The Effectiveness of Non-pharmacological Interventions on Anxiety in Children Undergoing Surgery: A Systematic Review and Meta-analysis
수술 환아의 불안에 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석
김현영 Kim Hyeon-young , 신선화 Shin Sun Hwa
27(1) 1-13, 2021
김현영 Kim Hyeon-young , 신선화 Shin Sun Hwa
DOI:
Abstract
Purpose: The purpose of this study was to examine the effectiveness of non-pharmacological interventions for reducing perioperative anxiety in children undergoing surgery. Methods: A systematic review of randomized controlled trials (RCTs) with the primary outcome of children’s perioperative anxiety was conducted. The literature search was performed using various databases, including Cochrane Library, CINAHL, EMBASE, PubMed, and Korean electronic databases with confined to RCTs between 2000 and 2020. A total of sixteen studies were suitable the inclusion criteria and were systematically reviewed. The bias risk of randomized studies was evaluated using Cochrane’s risk of bias tool. For the meta-analysis, RevMan 5.4 was used to analyze effect sizes of interventional factors. Results: Finally, twelve RCTs studies were used for meta-analysis. The non-pharmacological interventions implemented to reduce perioperative anxiety in children were therapeutic play, clown therapy and information provision. First, therapeutic play had a significant effect on reducing preoperative anxiety, with an effect size of -1.46 (95% CI=-1.78~-1.14). Second, clown therapy had a significant effect on reducing preoperative anxiety, with an effect size of -0.97 (95% CI=-1.45~-0.49). Finally, the provision of information had a significant effect on reducing preoperative anxiety, with an effect size of -0.75 (95% CI=-0.99~-0.51). Conclusion: This meta-analysis suggests that non-pharmaceutical interventions provide effective methods of reducing perioperative anxiety in children. Therefore, the findings verify evidence that various non-pharmacological interventions are effective means for reducing children’s preoperative anxiety.
Key Words
Anxiety, Children, Meta-analysis, Perioperative period, 불안, 소아, 메타분석, 수술주기
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Corelation between Nurses’ Posttraumatic Stress Disorder, Depression and Social Stigma in Nursing COVID-19 Patients
COVID-19 환자 간호한 간호사들의 외상 후 스트레스 장애, 우울 및 사회적 낙인 간의 관계
이은자 Lee Eun Ja , 조옥연 Cho Ok Yeon , 왕금현 Wang Keum Hyun , 장명진 Jang Myung Jin
27(1) 14-21, 2021
이은자 Lee Eun Ja , 조옥연 Cho Ok Yeon , 왕금현 Wang Keum Hyun , 장명진 Jang Myung Jin
DOI:
Abstract
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.
Key Words
COVID-19, Stress Disorder, Post-Traumatic, Depression, Social Stigma, 코로나바이러스, 외상 후 스트레스, 우울, 사회적 낙인
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The Influences of Self-Leadership, Role Conflict, Nursing Work Environment on Nursing Service Quality in Comprehensive Nursing Care Service Wards
간호·간병통합서비스병동 간호사의 셀프리더십, 역할갈등, 간호근무환경이 간호서비스 질에 미치는 영향
김미선 Kim Mi Sun , 신성희 Shin Sung Hee , 서은주 Seo Eunju
27(1) 22-31, 2021
김미선 Kim Mi Sun , 신성희 Shin Sung Hee , 서은주 Seo Eunju
DOI:
Abstract
Purpose: This study aims to examine the relationships between the self-leadership, role conflict, nursing work environment, and quality of nursing service in comprehensive nursing care service wards and identify the factors that affect the quality of nursing service. Methods: The data were collected from 158 nurses working in comprehensive nursing care service wards from three general hospitals with 200 beds or more in Seoul, Korea. The data were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson’s correlation coefficient, and multiple linear regression analysis of enter method using SPSS/WIN ver 22.0 program. Results: The factors of quality of nursing services were self-leadership (β=.44, p<.001), nursing work environment (β=.17, p=.014), and the work experience in comprehensive nursing care service wards (β=-.15, p=.035) explaining 32% of the total variance. Conclusions: The results indicated that self-leadership, work experience in the comprehensive nursing care service wards, and nursing work environment affect the quality of nursing services of nurses in the comprehensive nursing care service wards. It is necessary to make efforts for seeking various intervention strategies and improving nursing work environment.
