• 제목/요약/키워드: Independent Nursing Intervention

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Conversation Assistive Technology for Maintaining Cognitive Health

  • Otake-Matsuura, Mihoko
    • 노인간호학회지
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    • 제20권sup1호
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    • pp.154-159
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    • 2018
  • Purpose: There is a need for artificial intelligence which nurtures human intelligence as the prevalence of dementia and collapse of intelligence of human beings has become a social problem. Purpose of this study is to develop intervention technologies for maintaining cognitive health of older adults. Methods: The method named the Coimagination Method (CM) was proposed and has been developed in order to achieve goal. Conversation assistive technologies have been developed and tested based on the method. Results: The state of the art of the group conversation support system, and regular series of group conversation sessions for full-years with insights for healthy older adults are described in detail. Participatory approach has been applied to the design process for simultaneous research and implementation of the service. Both participants and practitioners have been maintaining their cognitive health for independent living. Conclusion: Findings imply that there exist potentially preventive types of dementia and intervention should be applicable for such types. Ways of thinking and living are gently intervened through understanding of personal values and broadening minds, which lead to improved quality of life.

이미지메이킹 프로그램이 간호대학생의 이미지메이킹 효능감, 긍정적 사고, 자아존중감 및 간호전문직관에 미치는 효과 (Effect of Image Making Programs on Image Making Efficacy, Positive Thinking, Self-esteem, and Nursing Professionalism in Nursing Students)

  • 문인오;이경완;정석희
    • 간호행정학회지
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    • 제21권1호
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    • pp.122-132
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    • 2015
  • Purpose: This study was conducted to test the effect of Image Making Programs on image making efficacy, positive thinking, self-esteem, and nursing professionalism in nursing students. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 124 nursing students at two universities, and were assigned to the treatment group (n=62) or the comparison group (n=62). The treatment was the Image Making Program, which was held twice over 2 days for 120 minutes per session. Data were collected from August to September 2012, and were analyzed using descriptive statistics, Kolmogorov-Smironov test, ${\chi}^2$-test, independent t-test, Mann-Whitney U test, one-tailed Mann-Whitney U test, independent one-tailed t-test with the SPSS/WIN 21.0 program. Results: Nursing students in the treatment group showed statistically significantly higher levels of image making efficacy, positive thinking, and nursing professionalism than those in the comparison group. Conclusion: The results indicate that the Image Making Program is an effective intervention for increasing image making efficacy, positive thinking, and nursing professionalism in nursing students. However, further research and practices are needed in this area.

슬골관절염 노인환자의 타이치운동 효과 (Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis)

  • 이혜영;이금재
    • 대한간호학회지
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    • 제38권1호
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    • pp.11-18
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    • 2008
  • Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age, $75.46{\pm}6.28$) voluntarily participated in an intervention group of either 24 forms of Sun-style T ai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과 (The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers)

  • 김정윤;천의영
    • Journal of Korean Biological Nursing Science
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    • 제18권2호
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    • pp.78-86
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    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

보호자역할증진 프로그램이 입원아동 보호자의 불확실성, 스트레스 및 돌보기 수행에 미치는 효과 (Effect of Caregiver's Role Improvement Program on the Uncertainty, Stress, and Role Performance of Caregivers with Hospitalized Children)

  • 정은;권인수
    • Child Health Nursing Research
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    • 제23권1호
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    • pp.70-80
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    • 2017
  • Purpose: In this study a caregiver's role improvement program was developed and tested to identify the effect on uncertainty, stress, and role performance of caregivers with hospitalized children. Methods: The design of this study was a quasi-experimental study with a nonequivalent control group and a non-synchronized design. Thirty-three caregivers were assigned to the experimental group and 33 to the control group. Data were collected from March 5 2016 to April 10 2016. For the experimental treatment, each individual was given on-site education with situated learning (given 30 minutes each, for 2 sessions), and self-repetition learning activities were performed from the e-book. Data were analyzed using t-test, ${\chi}^2-test$, Fisher's exact test, paired t-test, and independent t-test. Results: The level of uncertainty and stress decreased, and role performance level improved for these caregivers with hospitalized children. Conclusion: The findings of this study show that using on-site education through situated learning and self-repetition learning with an e-book as in the caregiver's role improvement program is an effective intervention. Therefore, utilizing the caregiver role improvement program developed in this study is recommended as an effective intervention for caregivers of hospitalized children.

라벤더 흡입이 시설노인의 수면, 우울 및 스트레스에 미치는 효과 (Effects of Lavender Fragrance Inhalation Method on Sleep, Depression and Stress of Institutionalized Elderly)

  • 고예정
    • 동서간호학연구지
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    • 제18권2호
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    • pp.74-80
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    • 2012
  • Purpose: The purpose of this study is to evaluate the effects of Lavender inhalation on sleep, depression and stress of institutionalized elderly. Methods: The methods used in the study follows a non-equivalent pre- and post-test design. 39 institutionalized elderly were recruited using a convenient sampling method that assigned them to the experimental or the control group. The experimental group were then provided with essential Lavender oil, as part of the aroma inhalation intervention, to inhale before sleeping for 7 days. The collected data were analysed with SPSS 18.0 (windows program), using frequency percentage (%), a Chi-square test and an independent t-test. Results: The results were that the experimental group had significantly higher sleep status scores(t=5.195, p=.000), and lower depression scores (t=-5.479, p=.000), physical stress scores (t=-5.741, p=.000) and psychological stress scores (t=-4.233, p=.000) than those in the control group. Conclusion: This study suggests that aroma inhalation, as part of aroma therapy, be applied and comprehensively adopted as a method of nursing intervention for improvement of sleep, depression and stress for institutionalized elderly.

