• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.270-279
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• 2007

Purpose: In this study, the effects of meridian massage and hand massage on the affected upper extremity of patients with a stroke were identified. Method: A nonequivalent control group non-synchronized design was used. Participants were 84 (Experimental. 1: 28, Experimental. 2: 28, Control.: 28) patients with a stroke who were hospitalized in K oriental medical center. Experimental treatment for patients in experimental group 1 was the meridian massage for 10 minutes daily for 2 weeks, and for those in experimental group 2, hand massage for 2 minutes, 30 seconds each, daily for 2 weeks. Outcome variables were upper extremity function (grip power, shoulder pain, edema, ROM), ADL, and depression. Data were analyzed using SPSS PC+ version. Results: The score for upper extremity functions and ADL were significantly higher in experimental group 1 who had meridian massage than for experimental group 2 or the control group. Experimental group 1 showed less depression than experimental 2 or the control group. Conclusion: Meridian massage can be an effective nursing intervention to improve upper extremity function and ADL, and to decrease depression in patients stroke who have had a stroke.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.382-390
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• 2007

Purpose: This study was done to identify the risk factors influencing drinking permissiveness in university students. Method: The participants in this descriptive survey on causal relations were 219 students enrolled in university who were selected by convenience sampling. The data collected from April to July, 2005 were used in multiple regression analysis to build a prediction model. Results: Differences in drinking permissiveness according to general characteristics were as follows: gender, drinking frequency, drinking in more than one place each time and frequency of excessive drinking. The relationship between drinking permissiveness and amount of alcohol consumption (drinking frequency/month, amount/each time) showed positive correlations. The relationship between drinking permissiveness and motives to drink (social, enhancement, confirmity, coping motives) also showed positive correlations. The causal factors of drinking permissiveness were social motives, capacity/each time and drinking frequency/month. Conclusion: The findings suggest that board intervention programs should be provided to prevent problems of excessive drinking. It is also recommended that a program be developed that can help control the variables identified in this study along with follow up study to verify the model.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.315-322
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• 2007

Purpose: The purpose of this study was to examine the effect of three kinds of modes using bolus button of PCA on level of pain and side effects of analgesic and amount of drug consumption in post-operative patients according to whether the medication is controlled by the patient, the caregiver or the nurse. Method: The participants were 684 patients using PCA after an operation. The data collection period was from March 19 to April 6, 2007. Results: It was found that there were statistical differences in gender, age, type of surgery, pain on first post-operative day, amount of drug consumption, nausea, and vomiting. The ratio for patient controlled medication was 55.7% for women, and 70.5% for men, and for care-giver controlled medication, 35.1% for women, and 20.0% for men. Average pain scores for the first post-operative day were $3.9{\pm}2.2$ for patient controlled medication and $4.5{\pm}2.3$ for care-giver controlled medication. There were statistical differences according to mode used for PCA for amount of drug consumptions, nausea and vomiting but not for pain, operation day or pruritus. Conclusion: This study was carried out to examine risks according to who controls the PCA for post-operative patients. The results can help to develop education program for everyone who is involved in PCA, patients, caregivers, nurses and doctors.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.340-350
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• 2007

Purpose: This study was done to construct a quality of life (QOL) model for recipients of a liver transplant. Method: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program. Results: Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance. Conclusion: This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.1 no.1
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• pp.19-35
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• 1994

To test the effectiveness of the preparatory audiovisual information with videotape, 34 patients with gastric cancer and who have scheduled for subtotal gastrectomy were studied with quasiexperimental research design. The subjects were selected from the 4 general surgical wards of one university hospital in Seoul, and assigned to experimental and control group conveniently. The videotaped information on the preparation and recovery for surgery was showed to the experimental subjects once before having operation. Data on the sleep and the state anxiety level before and after treatment day was collected with VSH sleep scale and STAI. The data was analyzed with t-test to test the effect of preparatory information and the Pearson's correlation to identify the correlation between anxiety and sleep. The results were summerized as follows : 1. After receiving the preparatory information, the level of anxiety of the experimental group was the same level as the initial, whereas that of the control group showed markedly increase. However no significant difference in anxiety between the two groups was found. 2. There was significant difference in sleep score between the experimental and the control group. 3. There was significant negative correlation between the state anxiety score and the sleep score. Based upon the above findings, this study concludes that preparatory information is effective to enhance sleep just prior to the surgery.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.1 no.1
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• pp.7-17
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• 1994

