No abstract available.
Hope* ; Humans ; Myocardial Infarction*

PURPOSE: This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference. METHODS: A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data. RESULTS: After treatment with this program, the experimental group showed stage of change (chi2=52.917, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001). CONCLUSION: There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.
Blood Pressure ; Humans ; Hypertension ; Medication Adherence*

No abstract available.
Cross Infection*

PURPOSE: The purpose of this study was to identify patient safety awareness and emergency response ability and affecting factors perceived by nursing homes and home visiting caregivers. METHODS: This study was a descriptive study that conveniently extracts nursing caregivers who care for elderly patients in S and G provinces, Korea. Data collection was done by structural questionnaires from April to May 2018. A total of 204 responses consisting of 103 nursing homes and 101 home visiting caregivers were used for data analysis in SPSS Win 22.0. RESULTS: Patient safety awareness and emergency response ability of nursing homes caregivers with each 4.24±0.50, 74.26±09.57 was each higher than that of the home visiting caregivers with 3.68±0.49, 68.02±12.12 (p < .001). The affecting factors of the patient safety awareness were working place, safety education, and daily average working hours with 12 or more (F = 27.30, p < .001) and that of emergency response ability were number of patients per personnel with 9 or more and emergency situation experience (F=14.00, p < .001). CONCLUSION: These results suggest that it is necessary to develop a safety education program that can share indirectly experience emergency situations that occur on the job site.
Aged ; Caregivers* ; Data Collection ; Education ; Emergencies* ; House Calls* ; Humans ; Korea ; Nursing Homes* ; Nursing* ; Patient Safety* ; Statistics as Topic ; Workplace

PURPOSE: This study was aimed at analyzing the characteristics and symptoms in home-based hospice-palliative care (HBHPC) patients registered at local public health centers. METHODS: A retrospective study was performed; Data of 144 HBHPC patients registered at six public health centers in Pusan City were analyzed, including their initial visit records (registration cards, initial pain evaluation and symptom evaluation). RESULTS: The average age of the patients was 67.7 years old. Among all, 46.2% of the patient lived alone, and 65% had middle school education or lower. The most popular (36.3%) religion was Buddhism, and 47.5% received medical assistance from the government. The most frequent diagnosis was lung cancer followed by stomach cancer and liver cancer in that order. Of all, 48.9% were functionally too weak to lead a daily life, 39.6% were under cancer treatment when registered at the public health center, and 84.5% were aware of the fact that they have reached the terminal phase. Moreover, 83.6% complained about pain, and the pain level was moderate or severe in 36.5% of them. Besides pain, fatigue was the most complained symptom (84.7%), and 49.3% of them rated their fatigue as moderate or severe. CONCLUSION: Most of the HBHPC patients were socio-economically underprivileged and complained about moderate or worse pain and symptoms. Therefore, it appears necessary to develop an integrated strategy that is tailored for each patient reflecting their characteristics.
Buddhism ; Busan ; Diagnosis ; Education ; Fatigue ; Home Care Services ; Hospice Care ; Humans ; Liver Neoplasms ; Lung Neoplasms ; Medical Assistance ; Public Health* ; Retrospective Studies ; Stomach Neoplasms

No abstract available.
Brain* ; Child* ; Humans ; Seizures*

PURPOSE: This study was to identify the effect of Cervical Kyongrak Massage on Shoulder pain, shoulder Exercise Range and Mood in the elderly. METHOD: This study used a quasi- experimental pre-test and post-test design. Data were collected from 13 April to 30 June in 2003. There were 58 elderly subjects,(30 experimental group, 28 control group) in Pusan. The experimental group took Kyongrak Massage at Cervical Kyonghyul sites around neck and shoulder for 10 minutes daily during 5days. RESULT: In the experimental group, shoulder pain(t=-9.80, p=.000), shoulder exercise Range (Flexion t=3.10, p=.003; Abduction t=7.95, p=.000; External Rotation t=5.00, p=.000) and Mood(t=-9.80, p=.000) were significantly better than control group after Cervical Kyongrak Massage. CONCLUSION: These findings indicate that Cervical Kyongrak Massage may be an effective adjunct therapy for improving shoulder pain, shoulder exercise range and mood, and is considered as a independent and available nursing intervention for elderly.
Aged* ; Busan ; Humans ; Massage* ; Neck ; Nursing ; Shoulder Pain* ; Shoulder*

BACKGROUND: The purpose of this study was to evaluate the factors influencing quality of life (QOL) in liver transplant recipients. METHODS: The subjects of this study were 103 liver recipients who received their follow-up more than 3 months after liver transplantation at one general hospital in Seoul. A questionnaire survey was perfomed from September 1, 2012 to September 30, 2012. QOL and factors were evaluated using SF-36, Transplant Symptom Distress Scale and Multidimensional Scale of Perceived Social Support. RESULTS: Symptom distress, work change after transplant, duration after transplant were significant factors influencing QOL (Cum R2=0.39, F=19.34, P<0.001). Symptom distress was the most important factors related QOL. There were significant differences in QOL according to general characteristics such as education (t=2.16, P=0.033), work change after transplant (t=3.67, P=0.000), duration after transplant (t=2.25, P=0.027), and economic status (t=3.08, P=0.027). CONCLUSIONS: In conclusion, symptom distress had an influence on the QOL of liver transplant recipients. Thus, it is necessary to develop interventions for symptom distress to improve the QOL of liver transplant recipients.
Follow-Up Studies ; Hospitals, General ; Liver ; Liver Transplantation ; Quality of Life ; Surveys and Questionnaires ; Transplants

PURPOSE: The purpose of this study was to verify the effects of a Qigong prenatal education program on anxiety, depression and physical symptoms in pregnant women. METHOD: The subjects were a total of 40 pregnant women who received regular prenatal care at S hospital. Twenty people were enrolled in the Qigong prenatal education program and were assigned to the experimental group. The other 20 people who received regular prenatal care only were the control group. The Qigong prenatal education program was given to the experimental group once a week and 2 hours per session for 4 weeks. Anxiety, depression and physical symptoms were collected by a self-administered study questionnaire at the pre- and post test. RESULT: There were no significant differences in subjects' general characteristics or pretest scores of study variables at the pretest indicating both groups were homogeneous. Differential t-tests were used to test the effects of the Qigong prenatal education program on study variables. Pregnant women who received the Qigong prenatal education program had a lower level of depression than those who did not attend(t=2.23, p=.03). There were no significant differences on anxiety and physical symptoms. CONCLUSION: The Qigong prenatal education program was effective in alleviating depression during pregnancy. However, further study is needed to replicate the results with a greater sample size and to investigate the long term effects of the program on the labor and delivery process.
Anxiety* ; Depression* ; Female ; Humans ; Pregnancy ; Pregnant Women* ; Prenatal Care ; Prenatal Education* ; Qigong* ; Surveys and Questionnaires ; Sample Size

No abstract available.
Forearm* ; Free Tissue Flaps* ; Male ; Penis*