• Title/Summary/Keyword: nursing interventions

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Effects of Support from Spouse and Family on the Mental Health of Marriage Immigrant Women (결혼이주여성의 배우자지지, 가족지지가 정신건강에 미치는 영향)

  • Kim, Soon-Ok;Lim, Hyun-Suk;Jeong, Goo-Churl
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.221-235
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    • 2013
  • By identifying the effects of support from spouse and family on the mental health of marriage immigrant women, this study was proposed in obtaining basic data for a mental health intervention program. This study is a descriptive correlation study conducted on 129 marriage immigrant women as subjects. The result of the study showed differences in the following: for anxiety, depending on their country of origin, length of marriage, family structure, marriage structure, visit back home, and Korean language skill; for depression, depending on their spouse's education level, providing financial support for family back home, and Korean language skill; for somatization disorder, depending on their spouses' education level, area of residence, and occupation. Also, anxiety and depression showed a negative correlation with support from spouse and family, and somatization disorder showed a negative correlation with support from family. The main variable for mental health was support from family; for anxiety, the main variables were country of origin, length of marriage, and marriage structure; for somatization disorder, the main variables were spouse's education level, area or residence, and occupation. Based on the results of this study, a variety of mental health programs helpful for immigrant women in adapting to their multi-faceted and complex life in a different culture and nursing interventions for improving support from family would need to be developed.

A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Temporomandibular Disorders (턱관절 질환의 한의진료 임상현황조사를 위한 웹기반 설문조사)

  • Kim, Chang-Eun;Do, Ho-Jeong;Song, Hyun-Seop;Shin, Jae-Kwon;Lee, Won-Jun;Kim, Jong-Ho;Lee, Keun-Jae;Yoon, Young-Suk;Kim, No-Hyeon;Suh, Chang-Yong;Lee, Yoon-Jae;Kim, Mi-Riong;Cho, Jae-Heung;Kwon, Mi-Jung;Ha, In-Hyuk
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.73-84
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    • 2018
  • Objectives While Temporomandibular disorders (TMD) is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for TMD. Methods A preliminary questionnaire was developed to investigate current practice patterns of TMD treatment and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results The response rate was 2.23%. Most participants replied that they received multiple Korean medicine interventions for TMD treatment consisting of such methods as acupuncture, chuna manipulation, electroacupuncture. The percentage of treatment services among uncovered services, which need to be covered by national health insurance was high in the order of pharmacopuncture, chuna manipulation, and herbal medicine. The most commonly used diagnostic examination tools for TMD was Physical examination and next was Imaging diagnosis. The frequency of TMD treatment was the highest at 2~3 times per week (76%) and the period was from 4 to 12 weeks (63%). Conclusions This survey study helps determine current practice patterns of TMD, and recognizes the need for use of diagnostic devices in TMD treatment. These results are further anticipated to provide basic data for clinical practice guide lines (CPGs).

Spirituality, Death Anxiety and Burnout Levels among Nurses Working in a Cancer Hospital (암 병원 간호사의 영성, 죽음불안 및 소진)

  • Kim, Kyungjin;Yong, Jinsun
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.264-273
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    • 2013
  • Purpose: This study is to explore the relationships among spirituality, death anxiety and burnout level of nurses caring for cancer patients. Methods: Participants were 210 nurses from a cancer hospital in Seoul. Data were collected from April until June 2012 and analyzed using t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient. Results: The mean score for spirituality was 3.51 out of six. Among sub-categories, the one that scored the highest was the purpose and meaning of life, followed by unifying interconnectedness, inner resources and transcendence. The mean score for death anxiety was 3.22, and the sub-categories in the order of high score were denial of death, awareness of the shortness of time, pure death anxiety and fear of matters related to death. For the burnout, the mean was 4.10. Among sub-categories, highest mark was found with emotional exhaustion, followed by depersonalization and personal accomplishment. The spirituality level was negatively correlated with those of death anxiety and burnout. Death anxiety was positively correlated with burnout levels. Nurses with the higher spirituality level also had a higher level of education and experience of spiritual education, believed in the existence of God. In contrast, death anxiety and burnout levels were higher among those with a lower level of education, atheists, and for those who answered that religion has little influence on life. Conclusion: Thus, it is necessary to provide spiritual interventions for nurses who care for cancer patients to develop their spirituality, reduce death anxiety and prevent them from burning out easily.

