Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Purpose: This study was conducted to determine the influence of hope, self-efficacy, stress coping ability, and communication ability on the resilience of hospital nurses. Methods: The sample of this study comprised 201 nurses working in the general hospital located in Seoul, Korea for the year of 2024. Data were analyzed using SPSS 25.0, and the analyses included descriptive statistics, t-test, Pearson's ANOVA, and multiple regression. Results: The factors associated with the level of nurses' resilience were hope (β=.41, p<.001), communication (β=.33, p<.001) and stress coping ability (β=.15, p=.005). These factors had an explanatory power of 61.5% (F=32.92, p<.001) in resilience. Conclusion In order to improve nurses' resilience, various trainings and programs need to be developed to enhance nurses' hope, stress coping ability and communication.

Hypoxemia during hemodialysis(H.D) was reported 1st in 1974. Many studies have confirmed occurrence of hypoxemia during H.D. We experienced of hypoxemia during H.D in liver transplanted patient who were treating ventilatory care. 1st case, we experienced significant drop of arterial O2 tension and recovered to pre-H.D level after H.D . We prevented drop of arterial O2 tension during H.D by prior supplement of increased inspired O2 in 2nd case. To a group of liver transplanted patients especially having limited cardiac and pulmonary reserve , H.D may produce severe complications. We concluded that monitoring of oxygenation should be done and supplemental O2 should be given before starting H.D in critically illed patients.
Anoxia* ; Humans ; Liver Transplantation* ; Liver* ; Oxygen ; Renal Dialysis* ; Transplantation

BACKGROUND: A prospective study was performed to evaluate the preventive effect of intravenous (IV) ondansetron on postoperative nausea and vomiting (PONV) due to epidural morphine for postoperative pain control after major abdominal surgery. METHODS: One hundred patients undergoing elective major abdominal surgery were randomly devided into two groups, group O (n = 50) receiving IV ondansetron and group C (n = 50) receiving IV saline. After bolus epidural morphine were injected to all patients thirty minutes before the end of surgery, group O received ondansetron 8 mg and group C received normal saline intravenously. Incidence and severity of nausea, episodes of vomiting, patient's satisfaction, side effects such as pruritus, headache, dizziness related to epidural morphine were checked at 6, 24 hours after operation. RESULTS: The incidence and severity of nausea were significantly decreased in group O than group C during the first 24 hours after surgery. There were no significant differences in postoperative pain scores and patient's satisfaction between groups. The patients who didn't experienced PONV were significantly more satisfied than those who experienced PONV after surgery. CONCLUSION: Ondansetron decrease the incidence and severity of nausea in patients receiving epidural morphine for postoperative pain control after major abdominal surgery.
Dizziness ; Headache ; Humans ; Incidence ; Morphine* ; Nausea ; Ondansetron* ; Pain, Postoperative ; Postoperative Nausea and Vomiting* ; Prospective Studies ; Pruritus ; Vomiting

OBJECTIVE: Elective surgical approaches and trauma cause changes in the production of different cytokines. The aim of this study was to evaluate the effects of laparoscopic surgery on the immune system of patients with gynecologic diseases. METHODS: We recruited the open surgery group (n=20) and laparoscopic surgery group (n=33). In a prospective study we examined the C-reactive protein (CRP) level, the production of the cytokines Interleukin-1beta (IL-1beta), Interleukin-6 (IL-6), Interleukin-8 (IL-8), Interleukin-10 (IL-10) and TNF-alpha concentrations by ELISA. In addition the fibrinogen, transferrin, albumin, hemoglobin and hematocrit were measured. Statistical analysis was made by Mann-Whitney U test and Kruskal-Wallis test. RESULTS: There were significant statistical differences in the CRP, IL-6 and IL-8 between the open surgery group and laparoscopic surgery group after surgery. The CRP and IL-8 showed a more distinct increase in open surgery group 24 hours after surgery, the differences between the two surgical approaches were significant (p<0.05). CONCLUSION: Elective surgical approaches cause changes in the immune system, which can be evaluated by the reaction of cytokines. Laparoscopic surgery cause less activation of the CRP and IL-8 than open surgery.
C-Reactive Protein ; Cytokines ; Enzyme-Linked Immunosorbent Assay ; Female ; Fibrinogen ; Genital Diseases, Female* ; Hematocrit ; Humans ; Immune System* ; Interleukin-10 ; Interleukin-1beta ; Interleukin-6 ; Interleukin-8 ; Laparoscopy* ; Prospective Studies ; Transferrin ; Tumor Necrosis Factor-alpha

PURPOSE: The purpose of this study was to examine the effects of a stress-management program on stress coping methods, interpersonal relations and quality of life in patients with chronic mental illness. METHODS: A nonequivalent control group pre-posttest design was used for this quasi-experimental study. The study was conducted from May 1 to December 30, 2010. The 41 participants in this study were selected from patients with chronic mental illness (20 for the experimental group and 21 for the control group). Datas were analyzed chi2-test, t-test, paired t-test, and one-way ANCOVA with the SPSS/WIN 15.0 program. RESULTS: There were significant changes in stress coping methods scores, interpersonal relations scores and quality of life scores in the experimental group before and after treatment, which were significantly different from those in the control group. CONCLUSION: The results of the study indicate that the stress-management program resulted in significant improvement in stress coping methods, interpersonal relations and quality of life for patients with chronic mental illness. Therefore, this study shows stress-management programs are useful in clinical practice as effective nursing interventions in patients with chronic mental illness.
Humans ; Interpersonal Relations* ; Nursing ; Quality of Life*

BACKGROUND: Propofol is an intravenous anesthetic which has antioxidant effects due to its similarity in molecular structure to α-tocopherol. It has been reported that α-tocopherol increases osteoclast fusion and bone resorption. Here, we investigated the effects of propofol on signaling pathways of osteoclastogenic gene expression, as well as osteoclastogenesis and bone resorption using bone marrow-derived macrophages (BMMs). METHODS: BMMs were cultured with macrophage colony-stimulating factor (M-CSF) alone or M-CSF plus receptor activator of nuclear factor kappa B ligand (RANKL) in the presence of propofol (0–50 µM) for 4 days. Mature osteoclasts were stained for tartrate-resistant acid phosphatase (TRAP) and the numbers of TRAP-positive multinucleated osteoclasts were counted. To examine the resorption activities of osteoclasts, a bone resorption assay was performed. To identify the mechanism of action of propofol on the formation of multinucleated osteoclasts, we focused on dendritic cell-specific transmembrane protein (DC-STAMP), a protein essential for pre-osteoclastic cell fusion. RESULTS: Propofol increased the formation of TRAP-positive multinucleated osteoclasts. In addition, the bone resorption assay revealed that propofol increased the bone resorption area on dentin discs. The mRNA expression of DC-STAMP was upregulated most strongly in the presence of both RANKL and propofol. However, SB203580, a p38 inhibitor, significantly suppressed the propofol/RANKL-induced increase in mRNA expression of DC-STAMP. CONCLUSION: We have demonstrated that propofol enhances osteoclast differentiation and maturation, and subsequently increases bone resorption. Additionally, we identified the regulatory pathway underlying osteoclast cell-cell fusion, which was enhanced by propofol through p38-mediated DC-STAMP expression.
Acid Phosphatase ; Antioxidants ; Bone Resorption ; Cell Fusion ; Dentin ; Gene Expression ; Macrophage Colony-Stimulating Factor ; Macrophages ; Molecular Structure ; Osteoclasts ; p38 Mitogen-Activated Protein Kinases ; Propofol ; RANK Ligand ; RNA, Messenger