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Journal of Korean Academy of Nursing

1970  to  Present  ISSN: 1598-2874

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Influence of Age, Gender, and Severity on Recovery of Patients with Brain Injury.

Hyun Soo OH ; Wha Sook SEO

Journal of Korean Academy of Nursing.2008;38(6):923-932. doi:10.4040/jkan.2008.38.6.923

PURPOSE: This study was conducted to investigate the individual and cross influences of age, gender, and severity on recovery of patients with brain injury. METHODS: For the purpose of the study, traumatic or spontaneous brain injury patients admitted to the intensive care unit (ICU) were conveniently selected. The data regarding outcomes were collected 3 months after admission. RESULTS: Individual influences of the study variables on patients' recovery were significant, except for gender. But while the individual influence of gender on recovery was not significant, cross influence of gender and age was significant, but only for the sub-dimension of 'arousalbility and awareness'. The study results also showed that 3-way cross influence of gender, age, and severity was only significant on the sub-dimension of 'arousalbility and awareness'. CONCLUSION: The sub-dimension of recovery cross influenced by the demographic factors of gender and age, and severity was 'arousalbility and awareness'. This might indicate that the study variables that cross influencing recovery had more influence on consciousness compared to physical function and psycho-social adaptation.
Adult ; Age Factors ; Aged ; Awareness ; Brain Injuries/*diagnosis ; Demography ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; *Recovery of Function ; Severity of Illness Index ; Sex Factors

Adult ; Age Factors ; Aged ; Awareness ; Brain Injuries/*diagnosis ; Demography ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; *Recovery of Function ; Severity of Illness Index ; Sex Factors

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Effect of a Tooth-brushing Education Program on Oral Health of Preschool Children.

Bok Hee KANG ; Sun Nam PARK ; Kyeong Yae SOHNG ; Jung Soon MOON

Journal of Korean Academy of Nursing.2008;38(6):914-922. doi:10.4040/jkan.2008.38.6.914

PURPOSE: To examine the effect of tooth-brushing education on the oral health of preschoolers. METHODS: A quasi-experimental design with a non-equivalent control group was used. Two kindergartens were selected and 39 preschoolers from one kindergarten were assigned to the experimental group with tooth-brushing education and 39 from the other kindergarten to the control group. The tooth-brushing education program included 1 session on oral health education, individual tooth-brushing instruction for 1 week and supervised tooth-brushing after lunch for 4 weeks. Oral health behavior including use of tooth paste, tooth-brushing time and method of tooth-brushing, plague, streptococcus mutans, lactobacillus and dental caries were measured before and after the education. Fisher's exact test, t-test and paired t-test with the Window SAS 9.1 program were used to analyze the data. RESULTS: A significant increase in the use of tooth paste, tooth-brushing time and the practice of correct tooth-brushing and a decrease in plague and development of dental caries were observed in the experimental group. CONCLUSION: This tooth-brushing education was partially effective in improving oral health of preschoolers.
Child, Preschool ; DMF Index ; Dental Caries/prevention & control ; Dental Plaque/prevention & control ; Female ; *Health Education, Dental ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; *Oral Health ; Oral Hygiene ; Toothbrushing/*utilization

Child, Preschool ; DMF Index ; Dental Caries/prevention & control ; Dental Plaque/prevention & control ; Female ; *Health Education, Dental ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; *Oral Health ; Oral Hygiene ; Toothbrushing/*utilization

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Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain.

Hee Kyoung HYOUNG

Journal of Korean Academy of Nursing.2008;38(6):902-913. doi:10.4040/jkan.2008.38.6.902

PURPOSE: The purpose of this study was to identify effects of a strengthening program for the lower back in older women with chronic low back pain. METHODS: The research design was a nonequivalent control group pretest-posttest experiment. The experimental group consisted of 16 older women and the control group, 14, all of whom had experienced low back pain for at least 3 months. The strengthening program for the lower back included lumbar stabilization exercises and education on pain management in daily living. For an 8 week period, exercises were done 3 days a week and on one day education was also given. RESULTS: Pain and disability scores decreased significantly in the experimental group compared to the control group. Flexibility, life satisfaction and lumbar muscle strength scores increased significantly in the experimental group compared to the control group. CONCLUSION: Low back pain and disability can be relieved, and flexibility, muscle strength, and life satisfaction increased through a program to strengthen the lower back. It is suggested that a program to strengthen the lower back would be an effective nursing intervention for older women with low back pain.
Activities of Daily Living ; Aged ; Chronic Disease ; Exercise Therapy ; Female ; Humans ; Low Back Pain/*therapy ; Middle Aged ; Muscle Strength ; Pain Measurement ; Patient Education as Topic ; Patient Satisfaction ; Range of Motion, Articular

Activities of Daily Living ; Aged ; Chronic Disease ; Exercise Therapy ; Female ; Humans ; Low Back Pain/*therapy ; Middle Aged ; Muscle Strength ; Pain Measurement ; Patient Education as Topic ; Patient Satisfaction ; Range of Motion, Articular

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The Effects of an Environmental Education with Newspaper in Education (NIE) on the Environmental Concern and Practice.

