• 제목/요약/키워드: Independent Nursing Intervention

검색결과 330건 처리시간 0.025초

편지를 활용한 가족관계 증진 프로그램이 말기 암 환자의 가족기능, 죽음 불안, 우울에 미치는 영향 (Effects of Letter on the Family Functioning, Fear of Death, and Depression among the Terminally Ill Cancer Patients)

  • 이선자;김인자
    • 재활간호학회지
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    • 제17권1호
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    • pp.18-26
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    • 2014
  • Purpose: To improve the family functioning, fear of death and depression among the terminally ill cancer patients, the effects of letter as an independent nursing intervention were identified. Methods: Non-equivalent control group pre and post test design was used. Subjects were 60 patients and their family members who were hospitalized at hospice units of an university-affiliated hospital. Patients and their family members were encouraged to write a letter to each other at least 4 times for 2 weeks. Results: Family functioning, fear of death and depression in the experimental group were significantly more improved after intervention than those of control group, even depression of experimental group before intervention was worse than that of control group. Conclusion: Writing a letter to family members is worth to use as an independent nursing intervention for terminally ill patients. It is recommended that further study to identify the potential of letters as an independent nursing intervention is implemented for various patients.

섬망 교육 프로그램이 중환자실 간호사의 섬망 지식, 간호중재 중요도 및 수행에 미치는 영향 (Effects of a Delirium Education Program for Nurses on Knowledge of Delirium, Importance of Nursing Intervention and Nursing Practice)

  • 박진;박지원
    • 가정∙방문간호학회지
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    • 제20권2호
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    • pp.152-159
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    • 2013
  • Purpose: The purpose of this study was to develop a delirium education program for nurses and assess its effects on knowledge of delirium, the importance of nursing intervention, and nursing practice. Method: Participants comprised 60 nurses in a university hospital. The experimental group participated in a 3-hour delirium education program. Data were collected using structured questionnaires. Chi square and independent t-tests were conducted to examine similarities in demographic and dependent variables, and an independent t-test was used to test the hypothesis. Results: The experimental group obtained significantly higher scores than the control group in knowledge of delirium(t=14.52, p<.001), importance of nursing intervention(t=13.76, p<.001), and nursing practice (t=13.71, p<.001). Conclusion: Results suggest that delirium education is an effective tool to improve knowledge of delirium, importance of nursing intervention, and nursing practice. Therefore, delirium education would be beneficial for general ward and recently graduated nurses as well as ICU and experienced nurses.

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노인간호에 관한 연구 : 집단회상요법이 노인의 우울에 미치는 효과 (A Study on Gerontological Nursing: The Effects of Group Reminiscence on Depression of the Elderly)

  • 하양숙
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.75-82
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    • 1990
  • This study was to examine the effects of group reminiscence on depression of the elderly and to identify the possible use of the independent nursing intervention for reminiscence. The subjects, consisting of 46 elderly residents at D-ku, in Seoul, were divided into experimental and control group. The research was done by non-equivalent control group quasi-experimental design. Data were gathered from Oct. 4th to Dec. 2nd, 1989 through interview by questionnaire and measure the degree of depression by Zung's scale. Group reminiscence, was defined as independent nursing intervention belong to cognitive intervention by nurse. The schedule and content of reminiscence were developed by investigator. Analysis of data were done by frequency, mean, t-test, and Pearsons's correlations. The results were as follows: $\cdot$ There was no significant difference between experimental and control group after pre & post group reminiscence. $\cdot$ The mean depression score was 43.4 all subjects. In addition to, the result of added analysis were as follows; $\cdot$ There was significant difference in the depression score between healthy and unhealthy group according to perception by subjects (P<05). $\cdot$ There was significant difference between above average economic status and poor status according to perception by subjects (p<.05). $\cdot$ Depression of the subjects was related to the duration of widowhood(r=.3980, p=.015). Further research needs to be done on the effects of group reminiscence as independent nursing intervention. This study needs to be replicated in different settings, studied on the assess of psychological well being for the elderly with the exception of depression and to be identified psychological chacaracteristics of the elderly.

