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A Study on Characteristic Factors Related to Low Back Pain and Mental Health of Pregnant Women.

Myoung Ja WANG ; Sang Won LIM ; Sun Hye JUN ; Nam Hyun CHA

Journal of Korean Academy of Community Health Nursing.2009;20(3):381-389.

PURPOSE: The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy. METHODS: The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation. RESULTS: 82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure' (42.3%). There were significant differences in pregnancy level (p < .05) and discomfort condition related to pregnancy (p < .01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p < .001) and BMI in previous pregnancy (p < .001) was significant. The correlation between mental health and age was significant (p < .001). CONCLUSION: The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.
Exercise ; Female ; Humans ; Low Back Pain* ; Mental Health* ; Pregnancy ; Pregnant Women*

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A Survey on the Characteristics of Vulnerable Families in a City.

Kyung Won CHOI ; In Sook LEE

Journal of Korean Academy of Community Health Nursing.2009;20(3):371-380.

PURPOSE: This study aimed at describing the characteristics and nursing needs of vulnerable families in a City. METHODS: A total of 427 vulnerable families enrolled in the Visiting Health Care Center in K-gu of S city were investigated in this study. Data were collected using questionnaires for one year from Jan to Dec, 2003, and analysed using mean, standard deviation and chi2. RESULTS: Most of the vulnerable families investigated here showed many deficits, especially incomplete family structure (62.8%), financial problem (84.0%), lack of support (55.8%) were prevalent. The score of level of economic status in Family Capability for Self management (1.95 +/- 0.65) was lowest, and the score of perception of family problem and health of family members (2.62 +/- 0.78) was highest. The four family groups divided according to the total score of family management capability showed significant differences in family interaction, support, and coping domain. The total score of family management capability increased as family functioning-related problems decreased in the vulnerable families. CONCLUSION: In order to find vulnerable families, and improve their family function, it is required to develop the systematic assesment tools, community supportive systems and nursing interventions for family strength.
Delivery of Health Care ; Equidae ; Humans ; Nursing ; Self Care ; Vulnerable Populations ; Surveys and Questionnaires

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Family Functioning Perceived by Caregiver Who Support the Elderly.

Young KO

Journal of Korean Academy of Community Health Nursing.2009;20(3):361-370.

PURPOSE: This study attempted to identify family functioning recognized by caregiver who support the elderly. METHODS: Data was collected from 264 caregivers who live with elderly using questionnaires. The performance, satisfaction and importance of family functioning was assessed using the modified FFFS by Kang (1987) consisted of three dimension-'Relationship between Individual Family Members', 'Relationship between family and subsystem' and 'Relationship between family and broader social units'. The data was analyzed using SPSS/WIN by descriptive statistics, ANOVA and pearson's correlation. RESULTS: The subjected Families showed a median level of performance (mean 4.06 +/- 0.65) and a high level of satisfaction (mean 1.04 +/- 0.71) in family functioning. Families recognized importance of family functioning above median level (mean 4.65 +/- 0.99). There was statistically significant difference in family functioning according to and duration of illness, illness and ADL of the elderly. In dimension of the relationship between individual family members and relationship between family and subsystem, there are significantly positive correlation among all aspect of family functioning. In relationship between family and social units, there are negative correlations between performance and importance (r = -.215) and between satisfaction and importance (r = -.194) while there are positive relationship between performance and satisfaction. CONCLUSION: Considering the results of this study, family-focused nursing interventions for families with the elderly need to be developed.
Activities of Daily Living ; Aged* ; Caregivers* ; Humans ; Nursing ; Surveys and Questionnaires

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Effects of Lecture on Oral Presentation on Anger Expression, Assertive Behavior, and Self-Esteem in Nursing Students.

Oh Gye KWAG ; Ki Wol SUNG

Journal of Korean Academy of Community Health Nursing.2009;20(3):351-360.

