Choi, Eun Hee;Kim, Jin Hee;Choi, Kyung Ok;Yoo, Jung Sook;Kim, Mi Soon;Kim, Pil Ja;Jang, In Sun
Journal of Korean Clinical Nursing Research
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v.18
no.1
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pp.136-148
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2012
Purpose: The purpose of this study was to develop a reliable and valid pain assessment tool suitable for critically ill patients with communication problem in Korean intensive care unit. Methods: This pain assessment tool, Critical Care Non-verbal Pain Scale (CNPS), was developed based on review of national and international researches. Data were collected from ten intensive care units at five major general hospitals in Seoul. Reliability and validity were tested during performance of position change and endotracheal suctioning. Pain was measured before, during, and 20 minutes after the two procedures. Results: Interrater reliability of the CNPS was analyzed by ICC (Intraclass correlation coefficients). ICC values were significant from .833 to .883. Significant correlation between the FPS (Face Pain Scale) scores and the CNPS scores verified concurrent validity of the CNPS. For position change, CNPS scores increased significantly between before and during (t=-23.399, p<.001) and decreased significantly between during and 20 minutes after (t=22.760, p<.001). For endotracheal suctioning, CNPS scores increased significantly between before and during (t=-29.064, p<.001) and significantly decreased between during and 20 minutes after (t=28.194, p<.001), verifying construct validity of the CNPS. Conclusion: Results indicate that the CNPS can be used to assess pain of critically ill patients who have communication problem.
Lee, Eun Ja;Cho, Ok Yeon;Wang, Keum Hyun;Jang, Myung Jin
Journal of East-West Nursing Research
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v.27
no.1
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pp.14-21
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2021
Purpose: This study aims to examine the levels of posttraumatic stress disorder (PTSD), depression and social stigma among nurses caring for Corona Virus Disease-19 (COVID-19) patients. Methods: 169 nurses caring for COVID-19 patients participated in this study. Data collection was conducted at university hospitals from March 1 to August 31, 2020. Data analysis was performed for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS/WIN 24.0 program. Results: The mean scores of PTSD, depression and social stigma were 25.16±16.80, 17.26±8.63 and 5.83±2.84, respectively. The PTSD scores were significantly different between the department (F=2.89, p=.037). Depressive scores were significantly different between the marital status (t=2.27, p=.024) and the department (F=4.91, p=.003). Social stigma scores were significantly different between age (F=6.49, p=.002), marital status (t=-3.30, p=.008), having or not having children (t=3.82, p=.001), department (F=5.82, p=.001) and clinical experience (F=7.43, p=.001). Positive correlations were found between PTSD and depression (r=.70, p<.001) and social stigma (r=.22, p<.004). Conclusion: Integrated assessment and management are required to address the psychological and emotional problems faced by nurses caring for COVID-19 patients, and active follow-up measures should be considered.
This study examined the effects of therapeutic communication skills, self esteem and self concept, psychiatric nursing lectures on students' psychiatric nursing practice evaluation scores. The purposes of this study were to determine factors influencing students' psychiatric nursing practice to improve the quality of that practice. The subjects were 123 third year nursing students in the department of nursing of G University in C city. Data were collected from 1989 to 1991 by question-aires and academic records. Pearson Correlation and t-test were used in analysing the data to confirm the relationship and influence among the study variables. Stepwise Multiple regression was used to confirm the predictors of the nursing students' psychiatric nursing practice evaluation scores. The results were as follows : 1) Relationship of General characteristics and Psychiatric Nursing Practice Evaluation Scores : General characteristics were not significant on psychiatric nursing pracice evaluation scores. 2) Relationship of the therapeutic communication skill and psychiatric nursing practice evaluation scores : the higher the degree of therapeutic communication skill was the higher the scores for psychiatric nursing practice (r=.5528, p(.001). 3) Relationship of psychiatric nursing course and psychiatric nursing practice evaluation scores the higher the scores in the psychiatric nursing course the higher the scores for psychiatric nursing practice (r=.2793, p(.01). 4) Relationship of self-esteem & self concept and psychiatric nursing practice evaluation scores : Self-esteem 8f concept was not significant on psychiatric nursing practice evaluation scores. 5) Stepwise multiple correlation of therapeutic communication skills, self-esteem and self concept, psychiatric nursing lectures on psychiatric nursing practice evaluation scores showed that therapeutic communication skills and the psychiatric nursing course scores influenced the evaluation scores psychiatric nursing practice significantly.
