• Title/Summary/Keyword: Intervention Strategies

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Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure (심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과)

  • Shim, Jae Lan;Hwang, Seon Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.881-893
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    • 2016
  • Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. Methods: A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group. Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.

Dynamics of Family of Origin That Affect the Level of Support for the Elderly Parent Provided by the Family of Adult Children : Analysis and Intervention (가족(성인자녀)에 의한 노인부양의 종류와 정도에 영향을 미치는 이전(원) 가족관계 양상 분석 및 개입전략의 제시)

  • Um, Myung-Yong
    • Korean Journal of Social Welfare
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    • v.47
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    • pp.206-242
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    • 2001
  • A survey research was conducted for a sample of 306 adult children who have an elderly parent or both parents alive. The purpose of the research was to test a structural equation model which specified the effects of early family relationships on comtemporary relationships and assistance patterns between adult children and their parents. The data were analyzed using EQS for Windows 5.7, utilizing maximum likelihood method. The results showed that early family relationships affected filial concern first, which in turn affected the level of assistance provided by adult children for elderly parents. No direct effect has been found between early family relationships and the level of assistance by adult children for elderly parents. Filial concern was played as an intervening variable. Early family relationships gave no direct effects to adult children's intention to assist their parents. Here again, filial concern was played as an intervening factor. Adult children's intention to assist their parents had not been led directly to provision of actual support to parents by their adult children. Thus, it was identified that intention to support is one thing, and the actual support is another. Controlling for the effects of filial concern, overall, early family relationship patterns gave no differential effects to the different aspects of support provided to parents by their adult children. On the basis of these results, this paper provided both discussions and suggestions for some strategies of intervention in the present family relationships in order for the inter-generational exchange of supports to happen in the future.

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Prediction Structure Model of Mental Health of University Students (대학생의 정신건강 예측구조모형)

  • Jeon, Mi-Kyung;Oh, Kyong-Ok
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.251-262
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    • 2017
  • This study distinguishes between factors that affect mental health of college students, establishes an effective approach to integrating model building, mental health promotion, and development of nursing intervention based on the Bronfenbrenner's ecological system theory. The study method investigate the causal relationship between the factors. The SPSS 20.0 program was used for general characteristics and mental health related characteristics. The fitness of the model was verified and the Amos 20.0 program was used for hypothesis verification. In the study, the fit index of the model was $x^2=614.90$ (p = .000), Q value = 3.5, GFI = .88, AGFI = .84, NFI = .92, NNFI = .94, CFI = .02, and RMSEA = .08, respectively. The results showed that stress was the most influential on mental health, and that stress coping strategies, self - esteem and parenting attitude affect mental health. In order to improve the mental health of college students, intervention should be carried out to develop nursing interventions to improve stress management, self - esteem, and coping with stress.

A status of Assessment and Management about Children in Pain (간호사의 아동 통증 사정 및 관리에 대한 실태조사)

  • Suk Min Hyun;Yoon Young Mi;Oh Won Ock;Park Eun Sook
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.262-280
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    • 1999
  • This study was Performed to understand Pediatric Pain management status and nurses' knowledge and attitudes toward it. In addition. it aimed to provide basic data in order to establish effective nursing intervention strategies by confirming the barriers of effective pain management in practice. The subjects were 195 nurses working in pediatric units(general pediatric unit. oncology unit, neonatal unit. neonatal ICU, Pediatric ICU) of 8 university hospitals and one general hospital. Data was collected by the questionnaire from the 3rd of August to the 20th of September in 1999. The instrument developed by Sanna(1999) to measure nurses' knowledge and their attitudes and the other tool by Cleeland(1984) to evaluate barriers in effective Pain management was used. Results of this study are summarized as follows 1. Most nurses learn about the pain management knowledges from through regular curriculum of nursing school(62.0%) And almost nurses(90.8%) don't used to utilize pain assessment tool, but the 'Faces Rating Scale' is the most frequently used by nurses. 2. The use of pain medication(65.6%) is most frequently taken by nurses as pain management and is followed by massage (55.9%) , distraction(27.7%). 3. Nurses' knowledge level is moderate (Mn=3.07). Nurses don't seem to understand pediatric Physical development (Mn = 2.86), psychological development(Mn=2.94) well, meanwhile they seem relatively Quite knowledgeable about the way pain emerges. 4. Nurses' attitudes toward pain is based on behavioral and physiological responses to Pain. They believe 'changes in behavior are a way of assessing pain in child' and 'acute pain increases the number of respiration' Nurses are ready to accept pediatric pain, but are not positive in adopting pain intervention in practice. 5. The barriers of effective pain management are inadequate assessment of pain and pain relief(81.5%), ineffective incorporation among health professionals(80%), and lack of equipment or skills(80.0%).