Ki Wol SUNG

Journal of Korean Academy of Nursing.2008;38(6):891-901. doi:10.4040/jkan.2008.38.6.891

PURPOSE: The purpose of this study was to develop an environmental education program using newspaper articles in education (NIE) and to evaluate changes in concern and practice for environmental protection after NIE. METHODS: The design was a nonequivalent control group pretest-posttest design. The participants were university students in nursing, of which 31 were assigned to the experimental group and 43 to the control group. The education was carried out for 2 hr, once a week for 7 weeks. Data were analyzed with SPSS WIN 14 program, and included chi-square test, independent t-test, and repeated measure ANOVA. RESULTS: NIE showed significant differences in the changes of attitude toward environment (F=4.461, p=.036). CONCLUSION: Findings suggest that this NIE in environmental education was effective in changing students' attitudes toward the environment. Therefore this NIE is recommended for inclusion in education for university students in nursing.
Adult ; Attitude ; Data Interpretation, Statistical ; Education, Nursing, Baccalaureate ; *Environmental Pollution ; Humans ; *Newspapers ; Students, Nursing/psychology

Adult ; Attitude ; Data Interpretation, Statistical ; Education, Nursing, Baccalaureate ; *Environmental Pollution ; Humans ; *Newspapers ; Students, Nursing/psychology

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Psychometric Evaluation of the Korean Social Support Questionnaire.

Kasil OH ; Kyong Ok OH ; Sook Ja LEE ; Jeong Ah KIM ; Chu Ja JEONG ; Hye Ryoung KIM ; Hoa Yun JUN ; Jung Hee KANG

Journal of Korean Academy of Nursing.2008;38(6):881-890. doi:10.4040/jkan.2008.38.6.881

PURPOSE: Research related to social support in Korea has been hampered by paucity of measurement tools reflecting Korean culture. The aim of the study was to develop Korean social support questionnaire (KSSQ) based on the Korean social support pyramid and to test psychometric properties of the KSSQ. METHODS: The questionnaire was administered to 701 subjects and 658 college students. Psychometric analyses included factor analyses, expert validity, criterion-related validity, internal consistency, and test-retest reliability. RESULTS: A principal components analysis support for construct validity, eliciting a three factor solution accounting for 65.46% of variance in scores. Concurrent and discriminant validity supported criterion-related validity. Internal consistency of reliability was support with Cronbach's alpha of .97-.98 for the entire scale. Test-retest reliability was .76. CONCLUSION: This initial testing of KSSQ to measure Korean social support demonstrates evidence of reliability and validity. Assessment of known-group validity and norm establishment of KSSQ are suggested to provide further sound psychometric properties and practical measurement tools.
Adolescent ; Adult ; Female ; Humans ; Korea ; Male ; Middle Aged ; *Psychometrics ; *Questionnaires ; *Social Support ; Students/psychology ; Universities ; Young Adult

Adolescent ; Adult ; Female ; Humans ; Korea ; Male ; Middle Aged ; *Psychometrics ; *Questionnaires ; *Social Support ; Students/psychology ; Universities ; Young Adult

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Study on the Changes in Limb Circumferences and Muscle Areas of Critically Ill Patients using Ventilators.

