Purpose: To provide the basic data for nursing intervention to improve the psychosocial adaptation of unemployed homeless by examining the degree of self-esteem, depression. and hope, and the relation of these variables. Method: The subjects were a volunteer sample of 218 unemployed homeless residing at 2 shelters in Seoul and Suwon, Korea. The instruments for this study were Rosenberg's self-esteem scale, Beck's depression inventory, and Miller and Powers's hope scale. Using the SPSS program, the data were analysed by frequency, percentage, t-test, ANOVA, Duncan test and Pearson Correlation Coefficient. Result: 1) The degree of self-esteem is, on average, 23.72 points, depression is 24.41 points, and hope is 124.72 points. 2) The degree of self-esteem in the general characteristics of the subjects showed a significant difference by age, marital status, and contact with family. 3) The degree of depression in the general characteristics of the subjects showed a significant difference by age, marital status, and contact with family. 4) The degree of hope in the general characteristics of the subjects showed a significant difference by contact with family. 5) There was a significant positive correlation between the variables of self-esteem and hope, while there was a significant negative correlation between the variables of self-esteem and depression, and hope and depression. Conclusion: 1) The study identifies psychological characteristics of the homeless. 2) It is required not only to develop nursing intervention programs to improve the degree of self-esteem and hope, and alleviate depression but also to testify the effect of the program. 3) It is needed to develop nursing intervention programs to prevent chronic homelessness.
Purpose: This study was to examine the effects of a depression intervention and suicide prevention program in adolescents with high risk of suicide. Methods: This research was designed as a nonequivalent control group pretest-posttest study. The participants were adolescents with high risk of suicide in mental health screening examination. A total of 40 adolescents (experimental group=21, control group=19) were sampled from C-gun, Chungbuk Province. The experimental group participated in the depression intervention and suicide prevention program for eight sessions while the control group did not participate in the program. Data were collected with a self-reporting structured questionnaire from November to December, 2008. SPSS/Win 12.0 was used for data analyses including chi-square test, t-test, and paired t-test. Results: After this program, there was no statistically significant difference in depression (t=1.498, p=.142) between the two groups, but depression decreased in the experimental group. There was a statistically significant difference in suicide ideation (t=2.058, p=.047). Conclusion: To decrease depression and suicide ideation in adolescents with high risk of suicide, it is necessary to offer this program in a more intensive course and for a longer period. Also, family consultation programs and individual case treatment and consultation programs should be offered.
Objective: The purpose of this study was to examine the effect of personalized complex aerobic training programs using wearable device on cardiovascular and respiratory functions in community based female elderly. Design: One group pre-post intervention study. Methods: Twenty-one older female participants lived in 'D' city were included. The personalized complex aerobic training program using wearable devices was applied to all participants for 4 weeks, 3 times a week, 30 minutes for per session. The participants' blood pressure, heart rate, oxygen saturation, respiration rate, submaximal exercise stress test, pulmonary function test and respiratory muscle strength test were evaluated before and after the complex training program. Results: After intervention, resting diastolic blood pressure, resting systolic blood pressure and the systolic blood pressure after submaximal exercise stress test were significantly decreased over time (p<0.05), and the submaximal exercise stress test duration were significantly increased over time (p<0.05). The maximal inspiratory pressure (MIP) was significantly increased compare to before the intervention (p<0.05). Conclusions: This study showed that personalized complex training program using wearable device can provide personalized exercise intensity according to cardiopulmonary function that give feedback, and these interventions have a significant effect on improving the cardiovascular and respiratory system functions of the female elderly in the community dwelling.
