Oral medication is one of the most frequent treatment in clinical care, and frequently refused by children. Children's refusal spends unuseful time and require nurses' patience. So this study was attempted to develop token economy program which promote children's medication, and to evaluate its' effect to construct the experimental ground. This study was a quasi experimental study under the nonequivalent control group non-synchronized design. The subjects of this study were 48 children who were aged 3-12 years and admitted pediatric ward because of their respiratory disease. Token economy program was consisted of cartoon record paper with stickers which expresses the better medication is taken the more germs die, and gift was given for back up reinforcer. To evaluate this program, time spent for oral medication was measured six time to both experimental group and control group, and measured the perceived effectiveness of this program by nurses. To determine the effect of the program, the data were analyzed by the SAS 6.12 program with t-test and mean, standard deviation. The results of this study were as follows: 1. In experimental group, time spent for oral medication was significantly shorter than in control group(t=5.24, p=0.0001). Therefore, the hypothesis of this study was strongly accepted. 2. Nurses perceived this program as an effective one(mean=3.125 ~ 3.792). The effectiveness occurred before, during and after medication as well as in parental responses, especially in using verbal dissatisfaction after medication. In conclusion, it was found that the token economy program for admitted children was effective in inducing the children's behavior of oral medication. There was no effectiveness in very highly anxious children. Whereas, it is recommended that this program should not be used for such children until they settle down. If the token economy program was made in various situation with creative thinking, it will be very useful nursing measurement, especially in caring for children. To improve the quality of nursing care, the various programs, which can give joyfulness to stressed patients should be developed.
Child ; Disulfiram ; Humans ; Nursing ; Nursing Care ; Parents ; Thinking ; Token Economy* ; Child Health

The purpose of this study was to investigate the correlations between social support, dependence of activities of daily living and depression among Parkinson's disease patients. Subjects were 122 patients with Parkinson's disease. Neurologic wards inpatients or neurology clinic out patients department in a tertiary-affiliated hospital in Seoul. Data were collected from April 1996 to March 1997. The results of this study were summarized as follows: 1. The lower the level of dependence of activities of daily living, the lower the level of depression. 2. The higher the level of perceived family support, the lower the level of depression. 3. The higher the level of perceived health personnel support, the lower the level of depression. 4. The rate of depression evaluated by Zung depression scale was 37.4%(mild to moderate:30.1%, moderate to severe:4.1%, severe:3.2%). 5. Socio-demographic characteristics sex, education, occupation, and the charge person of treatment cost, significantly influenced the level of depression. 6. There was no significant difference in level of depression, dependence of activities of daily living, stage of disease between user and nonuser of L-dopa. Suggestions were made for further studies: 1. To develop nursing intervention for decreasing the dependence of activities daily living is needed. 2. To identify the change pattern of depression by time.
Activities of Daily Living* ; Depression* ; Education ; Health Care Costs ; Health Personnel ; Humans ; Inpatients ; Levodopa ; Morinda ; Neurology ; Nursing ; Occupations ; Outpatients ; Parkinson Disease* ; Seoul

The authors observed 4 cases of retinitis punctata albescens presented in a family, namely, a sister and 3 brothers of 6 siblings. Typical fundus findings were found in all four patients. Under ordinary illumination, the perripheral visual field was within the limit of normal, but concentrically contracted in 5 to 30 degrees under the reduced illumination.
Humans ; Lighting ; Retinitis* ; Siblings ; Visual Fields

Osteosarcoma is a malignant tumor arising from the undifferentiated fibrous tissue of bone and one of the mostcommon pirmary malignant tumors of bone. The diagnosis of osteosarcoma is based one can be diagnosed with areasonable degree of confidence from the conbination of the lesion site, age and radiological findings. This is aclinical and radiological observation of 40 cases of osteosarcoma which were experienced at Chonnam NationalUniversity Hospital, Chosum University Hospital and Kwangju Christian Hospital from 1978 to 1981. The results wereas follows; 1. The peak incidence was in the age group from 10 to 19 years in 21 cases (52.5%). 2. In sexdistribution, male group showed slightly higer incidence than in female group with the ratio of 1.35;1. 3. Themost commonly affected site was proximal tibia(35%). The lesion was found around the knee in 65% of the studiedcases. 4. Increment of the level of serum alkaline phosphase was observed in 25 cases (62.5%), and the averagevalue of serum alkaline phosphature in these cases was 5.6 Bessay Lowry units. 5. Radiographically, osteoblastictype was 14 cases (35%), and soft tissue mass shadow with calcification was observed in 34 cases (85%). 6.Cortical destruction was observed in 30 cases (75%), and soft tissue mass shadow with calcification was observedin 34 cases (85%). 7. Solid periosteal reaction, sunburst periosteal reaction and Codman's triangle were observedin 35%, 57.5% and 22.5% respectively. 8. At the first visit, lung meatastasis was found in 5 cases (12.5%) andinguinal lymphnode metastasis in 2 cases (5%)
Diagnosis ; Female ; Gwangju ; Humans ; Incidence ; Jeollanam-do ; Knee ; Lung ; Male ; Neoplasm Metastasis ; Osteosarcoma ; Sulindac

