PURPOSE: This study aimed to explain what are the experiences of patients with renal disease who are just begun hemodialysis in the end-stage. METHODS: The data were collected from February to December in 2017 through individual in-depth interviews using open-ended questions. For data analysis, a phenomenological method suggested by Colaizzi was applied. A total of 8 hemodialysis patients with end-stage renal disease (ESRD) participated in this study. RESULTS: According to the analysis, five theme clusters emerged: ‘I go into darkness’, ‘Being disappearing from others’, ‘Baby bird living with love’, ‘Dawn in darkness’ and ‘A life longing for the absolute’. CONCLUSION: Patients undergoing hemodialysis experienced fear and anxiety at the beginning of hemodialysis. Therefore, counseling and social supports were needed for patients with ESRD in their early stage of hemodialysis. In addition, a multidisciplinary education program should be implemented in the future research. It may help to overcome for the patients who are experiencing complicated health problems in their early stage of hemodialysis treatment.
Anxiety ; Birds ; Counseling ; Education ; Humans ; Kidney Failure, Chronic* ; Methods ; Qualitative Research ; Renal Dialysis* ; Statistics as Topic

PURPOSE: The purpose of this study was to investigate the influencing factors on the happiness of community-dwelling older adults in Korea. METHODS: A convenience sample of older adults (N=191) who did not enrolled in any specific exercise programs participated in this cross-sectional correlational study. The data were collected from July to August, 2017. Participants were asked to respond to fill questionnaires including depression, physical activity, and happiness. Physical activity was classified according to physical activity scores(inactivity, minimally activity, health enhancing physical activity). Data were analyzed with descriptive statistics, independent t-test, χ² test, one-way analysis of variance (ANOVA) and hierarchical multiple regression with SPSS (ver. 24.0). RESULTS: The influencing factors on happiness were depression (β=−.64, p < .001), physical activities (minimally activity=1; β=−.15, p=.014), and religion (have=1; β=.10, p=.029). Hierarchical multiple regression analysis showed that the determinant variables accounted for 58% of the variation in the happiness (F=53.37, p < .001). CONCLUSION: These findings indicate that depression, physical activity and subjective health status influence the happiness of older adults who did not involved in any exercise program. Effective healthcare programs for managing depression and increasing the level of physical activity could increase the level of happiness among older adults.
Adult* ; Delivery of Health Care ; Depression ; Diagnostic Self Evaluation ; Happiness* ; Humans ; Korea* ; Motor Activity

PURPOSE: The purpose of this study was to investigate the status of infection control in long-term care facilities in Korea and educational needs of nurses in charge of infection control. METHODS: This was a descriptive study. A self-reported questionnaire was provided to the nurses in charge of infection control in 250 hospitals with long-term care. 209 nurses answered to the questionnaire. Data were collected from September 30 to November 7, 2016. Data were analyzed using SPSS/WIN 18.0, and the educational needs were analyzed by applying the Borich Needs Assessment Model. RESULTS: Only 17.4% of the hospitals had infection control departments, and only 1.0% of the hospitals had nurses who were fully-in-charge of infection control. Regarding the educational needs on infection control, level of knowledge was statistically significantly lower in all 50 items compared to the importance. Specifically, educational demand on air and water quality management, construction and infection control, indicator management, and infectious disease management were also high. CONCLUSION: The results of this study showed that organization and manpower were needed for effective infection control of long-term care facilities in Korea. In addition, it was deemed necessary to develop and applicate infection control education programs as reflected on the scores obtained in the educational needs on infection control.
Communicable Diseases ; Education ; Infection Control* ; Korea* ; Long-Term Care* ; Needs Assessment ; Water Quality