Since many adolescents start and continue Smoking to cope with stress from school and home environments, peer pressure, and to compensate for lowered self-esteem The smoking prevention program should consist of the knowledge, attitudes, and behaviors regarding smoking and how to cope with these stresses. The purpose of this study was to determine the effect of a smoking prevention program on smoking related knowledge, attitudes, and self-esteem and stress in first year middle school students. The study was performed on a non-equivalent control group pretest-posttest. 151 subjects(76 experimental group, 75 control group) were selected by a convenience sampling method. The study was carried out in two middle schools in Kwang-ju city, Korea, from the 1st of May to the 23rd of June, 2000. The experimental group attended the smoking prevention program which was held for 45 minutes a week for 4 weeks. The questionnaire was administered to measure the degree of knowledge, attitudes, self-esteem and stress of the subjects. The SAS-PC program was used to analyze the data along with peroentages, $x^2$-test. t-test, and paired t-test. The results of this study were as follows: 1. The first hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of smoking related knowledge than the control group', was supported(t=3.68, p=0.0003). 2. The second hypothesis, 'The experimental group who receives a Smoking prevention program would have more positive attitudes regarding smoking than the control group', was supported(t=3.42, p=0.0008). 3. The third hypothesis, 'The experimental group who receives a smoking prevention program would have higher scores of self-esteem than the control group', was supported(t=2.24, p=0.0270). 4. The forth hypothesis, "The experimental group who receives a smoking prevention program would have lower scores of stress than the control group', was supported(t=-2.07, p=0.0407). The smoking prevention program in this study was effective in increasing the knowledge regarding smoking, enhancing more positive attitudes regarding smoking, and also increasing the scores of self-esteem and lowering the scores of stress. The results of this study will be applicable in smoking prevention education for early adolescents in middle schools.
This is a comparative descriptive study conducted for 178 middle-aged women who were residing in Seoul and aged between 41 to 64 (95 in control group, and 83 in experimental group). The study was aimed to examine their climacteric symptoms, degree of fatigue, depression, anxiety and quality of sleep and to examine the differences on the symptoms between the two groups. Data were collected from April 1 to May 15, 2002 through self-statement using structured questionnaires. The collected data were verified with descriptive statistics, ? -test, t-test, ANOVA using SPSS/PC(+). The results are as follows. 1) The average scores of the climacteric symptoms were 1.56 .36 for the control group, and 1.55 .33 for the group taking relexzone massage, showing no significant difference between the groups (t=.15, p=.88). 2) The average scores of the degree of fatigue were 2.17 .65 for the control group, and 2.40 .66 for the group taking relexzone massage, showing a significant difference between the groups. (t=-2.31, p=.02) 3) The average scores of depression were 1.91 .50 for the control group, and 2.05 .42 for the group taking relexzone massage, showing a significant difference between the groups (t=-1.99, p=.05). 4) The average scores of anxiety were 1.54 .60 for the control group, and 1.57 .53 for the group taking relexzone massage, showing no significant difference between the groups (t=-.33, p=.74). 5) The average scores of quality of sleep were 2.97 .49 for the control group, and 2.98 .42 for the group taking relexzone massage, showing no significant difference between the groups(t=-.08, p=.93). Based on these results, the middle-aged women who take relexzone massage are considered to have less fatigue and depression than those who do not. As physiological regression progresses and the structure and role in the family are restructured, middle-aged women are like to experience various climacteric symptoms. As a nursing intervention, relexzone massage can be applied to middle-aged women to reduce their stress, climacteric symptoms and emotional anxiety, ultimately promoting their health. In order to implement relexzone massage as a nursing intervention, further testing on the psycho-neuroimmunologjcal effects of relexzone massage is necessary.
Purpose To evaluate the ability of the Hounsfield unit (HU) measurement of the femoral neck during multidetector computed tomography (MDCT) for assessing osteoporosis compared with dual-energy X-ray absorptiometry (DXA). Materials and Methods Forty-two patients with femoral neck fractures who underwent MDCT and DXA from July to December 2016 were included in this study. HU measurements were made of the cancellous portions of the normal contralateral femoral neck on MDCT. Bone mineral density (BMD) and T-scores were obtained at the femur DXA. Correlations of HU values with BMD and T-scores were analyzed using Spearman's correlation test. Results The mean BMD and T-score of the femoral neck were 0.650 g/cm2 and -2.4, respectively. The mean HU values for the normal, osteopenia, and osteoporosis groups were 131.9, 98.9, and 41.3, respectively. HU values at the femoral neck were positively correlated with BMD (r2 = 0.670; p < 0.001) and T-scores (r2 = 0.676; p < 0.001). Conclusion The HU values of the femoral neck on MDCT are significantly correlated with BMD and T-scores of femur DXA. The HU values may serve as a diagnostic tool for the screening of regional bone quality when MDCT is performed for other reasons.
