• Title/Summary/Keyword: Nursing Health Assessment

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Relationships among Malnutrition, Depression and Quality of Life in Patients with Gynecologic Cancer receiving Chemotherapy (항암화학요법을 받는 부인암 환자의 영양장애, 우울 정도와 삶의 질과의 관계)

  • Nho, Ju-Hee;Kim, Sung Reul;Kang, Gyeong Seon;Kwon, Yong Soon
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.117-125
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    • 2014
  • Purpose: The purpose of this study was to identify nutritional status, and relationships among malnutrition, depression and quality of life in patients with gynecologic cancer who were receiving chemotherapy. Methods: For this study a descriptive cross-sectional design was used. Participants were 111 women who were enrolled and agreed to undergo a face-to-face interviews including administration of the structured questionnaires: Patient-Generated Subjective Global Assessment (PG-SGA), Beck Depression Inventory (BDI), Simplified Nutritional Appetite Questionnaire (SNAQ), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: Mean body mass index was 23.3 and mean body weight was 56.5 kg. Sixty-three (57%) of the 111 patients were malnourished according to the PG-SGA. The malnourished patients showed higher levels of depression and lower quality of life compared to the non-malnourished patients. In addition, malnutrition was associated with BMI level, depression, appetite and quality of life. Conclusion: The findings indicate that the prevalence of malnutrition is high and malnutrition in patients with gynecologic cancer influences depression and adversely affects the quality of life of these women. To improve the patient's quality of life, nutritional assessment and appropriate management is important to decrease malnutrition in patients with gynecologic cancer.

Symptom Experience and Quality of Life in Breast Cancer Survivors (유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질)

  • Park, Jin-Hee;Jun, Eun-Young;Kang, Mi-Young;Joung, Yong-Sik;Kim, Gu-Sang
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.613-621
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    • 2009
  • The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors. Methods: A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The mean score of QOL for breast cancer survivors was 95.81 (${\pm}18.02$). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL. Conclusion: Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.

Study Objectives for the National Qualifying Examination and Course Contents of Fundamental Nursing (기본간호학 국가시험 문항개발을 위한 학습목표와 교과내용에 대한 연구)

  • Byun Young-Soon;Won Jong-Soon;Kim Ae-Kyung;Shin Yun-Hee;Jang Hee-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.97-108
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    • 2000
  • The purpose of this study was to assess the present status of the course content of Fundamental Nursing in accordance with the study objectives which were developed for the National Qualifying Examination by the first Faculty-Workshop in January, 1999 and the study objectives as related to other Nursing courses. The study sample included all schools of nursing and the members of the faculty for Fundamental Nursing of seventy schools(66.7%), out of the target population of 105, responded to a questionnaire which was developed by the research team. The collected data were analyzed by frequencies, percentages, means, and standard deviation using the SAS(Statistical Analysis System). The results are as follows : 1) According to this survey the course content of Fundamental Nursing as described in the study objectives for the National Examination, 223(86.77%) study objectives were included in the course of Fundamental Nursing by more than 70% of the schools of nursing, But twenty-three of the study objectives are not included by $30{\sim}50%$ of the schools of nursing. They consider this content to be taught in other courses. The study objectives, which less than 50% of the schools reported as being included in their course in Fundamental Nursing were, all study objectives for 'nursing assessment(communication)', 'nursing assessment (physical examination)', 'record and report', 'sex', and 'use of computer program for nursing diagnosis' and 'use of computerized nursing planning program' 2) Items that were not included in the study objectives for Fundamental Nursing but were included in course content for over 50% of the schools included, 'health of individual, family, community', 'change of nursing practice'. 'professionality of nursing' and all of the study objectives belonging to 'loss and grief' and 'nursing during all stages of surgical operations'. We hope that these results will be helpful in modifying the study objectives for the National Examination as developed by the first Faculty-Workshop and recommend the need for continuous survey research to produce content that is in accordance with study objectives and a National Examination that reflects the content of Fundamental Nursing.

