PURPOSE: This study was conducted to identify relationships between depression, family support, and rehabilitation-motivation in patients with cerebrovascular accident. METHOD: The data were collected from 'S' hospital in Seoul from Feb. 1, 2004 to Apr. 30, 2004. The data were analyzed using a SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. RESULT: The results were as follows: The mean rehabilitation-motivation was 119.89, which was slightly high. The rehabilitation-motivation was influenced by religion, education level, occupation, economic status, treatment fee, duration of hospitalization, level of language ability and ADL. Rehabilitation-motivation has showed correlation with family support (r=.538, p=.000) and depression (r=-.417, p=.000). The variables related to rehabilitation-motivation were identified as family support, level of ADL, occupation, depression, and education level, using stepwise multiple regression. They were accounted for 57% of predictability of the rehabilitation-motivation, with the family support the highest at 29.3%. CONCLUSION: With increasing post stroke patients in Korea, we need to pay more attention to the rehabilitation of them. This study indicates that health professionals need to focus on the intervention especially in increasing family support and in decreasing depression of the patients with cerebrovascular accident.
Activities of Daily Living ; Depression* ; Education ; Fees and Charges ; Health Occupations ; Hospitalization ; Humans ; Korea ; Language ; Occupations ; Rehabilitation ; Seoul ; Stroke*

PURPOSE: Nursing communication has become more important than ever before because quality of nursing services largely depends on the quality of communication in a very competitive health care environment. This article was to introduce ways to improve nursing communication using conversation analysis. METHODS: This was a review study on conversation analysis, critically examining previous studies in nursing communication and interpersonal relationships. RESULTS: This study provided theoretical backgrounds and basic assumptions of conversation analysis which was influenced by ethnomethodology, phenomenology, and sociolinguistic. In addition, the characteristics and analysis methods of conversation analysis were illustrated in detail. Lastly, how conversation analysis could help improve communication was shown, by examining researches using conversation analysis not only for ordinary conversations but also for extraordinary or difficult conversations such as conversations between patients with dementia and their professional nurses. CONCLUSION: Conversation analysis can help in improving nursing communication by providing various structures and patterns as well as prototypes of conversation, and by suggesting specific problems and problem-solving strategies in communication.
Adult ; *Communication ; Humans ; Interpersonal Relations ; Nurse-Patient Relations ; Nurses/*psychology

The purpose of this study was to understand and describe how people with kidney transplantation experience using grounded theory method. Purposeful sampling was employed. Total of 20 kidney recipients participated in the study. To collect the data 11 individual in-depth interviewes and two focus group interviews were utilized. Each interview took about one hour, ranging from one to three hours and were audio-taped under the permission of the participants. All interviewes were transcribed to analyze. The results of the study show three stages of life process after kidney transplantation; 1) honeymoon stage, 2) anxiety and depression stage: 3) recovery and stable stage. In the honeymoon stage, all kidney recipients were exhilerated after the operation. They were happy receiving healthy kidney from others, often from beloved families. In the anxiety and depression stage, however, they experienced numerous psychosocial problems mainly due to the health, interpersonal, financial, and physical appearance problems. In the recovery and stable stage, they came out from the psychosocial problems by viewing their situation more objectively and by using many effective coping strategies to imporve their quality of life. Nine strategies which were identified as significant are 1) complying therapeutic regimens, 2) seeking information, 3) keeping their own job, 4) restricting social activities, 5) lowering aimes in their life, 6) managing the fact about their own kidney transplantation, 7) comforting themselves by comparing with others, 8) living religious or altruistic life, and 9) accepting redialysis and retransplantation. In the end, most of them experienced changed value system of life. They were satisfied with their current life, and thanked for living so many years after the transplantation. However, some of them, especially younger ones, regreted of losing hope and ambition they had planned when they were young. And many of them also experienced restricted social life, financial difficulties, and continuous fear of rejection of kidney. The results of the study might help nurses who work with kidney recipients in establishing and implementing effective nursing interventions by understanding the stages of life after kidney transplantations as well as their problems and strategies.
Anxiety ; Depression ; Focus Groups ; Hope ; Humans ; Kidney Transplantation* ; Kidney* ; Nursing ; Quality of Life

