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Effect of Spiritual Nursing Intervention on Spiritual Well being and Depression of Hospice Patients (영적간호중재가 호스피스 환자의 영적안녕과 우울에 미치는 효과)

  • Song, Mi-Ok;Kim, Jung-Nam
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.132-144
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    • 2004
  • Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on the spiritual well being and depression levels of hospice patients. Method: The data for this study were collected from 62 patients who were admitted to the hospice care unit from July 28, 2002 to October 31, 2002 in D city K hospital. Subjects were 31 members of the experimental group and 31 members of the control group. It was devised with a nonequivalent control group pretest posttest design. The spiritual nursing intervention was given by using the therapeutic use of self. Scripture. prayer. Hymn and music. use of church community involvement and referrals to pastors according to the assessment of patients' spiritual needs for 3 weeks(total 12 times and 1 hour per each intervention). Sangsoon Choi (1990) and Jungho Kang(1996)'s spiritual well being scale. which was modified from Palautzian and Ellison (1982)'s spiritual well being scale, was used to investigate patients' spiritual well being. To investigate the level of depression. OkHyun Song(1977)'s Depression Scale, which was modified from Zung(1965)'s Depression Inventory, was used. Data were analyzed by $x^2$-test. t-test. and repeated measures ANOVA with SPSS/Win 10.0 program. Results: 1. The 1st hypothesis. 'total spiritual well being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported (F=6.28, p=0.015, Interaction: p=0.000). 2. The 1 lst sub hypothesis, 'religious well being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=12.75, p=0.001 Interaction: p=0.000). 3. The 1 2nd sub hypothesis, 'existential well being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.87, p=0.016, Interaction: p=0.000). 4. The 2nd hypothesis, 'depression level in the experimental group, who received the spiritual nursing intervention, will be lower than the control group who did not receive the spiritual nursing intervention' was supported (F=10.45, p=0.002, Interaction: p=0.000). Conclusion: From the above results, spiritual nursing intervention was an effective program to improve the spiritual well being state and decrease the depression levels of the hospice patients. In the future, with spiritual intervention. which the researcher developed, is applied in the nursing field, the hospice patients can have comprehensive well being including spiritual well being and die peacefully.

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The Effects of Aromatherapy on Depression, Sleep, Mood, and Smell in Stroke Patients and Their Caregivers (향기흡입이 뇌졸중환자와 돌봄 제공자의 우울, 수면, 기분 및 냄새에 미치는 효과)

  • Suh, Soon-Rim;Seo, Ji-Yeong;Choi, Eun-Hee;Park, Wan-Ju
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.27-35
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    • 2008
  • Purpose: The purpose of this study was to examine the effects of aroma-inhalation on depression, sleep, mood, and smell in stroke patients and their caregivers. Method: This study employed one group pretest-posttest repeated design. Data were collected at three time points: baseline(pre-test), 10 days and 20 days after the intervention(Post-test1 and post-test2, respectively). The sample included a total of 23 subjects. Data were analyzed by SPSS 12.0 program using repeated measure ANOVA. Results: Depression was not statistically significant difference among pre-test, post-test1 and post-test2. Sleep was improved after intervention $37.61{\pm}7.41$(pre-test), $41.22{\pm}8.26$ (post-test1), $44.33{\pm}7.67$(post-test2) (F=8.182. p=.001) Mood was significantly improved after intervention: $16.95{\pm}4.89$(pre-test), $14.89{\pm}6.31$(post-test1), $12.11{\pm}5.04$(post-test2). Smell including smell perception, discomfort due to smell and relation between age and smell was significantly improved after intervention: $2.63{\pm}1.20$ (pre-test). $2.00{\pm}1.16$(post-test1), $1.63{\pm}.96$(post-test2) (F=6.176. p=.006) in smell perception, $2.50{\pm}1.10$ (pre-test). $1.81{\pm}.91$(post-test1), $1.19{\pm}.40$(post-test2) (F=12.26. p=.000) in discomfort due to smell and $3.53{\pm}1.18$(pre-test). $2.59{\pm}1.46$(post-test1), $2.53{\pm}1.33$(post-test2) (F=4.148, p=.025) in relation between age and smell. Conclusion: The results suggest that aroma-inhalation may have an effect on sleep, mood and smell and can be effective nursing intervention to increase the relaxation in stroke patients and their caregivers.

