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Current Immunization Status and Factors Affecting the Influenza Vaccination in Kidney Transplant Patients.

Han Kyung CHO ; Jae Sim JEONG ; Seongmi MOON ; Mi Na KIM

Journal of Korean Biological Nursing Science.2016;18(2):118-125. doi:10.7586/jkbns.2016.18.2.118

PURPOSE: The present study examines the current influenza immunization rate among kidney transplant patients in an effort to identify the factors influencing their decisions pertaining to the immunization. METHODS: Participants in the study included 150 adults over the age of 64 years who visited a General Surgery Department in Korea on April 2015, who had had a kidney transplant at least two years prior to the visit. We compared the characteristics of transplant patients who were immunized against those of the patients who had not been immunized. RESULTS: The average age of the participants was 48.5±9.6 years, consisting of 87 males (58.0%) and 63 females (42.0%). The average post-surgery period was 91.0±59.0 months. Between September and December 2014, the immunization rate among these participants was 61.3%. Factors which influenced the participant's decision to get immunized in 2014 and drove up the immunization rate were: previous immunization in 2013 (OR=24.57, CI= 8.79-68.70, p<.001), marital status (OR=3.33, CI 1.05-10.56, p=.041), and awareness (OR=1.58, CI=0.99-2.52, p=.056). CONCLUSION: The current study found that the previous year's immunization record, marital status, and awareness increased the rate of immunization among the participants.
Adult ; Female ; Humans ; Immunization* ; Influenza, Human* ; Kidney* ; Korea ; Male ; Marital Status ; Vaccination*

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Comparison of the Incidence Rate of Influenza-like Illness between an Influenza-Vaccinated Group and Unvaccinated Group.

So Yeon YOO ; Og Son KIM

Journal of Korean Biological Nursing Science.2016;18(2):110-117. doi:10.7586/jkbns.2016.18.2.110

PURPOSE: This study was conducted to compare the incidence rate of influenza-like illnesses between an influenza-vaccinated group and a non-vaccinated group of adults. METHODS: From July 1, 2015 to July 30, 2015, self-reporting questionnaires were given to 300 adults living in the Seoul and Gyeonggi-do, Korea. 265 survey questionnaires that had an earnest response were used for data analysis. The collected data were analyzed using the statistical software SPSS Win 18.0 version. RESULTS: 52.1% of the participants were vaccinated. The incidence rate of influenza-like illnesses was 11.3%. Within the influenza-vaccinated group, 12.3% experienced an influenza-like illness. On the other hand, in the non-vaccinated group, 10.2% experienced an influenza-like illness. There was no statistically significant difference in the incidence of influenza-like illness depending on vaccination status. CONCLUSION: During the influenza season from Fall 2014 to Spring 2015, there was no significant difference on the prevalence of influenza-like illness between the study participants whether they were vaccinated or not. Thus, future studies should confirm and closely examine this fact, whether it was a matter of pandemic strain selection or whether there were differences in the effects of adult influenza vaccination as reported in previous studies.
Adult ; Gyeonggi-do ; Hand ; Humans ; Incidence* ; Influenza, Human ; Korea ; Pandemics ; Prevalence ; Seasons ; Seoul ; Statistics as Topic ; Vaccination

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Sports injuries and the changes in physical activity, perceived health state and exercise self-efficacy according to the sports injuries of the elderly who participate in physical activities.

Kyung Hee SEO ; Young EUN ; Mi Yang JEON

Journal of Korean Biological Nursing Science.2016;18(2):102-109. doi:10.7586/jkbns.2016.18.2.102

PURPOSE: The purpose of this study was to describe sports injuries among elderly people and to compare physical activity, perceived health status and exercise self-efficacy between elderly people who had experienced a sports injury and elderly people who hadn't. METHODS: The sample of this study were 100 elderly in Korea, 51 of whom had had a sports injury. The study used questionnaires to gather data. There were 8 demographic factors, 4 factors related to physical activity, perceived health status and exercise self-efficacy of the subjects. Data were analyzed by frequencies, chi-square test, and t-test. RESULTS: Among the sports injured elders, one occurrence of a sport injury was 86.3%. There were more outdoor than indoor sports injuries of elders (66.7%), and sports injuries of elders occurred more in the winter (82.7%). The major cause of the sports injuries was loss of balance. Ankles were frequently damaged from these injuries. The most significant change after the sports injury was reduction of physical activity (60.8%). There were significant differences between sports injured elderly and non-injured elderly for age (χ2=2.58, p=.011) and the amount of physical activity (t=1.96, p=.050), but there was no significant difference in perceived health status and exercise self-efficacy. CONCLUSION: To prevent sports injuries in the elderly means to maintain a medium level of physical activity and to improve their balance.
Aged* ; Ankle ; Athletic Injuries* ; Demography ; Humans ; Korea ; Motor Activity* ; Sports*

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Weight Changes according to the Period of Chemotherapy Treatments for Breast Cancer.

