• 한국간호교육학회지
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• 제15권1호
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• pp.89-99
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• 2009

Purpose: The purpose of this study was to describe married female migrants' experiences of health care services and to help nursing researchers, nursing educators, and clinical nurses understand married female migrants' experiences. Method: A conventional content analysis method was utilized. Individual in-depth interviews with 15 married female migrants were conducted. Subject recruitment was performed at a district in Seoul. Results: Ten categories were induced: language barrier, financial burden, insufficient time with a physician, complexity of utilization process, lack of support from peer group, health care providers' discrimination, anxiety regarding lack of information about children's health, health care providers' concerns and efforts to minimize the language barrier, family support, and advanced health care service environment. Conclusion: This study provides basic knowledge regarding married female migrants' experiences related to health care services. Future research should designate and utilize valid instruments to measure the positive and negative experiences and to explore strategies to strengthen the positive features while eliminating the negative ones. Finally, the Korean nursing education curriculum should include cultural competence and knowledge about an ethnic minority's right to health service utilization.

• 한국간호교육학회지
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• 제15권2호
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• pp.175-182
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• 2009

Purpose: Objective Structured Clinical Examination (OSCE) is a good way to evaluate clinical skills of nursing students. To do this, we need modules, evaluators, persons to run the examination, as well as models and standardized patient care if necessary. The main purpose of this study was to compare the effects of the OSCE method on nursing skills performance of students enrolled in a core skill lab of nursing courses. Method: Eight items were developed for the examination. Five minutes was allowed for each item. Two married women and third-year students played patient's roles. The participants were 2nd-year nursing students and the OSCE program was performed on December, 2008. Data analysis was done using SPSS WIN 12.0. Result: The evaluation score for BP check skill was 1.68 and hand washing skill was 1.87 by evaluators. Response of examinees to OSCE was favorable. Examinees did not express resistance for evaluation by OSCE run by SPs and students. Conclusion: The OSCE method is an effective tool for evaluating clinical nursing skills performance in student nurses. It is necessary to explore more efficient ways to develop OSCE cases in wider areas of nursing education. It is also recommended to replicate similar studies in nursing education.

• 임상간호연구
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• 제18권1호
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• pp.171-181
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• 2012

Purpose: This study was conducted to identify the clinical characteristics and risk factors on the occurrence of metabolic syndrome (MS), and to examine factors affecting the severity of coronary artery diseases in patients with acute myocardial infarction (AMI). Methods: A total of 894 patients who had admitted C national university hospital from 2008 to 2010 participated in this study. Collected data were lipid profiles, abdominal circumference, blood pressure, fasting blood sugar (FBS) level, participants' demographic data and other risk factors by interview, measurement, and review of participants' medical records. MS was defined according to modified National Cholesterol Education Program Adult Treatment Panel III and Asia-Pacific Criteria. Results: The participants' mean age was 64.7 (${\pm}11.0$) years and 65% was male patients. The participants' with MS was 37.6% in men and 71.4% in women. According to binary logistic regression analysis, high FBS (95% CI 1.7-2.0) and lower high-density lipoprotein (HDL) cholesterol (95% CI 1.1-1.9) were independent predictors of severe coronary artery disease. Conclusion: These risk factors of severe coronary artery disease will be utilized as an important basic data in part of management, education, and countermeasure of patients with both MS and AMI.

• 성인간호학회지
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• 제18권3호
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• pp.416-425
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• 2006

Purpose: To evaluate the effects of a follow-up program for breast cancer patients after surgery. Method: A quasi-experimental design was used. The subjects were 56 breast cancer patients (experimental group: 27, control group: 29). The subjects of the experimental group participated in the Follow-up program of 7 sessions once a week, during 4 weeks including one telephone visit. The program consisted of health education of breast cancer, exercise, lymph edema prevention, diet education, theraband rehabilitation exercise, laugh therapy, and breast self examination. The obtained data were analysed by using the ANCOVA of SPSS. Results: There was a significant difference in the scores of physical wellbeing, symptom distress and mood state between the two groups. Conclusion: Considering these research results, short-term intervention could improve physical and emotional functioning abilities by helping better health. Nurses should establish and manage a proper program to provide multipurpose support and it must apply the program after surgery as soon as possible for breast cancer women.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1699-1703
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• 2012

Cervical cancer remains the most frequent cancer in women from the developing world. More than 88% of deaths occur in low-income countries, and it is predicted to climb to 91.5% by 2030. Although Pap-based screening programmes have shown to be effective in reducing the disease burden in high-resource countries, implementation and sustention of cytology-based programmes is quite challenging in low-resource settings. The present paper reviews evidence-based alternatives of screening methods, triaging algorithm, treatment of cervical precancerous lesions, and age-group at screening appropriate for low-income countries. Evidence shows that visual inspection methods using diluted acid acetic or Lugol's iodine, and HPV-DNA testing are more sensitive tests than the Pap-smear screening test. Visual inspection allows an immediate result and, when appropriate, may be immediately followed by cryotherapy, the so called "screen-and-treat" approach, achieved in a single visit, by trained nurses and midwives. Examples of cervical cancer prevention programmes in India and selected low-income countries are given.