PURPOSE: The purpose of this study was to investigate the levels of physical symptoms, anxiety, depression, and quality of life (QOL) during chemotherapy for colorectal cancer patients in South Korea and to identify factors influencing their QOL. METHODS: Data were collected from 144 colorectal cancer patients receiving chemotherapy during 2012 at one general hospital located in Seoul. Physical symptoms were measured by the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, and anxiety and depression were measured by the Hospital Anxiety Depression Scale. QOL was measured by the Functional Assessment of Cancer Therapy-Colorectal. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Scheffe post hoc test, Pearson correlation and stepwise multiple regression. RESULTS: Mean age of the participants was 56.6 and most of them were not employed. In terms of cancer stage, 38.2% were in stage 3, followed by stage 4 (34.7%). The most frequent symptom was lack of appetite, followed by sleep disturbance and fatigue. The mean score for anxiety was 5.40 with a prevalence of 23% and that of depression 8.85 with a prevalence of 64.6%. The mean score for quality of life was 81.93 out of 136 and 75.3% of the variance in QOL was explained by depression, symptoms, anxiety, treatment place, and occupational status. Depression was the strongest predictive factor. CONCLUSION: Oncology professionals need to pay special attention to relieving depression as well as physical symptoms to improve QOL during chemotherapy for colorectal cancer patients.
Adult ; Aged ; Antineoplastic Agents/therapeutic use ; Anxiety ; Colorectal Neoplasms/drug therapy/pathology/*psychology ; Depression/epidemiology ; Fatigue ; Female ; Humans ; Male ; Middle Aged ; Neoplasm Metastasis ; Neoplasm Staging ; Prevalence ; *Quality of Life ; Republic of Korea ; Surveys and Questionnaires

PURPOSE: The purpose of the study was to identify degrees of pain, menopause symptoms, and quality of life, and to identify factors influencing quality of life of patients with breast cancer who were on hormone therapy. METHODS: A cross-sectional survey design was utilized. Data were collected using questionnaires from 110 patients with breast cancer who had been on hormone therapy for 3 months or more and were being treated at a university hospital in Seoul. Data were analyzed using chi2-test, t-test, ANOVA, Pearson correlation coefficient and multiple linear regression. RESULTS: Mean age of the participants was 53.56 (SD=6.67) and 54 (51.4%) had stage 0 or I at the time of diagnosis. Most of the participants reported having pain and menopause symptoms (88.2% and 95.5% respectively). The mean score for quality of life was 87.84+/-21.17. Pain, menopause symptoms and quality of life had strong correlations with each other (p<.005). Quality of life was explained by menopause symptoms (beta= -.71), economic status (beta=.20) and occupation (beta=.16). CONCLUSION: The results of the study suggest that menopause symptoms should be incorporated into oncologic nursing care to improve quality of life of patients with breast cancer on hormone therapy.
Adult ; Aged ; Antineoplastic Agents, Hormonal/therapeutic use ; Breast Neoplasms/drug therapy/*psychology ; Cross-Sectional Studies ; Female ; Hospitals, University ; Hot Flashes ; Humans ; Middle Aged ; Pain Management ; Postmenopause ; *Quality of Life ; Questionnaires ; Socioeconomic Factors

PURPOSE: The purpose of the study was to describe nonverbal behaviors of nurses in communication with patients with dementia in an elderly care institution in Korea. METHODS: Conversation analysis was utilized to analyze the data which were collected using video camera to capture non-verbal as well as verbal behaviors. A total of 66 episodes of everyday conversations were analyzed using seven nonverbal categories: affirmative head nodding; illustrative gestures; patient-directed eye gaze; smiling and/or laughing; forward leaning; affective touch; and instrumental touch. RESULTS: Among seven categories, patient-directed eye gaze(94%) was the most frequently utilized among nurses followed by affirmative head nodding(67%) and forward leaning(67%), while smiling was the least used(32%). Affective touch was identified in 39 episodes(59%). Among them, the most frequently touched area was hand or handshaking(59%) followed by shoulder or back, arm, and face. There were wide differences among nurses in terms of using affective touch, ranging from 0% to 98%. Nonverbal behaviors were more frequently identified in effective episodes than in ineffective episodes. CONCLUSION: Actively utilizing effective nonverbal behaviors may help geriatric nurses in promoting communication and in establishing rapport with patients with dementia.
Aged ; Arm ; Dementia ; Eye ; Geriatric Nursing ; Hand ; Head ; Humans ; Korea ; Nonverbal Communication ; Nurse-Patient Relations ; Qualitative Research ; Shoulder ; Smiling ; Verbal Behavior

