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Self-Management Knowledge, Self-Management, Physiological Indexes, and Symptoms Experience according to Dialysis Methods.

Jeong Hwa MOON ; Yun Hee SHIN

Journal of Korean Academy of Fundamental Nursing.2018;25(3):220-230. doi:10.7739/jkafn.2018.25.3.220

PURPOSE: This study was a cross-sectional study comparing differences in self-management knowledge, self-management, physiologic indexes, and symptoms experience for two methods of dialysis. METHODS: Participants were 90 patients on hemodialysis and 91 on peritoneal dialysis at A hospital. RESULTS: There was no significant difference between the two groups for knowledge of self-management. A comparison of the categories in the evaluation of self-management showed that patients in the peritoneal dialysis group took better care of their dialysis access route (F=17.61, p < .001) and dialysis schedule (F=4.30, p=.040). The physiologic indexes between the two dialysis groups showed that hemoglobin levels were higher in the hemodialysis group (F=5.28, p=.023). The product of serum calcium and phosphate was higher in the peritoneal dialysis group (F=11.42, p=.001). Serum sodium level was also higher in the peritoneal dialysis group (t=5.36, p < .001) while serum albumin level (t=−3.36, p=.001) and mean arterial blood pressure (t=−2.50, p=.013) were higher in hemodialysis patients. There were no significant differences in the proportion of uncomfortable experiences between the two groups. CONCLUSION: Medical personnel should consider differences in self-management knowledge/self-management, physiologic indexes, and symptoms experience for hemodialysis and peritoneal dialysis populations, and should provide adequate education accordingly and promote behavioral change to improve physiologic indexes and reduce symptoms.
Appointments and Schedules ; Arterial Pressure ; Biomarkers ; Calcium ; Cross-Sectional Studies ; Dialysis* ; Education ; Humans ; Methods* ; Peritoneal Dialysis ; Renal Dialysis ; Self Care* ; Serum Albumin ; Sodium ; Symptom Assessment

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Knowledge and Behavior of Visitors in the Prevention of Respiratory Tract Infections in an Emergency Service, Hospital.

Myeong Ji JO ; Kyoung Ja MOON ; Eunsuk LEE

Journal of Korean Academy of Fundamental Nursing.2018;25(3):210-219. doi:10.7739/jkafn.2018.25.3.210

PURPOSE: The purpose of this study was to investigate the effects of emergency setting visitors' knowledge and behavior patterns in relation to prevention of respiratory tract infections. METHODS: A descriptive survey was used. The participants were visitors to the emergency service in ‘D’ general hospital in ‘D’ city, and the data were collected from July 1 to September 1, 2016. The collected data were analyzed using frequency analysis, t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis. RESULTS: Factors influencing prevention of respiratory tract infections were visitors' education level, methods of dissemination of prevention information, and participants' knowledge with regard to preventive methods. The explanatory power was found to be 35% in the regression model. CONCLUSION: The findings indicate that visitors' education level, knowledge of infection prevention, and the dissemination of information regarding infection prevention by the hospital play an important role in the prevention of respiratory tract infections in emergency services in the hospital. These results highlight the need for a customized education program for prevention of respiratory tract infections in emergency settings. Programs should take into consideration the educational background of visitors, and provide them with appropriate information regarding infection prevention.
Education ; Emergencies* ; Emergency Service, Hospital* ; Hospitals, General ; Respiratory System* ; Respiratory Tract Infections*

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Effects of Auricular Acupressure on Symptoms and Quality of Life of Patients with Allergic Rhinitis.

Hyesuk LEE ; Hyojung PARK

Journal of Korean Academy of Fundamental Nursing.2018;25(3):197-209. doi:10.7739/jkafn.2018.25.3.197

PURPOSE: To examine the effects of auricular acupressure on symptoms of patients with allergic rhinitis and their quality of life. METHODS: A quasi experimental was used with a nonequivalent control group pretest-posttest method involving 56 adult outpatients who were seen in the Allergy & Asthma clinic at a tertiary referral hospital in Seoul, Korea. The experimental group (n=28) received 2 weeks of auricular acupressure to the Shenmen, wind stream, endocrine, adrenal, and lung acupuncture points; no acupressure was provided to the control group (n=28). Outcome measures included Total Nasal Symptom Score used to assess nasal symptoms, and the Rhinoconjunctivitis Quality of Life Questionnaire to assess the quality of life. Repeated measure ANOVA and independent t-test were used to calculate statistical significance. RESULTS: The experimental group showed significant improvements in terms of allergic rhinitis symptoms (p < .001) and on the Rhinoconjunctivitis Quality of Life Questionnaire (p < .001) compared to the control group. CONCLUSION: Finding in this study indicate that auricular acupressure can be used as a nursing intervention to alleviate nasal symptoms and improve rhinoconjuctivitis quality of life in allergic rhinitis patients.
Acupressure* ; Acupuncture Points ; Adult ; Asthma ; Humans ; Hypersensitivity ; Korea ; Lung ; Methods ; Nursing ; Outcome Assessment (Health Care) ; Outpatients ; Quality of Life* ; Rhinitis ; Rhinitis, Allergic* ; Rivers ; Seoul ; Tertiary Care Centers ; Wind

