Summary and Conclusion Title: Oriental Nursing Management System 한방간호 관리체계 연구
문희자 Heui Ja Moon
10(1) 11-26, 2004
Title
Summary and Conclusion Title: Oriental Nursing Management System 한방간호 관리체계 연구
문희자 Heui Ja Moon
DOI:
Abstract
The purpose of this study is to investigate the present conditions of nursing investment contents, its conversion process, and output in Oriental University Medical Center, Korea to get good qualified Oriental nursing result which is the ultimate purpose of the Oriental nursing management, and to develope a matrix of Oriental nursing management system on the basis of that project. The subjects for nursing investment and output contents were eighteen nursing directors in eleven Oriental University Medical Center and two hundred thirty-nine nurses with three years and over experience in Oriental medical center. The subjects for Oriental nursing organization, human affair management, and control function were nineteen Oriental medical center in Oriental University Medical Center, Korea. Data were collected from November, 2002 to February, 2003 with questionnaire. Data analysis was done by SPSS PC+12 program. Frequency, percentage, and minimum/maximum values were used for investment contents, and frequency and percentage were used for conversion process and output contents.
Key Words
Oriental nursing management system
A Study of a Relapse Prevention Program for Alcoholics focused on Action Methods 행위기법을 중심으로 한 알코올의존 재발방지 프로그램 개발에 관한 연구
노인숙 , 김성재
10(1) 27-40, 2004
Title
A Study of a Relapse Prevention Program for Alcoholics focused on Action Methods 행위기법을 중심으로 한 알코올의존 재발방지 프로그램 개발에 관한 연구
노인숙 , 김성재
DOI:
Abstract
Relapse is one of the most series problems in alcoholics treatment. Previous studies have shown that significant proportions of treated alcoholics show an early relapse and go through a chronic phase. It is necessity to find more effective relapse prevention program. The Purpose of this study was to develop a relapse prevention program that emphasis on group activities using various action methods. Previous studies revealed that there was no effective therapeutic strategy to prevent relapse and proposed that action methods were more practical ways to be able ti cope with high-risk situation than verbal methods such as discussions and lectures. The special attempt of this program was the application of various actions methods and the integration of many psychosocial therapeutic strategies as compared with many relapse prevention programs. The theoretical framework of this relapse prevention program was based on mainly the Marlatt`s Relapse Prevention model and Prochescha and DiClemente`s Transtheoretical model. This Program consists of eight structure sessions. Every session has three phase: Warm-up phase, action phase, and sharing phase as sociodrama structure. Sociodrama is based on many of the principles of adult learning. And sociodrama looks at how groups work through an understanding of systems and role theory. Therefore, in working with a group a therapist might explore with them the roles that people play, roles that are missing at present such a visionary and how people can develop new roles or new ways of playing existing roles. The researchers explained the purpose of this study to all participants after their agreement to participate. Voluntary informed consent was obtained from all participants. Every session allows participants to recognize personal specific high-risk situation and to examine possible coping behaviors creatively. Multiple solutions can be proposed, tested and evaluated dramatically, giving new insights or breakthroughs in thinking. This is vital for the initiation of change, and if appropriate, expanding new role development. The first two sessions aim at understanding of relapse process and recognize of high-risk situations focused on orientation about action methods. The next four sessions deal with high-risk situations. The last two sessions give participants opportunities to venture new life-styles. The methods and approaches used in this program utilized as a tool to explore and practice possible coping strategies. and this program can contribute to prevent relapse episode if tune with the particular high-risk situation by using active practices in safe environment.
