• Title/Summary/Keyword: Intervention Strategies

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Evaluation of Problem-Based Learning in an Undergraduate Nursing Course (간호학 문제 중심 학습 효과 평가 - 일개 교과목을 중심으로 -)

  • Kim Hee-Soon;Ko Il-Sun;Lee Won-Hee;Bae Seong Yeon;Shim Joung Ohn
    • Child Health Nursing Research
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    • v.10 no.4
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    • pp.395-405
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    • 2004
  • Purpose: The purpose of this research was to evaluate the application of the Problem-Based Learning(PBL) in nursing with regard to the learning process and learning outcomes. Method: PBL modules were provided to the students so that they could identify the nursing problems related to nutrition, regulation, and elimination, and implement appropriate nursing interventions according to the problems. PBL was also used to develop ability to use self-evaluation for nursing intervention outcomes. The modules were developed by the authors for the course, Nursing 1(3 credits) at Y university, and used during one semester, March to June 2003. Evaluation of the learning process and learning outcomes was done by self-report questionnaires and a semi-structured self -report developed by the authors. Result: The PBL evaluation included role of the facilitators, group work process, and self-directed learning attitude. The students evaluated the facilitator's role positively in fostering positive interactions and cooperative study among students and stimulating students to apply various problem-solving strategies. Students evaluated their own group work performances as a good opportunity to improve their group work participation, contribution, cooperation, and leadership through the PBL session. Their responsibility for their own learning and develop self-directed learning attitudes to connect present learning to long-term goals. Conclusion: Critical thinking, problem solving skills, self-directed learning and group work accomplishments in undergraduate student nurses were fostered and improved through the PBL program.

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Relationships among Depression, Self-rated Health, Health Behaviors and Drug Abuse by Job Status (근로여부에 따른 약물오남용과 우울, 주관적 건강상태, 건강행태와의 관련성)

  • Chae, Su Mi;Jeong, Jin Wook;Lee, Sang Young;Heo, Kyung Hwa
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.245-257
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    • 2015
  • Purpose: This study was performed to investigate the present condition of drug abuse and its association with depression, self-rated health and health behaviors by job status in Korean adults. Methods: Data were derived from the study on four addiction problem and suicide in 2014. Multiple logistic regression was used to analyze patterns of drug abuse according to depression, self-rated health and health behaviors. Results: The prevalence of drug abuse during the past year was 17.1% of the 4,018 subjects. About 3.3 times risk for drug abuse was found among individuals who had high depression scores. The risk of drug abuse was higher among those who were smoking (OR:1.46, 95% CI:1.17~1.83), drinking more frequently (OR:1.30, 95% CI:1.07~1.58), sleeping insufficiently (OR:1.31, 95% CI:1.03~1.67), eating irregularly (OR:1.45, 95% CI:1.19~1.76). Drug abuse problem was detected more seriously among employed than unemployed adults. Conclusion: Health-related behaviors, such as smoking, drinking, sleeping, eating should be considered simultaneously when designing strategies to deal with drug abuse problem, and it is important to understand the interaction between drug abuse and mental health. Furthermore, workplace based intervention can be effective in solving drug abuse problem.

Factors associated with internet use time among adolescents: focused on convergent implications (청소년의 인터넷 사용시간에 영향을 미치는 요인: 융복합적 함의를 중심으로)

  • Park, So-Youn;Yang, So-Nam
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.387-395
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    • 2015
  • The aim of this study was to investigate effects of socio-demographic, household, social support, health-related factors on adolescent internet use time. Multiple regression analysis was conducted to examine factors affecting adolescent internet using time, and this study used the 2014 10th Korean Youth Health Risk Behavior On-line Survey data by Centers for Disease and Prevention. Results show that as for socio-demographic factors, being male, lower economic status, being middle school student, and having poor academic grade were; as for household factors, youth-led, one-parent, grandparent(s), multicultural, and North Korean defectors family were; as for social support factors, the absence of family support, the absence of friend support and the absence teacher support were; and as for health-related factors, less exercise, higher level of stress, and lower level of subjective happiness were associated with increased internet using time. Based on these results, convergent implications about effective intervention strategies that adolescents can use internet appropriately were discussed in the section of conclusion.

