• Title/Summary/Keyword: Nursing history

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Factors Affecting Dysmenorrhea among Adolescents (청소년의 월경곤란증과 영향 요인)

  • Jung Hyang-Mi;Kim Yi-Soon
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.196-204
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    • 2004
  • Purpose: This research was to determine the characteristics of dysmenorrhea among girls, identify the factors affecting dysmenorrhea. Method: The study subjects were 1653 high school student in Busan Metropolitan city. The data were collected by a self-administered questionnaire between November 1 and November 30, 2002. Descriptive statistics, t-test, one-way ANOVA with Scheffe' test, and stepwise multiple regression analysis in SPSS program were used for data analysis. Result: Students suffering from slight dysmenorrhea made up the majority 52.9%, whereas those with serious cases represented 29.8%. Regarding the measures taken to cope with dysmenorrhea, most of the respondents took analgesics 52.8%. A high points of dysmenorrhea was associated with irregular meal habits(p<0.01), unbalanced diet(p<0.05), stress(p<0.01), and health awareness(p<0.01), first menstruation before they reached 13 (p<0.01), heavy bleeding(p<0.01), family history(p<0.01). Factors affecting the dysmennorrhea of the respondents included the extent of bleeding, family history, health awareness, age during the first menstruation, and degree of stress, accounting for 13.1% of the total variance. Conclusion: To manage dysmenorrhea among girls, the results of the research indicate that students need to have proper awareness of health and manage stress through health education. Likewise, they need to be given positive follow-up management through a holistic nursing approach.

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Analysis of Medical Records and Development of Chest Pain Care Record in the Emergency Department (의무 기록 분석을 통한 응급실 흉통 간호 기록지 개발)

  • Choi, Gui Yun;Moon, Young Sook;Hong, Eun Seog
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.533-542
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    • 2006
  • Purpose: The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. Method: Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. Results: In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/timing, extra symptoms, place, nature, stay/radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. Conclusion: The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.

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Factors Influencing Suicidal Ideation in People with Mental Disorder (만성정신질환자들의 자살사고에 영향을 미치는 요인)

  • Lee, Mi-Young;Kim, Young-Sun
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.209-220
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    • 2014
  • The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

Comparison in Spiritual Well-being and Quality of Life between Hospital and Home Hospice Patients (병동호스피스 환자와 가정호스피스 환자의 영적 안녕과 삶의 질 비교)

  • Kim, Bok Hee;Park, Heeok
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.292-301
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    • 2013
  • Purpose: The purpose of this study was to compare the spiritual well-being and quality of life between hospital and home hospice patients. Methods: A total of 116 patients from 4 hospice hospitals in D city and P city participated in this study from January to April 2012. To measure spiritual well-being, an instrument developed by Paloutzian and Ellison (1982) and revised by Park (2005) was used. To measure quality of life, an instrument developed by Cho (1993) and revised by Sun (2003) was used. The data were analyzed by using descriptive statistics, t-test, $x^2$-test, and ANCOVA. Results: Spiritual well-being and quality of life were higher in home hospice patients than in hospital hospice patients, but they were not statistically significant. Higher education and having religion were significantly related to higher spiritual well-being in both groups. Having religion and pain history for the past one week were significantly related to higher quality of life in both groups. Conclusion: For hospice patients, participation in religious activities needs to be encouraged to improve their spiritual well-being and quality of life. Assessing the hospice patients' pain history with close observation and managing the pain are suggested.

A Study on the Mothers Perception, Caring-Confidence, and Attitude towards Own Newborn Infants (어머니의 신생아에 대한 지각, 신생아 돌보기 자신감 및 양육태도)

  • Kang Kyung-Ah;Kim Shin-Jeong;Son Eun-Jin
    • Child Health Nursing Research
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    • v.10 no.3
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    • pp.311-320
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    • 2004
  • Purpose: To investigate the relationships among mother's perception of her own newborn, her caring-confidence level, and her child-rearing attitude; and to provide data for developing effective nursing education programs on maternal newborn care. Method: Explorative survey questionnaires were completed by 159 married mothers of newborns from November 2003 to March 2004. Data were analyzed using SPSS/Win 10.0 by t-test and Pearson's Correlation coefficient. Result: The mean scores of the mother's perception of her own newborn, her caring- confidence level, and her child-rearing attitude were .26, 3.13, and 3.43 respectively. There was a positive correlation between mother's perception of her own newborn and her child-rearing attitude. There was a significant correlation between mothers caring-confidence level and her child-rearing attitude. Score of caring-confidence was significantly different depending on the availability of helper and history of delivery. Conclusion: Availability of helper and history of delivery significantly affected mothers caring-confidence. This in turn, along with mothers perception of her own newborn, enhanced mothers child-rearing attitude. Thus, an effective education for mothers should include these factors.

