• Title/Summary/Keyword: Intervention Strategies

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Factors Influencing Respiratory Infection Preventive Behavior Practice in Adolescent (청소년의 호흡기감염병 예방행동 실천에 영향을 미치는 요인)

  • Sunju Kim;Hyeryun Yang;Hyejin Hwang;Yeongmi Ha;Solhee Shin
    • Journal of the Korean Society of School Health
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    • v.37 no.2
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    • pp.83-92
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    • 2024
  • Purpose: This study was aimed to identify the influencing factors associated with respiratory infectious disease prevention behaviors of adolescents by examining the relationships >among knowledge, attitude, and practice. Methods: The study included 147 middle and high school students in G provinces. The data were collected from November to December 2023. The questionnaire consisted of 12 questions regarding the knowledge of respiratory infection preventive behaviors, 11 questions on attitude of respiratory infection preventive behaviors, and 14 questions on practice of respiratory infection preventive behaviors. The collected data were analyzed in multiple regression analysis. Results: The participants' knowledge of respiratory infection preventive behaviors was 10.47±2.06, attitude of those preventive behaviors 3.71±0.39 and practice of those behaviors 3.38±0.45. Factors affecting practice of respiratory infection preventive behaviors were attitude of respiratory infection preventive behaviors (β=.63, p<.001), and taking health education for infectious disease (β=.24, p<.001). Conclusion: Findings of the study can be used as essential data for developing strategies respiratory infection preventing behavior practice promoting school health. It is necessary to develop various intervention measures based on the causal relationship and structural model related to the practice of respiratory infectious disease prevention behaviors and the practice of respiratory infectious disease prevention behaviors to induce positive attitudes.

An Effect of Aquatic Exercise Program with Self-help Group Activites and Strategies for Promoting Self-efficacy on Pain, Physiological Parameters and Quality of Life in Patients having Rheumatoid Arthritis. (자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향)

  • Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.1-30
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    • 1994
  • Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

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Distribution and Interrelationship of Smoking, Drinking, and Physical Exercising among Some Rural Adult, an Application of the Transtheoretical Model (행동수정의 단계적 변화론 모형(Transtheoretical Model)에 의한 일부 농촌성인의 흡연, 음주 및 운동행태 분포와 상호 관련성)

  • Lee, Moo-Sik;Lee, Young-Sung;Shin, Hyun-Hwa;Lee, Kun-Sei;Yoon, Seok-Jun;Jung, Ki-Hweon;Kim, Eun-Young;Chun, Byung-Chul
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.113-131
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    • 2000
  • Transtheoretical model of change has been proven very effective in explaining both the acquisition and cessation of many health related behaviors. The objectives of this study were to describe the distribution of smokers by stage of change of smoking, alcoholic drinking, and exercising in rural residents and to develope health promotion strategies. This study was done in Okchun County of Chungbuk Province. The representative sample were 892 residents over 30 years old. The questionnaires of interview included socio-demographic, the six stage distribution of smoking, alcoholic drinking, and exercising. In male, 50.6% of smokers were in the precontemplation stage, 32.5% in the contemplation. In female, corresponding figures were 60.6% and 28.8%. Precontemplation and contemplation stage of drinker were 72.8%, 19.3% in male and 80.3%, 15.5%. Distribution of exercise were 80.6%, 1.8% in male, 87.6%, 1.2% in female, respectively. The stage distribution of smoker, alcoholic drinker, and exerciser was shift to left of the distribution. And the stage distribution was slightly differ with each health behavior. The stage of change with smoking, drinking and exercising was correlated with each other but not concordant. So interventions in rural residents need to take into account the large proportion of precontemplators repeatedly observed among smoker, drinker, and non-exerciser. And intervention strategies of each risk behavior should be different approach. Result of concordance analysis suggest reconstruct validity of the transtheoretical model in our country due to ethnic and sociocultural difference. This results and theory should be tested in prospective intervention studies for seeking the possible gateway of health behavior.

