• Title/Summary/Keyword: State intervention

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이완술 정보제공이 심도자 검사환자의 불안에 미치는 영향 (The Effects of Relaxation Informativeness upon the Anxiety Level of Adult Patients with Cardiac Catheterization)

  • 김순애
    • 대한간호학회지
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    • 제17권2호
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    • pp.110-115
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    • 1987
  • This study was done in order to help alleviate or prevent the anxiety resulting from cardiac catheterization among adult patients. This goal may be re-ached through providing relaxation techenique to the patients. Such an informativeness would make it possible to establish a basis for comprehensive nursing intervention. The results of this study are summarized as fellows: 1. The first hypothesis:“The experimental group with relaxation informativeness will have less score of state anxiety level before cardiac catheterization than the control group without relaxation informativeness”was accepted. (t=3.72, p=.001). 2. The second hypothesis: “The experimental group with relaxation technique informativeness will have less score of distress level during the procedure than the control group without relaxation technique informativeness”was accepted. (t=2.36, p=.023) 3. Additional analysis; It is seen that most cardiac patients were satisfied with precardiac catheterization procedure information provided by medical teams. (experimental group: 90%, control group: 85%) The relaxation technique informativeness contributed to the decrease of anxiety level. Patients showed interest in reusing the relaxation technique informativeness in the event of further need. In conclusion, the researcher thinks that it is necessary that nurses provide Patients with relaxation technique to reduce the anxiety level with cardiac catheterigation. This will enable them to practice effective comprehensive nursing.

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장기 요양 시설 거주 치매노인의 식사행동 특성 (Characteristics of Eating Behavior in Elders with Dementia residing in Long-Term Care Facilities)

  • 이경민;송준아
    • 대한간호학회지
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    • 제42권4호
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    • pp.466-476
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    • 2012
  • Purpose: The purpose of this study was to explore characteristics of eating behavior according to level of functional status of elders with dementia (EWD), and to examine feeding time, change in food intake and body mass index (BMI) according to eating behavior. Methods: Participants were 149 EWD residing in long-term care facilities located in Seoul or Gyeonggi province and evaluated using the Mini-Mental State Exam-Korean version, Korean version-Activities of Daily Living, and Eating Behavior Scale (EBS). Feeding time, change in food intake, and BMI were also measured. Data were analyzed using SPSS 17.0, specifically descriptive statistics, ANOVA, and Chi-square test. Results: Participants' mean EBS score was $10.43{\pm}6.01$ and half of them (54.4%) needed moderate or total assistance while eating. The EBS score was significantly lower for elders with severe dementia compared to those with mild or moderate dementia; and elders with severe ADL dependence compared to those with mild or moderate ADL dependence. Lower EBS scores were related to longer feeding time, a greater the rate of participants with decreased food intake and 'underweight' BMI. Conclusion: Nursing intervention programs which are designed for EWD are needed to maintain functional eating skills and prevent negative consequences in this population.

남녀 중.고등학생의 자살시도 예측요인 (Factors on the Suicidal Attempt by Gender of Middle and High School Student)

  • 이상구;이윤정;정혜선
    • 대한간호학회지
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    • 제41권5호
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    • pp.652-662
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    • 2011
  • Purpose: The suicide rate of adolescents in Korea is increasing annually. Therefore, this research was done to identify the suicide attempt rate of middle and high school students and to identify factors that influence suicidal attempts. Methods: The Korea Youth Health Risk Behavior Web-based Survey (2007) was used as data. Discriminant analysis and logistic regression were performed to analyze the data depending on gender to consider the gender difference in assessing the influence of each independent variable on suicidal attempts. Results: Discriminant analysis according on gender showed that 13 factors correlated with suicidal attempts for boys, and 20 factors for girls. The most highly correlated factors were smoking, depression and inhalation experience. For inhalation experience, boys had 2.7 times higher possibility of suicide attempts (95% CI 1.8-3.0) and girls, a 2.4 times higher possibility (95% CI 1.7-3.5). Conclusion: The results of the study indicate a need to classify adolescents for expectation of suicide risk and high danger for suicidal attempts through, and introduce suicide prevention programs for these adolescents. In particular, it is necessary to start intervention with students who smoke, have sexual and inhalation experiences and high levels of depression.

