1.The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients.
Journal of Korean Academy of Nursing 2003;33(8):1145-1152
PROPOSE: An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. METHODS: The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. RESULTS: The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. CONCLUSION: This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.
2.A Study on the Intradermal Skin Test of Antibiotics.
Jae Hee YOO ; Youn Hee SHON ; Won Ock KIM
Journal of Korean Academy of Fundamental Nursing 1997;4(2):319-336
This study was done to identify the reality in doing the intradermal skin test of injectional antibiotics and to serve a basis to the clinical and educational situations. For the study, the survey was done to the staff nurses who are working at one of the selected 39 hospitals in the capital area, from January 6 to Feburary 8 in 1997. The data analysis was done by mean, standard deviation, Fisher's exact test, t-test, ANOVA through running SAS computer program. The results of the study were as follows : 1.The dilution ratio of the antibiotics was mostly 1 : 10 regardless of what kind of antibitics. Making the contrast was done only for the suspended to the antibiotics. Mostly the reaction was detected after 15 to 20 minutes from its diameter of redness and wheals. Most of the respondents answered they do the intradermal skin test only once for the same antibiotics. 2. In the education on the skin test the 66.7% from the respondents had exposed to the education mostly through the new nurses orientation. The 85.4% from them answered the need of the continuous education which had a significant difference in the number of beds(p=.046). The had experiences of detecting positive reactions(98.3%), and of anaphyaxis(49.5%) which had a significant difference in experience(p=.002) and in their age groups(p=.000). 3. The average score of the confidence on the intradermal skin test was 3.32 form 4-point scale. Also it had a significant difference from the number of beds(p=.010), the year of experiences(p=.016), and their age groups(p=.046). 4. From the general characteristics of respondents, the infection methods had a significant difference in the amounts of injection, whether adopting the contrast pairing, and the repeatable skin tests for the same antibiotics. 5. Only 15 from 39 hospitals had their protocol about the intradermal skin test provided by nursing department which differs in its contents from that provided by the medical information center. From the results of the study, it is suggested that the continuous education on the intradermal skin test and its unified protocol should be provided. Also it is recommended that the drug manufacturer should notice about its anaphylactic cautions and pack its extra skin test use.
Anti-Bacterial Agents*
;
Surveys and Questionnaires
;
Education
;
Information Centers
;
Nursing
;
Running
;
Skin Tests*
;
Skin*
;
Statistics as Topic
3.The Effects of Meridian Acupressure on Decreasing Constipation for Stroke Patients.
Journal of Korean Academy of Adult Nursing 2006;18(5):760-770
PURPOSE: This study was aimed at identifying the effect of meridian acupressure on decreasing the severity of constipation in stroke patients admitted to the intensive care unit. METHOD: The data was collected from June 1 to July 30, 2005 at D Hospital in Busan. They were divided into two group: one experimental group of 18, and the another control group of 17. Meridian acupressure was given to the experimental group and no meridian acupressure was given to the control group. The data was analyzed using the t-test, chi-square-test, Fisher exact, and repeated measures ANCOVA. RESULTS: There was a significant improvement in frequency of defecation and severity of constipation in the experimental group compared to the control group. CONCLUSION: Meridian acupressure can be considered an effective nursing method for the management of constipation among Cerebro-vascular Accident patients.
Acupressure*
;
Busan
;
Constipation*
;
Defecation
;
Humans
;
Intensive Care Units
;
Nursing
;
Stroke*
4.The Effects of Meridian Acupressure on Decreasing Constipation for Stroke Patients.
Journal of Korean Academy of Adult Nursing 2006;18(5):760-770
PURPOSE: This study was aimed at identifying the effect of meridian acupressure on decreasing the severity of constipation in stroke patients admitted to the intensive care unit. METHOD: The data was collected from June 1 to July 30, 2005 at D Hospital in Busan. They were divided into two group: one experimental group of 18, and the another control group of 17. Meridian acupressure was given to the experimental group and no meridian acupressure was given to the control group. The data was analyzed using the t-test, chi-square-test, Fisher exact, and repeated measures ANCOVA. RESULTS: There was a significant improvement in frequency of defecation and severity of constipation in the experimental group compared to the control group. CONCLUSION: Meridian acupressure can be considered an effective nursing method for the management of constipation among Cerebro-vascular Accident patients.