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A short-term longitudinal study of mental health and academic burnout among middle school students (중학생의 정신건강과 학업소진의 단기종단연구)

  • Shin, Hyojung;Kim, Boyoung;Lee, Minyoung;Noh, Hyunkyung;Kim, Keunhwa;Lee, SangMin
    • Korean Journal of School Psychology
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    • v.8 no.2
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    • pp.133-152
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    • 2011
  • This is a short-term longitudinal study investigating the relationships between changes in mental health and academic burnout among Korean middle school students. Study sample consisted of 409 middle school students in Seoul provision, with 161 male, 216 female, and 32 unidentified. Both Symptom Check List(SCL-47) and Maslach Burnout Inventory-Student Survey(MBI-SS) were used. In order to examine the pattern of changes in mental health and academic burnout among students, standardized residuals were calculated using regression equations which were then put into canonical correlation analysis. The results of this study are as follows. First, according to Function 1, among sub-factors of mental health, decreases in depression, compulsion, anxiety, and hostility were particularly associated with decreases in exhaustion and cynicism among academic burnout. Put in another way, students who showed increases in depression, compulsion, anxiety, and hostility experienced more academic exhaustion and cynicism. Second, according to Function 2, increases in phobic anxiety, compulsion with decreases in anxiety, depression were associated with decrease in academic exhaustion and increase in cynicism. Considering Russell's dimensional theory of emotion, Function 1 showed that mental health symptoms including both aroused and non-aroused affects were related with increases in exhaustion and cynicism while Function 2 showed that mental health symptoms including only aroused aspects were related with decrease in exhaustion and increase in cynicism. Thus, a conclusive intervention program seems to be required to deal with both aroused and non-aroused affects of students who are experiencing increased exhaustion and cynicism. On the other hand, an intervention program focused on aroused affects seems appropriate to students who are experiencing decreased exhaustion and increased cynicism. This study has its value in that it has enhanced understanding of students in school and counseling settings by revealing the relationships between mental health and academic burnout among adolescents and suggested differentiated intervention strategies based on patterns of students' academic burnout.

The Influences of Stress Coping Strategy on Depression and Anxiety in Recipients of Hematopoietic Stem Cell Transplantation (스트레스 대처방식이 조혈모세포 이식 환자의 우울과 불안에 미치는 영향)

  • Yoon, Su-Jung;Lee, Chul;Lim, Seong-Hu;Chae, Jeong-Ho;Jun, Tae-Youn;Kim, Kwang-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.8-17
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    • 2002
  • Objective : Increasing in frequency and success of hematopoietic stem cell transplantation and improved survival rates have led to growing concerns regarding the psychosocial aspects of hematopoietic stem cell transplantation recipients. In this study, we have examined the stress coping strategies and related psychiatric symptom in the hematopoietic stem cell transplantation recipients. Methods : In this study, we examined the psychological stress symptoms of hematopoietic stem cell transplantation recipients and differences of psychosocial variables between active coping group and passive coping group. Twenty nine recipients of hematopoietic stem cell transplantation were recruited prospectively and assessed at 2 weeks pretranplant and at 1-2 days posttranplant. Thirty normal controls were recruited. Assessments included a psychiatric interview, a variety of standardized questionnaires (Ways of Coping Questionnaires, Perceived Stress Scale, Hospital Depression and Anxiety Scale, Short-Form 36 Health Survey). Results : Hematopoietic stem cell transplantation patients showed higher degree of depression (p<0.001) and anxiety (p=0.011) symptoms than normal control group. However, no differences of depression and anxiety symptoms between pretransplant and posttransplant status were showed. And, passive coping group showed higher degree of depression (p=0.046) and anxiety symptoms (p<0.001) than active coping group. Conclusions : Our results suggested that many hematopoietic stem cell transplantation recipients would exhibit severe to moderate symptoms of anxiety and depression. Also, it seemed likely that passive coping style might influence the development of negative affect such as anxiety and depression. The implications of these findings were discussed in terms of the need to monitor the coping strategies and apply the appropriate psychiatric intervention. And, further prospective studies about long-term survival and psychological adaptive functions of hematopoietic stem cell transplantation patients are recommended.

