• Title/Summary/Keyword: Intervention Strategies

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The Conflicts in Nurses Caring DNR (do-not-resuscitate) Patients (심폐소생술 금지(DNR) 환자를 돌보는 간호사의 갈등)

  • Kim, Hyeon-Ah;Kim, Kwuy-Bun
    • Journal of East-West Nursing Research
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    • v.17 no.2
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    • pp.139-148
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    • 2011
  • Purpose: The purpose of the study was to explore the meaning of conflicts in nurses caring DNR (do-not-resuscitate) patients. Methods: The participants were 7 nurses caring DNR patients. Data were gathered using in-depth interviews. The interviews were recorded and transcribed verbatim. Colaizzi method was used to analyze the data. Results: The significant results can be categorized into 7 concept descriptions and 5 theme clusters by analyzing the interviews. The major theme clusters for the experiences of nurses were 'Pity about exceptional nursing actions', 'Pity about the unilateral decision making', 'Pity about halfhearted family love', 'Pity about unprepared circumstance for deathbed', and 'Pity about the absent guideline for DNR'. Conclusion: The finding of this study will help nurses resolve conflicts in caring DNR patients and provide a scientific basis for developing nursing intervention strategies for DNR patients.

A Study of Children's Anger-Expression Styles: A Q-Methodological Approach (초등학교 저학년 아동의 분노표현방식 유형에 관한 연구: Q 방법론 적용)

  • Jang, Hye-Ju;Lim, Ji-Young
    • Journal of the Korean Home Economics Association
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    • v.49 no.4
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    • pp.11-23
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    • 2011
  • The purpose of this study was to identify children's different styles of anger-expression and the characteristics of each anger-expression style. The Q-methodology with a 32 Q-sample was used to investigate and analyze the subjective expression of childrens's anger experiences. The subjects were 22 children living in D city, and the data were collected by means of interviews. The analysis revealed six styles of anger-expression, a solution which accounted for 65.13% of the total variance. The six styles were labeled "Patience type", "Avoidance-conversion type", "Reaction-seek type", "Control type", "Repression type", and "Conversion-consideration type". It was recommended that intervention strategies for children's appropriate anger-expression mode should be based on these six anger-expression styles.

Overview of RCT for Non-Alcoholic Fatty Liver Disease and Non-Alcoholic Steatohepatitis

  • Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.32 no.3
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    • pp.44-49
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    • 2011
  • Objective: This study aimed to get information on the current status of therapies to date for non-alcoholic fatty liver disease (NAFLD), including non-alcoholic steatohepatitis (NASH). Methods: All randomized clinical controlled trial (RCT)-derived papers for NAFLD or NASH were reviewed via PubMed Database. Results: 39 RCTs met the review criteria, of which 15 and 24 papers were for NAFLD and NASH, respectively. 83% of the papers were released since 2006, and 30 studies were conducted for western medicines, antioxidants and lifestyle intervention whereas nine trials were done using herbal medicine or acupuncture which showed positive outcome. Conclusions: NAFLD and NASH are new epidemic disorders which can be a target of traditional Oriental medicine. This study will be helpful for the Oriental medicine-based strategies or therapeutic development for them.

Environmental Risk Factors for Attention Deficit Hyperactivity Disorder and Implications for Clinical Practice (주의력결핍 과잉행동장애의 환경요인과 임상적 의미)

  • Kim, Jae-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.1
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    • pp.10-15
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    • 2011
  • In this review, we have provided an overview of the environmental risk factors for attention deficit hyperactivity disorder (ADHD), focusing on the major environmental toxicants related to the disorder. Researchers have indicated that since the characteristics of ADHD are complex, the disorder’s etiology involves multiple genes of moderate effect interacting with environmental factors. The possible roles of prenatal and perinatal exposure have been the main focus of research on environmental risk factors for ADHD. Among environmental toxicants, we reviewed the potential effects on the development of ADHD of exposure to lead, nicotine, alcohol, polychlorinated biphenyls (PCBs), and dioxin. Further, for the each neurotoxicant, clinical prevention or intervention strategies aimed at reducing a child’s risk from environmental toxic insults have been presented.

Recent Advances in Surgical Treatments for Growing Patients with Cleft (성장기 구순구개열 환자의 수술치료의 최신지견)

  • Park, Young-Wook
    • The Journal of the Korean dental association
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    • v.55 no.12
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    • pp.862-869
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    • 2017
  • Cleft lip and palate is the most common teratologic condition of oromaxillofacial units, probably associated with genetic and environmental causes. The goal of cleft surgery is to optimize facial esthetics and stomatognathic function while minimizing growth disturbances from surgical intervention. In this article, the author suggests the recent surgical strategies that minimize cleft nasal deformity and midfacial skeletal constriction. From the author's surgical experiences and literature reviews, only considerate surgeries would achieve functional improvement and facial esthetics in patients with cleft lip and palate.

