• Child Health Nursing Research
• /
• v.22 no.4
• /
• pp.326-335
• /
• 2016

Purpose: It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outcomes following the new feeding protocol for infants who underwent cardiac surgery. Methods: This study consisted of three phases. First, a feeding protocol was developed based on a literature review. Second, ten experts rated the content validity. Third, a comparison study was conducted to evaluate the impact of the new feeding protocol. Data were analyzed using SPSS Version 20. Results: Twenty-nine infants were enrolled in the pre-protocol group, and 22 infants in the post-protocol group. Patients in the 2 groups were similar. Time to reach feeding goal was significantly decreased from 56.0 (27-210) hours to 28.5 (10-496) hours in the post-protocol group (Z=-4.22, p<.001). Level of enteral feeding knowledge among nurses increased significantly after implementation of the protocol. Conclusion: The feeding protocol using VAI score facilitates the achievement feeding goal to decrease feeding interruptions and help nurses in their practice. Larger studies are necessary to examine clinical outcomes following the implementation of this feeding protocol.

• Women's Health Nursing
• /
• v.22 no.1
• /
• pp.39-47
• /
• 2016

Purpose: The purpose of this study was to examine the effect of preoperative education using multimedia on level of pain, uncertainty, anxiety and depression in hysterectomy patients. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The level of post operation pain, pre and post operation uncertainty, anxiety and depression of both the groups was measured. The experimental group was provided with preoperative education using multimedia on the preoperative day at the hospital. The control group was only given usual care. Data were analyzed using SPSS/WIN version 22.0 program. Results: Experimental group showed lower level of post-operation pain in 1 hour (t=-5.08, p<.001) and 24 hours (t=-5.20, p<.001) but not 48 hours (t=-0.91, p=.368). Uncertainty showed significant interaction effect of Group by Time (F=4.16, p=.018). Conclusion: Preoperative education using multimedia for patients with hysterectomy would be effective in lowering patients' level of pain, uncertainty, anxiety and depression.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.20 no.4
• /
• pp.333-344
• /
• 2013

Purpose: The purpose of this study was to investigate prevalence and factors influencing constipation in school age children in order to help prevent and manage this problem. Methods: The participants were 618 elementary school students (4th, 5th, and 6th grade) selected from five elementary schools. Data were gathered using questionnaires and analyzed using $x^2$ test, independent t-test and binary logistic regression with the PASW 18.0 program. Results: The prevalence of constipation was 15.2% for these school age children. Factors influencing constipation in this population were high stress (OR: 5.77), daily intake of meat (OR: 5.42), more than 3 hours using the internet (OR: 4.50), more than 3 hours of private academy classes (OR: 2.83), obesity (OR: 2.34), and negative perceptions of school toilet environment (OR: 2.26). Conclusion: Psychological factors and physical activities have an important effect on constipation in school age children. Thus, there is a need to educate both children and their parents on prevention of constipation by decreasing stress, decreasing meat intake, increasing active movement and increasing positive perception of school toilet environment.

• Korean Journal of Occupational Health Nursing
• /
• v.29 no.4
• /
• pp.273-287
• /
• 2020

Purpose: This descriptive correlation study was conducted to investigate factors affecting the absence of adult workers according to their gender. Methods: Secondary data analysis was carried out using data from the fifth Korean Working Conditions Survey. Data on respondents' demographic characteristics, working conditions, health status, and absence were analyzed; a descriptive analysis, χ²-test, t-test, and logistic regression analysis were carried out. Results: The factors that had the greatest impact on male workers' absence from work were service workers (2.74 times; B=.99), having more than 53 hours of work per week (1.17 times; B=.52), and when subjective health conditions were not satisfied (2.27 times; B=.82), whereas the factors that affected female workers' absence the most were a monthly income of 3 million won or more (2.74 times; B=1.34), a weekly work time of 53 hours (2.02 times; B=.71), and having a fewer number of sleep disorders (B=-.36). Conclusion: This study suggests that not only the national interest should be considered in investigating the factors affecting absence but also the enterprise. Systematic support for the health care of workers is also needed.

• Journal of Korean Academy of Nursing
• /
• v.43 no.2
• /
• pp.215-224
• /
• 2013

Purpose: This study was done to evaluate the combination effects of capsicum plaster at the Korean hand acupuncture points K-D2 with prophylactic antiemetic on Postoperative Nausea and Vomiting (PONV). Methods: An experimental research design (a randomized, a double-blinded, and a placebo-control procedure) was used. The participants were female patients undergoing gynecologic laparoscopy; the control group (n=34) received intravenous prophylactic ramosetron 0.3mg, while the experimental group (n=34) had Korean Hand Therapy additionally. In the experimental group, capsicum plaster was applied at K-D2 of both 2nd and 4th fingers by means of Korean Hand Therapy for a period of 30 minutes before the induction of anesthesia and removed 8 hours after the laparoscopy. Results: The occurrence of nausea, nausea intensity and need for rescue with antiemetic in the experimental group was significantly less than in the control group 2 hours after surgery. Conclusion: Results of the study show capsicum plaster at K-D2 is an effective method for reducing PONV in spite of the low occurrence of PONV because of the prophylactic antiemetic medication.