A Study on the Social Welfare Needs of the Aged Chronic Patients and Their Family (만성질환노인 및 가족의 사회복지적 욕구에 대한 연구)

  • Wang, Kyeng Hi
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.59-74
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    • 2007
  • Considering the characteristics of the Korean family which maintain a close connection with their patients from the moment of their falling sick to hospitalization to discharge, the family is the most important environmental factor of the social supporting system, and is the important object of the client as well as activity system. The medical social work intends to meet the practical needs of aged chronic patients, providing them and their family with a professional human service. The end of this study is to find out the hardships of both the aged chronic patients and their family as well as their needs for the social welfare service, and to search out the way of comprehensive social work service. The summary of the analysis of the survey is as follows: 1. The needs of aged chronic patients are divided into those of the solution of the problems of falling ill, social welfare program and discharge. Those needs arc affected by the various factors of the types of hospitals, the patients' age, the kinds of insurance, and the supporting systems, etc. Accordingly, the assessment of the needs of the patients are asked to be done comprehensively in accordance with the kinds of diseases and social environments. 2. The importance of the family to the aged chronic patients is evident. The family plays a decisive role in the patients' hospitalization and discharge, the family being an important supporting system and making it necessary to take an approach to client system. The family has difficulty in getting connection of community resources, in adapting to social life after the patient's discharge, and in paying the treatment. The family suffers the secondary hardships more than the burden of the treatment expenses. 3. For this reason various interventions are needed to reduce the stress caused by supporting and nursing patients. Thus the social welfare service for the aged chronic patients and their family needs the following prepositions: 1. It is the characteristics of the aged chronic patients that they need continuous care and that the strengths of the patients and their family cannot be too much emphasized, and that comprehensive assessment based on the connection 'with the community and the mutual interchange 'with the environment, is much emphasized. 2. The family of the aged chronic patient is a resources system as well as a client one. 3. Another characteristic of the aged chronic patients is that with the resources connection in mind, it needs an active intervention of social workers in the community. With these prepositions considered, the development of practical social work service for the aged chronic patients is thought urgently needed.

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Physician Factors Associated with the Blood Pressure Control among Hypertensive Patients (진료를 받는 고혈압 환자의 혈압 조절과 관련된 의사 요인)

  • Kim, So-Young;Cho, In-Sook;Lee, Jae-Ho;Kim, Ji-Hyun;Lee, Eun-Jung;Park, Jong-Hyock;Lee, Jin-Seok;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.6
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    • pp.487-494
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    • 2007
  • Objectives : Little is known about the physician-related factors that are associated with the management of Hypertension. The purpose of this study was to determine the physician-related factors associated with blood pressure control in hypertensive patients. Methods : We surveyed 154 physicians at 117 public health (subhealth) centers in Gyeonggi-do, Forty-one physicians completed the survey (response rates : 26.6%) and 31 physicians were finally included as the study subjects. Using the information obtained from the self-reported survey, we measured the physician-related factors associated with hypertension control, including their perception of hypertension, prescription patterns (combination prescription rates, specific antihypertensives prescription rates among patients with diabetes mellitus), and sociodemographic factors. We then collected data on blood pressure and medication use in patients seen by these physicians from the health center#s information system. We compared the physicians# perceived hypertension control rates with the actual rates, and then evaluated the rate of high overestimation (overestimation by more than 25% of the median degree of hypertension control rate overestimation) among the physicians. The physicians# antihypertensive prescription patterns were also evaluated. Multiple logistic regression analysis was used to evaluate the independent association between hypertension control and physician-related factors. Results : The physicians tended to overestimate the proportion of their patients with controlled blood pressure (79.5% perceived vs. 57.8% actual). The percentage of physicians with high overestimation was 35.5% (11 physicians). The physicians with lower control rates were more likely to highly overestimate their patients# control rates. Physicians with below-median actual control rates tended to prescribe fewer combination treatments for patients with uncontrolled blood pressure and angiotensin-converting enzyme inhibitors or fewer angiotensin receptor blockers for patients with diabetes mellitus. The rate of high overestimation by physicians was 1.31 times higher in patients with uncontrolled blood pressure than in patients with other conditions (OR=1.31, 95% CI : 1.17-1.48). Conclusions : Physicians have a tendency to overestimate the rates of hypertension control in their patients. Because physicians have a direct role in treatment outcomes, physicians# overestimation about hypertension management contributes to inadequate blood pressure control. Thus, interventions for improving physician# awareness regarding the management of patients with hypertension are needed.

Study on the Characteristics of Bread with Jasmin Tea Powder (쟈스민차가루를 이용한 식빵의 특성 연구)

  • 황윤경;현영희;이윤신
    • The Korean Journal of Food And Nutrition
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    • v.17 no.1
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    • pp.41-46
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    • 2004
  • This study was designed to investigate the effective ratio of healthy bread with jasmin tea powder. The weight, volume, and color difference of bread with various jasmin tea powder was measured and the picture of bread was taken and the panel test was taken. The weight of bread was increased and the volume was decreased significantly according to increase of jasmin tea powder. To avoid the decrease of volume, the active gluten was added, but there was not shown the increse of bread volume by active gluten. In the result of panel test and volume measurement, addition of 3% jasmin tea powder was appropriate. Therefore, using the jasmin tea powder, the diversity of bread by functionality, nutritional composition, taste, color, flavor of jasmin tea powder can be developed. This result will support the background the development of jasmin tea bread of good quality.

