• Title/Summary/Keyword: State intervention

Search Result 670, Processing Time 0.025 seconds

Development of a Home-based Nursing Intervention, Mothering Program for Low-Birth-Weight Infants (저체중출생아를 위한 가정간호형 모성역할중재 프로그램 개발과 그 효과에 대한 연구)

  • Han, Kyung-Ja
    • Journal of Home Health Care Nursing
    • /
    • v.8 no.1
    • /
    • pp.5-24
    • /
    • 2001
  • The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

  • PDF

The Hmong Response to State Intervention in Vietnam's Upland: A case study of a remote hamlet in North Central Vietnam (베트남 산악지역에서의 국가의 간섭과 흐몽족의 대응 - 베트남 북중부의 프론티어 마을을 사례로 -)

  • Le, Quy Ngoc Phuong;Kim, Doo-Chul
    • Journal of the Economic Geographical Society of Korea
    • /
    • v.21 no.2
    • /
    • pp.119-138
    • /
    • 2018
  • The Hmong people are one of the largest ethnic groups in Vietnam. They traditionally practice shifting cultivation for their daily subsistence. This group has a traditional governance system as well as strong clan and kinship relationships that occupy an important role in maintaining Hmong culture and livelihoods. The state's approval of the legitimate and statutory law for the Nature Reserve largely excluded local rights of access to and the use of natural resources. This study focusses on Hmong responses to the state interventions of the establishment of the Nature Reserve as well as forest land allocation. Based on Scott's contribution of Moral Economy (1976), the authors argue that local responses function as a 'risk-averter' against state intervention. Meanwhile, the intra and inter-ethnic relationships based on the 'subsistence ethic' help locals successfully mitigate state intervention. These findings help the state rethink their interventions, which have been constructed with very little respect for local differences or the desires of ethnic peoples. Furthermore, the main findings, which reveal that not only the intra-ethnic relationship but also the inter-ethnic relationship among ethnic minorities can play an important role in maintaining the Moral Economy, are expected to deepen the previous understanding on the Moral Economy, which has previously constrained its scope to the intra-ethnic relationship.

The Effects of the Video Education Program on the Residual urine, Gas Passing and State Anxiety of Hysterectomy Patients (동영상 교육 프로그램이 자궁적출술 환자의 잔뇨량, 가스배출 및 상태불안에 미치는 효과)

  • Kang, Gyeong-Sook;Jun, Eun-Mi
    • Women's Health Nursing
    • /
    • v.16 no.4
    • /
    • pp.409-418
    • /
    • 2010
  • Purpose: The purpose of this study was to identify the effects of a pre-operation video assisted education program on residual urine, gas passing and state anxiety in women undergoing hysterectomy. Methods: Nonequivalent control group non-synchronized design was used for the study. In the research, video assisted education program was applied to the experimental group while a similar conventional education was done to the control group. The pre-operation state anxiety and post-operation residual urine and gas discharge of both the groups were measured. The data were analyzed using SPSS. Results: The experimental group was significantly higher than control group on gas passing (t=3.04, p=.00). However the residual urine (t=0.34, p=.73) and state anxiety (t=0.81, p=.82) did not make significant differences. Conclusion: This study is very meaningful in that it developed and provided a nursing intervention can positively affect hysterectomy patients. The pre-operation video assisted education program may be an effective nursing intervention that is clinically practical and useful to reduce time of the gas passing of hysterectomy patients after the operation.

User Intervention for Controllable Engagement Simulation System (교전급 시뮬레이션 시스템의 통제를 위한 사용자 개입)

  • Ham, Won K.;Chung, Yongho;Park, Sang C.
    • Journal of Korean Institute of Industrial Engineers
    • /
    • v.39 no.6
    • /
    • pp.473-479
    • /
    • 2013
  • This paper introduces user intervention to control simulation states during the execution of a simulation for military engagements. In an engagement simulation, it covers both a discrete event system and a continuous state system. Thus a system for the engagement simulation can have numerous simulation states, because there are lots of factors to decide states of an engagement that are derived during an execution of the simulation (e. g. detection probability, moving speed, moving path, and so on). It means both a result and progression of simulations are important outputs. Configuration of an engagement simulation scenario and expectation of simulation states, though, is hindered by the number of generate-able states. In order to solve the obstacle, the engagement simulation system should be controllable by user intervention during a simulation execution. This paper is to define objects of user intervention, and to design control processes of defined objects.

