1.A Systematic Review and Meta-Analysis of Music Therapy on Depression for Stroke Patients
Moonhyang KIM ; Yeoungsuk SONG
Journal of Korean Academy of Fundamental Nursing 2022;29(4):416-429
Purpose:
The objective of this systematic review and meta-analysis was to assess the effectiveness of music therapy for depression in stroke patients.
Methods:
823 studies were retrieved from seven databases (PubMed, Embase, CINAHL, Cochrane Library, RISS, KISS, and NDSL). Articles published up to June 2022 were selected for this study. Eight studies that satisfied the inclusion and exclusion criteria were selected for meta-analysis. The data was analyzed using the R 4.0.2 program.
Results:
Most studies had a low risk of bias. The pooled effect size showed that music therapy was able to reduce depression(ES=-0.87, 95% Cl=-1.52~-0.22, p=.016). In addition, the effect sizes were evaluated for type, length per session, duration, and total sessions, but they did not show statistically significant differences between groups.
Conclusion
Music therapy helps reduce depression after stroke. However, subgroup analyses did not show significant between-group differences related to the details of the implemented programs. Studies with larger samples and additional meta-analyses of music therapy are required.
2.The Influence of Grit and Resilience on the Retention Intention of New Nurses
Jee Eun KIM ; Jun Ok YOU ; Geun-Hee KIM ; Soon-Young NAM ; Kyungok PARK ; Moonhyang KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2023;32(3):315-324
Purpose:
This study was conducted to investigate the influence of grit and resilience on the retention intention of new nurses.
Methods:
The participants were 148 new nurses who had worked at two tertiary hospitals for less than 12 months. The data were collected on self-reported questionnaires from October 25, 2022, to November 28, 2022. T-tests, one-way analysis of variance, Mann-Whitney U test, Kruskal-Wallis test, Spearman’s correlation analysis, and multiple regression were used to analyze the data.
Results:
Retention intention was significantly different according to placement in the desired department and job satisfaction. Retention intention showed a significant positive correlation with grit (p<.001) and resilience (p<.001). Significant factors influencing the retention intention of new nurses were resilience (β=.30, p<.001), grit (β=.27, p=.001), and job dissatisfaction (β=-.16, p=.029). These variables accounted for 29% (F=21.41, p<.001) of new nurses’ retention intention.
Conclusion
The results of this study showed that considering these factors influencing the retention intention of new nurses might be helpful for strategies addressing nurse staffing challenges.
3.Outcome after Corpus Callosotomy in Intractable Epilepsy.
Hyun Wook LEE ; Seung Chyul HONG ; Seung Bong HONG ; Dae Won SEO ; Moonhyang LEE ; Jong Hyun KIM
Journal of Korean Epilepsy Society 2002;6(1):15-19
BACKGROUND: The authors present the results of a series of corpus callosotomies in 6 patients performed from 1998 to 2001 at the Samsung Medical Center. METHODS: Patients with medically intractable siezures, frequent drop attacks, poorly localized partial seizures with secondary generalization and generalized seizures were accepted as candidates (patients aged 14-29 years, 3 male and 3 female, with mean age at surgery of 18.6 years). Preoperatively, the frequency of seizures ranged from 2 to 600 per month. The standard microsurgical technique performed was a corpus callosotomy by the same surgeon under general anesthesia (anterior two-thirds corpus callosotomy was done in 4 cases, total callosotomy was done in 2 cases). In two cases, an additional cortical resection after electrocorticography using subdural electrode monitoring was carried out. The results were evaluated after a mean follow-up of 22 months (range, 4-34). We evaluated the effect of surgery according to the Engel classification. RESULTS: Complete freedom from seizures was noted in 2 cases (33%). More than 75% of reduction in seizure frequency was noted in 3 cases (50%). There was no significant reduction in frequency of seizure in one case. The highest rate of significant improvement was noted in the patients with drop attacks (75%(3/4)) and generalized tonic-clonic seizures (75%(3/4)). In one patient, pseudoaneurysm was complicated postoperatively but successful treatment was performed by endovascular procedure. Otherwise, there were no major postoperative complications except for brief mutism, slow activity and abnormal movement of one leg during the several weeks postoperatively. CONCLUSION: We conclude that corpus callosotomy is a safe alternative treatment for the medically intractable seizures, especially drop attack and generalized epilepsy.
Anesthesia, General
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Aneurysm, False
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Classification
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Corpus Callosum
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Dyskinesias
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Electrodes
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Endovascular Procedures
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Epilepsy*
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Epilepsy, Generalized
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Female
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Follow-Up Studies
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Freedom
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Generalization (Psychology)
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Humans
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Leg
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Male
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Mutism
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Postoperative Complications
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Seizures
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Syncope