Key Words
체질, 스트레스, 무력감
Comparison of the Effects of Danjeon Breathing and Walking to Blood Lipids, Physical Symptoms and Hemoglobin in Middle Aged Women 중년여성의 혈중 지질농도, 신체증상, 헤모글로빈에 미치는 단전호흡운동과 걷기운동의 효과 비교
현경선 Kyung Sun Hyun
10(1) 41-52, 2004
Title
Comparison of the Effects of Danjeon Breathing and Walking to Blood Lipids, Physical Symptoms and Hemoglobin in Middle Aged Women 중년여성의 혈중 지질농도, 신체증상, 헤모글로빈에 미치는 단전호흡운동과 걷기운동의 효과 비교
현경선 Kyung Sun Hyun
DOI:
Abstract
Purpose: The purpose of this research was to compare the effects of DanjeonBreathing exercise and walking exercise on blood lipids, physical symptoms and hemoglobin of middle-aged women to determine which of these two exercises was more beneficial. Methods: The Danjeon breathing exercise group(20) took health management counseling and performed an eighty-minute Danjeon breathing exercise three times a week for 12 weeks while the walking exercise group(25) took health management counseling and performed a walking exercise seven hours per week for 12 weeks. The control group(20) received only health management counseling. The groups were homogeneous on age, religion, marital status, education, profession, monthly income per household, menopause, smoking, drinking, fat intake and cholesterol intake. Likewise, the groups were homogeneous on total cholesterol, HDL-cholesterol,atherogenic index, hemoglobin and physical symptoms. The collected data were analyzed by using the SPSS PC program and x2-test, ANOVA, repeated measures of ANOVA and LSD. Results: 1. Total cholesterol of the Danjeon breathing exercise group and the walking exercise group were lower than that of the control group. 2. HDL-cholesterol of the Danjeon breathing exercise group and the walking exercise group were not higher than that of the control group. 3. Atherogenic index of the Danjeon breathing exercise group was lower than that of the control group, but atherogenic index of the walking exercise group was not lower than that of the control group. 4. Hemoglobin of the Danjeon breathing exercise group and the walking exercise group were not higher than that of the control group. 5. Physical symptom score of the Danjeon breathing exercise group was lower than those of the walking exercise group and the control group, but Physical symptom score of the walking exercise group was not lower than that of the control group. Conclusion: Danjeon breathing exercise and walking exercise are effective for decreasing total cholesterol of middle-aged women. Danjeon breathing exercise is more effective for decreasing atherogenic index and physical symptoms of middle-aged women than walking exercise.
The Effects of the Short Term Education and Reinforcement Program to Health Promotion in Women in Mid-Life 중년여성의 건강증진을 위한 단기교육과 강화요법 프로그램의 효과
김원옥 Won Ock Kim , 원정숙 Jeong Sook Won , 현경선 Kyung Sun Hyun , 한상숙 Sang Sook Han , 김귀분 Kwuy Bun Kim , 이명희 Myung Hee Lee , 박영미 Young Mi Park
10(1) 53-60, 2004
Title
The Effects of the Short Term Education and Reinforcement Program to Health Promotion in Women in Mid-Life 중년여성의 건강증진을 위한 단기교육과 강화요법 프로그램의 효과
김원옥 Won Ock Kim , 원정숙 Jeong Sook Won , 현경선 Kyung Sun Hyun , 한상숙 Sang Sook Han , 김귀분 Kwuy Bun Kim , 이명희 Myung Hee Lee , 박영미 Young Mi Park
DOI:
Abstract
The purpose of this study was to examine the effects of the short term education and reinforcement program to health promotion in women in mid-life. This study has been done between February and April, 2004 and the subjects of the study were 26 women in mid-life. The treatment intervention was applied during total 8 weeks as 5 days for the short term education and 7 weeks for reinforcement with 1 time per a week. The short term education included health education for menopause, effect of exercise, healthy diet, management of stress and management of chronic illness and stretching exercise and recreation. The collected data were processed using the SPSS Win(12.0) program and analyzed using Wilcoxon Signed Ranks Test. The result of this study are as follows: 1. The short term education and reinforcement program significantly effected on the total cholesterol, HDL-cholesterol, triglyceride. 2. The short term education and reinforcement program significantly effected on the anxiety, but not depression. 3. The short term education and reinforcement program non significantly effected on the sleep disturbance and self-efficacy of exercise. 4. The short term education and reinforcement program significantly effected on the practice of healthy life. In conclusion, the short term education and reinforcement program effected on the physical health index, anxiety and practice of healthy life.