Nutritional State of Children in the Democratic People's Republic of Korea (DPRK): Based on the DPRK Final Report of the National Nutrition Survey 2012

  • Kim, Jeong Eun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제17권3호
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    • pp.135-139
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    • 2014
  • A nationwide nutrition survey began when the Democratic People's Republic of Korea (DPRK) requested assistance from international relief organizations in 1997 due to flooding in 1995-1996, followed by the worsening food shortage peak in 1997. According to reported data for the 15 years since the active intervention and assistance from international societies, the malnutrition and mortality rates of children in the DPRK have improved. However, the prevalence of the stunting reported in the latest 2012 report is 27.9%, which is still a moderate-severe level, and worrisome in terms of international standards. In particular, the prevalence in Ryangangdo, which is regarded as the worst region in the DPRK, is 39.6%, which is a very high level of stunting. To alleviate such regional deviation will be a major task for future assistance. In addition, one cannot emphasize too highly the importance of early nutritional assistance for pregnant women and infants, considering that the recovery from stunted growth is low after two years of age, and the aftereffects would continue for the rest of their lives.

A Food and Nutrition System Analysis of South Korea

  • Jeffery Sobal;Lee, Soo-Kyung
    • Journal of Community Nutrition
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    • 제5권4호
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    • pp.209-217
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    • 2003
  • The food and nutrition system is a network of processes linking agriculture, food, eating, nutrition, and health. The system includes a series of nine stages (production, processing, distribution, acquisition, preparation, consumption, digestion, transport, and utilization) and two types of contexts (biophysical and sociocultural). Analysis of whole food and nutrition systems provides information about the structure and processes involved in the complete scope of food and nutrition, assisting in the identification of ″upstream″ influences and ″downstream″ consequences in the system. The current analysis gathered existing data about the food and nutrition system in South Korea from public sources and professional publications, and interpreted that information to consider how different elements of the system contribute to health. The findings revealed that South Korea has substantial domestic food production and processing supplemented by imports, widespread food distribution in markets and a growing number of Korean and Western restaurants, a relatively low percentage of household income spent on food, growing use of new food preparation methods such as microwave ovens, a rice/vegetable/fish based three-meal consumption pattern, few recorded digestive problems, increasing calorie storage as body fat, and a relatively low chronic disease prevalence compared to other developed societies. Examination of the full scope of the food and nutrition system provides a broad perspective using whole system thinking that can identify potential strategies for future research and intervention.

미국 조기헤드스타트의 문헌고찰을 통한 한국의 영아보육에 관한 연구 (Implications of American Early Head Start for the Korean Infant/toddler Care System)

  • 김지은
    • 대한가정학회지
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    • 제43권12호
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    • pp.97-111
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    • 2005
  • Early Head Start (EHS) can provide services to a child and family from pre-birth until the child is three years old. Services are comprehensive, intensive, individualized and flexible according to child and family needs, and integrated with community service delivery systems. The local program designs and operations were developed and carried out within the framework of the Head Start Revised Performance Standards, which included specific provisions for services to pregnant women, infants and toddlers and emphasized prevention, early intervention, safety, and health education. As with preschool Head Start, EHS programs are required to make available 10 percent of their enrollment for infants and toddlers with disabilities as defined by Part C regulations of the state in which the program operated. Quality child care has become a priority for EHS. A majority of EHS children need child care, and the quality is important to their development. An evaluation of EHS in 17 programs selected from the first program cohorts showed that the program had significant and positive impacts on a wide range of parent and child dimensions, some with implications for children's later school success. Among the issues for policy attention identified by American EHS for the Korean system are: - The need to create a comprehensive infant/toddler care system - The need to address access of teachers for young children - The need to improve quality.

중환자실 환경에 대한 사전정보 제공이 개심술 환자의 불안과 환경적 스트레스에 미치는 효과 (Effects of Prior Information About Intensive Care Unit Environment on Anxiety and Environmental Stress in Patients Undergoing Open Heart Surgery)

  • 신경미;최혜란
    • 한국간호교육학회지
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    • 제21권1호
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    • pp.28-35
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of prior information about ICU environment on the anxiety and environmental stress of cardiac surgery ICU patients. Methods: A non-equivalent control group non-synchronized quasi-experimental research design was used. Participants were 60 (control 30, experimental 30) patients who had been admitted to ICU. Prior information about the ICU environment was provided to the experimental group. The anxiety level of subjects was measured by State-Trait Anxiety Inventory (STAI) and the stress level of subjects was measured by the Intensive Care Unit Environmental Stressor Scale (ICUESS). Data were analyzed using a Chi-square test or a Fisher's exact test, independent samples t-test, and paired samples t-test. Results: There was no difference in Anxiety (t=-0.58, p=.563), but there was a significant difference in environmental stress (t=10.46, p<.001). Conclusion: Providing prior information would be an effective nursing intervention to reduce environmental stress.