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family. They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.
Anxiety ; Depression ; Focus Groups ; Humans ; Kidney Transplantation* ; Kidney* ; Loneliness ; Love ; Nursing ; Tissue Donors

PURPOSE: This study was performed to identify the effects of intraoperative music therapy on the anxiety level of adult patients undergoing local anesthesia in the operating room. METHOD: The research design was a nonequivalent control group pretest-posttest. Data collection was done with 48 patients undergoing local anesthesia from June 2003 to September 2003. The 24 patients in the experimental group were given music therapy through headphones from the beginning of the operation to the end of the operation with local anesthesia. The data were analyzed using SPSS/PC 10.0 for Windows. RESULTS: Postoperative state anxiety scores were significantly different between the experimental group and the control group. Intraoperative pulse rates were significantly different between the two groups. But systolic and diastolic blood pressures and respiratory rates were not significantly different between the two groups. CONCLUSION: Considering these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety for adult patients undergoing local anesthesia. However, to determine the best use of this therapy, further study is required for different types of anesthesia and operations such as ambulatory surgery.
Adult ; Ambulatory Surgical Procedures ; Anesthesia ; Anesthesia, Local* ; Anxiety* ; Surveys and Questionnaires ; Heart Rate ; Humans ; Clinical Trial ; Intraoperative Care ; Music Therapy* ; Music* ; Nursing ; Operating Rooms ; Research Design ; Respiratory Rate

PURPOSE: The purpose of this study was to identify motivational factors that may influence health behaviors of patients with coronary artery disease. METHODS: Structured questionnaires were used with a convenience sample of 164 subjects who were discharged from the hospital. The subjects were recruited for an interview at outpatient clinic in hospitals. The tools for the study were the motivational factors and health behaviors measure for the Elderly with cardiovascular disease. The data were analyzed using frequency, t-test, ANOVA, sheffe, Pearson correlation coefficient and stepwise multiple regressions. RESULTS: There were significant correlations between motivational factors and health behaviors, ranging from r=.192 to .692. Stepwise multiple regression analyses indicated that 51% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivational factors(F=34.988, p<.01). Self-efficacy contributed the greatest amount of variance in health behaviors(beta=.467), followed by perceived benefits(beta=.235). CONCLUSIONS: The results of the study indicate that motivation, especially self-efficacy, was very important in predicting health behaviors of patients with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program for people with coronary artery disease.
Aged ; Ambulatory Care Facilities ; Cardiovascular Diseases ; Coronary Artery Disease* ; Coronary Vessels* ; Health Behavior* ; Humans ; Motivation ; Surveys and Questionnaires ; Rehabilitation

Although computers cannot analyze textual data in the same way as they analyze numerical data, they can nevertheless be of great assistance to qualitative researchers. Thus, the use of computers in analyzing qualitative data has increased since the 1980s. The purpose of this article was to explore advantages and disadvanteges of using computers to analyze textual data and to suggest strategies to prevent problems of using computers. In additon, it illustrated characteristics and functions of softwares designed to analyze qualitative data to help researchers choose the program wisely. It also demonstrated precise functions and procedures of the NUDIST program which was designed to develop a conceptual framework or grounded theory from unstructured data. Major advantage of using computers in qualitative research is the management of huge amount of unstructured data. By managing overloaded data, researcher can keep track of the emerging ideas, arguments and theoretical concepts and can organize these tasks more efficiently than the traditional method of "cut-and-paste" technique. Additional advantages are the abilities to increase trustworthiness of research, transparency of research process, and intuitional creativity of the researcher, and to facilitate team and secondary research. On the other hand, disvantages of using computers were identified as worries that the machine could conquer the human understanding and as probability of these problems, it suggested strategies such as 1) deep understanding of orthodoxy in analytical process. To overcome philosophical and theoretical background of qualitative research method, 2) deep understanding of the data as a whole before using software, 3) use of software after familiarity with it, 4) continuous evaluation of software and feedback from them, and 5) continuous awareness of the limitation of the machine, that is computer, in the interpretive analysis.
Creativity ; Hand ; Humans ; Qualitative Research ; Recognition (Psychology) ; Statistics as Topic*