Acupressure*
;
Busan
;
Constipation*
;
Defecation
;
Humans
;
Intensive Care Units
;
Nursing
;
Stroke*
5.Medication and Symptom Management Education Program for the Rehabilitation of Psychiatric Patients in Korea: The Effects of Promoting Schedule on Self-efficacy Theory.
Yonsei Medical Journal 2002;43(5):579-589
An effective rehabilitation program was developed for psychiatric patients' self-management of medication and symptoms. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. This study consisted of three phases. The first phase was to explore the extent and the specific mental health needs of psychiatric patients. Data was obtained from 82 subjects who had symptoms of a mental illness including schizophrenia, bipolar disorders, and delusional disorder. They had received medication instruction during their hospitalization. The subjects were at the time outpatients in a psychiatric hospital. In the second phase, the researchers developed an educational program focused on coping with the residual and relapse warning signs, managing the drug side effects, medication compliance, and daily routines, according to the information acquired in the first step. The developed program includes the self-efficacy method reported by Bandura, including manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. Finally, the researchers investigated the effects of this program. Thirty-eight patients were selected for this study, 18 in the experimental program and 20 as controls. The diagnoses were same as those with the first step. The results showed that the subjects who attended this educational program reported significantly more improvement in self-efficacy (p=0.014) and medication compliance (p= 0.005), and significantly less relapse warning symptom scores (p=0.000) than the controls. In conclusion, these instructional materials will be beneficial for medication and symptom management in rehabilitating psychiatric patients in Korea. In addition, the materials may be a useful psychoeducational resource for professionals in the field of clinical psychiatry.
Adult
;
Female
;
Human
;
Korea
;
Male
;
Mental Disorders/drug therapy/*rehabilitation
;
Middle Age
;
Patient Compliance
;
*Patient Education
;
*Self Efficacy
6.The Effect of Chest Meridian Massage on Post- Anesthetic Recovery of General Anesthesia Patients.
Byung Yup LEE ; Kyung Hee SHON
Journal of Korean Academy of Adult Nursing 2005;17(4):612-621
PURPOSE: This study aims at confirming the effects of the chest meridian massage on the post-anesthetic recovery of general anesthesia appendectomy patients. METHOD: The research was post-test designed as a nonequivalent control group among quasi-experiments tested. The data was collected from June 20, 2003 to October 14, 2003 at a hospital in P city. In the collected data, using SPSS Win 10.0 program, these general features were analyzed by real numbers and percentages; the homogeneity among variables by chi2-test and t-test and the research hypothesis by the t-test. RESULT: Hypothesis 1; The experimental group receiving the treatment of the chest meridian massage will have a much higher post-anesthetic recovery score than that of the control group not receiving it was supported(t=2.544, p=.014). Hypothesis 2; The experimental group receiving the treatment of the chest meridian massage will have a much shorter time of stay in the recovery room than that of the control group not receiving it was supported(t=-4.919, p=.000). CONCLUSION: According to these results, it may be concluded that Chest Meridian Massage is effective in producing a higher level of post-anesthetic recovery score and helps appendectomy patients reduce the time of stay in the recovery room. Therefore the chest meridian massage can be considered as an intervention therapy for directly nursing general anesthesia appendectomy patients.
Anesthesia, General*
;
Appendectomy
;
Humans
;
Massage*
;
Nursing
;
Recovery Room
;
Thorax*
7.Baseball Player's Elbow in Adolescents.
