The Effectiveness of Non-pharmacologic Interventions for Chronic Nonspecific Low Back Pain: A Systematic Review and Meta-analysis 국내 비특이적 만성 요통 환자에게 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석
The Effectiveness of Non-pharmacologic Interventions for Chronic Nonspecific Low Back Pain: A Systematic Review and Meta-analysis 국내 비특이적 만성 요통 환자에게 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석
정미정 Jung Mijung , 이해인 Lee Haein
DOI:10.14370/jewnr.2020.26.1.1
Abstract
Purpose: The purpose of this study was to evaluate the effectiveness of non-pharmacologic interventions for chronic nonspecific low back pain (CLBP) in adults aged 18-64 years. Methods: We searched for potentially relevant randomized controlled trials and nonrandomized controlled trials through five Korean electronic databases (i.e., Korean Studies Information Service System, Research Information Sharing Service, Korean Medical Database, KoreaMed, and National Assembly Library) published from January 2010 to May 2019. Two investigators independently selected the studies based on the criteria and assessed risk of bias in the included studies. We estimated the effect size of interventions using Comprehensive Meta Analysis 3.3. Results: Of 10,151 studies, 26 studies met the inclusion criteria and 15 studies were included in the meta-analysis. Exercise reduced low back pain (Hedges’s g=-1.53, 95% CI: -2.22 to -0.85) and pain-related disabilities (Hedges’s g=-0.92, 95% CI: -1.40 to -0.45). We found that taping was effective in decreasing low back pain (Hedges’s g=-1.12, 95% CI: -1.51 to -0.73) and pain-related disabilities (Hedges’s g=-0.50, 95% CI: -0.93 to -0.07). Manual therapy yielded a marginally significant reduction in low back pain (Hedges’s g=-2.32, 95% CI: -4.64 to 0.00), the therapy was not effective in decreasing pain-related disabilities. Conclusion: Although there was little evidence for the effectiveness of manual therapy in adults with CLBP, exercise and taping were effective to relieve pain and pain-related disabilities. Based on these findings, we suggest the development of non-pharmacologic interventions or a nursing intervention protocol for the CLBP management. Also, nurses should consider implementation of effective non-pharmacologic interventions for CLBP.
Purpose: This study aimed to examine the effect of auricular acupressure therapy on reducing the ocular symptoms and signs for dry eye syndrome. Methods: The participants who were aged ≥ 40 years old and met the inclusion criteria of the ocular surface disease index score ≥ 13 and a tear film break-up time ≤ 10 seconds were enrolled into the two groups: experimental group (n=29) and control group (n=27). Experimental group received auricular acupressure therapy for 8 weeks. Seed stickers were applied to the eye, liver and tubercle point of each ear once a week. Data were collected at pre and 4 and 8 weeks after the treatment and analysed the efficacy of intervention by repeated measures ANOVA. Results: There were significant differences in the ocular surface disease index, standard patient evaluation of eye dryness and a tear film break-up time in both eyes at 8 weeks after the treatment between the two groups. Conclusion: The findings indicate that the auricular acupressure therapy may be helpful for relieving symptoms of dry eye as a nursing intervention. In addition, it could also be utilized as a self-care practice using proper education and training.
Residents’ Nursing Care Needs and Provision of Nursing Care by the Size of Long Term Care Facilities 장기요양시설 규모별 간호서비스 요구 및 제공현황 비교
이정석 Lee Jung Suk , 황라일 Hwang Rah Il , 박세영 Park Se Young , 한은정 Han Eun Jeong
DOI:10.14370/jewnr.2020.26.1.28
Abstract
Purpose: The aim of this study was to provide information on the extent and variations of elderly residents’ nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse’s aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers’ perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.
Key Words
Nursing services, Nursing homes, Facility size, Long term care, 간호서비스, 요양시설, 시설 규모, 장기요양
Development of Family Support Physical Activity Program for the Male Elderly with Sarcopenia based on Social Cognitive Theory 사회인지이론을 적용한 근감소증 남성 노인의 가족지지기반 신체활동증진프로그램 개발
Development of Family Support Physical Activity Program for the Male Elderly with Sarcopenia based on Social Cognitive Theory 사회인지이론을 적용한 근감소증 남성 노인의 가족지지기반 신체활동증진프로그램 개발
Purpose: The purpose of this study was to develop family support oriented physical activity program for the male elderly with sarcopenia based on social cognitive theory. Methods: This program was developed through an analysis of 18 related intervention literatures, results of a focus group interview with 5 elderly men with sarcopenia and the content validity index of the program content adequacy and applicability by 6 experts. The combined exercise with resistance exercise and aerobic exercise was constructed in accordance with the recommendations of the American College of Sports Medicine (ACSM) and experts’ opinions. Results: The program consists group education sessions (5 times, 60 minutes for each) for 12 weeks and family support oriented physical activity program composed of individual intervention (sending alarm for physical activity for 10 times and telephone monitoring for 2 times). The program also reflects the concept of self-efficacy and self-regulation, which are important factors for continuing physical activity through family support. The progressive resistance exercise was developed by composing 5-6 systemic movement forms that repeat 2-3 days a week and 2-5 sets at least. Conclusion: It is proposed to standardize the family support oriented physical activity program through the further studies so that the program can be utilized for the various groups of people who need increased level of physical activities.