Key Words
단기교육, 강화요법, 중년여성, Short term education, Reinforcement, Women in mid-Life
Effect of the Hand Massage on the Hand Edema, ADL, and Depression in the Hemiplegic Patients 손 마사지가 편마비환자의 손 부종, 우울에 미치는 영향
강지순 Ji Soon Kang , 강현숙 Hyun Suk Kang
10(1) 61-67, 2004
Title
Effect of the Hand Massage on the Hand Edema, ADL, and Depression in the Hemiplegic Patients 손 마사지가 편마비환자의 손 부종, 우울에 미치는 영향
강지순 Ji Soon Kang , 강현숙 Hyun Suk Kang
DOI:
Abstract
Purpose; This study is to identify effects of the hand massage on the hand edema, ADL and depression of hemiplegic patients. Method; This study used a non-equivalent control group and non-synchronized design, the subjects of the study are 56 hemiplegic patients(28 for the exp. group and 28 for the cont. group), hospitalized in K oriental medical center. The experimental group has had the hand massage for 10 minutes a day for 2 weeks. Before and After the treatment, hand edema, ADL and depression of these two groups were examined. The SPSS 11.0 program package Collected data analyzed with χ2-test, Fisher`s Exact test, t-test. Results; 1. The score of ADL was significantly higher in the experimental group who had hand massage than in the control group. 2. The degree of hand edema and depression in the experimental group is reduced. But, it is not statistically significant. Conclusion; The hand massage is available for improving ADL but much effective for hand edema, and depression. Therefore, through the repeated study, we could confirm that its application is meaningful.
Key Words
Kemiplegia, The hand massage, Hand edema, ADL, Depression
Changes of Nurse`s Image Perceived by Nursing Student as every Clinical Experience 임상실습시기별 간호학생이 지각하는 간호사의 이미지 변화
김원옥 Won Ock Kim , 강현숙 Hyun Sook Kang
10(1) 68-74, 2004
Title
Changes of Nurse`s Image Perceived by Nursing Student as every Clinical Experience 임상실습시기별 간호학생이 지각하는 간호사의 이미지 변화
김원옥 Won Ock Kim , 강현숙 Hyun Sook Kang
DOI:
Abstract
Purpose: This study aims to identify changing image of nurse before and after the first clinical experience, and before graduate. Method: The subjects were 69 nursing students. All of them had their first clinical experience for 1 week during sophomore year. The Nurse`s Image was measured before and after the 1st clinical experience, and before graduation. Collected data were analyzed by using repeated measure ANOVA and pair wise comparison method. Results: 1. The mean score for the Nurse`s Image overall held by after 1st clinical experience(3.78±.38) was more positive than those held by before graduation(3.50± .49) and before 1st clinical experience(3.35± .36). 2. For the four subscales (F=25.673 p= .000), the mean score of traditional(F=10.394 P= .000), Social(F=11.673 P= .000), Professional(F=17.341 P= .000) and personal Image(F=19.463 P= .000) were more positive than before graduation and before 1st clinical experience. Conclusion: Summarizing, after the nursing students had their 1st clinical training, the nurse`s image perceived by them was positively improved compared to before the training. However, by the time of graduation the improved nurse`s image was declined back. Therefore it is necessary to develop proper out-to field training program that will help to maintain and furthermore improve nurse`s image.