PURPOSE: The purpose of this study was to develop a lecture on oral presentation and to evaluate changes in anger expression, assertive behavior, and self-esteem after lecture on oral presentation. METHODS: The design was a nonequivalent control group pretest-posttest design. The participants were university students in nursing, of which 17 were assigned to the experimental group and 15 to the control group. The education was carried out for 2 hours, once a week for 14 weeks. Data was analyzed with SPSS/WIN 14 program, and included chi-square test, independent t-test, and repeated measure ANOVA. RESULTS: Lecture on oral presentation showed significant differences in the changes of anger expression (F = 10.122, p = .003) and assertive behavior (F = 8.498, p = .007). CONCLUSION: Findings suggest that this lecture on oral presentation was effective in changing students' anger expression and assertive behavior. Therefore this lecture on oral presentation is recommended for inclusion in education for university students in nursing.
Anger* ; Education ; Humans ; Nursing ; Students, Nursing*

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The Relation between Perceived Health Status and Health-Promoting Behaviors in Female College Students.

Young Soon BYEON ; Jiwon OAK

Journal of Korean Academy of Community Health Nursing.2008;19(4):715-723.

PURPOSE: The purpose of this study was to investigate the relation between perceived health status and health-promoting behaviors in female college students. METHOD: Data were collected from December 10 to 31, 2007. In 160 female college students, perceived health status was measured using the Medical Outcomes Short-Form Health Survey (SF-36), and health-promoting behaviors using the Health Promoting Lifestyle Profile (HPLP). RESULT: The major findings of this study were as follows: 1) The mean scores of the level of health promoting behaviors, physical health status, and mental health status were 2.44 (SD=0.39), 51.9 (SD=8.03), and 42.56 (SD=10.77), respectively. 2) Health-promoting behaviors were correlate with physical health status (r=-.361) and mental health status (r=.498). 3) Health-promoting behaviors were significantly associated with allowance and mental health in capability, which explained 28.9% of variance in health-promoting behaviors. CONCLUSION: The results suggest that it is necessary to strengthen female college students' practice of exercise and responsibility for health in order to improve their health promotion behaviors. Also, the results of this study give useful information for designing interventions and program development for female college students' appropriate health promoting life.
Female ; Health Behavior ; Health Promotion ; Health Status ; Health Surveys ; Humans ; Life Style ; Mental Health ; Program Development ; Women's Health

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A Feasibility Study of an Exercise Intervention Based on Self-efficacy Theory among Overweight and Obese College Students in Korea.

Eun Seok CHA ; Yun A SHIN ; Hee Young KIM

Journal of Korean Academy of Community Health Nursing.2008;19(4):704-714.

PURPOSE: This study explored the feasibility of a 12 week self-efficacy based exercise intervention for overweight and obese college students. METHOD: A repeated measure, 4-group randomized controlled design was used. Students were recruited from two universities, in Seoul, Korea using: (1) flyers either on the campus bulletin boards or in campus restrooms; (2) advertisement on campus e-board; and (3) self-referral. Inclusion criteria were: (1) Korean college students aged 18 to 29; (2) BMI >23; (3) viscerally obese; and (4) accessible to a phone and a computer. Participants completed three self-reported questionnaires: socio-demographic questionnaire (at the baseline), Exercise Self-Efficacy Scale (at the baseline and 12th week), and Physical Fitness sub-subscale (at the baseline and 12th week). Additionally, physiological data (height, weight, blood pressure) were collected at the baseline and 12th week. Descriptive statistics and a two-way mixed ANOVA were performed using SPSS12.0. RESULTS: No significant group difference was observed. However, students with increased exercise self-efficacy during the program showed better physical fitness in the 12th week. When students' physical fitness was enhanced, the physiological factors were improved. CONCLUSIONS: Self-efficacy based exercise intervention may be applicable and acceptable to the college students. It is necessary to conduct a replicated study with a larger sample and an elongated intervention period.
Feasibility Studies* ; Humans ; Korea ; Obesity ; Overweight* ; Physical Fitness ; Self Efficacy ; Seoul ; Surveys and Questionnaires

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A Comparative Study on the Effects on Urinary Incontinence between Pelvic Floor Muscle Exercise and Magnetic Stimulation Therapy.