Key Words
Sarcopenia, Social cognitive theory, Family support, Physical activity, Male elderly, 근감소증, 사회인지이론, 가족지지, 신체활동, 남성 노인
Effects of Preoperative Video Education on Delirium and Anxiety in Elderly Patients with General Anesthesia 수술 전 동영상 교육이 전신마취수술 노인환자의 섬망과 불안에 미치는 효과
민경은 Min Gyung Eun , 서은주 Seo Eunju , 신성희 Shin Sung Hee
Effects of Preoperative Video Education on Delirium and Anxiety in Elderly Patients with General Anesthesia 수술 전 동영상 교육이 전신마취수술 노인환자의 섬망과 불안에 미치는 효과
민경은 Min Gyung Eun , 서은주 Seo Eunju , 신성희 Shin Sung Hee
DOI:10.14370/jewnr.2020.26.1.52
Abstract
Purpose: This study aimed to verify the effects of preoperative video education on delirium and anxiety in elderly patients with general anesthesia. Methods: This study used quasi-experimental research with a non-equivalent control group non-synchronized design. Participants were 70 elderly patients who had undergone of surgery under general anesthesia (35 in the experimental group and 35 in the control group). Preoperative video education was given to the experimental group. Subjective anxiety, blood pressure, pulse and delirium were measured. Data were analyzed using descriptive statistics, test of homogeneity in pretest, independent t-tests, and two-way repeated measures ANOVA with the SPSS/Win 22.0 program. Results: Delirium of the experimental group was significantly lower than that of the control group. Subjective anxiety measured using visual analogue scale was not significantly different between the two groups. However, there was a significant difference in the interaction between the group and time. There was no significant difference in physiological anxiety measured using systolic blood pressure, diastolic blood pressure and pulse between the two groups. Conclusion: The findings suggest that preoperative video education may contribute to reducing delirium and subjective anxiety for elderly patients after surgery.
Key Words
Elderly, Patients, Anxiety, Delirium, Video education, 노인, 환자, 불안, 섬망, 비디오 교육
A Study of Comparison of Moral Distress and Burnout between Long-term Care Hospital Nurses and General Hospital Nurses 요양병원과 종합병원 간호사의 도덕적 고뇌와 소진 비교연구
A Study of Comparison of Moral Distress and Burnout between Long-term Care Hospital Nurses and General Hospital Nurses 요양병원과 종합병원 간호사의 도덕적 고뇌와 소진 비교연구
이소영 Lee So-young , 김정아 Kim Jung A
DOI:10.14370/jewnr.2020.26.1.63
Abstract
Purpose: The purpose of this study was to compare the moral distress and burnout between long-term care hospital nurses and general nurses. Methods: This study was a cross-sectional survey. Participants were 193 nurses (long-term care hospital 95, general hospital 98) working in a hospital in Seoul, Daegu and Busan city. Data were collected from October 02 to November 30, 2018 using a structured questionnaires and analyzed with SPSS/PC ver 21.0 programs. Results: The scores of moral distress by nurses working in long-term care hospitals were higher than those of nurses in general hospitals. The score of burnout by nurses working in general hospitals was significantly higher than that of nurses in long-term care hospitals. There was a significant positive relationship between moral distress and burnout in both long-term care hospital nurses and general hospital nurses. Conclusion: This research shows that long-term care hospital nurses have higher moral distress and burnout than those of general hospital nurses. Therefore, nursing managers and organization should strive to raise the perception of moral distress and burnout in long-term care hospital nurses.
The Effect of Head Nurses’ Authentic Leadership Perceived by Nurses to Nurses’ Organizational Politics Perception and Organizational Silence 간호사가 지각한 수간호사의 진성리더십과 조직정치지각이 조직침묵에 미치는 영향
The Effect of Head Nurses’ Authentic Leadership Perceived by Nurses to Nurses’ Organizational Politics Perception and Organizational Silence 간호사가 지각한 수간호사의 진성리더십과 조직정치지각이 조직침묵에 미치는 영향
김미래 Kim Mi Rae , 박정숙 Park Jung Suk
DOI:10.14370/jewnr.2020.26.1.71
Abstract
Purpose: The purpose of this study was to examine the effect of head nurses’ authentic leadership to nurses’ organizational politics perception and organizational silence. Methods: A descriptive research design was used with a convenience sample of 201 nurses. Data were collected from Aug 7 to Sep 13, 2018 using self-reported questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: The mean scores of authentic leadership of the head nurses perceived by nurses and nurses’ organizational politics perception and organizational silence were 3.44 out of 5, 2.57 out of 5 and 2.62 out of 5, respectively. Nurses’ organizational silence was negatively correlated with authentic leadership of the head nurse and positively correlated with nurses’ organizational politics perception. Factors influencing on nurses’ organizational silence were organizational politics perception, clinical career, authentic leadership of the head nurses and work life satisfaction which explained 38% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to improve unreasonable and unfair job environment, enhance head nurses’ authentic leadership, manage nurses’ careers appropriately and raise the level of their work life satisfaction.