Key Words
간호사의 이미지, 간호학생, Nurse`s Image, Nursing student
The Effects of Stretching and Recreation Exercise Included Health Education on Physical Flexibility and Health Behavior Compliance of Elderly Women 건강운동 프로그램이 여성노인의 신체 유연성 및 건강행위 이행에 미치는 효과
원정숙 Jeong Sook Won , 현경선 Kyung Sun Hyun , 한상숙 Sang Sook Han , 김원옥 Won Ock Kim , 김귀분 Kwuy Bun Kim , 이명희 Myung Hee Lee
10(1) 75-85, 2004
Title
The Effects of Stretching and Recreation Exercise Included Health Education on Physical Flexibility and Health Behavior Compliance of Elderly Women 건강운동 프로그램이 여성노인의 신체 유연성 및 건강행위 이행에 미치는 효과
원정숙 Jeong Sook Won , 현경선 Kyung Sun Hyun , 한상숙 Sang Sook Han , 김원옥 Won Ock Kim , 김귀분 Kwuy Bun Kim , 이명희 Myung Hee Lee
DOI:
Abstract
The purpose of this study was to examine the effects of the stretching and recreation exercise including health education on physical flexibility and health behavior compliance of women in elderly. Subjects included 28 women elderly who were residents of H Dong, Dondae moon-Gu, Seoul. The treatment intervention was applied during total 8 weeks as 5 times/week for stretching exercise with 2 times/weeks for health education. Data collection were from February to April, 2004. SPSS Window program was used by aims of this study for data analysis. The results were as following: 1. 75 old age above (39.3%) was the most of age in subjects. None education (42.9%) was the most of subjects in this study. Perceived health state was the most as 71.4% in moderate and good health state. 2. Physical flexibility of both shoulder(right z=-4.301, p=.000)(left z=-4.306), both arm(right z=-3.623, p= .0001)(left z=4.111, p= .0001), heel on both ankle(right z=-3.472, p= .0001) (left z=956, p= .0001), both before food(right z=-4.205, p= .0001)left(z=4.191, p= .0001) and both knee(right z=-4.118, p= .0001)(left z=4.082, p= .0001) was increased after 8 weeks more than before stretching and recreation exercise including health education were done. 3. Health behavior compliance(z=-4.073, p= .0001) was significantly on the effect. Therefore, it is confirmed that stretching exercise included health education is an effective nursing intervention for physical, mental, and psychological health management in elderly. Accordingly, authors are proposing that variously effective health management exercise programs must be developed for elderly, at the same time, the application and following up on the programs will be more important in the future.
Key Words
여성노인, 신장운동, 신체 유연성, 건강행위 이행, Physical fitness, Health behavior compliance, Stretching exercise, Elderly women
Relationships among Study on Family Functioning, Communication and Spiritual Wellbeing, in Adult Women 성인여성의 가족기능, 의사소통 및 영적 건강과의 관계 연구
원정숙 Jeong Sook Won , 장미희 Mi Hee Jang , 이명희 Myung Hee Lee , 박영미 Young Mi Park , 신성희 Sung Hee Shin
10(1) 86-94, 2004
Title
Relationships among Study on Family Functioning, Communication and Spiritual Wellbeing, in Adult Women 성인여성의 가족기능, 의사소통 및 영적 건강과의 관계 연구
원정숙 Jeong Sook Won , 장미희 Mi Hee Jang , 이명희 Myung Hee Lee , 박영미 Young Mi Park , 신성희 Sung Hee Shin
DOI:
Abstract
This study has verified Family Functioning, Communication and Spiritual Wellbeing, to increase the family functioning in Adult Women. 236 adult women were chosen as the samples for the study, they are now currently registered in the church adult women in Seoul. The instruments used for this study were the Family functioning scale by Olson, the communication scale by David H. Olson and Howard L. Barnes and spiritual wellbing Scale by Palautzian and Ellison Folkman. Data collection were form March to April, 2003. To get the descriptive statistics, SPSS Program, Pearson Correlation Coefficients and stepwise multiple regression were used for analyzing data. The results were as following: 1. Represents the degree of family functioning, communication and spiritual wellbeing, on subjects. Means scores of this study are following: spiritual wellbeing 67.92, lower level of cohesive(5.19) and adaptive(3.93), communication 58.14, lower level of open(5.15) and closed(4.71) and family functioning 95.58, lower level of religious(7.70) and existential(7.63). All each lower level of family functioning, communication and spiritual wellbeing, on subjects were derived significantly different(p<.05). There were significant correlation among the variables of subjects. The cohesive family functioning score was significant related to the adapted(r=.588). Especially, the closed communication score showed inverse correlations open family functioning(r=-.424) and open communication score(r=-.680). The existential spiritual wellbeing score also was significant related to the cohesive(p<.001) and adaptive(p<.05) family functioning, open communication(p<.05). Especially, the closed communication score showed inverse correlations existential spiritual wellbeing (r=-.202). The existential spiritual wellbeing score also was significant related to the religious(r=.815, p<.001). These results will not only emphasis the need of family functioning to elevate and decrease the Closed family communication but suggest the important points of gathering various data and analysis about economic, education and marital status. Finally, related to mental health nursing, a community can get the utmost out of these results to keep offering education and practice of family mental health for adult women.