Joo Chul IHN ; Byung Chul PARK ; Hee Soo KYUNG ; Shin Yoon KIM ; Su Min SHON
The Journal of the Korean Orthopaedic Association 1997;32(7):1602-1608
The elbow is the most frequent area of complaint in children and adolescent baseball players. The physical stresses associated with repetitive throwing create extra-ordinary forces, which may affect the normal osteochondral and soft tissue developmental process and are the important factors causing the decrease of competitive power and shortening of life as a baseball player in adolescents. We surveyed the 114 baseball players of middle & high school in Taegu in order to evaluate the prevalance of symptoms and radiologic findings of the elbow and correlation of these findings to career & position of the baseball game. The results were as follows. 1. Of 114 players, 83 were non-pitchers and 31 were pitchers. The mean career was 3.8 years (7 months to 6 years). 2. The 77 players (67.7%) had the pain on their elbow during or after daily exercise. Other clinical symptoms were locking (30.7%), limitation of motion (18.4%), swelling (16.6%) and clicks on motion (10.5%). 3. On the radiogram of the elbow, hypertrophy or separation of medial epicondyle were seen in 34% of players, loose bodies in 17%, hypertrophy of the humerus in 12% and cystic change of the capitellum in 11%. 4. The mean career of symptomatic players was 4.4 years but non-symptomatics was 2.7 years. The mean career of players who had abnormal radiologic findings was 5.1 years but 3.1 years in players who had no abnormal radiologic fingings. 5. Symptoms and pathologic changes were more common in the elbow of pitcher' s group due to throwing frequency & pitching style. 6. Among the 77 players who had any kinds of problem of the elbow, 49 players of them had no experience of visiting hospital. 7. To prevent these injuries of the elbow, the following recommendations were made. First, restrict the number of innings pitched per game. Second, avoid throwing the curve ball in this age group. Third, ensue an adequate warm up period before exercise or rest after games. Fourth, inform parents and coaches of possible harmful nature of excessive throwing.
Adolescent*
;
Baseball*
;
Child
;
Daegu
;
Elbow*
;
Humans
;
Humerus
;
Hypertrophy
;
Parents
8.Effects of A Stroke Education Program on Disease Acceptance and Knowledge among Acute Ischemic Senior Stroke Patients
Eun Kyung SEO ; Kyung Hee SHON ; Nam Hee KIM
Health Communication 2019;14(1):43-51
BACKGROUND: The purpose of this study was to confirm the effects of a stroke education program for disease acceptance and knowledge among acute ischemic senior stroke patients.METHODS: This study used a nonequivalent control group non-synchronized design. The study was performed from September 8 to November 2, 2014. The subjects were selected as an experiment group of 28 people and a control group of 28 people from acute ischemic senior stroke patients at D hospital in B metropolitan city. The data were analyzed using χ² test and Mann-Whitney U test using SPSS WIN 19.0 program.RESULTS: 1. Disease acceptance score in the experimental group revealed to be significantly higher(Z=−4.568, p<.001) than that of the control group. Hypothesis 1 was accepted. 2. Knowledge score in the experimental group revealed to be significantly higher(Z=−4.740, p<.001) than that of the control group. Hypothesis 2 was accepted.CONCLUSION: The stroke education program can be used for nursing intervention and evidence-based research hereafter because it has been confirmed that the program develops higher disease acceptance and improves knowledge among acute ischemic senior stroke patients.
Education
;
Humans
;
Nursing
;
Stroke
9.Effect of Interleukin-2 on the Surgically Induced Enndometriosis in Rat.
Kyung Soo HAHM ; Kyung Soo NAM ; Dong Mok LEE ; Hai Bum SONG ; Dong Hoon KIM ; Yun Hee SHON
Korean Journal of Immunology 1999;21(2):153-157
It has been shown that wornen with endometriosis have several immunological defects. The effect of interleukin-2 (IL-2) for the treatment of induced endometriosis in rat was studied. The results obtained are as followings: proliferation of epithelium is increased, and the inner surface is undulated with 1.5 nM IL-2. In 7.5 nM IL-2, the epithelial cells are changed to columar ones, and secretory hobs are observed at the apex of individual cell. Secretory activity of epithelium is increased with 0.5 nM IL-2, and apoptosis of the epithelial cell is observed in 15 nM IL-2. The levels of progesterone and estradiol in sera of rat were increased after treatment with IL-2 and were highest in the concentration of 1.5 nM IL-2. The results of this study can be a guide in the development of new therapeutic approaches for the treatment of endometriosis.
Animals
;
Apoptosis
;
Endometriosis
;
Epithelial Cells
;
Epithelium
;
Estradiol
;
Female
;
Interleukin-2*
;
Progesterone
;
Rats*
10.Collaborative Disaster Governance Recognized by Nurses during a Pandemic
Dahae RIM ; Hyunsook SHIN ; Hyejin JEON ; Jieun KIM ; Hyojin CHUN ; Hee OH ; Soonyoung SHON ; Kaka SHIM ; Kyung Mi KIM
Journal of Korean Academy of Nursing 2021;51(6):703-719
Purpose:
We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic.
Methods:
We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses.
Results:
Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance.
Conclusion
These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.