Journal of The Korean Society of Integrative Medicine
/
v.12
no.3
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pp.49-59
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2024
Purpose : Chronic ankle instability (CAI) can impair strength and balance, leading to activity limitations and restricted participation. Traditionally, ankle stabilization exercises have been applied, and more recently, the effects of hip muscle exercises have been studied. The purpose of this study was to determine the immediate effects of hip exercises (HE) and ankle stabilization exercises (ASE) on dynamic balance, performance and ankle function in subjects with CAI. We also compared the difference in effectiveness between HE and ASE. Methods : A total of 34 subjects with CAI participated, ane were randomly divided into two groups: the HE group and the ASE group. The HE group performed a program consisting of exercises above 70 % MVIC, while the ASE group performed a traditional ankle stabilization exercise program. The subjects in each group completed their respective exercise program for a total of 30 minutes once a day and were assessed before and after the intervention. Dynamic balance was assessed using the Y-balance test (YBT). Performance was assessed using the hop for distance test (HDT), and side-hop test (SHT). Ankle function was assessed using foot and ankle ability measure (FAAM) questionnaires. Results : YBT, HDT, and FAAM values increased significantly in both groups after the intervention (p<.05), and there was no significant difference between the groups. SHT values decreased significantly in both groups after the intervention (p<.05), and there was no significant difference between the groups. Conclusion : Although no significant superiority was observed between HE and ASE in this study, both exercise programs were effective in improving dynamic balance, performance, and ankle function in subjects with CAI. These findings suggest that both HE and ASE can be suitable interventions for CAI, highlighting the need for individualized treatment plans. Future research is warranted to explore the long-term effects of exercise programs on CAI subjects of different ages and occupational characteristics.
Purpose: The aim of this study was to ascertain the effects of the lower extremity muscle strengthening exercise on balance and ambulation of children with cerebral palsy. Methods: 10 subjects who participated in this research undertook the 12-week the lower extremity muscle strengthening exercise program, which consisted of a series of mat exercises and sling exercises. The statistical significances were examined by using Wilcoxon signed-rank test, a non-parametric test, for evaluating the improvement of balance and ambulation of the subjects. In order to evaluate the correlation among the variables, Pearson's correlation coefficients were also calculated. In all statistical analyses the significance level was selected as ${\alpha}$=0.05. Results: Berg balance scale(BBS) was significantly increased after the intervention(p<.05). Percentage weight bearing(PWB) was decreased after the intervention, but there was no significant difference. Time up and go test(TUG) value was significantly decreased(p<.05). Gait velocities was increased after the intervention, but there was no significance. Stride length, step lengths of the affected side and the sound side were significantly increased after the intervention(p<.05). In the correlation analyses of the measures before the intervention, TUG had significant negative correlation to BBS and gait velocity(p<.05). Stride length, step lengths of the sound side and the affected side had significant positive correlation between themselves(p<.01). In the correlation analyses of the measures after the intervention, TUG had significant negative correlation to BBS and gait velocity(p<.05). BBS revealed significant positive correlations to stride length, step lengths of the sound side and the affected side(p<.05). Stride length, step lengths of the sound side and the affected side had significant positive correlation between themselves(p<.01). Conclusion: Based upon the outcomes as above, it is likely that the muscle strength exercises have substantial effects on balance and ambulation of children with cerebral palsy. Thus various lower extremity muscle strengthening exercise programs are required to be studied and developed in order to contribute to functional improvements of children with cerebral palsy.
Purpose: The purpose of this study was to investigate the effects of a profanity intervention application on interpersonal relationship ability, aggression, and empathic ability among female middle school students. Method: The subjects of the present study were freshmen students at a girls' middle school in Gyeonggi-do. The profanity intervention application was implemented from November 20th to 27th, 2017. The pre- and post-tests were conducted one week before and two weeks after the intervention, respectively. The study was designed as a randomized controlled study and the collected data were analyzed using SPSS/WIN 23.0 (Chicago, IL). A homogeneity test between the two groups was performed using $x^2$ test, Fisher's exact test, independent t-test, and ANCOVA. Results: The two groups were found to be homogeneous in the pre-test. After the implementation of the profanity intervention application, aggression significantly decreased (F=20.17, p<.001) and interpersonal reactivity (F=5.92, p=.023) and empathy (F=11.10, p=.003) significantly increased in the experimental group compared to the control group. Among the factors related with aggression, verbal aggression, anger, and hostility significantly decreased in the experimental group. Meanwhile, among the factors of interpersonal reactivity, empathic concern and perspective-taking significantly increased and, among the factors of empathy, cognitive empathy significantly increased in the experimental group compared to the control group. Conclusion: Based on the findings of the present study, various intervention programs that can consistently improve the moral and ethical sensitivity of students should be presented starting from elementary school to prevent verbal violence in adolescents.