Relationship between oxidative stress, semen characteristics, and clinical diagnosis in men undergoing infertility investigation

  • Pasqualotto, Fabio F.;Sharma, Rakesh K.;Nelson, David R.;Thomas, Jr, Anthony J.;Agarwal, Ashok
    • 대한생식의학회:학술대회논문집
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    • 2000.06a
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    • pp.37-42
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    • 2000
  • Objective: To determine whether particular semen characteristics in various clinical diagnoses of infertility are associated with high oxidative stress and whether any group of infertile men is more likely to have high seminal oxidative stress. Reactive oxygen species (ROS) play an important role in sperm physiological functions, but elevated levels of ROS or oxidative stress are related to male infertility. Design: Measurement of sperm concentration, motility, morphology, seminal ROS, and total antioxidant capacity (TAC) in patients seeking infertility treatment and controls. Setting: Male infertility clinic of a tertiary care center. Patient(s): One hundred sixty-seven infertile patients and 19 controls. Intervention(s): None. Main Outcome Measure(s): Semen characteristics, seminal ROS, and TAC in samples from patients with various clinical diagnoses and controls. Result(s): Fifteen patients (9.0%) were Endtz positive and 152(91.0%) Endtz negative. Sperm concentration, motility, and morphology were significantly reduced in all groups compared with the controls (P = .02), except in varicocele associated With infection group. Mean (${\pm}$SD) ROS levels in patient groups ranged from 2.2 ${\pm}$ 0.13 to 3.2 ${\pm}$ 0.35, signilicantly higher than controls (1.3 ${\pm}$ 0.3; P<.005). Patient groups had a significantly lower mean (${\pm}$SD) TAC from 1014.75 ${\pm}$ 79.22 to 1173.05 ${\pm}$ 58.07 than controls (1653 ${\pm}$ 115.28, P<.001), except ill the vaseclony reversal group (1532.02 ${\pm}$ 74.24). Sperm concentration was negatively correlated with ROS both overall and within all groups (P${\leq}$.007), with the exception of idiopathic infertility. Conclusion(s): Irrespective of the clinical diagnosis and semen characteristics, the presence of seminal oxidative stress in infertile men suggests its role in the pathophysiology of infertility. Medical or surgical treatments for infertility in these men should include strategies to reduce oxidative stress.

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Fragility Contour Method for the Seismic Performance Assessment of Generic Structures (지진 취약성 등고선을 이용한 내진성능 평가 방법)

  • Jeong, Seong-Hoon;Lee, Ki-Hak;Lee, Do-Hyung
    • Journal of the Earthquake Engineering Society of Korea
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    • v.15 no.3
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    • pp.65-72
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    • 2011
  • Extensive computer simulations to account for the randomness in the process of seismic demand estimation have been a serious obstacle to the adoption of probabilistic performance assessments for the decision of applying seismic intervention schemes. In this study, a method for rapid fragility assessments based on a response database and the fragility contour method are presented. By the comparison of response contours in different formats, it is shown that representing maximum responses in ductility demand is better for the investigation of the effect of structural parameter changes on seismic demands than representations in absolute values. The presented fragility contour enables designers to practically investigate the probabilistic performance level of every possible retrofit option in a convenient manner using visualized data sets. This example demonstrates the extreme efficiency of the proposed approach in performing fragility assessments and successful application to the seismic retrofit strategies based on limit state probabilities.

The Experiences of Turnover Intention in Early Stage Nurses (초보간호사의 이직의도 경험)

  • Lee, Se Young;Oh, Eun Jin;Sung, Kyung Mi
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.168-176
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    • 2013
  • Purpose: This study was aimed to explore turnover intention of novice nurses. Methods: This study was an exploratory survey including quantitative and qualitative components. Qualitative data were obtained from an open survey question in the survey and analyzed using the method of content analysis. The data were collected from 245 nurses with less than three years experience at six general hospitals. Results: The early stage nurses scored an average of 14.5 (${\pm}3.31$) in turnover intention. Fourteen themes were identified in turnover intention experiences of early stage nurses, and each theme was divided into five categories: interpersonal relationship stress (33.7%), being regretful for choosing a nursing career (21.6), A feeling of low competency for direct nursing care (19.8), dissatisfaction with the welfare of the hospital (13.0), Increased extra-work burden (11.9). The participants requested for improvement in the following conditions to continue a nursing career descending order in priority: wage ($3.6{\pm}1.50$), work load ($3.0{\pm}1.83$), work environment ($2.8{\pm}1.63$), welfare facilities ($1.4{\pm}1.53$), the status of nurse ($1.2{\pm}1.57$), etc. Conclusion: These findings are helpful for the development of intervention strategies to decrease turnover intention of early stage nurses.

Stress and Coping in Parents of Early School Aged Children (5-8세 아동 부모의 스트레스와 대응)

  • 문영임;구현영
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.485-495
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    • 1995
  • The purpose of this study was to contribute to family nursing aimed at reducing stress and improving the coping abilities of parents with kindergarten or early primary school aged children. Data were collected through self- reported questionnaires over a period of one month between November 1994 and December 199t in the Kyoung-in area. The subjects consisted of 198 parents (99 mothers and 99 fathers) of children attending 1 elementary school and 2 kindergartens. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was used to measure the level of coping. The data were analyzed by a SAS program using paired't-test and oneway ANOVA. The results were as follows : 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced significantly greater level of parental role stress than fathers did. In contrast, fathers revealed significantly greater scores in coping than mothers. 2. General stress experienced by fathers was different according to education, occupation, health status, satisfaction with family life and support from spouse. Occupation, health status, satisfaction with family life, satisfaction with spouse and support from spouse influenced parental role stress experienced by fathers. There was no correlation between level of coping and general characteristics. 3. In mothers, the level of general stress was different according to their health status, family type, and number of children, while parental role stress was related to satisfaction with family life, satis-faction with spouse and family type. There was no correlation between level of coping and general characteristics. The above findings indicate that the mothers did not develop more coping strategies than the fathers, despite their experience of greater stress than the fathers. Hence, nursing intervention for managing stress and improving coping abilities should be provided for mothers. In particular, fathers should actively participate in parenting, and support their spouse.

