirect effect was analyzed by bootstrapping method. As a result of analysis, first, social support had a significant positive effect on quality of life. But social stigma had a significant negative effect on quality of life. Second, social support had a significant positive effect on hope. But social stigma had a significant negative effect on hope. Third, hope had significant mediating effect within the influence of social support and social stigma on quality of life. It is suggested to develop and apply comprehensive intervention program for improve quality of life of HIV infected people in community.

Factors Affecting Successful Aging in Rural Elderly People (농촌 노인의 성공적 노화 영향요인 분석)

  • Ahn, Okhee;Cha, Hye Gyeong;Chang, Soo Jung;Kim, Hee Sun;Jang, Eun Hee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.499-508
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    • 2013
  • This study was done to examine the affecting factors of successful aging to provide basic information for developing intervention program for the rural elderly. Methods: A cross-sectional descriptive design was used. Data was collected through questionnaire from 208 people with age over 65 residing in an rural community. They were recruited by convenience sampling. Collected data were analyzed by independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression through SPSS/WIN 21.0 program. Results: Explanatory factors affecting the rural elderly's successful aging were social support, depression, cognitive function, productive activity and Activities of daily living, respectively, and these five factors accounted for 42.1% of the variance in successful aging. Conclusion: The rural elderly's successful aging requires establishment of social support system such as health medical service supply and social activities by being connected with social communities, and for this, this study suggests that there be a necessity of developing customized nursing intervention program.

Analysis of Psychosocial Factors Affecting Health Behavior Adherence among Community-dwelling Older Adults undergoing Percutaneous Coronary Intervention (관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행에 영향 미치는 심리사회적 요인 분석)

  • Jeon, Hye-Won;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.231-244
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    • 2020
  • This study is a descriptive research to analyze psychosocial factors affecting health behavior adherence among community-dwelling older adults undergoing Percutaneous Coronary Intervention. Data were collected with structured questionnaires from 126 patients discharged after hospitalization from a university hospital in J city, Gyeongnam, from July 15 to October 2 in 2018, and analyzed using SPSS/WIN 21.0. The result shows that the general characteristics, such as existence of spouse, education level, subjective health status, and subjective life satisfaction, have a significant influence on health behavior adherence. The research also identifies that medical support and resilience are positively correlated with health behavior adherence. In contrast, perceived stress, 3 sub-categories from perceived stress such as, family relations, anxiety and withdrawal, poverty and finance, and depression are negatively correlated. In the multiple regression analysis, resilience, perceived stress from poverty and finance, education level, and subjective life satisfaction explained 27.9% of health behavior adherence among older adults undergoing Percutaneous Coronary Intervention. Based on the results of this study, it is necessary to develop and apply a nursing intervention program to improve the health behavior adherence of local older adults who had Percutaneous Coronary Intervention.

Convergent Study of the Factors Affecting the Quality of Sleep among Elderly Insomnia Patients (노인 불면증 환자의 수면의 질에 영향을 미치는 요인에 관한 융합연구)

  • Han, Eun Kyoung
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.141-150
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    • 2017
  • The purpose of this study was to identify relationship among the depression, social support and quality of sleep in elderly insomnia patients. A total of 143 patients with insomnia diagnosed according to DSM-IV criteria. Quality of sleep, depression, and social support were measured using a self structured questionnaire and participant's medical records were reviewed for obtaining their clinical information. Quality of sleep was positively associated with depression(r=.255, p<.05), and negative correlation with social support(r=-.270, p<.001). The significant factors for quality of sleep were information support(${\beta}=-0.406$, p<.05) and affectionate support(${\beta}=-0.525$, p<.05). These factors explained 13.2% of the variance in quality of sleep. The elderly patients suffering the insomnia need the nursing interventions considering information support and affectionate support in order to improve sleep quality.

The Mediating Effect of Social Support on the Relationship between Social Isolation and Depression of Nurses in The COVID-19 Specialized Hospitals (코로나 전담병원 간호사의 사회적 고립감과 우울의 관계에서 사회적 지지의 매개효과)

  • Lee, Yoonjeong
    • Journal of Industrial Convergence
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    • v.20 no.3
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    • pp.47-54
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    • 2022
  • This study aimed to identify the mediating effect of social support on the relationship between social isolation and depression in nurses. This study was conducted with 135 registered nurses in three COVID-19 specialized hospitals. Data were analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, Pearson correlation coefficient, and mediation analysis. The mediating effect was analyzed using PROCESS macro for SPSS 4.0 program with bootstrapping method. Social isolation directly influenced social support (𝛽=-.62, p<.001) and depression (𝛽=.49, p<.001). Social support directly influenced depression (𝛽=-.19, p=.028). Social support has a mediating effect between social isolation and depression (indirect effect=.12, 95% CI=0.02~0.29). To managed depression, intervention are needed to reduce social isolation. Therefore, it is necessary to develop strategies that enhance social support to relieve depression in nurses perceived social isolation.

