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Measurements of Stress and Coping with Stress Among School-Aged Children in the Chon-buk Area (일부지역 초등학생의 스트레스와 대처행위 측정)

  • Chung, Young Sook;Chung, Seung Hee
    • Journal of the Korean Society of School Health
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    • v.9 no.2
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    • pp.185-195
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    • 1996
  • This study attempts to discover ways to prevent and cope with stress m primary school students, Specific, ally, we wish to investigate the sources of stress and to identify the variance and frequency of coping methods which have been used by the subjects. After examining the school children's list of items about stress and coping strategies by on open structure method, subjects ranked the seventy of stressor's and frequency of a coping strategies by closed structure method. A survey was done of 720 students who were from the 4th to 6th grade in 4 primary schools in the Chonbuk area from April 1st to May 30th, 1995. The major results obtained from this study were the following. 1. The sources of stress bad were classified in 57 items Among the 57 items, 'were school records' 'illness of parents' 'death of family members' 'meetings with trouble makers' ranked high ranking in the stress ratings. 2. Severity of stress. the mean total stress scores were 186.4 with 285 as the highest score. 3. The kinds of coping with stress using were classified in 35 items, Among the 35 items, 'wandering and walking alone' 'mood getting out of the in any way' 'trying to forget the stressor' 'were among the highest scored. 4. Frequency of coping with stress: mean total stress coping scores were 67.9 with 140 as the highest score. 5. Difference m stress and coping strategies between sex, age, living district and religion groups were examined. 1) Significant variables influencing stress scoring were sex (t=-2,29, p<.001) and grade (F=6.33, p<.001). 2) Significant variables influencing stress coping practice were residence (t=1.94, p<.05), sex (t=-3.17, p<.002) and religion (F=5,95, p<.0001).

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Risk Factors of Severity of Pressure Injuries in Acute University Hospital Inpatients (급성기 대학병원 입원환자의 욕창중증도의 영향요인)

  • Cho, Bo Kyung;Ko, Young;Kwak, Chanyeong
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.98-106
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    • 2020
  • This study was conducted to identify the factors influencing the severity of pressure injuries of patients with pressure injuries admitted to acute university hospital. This study was a secondary analysis on the data of the study conducted to identify the factors influencing the deterioration of pressure injuries during hospitalization. The data were collected by retrospectively examining the medical records of patients with pressure injuries who were 18 years of age or older and who were admitted to acute university hospital from May 2017 to November 2018. We used data from 472 patients with pressure injuries at admission for this secondary analysis. In order to identify the factor influencing of severe pressure injuries compare to superficial pressure injuries, we analyzed the data using logistic regression analysis. As a result of the study, gender, body temperature, and patient's movement were identified as factors affecting severe pressure injuries. Therefore, special care is necessary to increased the number of position change for inpatients with pressure injuries, especially for patients with decreased mobility.

Gratitude Experience of Mothers who cares Child with Chronic Schizophrenia (만성조현병환자 어머니의 감사경험)

  • Hong, Ju-Eun
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.199-209
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    • 2020
  • This study was done to explore deeply the essence and meaning of gratitude experience of mothers who cares child with schizophrenia. This study was analysed through the use of the phenomenological method of Giorgi. Data was collected through in-depth interviews, observation, and field records with five motheres who cares child with schizophrenia. Data analysis revealed 18 sub-components, 5 components: 'I'm like fallen seed on barren soil without gratitude', 'gratitude coming into bud like sprout,' 'gratitude grown up into a tree through tolerance', 'gratitude bearing fruit of self-sufficiency and desire', and 'gratitude getting much richer with giving. The results from the study contribute to promoting understanding of the gratitude experience of mothers who cares child with schizophrenia and will be helpful for development of positive family nursing intervention.

Comparison of breast feeding practice rates and mothers' breast feeding empowerment in preterm, late preterm and early term infants (미숙아, 후기 미숙아와 조기 만삭아의 모유수유 실태 및 모유수유 임파워먼트 비교)

  • Kim, Taeim;Jang, Gunja
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.4
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    • pp.713-721
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    • 2013
  • The purpose of this study was to compare the breast feeding practice rates and mothers' breast feeding empowerment in preterm (gestation age [GA]<34), late preterm ($34{\leq}$GA<37), early term infants ($37{\leq}$GA<39). We surveyed 33 preterm, 22 late preterm, and 30 early term infants at a 'Baby-Friendly Hospital' in D city. The data were collected from October 1st, 2008 to February 28th, 2010 through the medical records of the infants and their mothers. We also checked the mothers' breast feeding empowerment at discharge day. The rate of breast feeding in the late preterm and preterm infants was significantly lower than that of the early term infants. The score of mothers' breast feeding empowerment in the late preterm and preterm infants was also significantly lower than that of the early term infants. The breast feeding education program is required for the mothers who have preterm and late preterm infants considering the low rate of breast feeding.