Young Hui HWANG ; Myoung Ae CHOE

Journal of Korean Academy of Nursing.2008;38(6):874-880. doi:10.4040/jkan.2008.38.6.874

PURPOSE: The purpose of this study was to identify muscle atrophy in critically ill patients on ventilators. A comparison was made between limb circumferences and muscle areas on the day of admission to an intensive care unit (ICU) and on the 8th day after admission. METHODS: The data were collected from 30 critically ill patients using ventilators at S hospital ICU in Seoul during the period from October 2005 to April 2006. Limb circumferences and skinfold thickness were measured on the day of admission and on the 8th day after admission to the ICU. Limb circumferences and skinfold thickness were measured on the right mid-arm, right mid-thigh, and right mid-calf using a measuring tape and a skinfold calipers. Limb muscle areas were calculated by an equation after measuring limb circumferences and skinfold thickness. The data were analyzed by paired t-test and independent t-test. RESULTS: 1) Mid-arm circumference, mid-thigh circumference and mid-calf circumference on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 2) Mid-arm muscle area, mid-thigh muscle area and mid-calf muscle area on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 3) Steroid and vecuronium medication didn't affect changes in limb circumferences (mid-arm, mid-thigh, mid-calf) and muscle areas (mid-arm, mid-thigh, mid-calf) on the 8th day after admission to the ICU compared to the day of admission. CONCLUSION: Limb muscle atrophy may occur on the 8th day after admission to the ICU in critically ill patients using ventilator.
Adult ; Aged ; Critical Illness ; Data Interpretation, Statistical ; Extremities/physiology ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Muscle, Skeletal/pathology ; Muscular Atrophy/*diagnosis/etiology/therapy ; Skinfold Thickness ; Steroids/administration & dosage ; *Ventilators, Mechanical

Adult ; Aged ; Critical Illness ; Data Interpretation, Statistical ; Extremities/physiology ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Muscle, Skeletal/pathology ; Muscular Atrophy/*diagnosis/etiology/therapy ; Skinfold Thickness ; Steroids/administration & dosage ; *Ventilators, Mechanical

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Factors explaining Quality of Life in Individuals with Coronary Artery Disease.

In Sook PARK ; Rhayun SONG ; Sukhee AHN ; Hee Young SO ; Hyun Li KIM ; Kyung Ok JOO

Journal of Korean Academy of Nursing.2008;38(6):866-873. doi:10.4040/jkan.2008.38.6.866

PURPOSE: The study was done to compare quality of life by gender, and to identify factors which explain quality of life in individuals with coronary artery disease. METHODS: For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data. RESULTS: Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted R2) of variance in quality of life. CONCLUSION: As the factors explaining quality of life in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.
Aged ; Coronary Artery Disease/*psychology ; Data Interpretation, Statistical ; Diet ; Female ; Health Behavior ; Health Status ; Humans ; Male ; Middle Aged ; *Quality of Life ; Questionnaires ; Risk Factors ; Sex Factors ; Stress, Psychological

Aged ; Coronary Artery Disease/*psychology ; Data Interpretation, Statistical ; Diet ; Female ; Health Behavior ; Health Status ; Humans ; Male ; Middle Aged ; *Quality of Life ; Questionnaires ; Risk Factors ; Sex Factors ; Stress, Psychological

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Task Analysis of the Job Description of Gerontological Nurse Practitioners based on DACUM.

Keum Soon KIM ; Yeon Hwan PARK ; Nan Young LIM

Journal of Korean Academy of Nursing.2008;38(6):853-865. doi:10.4040/jkan.2008.38.6.853

PURPOSE: The aim of this study was to develop and to analyze the task of gerontological nurse practitioners (GNPs) in Korea. METHODS: The definition of GNP and job description was developed based on developing a curriculum (DACUM) by 7 panels who have experienced in DACUM analysis and gerontological nursing. One hundred sixty nurses who were working at long term care facilities were participated. The questionnaire included frequency, importance, and difficulty of duties, tasks, and task elements. The data were collected in November 2006, analyzed by descriptive statistics. RESULTS: The job description of GNPs in Korea revealed 5 duties, 23 tasks, and 86 task elements. On the all five duties, the highest duty in frequency and in importance was professional nursing care (3.25+/-0.35, 3.49+/-0.29). But the highest duty in difficulty was research (3.24+/-0.46). 'Prevent health problem (3.42+/-0.43, 3.56+/-0.33)', 'Teach other staffs (2.83+/-0.77, 3.39+/-0.43)', 'Develop the evidence-based standards (2.43+/-0.76, 3.22+/-0.43)', 'Develop the self (2.81+/-0.65, 3.26+/-0.42)', and 'Participate the team activities' were the highest score in frequency and in criticality of tasks. 'Provide emotional support to older adults and families (3.16+/-0.41)', 'Counsel older adults and their families (3.14+/-0.49)', 'Do clinical research (3.32+/-0.49)', 'Quality insurance (3.25+/-0.49)', and 'Build collaborative system (3.18+/-0.47)' were perceived the most difficult tasks. CONCLUSION: The political efforts for the legislation of role and task of GNPs were needed.
Adult ; Attitude of Health Personnel ; Female ; Geriatric Nursing/*organization & administration ; Humans ; *Job Description ; Nurse's Role ; Nurse-Patient Relations ; Nursing Staff/psychology ; Questionnaires ; *Task Performance and Analysis

Adult ; Attitude of Health Personnel ; Female ; Geriatric Nursing/*organization & administration ; Humans ; *Job Description ; Nurse's Role ; Nurse-Patient Relations ; Nursing Staff/psychology ; Questionnaires ; *Task Performance and Analysis

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Task Analysis of Korean Transplantation Nurse Practitioner.

