Journal of Korean Academy of Fundamentals of Nursing
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v.12
no.3
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pp.307-316
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2005
Purpose: The purpose of this study was to identify 24 hours blood pressure variations among adults over 40 years of age. Method: The participants(50 adults) were recruited from P hospital and B company. The participants were divided into normotensive and hypertensive tendency groups and then sub-divided into non-dipper, dipper, and extreme dipper. The data were collected from April, 2003 to September, 2004 and analyzed using SPSS for Window program. Results: 1) There were significant differences in cardiovascular risk factor, systolic and diastolic blood pressures, and LDH, diet between the normotensive and hypertensive tendency groups. 2) Dippers in both groups showed a marked decrease in blood pressure during the night, but non-dippers in both groups didn't show a marked nocturnal decrease in blood pressure. 3) There were significant differences in heart rate, WHR, BMI, LDH, triglyceride, glucose, affective-oriented coping strategies between dippers and non-dippers. 4) There were significant differences in heart rate, WHR, BMI, LDH, triglyceride, affective-oriented coping strategies between dipper and non-dipper within hypertensive tendency group. Conclusion: Further studies are needed to provide effective intervention in hypertension when applying 24 hour blood pressure monitoring.
The Journal of Korean Academic Society of Nursing Education
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v.28
no.1
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pp.15-26
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2022
Purpose: The purposes of this study was to describe the lived experience structures of married immigrant women with chronic diseases in reorganizing their lives in a variety of situations and contexts. Methods: This study applied grounded theory approach, and the participants were 15 married immigrant women with chronic disease. Data were collected through individual in-depth interviews and then analyzed by the method in Strauss and Corbin (1998). Results: The extracted data were organized 41 concepts, 21 subcategories, and 8 categories. The central phenomenon was determined to be "Life turned into a chronic disease." The causal conditions were "Undergoing physical and mental stress from marriage", "Lack of information on chronic diseases." The extracted contexts was "The demand for health resources." action and interaction strategies, "Finding problems and solutions." The intervention conditions influencing the strategies was "Establishing a support system." The result of such action was "To settle down in a way of life that suits your conditions." Conclusion: By providing a comprehensive and integrative understanding of how married immigrant women with chronic disease reorganize their lives, the study is expected to contribute to the development of social systems and national policies.
Cerebral palsy (CP) is a prevalent neurodevelopmental disorder characterized by motor and postural impairments caused by central nervous system dysfunction. It significantly impacts children's daily functioning and quality of life. Physical therapy is a crucial intervention for children with CP that aims to improve motor skills and functional abilities. This study aimed to provide a comprehensive overview of holistic physical therapy approaches methods specifically designed for children with CP and examine recent research trends and their implications for optimizing outcomes in this population. This study employed a narrative review approach, conducting a comprehensive examination of the current literature pertaining to physical therapy methods for children with CP. The review encompassed studies exploring assessment techniques, evidence-based interventions, and innovative approaches in the field. It was discerned that encompassing physical therapy strategies, which encompass individualized treatment plans, evidence-based interventions, and the integration of innovative techniques, yield a favorable influence on the motor skills and functional capacities of children with CP. This review synthesizes the current knowledge on effective physical therapeutic strategies for children with CP. Furthermore, this review highlights the need for continued research and innovation in the field of pediatric physical therapy for CP.
Background: Dental hygienists, who play a vital role in promoting oral health, experience burnout due to various factors. This study aimed to identify these factors through a scoping review of the literature on burnout among dental hygienists in Korea to develop prevention and intervention strategies for burnout. Methods: The literature review was conducted following a scoping review protocol, which included five stages: identifying the literature question, identifying relevant studies, study selection, charting the data, summarizing, and reporting the results. Of the 352 documents initially reviewed, 35 were ultimately selected as final studies. These documents were analyzed to identify general characteristics and key variables related to burnout and to review the recommendations made by the studies. Results: Analysis of the final documents revealed that most studies published between 2013 and 2018 involved sample sizes ranging from 201 to 300 participants. Burnout-related characteristics include age, salary, work experience, and marital status. Emotional labor was the key variable most frequently identified, followed by intention to leave, job stress, job satisfaction, job involvement, and self-efficacy. Conclusion: This study suggests that strategies for preventing and intervening in burnout should be developed through both personal efforts and institutional measures. This approach will improve the work environment for dental hygienists and, consequently, enhance the quality of dental healthcare services.