Key Words
Integrated nursing and nursing service ward nurse, Self-leadership, Role conflict, Nursing work environment, Quality of nursing service, 간호·간병통합서비스병동 간호사, 셀프리더십, 역할갈등, 간호근무환경, 간호서비스 질
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The Effects of Nursing Work Environment, Job Stress and Knowledge Sharing on Nursing Performance of Nurses in a Tertiary Hospital
일개 상급종합병원 간호사의 간호근무환경, 직무스트레스, 지식공유가 간호업무성과에 미치는 영향
신양미 Shin Yang Mi , 조헌하 Cho Hun Ha
27(1) 32-42, 2021
신양미 Shin Yang Mi , 조헌하 Cho Hun Ha
DOI:
Abstract
Purpose: The purpose of this study was to identify factors influencing nursing performance of clinical nurses. Methods: This was a descriptive study involving 172 nurses who worked for 6 months or longer at one general hospital in B City. The data analysis was conducted with t-test, ANOVA, Scheffe test, Pearson’s correlation coefficients, and stepwise multiple regression. Results: Nursing performance of participants positively correlated with job stress (r=.16, p=.033). The factors affecting nursing performance were total clinical experience (β=.37 p<.001), salary (β=.19, p=.028), and job stress (β=.13, p=.045). These variables had a 27.2% variance to explain nursing performance. Conclusion: Based on these results, administrative and financial support are required for the development of a clinical career program, including the differentiation of salary systems of clinical nurses. There is also a need to develop and implement job stress management and coping programs.
Key Words
Nurse, Environment, Job Stress, Knowledge, Work Performance, 간호사, 환경, 직무스트레스, 지식, 업무성과
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Impact of Depression, Optimism and Posttraumatic Growth on Health-related Quality of Life in Female Breast Cancer Survivors Receiving Adjuvant Chemotherapy
항암화학요법을 받은 여성 유방암 생존자의 우울, 낙관성 및 외상 후 성장이 건강관련 삶의 질에 미치는 영향
김부경 Kim Bu Kyung , 성미혜 Sung Mi-hae , 최성인 Choi Sung In
27(1) 43-50, 2021
김부경 Kim Bu Kyung , 성미혜 Sung Mi-hae , 최성인 Choi Sung In
DOI:
Abstract
Purpose: The purpose of this study was to identify the influence of depression, optimism and posttraumatic growth on health-related quality of life in female breast cancer survivors received adjuvant chemotherapy. Methods: In total, 115 female breast cancer survivors participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from 1 June 2020 to 10 June 2020, and were analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 24.0. Results: The mean age of the breast cancer survivors was 45.83 years. The mean score for the degree of health-related quality of life was 81.85 out of 148 points. Participants’ scores for health-related quality of life differed significantly based on economic status (F=5.36 p=.006) and hobbies (t=-3.37, p=.001). Health-related quality of life was negatively correlated with depression (r=-.73, p<.001), and positively correlated with optimism (r=.65, p<.001) and posttraumatic growth (r=.28, p=.002). Depression (β=-.55, p<.001) was the most significant factor that affects health-related quality of life, followed by optimism (β=.29, p<.001), and post-traumatic growth (β=.12, p=.048), which together accounted for 62.2% (F=63.61, p<.001) of the variance. Conclusion: It is necessary to develop educational programs for breast cancer survivors to reduce depression, increase optimism and post-traumatic growth, and improve the health-related quality of life. By adapting these programs, positiveness may increase and this may lead to improvement of health-related quality of life for breast cancer survivors.
Key Words
Cancer survivors, Quality of life, Depression, Optimism, Posttraumatic growth, 유방암 생존자, 우울, 낙관성, 외상후 성장, 삶의 질
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Factors Related to High Risk Drinking in Adult Drinkers by Age Group
연령군별 성인 음주자의 고위험음주 관련 요인
이은숙 Lee Eun Sook , 서영미 Seo Yeong-mi
27(1) 51-60, 2021
이은숙 Lee Eun Sook , 서영미 Seo Yeong-mi
DOI:
Abstract
Purpose: The purpose of this study was to identify factors associated with high risk drinking in adults. Methods: Multi-variate logistic regression was used to analyze the data of 15,949 adults age 19 years or older from the sixth (2013-2015) Korea National Health and Nutrition Examination Survey. Results: Factors associated with high risk drinking included education level, employment and smoking status among the age group of 19-39. In the 40-59 year age group, the associated factors were gender, employment, smoking, obesity, and depressive mood. In the over 60 year age group, related factors included gender, employment, smoking, abdominal obesity, and subjective health status. Conclusion: The result of this study suggests that early risk factor screening may be helpful to avoid the progression to high-risk drinking. An individualized approach for each age group can be used as a preventive measure.
Key Words
Alcohol Drinking, Risk, Adult, Age Groups, 음주, 위험, 성인, 연령군
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Fear of Falling, Falls Efficacy and Fall Prevention Behaviors according to the Fall Experience among Older Adults in Outpatient Settings
외래방문 노인의 낙상경험 유무에 따른 낙상에 대한 두려움, 효능감 및 예방행위
엄인애 Uhm In Ae , 황선영 Hwang Seon Young
27(1) 61-69, 2021
엄인애 Uhm In Ae , 황선영 Hwang Seon Young
DOI:
Abstract
Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (χ²=14.32, p<.001), education (χ²=6.05, p=.049), income (χ²=9.93, p=.019), physical activity status (χ²=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (χ²=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.