Objectives: The purpose of this study was to examine the effects of Korean medical treatment for Restless Legs Syndrome (RLS). Methods: We examined the effects of Korean medical treatment for patients with RLS who visited the neuropsychiatric clinic of Korean medicine. We treated the patient with herbal-medication, acupuncture, oriental psychotherapy. IRLS, STAI-X1,X2, BDI-2, BAI, STAXI-S,T were compared before and after 4 and 8 weeks of treatment to determine whether the symptoms and mood of patients were improved. Results: After 4 weeks treatment (n=13), STAI-X1,X2, BDI-2, BAI, STAXI-S scores increased significantly; whereas, IRLS and STAXI-T scores decreased. After 8 weeks treatment (n=8), IRLS, STAI-X1,X2, BDI-2, BAI scores increased significantly; whereas, STAXI-S scores decreased.Conclusions The treatment of RLS with Korean medicine was clinically efficient and resulted in improvement of the symptoms as well as psychological problems.
Choi, Soo-Hee;An, Seung Chan;Lee, Ul Soon;Yun, Je-Yeon;Jang, Joon Hwan;Kang, Do-Hyung
Clinical Psychopharmacology and Neuroscience
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v.16
no.4
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pp.391-397
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2018
Objective: Meditation can elicit trait-like changes in psychological and social styles, as well as enhancement of emotional regulatory capacity. We investigated the relation between personality traits and emotional intelligence in meditation practitioners. Methods: Seventy-two long-term practitioners of mind-body training (MBT) and 62 healthy comparative individuals participated in the study. The participants completed emotional intelligence questionnaires and the Myers-Briggs Type Indicator (MBTI). Results: The MBT group revealed higher scores on all five emotional intelligence factors than did those in the control group, such as emotional awareness and expression, empathy, emotional thinking, emotional application, and emotional regulation (all $p{\leq}0.001$). MBT practitioners also had higher scores on the intuition of perceiving function (t=-2.635, p=0.010) and on the feeling of the judging function (t=-3.340, p=0.001) of the MBTI compared with those in the control group. Only the MBT group showed a robust relationship with every factor of emotional intelligence and MBTI-defined intuitive styles, indicating that higher scores of emotional intelligence were related to higher scores for intuition. Conclusion: Emotional intelligence of meditation practitioners showed notable relationships with some features of personality trait. In-depth associations between emotional intelligence and personality traits would help to foster psychological functions in meditation practitioners.
Personality characteristics of TMJ dysfunction patients was studied by means of MMPI test. 100 TMJ dysfunction patients and 100 healthy controls were subjected at the Department of Oral Diagnosis and Oral Medicine, Pusan National University Hospital, during the period from March 1983 to February 1985. All the patients were divided into 2 groups namely, acute group and chronic group by duration of path and discomfort problems for 6 months or longer. The obtained results were as follows : 1. Mean value of T-scores on each clinical scale was within normal range in both patient and control group. 2. There was significant difference in scales of Hs, D. Hy, Pt, Sc and IR between patient and control group. 3. As compared with control group by sexual subclass, scales of Hs, Hy and Pt of both sex, scales of Sc and M-DI of male and scales of D of female in patient group were significantly higher than those in control group 4. The longer was duration of TMJ problems, i.e., in increasing order of control, acute and chronic group, the higher was mean value of T-scores on scales of Hs, D, Hy, Pt, Sc, IR and M-DI. 5. Mean values of T-scores on scales of Hs, D and Hy were the highest in all the clinical scales of total class and subclasses(i. e. male group, female group, acute group and chronic group) with TMJ dysfunction and showed 1-:i-2 (Hs, -Hy, -D. ) profile pattern, conversion "V.ot;V.
The purpose of this study is to investigate the level of fatigue, depression and sleep disorders and to find the correlation between them in patients with chronic liver disease. Methods: The participants consisted of 130 patients with chronic liver disease who visited the C University Hospital in Daegu, Korea from July to August, 2011. Data were collected by a self-reporting questionnaire of the Revised Piper Fatigue Scale, Depression Inventory (BDI) and Sleep Scale. Collected data were analyzed by using PASW Statistics 18.0 program for descriptive statistics, T-test, one-way ANOVA and Correlation Analysis. Results: There were significant differences in fatigue scores (t=8.415, $p$=.004) and depression scores (t=10.08, $p$=.002) between subjects with symptoms of liver disease and those with no symptoms. There was no significant difference in sleep disorder scores. In addition, there is a significant correlation between fatigue and depression (r=.641), linking fatigue and sleep disorders (r=.578), and between depression and sleep disorders (r=.572). Conclusion: It is necessary to develop multidisciplinary intervention programs to relieve patientsuffering.
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