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Educational Needs Assessment on Research Ethics among Nursing Researchers (간호연구자의 연구윤리 교육요구도 조사)

  • Jeong, Ihn-Sook;Gu, Mee-Ock;Kim, Keum-Soon;Lee, Kwang-Ja;Yang, Soo
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.515-523
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    • 2010
  • Purpose: This study aimed to investigate the educational needs of research ethics among nursing researchers. Methods: Convenience sample of 161 nursing professors and 262 master or doctoral nursing students participated in the study. Data was collected with self-reported questionnaire from June to August 2009, and analyzed with descriptive statistics using SPSS WIN (version 14.0). Results: Among 161 nursing professors, about 31.7% has educated nursing ethics in the postgraduate course. The most common course was nursing research or methodology (62.7%), and median education time was 2 hr. Areas that showed difficulty in understanding was the conflict of interest and plagiarism for professors and falsification and fabrication for graduate students. Average knowledge on the research ethics was 75.4 points for professors and 61.6 points for students based on the 100 points. Conclusion: Educational needs of research ethics among nursing professors and students in the postgraduate course was high. We recommend both basic and advanced research ethics educational programs for the nursing researchers. The basic course should be at least 6 hr and include various cases and something to discuss.

A Study on the Development Strategy of Continuing Education Package for the Community Health Practitioners (보건진료원을 위한 보수교육자료의 개발방향)

  • Kang Young-Sil
    • Journal of Korean Public Health Nursing
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    • v.6 no.1
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    • pp.5-14
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    • 1992
  • The role of Community Health Practitioner(CHP) should be continuously adapted to the social changes and the needs for health care services. That is the reason CHP needs to be retrained through the continuing education program. This paper showed CHP's roles to be reinforced by analyzing his present . task performance and ability in seven task areas as well as the changes of the social environment. In addition, this paper presented retraining areas needed for the reinforcement of the CHP's role in the future, and the development strategy of related continuing education package. The major results are as follows: 1. CHP's main practice area is health care services and management & guidance, whereas the development of health information system is neglected. 2. As a result, CHP plays a role mainly as a health care supplier, a consultant and a health instructor. Therefore CHP's roles to be reinforced are management of the community health system, act as a spokesman and a team member, promotion, assessment, collection & maintenance of information, coordination and research. 3. The areas to be reinforced in CHP's continuing education are (]) aged people's health, (2)?drinking & smoking, (3)?young people's health(including drug and sexualissues), (4) rehabilitation, (5)?administration and management for community health, (6)?partnership & membership, (7) local residents' participation and community development, (8) collection & treatment of health information and (9) environmental issues for community health. 4. The priority in developing continuing education package should be given to the area, which is encountered often in rural area but important, and has a good opportunity to be resolved. The health management of aged people was selected as a top priority by members of the Community Nursing Academic Society. 5. It is recommended that the instruction materials be accommodated to the small scale workshop or seminar in order that CHPs can participate actively in the continuing education program.

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Spiritual Assessment Scale;Psychometric Evaluation of the Korean Version (한국어판 영성측정도구(SAS)의 신뢰도와 타당도 검증연구)

  • Oh, Pok-Ja;Chun, Hee-Sook;So, Woi-Sook
    • Asian Oncology Nursing
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    • v.1 no.2
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    • pp.168-179
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    • 2001
  • Spirituality has been found as a factor that may influence an individual's health and response to illness and dying. The purpose of this study was to assess the reliability and validity of the Korean version of the Howden's Spiritual Assessment Scale(SAS). The SAS was developed based on the attributes of spirituality and constructed with 28 items, 4 subscales. The translation involved four steps : translation into Korean, checking agreement, back translation into English, and arriving at a consensus. Psychometric evaluation was done on 222 nurses from five hospitals. All responses were voluntary and anonymous. The Cronbach's alpa coefficient for internal consistency was .928 for the total 28 items and .700${\sim}$.805 for subdimensions. Item- total correlations ranged from .36${\sim}$.68. Principal Component Factor Analysis with Varimax Rotation yielded four factors with four or more items each loading at .40 or higher. These factors explained 51.3% of the total variance. The items clustered in this study were almost identical with initial scale. There was positive correlation(r=.648, p=.0001) between SAS and Ellison & Paloutzian's Spiritual Wellbeing Scale and negative correlation(r=-.418, p=.000) with Pines' Burnout Scale which indicate convergent and discriminant validity. In conclusion, this tool can be effectively utilized for assessing spirituality in Korea.