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A Study on improvement of curriculum in Nursing (간호학 교과과정 개선을 위한 조사 연구)

  • 김애실
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.1-16
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    • 1974
  • This Study involved the development of a survey form and the collection of data in an effort-to provide information which can be used in the improvement of nursing curricula. The data examined were the kinds courses currently being taught in the curricula of nursing education institutions throughout Korea, credits required for course completion, and year in-which courses are taken. For the purposes of this study, curricula were classified into college, nursing school and vocational school categories. Courses were directed into the 3 major categories of general education courses, supporting science courses and professional education course, and further subdirector as. follows: 1) General education (following the classification of Philip H. phoenix): a) Symbolics, b) Empirics, c) Aesthetics. 4) Synthetics, e) Ethics, f) Synoptic. 2) Supporting science: a) physical science, b) biological science, c) social science, d) behavioral science, e) Health science, f) Educations 3) Professional Education; a) basic courses, b) courses in each of the respective fields of nursing. Ⅰ. General Education aimed at developing the individual as a person and as a member of society is relatively strong in college curricula compared with the other two. a) Courses included in the category of symbolics included Korean language, English, German. Chines. Mathematics. Statics: Economics and Computer most college curricula included 20 credits. of courses in this sub-category, while nursing schools required 12 credits and vocational school 10 units. English ordinarily receives particularly heavy emphasis. b) Research methodology, Domestic affair and women & courtney was included under the category of empirics in the college curricula, nursing and vocational school do not offer this at all. c) Courses classified under aesthetics were physical education, drill, music, recreation and fine arts. Most college curricula had 4 credits in these areas, nursing school provided for 2 credits, and most vocational schools offered 10 units. d) Synoptic included leadership, interpersonal relationship, and communications, Most schools did not offer courses of this nature. e) The category of ethics included citizenship. 2 credits are provided in college curricula, while vocational schools require 4 units. Nursing schools do not offer these courses. f) Courses included under synoptic were Korean history, cultural history, philosophy, Logics, and religion. Most college curricular 5 credits in these areas, nursing schools 4 credits. and vocational schools 2 units. g) Only physical education was given every Year in college curricula and only English was given in nursing schools and vocational schools in every of the curriculum. Most of the other courses were given during the first year of the curriculum. Ⅱ. Supporting science courses are fundamental to the practice and application of nursing theory. a) Physical science course include physics, chemistry and natural science. most colleges and nursing schools provided for 2 credits of physical science courses in their curricula, while most vocational schools did not offer t me. b) Courses included under biological science were anatomy, physiologic, biology and biochemistry. Most college curricula provided for 15 credits of biological science, nursing schools for the most part provided for 11 credits, and most vocational schools provided for 8 units. c) Courses included under social science were sociology and anthropology. Most colleges provided for 1 credit in courses of this category, which most nursing schools provided for 2 creates Most vocational school did not provide courses of this type. d) Courses included under behavioral science were general and clinical psychology, developmental psychology. mental hygiene and guidance. Most schools did not provide for these courses. e) Courses included under health science included pharmacy and pharmacology, microbiology, pathology, nutrition and dietetics, parasitology, and Chinese medicine. Most college curricula provided for 11 credits, while most nursing schools provide for 12 credits, most part provided 20 units of medical courses. f) Courses included under education included educational psychology, principles of education, philosophy of education, history of education, social education, educational evaluation, educational curricula, class management, guidance techniques and school & community. Host college softer 3 credits in courses in this category, while nursing schools provide 8 credits and vocational schools provide for 6 units, 50% of the colleges prepare these students to qualify as regular teachers of the second level, while 91% of the nursing schools and 60% of the vocational schools prepare their of the vocational schools prepare their students to qualify as school nurse. g) The majority of colleges start supporting science courses in the first year and complete them by the second year. Nursing schools and vocational schools usually complete them in the first year. Ⅲ. Professional Education courses are designed to develop professional nursing knowledge, attitudes and skills in the students. a) Basic courses include social nursing, nursing ethics, history of nursing professional control, nursing administration, social medicine, social welfare, introductory nursing, advanced nursing, medical regulations, efficient nursing, nursing english and basic nursing, College curricula devoted 13 credits to these subjects, nursing schools 14 credits, and vocational schools 26 units indicating a severe difference in the scope of education provided. b) There was noticeable tendency for the colleges to take a unified approach to the branches of nursing. 60% of the schools had courses in public health nursing, 80% in pediatric nursing, 60% in obstetric nursing, 90% in psychiatric nursing and 80% in medical-surgical nursing. The greatest number of schools provided 48 crudites in all of these fields combined. in most of the nursing schools, 52 credits were provided for courses divided according to disease. in the vocational schools, unified courses are provided in public health nursing, child nursing, maternal nursing, psychiatric nursing and adult nursing. In addition, one unit is provided for one hour a week of practice. The total number of units provided in the greatest number of vocational schools is thus Ⅲ units double the number provided in nursing schools and colleges. c) In th leges, the second year is devoted mainly to basic nursing courses, while the third and fourth years are used for advanced nursing courses. In nursing schools and vocational schools, the first year deals primarily with basic nursing and the second and third years are used to cover advanced nursing courses. The study yielded the following conclusions. 1. Instructional goals should be established for each courses in line with the idea of nursing, and curriculum improvements should be made accordingly. 2. Course that fall under the synthetics category should be strengthened and ways should be sought to develop the ability to cooperate with those who work for human welfare and health. 3. The ability to solve problems on the basis of scientific principles and knowledge and understanding of man society should be fostered through a strengthening of courses dealing with physical sciences, social sciences and behavioral sciences and redistribution of courses emphasizing biological and health sciences. 4. There should be more balanced curricula with less emphasis on courses in the major There is a need to establish courses necessary for the individual nurse by doing away with courses centered around specific diseases and combining them in unified courses. In addition it is possible to develop skill in dealing with people by using the social setting in comprehensive training. The most efficient ratio of the study experience should be studied to provide more effective, interesting education Elective course should be initiated to insure a man flexible, responsive educational program. 5. The curriculum stipulated in the education law should be examined.

