PURPOSE: The purpose of this study was to evaluate the factors that affected self efficacy, social support and learning achievement in the web-based learning of graduate school students. METHODS: The data were collected from 79 nurses in a web-based learning. A self-reported questionnaire was used to assess the level of self-efficacy, social support and learning achievement. RESULTS: The learning achievement was significantly improved to 4.05 points after web-based learning compared to 2.69 points before web-based learning, and all other items were also improved. Self-efficacy was improved to 3.91 points from 3.66 points after web-based learning and so was social support to 4.18 points from 3.94 points. Fatigue and stress among health behavior characteristics were significantly decreased after web-based learning. CONCLUSION: This study shows that the web-based learning improved self-efficacy and social support of the students. And self-efficacy was an important factor in learning achievement. It is necessary to develop a strategy to improve self-efficacy as well as to manage social support for increasing interactions among the nurses in a web-based learning.
Achievement ; Fatigue ; Health Behavior ; Humans ; Learning ; Surveys and Questionnaires ; Self Efficacy

PURPOSE: This study was done to examine the effects of foot massage as a nursing intervention on preoperative anxiety, depression and sleep satisfaction in patients with breast surgery. METHOD: Research design was a nonequivalent control group non-synchronized design. Forty-one patients were assigned to the control group (21) and the experimental group (20). The patients answered a questionnaire containing measures of anxiety, depression and sleep satisfaction before and after the intervention. The collected data were analyzed by means of descriptive statistics, Cronbach's alpha, Chi-square test, and t-test using the SPSS WIN 11.0 program. RESULT: Anxiety and depression for the experimental group were significantly lower than those for the control group(t=2.556, p=0.008, t=2.932, p=0.006). Sleep pattern of the experimental group was significantly higher than that of the control group (t=2.313, p=0.013). CONCLUSION: Judging from these results, it is suggested that foot massage might have beneficial effects on reducing preoperative anxiety, depression, and increasing sleep satisfaction.
Anxiety* ; Breast* ; Depression* ; Foot* ; Humans ; Massage* ; Nursing ; Preoperative Care ; Surveys and Questionnaires ; Research Design

The purpose of this study was to investigate the effect of massage therapy on weight gain, length and head circumference in instituted infants. This study utilized nonequivalent control group with repeated measuring by quasi experimental design. Fifty eight instituted infants in Daejeon city were selected for the study. Fifty eight infants were randomly assigned two groups, one served as the control group and the other was experimental group to whom massage therapy was given. For the experimental group, massage protocol(developed by Field, 1986) was applied 2 times a day, mid-morning and early evening, for 4 weeks for each infants by researcher and trained research assistants. As a weight weighing instrument, electronic indicator scale (Cas Co., Korea) was used. The result of this study were summarized as follows; 1.A repeated measures ANOVA identified a significant group by time effect over the four weeks of intervention(F=14.69, p < .0001). Infants assigned to experimental group gained more weight than control group infants. 2. T-test identified that significant differences in length(t=2.60, P=.013) and head circumference(t=4.27, P=.000). Infants assigned to experimental group had more length and head circumference than control group infants. In conclusion, Massage therapy improved weight gain, length and head circumference of instituted infants. Therefore, it is recommended to utilize massage therapy as a nursing intervention for instituted infants.
Head ; Humans ; Infant* ; Massage* ; Nursing ; Research Design ; Weight Gain ; Child Health