Factors Associated with Drinking Experience, Smoking Experience, and Internet Addiction among Elementary School Students (초등학생의 음주 및 흡연 경험, 인터넷 중독 영향 요인)

  • Kim, Bongjeong
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.358-369
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    • 2015
  • This study examined the status of and factors associated with drinking experience, smoking experience, and internet addiction among elementary school students. Cross-sectional data were collected by questionnaire from 1,061 children among the fifth and sixth grades in public elementary schools in Gyeonggi province. The prevalence of drinking and smoking experience, internet addiction of participants was 22.7%, 2.9%, and 4.2% respectively. Multiple logistic regressions showed that the likelihood of drinking and smoking experience, and internet addiction was commonly higher with those who was a male and had higher aggression level. The likelihood of drinking experience was lower with those who had higher family support, while was higher with those who had higher friend support. That of internet addiction was lower with having higher friend and teacher support. Prevention strategies to prevent drinking, smoking, and internet addiction among elementary school students should consider student's gender, control aggression, and enhance social support in family and school environments.

Correlation and Associated Factors of Social Support and Social Participation for Life Care of in Stroke Patients Living in Community (지역사회에 거주하고 있는 뇌졸중 환자의 라이프케어를 위한 사회적 지지와 사회참여의 상관성 및 관련요인)

  • Kim, Eun-Joo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.3
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    • pp.259-268
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    • 2019
  • The purpose of this study were to investigate the social support and social participation and to analyze the correlation and associated factors of social support and participation in social support for life care in stroke patients living in community. Scores for the social support as a moderator of life stress and the Korean version of the Reintegration to Normal Living Index (K-RNLI) were surveyed using a face to face test for 92 patients who had a stroke between September 3, 2018, and January 10, 2019. As a result, there was a high correlation between social support and social participation(p<.05). Factors related to social support were living together and social participation, and factors related to social participation were type of stroke, relationship with patients, and social support. This study found that social support and social participation are related and important factors for successful rehabilitation in stroke patients living in the community. This study could be used as a basis for rehabilitation intervention in stroke patients living in the community.

The Effect of Supportive Nursing on the Stress Reaction of Breast Cancer Patients Undergoing Chemotherapy (지지적 간호중재가 암화학요법을 받고 있는 유방암 환자의 스트레스 반응에 미치는 영향)

  • 박점희
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.912-922
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    • 1997
  • The purpose of this study was to examine the effect of supportive nursing on stress reaction of breast cancer patients undergoing chemotherapy. The nonequivalent control group pre-test/post-test design was used for this experimental study. The subjects were 32 patients who were receiving chemotherapy after mastectomies at K hospital in Taegu from June, 1994 to June 1995. Among 32 subjects, 16 were placed in the experimental group and 16 in the control group. The experimental and control groups were tested for general characteristics, trait anxiety, health locus of control, family support, state anxiety, hopelessness, physical stress, and anxiety behavior. Collected data was analized by means of a chisquare test and a t-test for the comparative analysis of the general characteristics and homogeneity of subjects. ANOVA, and MANOVA were used for testing the hypothesis. Reliability of the tools were analyzed using the Pearson Correlation coefficient. The results of this study were as follows : 1. The hypothesis : The stress reaction of the experimental group which took supportive nursing was lower than the stress reaction of the control group : this was supported statistically. The main variable influenced in stress reaction was hopelessness. Supportive nursing for breast cancer patients, who are receiving chemotherapy, was especially effective in the reduction of hopelessness compared to state anxiety, physical stress, and anxiety behavior. 2. An analysis of the difference on stress reaction, according to the frequency of supportive nursing between the control and experimental group, showed the level of hopelessness of the experimental group was lower than the control group after four supportive meeting sessions. But there was no statistical difference in state anxiety, physical stress, and anxiety behavior. In conclusion, this study supported utilization of supportive care as well as demonstrating the effectiveness of the System-Developmental Stress Model developed by Chrisman and Riehl-Sisca.

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