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Influence of Hope, Core beliefs and Social support on Posttraumatic growth in Mothers of Chronically Ill Children (만성질환아 어머니의 희망, 핵심신념, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Kim, Mi Young;Kim, Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.4
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    • pp.493-502
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    • 2012
  • Purpose: The purpose of this study was to identify the influence of hope, core beliefs, and social support on the posttraumatic growth of mothers with chronically ill children. Methods: In this study, 94 mothers who gave written consent completed the questionnaires between July 21 and July 31, 2012 when they visited a university hospital in Seoul, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Hope, core belief and social support had positive correlations with posttraumatic growth. Models including these variables explained 64.8% (F=55.276, p<.001) of the variance for posttraumatic growth. Hope (${\beta}$=.441, p<.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to mediate and facilitate posttraumatic growth of mothers caring for chronically ill children. Furthermore, there is an need to develop and implement new strategies in clinical practice that will result in improvements in posttraumatic growth.

Korean and United States: Comparison of Costs of Nursing Interventions (NIC과 연계된 산부인과 환자 간호중재에 대한 한국 건강보험 수가체계와 미국 ABC 코드체계와의 수가 비교 분석)

  • Hong, Sung-Jung;Lee, Eun-Joo
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.358-369
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    • 2012
  • Purpose: This study was performed to compare the costs of nursing interventions implemented for the obstetrical and gynecological patients using Korean Reimbursement System and ABC codes system developed in the US for costing out interventions performed by health care professional. Methods: First, the narrative data on nursing interventions were extracted from electronic medical record system of a tertiary university and mapped with Nursing Intervention Classification (NIC) by two researchers until 100% consent was reached. Narrative nursing interventions mapped with NIC were then remapped with ABC codes system using the electronic program developed in the research. The mapping data were analyzed with real numbers, frequency, percentage, mean, and standard deviation. Results: More nursing interventions were mapped with ABC codes than Korean reimbursement system. Total of 97 different types of narrative interventions could be mapped with NIC, 43 NIC interventions could be reimbursed by ABC code but only 16 NIC interventions were reimbursed by Korea Reimbursement System. Conclusion: Korean medical insurance fee system needs amendment to include more comprehensively interventions performed by nurses which are very important to patient outcomes. Further study is needed to develop strategies to costing out nursing interventions.

Concentration of Fe, Cu, Zn in 24-hour Food Duplicate Samples: Quantitative Analysis by Inductively Coupled Plasma - Atomic Emission Spectrometry (24시간 복제 음식물 중의 Fe, Cu, Zn 함량: 유도결합플라즈마-원자발광분광법에 의한 정량분석)

  • Paik, Jong-Min;Moon, Chan-Seok
    • Journal of Environmental Health Sciences
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    • v.33 no.5
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    • pp.397-402
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    • 2007
  • The present study was initiated to examine the measures of dietary intake of Fe, Cu and Zn. The food duplicate samples were collected in Busan and its neighboring area, from the 69 middle-aged women (healthy non-smoking, mostly house wives), who provided informed consent. The samples were wet ashed by being heated in the presence of mineral acids, and Fe, Cu, Zn in the wet-ashed samples were analyzed by inductively coupled plasma - atomic emission spectrometry(ICP-AES). Dietary intake of Fe, Cu and Zn were 10.4 mg/day in Fe, 1.2 mg/day in Cu, 7.4 mg/day as arithmetic mean. The values for dietary Fe and Zn were lower, and the values for dietary Cu were higher than the recommended daily intake from Korean Nutrition Society. Further studies of Korean foods are needed to clarify the representative values for daily dietary Fe, Cu and Zn intake in the Korean population.

Back strength and relevance of CPR chest compression (배근력과 심폐소생술의 가슴압박과의 관련성)

  • Choi, Sung-Soo;Han, Mi-Ah;Yun, Seong-Woo;Ryu, So-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.2
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    • pp.57-64
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    • 2013
  • Purpose : The purpose of the study is to investigate the quality and relevance of back strength or chest compression which is applied by isotonic exercise of hip joint. Methods : Subjects were 37 students who participated in the BLS course and accepted the informed consent from December 7 to 8, 2012. During CPR performance, back strength was measured by the researcher. CPR was used the manikin for practical training with using PC, conducted by standard CPR for 2 minutes, Quality of chest compressions included average chest compression depth, rate, and recoil ratio. Results : Back strength (kg) is related to the chest compression depth (mm) (r =.746, p <.001). The high quality CPR is the most important factor so high quality is full chest recoil of chest compression and chest compression depth (mm) (${\beta}$=.831, p <.001). In this study, chest compression rate and recoil ration were not influenced by back muscle strength. Conclusion : It is necessary to implement the CPR program to improve physical strength and effective performance of CPR.

Effects of Local Anesthetic Cream on Pain Relief in Newborns During Venipuncture (신생아의 정맥천자시 통증 완화를 위한 국소마취 크림 적용 효과)

  • Kim, Hae-Won;Ahn, Hye-Young
    • Child Health Nursing Research
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    • v.17 no.4
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    • pp.215-221
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    • 2011
  • Purpose: Newborns routinely experience pain associated with invasive procedures such as blood sampling, venipuncture, heelstick, or venous cannulation. This study was done to provide data for a nursing intervention to alleviate newborn pain clinically by investigating the effect of local anesthetic cream during venipuncture. Methods: Participants were 70 newborns hospitalized in the nursery. Informed Consent was obtained from parents of the newborns. Venipuncture for regular blood sampling was carried out for a test on 2 groups; the experimental, placebo group. The neonatal infant pain scale (NIPS), and duration of crying were measured to assess pain reaction. All neonatal behaviors were recorded on videotape. Results: There were significant differences in pain behavior during venipuncture (t=-4.752, p<.001), immediately after sampling (t=-5.591, p<.001), 3 minutes after puncture (t=-2.469, p=.017), and in duration of crying (t=-3.005, p=.004). Conclusion: Results show that local administration of EMLA cream before venipuncture causes a reduction in neonatal pain response, indicating that the EMLA cream has the effect of pain relief.