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A Study on Nursing Needs of Patients in the Recovery Room (회복실 환자의 간호요구도에 관한 연구 - 일 종합병원을 중심으로 -)

  • Kim Eun-Kyoung;Chae Soon-Ok;Kwon Kun-Sook;Kim Yun-Jeung;Hong Mun-He;Kim Me-Hee;Kim Nam-Sun;Lee Kyu-Eun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.1
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    • pp.86-100
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    • 2002
  • Purpose: The purpose of the study was done to identify the nursing care needs of patients in the recovery room. Method: The subjects in this study were 127 patients in a recovery room between 6/9/2001 and 24/9/2001. The instrument used for this study was the descriptive questionnaire developed by Shin Hyun-Jin (1999). The data was analysed by frequency, percentage, mean, standard deviation, t-test, ANOVA, and factor analysis using the SPSS program. Result: 1) Kaiser - Meyer -O1kin sample appropriateness was 799 and Bartlett's test of sphericity significant probability was .000. 2) The mean score for nursing care need of patients in the recovery room was $4.17{\pm}.51$ of a total possible score of 5. The score of nursing need for different parameters was as follows : Educational need ($4.31{\pm}.49$), physical need ($4.27{\pm}.47$), emotional need ($4.11{\pm}.52$), environmental need ($3.99{\pm}.56$). 3) Differences in the needs for nursing care according to the demographics were significant for gender, marital status, operation experience, and departments consulted. General characteristic variables significantly related to nursing need were as follows: Physical need significantly related to the departments consulted (F=2.23, p=.036). Educational need significantly related to the marital status (F=2.55. p=.012), departments consulted (F=2.30, p= 031). Emotional need significantly related to the marital status (F=2.22, p=.028). Environmental need significantly related to the gender (t=-2.44, p= .016), marital status (F=2.01, p= .046). operation experience (t=-1.99. p= .048). Conclusion: Nursing care needs of patients in the recovery room are significantly related to educational need, physical need, emotional need and environmental need. Intervention plans and program need to be developed to improve strategies to meet nursing needs of patients in the recovery room.

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Effects of Telephone Counseling on Health and Service Satisfaction after Discharge in Gynecologic Cancer Women (퇴원 후 전화상담중재가 부인암환자의 지각된 건강상태, 심리적 안녕과 간호만족도에 미치는 효과)

  • Park, Young-Sook;Han, Kyung-Ja;Ha, Yang-Sook;Song, Mi-Soon;Kim, Sung-Jae;Chung, Chae-Weon;Park, Yeon-Hwan;Koh, Chin-Kang;Kwon, Won-Kyung;Lee, Joo-Young;Hwang, Shin-Woo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.2
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    • pp.294-304
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    • 2008
  • Purpose: Cancer patients experience a range of physical and psychological sequelae. Consistent nursing support should be provided along the cancer treatment path. This study aimed to i)examine the effects of a telephone counseling program after discharge on perceived health, psychological well-being, and satisfaction with nursing services, and ii)describe symptom distress and their coping methods. Method: The study was a quasi-experimental design with a non-equivalent pre-post test. The sample included 20 women with gynecologic cancer in the experimental group and the same in the control group from a university hospital in Seoul. The telephone intervention was given once from 5 to 7 days after the chemotherapy. The General Well-Being Schedule and Symptom Distress Scale were used. Result: An effect from telephone counseling was found only in the vitality subscale of psychological well-being. Other subscores, perceived health, or satisfaction with nursing services did not differ between the two groups. Pain, skin change, decreased appetite, and constipation were the major symptoms and a relatively few coping strategies were utilized. Conclusion: Protocol of telephone counseling led by a nurse needs to be further developed in regard to best timing, amount, and target effects for follow-up care of gynecologic cancer patients.

A Study on the Subjectivity about Nursing Student's Attitude after Hand Washing Education (간호학과 학생들의 손씻기 교육 후 태도 유형에 관한 주관성 연구)

  • Kim, Yun-Jeong
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.621-630
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    • 2013
  • This study, after education for nursing students through texts on hand washing, PPT materials and practices, will investigated the types of the subjects' attitude toward hand washing and attempt to provide basic data needed for nursing education and nursing practice program. As the methods of this research, Q methodology was applied, and 20 sophomores in the Department of Nursing Science as P-sample from October 8, 2012 to October 15, 2012 were asked to distribute Q-sample of 9-point Q-sample distribution, and the collected data were processed with principal factor analysis method by the PC QUANL program. As a result of the research, their attitude toward hand washing was classified into 3 types. The three factors extracted all had eigenvalues greater than 1.0 and explained approximately 56.67% of the variation in responses 40.41%, 10.14% and 6.11% respectively. Type 1 was the ones with the increased number of hand washing; Type 2 was the ones who recognize the need of hand washing education; and Type 3 was the ones who dry hands after washing. In conclusion, the significance of the classification of the types of the attitude after the hand washing education is that with the development of programmes of nursing education and nursing practice, individualized intervention strategies should be differently provided.