Genetic Variants in ASCT2 Gene are Associated with the Prognosis of Transarterial Chemoembolisation-Treated Early-Stage Hepatocelluar Carcinoma

  • Ge, Nai-Jian;Shi, Zhi-Yong;Yu, Xiao-He;Huang, Xiao-Jun;Wu, You-Sheng;Chen, Yuan-Yuan;Zhang, Jin;Yang, Ye-Fa
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.9
    • /
    • pp.4103-4107
    • /
    • 2015
  • Background: Hepatocellular carcinoma (HCC) is one of the most prevalent malignancies worldwide. Transarterial chemoembolisation (TACE) is the standardized therapy for intermediate stage HCC. However, the prognosis for HCC patients treated by TACE greatly varies. Thus, there is a critical need for finding biomarkers to predict the prognosis of HCC patients. The amino acid transporter-2 (ASCT2) is involved in tumorigenesis and progression of many malignancies. This study aimed to evaluate the predictive role of two single nuclear polymorphisms (SNPs, rs3826793 and rs2070246) in the ASCT2 gene in HCC patients treated by TACE. Materials and Methods: Two functional SNPs (rs3826793 and rs2070246) in the ASCT2 gene were selected and genotyped using the Sequenom iPLEX genotyping system in a cohort of 448 unresectable Chinese HCC patients treated by TACE. Univariate and multivariate Cox proportional hazards models and Kaplan-Meier curves were used for the prognosis analyses. Results: There was no significant association between two SNPs (rs3826793 and rs2070246) in the ASCT2 gene and overall survival of TACE treated HCC patients. However, we demonstrated that patients with early stage HCC carrying T genotype in rs2070246 showed better OS than those carrying CC genotype (P=0.023). Conclusions: We demonstrated that patients with early stage HCC carrying T genotype in rs2070246 showed better OS than those carrying CC genotype.

The Effect of Supportive Nursing Intervention on the Anxiety and Nursing Satisfaction of Mothers with Children Undergoing Open-Heart Surgery (지지적 간호중재가 개심술 환아 어머니의 불안 및 간호만족도에 미치는 효과)

  • Kim, Yun Kyung;Jun, Eun Mi
    • Korean Journal of Adult Nursing
    • /
    • v.19 no.3
    • /
    • pp.459-469
    • /
    • 2007
  • Purpose: The purpose of this study was to identify the effect of supportive nursing intervention on the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery. Methods: The research design involved a non-equivalent control group pretest-posttest non synchronized design. The subjects consisted of 43 mothers of children who were expected to undergo open heart surgery, and were divided into two groups; an experimental group of 22 and a control group of 21. The experiment was administered to the experimental group a total of four times, following supportive nursing intervention protocols. The research tools used were Spielberger's State Anxiety Inventory for anxiety and Park Jung-Eun's nursing satisfaction. The data were analyzed using the $x^2$-test, and t-test with SPSS/WIN 12.0 program. Results: Hypothes 1, 'The experimental group who are given supportive nursing intervention will have a lower anxiety score than the control group' was supported(t=5.658, p=.000). Hypothesis 2, 'The experimental group who are given supportive nursing intervention will have a higher nursing satisfaction score than the control gropu wasl supported(t=-9.549, p=.000). Conclusion: The supportive nursing intervention protocol was effective in reducing anxiety and increasing the nursing satisfaction of mothers with children undergoing open-heart surgery.

  • PDF

The Effects of Hippotherapy for Physical, Cognitive and Psychological Factors in Children with Intellectual Disabilities

  • Bae, Myung-Soo;Yun, Chang-Kyo;Han, Yong-Gu
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.12 no.3
    • /
    • pp.119-130
    • /
    • 2017
  • PURPOSE: The purpose of this study is to determine, by conducting a 10 week hippotherapy, the effects on the physical, cognitive and psychological factors of children with intellectual disabilities. METHODS: As an intervention method, intervention was based on a program from the American Hippotherapy Association and was modified and enhanced. 16 children with intellectual disabilities was conducted horse riding intervention program and Intervention was conducted once a week for a total of 10 weeks with each session lasting 30 minutes. A doctor of rehabilitation medical treatment of D rehabilitation center, physical therapist and occupational therapist evaluated the upper limbs test, balance, gait function, Korea-mini mental state examination (MMSE) before and after hippotherapy intervention. Self-esteem scale and aggression scale was evaluated by Psychology Counseling of C psychological clinic before and after hippotherapy intervention. RESULTS: The results of this study reveal that first, there was a positive effect. Second, statistically significant differences were found in BBS, TUG, K-MMSE, 10m walking test, 6 min walking test, self-esteem scale and aggression scale (p<.05). However no statistically significant differences were found in upper limbs function and good balance analysis before and after intervention. CONCLUSION: The hippotherapy is effective way to improve the physical, cognitive and psychological factors of children with intellectual disability.