Factors Predicting Condom Use for the Prevention of Sexually Transmitted Diseases among Sex Workers (성매매 종사자들의 성병감염예방을 위한 콘돔사용 예측요인)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.167-176
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    • 2005
  • Purpose: The purpose of this study was to identify factors to predict of condom use for the prevention of sexually transmitted diseases (STDs) among sex workers in a Korean community. The theoretical ground of this study was the Interaction Model of Client Health Behavior. Method: A descriptive, cross sectional and retrospective research design was employed in this study. A total of 100 sex workers who take a clinical check-up on STDs regularly at W Public Health Center were recruited by convenient sampling, and with consent to participate in this study. All of the measures were piloted, and the reliability of each scale ranged from 0.7 to 0.9. Data were analyzed using discriminating function analysis with SPSS-PC. Results: Five independent measures (partner preference for using condoms, subjects desire to prevent STD, age, type of relationship and sexual self-determination) contributed significantly to the best discriminating function. The discriminating function analysis resulted in correct classification of 83.1% of the respondents into their corresponding groups. Conclusion: Condoms are a main means of STDs prevention. Risk-reduction interventions that enhance communication skills and intrinsic motivation will be effective in increasing condom use to prevent STDs among sex workers.

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A Study on Perceived Health Status, Physical Symptom, Depression in the Elderly of Rural Areas (농어촌지역 노인의 지각된 건강상태, 주관적 신체증상, 우울에 관한 연구)

  • Choi, Hee-Jung
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.74-80
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships among perceived health status, physical symptom, and depression in the elderly of Rural areas. Method: subjects were 633 elders selected during Feb. to May in 2005. All subject agreed to participate and filled out the survey questionnaire after signing the consent form. scales used in this study are the Perceived Health Status, the Physical Health Questionnaire(PHQ) and the Geriatric Depression Scale(GDS). Data was analyzed by the SPSS/PC 12.0 program. Result: 1) The mean score of perceived health status was 7.78; the mean score of physical symptom was 18.56; the mean score of depression was 8.53, and 64.6% of the subjects belonged to the depression group. 2) Perceived health status had significant relationship with educational level, spouse, and economic status; between physical symptom and educational level, number of chronic disease; between depression and spouse, economic status, number of chronic disease. 3) Depression had negative correlation with perceived health status, but had positive correlation with physical symptom. Conclusion: Considering these findings, it is necessary that depression management programs and care intervention programs considering regional and environmental elements for the elderly in Rural areas.

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The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center

  • Kim Jeungim
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1427-1433
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    • 2004
  • Purpose. The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. Methods. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. Results. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. Conclusion. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

Clinical report of Samultang-gamibang with insomnia occurred after taking Taeeumjoyutang-ga-daehwang (태음조위탕(太陰調胃湯) 가(加) 대황(大黃) 장복 후 발생한 부면(不眠) 환자에 대한 사물탕가미방(四物湯加味方)의 치험(治驗) 1례(例))

  • Kim, Min-Jung;Seo, Hyang-Yeon;Lee, Yong-Yang;Park, Won-Hwan
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.18 no.1
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    • pp.45-50
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    • 2014
  • Objectives This study was designed to report the effect of Samultang-gamibang(四物湯加味方) for insomnia caused by blood deficiency (syndrome) after excessive weight control treatment with herbal medication Methods This is a retrospective case report. We reviewed the patient's medical record after taking the patient's informed consent. Results After treatment, a patient feels calm and satisfaction emotionally as sleeping time has increased from 2hours to 6hours, the fatigue after sleeping has been reduced, and the quality of sleep has become better. Conclusions This case report suggests that Samultang-gamibang can be effective in improving sleep duration and quality if the patient suffers insomnia due to hyul-heo syndrome. Also the woman who have symptom of hyul-heo(血虛) after weight control through decreased food consumption, should bo-hyul(補血).

A Comparative Study of Health Knowledge, Health Attitude and Health Behavior Based on the Hours of Health Education in Middle School Students (중학생의 보건교과 운영차시별 건강지식, 건강태도 및 건강행위 비교)

  • Cha, Young-Sook;Choi, Soon-Hee
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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    • pp.304-312
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    • 2013
  • Purpose: This study was conducted to compare health knowledge, health attitude and health behavior of middle school students based on the hours of health educational parameters imparted. Methods: After obtaining informed consent from participants, data were collected from 474 middle school students attending three different schools. The questionnaires were developed based on previous studies and four authorized health textbooks. Data were analyzed using $x^2$-test, t-test, ANOVA and ANCOVA. Results: The scores of 34-hour or 17-hour regular health education group were higher than those of 0-hour regular health education group in the areas of health knowledge and health attitude. In contrast the score of health behavior showed no significant difference among the three groups. Conclusion: The course of regular health education should be included as an essential one rather than as a selective option in the curriculum, and 34-hour regular health education is needed for all primary, middle, and high school students who are about to developing lifelong health habits, in order to have them gradually acquire sound education of health knowledge, health attitude, and health behavior.