Related to Supporting Art Therapy for Children and Youth in Korea Survey of State Projects (국내 아동·청소년 대상 미술치료 지원 관련 국가사업 실태 조사)

  • Ahn, Yi-jeong;Chung, Yeo-Ju;Kim, Seo-Young;Jang, Jeong-Ja
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.314-322
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    • 2020
  • The purpose of this study is to investigate the state projects related to psychological sentiment for child and youth in Korea, examine the current status of art treatment-related projects for child and youth, and seek ways to improve them, focusing on projects supported by the Ministry of Health and Welfare, the Ministry of Gender Equality and Family, and the Ministry of Culture, Sports and Tourism. The results examined through this study were firstly, mental health promotion projects conducted in the public sector in Korea are mainly carried out on consignment to affiliated organizations, and are promoted not only for diagnosis, mediation, and therapeutic intervention but also for care and prevention. Second, psychological and emotional support projects are being attempted with various approaches such as reading, playing, gardening, and art, and art therapy is actively used as a part of art programs. In addition, it is suggested that the government should provide efficient welfare and utilize it as a common goal through linkage and cooperation with other ministries for the continuous and stable implementation of state-led psychological support projects. In addition, it is hoped that this research will be used as a research material to explore specific strategies for effectiveness of national policy projects on the overall psychological sentiment of child and youth.

Stress and Coping among Parents of Mentally Retarded Children in the Kyoung-in area (경인 지역의 정신 지체아 부모의 스트레스와 대응)

  • 구현영
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.668-680
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    • 1995
  • The purpose of this study was to contribute to family nursing for reducing stress and improving coping of the parents of mentally retarded children. Data were collected through self-reported questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 180 parents (90 mothers and 90 fathers) of mentally retarded children attending schools for the handicapped and 186 parents (93 mothers and 93 fathers) of normal children. 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 adopted to measure the level of coping. The data were analyzed by using Chi-square test. fisher's exact test, Repeated masured ANOVA, oneway ANOVA and Scheffe comparison test. The results were as follows ; 1. The level of general stress was significantly higher in the mothers and the fathers of the men-tally retarded than in the respective parents of the normal. Of the parents, the mothers experienced significantly greater level of general stress than the fathers did in both groups of the retarded and of the normal. 2. As for the parental role stress, the mothers and the fathers of the mentally retarded experienced significantly greater stress than respective parents of normal children did. In particular, the stress was significantly higher in the mothers than the fathers of these children in both groups. The difference in the levels of parental role stress experienced by mothers and by fathers was significantly bigger among those of the mentally retarded tnan among those of normal children. 3. No significant difference in the level of coping was observed between the mothers of both groups and the fathers of both groups. By contrast, the fathers revealed significantly greater scores in coping than the mothers in both groups. 4. General stress experienced by the fathers of the mentally retarded was different by health status, satisfaction with spouses, and the supports from their spouses. Health status, satisfaction with spouses, and monthly income Influenced parental role stress experienced by those fathers. Their level of coping was associated with their satis-faction with spouses and family life. 5. Of the mothers of the mentally retarded, the level of general stress was different by their health status, while parental role stress was related to the satisfaction with their spouses and the child's age. The level of coping among the mothers was different by the supports from their spouses. The above findings indicate that those parents of the mentally retarded did not take more coping strategies than those of the normal did, despite greater stress experienced among themselves. Hence, nursing intervention for managing stress should be given to those parents including fathers of mentally retarded children. Mothers of the mentally retarded, in particular, should receive high priority in planning nursing care, since they experience greater levels of both general stress and parental role stress than their spouses, which is most likey due to primary responsibility in child rearing given to them at home.

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