Soo Ja BYUN ; Hee Kyung KIM ; Ae Ri KIM ; Hee Sun HA ; Kyung Ok JOEN

Journal of Korean Academy of Nursing.2003;33(2):179-188. doi:10.4040/jkan.2003.33.2.179

PURPOSE: This study was designed to create the job description of Korean transplantation nurse practitioner and examine performance frequencies, criticality, and difficulties of task elements. METHOD: The sample consisted of 63 nurses and coordinators who performed duties related to transplantation at medical center in Korea. A survey method was used, and the questionnaire included frequencies, criticality, and difficulties of task elements in job description by the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviations were conducted to examine the subject's general characteristics, the frequencies, criticality, and difficulties of task performance. RESULT: The job description of transplantation nurse practitioners revealed 5 duties, 22 tasks, and 85 task elements. On the all five duties, the averages of the performance frequency, criticality, and difficulty were 2.41, 3.38, and 2.78, meaning that the respondents rarely perform the 5 duties, but consider them critical and easy to perform. CONCLUSION: The job description of the transplantation nurse practitioner included duty, task, and task element and definition of job completed. Thus we recommended a data based trial to confirm and validate the information gathered.

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Effect of Vitamin C Supplementation on Blood Sugar and Antioxidative Status in Types II Diabetes Mellitus Patients.

Hyoung Sook PARK ; Yun Mi LEE

Journal of Korean Academy of Nursing.2003;33(2):170-178. doi:10.4040/jkan.2003.33.2.170

PURPOSE: This study was to determine the effect of oral vitamin C supplements on blood sugar and antioxidative status in Types II diabetes mellitus patients. METHOD: Data for the study were collected from June 24 to August 31, 2001. Participants(31) took 1g/day vitamin C for 4 weeks, after a 1 - week taking no Vitamin C, followed by Vitamin C 3g/day for 4 weeks. A baseline blood sample was obtained following a 12hour overnight fast and at the end of each 4week Vitamin C administration. Blood samples were taken for plasma vitamin C concentration, fasting blood sugar, HbA1c, superoxide scavenging activity and hydrogen peroxide scavenging activity. The data were analyzed by SPSS for repeated measures ANOVA. RESULT: Plasma vitamin C concentration was significantly increased over dose(F=3.316, p=.043). Fasting blood sugar and HbA1c was significantly decreased over dose(F=13.192, p=.000; F=11.995, p=.000). Superoxide scavenging activity and hydrogen peroxide scavenging activity was significantly increased over dose(F=486.138, p=.000; F=177.704, p= .000). CONCLUSION: The results suggest that megadose vitamin C supplementation may have a beneficial effect in diabetes mellitus patients on both glycemic control and antioxidant status. Thus dietary measures to increase plasma vitamin C may be an important health strategy for reducing the compliance of diabetic patients.

Country

Republic of Korea

Publisher

Korean Society of Nursing Science

ElectronicLinks

https://www.jkan.or.kr

Editor-in-chief

E-mail

kaneditor@kan.or.kr

Abbreviation

J Korean Acad Nurs

Vernacular Journal Title

간호학회지

ISSN

1598-2874

EISSN

2093-758X

Year Approved

2007

Current Indexing Status

Currently Indexed

Start Year

1970

Description

The Journal of Korean Academy of Nursing (JKAN) is the official peer-reviewed research journal of the Korean Society of Nursing Science (KSNS) and a scientific journal that seeks to promote the development and dissemination of knowledge that is directly relevant to all spheres of nursing practice, policy, and professional issues. The JKAN provides a forum for original research and scholarship in the areas of clinical scholarship, health policy and systems, profession and society and world health. The JKAN aims to support evidence informed policy and practice by publishing high quality research papers to report research findings, reviews and discussion papers, editorials which are of interest to an international readership of practitioners, educators, administrators and researchers in all areas of nursing, and letters to the editor.

Current Title

Journal of Korean Academy of Nursing

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