This descriptive study was conducted to understand the contents and degree of parental stress level in the NICU patients, and to give a baseline data in developing nursing intervention program. Subjects were the 62 mother of hospitalized newborn in NICU of 1 University Hospital in Taejon City from May 1st, 1999 to November 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales : NICU(PSS:NICU) developed by Miles et al. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior(19 items), parental role alteration and relationship with their baby(10 items), communication with health team(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressful"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's alpha coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+ . The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers was slightly high(3.6 +/- .7). The highest scored dimension was 'appearance and behavior of the baby' (3.9 +/- 1.5), and next were 'relationship with their baby and parental role change' (3.5 +/- 1.4), 'communication with health team' (3.4 +/- .9), 'sight and sounds of NICU' (3.2 +/- .8). 2. Two variables were statistically significant with PSS:NICU total scale ; mother's perceived severity of the baby's condition (r=.482, P=.002) and mother's religious attendance(t=2.83, P=.01). The more the mother perceive their baby's condition severe, the higher the total stress score. There were high stress score noted in the mother of no religious attendance. 3. Four variables were statistically significant with NICU environment subscale ; mother's educational background(F=3.45, P=.04), religious attendance(t=2.28, P=.04), sex of the baby(t=2.83, P=.01) and NICU patients' hospital day(r=.359, P=.004). That is mother with high educational background and girl baby were high NICU environment subscale score. 4. Four variables were statistically significant with appearance and behavior of the baby subscale ; when first saw baby(F=3.52, P=.04), incubator care(t=2.83, P=.01), mother's perceived severity of the baby's condition(r=.303, P=.017), number of NICU visit(r=.441, P=.002). That is, seeing the baby first in the NICU and recieved incubator care was very stressful. Also, the more the mother perceive their baby's condition severe and more NICU visit, the higher the appearance and behavior of the baby subscale stress score. 5. Four variables were statistically significant with relationship with their baby and parental role change subscale ; when first saw baby(F=3.37, P=.04), sex of the baby(t=2.36, P=.03), incubator care(t=5.60, P=.00), mother's perceived severity of the baby's condition(r=.401, P=.001). That is, seeing the baby first in the NICU and girl baby was very stressful. Also, the more the mother perceive their baby's condition severe, the higher the relationship with their baby and parental role change subscale stress score. 6. Three variables were statistically significant with communication with health team subscale ; mother's educational background (F=3.63, P=.04), incubator care(t=4.24, P=.00), gestational age(r=-.394, P=.047), and birth weight(r=-.460, P=.004). That is, mother with high educational background and receiving incubator care were high communication with health team subscale score. Also, the shorter the gestational age and smaller the baby's birth weight, the higher the communication with health team subscale score. In conclusion, information about physical environment of NICU, the mother's perceived severity of baby's illness state, maternal role change related variables and the knowledge of characteristics of NICU patients must be included in nursing intervention program of mother's of NICU patients in reducing the maternal stress and anxiety level.
Anxiety ; Birth Weight ; Child ; Daejeon ; Faculty, Nursing ; Female ; Gestational Age ; Humans ; Incubators ; Infant, Newborn ; Intensive Care, Neonatal* ; Mothers* ; Nursing ; Parents ; Parturition ; Weights and Measures ; Child Health ; Surveys and Questionnaires

Astrocytes are the most numerous cellular elements in the cerebrum, and they normally have a very slow turnover rate. But during regeneration after injury, they proliferate markedly resulting in astrogliosis. The extracellular matrix in the central nervous system is present in the vessel walls and in the external glia limitans as a basal lamina. The presence of an intact extracellular matrix framework is important in regeneration after injury. Understanding the properties of astrocytic proliferation will be helpful to find out new treatment for functional recovery in the central nervous system. In this study, after cryogenic injury was performed on the cerebral cortex in rats, changes in astrocytes and the extracellular matrix were observed using light microscopy, immunohistochemical stain for glial fibrillary acidic protein(GFAP), proliferating cell nuclear antigen(PCNA), fibronectin, laminin, and type IV collagen, autoradiography and electron microscopy. The results were as follows; 1) The coagulative necrosis, which followed cryogenic injury on the cerebral cortex was healed, forming a new pia mater above the lesion. 2) Some of the PCNA positive cells were astrocytes and some of the GFAP positive cells showed a positive reaction to PCNA. 3) Proliferating astrocytes labelled by autoradiography or immunohistochemical stain for PCNA reached maximal numbers 3days after the injury and they were no longer found 2 weeks after injury. 4) In autoradiography with immunohistochemical stain for GFAP, about 1% of GFAP positive astrocytes were labelled by autoradiography and in double immunohistochemical stain for PCNA and GFAP, about 8-16% of GFAP positive astrocytes were also stained by PCNA. 5) In immunohistochemical stain for fibronectin, laminin and type IV collagen, laminin and type IV collagen were present in the newly formed blood vessel walls and fibronectin showed a diffuse positive reaction within the lesion. The new pia mater was formed within 2 weeks after the injury. 6) On electron microscopic examination, basal lamina material was found in the vessel wall 1 week after the injury and at 2 weeks, a nearly complete and continuous basal lamina was formed although the thickness was uneven. According to these findings, astrocytes in the cerebral cortex of adult rats proliferate very early in the regenerative period after cryogenic injury. At 2 weeks after the injury, this regeneration ceases and the damaged basal lamina of pia mater and vessel wall were reconstituted.
Adult ; Male ; Female ; Humans ; Rats ; Animals