PURPOSE: This study was to investigate the performance of safety care activities among nurses in small-medium sized general hospitals and to identify factors associated with the safety care activities. METHODS: In this cross-sectional descriptive study, 455 nurses were recruited from small-medium sized general hospitals. Data were collected with the ‘Questionnaire on Patient Safety Care Activities’ by web based survey. Descriptive statistics, independent t-test and One-way ANOVA with Duncan test for multiple comparison were used for data analysis. RESULTS: The mean score of patient safety care activity was 4.52 out of a total of 5 points. The total score of patient safety care activities according to the characteristics of the subjects was significantly higher than those of patients who had more than 15 years of clinical nursing career (F=7.06, p < .001) and there was a significant difference according to experience of healthcare accreditation (t=−2.10, p=.036). CONCLUSION: In order to raise the level of patient safety care activity among nurses in small-medium sized general hospitals, it is important to retain experienced nurses. Practical training and regular educations on patient safety care activities are required for nurses in small-medium sized general hospitals.
Accreditation ; Delivery of Health Care ; Hospitals, General* ; Humans ; Nursing ; Patient Safety* ; Statistics as Topic

PURPOSE: The purpose of this study was to investigate the relationship of sleep quality, lifestyle and successful aging in the elderly. METHODS: The subjects of this study were 125 elderly people, aged 65 years and older, who attended a senior welfare center in Cheongju city, Korea. They completed a structured self-reported questionnaire comprising measures of quality of sleep, lifestyle, and successful aging. Data were analyzed using t-test, ANOVA, Scheffé's test, Pearson's correlation coefficient, and hierarchical linear multiple regression analysis with SPSS/WIN 20.0. RESULTS: Lifestyle showed a positive correlation with the quality of sleep, and successful aging showed a significant positive correlation with quality of sleep and lifestyle. Pin money (β=.32), quality of sleep (β=.20) and lifestyle (β=.55) were strong influential factors in successful aging. Hierarchical multiple regression analysis showed the determinant variables account for 35.9% of the variation in successful aging (F=35.11, p < .001). CONCLUSION: Successful aging depends on controllable factors such as the willingness to change the lifestyle of choosing one's life and how one copes with applying appropriate sleep hygiene. These results suggest that improvement of the quality of sleep and lifestyle will be helpful to the successful aging process.
Aged* ; Aging* ; Chungcheongbuk-do ; Humans ; Hygiene ; Korea ; Life Style*

PURPOSE: The purpose of this study was to identify the factors related to coronary artery disease in Korean adults. METHODS: This study analyzed cross-sectional data collected from 11,103 Korean adults aged 40 years and older who participated in Korean National Health and Nutrition Survey VI (2013~2015). Data were analyzed with descriptive statistics, Rao-Scott χ² test and logistic regression with IBM SPSS v.23. Logistic regression examined whether variables in 3 domains - socio-demographic, lifestyle and health related factors were associated with coronary artery disease. RESULTS: The prevalence of coronary artery disease was 3.16% of the population. Coronary artery disease was associated with older age, spouse, smoking, stress, obesity, poorer self reported health, hypertension, dyslipidemia, and diabetes mellitus. CONCLUSION: This study suggested that comprehensive nursing intervention should include associated variables in order to reduce the prevalence of coronary artery disease.
Adult* ; Coronary Artery Disease* ; Coronary Vessels* ; Diabetes Mellitus ; Dyslipidemias ; Humans ; Hypertension ; Life Style ; Logistic Models ; Nursing ; Nutrition Surveys* ; Obesity ; Prevalence ; Self Report ; Smoke ; Smoking ; Spouses

PURPOSE: To identify the essential characteristics of pain which nurse have to obtain for patients with chest pain, 92 patients who were admitted in medical units to take intensive tests for heart disease were investigated cross-sectionally. METHOD: Duration, severity, stress, anxiety, perceived severity, number of painful area, number of accompanying symptoms, triggering activity, and pattern were included as the characteristics of pain. Ejection fraction of left ventricle and number of involved area detected by ultrasonography and number of diseased coronary artery detected by cardiac catheterization were assessed as the variables of heart disease extent. RESULT: Severity of pain was found to be correlated with all three variables of heart disease extent. Perceived severity and number of accompanying symptoms were correlated with two of them. Anxiety, number of painful area and pattern were related with the number of involved area. CONCLUSION: Pain severity reported by patients is found to be the most important variable to be obtained from patient. Variables such as perceived severity. number of accompanying symptoms, anxiety, number of painful area and pattern also have to be carefully assessed to anticipate the extent of heart disease.
Anxiety ; Cardiac Catheterization ; Cardiac Catheters ; Chest Pain ; Coronary Vessels ; Heart Diseases* ; Heart Ventricles ; Heart* ; Humans ; Ultrasonography