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The Effect of Yu-Dong-Kong on Physical Function and Emotional State in Elderly (유동공 체조가 노인의 신체기능과 정서상태에 미치는 효과)

  • Yoo Ji-Soo;Han Shin-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.507-521
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    • 1999
  • Yu-Dong-Kong exercise is to produce heat from rubbing hands and is composed of 10 different types of exercise using warmed hands. The objective of this research is to evaluate the effect of Yu-Dong-Kong exercise on physical function and emotional state in elderly. The design of research is Nonequivalent Control Group Pretest-Posttest Design. The independent variable is Yu-Dong-Kong exercise, and the dependent variables are physical function and emotional state. Subjects are 18 elderly in the experimental group and 16 elderly in control group. All of them are above 60 year old and live in 1-city, Kyonggi-do. The exercise period was 4 weeks and data were collected from April to August in 1998. The exercise frequency was once a day. The exercise duration was from 10 to 20 minutes. The measurement tools are modified 1) Cornell Medical Index-Health questionnaire and 2) Geriatric Depression Scale. Collected data were analyzed by t-test and paired t-test based on the purposes of research using SPSS-Window package. The results are summarized as follows : 1. There was no difference in pre-exercise physical function between two groups (t=-.95, p=.35). 2. The hypothesis that 'physical function in the experimental group will be improved compared to the control group' was not supported by t-test(t=-.925, p=.362). However. the physical function in the experimental group showed much improvement than that in the control group. 3. The hypothesis that 'emotional state in the experimental group will be improved compared to the control group' was not supported by t-test(t=-1.715, p=.096). However, the emotional state in the experimental group showed much improvement than that in the control group. 4. The hypothesis that 'physical function will be improved in the post-exercise compared to pre-exercise' was not supported by paired t-test(t=.302, p=.766) However, a slight improvement in the physical function was found. For the further study, it is recommended to reevaluate the effect of Yu-Dong-Kong exercise through large number of subjects and long-term study. Also, a separate study with different type of subjects is recommended. In addition, continuation and compliance this strategy for exercise should be developed.

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The effects of aroma inhalation on pain, anxiety, and heart rate variability among elderly women with total knee arthroplasty during continuous passive motion exercise (향 흡입법이 슬관절 전치환술 여성노인 환자의 수동적 관절운동 시 통증, 불안 및 심박변이도에 미치는 효과)

  • Park, So Young;Kim, Tae Im
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.6
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    • pp.1383-1402
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    • 2017
  • This study aims to investigate the effects of aroma inhalation on pain, anxiety, and heart rate variability of elderly women with total knee arthroplasty (TKA) during continuous passive motion (CPM) exercise. Equivalent control group pretest-posttest design was used. Participants were randomized to intervention group (n=26) or control group (n=27). Participants inhaled aroma or distilled water for 5 minutes before CPM exercise and for 40 minutes during CPM exercise on 3 consecutive days. Pain NRS, number of painkiller used, anxiety NRS, blood pressure, and heart rate variability (HRV) were measured before and after intervention. Pain NRS, anxiety NRS, blood pressure in experimental group were significantly lower than those of control group. All indices of HRV were significantly different between the two groups. Based on these results, it can be concluded that aroma inhalation was effective in decreasing pain and anxiety and changing HRV among elderly women with TKA during CPM exercise.

The Effects of Child Cardiopulmonary Resuscitation Education for Childcare Teachers with a Video Self-Instruction Program (Video Self-Instruction Program을 이용한 보육교사의 소아심폐소생술 교육의 효과)