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A Study on the Stress and Adjustment to College Life among Nursing Students (간호대학생의 대학생활스트레스와 대학생활적응)

  • Yoo, Kyung Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.3
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    • pp.269-278
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    • 2018
  • Purpose: This study was conducted to investigate the correlation between stress and adjustment to college life among nursing students. Methods: The sample consisted of 183 university students in C & S cities. Self-report questionnaires were used to measure the variables. In data analysis, SPSSWIN 23.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: The mean scores of stress and adjustment to college life were 2.55 and 3.24. Stress was significantly different according to grade (F=7.30, p<.001), economic state (F=14.39, p<.001), perceived health state (F=6.66, p<.001). In regression analysis, stress for college life, perceived health state, and college life satisfaction were significant predictors of adjustment to college life explaining 68%. Conclusion: This study suggests that perceived health state was a significant factor on adjustment to college life among nursing students. Therefore, the strategies of nursing intervention which improve perceived health state must be developed for college students.

An Analysis of Nurses' Behavior for Politeness in Cancer Patient-Centered Conversation (암 환자 중심의 대화를 위한 간호사의 공손 언어행위 분석)

  • Lee, Hwa-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.5
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    • pp.743-755
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    • 2008
  • Purpose: The purpose of this study was to describe and to analyze real conversation about polite behavior of nurses in cancer units. Methods: This study was conducted using a Brown & Levinson(1987) theory to analyze the polite behavior of nurses in cancer units. Five nurses who participated in this research gave permission to be videotaped. The data was collected from January to February, 2006. Results: Polite behavior of nurses in cancer units consisted of greetings, emotional support, open questions and indirect direction. And impolite behavior of nurses in cancer units was using the medical terminology, repetition of direct speech acts and task-oriented conversation. Conclusion: This study suggests polite behavior strategies for effective nursing conversation with cancer patients. Therefore, the findings may provide basic raw materials for educational programmes and intervention studies.

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Communicating clinical research to reduce cancer risk through diet: Walnuts as a case example

  • Toner, Cheryl D.
    • Nutrition Research and Practice
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    • v.8 no.4
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    • pp.347-351
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    • 2014
  • Inflammation is one mechanism through which cancer is initiated and progresses, and is implicated in the etiology of other conditions that affect cancer risk and prognosis, such as type 2 diabetes, cardiovascular disease, and visceral obesity. Emerging human evidence, primarily epidemiological, suggests that walnuts impact risk of these chronic diseases via inflammation. The published literature documents associations between walnut consumption and reduced risk of cancer, and mortality from cancer, diabetes, and cardiovascular disease, particularly within the context of the Mediterranean Diet. While encouraging, follow-up in human intervention trials is needed to better elucidate any potential cancer prevention effect of walnuts, per se. In humans, the far-reaching positive effects of a plant-based diet that includes walnuts may be the most critical message for the public. Indeed, appropriate translation of nutrition research is essential for facilitating healthful consumer dietary behavior. This paper will explore the translation and application of human evidence regarding connections with cancer and biomarkers of inflammation to the development of dietary guidance for the public and individualized dietary advice. Strategies for encouraging dietary patterns that may reduce cancer risk will be explored.

Lifestyle Characteristics and Health Related Quality of Life in Korean Adult (성인의 생활양식과 건강관련 삶의 질에 대한 연구)

  • Kim, Aekyung;Kim, Jung A
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.772-782
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    • 2005
  • Objectives: The purpose of this study was to investigate the relationship between Korean lifestyle characteristics and health status and to identify the variables influencing health in Korea. Methods: A cross-sectional descriptive correlational design was used to explore the lifestyle characteristics and health status of 397 Korean adults. Correlational analysis calculated the correlation between lifestyle and health status. To examine the relationship among demographic characteristics, lifestyle, and health status we used the t-test and one-way ANOVA. Stepwise multiple regression was conducted to examine the significant predictors of general health among subjects. Results: Positive correlations were seen between general health (GH) and the overall score and subscales of the Lifestyle. The stepwise regression model showed that vitality (VA), body pain (BP), nutrition, and occupation were significant variables influencing general health (GH). Conclusions: These findings provide evidence regarding the lifestyle patterns and healthstatus among Koreans. When planning intervention strategies for this population, exercise and physical activity should be principal focus areas.

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Grounded Theory Approach on the Recovery Process of Myocardial Infarction Patients (심근경색 환자의 회복과정에 대한 근거이론 접근)

  • Shin, Su-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.219-230
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    • 2008
  • Purpose: The purpose of this study was to discover the recovery process of those having had myocardial infarction. Methods: 15 participants with myocardial infarction were recruited by theoretical sampling methods. The data were retrieved through in depth interview, participant observation, and medical records of the patients. Collected data were analyzed through grounded theory approach of Strauss and Corbin(1998). Results: 63 concepts, 27 subcategories, and 11 categories were deduced from the open coding process. The recovery process of myocardial infarction showed to be a process of 'Controling healthy track', and chronological recovery process was a four-step process of recognizing disruption of healthy track, making efforts for controlling the disrupted healthy track, reconstructing the new healthy track, and adapting to the new healthy track phase. 'Controling healthy track' had three types of self-initiation, contention of reality, and fateful acceptance. Conclusion: The results provided basic information for nursing intervention strategies depending on 'Controling healthy track' process by each phase and different types.

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