• 한국보건간호학회지
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• 제27권3호
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• pp.551-563
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• 2013

Purpose: This study was conducted in order to investigate the incidence and associated factors of suicidal ideation among the elderly according to residence area. Methods: This cross-sectional study used secondary data from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES V-2). A representative sample of 1,464 men and women aged 65 and over was selected. Rao-scott $X^2$-test, multiple logistic regression models based on sampling scheme of the data were used. Results: Of the 1,464 respondents, 22.4% had experienced suicidal ideation during the past year. Higher incidence of suicidal ideation was observed in rural seniors (23.7%) than in urban seniors (21.1%). The incidence of suicidal ideation showed correlation with age, education level, depression, stress, lying in a sick bed, and current smoking status among elderly living in urban areas. However, among elderly living in rural areas, the incidence of suicidal ideation showed correlation with household income, depression, stress, and daily activity. Conclusion: Based on the results, nurses should manage effective and individualized nursing interventions for elders in planning suicide prevention programs with consideration for residence areas, because there were differences in the factors affecting suicidal ideation among elders according to residence area.

• 가정∙방문간호학회지
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• 제14권1호
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• pp.5-10
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• 2007

Purpose: The purpose of the study was to analyze the ADL, IADL and cognitive function of low-income elderly who are receiving the visiting nurse service in the community. Method: Study participant were 2,413 community-dwelling elderly who live in S City. The data were collected from 5th Jan. to 28th Feb. 2006. The cross-sectional descriptive survey was done using a structured questionnaire through interviews by visiting nurses. Result: The average scores of ADL and IADL was respectively high, which indicates a relatively independent everyday life. However, the score of cognitive function was 21.87(normal range is over 23). There was a significantly positive correlation among ADL, IADL and cognitive function with the pearson correlation coefficients. Conclusion: It is concluded that elder subjects who are women, old aged, and live alone should be watched carefully for the cognitive impairment. In addition, the government should apply early detection and management system for cognitive impaired people who live in the community.

• Child Health Nursing Research
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• 제13권2호
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• pp.166-172
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• 2007

Purpose: The main objectives of this study were to examine relationship between depression and resilience in children with IDDM and identify factors associated with depression. Method: Data were collected from 63 children whose ages ranged from 10 to 15 years and who had been diagnosed with IDDM for over six months. Resilience was measured with an instrument developed by Kim (2002) and depression with the CDI by Beck (1967). Descriptive analysis, Pearson correlation coefficients and multiple regression analyses were used to analyze the data. Results: The mean score for depression was 11.71 (range: 0-54) and resilience was 99.03 (range: 32-128). There was a significant positive relationship between depression and academic performance (r=0.598, p>.01), and negative relationships between depression and perceived parenting attitude (r=-0.579, p>.01) and resilience (r=-0.577, p>.01). The result of multiple regression analysis showed that academic performance (${\beta}=-0.419$, p>.01), perceived parenting attitude (${\beta}=-0.338$, p>.01) and resilience (${\beta}=-0.219$, p>.05) were statistically significant for depression. Conclusions: The children with IDDM who reported lower resilience, negative parenting attitude, and better academic performance were more depressed. It is important for nurses to identify the strengths of the children with chronic illnesses and to help them increase their resilience level to prevent depression. Parenting classes are necessary to help parents support resilience of their children and counseling programs for mothers of these children are also recommended.

• 한국간호교육학회지
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• 제24권3호
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• pp.225-234
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• 2018

Purpose: The purpose of this study was to identify factors influencing patient privacy protection behavior among nursing students and examine the relationships between these factors. Methods: Participants in this study were 144 nursing students who have experienced clinical practice. The data were analyzed using descriptive statistics, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression with IBM SPSS Win 23.0 program. Results: Professional self-concept and ethical values were factors influencing patient privacy protection behavior among nursing students. These variables explained 21.9% of the variance for patient privacy protection behavior. A higher level of patient privacy protection behavior was associated with higher levels of professional self-concept and ethical values. Conclusion: The findings demonstrate that strategies for enhancing patient privacy protection behaviors of nursing students should include methods for forming images of positive nurses and firming ethical values.

• 성인간호학회지
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• 제20권6호
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• pp.829-838
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• 2008

Purpose: The purpose of this study was to explore the differences of health locus of control and treatment compliance according to general characteristics and severity in acute coronary syndrome(ACS) patients after percutaneous coronary intervention. Methods: This descriptive study was conducted with a convenient sample of 103 ACS patients. The dependent variables were measured by the scales for the Multidimensional Health Locus of Control and the Treatment Compliance. The collected data were analyzed by the Fisher's exact test, Chi-square and t-tests, and ANOVA using the SPSS program. Results: Pre-interventional severity was significantly different between men and women. In terms of internal health locus of control, there was a significant difference according to gender, educational status, economic status, and severity. The level of medication compliance was the lowest among the sub-scales of treatment compliance. Conclusion: These findings suggest that clinical nurses should evaluate the general characteristics and severity of the patients with ACS for providing tailored nursing interventions.