  • Kim, Geon-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.2
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    • pp.87-98
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    • 2009
  • Purpose : This study set out to compare the educational effects of a video self-instruction program for child CPR education on childcare teachers by applying the 2006 KACPR Guideline. By adopting the nonequivalent control group posttest quasi-experimental design, the study examined the educational effects on a group that did not receive instructions from the instructor, another group that received his instructions, and the other group that received an extra three-minute practice training session in addition to instructions. Methods : Data were gathered from August 6 to 18, 2008. As for research tools, the Knowledge Instrument of CPR by Connolly (2006) was used along with the National Practice Test Protocol for C1ass 1 Emergency Medical Technicians (2007) and Common Protocol for CPR (2006) to examine the performance of child CPR. By shooting the guide screen of $Resusci^{(R)}$ Junior CPR Manikin of Leardal with a video camera and using the Skill Guide Checklist of the Common Protocol for CPR (2006), the subjects' technical accuracy of chi1d CPR was evaluated. There were three subject groups: 29 childcare teachers randomly assigned to received the video self-instruction program training for chi1d CPR and no instructions from the instructor made up the control group; 22 childcare teachers randomly assigned to received the program training and instructions from the instructor made up experiment group I; 23 childcare teachers randomly assigned to received an extra three-minute practice training session in addition to the program training and the instructions made up experiment group II. The gathered data were analyzed with SPSS/PC+ (Version 14.0) in frequency, percentage, $X^2$-test, ANOVA, Scheffe test. Results : 1) There were no statistically significant differences (F=1.030, p=.362) among the groups in terms of knowledge scores after the child CPR education. 2) There were statistically significant differences (F=13.625, p=.000) among the groups in terms of performance abilities after the child CPR education. 3) There were no statistically significant differences (F=1.610, p=.207) among the groups in terms of technical accuracy of mouth-to-mouth resuscitation after the child CPR education 4) There were no statistically significant differences (F=1.484, p=.234) among the groups in terms of technical accuracy of chest compression after the child CPR education. Conclusion : The results indicate that childcare teachers can improve their performance abilities in child CPR when the instructors are active with their instructions and extra practice hours are secured through a VSI program. It's also needed to provide education with increasing concentration ratio about the items of lower knowledge points in order to help the teachers learn the accurate theory of child CPR. And there should be VSI programs of diverse conditions to increase the effects of child CPR training among childcare teachers.

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The Effects of Sensory Integration Intervention on Play in Children With Sensory Modulation Disorder (감각통합치료가 감각조절장애 아동의 놀이에 미치는 효과)

  • Kim, Jin-Mi;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.1
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    • pp.1-12
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    • 2009
  • Objective : This study is to verify effect of a sensory integration (SI) intervention on sensory processing of children with sensory modulation disorder (SMD), and to explore how the SI intervention affect play, socialization, occupational performance and occupational satisfaction of those children. Method : Five children with developmental disabilities living in metropolitan were diagnosed as SMD by the Sensory History Interview (SHI) and Short Sensory Profile (SSP). The SMD children undergone the 48 sessions of 50 min intervention twice in a week for six months and took the Revised Knox Preschool Play Scale(RKPPS), Social maturity test, Canadian Occupational Performance Measure(COPM), and Japanese Sensory Inventory Revised(JSI-2) before- and after the intervention. The result data analyzed by the Wilcoxon matched-pair signed rank test. Results : All data of post-intervention differed significantly; RKPPS(Z=-2.023, p=.043), Social maturity test(Z=-2.023, p=.043); occupational performance(Z=-2.023, p=.043); satisfaction(Z=-2.032, p=.042); and tactile system of JSI-2(Z=-2.032, p=.042). Conclusions : The results advocate that sensory integration intervention is effective in improving tactile processing, play, socialization, occupational performance, and occupational satisfaction of child with SMD. It is found that sensory integration intervention improves not only one's occupational performance but also underlying components of the performance. In order to generalize this conclusion, further studies need to be done with more number of subjects and consideration of environmental factors. Striving for more reliable and valid methods of data collection is also suggested.

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The Effect of Problem Solving with Task-based Activities On Understanding of Major concepts and Learning attitude in 'Applications of Information and Communication Technology' Subject in Technology.Home Economics (기술.가정과 '정보통신기술의 활용' 단원에서 문제 해결 과제 중심 수업이 개념 이해와 학습 태도에 미치는 효과)

  • Jung, A-Long;Lee, Yong-Jin
    • 대한공업교육학회지
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    • v.36 no.1
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    • pp.167-190
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    • 2011
  • The purpose of this study is to identify the effect of problem solving with task-based activities on understanding of major concepts and learning attitude in 'Applications of ICT' subject. In teaching the 4th class of 'Applications of ICT' subject, problem solving with reasoning task-based activities are used for the experimental groups and instructor-oriented teaching for the comparative groups. The results are as follows: First, no meaningful difference was found in the pretest result of concepts of ICT, while posttest found that the students with problem solving with reasoning task-based activities in experimental group marked average 5.87 point higher than the control group and showed meaningful difference at significance level p<.05. Dividing concepts about Information Communication Technology into four domains, there were no meaningful difference between two groups in the concept test about communication principles and methods and network, while the test results about the other two concepts, that is, expressions and patterns of information and compositions and types of communication network, showed the meaningful difference at significance level p<.05. Second, the research proved that the experimental group with problem solving with reasoning task-based activity teaching, compared to the control group with lecture, showed desirable change in learning attitude. From the results, the solving with reasoning task-based activity model is better teaching-learning method compared to lecture, revealing positive change in understanding major concepts of information and communication technology and learning attitude.