The purpose of this study was to verify the effects of Yoga exercise as one way of thenursing intervention on stress and health status. This study was a quasi-experimental design with a non-equivalent control group pretest and posttest design. The study subjects were clinical nurses at K University hospital, in J city. Fifty one nurses were selected with 26 to a experimental group and 25 to a control group. The study data were collected from November, 2002 to January, 2003. During this period Yoga exercise was given to experimental group three times per week(one hour every time) for twelve weeks and no program was given to control group. The degree of general stress, job stress, health perception and health status was measured before and after experiment. The data were analyzed using SAS 8.1 program to obtain chi-square, paired, unpaired t-test. The results of this study are as follows. 1. After the experiment, the degree of general stress increased (t=-3.61, p=0.001) in experimental group, but in control group. There was significant difference between two groups (t=-2.10, p=0.041). However there was no significant difference in job stress between two groups and in each group (p=0.001), 2. After the experiment, the degree of health perception in experimental group increased (t=2.13, p=0.043) in control group. There was no significant difference between two groups. Health status in experimental group increased (t=3.14, 0.004) but in control group after the experiment. There was no significant difference between two groups. From the results, we are convinced that Yoga exercise is the nursing intervention that could decrease stress and promote health status in clinical nurses. Therefore Yoga exercise could be largely applied as one way of health care for nurses.
Delivery of Health Care ; Nursing ; Yoga*

PURPOSE: To investigate nutritional status of inpatients by using subjective. and objective evaluation methods and to find the relationship between them. METHOD: The subjects were 101 inpatients with medical health problems at a university hospital. Nutritional status was evaluated by the Subjective Global Assessment (SGA) and physical assessment including percentage of weight loss, serum albumin, hemogloin, and hematocrit. Data were analyzed using frequency, percentage, mean, Kendall's tau. RESULTS: Grouping by the SGA, 61.4% were classified as severe malnutrition group. When applying the objective methods{physical assessment). 1.9~42.6% were diagnosed as malnutrition each item. The percentage of weight loss during previous 1-6month(r=.43~.54. P=.0001), serum albumin(r=-.26, P=.0003), hemoglobin of male(r=-.38, P=.0001), and hematocrit of male(r=-.34, P=.0001) were significantly correlated with SGA score. The coincidence rate of nutrition evaluation between the objective methods and SGA were 27.7 35.6%, 20.8%, 47.5%, 58.4% in percentage of weight loss, albumin, hemoglobin, and hematocrit. CONCLUSION: These findings showed a majority of inpatients were exposed to the risk of malnutrition. We recommend to evaluate inpatients' nutritional status periodically and to develop nursing intervention to solve their nutritional problems.
Hematocrit ; Humans ; Inpatients* ; Malnutrition ; Nursing ; Nutritional Status* ; Serum Albumin ; Weight Loss

PURPOSE: The aim of this study is to evaluate the general status and prevalence of cerebral palsy, the complication and the activity of daily living in patients with cerebral palsy in Holt Ilsan Home. METHODS: Cross-sectional study was performed on 113 cerebral palsy patients in Holt Ilsan Home with the medical records review, the physical examination, and the Modified Barthel index for the independency of activities of daily living. RESULTS: The mean age of subjects was 28.1+/-12.7 years and the duration of residence was 22.9+/-12.8 years. The most common type of cerebral palsy according to the muscle tone abnormality was spastic type(53.1%). The most frequent condition in which extremities are involved were quadriplegia in 46.0%. The score of Modified Barthel index was significantly lower in mixed type for 16.9+/-24.0 and quadriplegic type for 14.8+/-25.5 compared with others. CONCLUSION: This study indicates that cerebral palsy patients in rehabilitation facility have severe medical problems such as musculoskeletal complications, visual and language problems, epilepsy and dependency in activities of daily living. Therefore more medical attention like long-term follow-up study and social supports is needed.
Activities of Daily Living ; Cerebral Palsy* ; Cross-Sectional Studies ; Disabled Persons* ; Epilepsy ; Extremities ; Humans ; Medical Records ; Muscle Spasticity ; Physical Examination ; Prevalence ; Quadriplegia ; Rehabilitation ; Residential Facilities*