척추수술 후 수분섭취중재가 노인의 혈압변화에 미치는 효과 (Effect of Water Drinking on the Changes in Blood Pressure after Spinal Surgery in the Elderly)

  • 김형자;김미영
    • 임상간호연구
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    • 제20권1호
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    • pp.113-122
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    • 2014
  • Purpose: The purpose of this study was to examine the effects of drinking water on the change in blood pressure after spinal surgery. Methods: A quasi-experimental nonequivalent control group, pretest and posttest design was employed. Subjects were consisted of 40 elderly patients who underwent spine surgery (20 in the experimental group, 20 in the control group). Data were collected from May 9th to September 30th, 2013. The experimental design involved patients drinking 400 mL of water in 5 mins after surgery and the blood pressure was measured in a standing position following the first 30 minutes after surgery. Control group received the same treatment and care as experimental group, except for the water intake. Data were analyzed using SPSS WIN 19.0 for $x^2-test$, t-test and independent t-test. Results: Experimental group with water intake demonstrated a significant higher level of systolic blood pressure compared to the control group (t=9.065, p=.005), but showed a non-significant level of diastolic blood pressure. Conclusion: This study indicates that water intake can be utilized as a useful nursing intervention to monitor changes in systolic blood pressure in elderly patients after spinal surgery.

간호사의 적응유연성훈련 프로그램 개발 및 효과 (Development and Effects of a Resilience Training Program for Nurses)

  • 최미선;김미영
    • 간호행정학회지
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    • 제22권4호
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    • pp.373-383
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    • 2016
  • Purpose: This study was conducted to develop a resilience training program for nurses and test its effects. Methods: A non-equivalent experimental group and a control group pretest-posttest study design was used with 56 participating nurses (28 nurses in the experimental group and 28 nurses in the control group). The resilience training program was provided to participants for 4 weeks from August 12 to September 4, 2013. Each session was scheduled for two hours per week. Participants completed the tools for resilience, positive affect, and perceived stress assessment. Data were analyzed using ${\chi}^2$ test, Independent t-test, and 2*2 repeated measures multivariate analyses of variance (MANOVAs) with the SPSS/WIN 21.0 program. Results: Application of the resilience training program significantly helped nurses enhance their resilience and positive affect to workplace adversity, and reduce their perceived stress. There were significant positive differences for these variables in the experimental group compared to the control group. Conclusion: The findings indicate that the resilience training program for nurses is effective and can be used as an intervention for a stress management guide for nurses.

발반사마사지가 골관절염을 가진 중년여성의 통증과 우울에 미치는 효과 (The Effects of Foot Reflexology on Pain and Depression of Middle-aged Women with Osteoarthritis)

  • 오현숙;안성아
    • 재활간호학회지
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    • 제9권1호
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    • pp.25-33
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    • 2006
  • Purpose: This study was to examine the effects of foot reflexology on pain and depression of middle-aged women with Osteoarthritis Method: The subjects were 41 osteoarthritis patients resided in the Jinju city from March to May, 2005. The foot reflexology was applied to the experimental group 3 times a week for 4 weeks, 30 minutes eachs. For the data analysis, $X^2$-test was conducted to verify the homogeneity of general characteristics, and t-test was done to verify the homogeneity of pain and depression. To examine the relative efficacy of the intervention, t-test, paired t-test and repeated measures ANOVA were conducted. Results: After foot reflexology, the subjects in experimental group showed significant improvement in pain (F=155.77, p=.000) and depression ((F=20.00, p=.000). Conclusion: The results suggest that the foot reflexology is effective in relieving of pain and depression. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention.

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중환자실의 욕창 예방 중재 프로그램의 효과 : 메타 분석 (Effectiveness of the Intervention Programs for Pressure Ulcer Prevention in Intensive Care Units : A Meta-analysis)

  • 강현욱;고지운
    • 중환자간호학회지
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    • 제11권1호
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    • pp.67-78
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    • 2018
  • Purpose : A meta-analysis was conducted to identify the effectiveness of strategies designed to prevent the incidence and prevalence of pressure ulcers in intensive care units (ICUs). Method : The search strategy was designed to retrieve studies both published and unpublished between 2007 and 2017 including studies in English across PubMed and CINAHL, as well as in Korean across RISS, DBPia, NDSL, KISS, and NAL. All adult ICU participants were 18 years or over. Inclusion criteria were randomized controlled trials, quasi-experimental and comparative studies. Two independent reviewers conducted quality assessments of the included studies by Scottish Intercollegiate Guidelines Network. A Review Manager 5 was used to analyze effect sizes and to identify possible sources of heterogeneity among the studies. Results : The odds ratio (OR) effect sizes were all statistically significant. The OR of total effect size was 0.30(95% CI: 0.19, 0.47), care bundle was 0.37(95% CI: 0.24, 0.57), position change was 0.45(95% CI: 0.10, 2.08), and a silicone border foam dressing was 0.14 (95% CI: 0.07, 0.29). Conclusion : The preventive interventions for patients in the ICUs have positive impacts on reducing the incidence of pressure ulcers.