PURPOSE: This study aims to identify the ADL and IADL of bed-ridden elderly. Also it is used to show fuctional status, and to investigate the content and the level of nursing services provided. METHOD: The subjects were 191 elderly who received visiting nurse service through public health centers in the Seoul Metopolitan and Chungnam Province. Data collection was conducted by public health center nurses during four months in 2000. Result: As for daily living activities, 100% of subjects had at least one difficulty in ADL and IADL. Among them, only 0.5% had moderate disabilities and 99.5% had severe disabilities by HFS, 27.9% were in a semi bed-ridden state and 72.1% were completely bed-ridden by JABC. The major service provided was a visiting nurse service which was preferable to the social welfare service. In the visiting nurse service, there was no significant difference according to the elderlys' functional status. In addition there was no standadization about the qualification of the visiting nurse, and single entry point for the nursing service. CONCLUSION: The researchers urgently suggest that a community based comprehensive service model has to be developed to respond to the needs of the elderly in Korea.
Activities of Daily Living ; Aged* ; Chungcheongnam-do ; Data Collection ; Humans ; Korea ; Nurses, Community Health ; Nursing Services ; Public Health ; Seoul ; Social Welfare

PURPOSE: The purpose of this study was to investigate the factors influencing health promotion behavior of fire officers in Korea. METHODS: It was a descriptive study. The subjects were comprised of 104 fire officers by self-reported questionnaires from January to February 2012. The instruments used for this study were a health belief, self-efficacy and health promotion lifestyle profile II. The data were analyzed using SPSS/WIN 14.0. RESULTS: The scores of health promotion behavior of fire officers were 2.76 (on a 4-point scale) and of health belief were 2.98 (on a 4-point scale), followed by perceived benefits at 3.45, perceived seriousness at 3.02, perceived sensitiveness at 2.82, perceived barriers at 2.23, and self-efficacy at 3.04 (on a 4-point scale). The health promotion behavior was very closely correlated with the health belief (r=0.49, p<.001). In the sub region, perceived benefit was correlated (r=0.28 p=.005) and the perceived seriousness (r=0.38, p<.001), the perceived sensitiveness (r=0.36, p<.001), and self-efficacy (r=0.55, p<.001) were correlated. Two significant variables influencing health promotion behavior of fire officer were self-efficacy and perceived seriousness (explained 41.0%). CONCLUSION: It suggested that self-efficacy and perceived seriousness should be considered when developing a fire officers's health promoting program.
Fires ; Health Promotion ; Life Style ; Surveys and Questionnaires

PURPOSE: It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. METHOD: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories: bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. RESULT: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. CONCLUSION: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.
Aged ; Caregivers ; Cognition ; Counseling ; Depression* ; Female ; Health Occupations ; Humans ; Prevalence

PURPOSE: This research is a correlative study to assess the relationships of musculoskeletal subjective symptoms disorders and health promotion behavior of the daily plant construction workers. METHODS: The subjects were comprised of 306 daily plant construction workers by self-reported questionnaires on October 19, 2011. The instruments used for this study were musculoskeletal subjective symptoms disorders (NIOSH) and health promotion lifestyle profile II (HPLP-II). The data were analyzed using SPSS/WIN 14.0. RESULTS: The scores of health promotion behavior of daily plant construction workers were 2.13, and the scores of health promotion behavior were significantly different depending on gender (t=-2.51, p=.013), religion (t=3.10, p=.002), owning house (t=2.59, p= .010), exercise (t=6.01, p<.001), time to rest during work (t=2.21, p=.027), and work satisfaction (F=8.97, p<.001). The musculoskeletal subjective symptoms disorders attack rate was 90.5%. The results of the correlative study to assess relationships showed significant negative correlation between musculoskeletal subjective symptoms disorders and health promotion behavior (r=-1.45, p=.011). CONCLUSION: The results of the study showed that it was lower level of health promotion behavior level. Therefore, to increase the health promotion behavior of the daily plant construction workers, a great deal of efforts are required at the level of the government, employers and workers.

PURPOSE: This research is a correlative study to assess the relationships of musculoskeletal subjective symptoms disorders and health promotion behavior of the daily plant construction workers. METHODS: The subjects were comprised of 306 daily plant construction workers by self-reported questionnaires on October 19, 2011. The instruments used for this study were musculoskeletal subjective symptoms disorders (NIOSH) and health promotion lifestyle profile II (HPLP-II). The data were analyzed using SPSS/WIN 14.0. RESULTS: The scores of health promotion behavior of daily plant construction workers were 2.13, and the scores of health promotion behavior were significantly different depending on gender (t=-2.51, p=.013), religion (t=3.10, p=.002), owning house (t=2.59, p= .010), exercise (t=6.01, p<.001), time to rest during work (t=2.21, p=.027), and work satisfaction (F=8.97, p<.001). The musculoskeletal subjective symptoms disorders attack rate was 90.5%. The results of the correlative study to assess relationships showed significant negative correlation between musculoskeletal subjective symptoms disorders and health promotion behavior (r=-1.45, p=.011). CONCLUSION: The results of the study showed that it was lower level of health promotion behavior level. Therefore, to increase the health promotion behavior of the daily plant construction workers, a great deal of efforts are required at the level of the government, employers and workers.

Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories: demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stroke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stroke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.
Activities of Daily Living ; Ambulatory Care Facilities ; Demography ; Depression* ; Follow-Up Studies ; Humans ; Life Style ; Prevalence ; Risk Factors ; Stroke