Development and Evaluation of a Comprehensive Sex Education Program Based on Nonviolent Communication Model 비폭력대화(NVC)모델에 근거한 포괄적 성교육 프로그램의 개발 및 평가
강현진 Kang Hyun Jin , 김주희 Kim Ju Hee
DOI:10.14370/jewnr.2020.26.1.80
Abstract
Purpose: Sex education should be given priority to address dating violence. Comprehensive sex education has been developed based on a nonviolent communication model between couples for the smooth resolution of problems with the opposite sex. The purpose of this study was to develop and apply Comprehensive Sex Education for unmarried couples in their 20s-30s and to examine the effects on sex communication, problem-solving communication, and relationship competence. Methods: This study developed a total of six web-based sex education sessions. A comprehensive sex education program combined with nonviolent communication between couples was developed based on the UNESCO Sex Education Guidelines. A pre- and post-equivalence control design was used to provide moderation-based sex education to compare the effects on gender communication, communication dissatisfaction, and relationship development. Results: We developed a comprehensive sex education program for couples that took three minutes per episode, on a web-based basis. Sex communication, problem-solving communication, and love relationship competence showed significant pre- and post-test differences between the experimental and control groups. Conclusion: The program of this study is an attempt to introduce Korea to comprehensive sex education, which has already been shown to be effective through numerous verification processes abroad and will provide assistance in forming future relationships between lovers.
Key Words
Comprehensive sex education, Nonviolent communication, Program development, Relationship, Couple, 포괄적 성교육, 비폭력대화, 프로그램 개발, 관계, 연인
Inter-rater Reliability of Korean Triage and Acuity Scale (KTAS) among the Research Nurses and the Triage Nurses 한국형 응급환자 분류도구의 간호사 간 신뢰도 평가
Inter-rater Reliability of Korean Triage and Acuity Scale (KTAS) among the Research Nurses and the Triage Nurses 한국형 응급환자 분류도구의 간호사 간 신뢰도 평가
양정은 Yang Jungeun , 이은자 Lee Eunja
DOI:10.14370/jewnr.2020.26.1.91
Abstract
Purpose: The study aims to assess the inter-rater reliability of the Korean Triage and Acuity Scale between the research nurses and the triage nurses. Methods: Interrater reliability was measured on 400 adult (≧15) and 400 pediatric (<15) patients who visited the emergency medical center from January 4 to June 30, 2018. Results: The study result showed that the inter-rater reliability of the Korean Triage and Acuity Scale was substantial, with κ=.73 (95% Confidence interval= .68-.78) and 77.0 percent agreement. The inter-rater of Pediatric Korean Triage and Acuity Scale was also substantial, with κ=.76 (95% Confidence interval= .71-.82) and 83.8 percent agreement. Conclusion: Although the inter-rater reliability of the Korean Triage and Acuity Scale was acceptable, the percent agreement was lower than the desirable level (<80.0%). It was confirmed that Pediatric Korean Triage and Acuity Scale had an acceptable level of inter-rater reliability and percent agreement for clinical use. Efforts should be made to improve the reliability in the future.
Association between a Motivation to Volunteer, Personality, and Interpersonal Relationships in Nursing College Students 간호대학생의 봉사활동 참여 동기, 인성 및 대인관계의 관계
Association between a Motivation to Volunteer, Personality, and Interpersonal Relationships in Nursing College Students 간호대학생의 봉사활동 참여 동기, 인성 및 대인관계의 관계
지은선 Ji Eun-sun , 손미선 Son Mi-seon , 심가가 Shim Ka-ka
DOI:10.14370/jewnr.2020.26.1.100
Abstract
Purpose: The aim of this study was to investigate the correlation between a motivation to volunteer, personality, and interpersonal relationships in nursing students. Methods: A descriptive study was conducted using self-reported questionnaires to collect data from 185 nursing students in C city from February 1 to 28, 2018. Data were analyzed using independent t-tests, one-way analysis of variance, and Pearson correlation coefficient with SPSS version 21.0. Results: The mean score were 3.18±0.54 of motivation to volunteer, 4.62±0.50 of personality, and 3.74±0.44 of interpersonal relationships. Motivation to volunteer was positively correlated with personality and interpersonal relationships. A significant positive correlation was also found between personality and interpersonal relationships. Conclusion: Based on study results, nursing students need an opportunity to understand the nature of human and respect others through participation in various volunteer activities, and to improve personality and interpersonal relationship. Nurse educators should focus on the positive benefits of volunteering for nursing students and the strategies for encougring volunteering should be incorporated into the curriculum.