Yun Hee PARK ; Kyung Hee YOO

Journal of Korean Biological Nursing Science.2016;18(2):94-101. doi:10.7586/jkbns.2016.18.2.94

PURPOSE: This study aimed to evaluate weight changes in women during the period of TAC (docetaxel-doxorubicin-cyclophosphamide) chemotherapy after breast surgery and the differences in weight changes by disease characteristics among Korean women with breast cancer. METHODS: The design of this study was retrospective survey research. The subjects of this study were 130 patients with fully completed TAC chemotherapy between January 2012 and April 2015. Body weight before their operation, and at 3 weeks, 6 weeks, 9 weeks, 12 weeks, 15 weeks, and 18 weeks after surgery, as well as general and disease characteristics, were reviewed via their medical charts. RESULTS: The mean age of the patients was 51.2 years. The preoperative (baseline) mean weight was 59.4±8.44. Significant weight losses were observed in the initial (1st 3 week) period of TAC chemotherapy compared to the baseline and significant weight losses were observed with the exception of the period 6 weeks after breast surgery. There were significant differences in mean weight changes according to the stage of breast cancer, radiotherapy, and hormone therapy among disease characteristics. CONCLUSION: It is necessary to study weight changes after breast surgery for the long periods of TAC chemotherapy. Through the accumulated results of studies, nursing programs for breast cancer patients must be developed for the prevention of weight gain in the periods of TAC chemotherapy.
Body Weight ; Breast Neoplasms* ; Breast* ; Drug Therapy* ; Female ; Humans ; Nursing ; Radiotherapy ; Retrospective Studies ; Weight Gain ; Weight Loss

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The Relationships between Body Mass Index, Nutrition Knowledge and the Health Promotion Behavior of Nursing Students.

Su Ol KIM

Journal of Korean Biological Nursing Science.2016;18(2):87-93. doi:10.7586/jkbns.2016.18.2.87

PURPOSE: This study was done to identify the relationships between body mass index, nutritional knowledge and the health promotion behavior of nursing students. METHODS: Participants consisted of the entire 330 members of the student body of a Korean nursing college. Variables included body mass index, nutritional knowledge and health promotion behavior as well as demographic variables. Data was analyzed by frequencies, ANOVA and Pearson's correlation with the SPSS/Win 21.0 program. RESULTS: The mean score for body mass index was 20.23 kg/m2 for nutritional knowledge, 14.27±3.07 on a total 20-point scale, and for health promotion behavior, 3.03±0.34 on a 4-point scale. Nutrition knowledge positively correlated with health promotion behavior (r=.368,p<.001). Health promotion behavior positively correlated with underweightness (r=.120, p=.005), normal weight (r=.212, p<.001), negatively correlated to overweightness (r=-.351, p<.001), and obesity (r=-.413, p<.001). Nutrition knowledge positively correlated to underweightness (r=.155, p=.005), and normal weight (r=.346, P<.001), negatively correlated to overweightness (r=-.548, p<.001), and obesity (r=-.342, p<.001). CONCLUSION: In order to enhance the effective health promotion behavior of nursing students, it is important to actively intervene to improve body weight control behavior and nutritional knowledge. Therefore, developing an educational program for improving nutritional knowledge and body weight control behavior of nursing students is recommended.
Body Mass Index* ; Body Weight ; Health Promotion* ; Humans ; Nursing* ; Obesity ; Overweight ; Students, Nursing* ; Thinness

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The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers.

Jung Yoon KIM ; Eui Young CHEON

Journal of Korean Biological Nursing Science.2016;18(2):78-86. doi:10.7586/jkbns.2016.18.2.78

PURPOSE: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. METHODS: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. RESULTS: There were significant differences in self-care behavior and wound related pain. CONCLUSION: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.
Amputation ; Counseling ; Diabetes Mellitus ; Diabetic Foot* ; Humans ; Lower Extremity ; Non-Randomized Controlled Trials as Topic ; Self Care* ; Self Efficacy ; Ulcer* ; Wounds and Injuries

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The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients.