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노인의 소망 (Wishes of the Elderly)

  • 김은숙;김귀분
    • 성인간호학회지
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    • 제14권3호
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    • pp.438-448
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    • 2002
  • Purpose: This study is aimed to search the lived experiences of the participants and to analyze the contents so that we can be assured about what the elderly wish and find the appropriate nursing intervention for them in real life. Method: This is based on a phenomenological approach. Participants of this study consist of people older than 65 years old. Data was collected from May to August in 2001. Data collection was done through in-depth interviews and observations. The time used in each interview was from 50 minutes to 2 hours. Each participant was interviewed three to five times. Giorgi's phenomenological analysis was used in data analysis. Result: The elder's wishes are 1) a respected life, 2) a happy life, 3) a peaceful life, 4) a independent life, 5) a financially independent life, 6) a satisfactory life, 7) a mind to depend on someone, 8) a serving life, 9) a historic family, 10) a happy-ending life. Conclusion: The study will contribute for the nursing intervention to enhance the quality of life and successful aging of the elderly.

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한방간호중재개발을 위한 이침요법(耳鍼療法)적용에 대한 문헌연구 (A Literature Review about Application of an Auricular Acupuncture Therapy for Independent Oriental Medical Nursing Intervention Development)

  • 문희자;김귀분;석소현;홍경화
    • 동서간호학연구지
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    • 제4권1호
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    • pp.66-76
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    • 1999
  • The auricular acupuncture therapy is stimulus treat method that acupuncts or moxibusts at the reaction blood vessel point of various diseases in the upper portion of ear. And this effects from the reaction blood vessel point of an ear to the meridian of whole body system through blood stream. The auricular acupuncture has cured and cared signs and symptoms of many diseases and pathologic problems. And this treatment heels abnormal reactions, nursing focuses so it was examined through literature review that nurses use many portions of the auricular acupuncture in their clinical cares of oriental medicine. This study was proved that the Mae-Chim acupuncture method among various methods of the auricular acupuncture is easy and simple so this method can be used by nurses. And the ear acupuncture site which controls diarrhea, insomnia, migraine, stress vomiting, dyspepsia, high fever, insufficient lactation, bowel dysfunction, menoxenia, anxiety, pruritus and can be found easily and is few the number of acupuncture so the oriental medicine nurses can apply easily to their clients. Therefore the independent oriental medicine nursing intervention can be developed by application of the auricular acupuncture therapy on the oriental medicine clinical nursing and home care in our community.

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지체장애인의 운동실천을 위한 동기면담 프로그램 개발 및 평가 (Development and Evaluation of a Motivational Interviewing Program for Exercise Improvement in Persons with Physical Disabilities)

  • 정정희;정인숙
    • 대한간호학회지
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    • 제47권3호
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    • pp.406-419
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    • 2017
  • Purpose: The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention. Methods: The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the ${\chi}^2-test$, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18. Results: The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (${\chi}^2=26.61$, p<.001). Conclusion: The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

경피적 관상동맥 중재술을 받은 환자의 금연교육이 흡연에 미치는 효과 (Effects of Smoking Cessation Education for Patients with Percutaneous Coronary Intervention)

  • 전원희;윤현숙
    • 성인간호학회지
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    • 제24권3호
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    • pp.274-283
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of a smoking cessation education for patients with percutaneous coronary intervention. Methods: The study was a quasi-experimental study with a non-equivalent control group non-synchronized design. The Sixty subjects were assigned to either the treatment group. The treatment intervention was a onetime program during hospitalization. Data were collected during several time periods: before treatment, immediately after treatment, two weeks later, and one month after the treatment. Data were analyzed with the SPSS 14.0 program with an independent t-test, $x^2$ test, repeated measures ANOVA. Results: There were significant differences between the two groups in terms of knowledge and attitude. The significance was absent for the testing two weeks post group intervention and then one month later the significance was again detected in the amount of smoking and smoking behavior. Conclusion: The results of this study suggest that smoking cessation education could be utilized for inpatients with percutaneous coronary intervention as nursing intervention in hospitals effectively. Further research is recommended in order to understand the change in significance in the different time periods.