Key Words
Fall, Older adults, Fear, Efficacy, Prevention behavior, 낙상, 노인, 두려움, 효능감, 예방행위
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Relationship between Sexual Knowledge and Sexual Attitudes of Mongolian University Students
몽골 대학생의 성지식과 성태도의 관계
김진 Kim Jin , 차남현 Cha Nam Hyun
27(1) 70-77, 2021
김진 Kim Jin , 차남현 Cha Nam Hyun
DOI:
Abstract
Purpose: The purposes of this study are to examine the relationship between sexual knowledge and sexual attitudes and identify factors that influence sexual attitudes among Mongolian university students. Methods: A cross-sectional study was used. Participants include 200 students from 23 universities in U city in Mongolia. Data were collected from 1 December to 30 December of 2019. A self-report questionnaire through Google survey was used. Data were analysed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyse with SPSS 26.0 for Window Program. Results: We found the differences between sexual knowledge and sexual attitudes according to participants’ general characteristics, sex education, and sexual knowledge (t=5.43, p<.001) and sexual attitudes (t=2.21, p=.028), sexual experience and sexual knowledge. There was no correlation with marriage thought among sexual knowledge, sexual health and pregnancy and childbirth, and sexual attitudes. The correlations between the remaining variables were high. Sexual knowledge was the most influential factor on sexual attitudes followed by the sexual act (β=.30, p<.001), reproductive organs (β=.29, p<.001), solving sexual desire (β=-.25, p<.001), sexual experience (β=-.16, p=.021), and sex education (β=-.16, p=.028) with an explanatory power of 20.0%. Conclusion: The findings of this study may provide a basic data and help to understanding of sexual attitudes among Mongolia university students.
Key Words
Mongolia, Sex, Knowledge, Attitudes, Students, 몽골, 성, 성지식, 성태도, 대학생
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The Effects of Transitional Shock and Incivility Experienced by Nursing Student on Nursing Professionalism
간호대학생의 간호전문직관 영향요인: 전환충격과 무례함 중심으로
박혜련 Park Hye-ryeon , 전혜정 Jun Hyejung , 반민경 Ban Min Kyung
27(1) 78-86, 2021
박혜련 Park Hye-ryeon , 전혜정 Jun Hyejung , 반민경 Ban Min Kyung
DOI:
Abstract
Purpose: The purpose of this study was to understand the correlations between transitional shock, incivility and nursing professionalism among nursing students. Methods: A total of 143 nursing students completed transitional shock, incivility and nursing professionalism, using structured questionnaires. The collected data were analyzed using the t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: The results showed that nursing professionalism was significantly correlated with gender (β=.20, p=.001), major satisfaction (β=.44, p=.007), clinical practice satisfaction (β=.45, p<.001), transitional shock (β=-.20, p=.012), and incivility experienced (β=-.18, p=.021) among nursing students. Conclusion: It is necessary to develop a plan for reducing individual satisfaction with clinical practice and the transitional shock of nursing students. It ultimately may increase nursing students’ nursing professionalism. In addition, a strategy is needed to reduce incivility among nursing students by creating positive educational environment in clinical practice through cooperation between schools and training institutions, and to strengthen desirable nursing professionalism.
Key Words
Professional practice gaps, Incivility, Professionalism, Nursing Student, 전환충격, 무례함, 전문직관, 간호대학생
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The Effects of Stress and Spirituality on Quality of Life of Nursing Students
간호대학생의 스트레스, 영성이 삶의 질에 미치는 영향
이정림 Lee Jung Lim , 강석정 Kang Seok-jung
27(1) 87-93, 2021
이정림 Lee Jung Lim , 강석정 Kang Seok-jung
DOI:
Abstract
Purpose: The purposes of this study were to investigate the relationship between stress, spirituality and quality of life and verify the effect of mediating spirituality in the relationship between stress and quality of life among nursing students. Methods: A total of 173 fourth-year nursing students who have experienced clinical practice participated in this study. Data were collected using structured questionnaires to measure the stress, spirituality and quality of life in nursing students from November 9 to December 9 in 2020. Data analysis was conducted using independent t-test, ANOVA, Pearson’s correlation coefficient, and mediated regression analysis of Baron and Kenny. Results: The results show that stress were negatively correlated with quality of life (r=-.49, p<.001) and spirituality (r=-.40, p<.001). In addition, spirituality was positively correlated with quality of life (r=.56, p<.001) and had a partial mediation effect on the relationship between stress and quality of life. Conclusion: The results of this study indicate that in order to reduce stress and improve the quality of life of nursing students, it is necessary to actively apply a spirituality promotion program recognizing and developing nursing student’s spirituality.
Key Words
Stress, Spirituality, Quality of life, Nursing students, 스트레스, 영성, 삶의 질, 간호대학생
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