Ji Yeon KIM ; Yeon Kyung NA ; Hae Sook HONG

Journal of Korean Biological Nursing Science.2016;18(2):69-77. doi:10.7586/jkbns.2016.18.2.69

PURPOSE: This study aimed to investigate the effects of a secondary stroke prevention education program on the health risk indicators and self-care compliance of stroke patients. METHODS: A non-equivalent control group pretest-posttest design was used to select the participants. Subjects were 54 stroke patients (27 in the experimental group and 27 in the control group) hospitalized in a K university hospital in D city, Korea. Health risk indicators and self-care compliance were measured both for a baseline, as well as after intervention. The data was analyzed using a chi-square test, paired t-test and ANCOVA. RESULTS: There were significant differences in systolic blood pressure, diastolic blood pressure, fasting blood sugar, weight and self-care compliance. CONCLUSION: The results of the study indicate that an educational secondary stroke prevention program is effective for health risk indicators and self-care compliance of patients. Therefore it can be used as an effective nursing intervention in clinical practice.
Blood Glucose ; Blood Pressure ; Compliance* ; Education ; Fasting ; Humans ; Korea ; Nursing ; Secondary Prevention ; Self Care* ; Stroke*

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Factors affecting the Pregnancy Rate of Intra-Uterine Inseminations in Unexplained Infertile Couples in Korea: Focusing on Treatment Type for Inducing Ovulation.

In Sun JANG ; Na Mi HWANG ; Seungmi PARK

Journal of Korean Biological Nursing Science.2015;17(2):211-217. doi:10.7586/jkbns.2015.17.2.211

PURPOSE: The purpose of this study is to identify factors influencing the pregnancy rate among unexplained infertile couples who received treatments of assisted reproductive technology (ART) and intra-uterine inseminations (IUI). METHODS: The medical records of 24,201 cases of unexplained infertility among a total of 31,684 intrauterine insemination treatment cases, (which benefited by 'National Medical-aid Program for ART in 2011') were used for this analysis. RESULTS: Woman's age (OR=0.94), frequency of IUI (OR=0.86), and treatment type (OR=1.54) were significant factors on pregnancy rates in the logistic regression analysis. CONCLUSION: Factors, such as the age of the infertile woman, frequency of IUI, and treatment type used to induce ovulation were shown to positively influence pregnancy rate. However, the age of the spouse was not a significant variable. Infertile couples having unprotected sexual intercourse with unexplained infertility had priority. The results demonstrated that about 70% of infertile Korean couples had unexplained infertility. This was a higher rate of unexplained infertility than that of the clinical standard. Therefore, we should assess for causes through future studies. In addition, affective or emotional factors influencing unexplained infertility need to be researched further.
Coitus ; Family Characteristics* ; Female ; Humans ; Infertility ; Insemination* ; Insemination, Artificial ; Korea* ; Logistic Models ; Medical Records ; Ovulation* ; Pregnancy Rate* ; Pregnancy* ; Reproductive Techniques, Assisted ; Spouses

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Development of Syllabuses for Biological Nursing Science Subjects based on Learning Outcomes: Structure and Function of Human Body, Pathogenic Microbiology, Pathophysiology, and Mechanisms and Effects of Drugs.

Hyunju PARK ; Yun Kyung KIM ; Joo Hyun KIM ; Jae Sim JEONG ; Smi CHOI-KWON ; Hae Sook HONG

Journal of Korean Biological Nursing Science.2015;17(2):188-210. doi:10.7586/jkbns.2015.17.2.188

PURPOSE: The purpose of this study was to develop syllabuses of basic nursing science subjects (Structure and Function of Human Body, Pathogenic Microbiology, Pathophysiology, and Mechanisms and Effects of Drug) based on learning outcomes. METHODS: We developed a 3-phase plan to develop the syllabuses. In the first phase, The Korean Society of Biological Nursing Science (KSBNS) held a workshop in May, 2013 in which professors who are in charge of basic nursing science subjects shared opinions about learning outcomes. As a result, initial prototype syllabuses came out. In the second phase, revised syllabuses based on learning outcomes were presented and discussed in the conference held by KSBNS in November, 2013. In the last phase, a research team who taught basic nursing science subjects finalized the syllabuses during the meetings. RESULTS: Syllabuses of 4 basic nursing science subjects were developed. CONCLUSION: These syllabuses of 4 subjects need to be disseminated throughout nursing colleges. Further revision needs to be made according to the circumstances and context of each school.
Education ; Human Body* ; Humans* ; Learning* ; Nursing*

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Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients.

Myung Sook KIL ; Mi Hwa LEE ; Yong Mi LEE

Journal of Korean Biological Nursing Science.2015;17(2):179-187. doi:10.7586/jkbns.2015.17.2.179

PURPOSE: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. METHODS: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. RESULTS: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). CONCLUSION: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).
Anxiety ; Burns* ; Depression ; Fatigue ; Heart Rate* ; Heart* ; Humans ; Mental Health* ; Nursing ; Recreation Therapy* ; Recreation* ; Rehabilitation*

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