Static performance analysis of deepwater compliant vertical access risers

  • Lou, Min;Li, Run;Wu, Wugang;Chen, Zhengshou
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제11권2호
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    • pp.970-979
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    • 2019
  • Compliant Vertical Access Risers (CVARs) are compliant systems that incorporate a differentiated geometric configuration that allows the exploitation of oil and gas in deepwater fields and enables a number of operational advantages in the offshore system. One of the main features of CVAR systems is that they allow direct intervention procedures to be applied to the well bore, enabling workover operations to be performed directly from the production platform. Based on the principles of virtual work and variation, a static geometric nonlinear equation of CVARs is derived and applied in this study. The results of this study show that the two ends of the riser as well as the transition region are subject to high stress, while the positions of the floating platform exert significant effects on the geometry of the riser configuration. Compliance and buoyancy factors should be set moderately to reduce the CVAR stress. In addition, the buoyancy modules should be placed in the lower region, in order to maximize the operation advantages of CVAR.

오디 추출물이 중년 남성의 항고지혈증에 미친 효과 (Mulberry Fruit Extract Consumption is Inversely Associated with Hyperlipidemia in Middle-aged Men)

  • 김애정;박수진;노정옥
    • 한국식품영양학회지
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    • 제21권2호
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    • pp.121-126
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    • 2008
  • In a previous study, a mulberry fruit extract(MFE) supplement exhibited anti-inflammatory activity and improved serum lipid profiles in arthritic rats. The objective of this study was to determine whether dietary MFE could ameliorate inflammatory parameters and serum lipid levels in humans. Twenty-six middle-aged subjects(mean body mass index=27 $kg/m^2$) consumed MFE(100 $m{\ell}/day)$ after lunch for 4 wks. Anthropometric measurements, serum oxidative stress markers and serum lipid profile analyses were performed at baseline and then at 4 wk following the study. There were no significant differences in anthropometric measurements, including BMI, WHR, and body fat composition. After the 4 wk-intervention, serum levels of C-reactive protein(CRP), ferric-reducing ability of plasma(FRAP), serum triglyceride(TG) and LDL-cholesterol had significantly decreased(p<0.05), whereas serum levels of HDL-cholesterol significantly(p<0.05) increased. These findings suggest the consumption of mulberry extract may be protective against inflammation and the atherosclerotic state in elderly obese men at high risk for cardiovascular disease(CVD).

High-fidelity Patient Simulator를 활용한 간호교육이 간호학생의 자기주도학습역량, 임상수행지식 및 문제해결력에 미치는 효과 (Effects of Nursing Education using a High-fidelity Patient Simulator on Self-directed Learning Competency, Clinical Knowledge, and Problem-solving Ability among Nursing Students)

  • 박효미;이혜순
    • Perspectives in Nursing Science
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    • 제9권2호
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    • pp.111-118
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    • 2012
  • Purpose: This study investigated the effects of simulation-based nursing education (for the care of congestive heart failure patients) on self-directed learning competency, clinical knowledge and problem-solving ability among nursing students. Methods: A one-group, pre-post design was utilized with 87 nursing students as the subjects. The scenario of simulation-based nursing education was created using a high-fidelity patient stimulator, and consisted of four states ((1) assessment, (2) reviewing laboratory data and administering medications and treatments, (3) managing increased dyspnea and decreased urine output, and (4) handling the "getting better" state). The simulation-based nursing education included orientation, team-based learning, team-based practice, and debriefing. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests. Results: The scores on the factors for self-directed learning competency (t=-2.57, p= .011), clinical knowledge (t=-6.85, p<.001), and problem-solving ability (t=-3.01, p= .003) increased significantly after the education intervention. Conclusion: Simulation-based nursing education is useful in improving self-directed learning competency, clinical knowledge, and problem-solving ability in nursing students.

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