• 중환자간호학회지
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• 제13권1호
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• pp.63-75
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• 2020

Purpose : The purpose of this study was to review mobile health (mHealth) interventions based on studies from online databases for community-dwelling patients with heart diseases. Methods : Six databases (RISS, KISS, PubMed, CINAHL, EMBASE, and SCOPUS) were searched to select studies conducted from January 1 to September 30, 2010. After this, quality appraisals were carried out using the Scottish Intercollegiate Guidelines Network checklist and a total of 11 studies were selected. Results : The selected 11 studies included 7 randomized controlled studies, 1 quasi-experimental study and 3 pilot studies. The main components of mHealth interventions included symptom monitoring at home, provisions for individualized messages for health management using text messaging, telephone or smart phone applications, and running websites for symptom monitoring or health education. Intervention periods varied from 6 weeks to 12 months. The findings of the studies suggested that the mHealth interventions were effective in improving self-management of heart diseases, quality of life, and decreasing symptoms. Conclusions : The results of the review suggested that mHealth interventions had positive effects on community-dwelling patients with heart diseases. More mHealth intervention studies need to be conducted in Korea to aid community-dwelling patients with heart diseases.

• 간호행정학회지
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• 제12권3호
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• pp.464-472
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• 2006

Purpose: The aim of this study was to define the health problem in the community-dwelling elderly of Korea and to compare differences of CAPs(Client Assessment Protocols) by characteristics. Method: Data was collected by visiting nurse from 556 elderly over 65 years in selected metropolitan areas. To evaluate the functional state of elderly in the community, I used "RAI-MDS HC; Residental Assessment Instrument Minimum Data Set-Home Care(2.0 version)" and established information exchange system among resources, by developing the data into a computer program. Results: The health problem of 'preventive health measures' was the largest(99.6%), and then 'health promotion(85.3%)', 'visual function(75.5%)', 'psychologic drug(68.9%)', 'pain(68.5%)', ‘social function(59.2%)', 'communication disorders(56.2%)', 'environmental assessment(53.2%)', 'depression & anxiety(46.9%)', 'oral health(43.4%)' followed. The number of health problems was average 10.16 in the community-dwelling elderly. Conclusion: The results suggest the need to emphasize the importance of assessment of the health problem of the elderly. We can apply it in the distribution of community resources and the development of service providing programs by figure out the health problem and resource in need for the elderly in the community.

• 가정∙방문간호학회지
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• 제25권1호
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• pp.78-86
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• 2018

Purpose: The purpose of this study was to identify the relationships among emotional intelligence, resilience to burnout, and meaning in life of hospice volunteers. Methods: Data were collected through structured questionnaires from 200 hospice volunteers who were working at hospitals for six months or longer. Data were collected from March 7 to March 31, 2016, and analyzed using descriptive statistics, independent t-tests, ANOVA, Pearson correlation coefficients and stepwise multiple regression with SPSS WIN 22.0. Results: There was a statistically significant correlation between emotional intelligence, resilience to burnout and meaning in life. The significant predictors of hospice volunteers' meaning in life were resilience to burnout(${\beta}=.47$), emotional intelligence(${\beta}=.15$), educational level(college, ${\beta}=.11$), religion(protestant, ${\beta}=.12$; buddhism, ${\beta}=-.15$), and motivation for neighborhood service(${\beta}=.16$). These variables explained meaning in life up to 50.2%. Resilience to burnout was the greatest effective factor on meaning in life. Conclusion: These results suggest a need to develop programs that improve hospice volunteers' emotional intelligence and resilience to burnout. Also, educational level, religion, and service motivation of hospice volunteers should be considered.

• 가정∙방문간호학회지
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• 제19권2호
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• pp.162-172
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• 2012

Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.

• 가정∙방문간호학회지
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• 제24권1호
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• pp.44-51
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• 2017

Purpose: This descriptive study was conducted to identify the attitudes of nursing college students to North Korean refugees (NKR) and to examine factors influencing these attitudes. Methods: A total of 195 participants completed a structured questionnaire between September and October 2016. Data were analyzed using the SPSS 21.0 program. Results: The results of this study were as follows: attitudes toward NKR was 2.74 out of 4 points; cultural receptivity was 3.25 out of 5 points; nationalism was 2.46 out of 4 points. Cultural receptivity (r=.26, p<.001) and nationalism (r=-.18, p=.036) were significantly related to attitudes toward NKR. Unification attitude (${\beta}=0.27$, p <.001) and cultural receptivity (${\beta}=0.20$, p=.005) explained 13.7% of the variance in attitudes toward NKR. Conclusion: The findings of this study provide fundamental data for the development of a nursing education program on multicultural perspectives. Furthermore, these findings might highlight the need for a nursing education program that could enhance understanding of patients from different backgrounds and recognize their differences, going beyond a national point of view as commonly found in Korea. The nursing education program should also promote an open and receptive attitude.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.264-274
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• 2017