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Experience of Alopecia in Adults: A Grounded Theory Approach.

Su Jung LEE ; Ae Kyung KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(3):185-196. doi:10.7739/jkafn.2018.25.3.185

PURPOSE: The purpose of this study was to investigate the alopecia experience in adults and to explain the process of their experiences. METHODS: Using a grounded theory methodology, 18 interviews were performed with fourteen men and four women, 34~57 years of age, suffering from alopecia. Data were analyzed using the constant comparative analysis method. RESULTS: The core category emerged as "inescapable fetters". adults with alopecia engaged in three stages: embarrassment, seeking solution, and acceptance phase. Causal conditions were a vicious cycle of stress, biological factors and poor life style. Contextual conditions were recognition of irreversibleness, negative social awareness, and marriage. The central phenomenon of the adaptation process among the adults with alopecia was withdrawn life due to negative body image. Action/Interaction strategies included rely on medical treatment, efforts to take good care of hair, research for information treatment, efforts to cover up hair loss, and mind control. Intervening conditions were time cost, economic cost, support of surrounding people. Consequences was burden of unfinished lifetime homework. CONCLUSION: When caring for these adults, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.
Adult* ; Alopecia* ; Body Image ; Female ; Grounded Theory* ; Hair ; Humans ; Life Style ; Male ; Marriage ; Methods ; Qualitative Research ; Stress, Physiological

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Chemotherapy Induced Peripheral Neuropathy, Sleep and Quality of Life among Patients with Gastric Cancer Receiving Chemotherapy.

Hyemi KIM ; Hyojung PARK

Journal of Korean Academy of Fundamental Nursing.2018;25(3):176-184. doi:10.7739/jkafn.2018.25.3.176

PURPOSE: Purpose of this study was to investigate relationships and influence of peripheral neuropathy, sleep, and quality of life in patients with gastric cancer who are receiving chemotherapy. METHODS: Participants were 131 patients with gastric cancer being treated at a chemotherapy outpatient clinic and receiving chemotherapy. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with the SPSS program. RESULTS: Mean score for peripheral neuropathy was 24.66, for sleep, 6.71 and for quality of life, 67.69. Peripheral neuropathy had a significant positive correlation with sleep (r=.26, p=.003) and sleep had a significant negative correlation with quality of life (r=−.50, p < .001). The regression model explaining quality of patients' lives was significant (F=11.91, p < .001), peripheral neuropathy, sleep, and pain due to anticancer drugs and number ofneurotoxic anticancer drugs explained 25.1% of the variance in quality of life and sleep was the most important factor. CONCLUSION: To improve the quality of life for these patients, individualized nursing interventions for pain should be provided according to number of anticancer drugs in the chemotherapy. Also there is a need to identify ways to assess peripheral neuropathy and sleep disorders that are appropriate in the treatment and reduce side effects during treatment.
Ambulatory Care Facilities ; Drug Therapy* ; Humans ; Nursing ; Peripheral Nervous System Diseases* ; Quality of Life* ; Sleep Wake Disorders ; Stomach Neoplasms*

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Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status.

Mi Jeong YUN

Journal of Korean Academy of Fundamental Nursing.2018;25(3):165-175. doi:10.7739/jkafn.2018.25.3.165

PURPOSE: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. METHODS: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. RESULTS: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. CONCLUSION: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.
Busan ; Compliance* ; Humans ; Linear Models ; Liver Cirrhosis* ; Liver* ; Nursing ; Self Care*

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The Influence of Health Belief on Fall Prevention Behavior among Patients Who Experienced Abdominal Surgeries.

