• 제목/요약/키워드: Nursing Assessment

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A Study on Home Health Care Service and the Level of Client Satisfaction (가정간호 서비스내용 및 만족도에 대한 조사연구)

  • Jo, Mi-Ja;Hyun, Hye-Jin;Yun, Soon-Nyoung
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.52-59
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    • 1995
  • This Study was done to examine the home health care service provided by home care nurses and the level of client satisfaction. Data were collected from 60 clients who received services from a home care center. The tool for measurement of satisfaction was composed 13 items and was 3 score scale. The results of this study are summarized as follows ; 1. By the disease pattern, subjects were distributed into cardiovascuvr disease(73.5%), digestire disease(10.2%), endocrine disease (6.1%), Senile dementia(6.1%) and the others(4.0%). 2. By the disease pattern, provided home health care services were follows; In cardiovascular disease and digestire disease, direct nursing service, education and physical assessment were provided every time. In senile dementia, direct nursing services were mainly provided and transfer and medication were rarely provided. 3. The level of satisfaction on provided home health services was high; mean score was 2.4 out of 3.

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Cardiac Rehabilitation and Quality of Life (심장재활과 삶의 질)

  • Choo, Jin-A
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.82-90
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    • 2008
  • Recent shortening of hospitalization has partly led to the transition of health care services from hospitals to communities in cardiovascular (CVD) care. Home healthcare nursing is an alternative modality of care for chronically ill CVD patients. Cardiac rehabilitation (CR) has been redefined as a "secondary prevention center", consisting of: patient assessment; nutritional counseling; blood pressure and diabetes management; tobacco cessation; psychosocial management; and physical activity counseling. Improvement in health-related quality of life (HRQOL) is a major goal of the CR that integrates physical, psychological and social dimensions of care. The review of evidence on effects of CR on HRQOL may allow home healthcare nurses to provide better comprehensive care for CVD patients. There is evidence on beneficial effects of CR on HRQOL in patients with myocardial infarction (MI) as well as patients with chronic heart failure. Specifically, home-based CR, which is more cost-effective than hospital-based CR, has been reported to produce comparable improvements in HRQOL with hospital-based CR in MI patients. In conclusion, a newly-designed, home-based CR may be required to be applied to Korean home healthcare nursing system for improving HRQOL.

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The Experiences of Prayer in Christian Patients with Breast Cancer (기독교인 유방암 환자의 기도경험)

  • Lee, Won-Hee;Sung, Ji-Hyun;Lee, Jung-Eun;Kang, Kyung-Ah
    • Asian Oncology Nursing
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    • v.10 no.2
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    • pp.199-209
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    • 2010
  • Purpose: The purpose of this study was to understand the meaning of prayer in Christian patients with breast cancer. Methods: Data collection and analysis were conducted by the Colaizzi analysis of phenomenological method. Data were collected by in-depth interviewing the participants and by further follow-up observations. Sixteen patients participated in this study. Results: The significant statements (188), formulated meanings (42), themes (38), clusters of theme (10), and categories (5) were emerged. The 5 categories were as follows: communication with God, healing and peace, spiritual growth, distrust in prayer, and method of prayer. Conclusion: Further studies need to consider the period of faith, comparison between christian and other religions, and length of diagnosis. A better understanding of the meaning of prayer will lead to a more comprehensive view of the spiritual care for patients with breast cancer, and can lead to guidelines for assessment and intervention to reduce suffering from cancer.

Perceived Family Support and Quality of Life Patients with Cancer (암 환자가 지각한 가족지지와 삶의 질)

  • Kim, Kyung-Hae;Chung, Bok-Yae;Kim, Kyung-Duck;Byun, Hye-Sun
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.52-59
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    • 2009
  • Purpose: The purpose of this study was to investigate perceived family support and quality of life in patients with cancer. Method: Data were collected from 83 cancer patients in the 3 cities of Korea. Family support was measured using the Tae's Family Support Scale and quality of life was measured using Functional Assessment of Cancer Therapy-General (FACT-G). Results: The mean scores of family support and quality of life were 30.48 and 53.04 respectively. Family support was significantly different according to marital status, education level, income, living together, helper, type of treatment, and weight change. Quality of life was significantly different according to the purpose of treatment, weight change, performance status, exercise, and sleep. There was a positive correlation between family support and quality of life (r=0.499, p<0.000). Conclusion: The study results underscore the importance of family support in improving the quality of life of patients with cancer.

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A Systematic Review of Literature on Community Health Center Exercise Programs (보건소 중심의 노인운동 프로그램에 대한 체계적 문헌고찰)

  • Han, Suk-Jung;Lee, Young-Ran;Cho, Chung-Min;Im, Mee-Young
    • Research in Community and Public Health Nursing
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    • v.26 no.1
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    • pp.18-30
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    • 2015
  • Purpose: The purpose of this study was to investigate the research methods, types and effects of community health center exercise programs for the elderly. Methods: We established the PICOTS-SD (Participants, Interventions, Comparisons, Outcomes, Timing of outcome measurement, Setting, Study Design), reviewed 583 studies from electronic database of DBpia, KoreaMed, KISS, RISS, NDSL and Pubmed, and finally selected 20 studies based on the inclusion and exclusion criteria. Methodological quality was assessed with the Risk-of-Bias Assessment tool for non-randomized studies. Results: With regard to research methods, the majority of studies on community health center exercise programs for the elderly were performed after 2010 and using non-equivalent control group pretest-posttest research design. As for the types and effects of exercise programs, the exercise period ranged from 6 to 28 weeks, and the most common exercise frequency was three times a week for 60 minutes. In addition, mixed-type and group exercise programs were performed most commonly. Conclusion: The results of this study provide a basis for the development of exercise programs to improve elders' health.