• Research in Community and Public Health Nursing
• /
• v.22 no.4
• /
• pp.420-428
• /
• 2011

Purpose: The purpose of this study was to investigate the relations between fatigue and work-related factors in workers. Methods: A total of 204 subjects aged between 21 and 59 were selected through convenient sampling. Data were collected with a self-reported questionnaire from May 20 to 31, 2011. Collected data were analyzed with SPSS/WIN 17.0. Results: Difference in fatigue according to general characteristics was significant according to duty type. Difference in fatigue according to occupational characteristics was significant according to work intensity, work speed, demand of work concentration, work space, physical environment, largest weight by hands, vibration, visual demand of work, difficulty of work practice, work stress, and rest hours in holiday. There was a positive correlation between fatigue and occupational characteristics. Stepwise multiple regression analyses showed that educational level, work intensity, and rest hours in holiday were the strongest factors associated with fatigue ($R^2$=.363 p<.001). These factors explained fatigue by 36.3%. Conclusion: The findings of this study may be useful in understanding workers' fatigue and developing more specific fatigue relief programs.

• Korean Journal of Occupational Health Nursing
• /
• v.30 no.4
• /
• pp.224-231
• /
• 2021

Purpose: The purpose of this study was to identify the psychosocial working environment and mental health of financial workers, and analyze the impact of the former on the latter. Methods: Data of 257 financial clerks were extracted from the 2017 5th Korean Working Conditions Survey. Psychosocial working environment was divided into five fields: demands at work, work organizations, interpersonal relations, workplace violence, and working hour quality. Mental health included sleeping problems, psychological well-being, and job stress. Results: A total of 6.1% subjects reported sleep problems, 28.2% experienced poor psychological well-being, and 39.6% had job stress. More than half the subjects were exposed to tight deadlines, complex tasks, hiding feelings at work, fair treatment, fair distribution of work, colleagues' support, and managers' support. Tight deadlines, workplace violence, long working hours, hiding feelings at work, and managers' support had a significant impact on the mental health of financial clerks. Conclusion: Based on the results of this study, we propose that employers, workers, and health managers in the financial industry should work together to establish a respectful organizational culture, prevent long working hours through recruitment, and conduct programs to protect emotional health.

• Korean Journal of Occupational Health Nursing
• /
• v.30 no.4
• /
• pp.196-205
• /
• 2021

Purpose: This study aimed to identify the factors influencing health-promoting behaviors (HPB) among fish market merchants. Methods: A cross-sectional descriptive design including 117 merchants working at a fish market in city C. Data were collected using self-reported questionnaires during April 19-30, 2021, and were analyzed using descriptive statistics, t-test, ANOVA, Scheffé's test, Pearson correlation coefficients, and stepwise multiple regression analysis with SPSS/WIN 23.0. Results: The scores were 2.68±0.49 for HPB among fish market merchants. Factors significantly influencing HPB among fish market merchants were perceived disabilities (β=-.42, p<.001), self-efficacy (β=.26, p<.001), perceived benefits (β=.16, p=.012), exercise (β=.14, p=.023) and daily working hours (β=-.13, p=.030). These factors accounted for 60.3% of the HPB of fish market merchants. Conclusion: These findings suggest that efforts are needed to reduce perceived disabilities, reduce working hours per day, and develop programs to enhance self-efficacy, perceived benefits, and exercise in order promote HPB among fish market merchants.

• Korean Journal of Occupational Health Nursing
• /
• v.33 no.1
• /
• pp.1-11
• /
• 2024

Purpose: This study aimed to analyze the factors influencing the well-being of middle-aged non-shift female workers using health-determinant models. Methods: This study analyzed data from the fifth Korean Working Conditions Survey (KWCS), involving 5,449 participants. A hierarchical multiple regression analysis was employed to examine the relationships between various factors and well-being. Results: The analysis identified key factors affecting well-being in middle-aged female non-shift workers, including supervisor support, presenteeism, satisfaction with the working environment, autonomy in working hours, support from coworkers, workplace discrimination, occupation, work-life balance, sleep problems, workplace size, weekly work hours, and sickness absence. This study confirms that the well-being of middle-aged non-shift female workers is influenced by factors at the individual, social, and community levels as well as by conditions related to love. Conclusion: To enhance the well-being of middle-aged female non-shift workers, it is essential to reinforce positive factors such as support from coworkers and superiors. Additionally, addressing and mitigating negatively influencing factors such as workplace discrimination and sleep problems is crucial in promoting well-being. By implementing measures to improve these aspects, organizations and policymakers can contribute to a healthier and more supportive work environment for middle-aged, non-shift female workers.

• Journal of Korean Critical Care Nursing
• /
• v.9 no.1
• /
• pp.66-76
• /
• 2016

Purpose: This study was conducted to examine the relationship between lateral position change and sternal complications after cardiac surgery through median sternotomy. Methods: This study was a retrospective descriptive case-control study, involving 241 patients who underwent cardiac surgery through median sternotomy. Data from October 2011 to September 2014 were collected. Results: Sternal complications (i.e. dehiscence, sternal instability, mediastinitis) developed in 33 patients (13.7%). Primary symptoms of complications were discharge and erythema, and the mean time difference from surgery to appearance of symptoms was 15 days (range, 1-138 days). The factors associated with sternal complications were cancer comorbidity (${\chi}^2=5.22$, p=.039), internal mammary artery procedure (${\chi}^2=4.16$, p=.041), and duration of extra-corporeal membrane oxygenation (p=.033). Position change was not related to incidence of sternal complications (${\chi}^2=0.14$, p=.704). Pressure ulcers appeared in 63 patients (26.1%). Mean time difference from surgery until occurrence of ulcers was 6.7 hours (range, 0-323.0 hours), but position change was started from 132.4 hours (range, 27.1-503.2 hours) after intensive care unit admission. Conclusions: These results provide baseline data to create a standard position change and activity protocol for patients after median sternotomy. Furthermore, the study could help clinical practitioners establish evidence-based nursing practices.