Quality of life and its related factors in patients with Korean chronic obstructive pulmonary disease (만성폐쇄성폐질환 환자의 삶의 질 관련요인)

  • Bang, So Youn
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.5
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    • pp.1349-1360
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    • 2016
  • The purpose of this study was to identify the degree of quality of life (QoL) and its related factors in patients with Korean Chronic Obstructive Pulmonary Disease (COPD). With data collected by Korea National Health and Nutrition Survey in 2013, general and disease-related variables, pulmonary function test, and EuroQol-5Dimension (EQ-5D) were analyzed. The mean of EQ-5D index was 0.916 in patients with COPD and 0.941 in non-COPD. The EQ-5D index and its sub dimensions (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) of COPD patients were significantly lower than that of non-COPD. However, difference in COPD patients' airway limitation was significant only for self-care of EQ-5D (${\chi}^2=9.50$, p=.013). The related factors of QoL in COPD patients were age, gender, level of education, quartile of household income, smoking status, and number of comorbid diseases. Based on the results, it is important to pay close attention to COPD patients' QoL as well as comprehensive interventions which possibly improve their QoL.

Relationship of Professional Identity, Emotional Labor and Depression in Beauty Business Workers (미용업 관련 종사자의 직업 정체성, 정서노동 및 우울의 상관관계)

  • Kang, Li-Ly;Cho, Hee-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3030-3038
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    • 2011
  • This study was conducted as descriptive research to examine the relations among beauty business workers' professional identity, emotional labor and depression, to analyze factors that influence their depression, and to provide basic information necessary to develop interventions for beauty business workers' depression. The subjects of this study were 158 beauty business workers sampled from 25 beauty shops in Seoul. Data were collected using a structured questionnaire during the period from April 12 to May 13, 2011. From the collected data were obtained real numbers, percentages, and the means and standard deviations of professional identity, emotional labor and depression using the SPSS 16.0 Program. In addition, multiple regression analysis was performed to determine the correlations among the variables and to identify factors influencing the beauty business workers' depression. In the results of multiple regression analysis on factors that influence the subjects' depression, factors found to explain their depression were autonomy among the sub factors of professional identity, and the diversity of emotional expressions and surface acting among the sub factors of emotional labor, and these factors explained 23.6% of their depression. The subjects' professional identity was in a positive correlation with the frequency of emotional expressions and deep acting among the sub factors of emotional labor, and in a negative correlation with surface acting and depression. The Frequency of emotional expression and the diversity of emotional expressions which the sub factors of emotional labor were in a negative correlation with depression and in a positive correlation with surface acting and depression. In order to relieve beauty business workers from their depression based on these results, there should be education or programs for establishing beauty business workers' professional identity and program for increasing of emotional expressions and decreasing of surface acting.

An Influencing Health Promoting Behavior of Perceived Health Status and Self-Efficacy according to major of college students (대학생의 전공에 따른 건강상태 지각과 자아효능감이 건강증진행위에 미치는 영향)

  • Lee, Hee-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.989-999
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    • 2014
  • The purpose of this study was to identify the influencing health promoting behavior of perceived health status and self-efficacy according to major of college students to develop health promoting interventions of college students. The subjects of this study were 592 college students in C city in Korea. Health promoting behavior was significantly higher(p=.014) in health related major students than none health related major students. There were significantly difference in "an time to school(p=.007)", "sleeping hours(p=.004)", "drinking(p=0.028)", "exercise(p<.001)", "exercise frequency(p=.012)" between health related major and none health related major. perceived health status(r=0.381, p<.001) and self efficacy(r=0.620, p<.001) were significantly positive relation to health promoting behavior. The other sub factor in self efficacy were confidence(p<.001), effort(p=.008), will(p=.001) and sub factor in perceived health status were present health(p<.001), health anxiety(p=.002), resistibility and sensitivity(p=.002) in none health related major students($R^2$=0.432, F=38.620). We suggested that the results of this study be considered in developing health promoting programs through appropriate education and various activity of young adults.

A Quality Assessment of Meta-Analyses Research in Social Work (국내 사회복지 관련 메타분석 연구의 질 평가)

  • Cho, Mi-Kyoung;Kim, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.158-167
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    • 2016
  • This study was conducted to evaluate the quality of meta-analysis of social work in South Korea using the Assessment of Multiple Systematic Review (AMSTAR). Electronic databases including the Korean Studies Information Service System (KISS), DBpia, and RISS4U were searched for 'meta-analysis', 'social work', and 'social welfare' from 2000 to December 2015, and 42 meta-analysis studies were included. Data were analyzed using descriptive statistics, t-tests, and ANOVA. The mean score for AMSTAR evaluation was $4.766{\pm}1.66$, while 19 studies (45.2%) were classified at the low-quality level, and 22 (52.4%) were at the moderate-quality level. The scores of quality assessment were analyzed by publication year, participants, number of studies included, number of DB, reporting study quality, extraction diagram and topics. The findings indicated that the following changes should be implemented to improve the quality and reliability of meta-analysis results in social work research: 1) common reporting guidelines should be provided for the social work field, 2) quality analyses of each study should be conducted to achieve a high level of evidence of effectiveness of social work interventions, 3) the characteristics of the included studies should be provided, and 4) a consensus and procedure based on at least two independent data extractors should be reported.