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Association of Nutritional Status with Obesity by Body Mass Index and Waist Circumference among Hypertensive Elderly Patients (노년기 고혈압 관리 대상자의 체질량지수, 허리둘레에 의한 비만정도와 영양소 섭취 상태 비교 연구)

  • Seo, Kyung-Hee;Lee, Hye-Jin;Lim, Bu-Dol;Choi, Yun-Jung;Oh, Hyun-Mee;Yoon, Jin-Sook
    • Korean Journal of Community Nutrition
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    • v.14 no.6
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    • pp.831-845
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    • 2009
  • Hypertension and obesity are important modifiable risk factors for cardiovascular disease, the leading cause of death in Korea. Therefore, we assessed the association between dietary pattern and obesity in hypertensive patients to formulate health promotion strategies for the older population. Dietary information was collected from hypertensive patients visiting community health education and information center by using 24 hour recall method. The 2005 DRIs for Koreans was used to evaluate the dietary adequacy. When subjects were categorized by body mass index (BMI) as normal, overweight and obese, no significant difference in energy intake was found among groups. Dietary intakes of folate, and vitamin C in obese hypertensive patients were significantly lower than in normal weight patients (p < 0.05). When we compare the nutritional status by waist circumferences, dietary intakes of zinc, vitamin A, thiamin, vitamin C and folate were significantly lower in the obese group. Vegetable intake was significantly lower in the obese group according to BMI as well as waist circumference. Energy intake from carbohydrate was significantly higher in obese hypertensive patients (p < 0.05). Obese hypertensive patients had a higher risk of nutritional inadequacy compared to normal weight patients. Our results indicated the need for developing interventions that encourage greater consumption of vegetables while cutting down salt intake with wise selection of staple foods, for obese hypertensive patients.

Effects of an Aging Management Program for Middle-aged Women on Resilience and Successful Aging (중년여성의 노화관리 프로그램이 회복탄력성과 성공적 노화에 미치는 영향)

  • Jung, Hyeyun;Sung, Kyung Mi
    • Women's Health Nursing
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    • v.25 no.4
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    • pp.392-408
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of an aging management program on the resilience and successful aging of middle-aged women. Methods: A quasi-experimental study with a non-equivalent control and pre-post test design was used. The participants were 39 middle-aged women living in urban areas in Korea. The experimental group (n=22) received the aging management program for a total of 10 weeks, 90 minutes to 120 minutes per week. The aging management program consisted of strategies to enhance the behavior, promotion conditions, and habits of the program, including various activities for middle-aged women. The data were analyzed using χ2 tests, independent t-tests, and repeated measures analysis of variance with the SPSS/WIN 21.0 program. Results: The resilience score of the experimental group was significantly higher level than the score of the control group in the time-to-group interactions (F=3.70, p=0.029). The successful aging score of the experimental group was significantly higher than the score of the control group in the time-to-group interactions (F=5.86, p=0.004). However, the sub-hypotheses of resilience (self-regulation and interpersonal relationships) and successful aging (physical aging adaptation and psychological age adaptation) were partially accepted. Conclusions: The aging management program for middle-aged women was identified as an effective intervention for promoting resilience and successful aging in middle-aged women. Therefore, this suggests that the aging care program could be a useful intervention program to improve the mental health of middle-aged women living in communities.

Factors Related with Stage of Change for Drinking Cessation Among Adolescents (청소년의 금주 변화단계 관련요인)

  • Park, Hye-jin;Jeong, Ihnsook
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.2
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    • pp.55-70
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    • 2017
  • Objectives: The purpose of this study was to identify the factors associated with stage of change for drinking cessation among adolescents on the basis of the Transtheoretical Model. Methods: The data was collected from 343 high school students in Kimhae-city, who have experienced any kind of alcohol in their lifetime. For data analysis, descriptive statistics and Logistic regression were performed using the SPSS WIN 18. 0 program. Results: The stage of change was as follows: 24.2% in the precontemplation stage, 8.7% in the contemplation stage, 10.8% in the preparation stage, 39.7% in the action stage and 16.6% in maintenance stage. The predictive factors to move from the precontemplation stage to the contemplation/preparation stage were dramatic relief (OR=1.36, 95% CI:1.13-1.63) and self-efficacy (OR=1.05, 95% CI:1.01-1.09). The predictive factors to move from the contemplation/preparation stage to the action/maintenance stage were female (OR=0.50, 95% CI:0.27-0.94), the number of friend who have drunk (OR=0.84, 95% CI:0.77-0.91) and self-efficacy (OR=1.04, 95% CI: 1.00-1.07). Conclusions: To stop adolescent drinking, this study suggests the intervention program needs to be considered the individual's stage of change of drinking. The intervention program to enhance dramatic relief and self-efficacy is needed to adolescents in the precontemplation stage. It is crucial to develop strategies to raise self-efficacy for adolescents in the contemplation/preparation stage, which also respect their gender and peer groups.

