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Development of Comprehensive Nursing Intervention for the Client with Lymphedema.

Myoung Ok CHO ; Hyang Mi JUNG ; Jum Yee JUN ; Sue Kyung SOHN ; Young Ja YOO ; Mi Young NO ; Soon Ok PARK

Journal of Korean Academy of Adult Nursing.2003;15(2):316-326.

PURPOSE: The purpose of this study was the development of a comprehensive nursing intervention program for the client with acute lymph stasis and stage I lymphedema. METHOD: The Quasi-experimental design using a non-equivalent control group was used. The subjects were 22 stroke patients with lymph stasis in the control group and 23 patients in the experimental group. The complex physical therapy of Casley-Smith was carried out to the control group for 10 hours, and comprehensive nursing intervention for the experimental group was carried out for 60 minutes. The data for this study was gathered from Feb. 2002 until June 2002 and pertains knowledge about lymphedema, self-care for managing lymphedema, and circumferences of affected limbs. Data was analyzed by mean, standard deviation, x2-test, and t-test. RESULT: The changes in knowledge about lymphedema, self-care practices, and circumference of affected limbs after nursing intervention did not show significant differences between control group and experiment group. CONCLUSION: It can be concluded that comprehensive nursing intervention had more efficiency than complex physical therapy in the treatment of edema for stroke patients because of it's simplicity and time saving. Thereby, the comprehensive nursing intervention program developed in this study would be a useful therapy for the clients with lymph stasis and early stage lymphedema.
Edema ; Extremities ; Humans ; Lymphedema* ; Nursing* ; Self Care ; Stroke

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A Study of Laboratory Facilities, Equipment and Expenses for Practice in a Four-year Nursing Schools.

Kyung Rim SHIN ; Kyung Sook PARK ; Yang Heui AHN ; Seung Kyo CHAUNG ; Yeon Ok SUH

Journal of Korean Academy of Adult Nursing.2003;15(2):305-315.

PURPOSE: To describe the status of the laboratory facilities, equipment and expenses for practice in a four-year nursing schools and to analyze mandatory requirements for laboratory facilities and equipment. METHOD: A descriptive survey research design was used. The participants were 49 of the 4-year nursing schools across the nation. The data were collected by e-mail. The return rate for questionnaires was 63.3% (n=31). RESULT: In 2001 the total expenses for laboratory practice were 21,865,230 won and the average per student was 102,418 won. Types of laboratories included single and complex. The mean size for laboratories was 318.7 m2 and mean size for laboratories for fundamental nursing was 161.1 m2. The range for number of students in a laboratory class was 20-30 for eight universities (30.8%). Among required laboratory equipment, items that were deficient in 50% in the universities were mercury and aneroid sphygmomanometers for children, electronic sphygmomanometers, Bell type fetal stetho- scopes, sheepskin, beds for children, for gynecology, and electronic hilo beds. Among the elective equipment, items that were deficient in 50% of the universities were O2 tents, Blackmore tubes, retractors, hot-water supply, and incentive spirometers. The number of items that needed to add to the equipment were 10 for required equipment and 22 for elective equipment. CONCLUSION: A standardized mandatory list of equipment for laboratory facilities and expenses for practice in 4-year nursing schools needs to be developed.
Child ; Electronic Mail ; Gynecology ; Humans ; Motivation ; Nursing* ; Research Design ; Schools, Nursing* ; Sphygmomanometers ; Surveys and Questionnaires

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A Study on Adult Women's Sleep Disorder and Depression.

Jeong Sun KIM

Journal of Korean Academy of Adult Nursing.2003;15(2):296-304.

PURPOSE: This study is to study sleep disorder, sleep pattern, and depression in adult women, and to offer basic data for a program of the improvement of women's health and nursing intervention. METHOD: A structured questionnaire was carried out from September 1, 2001 to October 30, 2001 on the subject of 441 females, who are above 18 years old and lived in Seoul. This research tool measured insomnia with APA's insomnia scale(1994), sleep pattern and sleep disorder factors scale(Shin et al(1999)'s), and depression with Radloff's CES-D scale (1977). The data were analyzed with a SPSS program for descriptive statistics, x2-test, and t-test. RESULT: The result were as follows; 1) 35.1% of all participants have insomnia. 2) Sleep disorder group appeared shorter(50.98+/-29.41min.) than normal group(73.03+/-38.7min.) in daytime sleepiness(p=0.001). 3) Factors of sleep disorder were stress(76.6%), worry(55.6%), without reason(39.6%), and noise outside(37.4%). 4) In relation between sleep disorder and depression, group with sleep disorder(20.20+/-11.06) marked higher depression score than normal group(14.25+/-8.81)(p<0.0001). CONCLUSION: Based upon these finding, sleep disorder in adult women was influenced by psychological factors, group with sleep disorder showed a higher depression score than normal group, and which indicated correlation with sleep disorder and depression. This study shows that nursing intervention on women's sleep disorder and depression is needed and further research be done to verify the results.
Adolescent ; Adult* ; Depression* ; Female ; Humans ; Noise ; Nursing ; Psychology ; Seoul ; Sleep Initiation and Maintenance Disorders ; Women's Health ; Surveys and Questionnaires

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A Study on the Projection of Critical Care Advanced Practical Nurses(APNs).