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The Mediating Effects of Nutritional Status on the Relationship between Symptom Experience and Functional Status in Patients with Chronic Obstructive Pulmonary Disease (만성 폐쇄성 폐질환 환자의 증상경험과 기능상태의 관계에 미치는 영양상태의 매개효과)

  • Jang, Jun Hee;Min, Hye Sook
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.112-121
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    • 2018
  • Purpose: This study was conducted to explore the mediating effect of nutritional status on the relationship between symptom experience and functional status of patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: A total of 141 COPD patients visiting D hospital and I hospital in B city were enrolled in this study. Data were collected from January 2017 to July 2017. Outcome variables were measured by Mini Nutritional Assessment Short-Form (MNA-SF) for nutritional status, The Memorial Symptom Assessment Scale (MSAS) for symptom experience, and The Functional Performance Inventory Short Form (FPI-SF) for functional status. The data were analyzed with descriptive statistics, Pearson's correlation, and path analysis using SPSS/WIN 21.0 and AMOS 25. Results: There was a significant negative correlation between symptom experience and nutritional status (r=-.61, p<.001), a significant negative correlation between symptom experience and functional status (r=-.40, p<.001), and significant positive correlation between nutritional status and functional status (r=.47, p<.001). Symptom experience had indirect effects on functional status through nutritional status. Conclusion: For enhancing functional status in COPD patients, it is necessary to develop nursing intervention programs to enhance symptom management as well as nutritional status.

Effects of Distraction by a Cellular Phone on Pain and Fear During Venipuncture Procedure for Hospitalized Preschool Children (휴대폰을 이용한 관심전환이 학령전기 입원 아동의 정맥주사시 통증과 두려움에 미치는 효과)

  • Lim, Jung-Hee;Shin, Yeong-Ee
    • Child Health Nursing Research
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    • v.13 no.4
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    • pp.506-511
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    • 2007
  • Purpose: The purpose of this study was to investigate effect of distraction by use of a cellular phone on pain and fear during venipuncture procedure for hospitalized preschool children. Method: Fifty four preschool children aged 3-6 were recruited from one university affiliated hospital in Daegu. Participants were assigned to the control(n=27) to receive usual care or intervention group(n=27) to receive distraction plus usual care. For the assessment of children's pain, FACE scale and mothers' perceptions of their own children's pain, visual analogue scale(VAS) were used. For the assessment of fear, Procedure Behavioral checklist developed by Lebaron and Zeltzer was used. Results: Results showed that intervention group demonstrated significantly less pain scores on FACE(t=2.19, p<.03) as rated by children and on VAS(t=2.78, p<.01) as rated by their mothers. Intervention group showed also significantly less fear scores(t=2.30, p<.02) as rated by the researcher. Conclusion: Distraction with cell phone for relieving pain and fear during venipuncture procedure was effective for the hospitalized preschool children.

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Application of Evaluation Criteria for Web sites to Sexuality Education (인터넷상의 성교육 사이트 평가기준의 적용)

  • Kang, Nam-Mi;Hyun, Tai-Sun;Lee, Pil-Ryang;Kim, Jin
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.373-381
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    • 2001
  • Web sites on the internet are excellent resources for the younger generation to gain information related to sexuality education. The potential benefits of the information of sexuality education on web sites are obvious. But the information of sexuality education on web sites could also result in potentially negative effects. Yet the quality of the information of sexuality education on web sites is variable and difficult to assess. There is no rating criteria for quality assessment of the information on web sites. The rating criteria for quality assessment of information of sexuality education were investigated and reviewed. Among the criteria, best 15 items to evaluate the information of sexuality education on web sites were selected and identified in this study. 15 items were categorized to reliability ( 3 items ), content ( 6 items ), goal ( 2 items ), design & technology ( 4 items ). This 15-items questionnaires is considered as commonly implementable criteria for the information of sexuality education on web sites in Korean. 20 web sites related to sexualtiy education were evaluated and the results were discussed.

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Effects of Aroma Massage on Constipation in Women College Students (아로마 복부마사지가 여대생의 변비에 미치는 효과)

  • Chung, Mi Young
    • Journal of Korean Academy of Rural Health Nursing
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    • v.6 no.2
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    • pp.78-86
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of abdominal aroma massage on constipation in college women with functional constipation. Methods: The participants were 24 college women residing in a dormitory of D college located in Gangwon Province. Thirteen were selected for the abdominal aroma massage group (experimental) and 11 for the simple abdominal massage group (control). The experimental treatment was abdominal aroma massage given 5 days a week for 2 weeks. The aroma massage was given using aroma oil mixed with lemon, lavender, rosemary, and cyprus with carrier oil. Weekly defecation frequency, length of time for defecation, and constipation assessment score were measured before the treatment and at 1 week, and 2 weeks after the treatment. Effects of the treatment were tested using repeated measures ANOVA with the SPSS program. Results: There was no significant difference between the two groups, but there was a significant difference within the experimental group in length of time for defecation (1st and 2nd week) and in constipation assessment score (2nd week). Conclusion: Results of this study indicate that abdominal aroma massage is useful in relieving constipation and can contribute to the reduction of use of stool softeners, suppositories, or enemas. after different duration of experiment.