Purpose: This study examined the current state of death preparedness and factors related to the death preparedness among community-dwelling older adults in Korea. Methods: A total of 6,879 older adults' data, selected from the Korean National Survey on the Elderly 2014 data, were analyzed. The criteria for selection were responding to the questionnaires directly and normal cognitive function. Stratified sampling logistic regression analysis was conducted on the compiled data. Results: It was seen that 37.3% of older adults were prepared for death; specifically, 28.6% had arranged for resting places, 10.7% had purchased burial clothes, 6.8% had subscribed to mutual aid societies, 0.7% participated in death education, and 0.6% had signed a will. The results of logistic regression indicated that the older adults who were females, older age, religious, highly educated, more satisfied with their economic status, living in rural areas, and participating in more social activities were more likely to prepare for their deaths compared to their counterparts. Conclusion: Education programs that prepare for death need to target marginalized groups in the community, such as male older adults and whose participation in social activities or satisfaction with their economic status are relatively low.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.284-291
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• 2017

Purpose: The purpose of this study was to examine the impact of ego-resilience, career planning on turnover intention of career-focused nurses working in general hospitals. Methods: The subjects were 673 nurses with clinical experience with more than 1 year working in general hospitals in Seoul and Gyeonggi-do, from February1 to June 30, 2016. The collected data were analyzed with t-test, ANOVA, Pearson's correlation and multiple regression anaby using SAS (9.4ver). Results: The factors affecting the turnover intention of career nurses were identified by age, current hopes of moving to the workimg department, and career planning. These variables accounted for 18% of career nurses' turnover intentions. Conclusions: The results of this study suggest that the higher the degree of career planning of career nurses, the lower the turnover intention. However, ego-resilience did not show the influence of turnover intention. There is a need to develop a career management program that enhances ego-resilience and systematic career planning to reduce turnover intentions.

• 가정∙방문간호학회지
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• 제23권2호
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• pp.139-146
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• 2016

Purpose: This research seeks to identify differences between general characteristics, disease-related characteristics, glycated hemoglobin (HbAlc) levels, and aspects of chronic complications of diabetes mellitus in type 2 diabetes. Methods: This research was conducted from the 1st to the 15th of February in 2016, on 263 in patients. Patients' electronic medical records were used to identify their general characteristics, disease-related characteristics, HbAlc, and chronic diabetic complications. Chi-square test, ANOVA, ANCOVA, and the Cochran-Mantel-Haenszel test were used for data analysis. Results: Statistical significance was observed for general characteristics, based on smoking status, such as age, and education level; disease-related characteristics differed according to the duration of diabetes. Smoking status did not differ according to HbAlc level. In term of chronic diabetic complications, statistically significance was observed for diabetic nephropathy, based on smoking status. Conclusion: Patients who had a history of smoking, but were not currently smoking, were likely to display higher HbAlc levels and diabetic nephropathy. Therefore, there is need for regular checkups for diabetic complications among patients with a history of smoking and it is important to emphasize smoking cessation.

• 가정∙방문간호학회지
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• 제28권3호
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• pp.223-232
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• 2021

Purpose: This study aims to examine the effects of occupational stress, coping flexibility, and hardiness on burnout in nurses and the factors influencing these relationships. Methods: Convenience sampling was used in this study to engage a total of 122 nurses from two general hospitals. A structured questionnaire was used to assess the nurses' occupational stress, coping flexibility, hardiness, and burnout. The collected data were analyzed with regard to descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression by using the SPSS program. Results: There were differences in the extent of burnout in nurses depending on their age, marital status, educational level, and religion. Burnout and occupational stress were positively correlated, whereas there was a negative correlation between burnout and hardiness. For the factors influencing nurses' burnout, occupational stress was identified to be most influential, followed by hardiness, total clinical career, religion, and working unit. Conclusion: To decrease burnout in nurses, there is a need for developing and deploying programs which can reduce their occupational stress and enhance hardiness.

• 가정∙방문간호학회지
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• 제25권3호
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• pp.215-223
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• 2018

Purpose: The purpose of this study was to investigate effects of nurse managers' conflict management styles on nurses' levels of leader trust and organizational commitment. Methods: For this study, a descriptive survey design was used. The participants were 165 nurses who had worked more than 1 year in a university hospital. Data were collected from September 1 to September 10, 2016, using a self-report questionnaire. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe's tests, Pearson's correlation coefficients, and multiple regression analysis. Results: Among the nurse managers' conflict management styles, the problem-solving style was positively correlated with both leader trust and organizational commitment. Concession-avoiding and control-leading styles were negatively correlated with both variables. Furthermore, the problem-solving style was found to have significant influence on both leader trust and organizational commitment. Conclusion: In order to more actively cope with conflict situations occurring in the nursing work environment, nursing managers need to exhibit more effective attitudes of conflict management. This study suggests that the problem-solving style is a desirable conflict management style in terms of increasing leader trust and organizational commitment.