Myung Sook CHO ; Hae Young KANG

Journal of Korean Academy of Community Health Nursing.2008;19(4):696-703.

PURPOSE: To Perform a randomized comparative study investigating the effects of Pelvic Floor Muscle Exercise(PME) and Magnetic Stimulation Therapy(MST) and to identified the problems in each of PME & MST. METHOD: Forty-nine patients with mild stress incontinence were randomly assigned to either of two treatment groups (24 patients in the PME group and 25 in the MST group). The PME group had a video exercising program for 40 times every day during 6 weeks. The MST group was treated with BioCon-2000TM, 2 times/week for six weeks. Pre-test and post-test were performed by Prineometer, 1-hour pad test. and Jackson's BFLUTS questionnaire of Jackson. Collected data were analysed using SAS 9.1 by frequency, Kolmogorov-Smirnov Z. Chi-Square-test, t-test, Fisher Exact probability test, Paired t-test, and Wilcoxon's rank sum test. RESULTS: In comparison between before and after PME and MST, statistically significant difference was observed in maximal vaginal pressure, duration of vaginal contraction, amount of urine, and symptom of urination. In the comparison of the effectiveness between PME & MST, only the maximal of vaginal pressure (Z=2.58, p=.010) was significantly different. CONCLUSION: The factor more effective in the MST group than in the PME group was high compliance.
Compliance ; Humans ; Magnetic Field Therapy* ; Pelvic Floor* ; Urinary Incontinence* ; Urination ; Surveys and Questionnaires

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The Effects of Holistic Education on End-of-Life Care.

Ki Wol SUNG ; Kae Hwa JO

Journal of Korean Academy of Community Health Nursing.2008;19(4):684-695.

PURPOSE: The purpose of this study was to evaluate changes regarding knowledge, attitude and practice toward end-of-life care in nursing university students. METHOD: This study adopted nonequivalent control group pretest-posttest design. The subjects consisted of 35 in the experimental group and 35 in the control group. The education was performed for 2 hours a session, once a week for 16 weeks. Data was analyzed by the SPSS/WIN 14 computer program, and included chi2 test, independent t-test, and repeated measure ANOVA. RESULTS: There were statistically significant differences in knowledge toward end-of-life care between the experimental group and the control group. CONCLUSION: Findings suggested that holistic education on end-of-life care was effective to change students' knowledge toward end-of-life care. Therefore, holistic education is recommended as nursing education for nursing university students.
Education* ; Education, Nursing ; Humans ; Nursing

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A Study for Evaluating the Performance of a Community-based Home Care Services Model.

Se Young KIM ; Sung Ae PARK

Journal of Korean Academy of Community Health Nursing.2008;19(4):673-683.

PURPOSE: This study was aimed to evaluate the performance of a community-based home care services model. METHOD: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. RESULT: A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. CONCLUSION: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.
Ambulatory Care ; Chronic Disease ; Home Care Services* ; Hospitalization ; Humans ; National Health Programs ; Nurses, Community Health ; Nursing ; Nursing Assessment ; Nursing Records ; Nursing Services ; Pressure Ulcer ; Self Report ; Specialization

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An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies.

Chong Rye SONG ; Im Ok KANG ; Yun Ok KIM ; Hea Sook JO ; Moon Sook HWANG

Journal of Korean Academy of Community Health Nursing.2008;19(4):660-672.

PURPOSE: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. METHOD: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. RESULT: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. CONCLUSION: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.
Aged* ; Home Care Agencies ; Home Care Services ; Home Care Services, Hospital-Based* ; Humans ; Insurance ; Insurance, Health ; Insurance, Long-Term Care ; Long-Term Care ; Referral and Consultation ; Surveys and Questionnaires

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