Jinyoung KIM ; Chiyoung CHA

Journal of Korean Academy of Fundamental Nursing.2018;25(3):155-164. doi:10.7739/jkafn.2018.25.3.155

PURPOSE: The purpose of this study was to identify the influences of health beliefs on fall prevention behavior among adult patients who had abdominal surgery. METHODS: Data were collected from 136 patients who had undergone an abdominal surgery within the past 5 days. The data collection period was from September 21 to October 25, 2017. The health belief measurement tool, modified and reviewed by experts, and the fall prevention guideline developed by the Korean Nurses Association and revised by Park were used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression analysis. RESULTS: The Health Belief Model explained 45.7% of the variance in fall prevention behavior among adult patients who had abdominal surgery. Perceived susceptibility and perceived benefits had significant influence on fall-prevention behavior. CONCLUSION: Tailored educational programs which put emphasis on the perceived susceptibility and perceived benefits of fall prevention need to be developed.
Accidental Falls ; Adult ; Data Collection ; Humans

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Nurses' Compliance with Safety Guidelines for the Use of Antineoplastic Agents, Observable Symptoms, and Stress from Occupational Exposure.

Seon Ja PARK ; Hyun Ju KIM

Journal of Korean Academy of Fundamental Nursing.2018;25(4):293-300. doi:10.7739/jkafn.2018.25.4.293

PURPOSE: This study was done to identify the relationship between nurses' compliance with safety guidelines for the use of antineoplastic agents, observable symptoms, and stress from occupational exposure. METHODS: The participants were 172 nurses from six general hospitals in a metropolitan area. They had administered antineoplastic agents at least three months prior to the study. Data were collected using self-report questionnaires, and then analyzed using SPSS/WIN 23.0 for descriptive statistics, t-test, one-way ANOVA, Scheffé method, and Pearson correlation coefficient. RESULTS: The average score on the guideline for safety compliance was 87.75 points out of a total of 100. The average score for observable symptoms of exposure to antineoplastic agents was 30.12 (28~56) points, and that for mean stress was 33.52 (15~60) points. Observable symptoms and stress from occupational exposure showed a statistically significant positive correlation (r=0.34, p < .001). CONCLUSION: To increase the degree of compliance with safety guidelines for antineoplastic agents, hospitals should lower the chance of exposure to antineoplastic agents, as well as minimize the observable symptoms and stress from occupational exposure. Periodic education and policy support are needed to improve compliance with safety guidelines for antineoplastic agent use.
Antineoplastic Agents* ; Compliance* ; Education ; Hospitals, General ; Methods ; Occupational Exposure*

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Prevalence and Factors related to Irritable Bowel Syndrome in University Students.

Ji Young SEO ; Jin Hee PARK ; Young Mi JUNG ; Hye Jin LEE

Journal of Korean Academy of Fundamental Nursing.2018;25(4):282-292. doi:10.7739/jkafn.2018.25.4.282

PURPOSE: The purpose of this study was to identify the prevalence of irritable bowel syndrome and factors related to irritable bowel syndrome (IBS) in university students. METHODS: A cross-sectional, descriptive study was conducted using a self-report structured questionnaire with 420 university students. Data collection was done during May and June, 2017. The data were analyzed using descriptive statistics, a t-test, χ² test, and binary logistic regression analysis with IBM SPSS/WIN 22.0 program. RESULTS: The prevalence for IBS was 24% among Korean university students. Family history of IBS (OR=2.98, 95% CI=1.32~6.70), history of stomach and intestinal disease (OR=2.24, 95% CI=1.36~3.77), sleep quality (OR=2.01, 95% CI=1.16~3.48), mild anxiety (OR=2.75, 95% CI= 1.19~6.33) and more than moderate anxiety (OR=2.02, 95% CI=1.02~4.00) were found to be factors related to IBS. CONCLUSION: The prevalence of IBS was high among university students, and sleep quality and anxiety significantly influenced prevalence of IBS in these students. Therefore, interventions to decrease symptom of IBS must focus on management of sleep quality and anxiety.
Anxiety ; Data Collection ; Humans ; Intestinal Diseases ; Irritable Bowel Syndrome* ; Logistic Models ; Prevalence* ; Stomach

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Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals.

Ji Hyun PARK ; Jung Tae SON

Journal of Korean Academy of Fundamental Nursing.2018;25(4):269-281. doi:10.7739/jkafn.2018.25.4.269

PURPOSE: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. METHODS: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. RESULTS: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. CONCLUSION: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.
Accident Prevention ; Accidental Falls ; Health Behavior ; Humans ; Intention ; Nurses* ; Patient Safety ; Safety Management

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