PURPOSE: The purpose of this study was to develop the exercise program based on the Transtheoretical Model, and to identify it's effects on physical and psychological variables in stroke survivors. METHOD: The subjects of this study were 42 stroke survivors in the preparation and action stages. The stage based exercise program was conducted in the experimental group 8 times for 8 weeks. For data collection, physical conditioning and psychological state were measured and decisional balance and exercise specific self-efficacy were compared within groups. RESULT: For the physical conditioning, there were significant improvements in shoulder's range of motion and walking speed. For the psychological state, the mean score of self esteem for the experimental group significantly increased in both stages. The pros of decisional balance increased in the preparation stage and the cons of decisional balance increased in the action stage, but the exercise specific self-efficacy scores were not significantly changed in both stages. CONCLUSION: The stage based exercise program using the Transtheoretical Model influenced on the physical and psychological variables positively for the stroke survivors. It was demonstrated that subjects became more active during the intervention.
Data Collection ; Depression ; Humans ; Methods ; Range of Motion, Articular ; Self Concept ; Stroke* ; Survivors* ; Walking

PURPOSE: The purpose of this study was to evaluate the effects of the meridian massage on the hand edema, activities of daily living (ADL), and depression in hemiplegic stroke patients. METHODS: The research was a quasi-experimental design using a non-equivalent control group pre-post test. The subjects were 40 stroke patients who admitted to rehabilitation department in a hospital. The data was collected from January to March, 2009 used the millimeter measurement for checking hand edema and the structured questionnaires. The meridian massage on affected hand was carried out for 10 minutes per day during 2 weeks to the experimental group. Descriptive statistics, -test, Fisher's exact test, and t-test with SPSS/WIN 12.0 program were used to analyze the data. RESULTS: After the intervention, there were statistically significant differences in the changes of hand edema, ADL, and depression in the experimental group compared with the control group. CONCLUSION: The meridian massage was effective in improving hand edema, the level of ADL, and depression for the hemiplegic stroke patients. Therefore the meridian massage can be utilized as an effective adjuvant therapy for stroke patients suffering from hand edema in clinical practice.
Activities of Daily Living ; Depression ; Edema ; Evaluation Studies as Topic ; Hand ; Humans ; Massage ; Stress, Psychological ; Stroke ; Surveys and Questionnaires

PURPOSE: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. METHOD: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. RESULT: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. CONCLUSION: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.
Aged* ; Chronic Disease ; Depression ; Female ; Humans ; Male ; Mental Health ; Quality of Life* ; Self Care ; Spouses ; Surveys and Questionnaires

The purpose of this study was to identify the degree of self-care activities of stroke patients, the family burden, and the educational needs of primary caregivers. A descriptive survey research was conducted in 97 stroke patients and their respective primary caregivers. Data were collected the using 26th to by interviews a structure questionnare from July August 5th, 1999. NIH stroke status was 12.15+/-8.40, the degree of self-care activities of stroke patients was 26.85+/-9.39. The score of objective burden of primary caregivers was 31.24+/-4.81 and subjective burden was 24.30+/-6.99. The score of the educational needs was 89.78+/-9.99. We present several imformations about clients from these scores as follows: The patients were convalescent and their depentant level of self-care was middle range: The objective burden was higher than the subjective burden: And the educational needs of family caregivers were very high. The Elain Mattis Educational Wants of Family Caregivers of Disabled Adults Questionnaire was used to assess the educational needs of primary caregivers of stroke patients. The results of this research are offered to help nurses understand the feelings of uncertainty about the new and unexpected role that family caregivers face and to help nurses meet the needs of families preparing to care stroke survivors at home.
Adult ; Caregivers* ; Humans ; Surveys and Questionnaires ; Self Care* ; Stroke* ; Survivors ; Uncertainty

Dysplasia epiphysealis hemimelica, also known as Trevor's disease, is a rare disorder characterized by osteochondral overgrowth of one or more epiphyses and usually affecting the lower limbs. It typically presents in childhood, with painless swelling or deformity around the involved joint. We report a case of recurrent dysplasia epiphysealis hemimelica which presented as a large popliteal mass four years after excision of the initial lesion.
Congenital Abnormalities ; Epiphyses ; Joints ; Lower Extremity ; Magnetic Resonance Imaging*

No abstract available.
Dwarfism*

No abstract available.
Bronchopulmonary Sequestration*

PURPOSE: This study was conducted to find perceived health status, ADL, depression, and life satisfaction among the rural elderly and to explore differences according to gender and the stage of exercise change. METHODS: This is an exploratory survey study. The subjects were 365 elders consisting of 140 men (38.4%) and 225 women (61.6%) in a rural area in Korea. Data were collected from December, 2006 to January, 2007 using a structured questionnaire. The data were analyzed by Pearson's correlation, t-test, ANOVA, and Scheffe's test using the SPSS/WIN 10.0. RESULTS: The mean scores of perceived health status and ADL were lower and depression was higher in women than in men. There were statistically significant differences in perceived health status according to the stage of exercise change. Also there were significant differences in the scores of ADL, depression, and life satisfaction according to the stage of exercise change. CONCLUSION: The tailored exercise seems to decrease depression while promoting physical health status and life satisfaction among the rural elderly. We suggest considering the client's intention and motivation when developing exercise programs.
Activities of Daily Living* ; Aged* ; Depression* ; Female ; Humans ; Intention ; Korea ; Male ; Motivation ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to evaluate the effects of progressive muscle relaxation on nausea, vomiting, fatigue, anxiety, and depression in cancer patients undergoing chemotherapy. METHODS: This study was a quasi-experimental research using non-equivalent control group pretest-posttest design. Data were collected from outpatients in a university hospital from April to August, 2009. There were 74 participants, 39 in the experimental group and 35 in the control group. The experimental group was given daily the progressive muscle relaxation for 20 min during three weeks. The structured questionnaire was used to measure nausea, vomiting, fatigue, anxiety, and depression. Data were analyzed using the SPSS/WIN 12.0 program, chi-square-test, Fisher's exact test, t-test and ANCOVA were conducted to examine the homogeneity and the research hypotheses. RESULTS: There were statistically significant decreases in anxiety and depression in the experimental group compared to the control group. However, there were no significant differences in nausea, vomiting, and fatigue between the groups. CONCLUSION: In this study, progressive muscle relaxation was effective in alleviating anxiety and depression of cancer patients undergoing chemotherapy. Therefore, progressive muscle relaxation can be usefully utilized as a nursing intervention that enhances psychological function of cancer patients.
Anxiety ; Depression ; Fatigue ; Humans ; Muscle Relaxation ; Muscles ; Nausea ; Outpatients ; Surveys and Questionnaires ; Relaxation ; Vomiting

No abstract available.
Gastroenteritis* ; Humans* ; Rotavirus*