• Title/Summary/Keyword: Nursing program

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Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus (통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과)

  • Kim, HeeSook;Kim, Sue
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.69-80
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    • 2013
  • Purpose: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. Results: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. Conclusion: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital (요양병원 낙상 고위험 노인 환자를 위한 King의 목표달성이론 기반 낙상 예방 프로그램 개발 및 효과)

  • Park, Bom Mi;Ryu, Ho Sihn;Kwon, Kyeung Eun;Lee, Chun Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.203-214
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    • 2019
  • Purpose: The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects. Methods: This study was a nonequivalent control group pre- and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an ${\chi}^2-test$, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software. Results: For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368). Conclusion: These results indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.

Development and Efficacy of Psychiatric Nursing Simulation Practical Training program Using Standardized Patients (표준화 환자를 활용한 정신시뮬레이션 실습프로그램 개발 및 효과)

  • Kim, Namsuk;Kim, Soo-Jin;Song, Ji-Hyeun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.67-74
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    • 2022
  • The purpose of this study was to develop and apply a mental simulation practice program using standardized patients for nursing students and to verify the effectiveness. This study is a single-group pre- and post-design study, and a structured questionnaire was provided to 186 nursing students at a university in J for data collection. The collected data were analyzed using SPSS/WIN 27.0 program. As a result of the study, the mental simulation practice education program using standardized patients showed the subjects' communication ability (t=-2.575, p=001), learner self-efficacy (t=-2.228, p=.026) and problem-solving ability (t=-2.298, p=.017) was found to be effective. As a result of this study, it is necessary to develop and apply a simulation practice education program that creates an environment similar to the actual situation and applies various cases using the necessary resources to improve the field adaptation ability of nursing students.

Development of a Respiratory Infection Prevention Program for the Rural Elderly in the Post COVID-19 Era: A Study Using Delphi Method of Community Health Practitioners (포스트 코로나 시기 농촌 거주 노인의 호흡기감염 예방 프로그램 개발: 보건진료 전담공무원 대상 델파이 기법)

  • Kwon, Myung Soon;Yu, Jeong Soon;Jang, Ji Hye
    • Journal of Korean Public Health Nursing
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    • v.36 no.3
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    • pp.417-430
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    • 2022
  • Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

The Effects of Infection Prevention Education Program on Infection Prevention Knowledge and Attitude to Nursing Caregiver Students (감염예방 교육프로그램이 요양보호사 교육생의 감염예방지식 및 태도에 미치는 효과)

  • Ryu, Bog-Mi;Ryu, Seong-Mi
    • Journal of Korea Society of Industrial Information Systems
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    • v.15 no.5
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    • pp.167-177
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    • 2010
  • It is really important that trained professional care givers service pursuer for long tenn care insurance in Korea. This study was done to evaluate the infection prevention knowledge and attitude on nursing caregiver students with one group pre test-post test to compare on the education program. The data was collected by standardized self-administered questionnaire with a total of 128 nursing caregiver students in G city. The data was analyzed using the SPSS WIN 10.0 program such as t-test. The knowledge of infection prevention was significantly increased on pre-education and post-education of Infection Prevention Education Program. It is necessary for continuous education to maintain quality of nursing and improve the knowledge of infection prevention and program development on nursing caregiver.

The Effects of a Memory Training Program for Adults Depression and Memory Self-Efficacy (기억훈련프로그램이 노인의 우울과 기억자기효능에 미치는 영향)

  • Kim, Jeong-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.1
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    • pp.60-70
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    • 2002
  • This study was a quasi-experimental study to confirm the effects of a memory training program. The purpose was to develop an effective memory training program for elderly people and to identify the effects of the memory training program. This study was carried out between February 25 and July 20, 1999 and the subjects of the study were 102 elderly people who were participants at a welfare institute in Seoul. The experimental group (51) and the control group (51) were assigned by means of participation order. The control group was matched to the experimental group and was selected considering age, sex, and religion. The experimental group participated in the memory training program. The memory training program was based on the literature of Fogler & Stern (1994), Wang & Lee (1990), Lee (1991) and Lee (1993). The memory training program was given twice a week for two weeks with each program lasting two hours. Depression was measured using the Geriatric Depession Scale developed by Sheikh & Yesavage(1986) and memory self-Efficacy was measured using the Memory Self-Efficacy Scale developed by Berry & Dennehey (1989). Data were analyzed by SPSS PC and the results are described below. 1. The experimental group which participated in the Memory Training Program showed lower depression scores as compared to the control group(t=-4.310, P=.000). 2. The experimental group which participated in the Memory Training Program showed higher higher memory self-efficacy scores as compared to the control group(t=4.354, P=.000). 3. In the experimental group, there was significant negative correlation between the depression scores and memory self-efficacy scores. The results showed that the Memory Training Program is an effective nursing intervention for the elderly with depression and memory problems.