No abstract available.
Pregnancy*

PURPOSE: This study was done to explore the lived experience of pregnancy, childbirth, postpartum and early child rearing in married immigrant women in urban areas. METHODS: Data were collected from February to April, 2011 through in-depth interviews. Nine immigrant women were selected in a metropolitan area through the purposive and snowball sampling method. After obtaining IRB permission and informed consent from the participants, all interviews were recorded with MP3 recorder and transcribed for analysis. Using the phenomenological approach, data collected through in-depth interviewing were analyzed following Colaizzi style. RESULTS: Data analysis revealed 4 categories and 10 themes related to pregnancy, childbirth, postpartum and early child rearing of married immigrant women in urban areas. These four categories were 'A clumsy foreigner's life with nostalgia', 'Crisis in the crisis', 'Unprepared for motherhood', and 'Living together with new family without regrets'. It was a common finding that they were not ready to be mothers because of the very short time for adjustment in Korea. Compared to rural, immigrant women urban women had various in social support systems. CONCLUSION: The results indicate that adequate education is needed for immigrant women regarding motherhood, and that this education should be culturally appropriate for these women.
Child ; Child Rearing ; Emigrants and Immigrants ; Ethics Committees, Research ; Female ; Humans ; Informed Consent ; Korea ; Mothers ; Parturition ; Postpartum Period ; Pregnancy ; Qualitative Research ; Statistics as Topic

PURPOSE: The purpose of this study was to identify health promotion behavior and contraception in married immigrant women. METHOD: Seventy-three immigrant women who were married with Korean men were recruited in October 2008. Data was collected by using questionnaires through a personal interview. The collected data was analyzed by descriptive statistics, Pearson's correlation, t-test, and ANOVA. RESULT: The lowest scoring part among health promotion behaviors was exercise. Stress management, eating habits and personal relationships followed. Health promotion behaviors were influenced by the age at marriage, frequency of going out, and health education experiences. Only 35.6% of subjects used contraception. The popular contraceptive methods were IUD, condom, and coitus interruptus. Most subjects got information about contraception from family and friends. 18.1% of subjects had no source of information. The women's education level had a significant influence on their contraceptive knowledge. CONCLUSION: Programs for exercise and contraception are needed to improve health promotion behaviors in married immigrant women. Nurses are an important part in health promotion. The role of nurses must be expanded in all communities through various intervention programs.
Coitus Interruptus ; Condoms ; Contraception ; Eating ; Emigrants and Immigrants ; Female ; Friends ; Health Education ; Health Promotion ; Humans ; Male ; Marriage ; Surveys and Questionnaires

The radiologic and clinical findings of foreign bodies in the chest of children are well recognized. Foreign bodies in adults are infrequent, however, and the radiologic findings of these unusual circumstances have rarely been described. We classified various thoracic foreign bodies into three types according to their cause: Type I, Aspiration, Type II, Trauma or Accident; Type III, Iatrogenic. This pictorial essay will illustrate the radiologic findings and consequences of thoracic foreign bodies in adults, which have rarely been described in the radiologic literature. The clinical significance of thoracic foreign bodies will be also be discussed.
Accidents ; Adolescent ; Adult ; Aged ; Aspiration ; Esophagus/radiography ; Female ; Foreign Bodies/*etiology/*radiography ; Heart/radiography ; Human ; Iatrogenic Disease ; Male ; Middle Age ; Radiography, Thoracic ; Support, Non-U.S. Gov't ; *Thorax ; Wounds and Injuries/complications ; Wounds, Gunshot/complications

No abstract available.
Hypoxia-Ischemia, Brain*