Sung Rae SHIN ; Eun Jin SON

Journal of Korean Academy of Adult Nursing.2003;15(2):287-295.

PURPOSE: This descriptive study was conducted to project the number of critical care APNs needed in critical care units in an acute care hospital setting, up to the year 2020. METHOD: Necessary data and information were collected from various funded reports, professional literature, web-sites and personal visits to national and private institutions. The demand of critical care APNs were projected based on two critical care APNs per critical care units. RESULT: The projected number of critical APNs for the critical care units in acute care hospital settings as follows: 1) The total projected number of critical care APNs needed for critical care units were 1,270 in 2001. 2) By the year 2020, total number of projected critical care APNs needed in critical care units will be 1,080-1,700. CONCLUSION: In order to match the supply to the need, the professional organization should direct their efforts toward enacting legislation. Educational systems should identify strategies in initiation of critical care APN programs in masters level as well as standardizing curriculums across the programs.
Critical Care* ; Curriculum ; Financial Management ; Humans ; Nurse Clinicians ; Nurse Practitioners ; Societies

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A Study on Body Image, Self-esteem and Self-efficacy of Female Students in College.

Hye Kyung OH

Journal of Korean Academy of Adult Nursing.2003;15(2):278-286.

PURPOSE: This study was designed to analyze the correlation on body image, self-esteem and self-efficacy of Female Students in College. METHOD: The research population included convenience sample of 696 subjects composed of Female Students in College. Data collection was done from July, 2002 to October, 2002 using a written inquiry. The data were analyzed by using t-test, ANOVA and Pearson correlation coefficient. RESULT: The results of this study were as follows: 1. The relationship among body image, self-esteem and self-efficacy were found to have statistically significant positive correlations. 2. The difference of body image, self-esteem and self-efficacy according to the characteristics in subjects were found to have statistically significancy of grade, age, personality and degree of adaptation. The difference of body image according to the monthly income of the family was found to be statistically significant. CONCLUSION: There is a significant correlation between grade, age, personality, and monthly income. Further study needs to be done to validate this study and develop degrees of adaptation to improve body image, self-esteem and self-efficacy.
Body Image* ; Data Collection ; Female* ; Humans

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The Relationship of Risk Assessment Using Braden Scale and Development of Pressure Sore in Neurologic Intensive Care Unit.

Jong Kyung LEE

Journal of Korean Academy of Adult Nursing.2003;15(2):267-277.

PURPOSE: The purpose of this study was to evaluate the applicability of braden scale to assess pressure ulcer risk patients and to identify additional risk factors of pressure sores in an neurologic intensive care unit. METHOD: The subjects of this study were 66 patients in neurologic intensive care units. Data was prospectively collected from Sep. to Dec., 2002. Data were analyzed by mean, percentage, t-test, chi-square, discriminant analysis using Spss pc+. RESULT: The results of this study were as follows: 1) There was a significant difference between scoring of braden scale and pressure ulcer development. The subscales that predicted pressure ulcer development using braden scale only were sensory perception, moisture, mobility, friction and shear. By using these subscales, sensitivity was 86.7%, and specificity was 61.1%, and total hit ratio was 72.7%. 2) Additional pressure ulcer risk factors which showed significance for discriminating two group were protein, albumin, gender, level of consciousness, pattern of bowel elimination. By using the combination of these additional risk factors in addition to the braden scale, total hit ratio increased to 84.8%. CONCLUSION: This data suggest that albumin, protein, gender, level of consciousness, pattern of bowel elimination in addition to the braden scale should be included in the pressure sore assessment tool.
Consciousness ; Friction ; Humans ; Intensive Care Units* ; Critical Care* ; Pressure Ulcer* ; Prospective Studies ; Risk Assessment* ; Risk Factors ; Sensitivity and Specificity ; Surveys and Questionnaires

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The Experience of Decision Making to Donate Organs.

Young Mi KWON ; Eun Ja YEUN

Journal of Korean Academy of Adult Nursing.2003;15(2):256-266.