Hospital Nurses' Experience of Bullying in the Workplace and Burnout, Organizational Commitment, Turnover Intention and Nursing Productivity (간호사의 근무지 약자 괴롭힘 경험과 소진, 조직몰입, 이직의도 및 간호생산성)

  • Park, Kwang Ok;Kim, Se Young;Kim, Jong Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.169-180
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    • 2013
  • Purpose: This study was performed to investigate nurses' experience of bullying in clinical fields. Methods: Participants were 309 nurses working in general hospitals. Data were collected using self- report questionnaires which were evaluated in terms of workplace bullying, burnout, organizational commitment, turnover intention and nursing productivity. Results: Of the participants 17.2% reported being victims of workplace bullying of nurses in general hospital, based on the operational definition of bullying. Coping response to workplace bullying was mainly passive such as enduring, ignoring, and evading. Experience of workplace bullying was positively correlated with burnout and turnover intention and negatively correlated with organizational commitment and productivity. Conclusion: The findings suggest that there is a need for assessment of the reality of workplace bullying of nurses in clinical areas as well carefully reviewing the problem and impact. A supportive system, education programs and improved workplace climate are recommended to reduce workplace bullying in clinical fields.

Life Transition of Mothers of Children with Autism (자폐성장애 아동 어머니의 삶의 전환 과정)

  • Lee, Ae-Ran;Hong, Sun-Woo;Kim, Ji-Soo;Ju, Se-Jin
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.808-819
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    • 2010
  • Purpose: While there are a number of studies on children with disabilities, there have been few studies on mothers of children with autism. The purpose of this study was to explore the process of life transition of mothers who have children with autism. Methods: From June 2007 to May 2009, the researcher interviewed 15 mothers of children with autism living in Seoul City, Gyeonggi or Chonbuk Provinces, and then analyzed the data gathered using the constant comparative method of grounded theory. Results: "Living together holding a string of fate" was a core category showing along the continuum of life. The basic social process of life transition encompassed 5 stages: stages of denying, wandering, devoting, mind controlling, and finally accepting. These five stages proceeded in phases, though returned back to the wandering stage occasionally. Conclusion: This study has opened the door to understanding how mothers of children with autism experienced life transition. The findings suggest that differentiated support and care at each stage should be given and there is the need to develop transition assessment tools for mothers of children with autism.

Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience

  • Lee, Ji Hyun;Kim, Hye Young
    • Journal of Korean Academy of Nursing
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    • v.48 no.2
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    • pp.241-253
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    • 2018
  • Purpose: The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors. Methods: A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs. Results: Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping. Conclusion: Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors' ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

Comparison of Needs for Pregnancy and Postpartum Adaptation of Chinese Immigrant Women and Vietnamese Immigrant Women in South Korea (중국과 베트남 결혼이주여성의 임신과 산후적응 요구 비교)

  • Jeong, Geum Hee;Kim, Kyung Won;Baik, Sunghee
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.19-30
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    • 2019
  • Purpose: To identify needs for pregnancy and postpartum adaptation of Chinese immigrant women and Vietnamese immigrant women in South Korea. Methods: A descriptive research design was employed. Data were collected from 244 Chinese immigrant women and Vietnamese immigrant women from 3 provinces, 20 health care centers, and multi-cultural family support centers. Data were analyzed with descriptive statistics, t-test and ANOVA. Results: An average score for needs perceived by Chinese immigrant women was significantly higher than that perceived by Vietnamese immigrant women. There were significantly differences in physical and emotional adaptation after childbirth, nutrition during pregnancy, cross cultural understanding and personal respect, and adaptation daily activity during pregnancy between the 2 groups. The highest score of needs in Chinese immigrant women was for nutrition during pregnancy and that in Vietnamese immigrant women was for baby rearing and family support. Conclusion: Based on needs of pregnancy and postpartum adaption, nursing intervention program in consideration of cultural characteristics of Chinese immigrant women and Vietnam immigrant women need to be developed for their pregnancy and postpartum health care.

Co-occurrence Network Analysis of Keywords in Geriatric Frailty

  • Kim, Youngji;Jang, Soong-nang;Lee, Jung Lim
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.429-439
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    • 2018
  • Purpose: The aim of this study is to identify core keyword of frailty research in the past 35 years to understand the structure of knowledge of frailty. Methods: 10,367 frailty articles published between 1981 and April 2016 were retrieved from Web of Science. Keywords from these articles were extracted using Bibexcel and social network analysis was conducted with the occurrence network using NetMiner program. Results: The top five keywords with a high frequency of occurrence include 'disability', 'nursing home', 'sarcopenia', 'exercise', and 'dementia'. Keywords were classified by subheadings of MeSH and the majority of them were included under the healthcare and physical dimensions. The degree centralities of the keywords were arranged in the order of 'long term care' (0.55), 'gait' (0.42), 'physical activity' (0.42), 'quality of life' (0.42), and 'physical performance' (0.38). The betweenness centralities of the keywords were listed in the order of depression' (0.32), 'quality of life' (0.28), 'home care' (0.28), 'geriatric assessment' (0.28), and 'fall' (0.27). The cluster analysis shows that the frailty research field is divided into seven clusters: aging, sarcopenia, inflammation, mortality, frailty index, older people, and physical activity. Conclusion: After reviewing previous research in the 35 years, it has been found that only physical frailty and frailty related to medicine have been emphasized. Further research in psychological, cognitive, social, and environmental frailty is needed to understand frailty in a multifaceted and integrative manner.