사람은 자연계 생물의 한 종(species)으로 태어나 자라고 늙거나 병들어 모두 반드시 죽는 고로 죽음은 생물학적인 존재인 인간에게 나타나는 보편적이고 필연적인 현상이다. 사람의 죽음은 생명 스위치를 끄듯이 일순간에 일어나는 현상이 아니고 일련의 과정을 거친다. 심장이나 폐장 또는 뇌와 같은 생명장기의 기능이 정지되면 생체액의 흐름이 정지되고 이로써 사람을 이루고 있는 모든 장기, 조직 및 세포의 생명현상이 멈추게 된다. 사람을 이루고 있는 세포가 모두 죽는 시간은 아무도 알 수 없기 때문에 사람의 죽음을 판정하는 일은 쉽지 않고 이에 실용적인 생의학적 판정기준이 논의되어 최근에는 뇌사를 죽음의 판정기준으로 하는데 동의하고 있어 "뇌의 기능이 비가역적으로 정지된 상태"는 죽음의 한 측면이다. 자신에게 다가올 죽음을 예측하면서 사는 존재인 사람에게는 이 생물학적인 과정을 거치는 동안 위격인 자아의 종결(consummation of personal self)이 함께 이루어지며 이 과정은 죽는 사람은 물론이고 가족 및 친지에게 있어서도 지극히 주관적인 고유한 경험이다. 죽음의 주체인 사람은 의지의 동물이며, 인간이 희망하고 추구하는 모든 행위는 이 의지의 표현이다. 인간의 의지 가운데 큰 의미를 두는 것은 삶, 특히 "영원한 삶"에 대한 의지여서 인간의 죽음은 의식(儀式)으로 정교하게 가꾸어져 문화가 되었다. 따라서 생의학적인 상태에 지나지 않는 인간의 죽음은 단편적인 사실로서 또는 경험의 과정으로서 뿐 아니라 종교, 관습, 문화적인 요소를 포함하는 거시적이고 포괄적인 종합체계로의 접근으로서 깊은 이해에 이를 수 있다.

• International Journal of Reliability and Applications
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• v.2 no.3
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• pp.161-187
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• 2001

Starting with the meaning of the word quality, diverse concepts connoted by the term are examined. Instead of a bathtub curve, the desirable shape of a failure rate covering the entire life of a good product, which might be called hockey-stick line, is introduced. From the hockey-stick line and the definition of reliability, two measurements are extracted. The terms reliability, failure rate, product life, and durability are explained. From the customer's standpoint, the concept of product quality is classified in five factors, according to related technology: performance, reliability, conformance to specifications, customer perception, and fundamentals advantage. The correlation of the five factors for a first-class product is discussed, Since the market share of a company is determined as the competition result of its product value, defined as product quality and price, the market share increase is derived mathematically from the increment of product value. The market share increase, $\Delta$S, can be calculated from the present market share, S, and the oriented relative value increment of new product, R, to the current product in the same company for the same market target: $\Delta$S : $\Delta$(1-S). R/(1+S.R). Finally, the importance of separating warranty cost from the profit equation for the durables is explained.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.223-233
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• 2003

Purpose: The purpose of study was to identify the death orientation and cognition, attitude and nursing needs in hospice care according to training of volunteers. Method: Data were collected using a structured questionnaire which included characteristics, death orientation and cognition, attitude and nursing needs in hospice care. Data collection was done between June 1st and 20th, 2003. The participants in the study were the 86 trained hospice volunteers and 76 non-trained hospice volunteers. The data were analyzed using the SPSS/PC+ program. Result: The results are as follows: There was a significant difference in the average for the death orientation scores between non-trained hospice volunteers and trained hospice volunteers. There was a significant difference for the cognition of hospice and attitude, with higher responses being given by the hospice trained group. For the domains of nursing needs in hospice care, the highest response was to emotional needs. Conclusion: This study showed that training in hospice care was effective in changing the death orientation, cognition, attitude and nursing needs in hospice care.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.181-186
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• 2003

Purpose: The purpose of this study was to investigate the adherence to diabetes control recommendations (blood glucose testing, medication, diet, exercise) in patients with type 2 diabetes at home and to analyse the correlation between adherence and blood glucose level. Method: Participants, numbering 214, were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by a self report adherence questionnaire. Glycosylated haemoglobin (HbA1c) was determined by the high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. Result: Medication adherence was higher than diet or exercise adherence. The frequency of blood glucose testing was lower for middle school graduates than college graduates. Diet adherence was significantly lower for participants who were obese, who did not have a spouse, and who had hyperglycemia. Medication and diet adherence were negatively correlated with HbA1c. Conclusion: A diet education program should be developed for patients with type 2 diabetes who are obese, who do not have a spouse, and who have hyperglycemia.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.2
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• pp.206-213
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• 2003

Purpose: This study was designed to explore pain and self-care behaviors and identify related variables in patients with chronic arthritis. Method: One hundred fifty patients with arthritis were recruited from two university based arthritis centers according to selection criteria. Collected data were analyzed using the SAS program to analyze the responses to the structured questionnaires of the study. Result: Most of the participants expressed pain and the intensity of the pain was moderate. There were significant differences according to age, educational level, diagnosis, duration of illness, number of affected joint, and use of complementary therapy. Self-care behavior scores were moderately high. The highest practice was for 'regular visits to the hospital', and the lowest for 'applying physical therapy at home'. The mean self-care behavior scores showed significant differences according to economic status and educational level. Pain scores showed no correlation with self-care behavior. Conclusion: Developing self-management programs for patients with chronic arthritis should focus on self-care skills which are applicable in the relief of pain and enhancement of knowledge. The skills are recommended not only for better health practices but also for enhancing the level of well-being and life satisfaction.