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The Effects of Meta-cognition Strategy Task Training on Occupational Performance and High-Level Function of Chronic Stroke Patient with Cognitive Damage (인지손상을 동반한 만성 뇌졸중환자의 메타인지전략 과제훈련의 적용이 작업수행과 고위인지기능에 미치는 영향)

  • Han, Ga-ram;Kim, Gyu-Yong;Choi, Young-Eun;Ko, Tae-Sung
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.59-71
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    • 2018
  • Objective: The purpose of this study is to compare the effects of the CO-OP program using cognitive strategy on the satisfaction and high-level cognitive function of chronic stroke patients with cognitive impairment with the existing task-oriented approach training method. Method: The group randomly selects the experimental group and control group from 30 patients who suffer cognitive damage due to brain damage, and then randomly presents the Cognitive Orientation to daily Occupative Performance (CO-OP) Results: The results of the study showed a significant increase in patient performance and satisfaction, task performance, and high-level cognitive functions in comparison to those before training (p<).05) There was no significant difference in CNT testing in controls; Although there were no significant differences in overall CNT testing between the two groups, the COPM, AMPS tests showed a significant increase in the experimental group compared to the comparators (p <.05). Conclusion: The Cognitive Orientation to Daily Occupative Performance (CO-OP) Intervention Act, which uses meta-in strategies, was previously used. We were able to confirm that it could be a more effective intervention in task performance and high-level cognitive function than in the Meaningful Task-Specific Training Program (MTST).

A comparison of metabolomic changes in type-1 diabetic C57BL/6N mice originating from different sources

  • Lee, Seunghyun;Kwak, Jae-Hwan;Kim, Sou Hyun;Yun, Jieun;Cho, Joon-Yong;Kim, Kilsoo;Hwang, Daeyeon;Jung, Young-Suk
    • Laboraroty Animal Research
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    • v.34 no.4
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    • pp.232-238
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    • 2018
  • Animal models have been used to elucidate the pathophysiology of varying diseases and to provide insight into potential targets for therapeutic intervention. Although alternatives to animal testing have been proposed to help overcome potential drawbacks related to animal experiments and avoid ethical issues, their use remains vital for the testing of new drug candidates and to identify the most effective strategies for therapeutic intervention. Particularly, the study of metabolic diseases requires the use of animal models to monitor whole-body physiology. In line with this, the National Institute of Food and Drug Safety Evaluation (NIFDS) in Korea has established their own animal strains to help evaluate both efficacy and safety during new drug development. The objective of this study was to characterize the response of C57BL/6NKorl mice from the NIFDS compared with that of other mice originating from the USA and Japan in a chemical-induced diabetic condition. Multiple low-dose treatments with streptozotocin were used to generate a type-1 diabetic animal model which is closely linked to the known clinical pathology of this disease. There were no significantly different responses observed between the varying streptozotocin-induced type-1 diabetic models tested in this study. When comparing control and diabetic mice, increases in liver weight and disturbances in serum amino acids levels of diabetic mice were most remarkable. Although the relationship between type-1 diabetes and BCAA has not been elucidated in this study, the results, which reveal a characteristic increase in diabetic mice of all origins are considered worthy of further study.

Convergence analysis of pain changes on brain wave and autonomic nervous system after intervention for delayed onset muscle soreness (지연성근육통 중재 후 통증의 변화가 뇌파와 자율신경계에 미치는 융합적 분석)

  • Kim, Kyung-Yoon;Bae, Seahyun
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.61-66
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    • 2021
  • This study aimed to investigate the effect of changes in pain on the autonomic nervous system and brain waves after inducing delayed-onset muscle soreness(DOMS). Based on voluntary participation, 28 participants with induced-DOMS were randomly divided into control(non-treatment, n=14) and experiment groups(transcutaneous electrical nerve stimulation (TENS) and kinesio taping, n=14). Intervention was performed from first day to fifth days after the onset of DOMS. Measurements were performed using the Visual Analogue Scale(VAS), Heart Rate Variability(HRV), and brain wave before DOMS induction, 24 hours after, fifth day after, and eighth day after. According to the study results, when DOMS occurred, the activity of the sympathetic nervous system was increased or the activity of the parasympathetic nervous system was suppressed, and reduction of pain due to interventions showed the opposite activity. A decreased in alpha was seen during pain, but was not significant. These results will help develop and study pain management and treatment strategies.