• Journal of Korean Biological Nursing Science
• /
• v.18 no.1
• /
• pp.17-26
• /
• 2016

Purpose: Adherence to immunosuppressants is the key to prevent organ rejection in organ transplant recipients. The purpose of this study was to investigate current interventions to improve adherence to immunosuppressants in liver transplant recipients. Methods: A systemic literature search was done using PubMed, Embase, Cochrane Library, CINAHL and four Korean databases to identify experimental studies reported in English or Korean up to and including 2015. We identified eight intervention studies on the adherence to immunosuppressants in liver transplant recipients independently reviewed by two reviewers. The quality and risk of bias of the selected studies were assessed. Results: Education, conversion of regimen, and text messaging were identified as intervention techniques to improve adherence. We found positive results in three out of four studies implementing educational strategies, but the results were not sufficient to draw a definite conclusion. Conversion from a twice-daily tacrolimus-based regimen to a once-daily tacrolimus extended-release formula was used in three adult-only studies and its effectiveness was confirmed. One study showed that improved adherence and outcomes were effected by using text messaging with pediatric patients. Conclusion: Future research is needed to facilitate interventions to improve adherence to immunosuppressants in various ages of patients including pediatric/adolescent liver transplant recipients.

• Journal of Korean Public Health Nursing
• /
• v.30 no.2
• /
• pp.326-336
• /
• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• The Journal of the Korea Contents Association
• /
• v.11 no.12
• /
• pp.822-831
• /
• 2011

This study was to examine factors related to depression of female labor workers. In order to identify health promotion strategies and intervention program to reduce depression of female labor workers. The participants were 176 female workers of manufacturing industries. Data were collected using a structured questionnaire that consisted of personal characteristics, duty related, work related characteristics and depression. Using a SPSS/WIN 17.0 Program, descriptive statistics, $x^2$-test, ANOVA and Stepwise Multiple Regression procedures were employed. As follows on the results; In Correlation analysis, work intensity, work concentration, vibration, work difficulty and job stress were positively correlated with depression. In multiple Regression, work intensity and work difficulty were significantly explained by depression. Given the findings, Do nevertheless support the need to develop effective depression intervention programs to reduce factors which work related condition and depression.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.7
• /
• pp.200-207
• /
• 2017

The components that influence recovery were investigated to understand the recovery lived experience of stroke inpatients. Using the phenomenological research methodology reported by Giorgi, 3 conversation sessions were performed on 12 stroke inpatients. The conversations were recorded through agreement, in which the data were analyzed according to the scientific phenomenological methods. Sixteen summarized meaning units were integrated to deduct 10 main meanings and 6 themes. The themes of the restoration experience included the burden of help, performance of independent roles, self-overcoming, return to society, psychological support, and enhanced motivation for recovery. This can be used as data to predict the difficulty that stroke patients experience during hospitalization and propose a direction of intervention for restoration. Rehabilitation experts must provide intervention for the restoration of stroke patients based on the formation of a therapeutic relationship to strengthen the psychological support and motivation, and make strategies for self-overcoming and a proper cooperation relationship with their family.

• Journal of the Korean Dietetic Association
• /
• v.20 no.4
• /
• pp.285-295
• /
• 2014

The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included 106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was $59.0{\pm}11.6$ years old and 59 patients were male (59.7%). The majority of diagnosis was cancer (94.3%). We evaluated patients' nutritional status by scored patient-generated subjective global assessment (PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedance analysis), hand grip strength, biochemical and dietary assessment. The patients' daily intakes of energy and protein ($1,019.5{\pm}706.4kcal$, $40.4{\pm}27.7g$) during hospitalization were significantly lower than their usual intakes ($1,382.0{\pm}499.8kcal$, $54.4{\pm}25.1g$, P<0.001). Serum levels of albumin, cholesterol, and total lymphocytes were significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake were anorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could be used to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.

• Korean Journal of Adult Nursing
• /
• v.14 no.3
• /
• pp.327-336
• /
• 2002

Purpose: This study is designed to develop a health promotion program for improvement of health status by means of a change of life-style and health behavior in the elderly. The purpose of this study is to provide a basis for nursing intervention strategies to promote health behaviors. Method: The health promotion program consisted of health education, group discussion, emotional support, health and telephone counsel. As a quasi-experimental design, the none-quivalent control group pretest-posttest design was utilized for this study. The subjects of this study consisted of 50 people, over 60 years of age attending 2 senior colleges in S city. They were divided into two groups: 24 in the experimental group and 26 in the control group. Data was collected from July 2, 2001 to August 21, 2001. For the analysis, SPSS PC 10.0 Window version was adopted and descriptive analysis, ${\chi}^2-test$, t-test, paired t-test, MANOVA were used for data analysis. Result: The health behavior and life satisfaction of the elderly improved significantly (F=18.305, p=.000 ; F=17.478, p=.000). But there is no significant difference in the perceived health status(F=3.807, p=.057). Conclusion: The health promotion program is confirmed as proper to promote the health in the elderly. In addition, assessment and support will be simultaneously done to manage the health of the elderly. Finally this study supports intervention for the elderly and provides a basis for further investigations.

• Korean Journal of Adult Nursing
• /
• v.24 no.2
• /
• pp.171-182
• /
• 2012

Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.

• Korean Journal of Adult Nursing
• /
• v.12 no.4
• /
• pp.560-572
• /
• 2000

This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

• Korean Journal of Adult Nursing
• /
• v.19 no.5
• /
• pp.138-149
• /
• 2007

Purpose: This study was to identify the level of quality of life in patients with woman cancer across treatment phases. Methods: The research method was a cross-sectional descriptive study. Data was collected by questionnaires from 226 female, who were in- and out-patients. They were diagnosed with breast and uterine cancer from three university hospitals and two general hospitals. The instruments used for this study included, "the Quality Of Life Scale(QOL)". The collected data were analyzed using Frequency, Percentage, ANOVA, Two-Way ANOVA. Results: Quality of life of women cancer patients was significantly different according to three treatment phases. Quality of life of women cancer patients was not significantly different according to areas of disease in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of fatigue in the three treatment phases. Quality of life of women cancer patients was significantly different according to level of perceived health status in the three treatment phases(F=60.14, p=0.000). Quality of life of women cancer patients was significantly different according to education level(F=3.70, p=0.027) & occupation(F=5.67, p=0.018) in three treatment phases. Conclusion: Strategies for intervention are needed to improve the quality of life in women cancer patients across the treatment phases. The significant several characteristics of affecting on quality of life across treatment phases should be considered in sociopsychological nursing intervention.

• Journal of Korean Academy of Nursing
• /
• v.41 no.1
• /
• pp.80-91
• /
• 2011

Purpose: This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework. Methods: A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0. Results: For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group. Conclusion: The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.