A Study on Green Information Technology Practical Method in Technology.Home Economics Education (기술.가정교과에서의 녹색 정보기술 실천방안 연구)

  • Nam, Seung-Kwon;Choi, Won-Sik;Yin, Zi-Long
    • 대한공업교육학회지
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    • v.36 no.1
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    • pp.131-148
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    • 2011
  • The purpose of this study was to development of the green information technology practical method and verify the impact of classes which applied green information technology practical method on the students' practice on green information technology to enhance the study related to green growth education for Technology Home Economics Education. In order to achieve the purpose, first, the green information technology practical method and measurement instrument were developed. Second, green information technology practical method applied in class. Third, D middle school students(male 62, female 59) in Daejeon city were tested by green information technology practical method measurement instrument and the comparison between pretest and posttest results were made. There were three results conduced from this study. First, green information technology practical method had positive impact on the students' green information technology practice on the items which they directly face in their daily lives, such as computers, monitors, and data. Through this point, when green growth curriculum developed in Technology Home Economics, we must consider the more closely related in lives contents. Second, green information technology practical method not impact on the practice on the items such as printers, peripherals, and other items. But in the future we expect more students hold printers and peripherals so the study for these items needed the more. Third, there were no gender differences in green information technology practice. Through this point, when green growth curriculum organized, there was no needed to separete students' gender.

The Effect of Pelvic Muscle Exercise Program on Women with Stress Urinary Incontinence in the Degree and Amount of Urinary Incontinence and Maximum Vaginal Contraction Pressure (골반저근육 운동 프로그램이 긴장성 요실금 여성의 요실금정도, 요실금량 및 최대 질수축압에 미치는 영향)

  • Kim, So Young;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.267-277
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    • 2000
  • The purpose of this study was to help the women with stress urinary incontinence lead more comfortable life, by letting them to do pelvic muscle exercise and to learn by direct experience the effect that urinary incontinence is controlled. The research design was a one-group pretest-posttest design. The subjects were 16 middle-aged women(over 38) with stress urinary incontinence. The study was conducted from August 1, to October 11, 1999. Women trained themselves for muscular strength and endurance, every the other day for each exercise for six weeks at home(that means each exercise for more than three days a week) in the pelvic muscle exercise program which was developed by Dougherty et al., and filled out exercise participation card every week. They visited laboratory once a week to get visual feedback, by means of Perineometer, of how the pelvic muscle exercise was going on. Stress Urinary Incontinence Scale that Lee, Young-Sook revised and supplemented Hendrickson's original scale was used for measuring the frequency and situation scores of urinary incontinence, "30 minute pad test" was carried out for measuring the amount of urinary incontinence, and Perineometer was used for measuring maximum vaginal contraction pressure. Percentage, mean, standard deviation and Wilcoxon signed ranks test were used for data analysis by means of SPSS/PC+ WIN 9.0 program. The results were summarized as follows : The hypothesis 1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly degree of urinary incontinence would reduce compared to before the exercise was supported. The hypothesis 1-1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly frequency of urinary incontinence would reduce compared to before the exercise was supported (p=.003). The hypothesis 1-2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the situation scores of urinary incontinence would reduce compared to before the exercise was supported(p=.044). The hypothesis 2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the amount of urinary incontinence would reduce compared to before the exercise was supported(p=.001). The hypothesis 3 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the maximum vaginal contraction pressure would increase compared to before the exercise was supported (p=.012). These results suggest that pelvic muscle exercise program has an effect on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. So it is judged that training women with stress urinary incontinence for pelvic muscle exercise is an effective nursing intervention strategy in order to care urinary incontinence.

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The Effects of Self-efficacy Promotion and Education Program on Self-efficacy, Self-Care Behavior, and Blood Pressure for Elderly Hypertensives (자기효능증진 교육프로그램이 고혈압 노인의 자기효능감, 자가간호행위 및 혈압에 미치는 효과)

  • Yu, Su Jeong;Song, Mi Soon;Lee, Yun Jung
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.108-122
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    • 2001
  • The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in selfefficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

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