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The Analysis of Research on the Home-Based Pulmonary Rehabilitation Program (가정 호흡재활 프로그램 관련 연구 논문 분석)

  • Oh, Eui-Geum;Kim, So-Hee;Kim, Sun-Hee;Park, Hee-Ok;Lee, Chun-Wha
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.368-377
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    • 2002
  • Purpose: The purpose of this study was to analyze the trend of research on the use of home-based pulmonary rehabilitation. Method: Using Medline and CINAHL search engine, experiemental research, titled as 'home-based pulmonary rehabilitation' and 'chronic lung disease', statistics were collected. The total 29 experimental studies published between 1981 to 2000 were selected and analyzed according to the ATS guidelines. Result: 1) The study samples in research were mostly of men, whose lung function was moderate to severe. 2) The total period of the intervention program varied from 5 to 12 week. The program included excercise intervention and educational intervention. Psychosocial intervention was minimal. 3) The outcome of the home-based pulmonary rehabilitation had been measured mostly by physical aspects. Quality of life and cost were less frequently measured. 4) In terms of effectiveness of the home based pulmonary rehabilitation program, physiologic outcome, such as lung function and hematologic markers, there was more 'no effect' than 'positive effect', whereas there was more 'positive effect' in decreasing dyspnea, improving excercise capacity, and improving quality of life. Conclusion: Based on these findings, future research on home-based pulmonary rehabilitation should be emphasized and provide standardized protocol, including psychosocial intervention, and analyses on cost and quality of life.

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Effects of a Telephone Follow-up Program on Patient Compliance, Urea Kinetic Modeling and Incidence of Infection in Patients with Continuous Ambulatory Peritoneal Dialysis (CAPD) (전화추후관리 프로그램이 복막투석환자의 치료지속이행, 투석적절도와 감염발생도에 미치는 효과)

  • Chon, Si-Ja;Shin, Sug-Kyun;Roh, Young-Sook;Lee, Suk-Jeong;Park, Ai-Hee;Park, Yang-Sook;Park, Young-Mi
    • Journal of Home Health Care Nursing
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    • v.16 no.2
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    • pp.98-107
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    • 2009
  • Purpose: The objective of this study was to identify the effects of a telephone follow-up program on patient compliance, urea kinetic modeling and incidence of infection in patients with continuous ambulatory peritoneal dialysis (CAPD). Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of a telephone follow-up program for 12 weeks in a group of 39 CAPD patients. The telephone follow-up group of 17 patients received telephone follow-up 10 min once a week for 1 month and 10 min twice a month for 2 months during 12 weeks compared to control group of 22 who patients received usual care. Results: The telephone follow-up group showed no significant changes in patient compliance and urea kinetic modeling, although patients with CAPD receiving a telephone follow-up showed reduced incidence of exit site infection during the intervention compared with the control group. Conclusion: Telephone follow-up program for CAPD patients may decrease the incidence of exit site infection. Future studies with a larger sample be done utilizing diet and exercise reinforcement program combined with telephone follow-up as a nursing intervention for patients with CAPD.

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The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study (재가 갑상선암 환자를 위한 지역암센터 자가관리프로그램 중재 효과에 대한 예비연구)

  • Yoo, Hyera;Boo, Sunjoo;Chun, Mison;Jo, Eun Mi
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.582-593
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    • 2015
  • Purpose: This study was conducted to examine the effectiveness of a self-management program on patients with thyroid cancer, particularly during the time of waiting for surgery after cancer diagnosis. Psychological distress, biological responses of immune cell counts, and quality of life were the variables of this study. Methods: One group pre-post test design was used with the nature of a pilot study. Ten newly diagnosed thyroid cancer patients were recruited through physicians' referrals. After drop out of 4 participants, final data were collected from six participants. Small group technique, a one and half hour-session per week for one month (total 4 sessions, 6 hours) was used. Relaxation techniques, meditation training, and strategies to reduce distress were provided by researchers. Standardized questionnaires and an established bio-assay were used for collection of data. Results: Participants showed significant lowering of psychological distress (p<.05) and improvement in global quality of life (p<.05). Biological responses of immune cell counts did not show statistical significance. Conclusion: The self-management program may reduce psychological distress and improve quality of life of patients with thyroid cancer between the time of diagnosis and surgery. The self-management program would be a valuable approach for patients with an unexpected cancer diagnosis to prepare for their disease experience in a community setting.

The Effects of a Therapeutic Recreation Program on the Powerlessness and Life satisfaction in Chronic Mentally Disabled (치료레크리에이션이 정신요양시설에 있는 만성정신질환자의 무력감과 생활만족도에 미치는 영향)

  • Lee, Chunyee;Byun, Eunkyung;Yang, Migyeong;Chang, Koungoh;Kim, Namhee
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.71-77
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    • 2013
  • Purpose: The purpose of this study was to determine the effect of a therapeutic recreation program on the powerlessness and life satisfaction of people with chronic mental disability. Methods: Nonequivalent control group pretest-posttest design was used for this study. There were 24 people in experimental group and 21 people in control group. Therapeutic Recreation Program was carried out twice a week in a total of 8 sessions, 60 minutes for each session. Data were analyzed using frequency, percentage, $X^2$-test, and independent t-test with SPSS/WIN 18.0. Results: Life satisfaction in the experimental group compared with the control group was significantly increased after the therapeutic recreation program (t=2.48, p=.017). On the other hand, There was no difference in powerlessness of experimental group compared with control group (t=1.51, p=.138). Conclusion: Further studies were needed to be done to support the effectiveness of recreation therapy on the powerlessness and life satisfaction of people with chronic mental disability. In addition, therapeutic recreation programs to improve helplessness and life satisfaction are in need.