A Study on Self Care and the Problems in Patient with Ostomy 장루보유자의 자가 간호정도 및 문제점에 관한 연구
고윤희 Yun Hee Go , 최미라 Mi La Choi , 이명순 Mung Sun Lee , 한승민 Seung Min Han , 한금영 Geum Yung Han , 임은선 Eun Sun Ym , 안혜진 Hae Jein An
10(1) 95-105, 2004
Title
A Study on Self Care and the Problems in Patient with Ostomy 장루보유자의 자가 간호정도 및 문제점에 관한 연구
고윤희 Yun Hee Go , 최미라 Mi La Choi , 이명순 Mung Sun Lee , 한승민 Seung Min Han , 한금영 Geum Yung Han , 임은선 Eun Sun Ym , 안혜진 Hae Jein An
DOI:
Abstract
This study was conducted to confirm the degree of self care and problems in patients with ostomy. The subjects were 80 patients with ostomy who were visiting to OPD in K University Medical Center and were members in the Ostomy Association of Korea. Data were collected from August, 2004 to September. The research tools were a self care measure for ostomy patient developed by Park (1996) and a problem measure for ostomy patient developed by Lee (1996). Data were analyzed by t-test, ANOVA, and Pearson`s correlation. The results were as following: 1. Male (65.8%) and female (34.2%) had the ostomy in the most. Age was the most 61 years old and over. 68.5% of the subjects had managed the ostomy by themselves. 2. The mean score of self care in ostomy was 3.57 score. Hygiene of skin care around ostomy in the behavior of self care was the highest as mean 4.47 score. 3. The problems were as following: 1) expense 2) a decline on Activity of Daily Living 3) discomfort in travel 4) worry about ostomy 5) trouble of workplace 4. In the relationship between self care and religion there was significant difference in religion(t=2.727, P=.008). 5. The relationship between self care and problem with ostomy was found to have statistically significant negative correlation(r=-.237, P=.041).
Key Words
Self care, Disorder, Ostomy
A Study of the Quality of Life and Related Factors of Cerebral Infarction Patients` Guardians 뇌졸중환자 보호자의 삶의 질과 관련 요인에 관한 연구
한상숙 Sang Sook Han , 김경숙 Gyung Soon Kim
10(1) 106-116, 2004
Title
A Study of the Quality of Life and Related Factors of Cerebral Infarction Patients` Guardians 뇌졸중환자 보호자의 삶의 질과 관련 요인에 관한 연구
한상숙 Sang Sook Han , 김경숙 Gyung Soon Kim
DOI:
Abstract
This study is about the quality of life of cerebral infarction patients` guardians. The subject of this study was a group of 159 guardians of patients diagnosed of cerebral infarction and being hospitalised in a general hospital located in Seoul. The measurement tool consisted of quality of life of cerebral infarction patients` guardian, self-esteem, burden of responsibility, family unity, health status of the guardian. The collected data have been processed using SPSS/PC 12.0 programme: The results of this study are as follows: 1. The point for quality of life of cerebral infarction patients` guardians was 3.08(five-point scale), and for the related factors, the points for self-esteem was 3.67, burden of reponsibility was 3.26, family unity was 4.13, health status was 6.10(ten-point scale). 2. There was a significant difference in the quality of life according to Self-esteem, Burden of responsibility, Family unity and general characteristics. 3. In the quality of life of cerebral infarction patients` guardians, a positive correlation was noted in some factors according to the characteristics of the guardians such as health status, self-esteem, family unity, monthly income, and time spent for caring the patient. Whilst a negative correlation was noted in the others such as burden of responsibilityand age of the guardian. By confirming the results above, it is concluded that we must understand the major factors which are related to quality of life, find the causes that deteriorate the quality of life, and apply proper nursing intervention to improve the quality of life of cerebral infarction patients` guardians.
Key Words
Quality of Life, Health status, Self-esteem, Family unity, General characteristics