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Feminine Hygiene Behaviors and Risk Factors for Bacterial Vaginosis in Female University Students (가임기 여대생의 생식기 관련 개인위생과 세균성 질염 발생의 위험요인)

  • Choi, Jeong Sil
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.1
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    • pp.87-95
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    • 2018
  • Purpose: The purpose of this study was to investigate the condition of feminine hygiene behaviors to identify factors predicting bacterial vaginosis infection. Methods: A self-reporting survey was conducted with 385 female university students in Korea through a descriptive survey. Data were collected on demographics, feminine hygiene behaviors, and bacterial vaginosis infection. Results: The bacterial vaginosis infection rate was 37.9%. Factors predicting bacterial vaginosis infection were grade, age of menarche, history of sexual intercourse, history of sexually transmitted infection, experience of using a bidet, internal douche during menses, over the counter drug anti-itch products, tampons, and tampons/pads combination. Conclusion: To prevent bacterial vaginosis infection among female university students, information and education should be provided to promote positive feminine hygiene behaviors at the university and at home. Results of this study are essential to improve education and practices that will prevent bacterial vaginosis in female university students.

Family Support, Intention of Pregnancy and Antenatal Self-Care of Pregnant Women (임부의 가족지지와 임신의도 및 산전자가간호)

  • Chung, Hae-Kyung;Kim, Kyung-Hee;Yeoum, Soon-Gyo;Song, Mi-Seung;Ahn, Ok-Hee;Lee, Jong-Wha
    • Women's Health Nursing
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    • v.9 no.3
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    • pp.319-326
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    • 2003
  • Objectives : A Pregnancy becomes a developmental challenge and a life-turning point for both the woman herself and her family. The purpose of this study was to identify the correlation amomg the family support, intention of pregnancy and the antenatal self-care of pregnant women. Method : The data were collected from 129 pregnant women by a questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, using the SPSS program. Result : The findings of the study are as fellows : Statistically significant variables related to family support were age, religion, educational level, occupation, relationship with husband, relationship with mother. Statistically significant variables related to intention of pregnancy were religion, abortion history. Statistically significant variables related to antenatal self-care were age, religion, occupation, abortion history, relationship with mother, the term of marriage. There was a significant correlation between family support and intention of pregnancy, family support and antenatal self-care, intention of pregnancy and antenatal self-care. Conclusion : Therefore, it is proposed that family support is an appropriate nursing intervention to improve the antenatal self-care and intention of pregnancy in pregnant women.

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Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients (일개 종합병원 입원환자의 낙상관련 특성 및 낙상발생 예측요인)

  • Choi, Eun-Ju;Lee, Young-Shin;Yang, Eun-Jung;Kim, Ji-Hui;Kim, Yeon-Hee;Park, Hyeoun-Ae
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.420-430
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    • 2017
  • Purpose: The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls. Methods: Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis. Results: Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls. Conclusion: The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.

Development of the Nursing Database for Gastric Cancer Patients (위암환자를 위한 간호 데이터베이스 개발)

  • Jung, Kwuy-Im;Lee, Byung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.571-588
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    • 2001
  • Purpose : This study was to develop the nursing database for gastric cancer patients for clinical application. Method : Nursing data that development of this data base is comprehensive connected with gastric cancer patient nursing process frame to foundation as classification. Result : Each stage was processed based on the System Development Life Cycle. At the Strategy Planning stage, gastric cancer patient nursing process were analyzed. At the system Analysis Stage, database flowchart was drawn up based on frame of nursing process was drawn up. At the system Design Stage, a system was developed based on the flowchart and named the Nursing Database. The Nursing Database consisted of the patient's Basic Information, Patient's Nursing History, Discharge summary, Nursing Assessment, Nursing Diagnosis, Nursing Intervention/activity, Nursing Evaluation, Statics, Code Registration. Each element in flowchart was coded and made into a database. Nursing Assessment classified according to Gorden's Health Pattern Typology, and nursing diagnosis draws the standard 27 name of Hanguls and connected with nursing assessment. Nursing intervention and nursing activity draw 192 of thing that present in NIC, connected this with nursing assessment. Nursing evaluation is linked with nursing assessment, diagnosis and intervention by achievement availability of nursing goals. Conclusion : The biggest advantage of this database nursing process that can manage nursing information exactly and rapidly to foundation be.

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