The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.
Background: The musculoskeletal disorders with asymmetrical gait on the whole body are the most common. This study was designed to analyze that General Coordinative Manipulation Intervention Models would affect the balanced restoration of asymmetrical gait. Methods: 68 healthy volunteers(1st hypothesis: 46, 2nd hypothesis 22) participated in the two GCM intervention models, which have performed 2 times a week for 3 weeks. Digital Camera was used to measure the gait, and measurements were performed before and after the application of the each intervention model. Repeated measured ANOVA was used to determine a statistical significance. Results: The outcome of examining hypothesis is as follows: 1. The 1st hypothesis : GCM Intervention based on the coordinating the flexion type of upper body and the extension type of lower body will improve in the balanced restoration of asymmetrical gait because it offers a clear direction for treatment(p<.05). 2. The 2nd hypothesis: GCM Intervention based on the coordinating the flexion type of lower body and the extension type of upper body will improve in the balanced restoration of asymmetrical gait because it offers a clear direction for treatment(p<.05). Conclusion: GCM intervention programs on the two hypothesis groups have effects on the balanced restoration of asymmetrical gait(p<.05).
Choi, Eun Young;Lee, Eun Hee;Hyun, Hye Jin;Byeon, Mi Kyeong
Women's Health Nursing
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v.21
no.4
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pp.284-296
/
2015
Purpose: The aim of this study was to provide basic data on the intervention for depression program development and application by analyzing the depression intervention studies for women that were published in Korea Journal (2000~2014). Methods: The research method used was the integrative review. Nine studies were reviewed from the Nursing Articles and National Assembly Library of which 41 studies were from 126 research papers that met the inclusion criteria and analyzed using MINORS (Methodological Index for Non-Randomized Studies) and according to general characteristics. Results: There were non-equivalent control group pre-post test design (78%) in research design. 44% of articles in sample size were 14~26 participants and measuring tools were used CES-D (29%), BDI (I & II, 22%), GDSSF-K (22%). In quality of research according to MINORS, most of the papers got 2 scores except for the items of sample size calculation standard. Even though the similar intervention program were reported, the results could not compare because of diverse contents, duration, methods, and measuring tool with intervention program. As the results, aroma, massage, and counseling programs seemed to have significant effects of depression alleviation. Conclusion: The standard tailored program and measuring tool for depression alleviation of women was needed to develop.
Kim, Hye-Kyeong;Kim, Myung;Lee, Eun-Hee;Kwon, Eun-Joo;Cho, Han-Ik
Korean Journal of Health Education and Promotion
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v.28
no.5
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pp.145-160
/
2011
Objectives: This study attempted to apply the Intervention mapping and Transtheoretical models to develop a program to promote moderate alcohol drinking in university students. Methods: Surveyed data from 1,137 university students were analyzed to identify personal and environmental determinants for alcohol drinking. Based on these determinants, program objectives were established. Crossing the objectives with related important determinants resulted in matrices of learning objectives for which educational strategies were developed. Subsequently, an intervention program were designed to achieve those objectives. Results: Identified personal determinants included awareness, attitudes, self-efficacy and behavioral skills. Environmental determinants were binge drinking behaviors of family members and peers, and social pressure for drinking. Program, impact and learning objectives were developed to change the identified determinants. Program activities included provision of information on positive and negative consequences of binge drinking, opportunities for assessing one's drinking pattern, increasing outcome expectancies of and skill building for monitoring drinking, resisting peer pressure and managing stress. To facilitate adoption and maintenance of the program, an intervention diffusion plan was suggested. An evaluation plan was developed by utilizing RE-AIM framework. Conclusions: In order to expand evidence bases for effective theory-based programs, the developed program should be tested in diverse university settings.
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