The Current Status of Cerebral Palsy Patients in Handicapped Residential Facility (장애인 집단보호시설에서 뇌성마비 환자의 현황)

  • Lee, Dong-Hee;Oh, Ki-Young;Lee, Kyu-Hoon;Choi, Ki-Sub;Kim, Mi-Jung
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.1
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    • pp.96-104
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    • 2004
  • Purpose: The aim of this study is to evaluate the general status and prevalence of cerebral palsy, the complication and the activity of daily living in patients with cerebral palsy in Holt Ilsan Home. Methods: Cross-sectional study was performed on 113 cerebral palsy patients in Holt Ilsan Home with the medical records review, the physical examination, and the Modified Barthel index for the independency of activities of daily living. Results: The mean age of subjects was $28.1{\pm}12.7$ years and the duration of residence was $22.9{\pm}12.8$ years. The most common type of cerebral palsy according to the muscle tone abnormality was spastic type(53.1%). The most frequent condition in which extremities are involved were quadriplegia in 46.0%. The score of Modified Barthel index was significantly lower in mixed type for $16.9{\pm}24.0$ and quadriplegic type for $14.8{\pm}25.5$ compared with others. Conclusion: This study indicates that cerebral palsy patients in rehabilitation facility have severe medical problems such as musculoskeletal complications, visual and language problems, epilepsy and dependency in activities of daily living. Therefore more medical attention like long-term follow-up study and social supports is needed.

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Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards (신경계 병동에서 억제대를 적용 중인 환자가족의 억제대 적용에 대한 인식과 태도)

  • Ha, So-Yeon;Ha, Yi-Kyung;Kim, Myung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3293-3302
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    • 2015
  • This study was conducted to identify families' perception and attitude toward application of physical restraint(PR) in general neurological wards. The study is based on subjects from 70 family members who have cared patients applying PR. Data was collected using self-report questionnaires and reviewing of patients' medical records. 68.6% of subjects were female and the mean age was 47.9 years old. Family members were either sons, daughters or spouses. The questionnaires analyzed families' perceptions based on a score of 5, the results showed a mean score of 4.2, and items related to maintaining therapeutic tools scored the highest. The application of PR with two hands was perceived by families as more important than PR applied with one hand. In families' attitude toward PR, there was general agreement that families had the right to decide to apply and remove PR. Continuous education and information regarding PR is required to support families.

Nutrient Intakes and Self-Perceived Health Status of the Institutionalized Elderly Daejeon and Chungchong Area

  • Chung, Young-Jin
    • Nutritional Sciences
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    • v.5 no.1
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    • pp.26-33
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    • 2002
  • This study was conducted to provide insight into the management and care of the elderly in nursing homes. Eighty-six elderly subjects over 65 years old (38 male, 48 female) in 3 non-fee-paying nursing homes, located in Daejeon and Chungchong areas, were studied. Subjects'dietary intakes by estimated food intake records, and self-perceived health conditions, were studied using questionnaires from July 21 to August 1, 1997. Twenty-one % of the male subjects and 42% of the female subjects were over 80 years. Their predominant past occupation was farming. While 8.3% of the female and no male residents showed a BMI (Body Mass Index) of 27 and above, about 30% of the subjects were underweight and in poor health status in seeing, joint pains, lumbago and shoulder pains. Regarding overall health status, 72.1% of the subjects considered them to be in poor health, and female and male subjects suffered more difficulties from cloudy eyes, joint pains and lumbago and shoulder pains than any other. Neuralgia was the predominant chronic complaint and followed by hypertension in both sexes. Overall, female subjects felt worse off than the male subjects in terms of their health status, that can be attributed to higher average age of the female subjects compared to the male subjects. The elderly were eating a very low fat (about 15 g : 6% of total calorie) diet with low vitamin A and E. Intakes of calories, protein and iron slightly exceeded RDA. The phosphorus intake was more than double the RDA although calcium intake was close to the RDA. From these results, it seems important to doubling the fat intake of the elderly residents in the form of vegetable fat with the object of raising of vitamin E, antioxidant vitamin, and essential fatty acids for the elderly. It is also recommended that the elderly residents should be given adequate calcium and exercise for bone health.