PURPOSE: The aim of this study was to identify the process of experience toward decision making to donate organs. METHOD: Eleven subjects who registered at the Association for Organ Sharing in Korea were recruited. Using in-depth interviews and tape-recordings, data was collected from Jun. 2001 to Feb. 2002 and the contents of these were analyzed by Glaser's grounded theory analysis method. RESULT: Basic Social- Psychological Problem(BSPP) of subjects were 'attachment to body' and the core theme, that is Basic Socialization Progress(BSP) were discovered to 'find out what is the meaning of life'. Also it consisted of four steps: 1st 'hesitate', 2nd 'look into self', 3rd 'realize the tie up to self' and last 're-find the meaning of life'. CONCLUSION: These findings indicate the Korean's Basic Socialization Progress of decision making regarding organ donation, so possible development of promoting decision making is necessary strategies for people who is having his/her potential of organ donation in mind.
Decision Making* ; Korea ; Socialization ; Tissue and Organ Procurement

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The Effect of Music Therapy on Reduction of Anxiety before Gastroscopy.

Kyung Sook PARK ; Muyng Joo NA

Journal of Korean Academy of Adult Nursing.2003;15(2):247-255.

PURPOSE: This study examined the effect of music therapy on the pre-exam anxiety of gastroscopy clients. METHOD: The research period is from June 17 2002 to August 30 2002, and the subjects were 60 individuals, 30 for the experimental and 30 for the control group among adult clients. The data were analyzed by using the SPSS program. RESULT: The results of this study were as follows: The score of the experimental group was lower than the score of the control group for the situational anxiety (t=-12.56, p=0.000) and systolic blood pressure (t=-3.97, p=0.000) before the examination was supported. The vital sign was partially supported. There was no significant difference(t=-1.05, p=0.297) in the diastolic blood pressure (t=-1.05, p=0.297) and pulse rate(t=-1.30, p=0.199) before the examination of the experimental group and lower than the score of the control group. CONCLUSION: Music therapy could be useful in the nursing practice, and be utilized as a way of nursing intervention to reduce anxiety of the patients in specific clinical situations. Finally, it is recommended that further studies be conducted on this therapy by utilizing different musical selections.
Adult ; Anxiety* ; Blood Pressure ; Gastroscopy* ; Humans ; Music Therapy* ; Music* ; Nursing ; Vital Signs

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The Process of Change, Decision Making, Self-efficacy and Perception of Subjective Health by the Stage of Exercise Behavior among Older Adults.

Young Suk CHO ; Hae Jung LEE

Journal of Korean Academy of Adult Nursing.2003;15(2):236-246.

PURPOSE: The purpose of this study was to examine the differences of the process of change, decision making, self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical models among older adults. METHOD: The subjects consisted of 291 older adults. Trained research assistants interviewed the older adults using structured questionnaires. ANOVA analyses with post hoc test were used to examine the mean differences for each stage of exercise behavior using SPSS for windows. RESULT: The subjects were divided into five stages of exercise behavior: 24.4% pre-contemplation, 12.4% contemplation, 17.9% preparation, 12.4% action, 33.0% maintenance stage. There were significant differences in process of change, decision making, self-efficacy and subjective health perception according to the exercise stage of change. 'Self-liberation' and 'stimulus control' were important strategies for intention of exercise, while 'reinforcing management' for the actual practice of exercise. 'Self-efficacy' was an effective strategy to change older adults from pre-contemplation to preparation stage. CONCLUSION: For exercise intervention, older adults should be classified into groups according to their stages of exercise behaviors and provided effective individualized intervention depending on their stage.
Adult* ; Aged ; Decision Making* ; Humans ; Intention ; Surveys and Questionnaires

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The Analysis of Research Trend about Complementary and Alternative Therapy(CAT) in nursing of Korea.

Nan Young YANG ; Kyoung Rim SHIN

Journal of Korean Academy of Adult Nursing.2003;15(2):226-235.

PURPOSE: This study is to analyze the research trends centering on the theses related to CAT released in nursing of Korea. METHOD: The researcher collected the academic degrees and theses published on the book of the academic society from 1980 to 2001, and examined 88 domestic dissertations on nursing science of the CAT. RESULT: 1) By department, the results were: the nursing thesis 88(43.3%), medical field 45(22.1%), psychology-counseling education 28(14%). 2) In the type of the CAT in nursing, the results were: acupressure 28(31.5%), Dan-Jeon Breathing 14(15.7%), aroma therapy 5(5.6%) in order. 3) The number of theses increased every year after 1997. 4) As for the type of study design, the results were: the experimental research had the most(47), and the survey research(30). 5) As for the subject, the results were: patients with disease(44), healthy adults(29), literature(9) and medical staff were only 6 theses. 6) In the theme of the theses, the results were: the effect of therapy(76), the experience of therapy(26), adaptation of nursing of therapy(11) and literature review were 7. CONCLUSION: More research needs to be encouraged in the unsatisfactory fields. Researches should be conducted to extend into the practical fields as Korean nursing mediation, project for the establishment of health policies should be conducted.
Acupressure ; Animals ; Aromatherapy ; Cats ; Education ; Health Policy ; Humans ; Korea* ; Medical Staff ; Negotiating ; Nursing* ; Respiration

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