Background: As the tremendous impact of extreme workloads, arduous working conditions, and disorganization disrupt humane job definitions in some industries, the need for workplace re-articulation was interfered to ameliorate psycho-social factors and suggest organizational intervention strategies. Especially for colossally wounded health-care (HC) systems, today it is now even more unrealizable to retain workforce resilience considering the immense impact of overwhelming working conditions. Methods: This study introduces employment of concurrent engineering tools to re-design humane workplaces annihilating abatement over devoured resources. The study handles HC-workforce resilience in a pioneering motive to introduce transformation of well-known motivators and proposes solutions for retention and resilience issues grounding on HC workers' own voice. Results: The proposed adjustable approach introduces integral use of focus group studies, SWARA, and QFD methods, and was practiced on a real-world case regarding Turkish HC workforce. The paper also presents widespread effects of findings by tendering generalized psycho-social rehabilitation strategies. Results confirmed the modifications of the most potent incessant motivators. Conclusion: "Burn out issues" and "Challenging work" were found as the most important motivator and satisfier, respectively, to be exigently fulfilled. Corrective interventions, required resolutions, and workplace articulation connotations were arbitrated in terms of entire outcomes on four dimensions in three different planning periods considering the current status, repercussions of pandemic, and contingency of similar catastrophes. Descriptive illustrations were additionally presented to support deducted interpretations.
Journal of the Korea Academia-Industrial cooperation Society
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v.10
no.5
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pp.1126-1132
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2009
We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.3
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pp.147-155
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2020
The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.
For determining the prevalence of major enteric pathogens, clinical examination and etiological diagnosis were carried out on 75 Korean pig farms. Enteric disease-suspected signs were observed in 90.7% of the farms and the incidence and severity were higher in younger age groups of the pigs. Five of seven pathogens were detected in 375 fecal samples collected from the 75 farms, and the farm-level prevalence of porcine rotavirus group A (PoRVA), pathogenic Escherichia (E.) coli, Lawsonia (L.) intracelluraris, Salmonella spp., and Brachyspira (B.) hyodysenteriae was 54.7%, 54.7%, 16.0%, 10.7% and 2.7%, respectively. PoRVA was extensively infected in suckling and weaning pig groups. The prevalence of pathogenic E. coli was highest in suckling period, and after the period, it exhibited a tendency to decrease. Salmonella spp. and L. intracelluraris were detected in all feeding groups of pigs in a ratio of 1.3~6.7%. B. hyodysenteriae was detected in 1.3~2.7% of growing and fattening pig groups but not detected in suckling and weaning pig groups. At least one or more pathogens were detected in 30.1% of 375 fecal samples. Among these, 25.0% or 5.1% of cases were single or mixed infection. Enteric disease signs of the pigs were significantly co-related with the detection of PoRVA, pathogenic E. coli or Salmonella spp. (P<0.01) but not with L. intracelluraris or B. hyodysenteriae (P>0.05). Conclusively, it will be expected that these data obtained in this study are very useful for subsequent studies and prevention strategies for swine enteric disease in Korean pig farms.
Objective : The purpose of this study was to establish a school-based mental health intervention. The success of which was indexed by its effects on the social anxiety symptoms of the enrolled adolescents. Methods : This program for promoting mental health among adolescents in the community was adopted by three middle schools that volunteered to participate in the project. The program included screening for emotional problems related to social anxiety, depression, suicide, and post-traumatic stress disorder. Case management was provided for groups considered high-risk for depression, suicide, or post-traumatic stress disorder; cognitive-behavior therapy was provided for those at high-risk of developing social anxiety. Additionally, educational programs for the prevention of suicide, a "loving life" module, and mental health promotional campaigns were also included. In total, 1,100 middle school students completed self-report questionnaires. Twenty-five students in the high-risk group for social anxiety participated in a cognitive-behavior therapy program, comprising eight sessions, and conducted by two clinical psychologists. Results : Following the suicide prevention education program, suicide awareness among students increased and coping strategies were improved. In addition, the loving life program was associated with positive self-perceptions by many students. Furthermore, social anxiety symptoms showed a statistically significant difference after the cognitive-behavior therapy program. After the therapy, not only did social anxiety symptoms improve, depressive symptoms and suicidal ideation decreased significantly, while self-esteem and psychological resilience significantly increased. Conclusion : A school-based mental health intervention was successfully implemented in three middle schools and improved the mental health of the participating students. Therefore, this intervention could be widely implemented to promote positive mental health among middle school students.
Journal of the Korean Society for Library and Information Science
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v.56
no.4
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pp.239-267
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2022
In this study, the adolescents' perception of the Information Search Process(ISP); their anxiety and the need for intervention during the process were investigated based on Kuhlthau's ISP model, and the relationship among the factors was analyzed with structural equations. In addition, the effectiveness of scaffolding strategy to the experimental group during the class was verified. The main findings are as follows. First, as a result of exploring the anxiety felt by learners and the need for intervention in the information search process, it was found that the presentation stage had a significant effect on the anxiety, and the collection, presentation, and assessment stages had significant effects on the need for intervention. Second, as a result of controlling each variable to investigate the anxiety felt by learners and necessity of intervention in the information search process, it was confirmed that among the demographic variables, the difference between the first graders and the second ones was significant; and the difference in the metropolitan area was more significant than that in the Gangwon province. Third, as a result of paired t-test and covariance analysis on the control group and the experimental group, it was confirmed that the anxiety and need for intervention of the experimental group were statistically significantly reduced. The significance of this study lies in the point that it presents a practical basis for applying scaffolding strategies appropriate to information search process in the field of education.
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