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Actor and Partner Effects of Health Status, Marital Satisfaction and Self Efficacy on Retirement Preparation of Middle Aged Couples: Actor-Partner Interdependence Model Analysis (중년부부의 주관적 건강상태, 결혼만족도, 자기효능감이 노후준비에 미치는 자기 효과와 상대방 효과: 상호의존모형(APIM) 적용)

  • Jung, Eun Hee;Shin, Sung Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.2
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    • pp.154-166
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    • 2018
  • Purpose: This study aimed to identify the actor and partner effects of health status, marital satisfaction, and self efficacy on retirement preparation in middle aged couples using the Actor-Partner Interdependence Model. Methods: Participants were 121 middle aged couples living in Seoul, Gyeonggi-do and Daegu City, Korea. All measures were self-administered. The collected data were analyzed using SPSS 20.0 and AMOS 20.0. Results: 1) Wife's self efficacy and marital satisfaction showed direct actor and partner effects on retirement preparation in middle aged couples. Wife's health status showed an indirect actor effect through wife's self efficacy and marital satisfaction on wife's retirement preparation, and showed an indirect partner effect through husband's self efficacy on husband's retirement preparation. 2) Husband's self efficacy and marital satisfaction showed only direct actor effect on retirement preparation. Health status among the husbands showed an indirect actor effect on husband's retirement preparation through their self efficacy and marital satisfaction, and an indirect partner effect through wife's marital satisfaction on wife's retirement preparation. 3) The actor effect size of health status on self efficacy and marital satisfaction was larger among husband's than wife's. Additionally, the partner effect size of health status on self efficacy and marital satisfaction was different between the two groups; however, the actor and partner effect size of self efficacy and marital satisfaction on retirement preparation was the same for husband and wife. Conclusion: The results of this study indicate that nursing intervention strategies for improving self efficacy and marital satisfaction are strongly needed to enhance retirement preparation of middle aged couples in Korean community.

Prediction Modeling on Family Life Satisfaction of Old Adults Living at Home (재가노인의 가족생활 만족도 예측모형)

  • Huh, Young Mi;Sok, Sohyune
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.534-544
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    • 2018
  • Purpose: This study was conducted to construct and test a structural model on family life satisfaction of aged individuals living at home. The conceptual model was based on Bandura's self-efficacy and social cognitive theories (1977; 1986) and Bowen's (1976) family systems theory. Methods: From January 25 to March 5, 2016, 227 older adults living at home completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting family life satisfaction. SPSS WIN 20.0 and AMOS 20.0 were used. Results: The hypothetical model was a good fit for the data. The model fit indices were ${\chi}^2=78.05$, ${\chi}^2/df=1.35$, RMSR=.02, GFI=.98, AGFI=.96, NFI=.94, CFI=.98, and RMSEA=.05. Family life satisfaction was positively affected by perceived collective family efficacy, status of physical health, family communication, and family support. Depression resulted in a significant negative effect. Family differentiation had a significant indirect effect on family life satisfaction. The model explained 76% of variance in family life satisfaction. Conclusion: Perceived collective family efficacy, status of physical health, depression, family differentiation, family communication, and family support were significant factors explaining family life satisfaction among older adults staying at home. Further research should be conducted to seek intervention strategies to improve family life satisfaction among older adults living at home by focusing on the respective contributing factors.

Relationships between sleep time and depression and suicidal ideation in middle aged women (중년 여성의 수면시간과 우울 및 자살생각의 관계)

  • Chae, Hyunju
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.263-272
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    • 2020
  • The purpose of this study was to identify the relationships between sleep time and depression and suicidal ideation in middle aged women. The subjects of this study were 1,617 women aged 40-64 years who participated in the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), 2017. Data were downloaded from the KNHANES website and were analysed through complex sampling design data analysis using IBM SPSS 21.0 program. Suicidal ideation is 3.65 times higher in women who sleeps for five hours or less in weekend than in women who sleeps more than seven hours and less than nine hours in weekend. These result indicate that suicide prevention program for middle aged women should include strategies for maintaining proper sleep times and women who sleeps for five hours or less should be considered as a priority intervention case. In additions, further studies on the relationship between sleep times and depression of middle aged women should be conducted.