Effects of nursing intervention program on reducing acute confusion in hospitalized older adults (입원노인 환자를 위한 급성혼돈 간호중재 프로그램 효과)

  • Hwang, Hea-Jeong;Shin, Yeonghee
    • Korean Journal of Adult Nursing
    • /
    • v.26 no.1
    • /
    • pp.89-97
    • /
    • 2014
  • Purpose: During hospitalization, confusion occurs in 15~20% of older adults and persists in 5~10% of them. This study was designed to investigate effects of a five-day nursing intervention program designed to reduce confusion in hospitalized older adults. Subjects were inpatients over the age of 60 years old and were admitted in a surgical care unit. Methods: Data were collected from 111 patients. Subjects divided into one of two groups, 58 patients of the control group which received the usual nursing care; and 53 patients of the intervention group which received the usual nursing care plus nursing intervention program for reducing acute confusion. The Delirium Observation Screening Scale (DOS) and the Korean Mini-Mental Screening Examination (MMSE-K) were utilized. Results: 1) Acute delirium was significantly reduced in the intervention group compared to the control group ($x^2$=4.22, p=.034) as well as the duration of the delirious state was significantly shortened (F=56.62, p<.001). Cognitive function of the intervention group was improved (F=21.14, p<.001). Conclusion: The nursing intervention program reduced the incidence and duration of acute delirium of the elderly inpatients, as well as it helps them keep better cognitive function than the control group.

The Current State and Quality Assessment of Nursing Intervention Study in Occupational Health Nursing of Korea (국내 산업장 간호중재 연구의 현황과 질 평가)

  • Hwang, Youn Sun;Cho, Eunyoung
    • Korean Journal of Occupational Health Nursing
    • /
    • v.28 no.1
    • /
    • pp.21-35
    • /
    • 2019
  • Purpose: The purpose of this study is to propose directions for the development of Occupational Health Nursing Intervention by identifying the current status and quality of Occupational Health Nursing Intervention Research in domestic industries. Methods: Between 2000 and August of 2018, total of 1,181 Occupational Health Nursing related published references were searched using 4 domestic databases, and of the total, 29 final theses that suited the requirements were analysed In this research, the quality assessment of literature that were selected as suitable was conducted using a tool for assessing the biasing risk of non-randomized studies, RoBANS(Risk of Biasing Assessment Tool for Non-randomized Study). Results: For all research, nonequivalent control group pre-posttest design was the most used as quasi-experimental designs. The effectiveness of intervention was found both in terms of physical and psychological aspects, and the result of the risk of biasing assessment showed a high risk levels in both "confounding variables" and "detection bias". Conclusion: Occupational Health Nursing Intervention have been steadily making improvements in terms of both quality and quantity, and as for more effective intervention developments that improves the physical and mental health of the workers, supplementation in strict research design and in ethical aspects deems necessary.

Development and Effectiveness of a Program for Relieving ′Hwa-Byung′ Symptoms (화병관리프로그램 개발 및 효과)

  • Park Young-Joo;Kim Jong-Woo;Cho Sung-Hoon;Moon So-Hyun
    • Journal of Korean Academy of Nursing
    • /
    • v.34 no.6
    • /
    • pp.1035-1046
    • /
    • 2004
  • Purpose: This one group experimentation was designed to develop a program for relieving 'Hwa-Byung'(HB) symptoms and examine its effects on HB symptoms, pain threshold emotions like anger, anxiety and depression. Method: The program consisted of three components the change of the cognitive thoughts, the formation of a supportive network, and induction of mind-body relaxation. Sixteen middle-aged women with HB were divided into three groups for group dynamics according to the time of the recruitment. Data was collected for nine months at three time points, before, immediately after, and one month later of its application. Result: There were statistically significant differences in the severity level of state anger, state anxiety, depression, and HB symptoms according to the time interval. The means of state anger and state anxiety were reduced after the intervention, but it was slightly increased one month later. The means of depression and HB symptoms were continuously reduced after the intervention and one month later. Conclusion: This was the first management program for HB women in Korea. A future study must be done with the research design formethodological strength revision of the program.