암환자의 불안관리를 위한 이압요법 적용 효과 (The Effect of Auricular Acupressure Therapy on Anxiety of Cancer Pateint)

  • 김귀분
    • 대한간호학회지
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    • 제32권6호
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    • pp.888-896
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    • 2002
  • The purpose of this study wsa to necessitate auricular acupressure therapy as an independent nursing intervention on cancer paitents by confirming its effectiveness. Method: The experimental study was unequivalently controlled pre-post measure study. The subjects were 40 cancer patients who were hospitalized in K medical center in Seoul. The experimental group (20) and the control group (20) were randomly assigned. As measured tools, Spielberger's State-trait Anxiety (1976) measured tool by Kim's transplation (1978). The auricular acupressure therapy was applied to experimental group, and the pre-post measure was performed to both group. The data was analyzed by using SPSS computer program that included descriptive statistics, 2-test, and t-test. Result: 1) The experimental group with the auricular acupressure therapy showed lower trait anxiety scores in comparison with the control group (t= 8.036, p=.000). 2) The experimental group which applied the auricular acupressure therapy showed lower state anxiety scores in comparison with the control group (t= 19.616, p=.000). This result showed that cancer patients with the auricular acupressure therapy applied cancer patients decreased state anxiety and trait anxiety. Therefore , effectiveness of the auricular acupressure therapy was confirmed through this study. Conclusion: According to the result, anxiety of cancer pateint should be decreased and controlled by the auricular acupressure therapy as independent nursung intervension. In addition, the auricular acupressure therapy will provide effective independent nursing intervention that will decrease anxiety on patient with other disease and will improve quality of their lives.

Effect of Home Care Service on the Quality of Life in Patients with Gynecological Cancer

  • Aktas, Demet;Terzioglu, Fusun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권9호
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    • pp.4089-4094
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    • 2015
  • The purpose of the research was to determine the effect of home care service on the quality of life in patients with gynecological cancer. This randomized case control study was carried out in a womans hospital between September 2011 and February 2012. Women undergoing gynecological cancer treatment were separated into intervention and control groups, of 35 patients each. The intervention group was provided with nursing care service through hospital and home visits ($1^{st}$, $12^{th}$ weeks) within the framework of a specifically developed nursing care plan. The control group was monitored without any intervention through the hospital routine protocols ($1^{st}$, $12^{th}$ weeks). Data were collected using An Interview Form, Home Visit Monitoring Form and Quality of Life Scale/Cancer Survivors. Effects of home care service on the quality of life in gynecological cancer patients were investigated using chi-square tests, McNemar's test, independent t-test and ANOVA. This study found that the intervention group receiving home care service had a moderately high quality of life (average mean: $6.01{\pm}0.64$), while the control group had comparatively lower quality (average mean: $4.35{\pm}0.79$) within the 12 week post-discharge period (p<0.05). This study found home care services to be efficient in improving the quality of life in patients with gynecological cancer.

경피적 관상동맥 중재술을 받은 노인환자의 자가간호 교육프로그램 개발 및 평가 (Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention)

  • 조경진;양진향
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.266-275
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    • 2014
  • Purpose: The purpose of this study was to identify the effects of the education program to promote self care for elderly patients with percutaneous coronary intervention. Method: The research was a quasi-experimental study using a nonequivalent control group non-synchronized design. The participants was 56 patients, 28 in the experimental group and 28 in the control group. A pretest and a posttest were conducted to measure main variables. The self care education program, consisting of flash animation, leaflet and telephone counseling, was given for the experimental group. Data were analyzed using ${\chi}^2$, Fisher's exact test, and independent t-test with SAS statistics program. Results: There were statistically significant increase in knowledge and self care behavior, and decrease in anxiety by difference between a pretest and a posttest in the experimental group compared to that in the control group. Conclusion: The result of this study indicate that the self care education program is effective in increasing knowledge and self care behavior, and in decreasing anxiety for elderly patients with percutaneous coronary intervention. Therefore, it can be usefully utilized in the field of nursing for elderly patients with percutaneous coronary intervention.