• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.5-15
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• 2010

Purpose: The purpose of this study was to examine the effect of position change on the level of comfort and occurrence of bleeding after transarterial chemoembolization. Methods: This study was the nonequivalent control group non-synchronized design. The experimental group was positioned in supine with 15-30 degree Semi-folwer's position for 2 hours and then changed supine position alternatively to 30 degree lateral positioning in turn per hour for 2 hours. For the control group, 6 hour supine positions without any position change were applied. Results: The level of discomfort of the control group was scored higher level than that of the experimental group. There was no significant differences in back pain and the degrees of voiding difficulty. There were no significant differences in the incidence of bleeding complication between the two groups. Conclusion: The position change in patients after transarterial chemoembolization could be applied without any severe side effects such as bleeding complication, but it was revealed to be effective in reducing the level of discomfort.

• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.71-82
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• 2010

Purpose: The study was aimed to investigate the effects of warm fluid used during surgery on the patients' hypothermia prophylaxis and recovery after surgery. Methods: This data were collected from Jul. 13 to Nov. 31. 2009 at S hospital in M City. 60 patients who met the selection criteria were recruited in the study and divided into two groups. The warmed fluids were used for 30 patients in the experimental group, and the fluids in room air temperature were used for the others in the control group. Collected data were statistically analyzed using SPSS/win 18.0. Results: The body temperatures of the control group were significantly lower during surgery than those of the experimental group (p<.001). Shivering was significantly less occurred in the experimental group than the control group (p=.018). The experimental group used warmed fluids recovered faster than the control group. Conclusion: Warming fluid for the patients with general anesthesia was revealed to be effective in decreasing hypothermia during surgery, reducing shivering, helping recovery from the anesthesia. Further research is warranted to refine and apply this evidence in nursing practice.

• Journal of Korean Clinical Nursing Research
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• v.29 no.1
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• pp.107-120
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• 2023

Purpose: The purpose of this program is to develop an educational program to improve the nursing management competency of middle-level nursing managers. Methods: The program outline is based on the results of the Importance Performance Analysis (IPA) and Systematic Review (SR). Also performed the content validity accordingly. Results: The result of the concepts are derived from 6 competencies for planning process, 4 competencies for organizing process, 4 competencies for staffing process, 26 competencies for directing process, and 12 competencies for controlling process by integrating IPA and SR. This outline of the program was constructed according to the derived integrated concept and both content validity and structured outline were interpreted as valid. Conclusion: This suggests that middle-level managers need a systematic program and support to effectively lead the organization by recognizing the importance rather than performance.

• Journal of Korean Clinical Nursing Research
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• v.16 no.2
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• pp.5-16
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• 2010

Purpose: The purpose of this study was to develop a motivational enhancement therapy (MET) for coronary artery disease (CAD) patients in early stages of health behavior change and evaluate its effects on health motivation, the stages of change, health behaviors, and cardiovascular risk factors. Methods: Using a non-equivalent control pre-post design, the study was conducted on 42 CAD patients who underwent medical treatment or percutaneous coronary interventions in a hospital. The intervention group (n=21) received the MET (MET 1 during admission, MET 2 after discharge via telephone). The control group (n=21) received a standard care. Data were analyzed using descriptive statistics, ${\chi}^2-test$ and t-test with the SPSS 12.0 program. Results: Participants in the intervention group reported significantly increased scores of health motivation (t=-2.093, p=.043), the stages of change (t=-5.682, p<.001), and health behaviors (t=-3.069, p=.004) and significantly decreased scores of cardiovascular risk factors (t=2.131, p=.039) compared to those of the control group. Conclusion: The findings indicate that the MET is an effective intervention in improving health behaviors and decreasing cardiovascular risk factors for CAD patients.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.75-84
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• 2009

Purpose: The aim of this study was to examine the effects of a music-based group reminiscence program on interpersonal relationships, self-esteem and depression in elderly people who are hospitalized. Methods: A quasi-experimental research was implemented, and a nonequivalent control group pre-posttest design was used. The participants were 52 elders who met the selection criteria and were assigned to the experimental group (26) and the control group (26). Both groups took the pre and posttest at the same time, and both groups received regular hospital care with the experimental group participating in the program for 12 sessions over six weeks. The instruments used in the study were, for interpersonal relationships, the Interpersonal Change Scale by Schlein and Guerney (1971), for self-esteem, the Self-Esteem Scale by Rosenberg (1965) and for depression, the Depression Inventory by Zung (1965). The collected data were analyzed with the SPSS 15.0 program. Results: Compared to the control group, the experimental group had significantly better interpersonal relationships and significantly higher self-esteem and less depression. Conclusion: The findings of the study suggest that a music-based group reminiscence program is effective in improving the interpersonal relationships, self-esteem and depression of hospitalized elders.

• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.27-37
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• 2010

Purpose: This study was conducted to determine the effects of a fall prevention program on gait, balance and falls efficacy in stroke patients Methods: The study utilized a non-equivalent control group pretest and post test design. Subjects were contacted at the oriental medicine ward of D hospital in B city for strokes. The subjects were 25 in the experimental group and 25 in the control group. The fall prevention program consists of fall related exercises and fall related education. Collected data were analyzed using a t-test, Chi-Square test, Fisher's exact test by SPSS 14.0 Win program. Results: The fall prevention program with exercises and education used in this study was found to be very effective in increasing gait, balance and falls efficacy in patients with stroke. Conclusion: The fall prevention program used in this study seems appropriate for stroke patients. Thus, further research to refine the efficacy and application of this program is warranted.

• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.83-93
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• 2010

Purpose: This study identified effects of laughter therapy administered to mastectomy patients as an adaptive coping mechanism. Methods: The study design was a non-synchronized design with a non-equivalent control group. Participants were 40 patients admitted to S hospital in Busan from July 1 to October 10, 2008. The laughter therapy was provided to the experimental group for 20 minutes, four times per week for 2 weeks in each patient's room. Results: The experimental and control groups showed significant differences in Mood (t=-2.314, p=.032), and Stress (t=-2.535 p=.020). Pain and serum cortisol in the experimental and control groups did not show any significant difference. Conclusion: Based on the findings the laughter therapy has significant effects on mastectomy patients' mood and stress.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.39-50
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• 2010

Purpose: The study was done to examine the development and effects of horticulture therapy on quality of sleep and immune function in patients in hospice units. Methods: The participants in this study were hospice patients in D hospital in D city. Thirty hospice patients were assigned to the experimental group, thirty to the control group. Data were collected from April 29 to July 26, 2009. The horticulture therapy program consisted of indoor and outdoor horticultural activities. The horticulture therapy was conducted for 30 minutes, 6 times a week for 3 weeks (a total 18 times). Measures were quality of sleep, and immune function by serum T-cell, NK-cell count. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 13.0 version. Results: Patients in the experimental group receiving horticulture therapy had a significant difference in changes in the quality of sleep compared to the control group. There were also a significant difference in changes in the immune function (serum T cell and serum NK cell) between the experimental group and control group. Conclusion: The study results indicate that horticulture therapy developed for hospice patients is an effective, palliative intervention program to improve the quality of sleep and immune function of hospice patients.

• Journal of Korean Clinical Nursing Research
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• v.15 no.2
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• pp.47-56
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• 2009

Purpose: The purpose of this study was to identify the impacts of professional socialization perceived by nursing students on role conflict and professional self-concept. Methods: Using a structured questionnaire, data were collected from 683 nursing students. For data analysis, descriptive statistics, Pearson correlation coefficient, stepwise multiple regression were conducted using SAS program. Results: The mean score of total professional socialization was 3.74 followed by the scores of 'independence', 3.98, 'commitment', 3.80, 'decision making', 3.60, and 'maturity', 3.53. The mean score of total role conflict was 3.72, and professional self-concept was 2.75. Total professional socialization, commitment, and independence perceived by nursing students were positively related to role conflict. Also total professional socialization and total subcategories of professional socialization were positively related to professional self-concept. As a result of stepwise multiple regression analysis, the key determinants of role conflict were found to be 'independence', 'motivation with admission', 'sex', 'desire with working', 'grade' and 'decision making'. The key determinants of professional self-concept were 'decision making', 'commitment', 'satisfaction about nursing', and 'interpersonal relationship'. Conclusion: Through this results, it is necessary to improve professional socialization in order to increase professional self-concept among nursing students.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.63-71
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• 2010

Purpose: This study was conducted to evaluate the incidence and risk factors for surgical glove perforation during operation. Methods: During the month of december 2008, a total of 1,400 pairs of surgical gloves used in major operations was collected in a tertiary hospital. All gloves were examined immediately after operation using the standardized water-leak method to detect any perforation. Incidence of the glove perforation was counted according to the type of operation, operation time, the number of involved personnel, perforation sites, and the manufacturing companies. Results: Out of 2,800 gloves examined, 312 perforations were detected comprising 11.1% of samples. In terms of the type of operation, the perforation incidence varied from 5% to 20%, and the perforation rates in CS (20%) and NS (18%) (p<.001) were significantly higher than those in other departments. The 1st assistant or scrub nurse got glove perforation more frequently than the 2nd assistant or operator (p<.001). Longer operation time was associated with higher incidence of perforation evidently (p<.001). In terms of the sites, the thumb and index finger were more frequently perforated than other sites (4.1% and 3.4% respectively) without any differences between left and right side. Conclusion: Risk factors for glove perforation including the department of operation, operation time, participating personnel, and location of perforation should be taken into account to improve surgical safety.