Hospital-Acquired Pressure Injury: Clinical Characteristics and Outcomes in Critical Care

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.28-33
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    • 2019
  • Electronic health records (EHRs) enable us to use and re-use electronic data for various multiple purposes, such as public reporting, quality improvement, and patient outcomes research. Current hospital-acquired pressure injury (HAPI) risk assessment instruments have not been specifically developed for intensive care unit (ICU) patients and showed false positive rates in this specific populations. Previous research studies report a number of risk factors; however, it is still not clear what factors influence ICU HAPI in this population. As part of a larger research study, we performed an exploratory analysis by using a large electronic health record data. The aims of this study were to compare characteristics of patients who developed HAPIs during their ICU stay with those who did not, and to determine whether the two groups were different in the aspects of length of ICU stay, discharge disposition, and discharge destinations. We conducted chi-square test and t-test for group comparison. Association was examined by using bivariate analyses. Pearson correlation coefficients were used to examine correlation between LOS and number of medications. Our findings suggest a number of consistent and potentially modifiable risk factors, such as sedation, feeding tubes, and the number of medications administered. The mortality of the HAPI group was significantly higher than the non-HAPI group in our data. Discharge disposition was significantly different between the groups. 67% of the HAPI group transferred to intermediate or long-term care hospitals whereas 57.7% of the non-HAPI group went home after discharge. Awareness of these risk factors can lead to clinical interventions that can be preventative in the ICU setting.

A Comparative Study on Risk Factors Related to Patient with Recurrent Stroke Between Recurrent Group and Non-recurrent Group: Single Hospital Based Cohort Study (뇌졸중 재발자와 비재발자의 뇌졸중 재발 위험 요인의 비교 분석: 일개 병원의 뇌졸중 환자 코호트를 기반으로)

  • Jeon, Mi Yang;Cho, Hyung Je;Park, Mingyeong;Jin, Mi Jeong;Ha, Youngmi
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.219-228
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    • 2020
  • Purpose: This study was a comparative analysis of stroke-related factors between recurrent patients and non-recurrent patients. Methods: A retrospective cohort study design was used, and data were collected from March 2020 to April 2020 using electronic medical records. 244 patients (221 first-timers and 23 recurrent) were included in this study. Results: The stroke recurrence rate in 5 years was 9.4%, the readmission rate was 39.3%, and the mortality rate was 2.0%. The number of patients hospitalized for stroke was greater among men than among women. Of the patients, 60.7% had an underlying disease. With regard to daily life abilities, over 70% of participants needed more than moderate dependence and about 40% of participants had more than mild cognitive impairment. More than 50% were moved to wheelchairs or stretcher cars. The difference in the stroke readmission rate between recurrent and non-recurrent patients was statistically significant. Conclusions: Based on our findings, a program to prevent recurrence of stroke should be developed to considering age, ability of daily living, place of discharge, gait ability at discharge, and place of discharge.

Differences in Social and Clinical Characteristics between Readmission and Dehospitalization in Long-Term Inpatients with Schizophrenia (장기 재원 조현병 환자에서 재입원 혹은 탈원에 따른 사회적 및 임상적 특징 차이)

  • Kim, Min-Sun;Park, Sunyoung;Choi, Jin-sook
    • Korean Journal of Schizophrenia Research
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    • v.23 no.1
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    • pp.38-44
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    • 2020
  • Objectives: Dehospitalization of long-term inpatients with schizophrenia can be difficult because of complex factors such as chronic symptoms and low family and social support. The aim of this study was to identify factors related to dehospitalization and readmission of long-term inpatients with schizophrenia. Methods: This retrospective study reviewed the medical records of patients discharged from a psychiatric hospital in Yongin, South Korea, from February 1, 2016, to July 31, 2017. Patients who were hospitalized for over 3 months were divided into two groups: readmission (n=47) and dehospitalization (n=55). Differences in sociodemographic and clinical factors were analyzed between the two groups. Results: Regarding sociodemographic characteristics, female sex, familylessness, discharge to nursing homes, and discharge after symptom improvement were more prevalent in the dehospitalization group, whereas male sex, having a sibling as next of kin, and discharge because of other problems were more prevalent in the readmission group. Among clinical characteristics, hospital stay was longer in the readmission group. Conclusion: In this study, patients without a family showed a tendency to not be readmitted when they were discharged to nursing homes after symptom improvement. Expansion of social welfare support may encourage dehospitalization of long-term inpatients with schizophrenia.