| Chun Gill Kim | 18 Articles |
PURPOSE
This study aimed to understand the experiences of family caregivers utilizing Care Support of Dementia Centers (CSDC) in the community. METHODS Colaizzi's phenomenological approach was used for this study. The participants were 10 family caregivers. Open in-depth interviews were used to collect data from January 2018 to February 2018. RESULTS Four categories emerged from the analysis. The experiences of family caregivers utilizing CSDC included “becoming to open the mind to dementiaâ€, “forming of good field for each otherâ€, “alterations in the patterns of family life†and “hoping for a better lifeâ€. There were 8 clusters of themes and 17 themes. The experiences of family caregivers utilizing CSDC were driving force of understanding about dementia, older adults with dementia and caring. The older adults with dementia accepted their disease, they actively participated in supporting programs. So, forming of another world that provide regular activities for older adults with dementia, giving rest to the family caregivers, and rearranging the pattern of life according to the schedule of older adults with dementia. Moreover, they expressed the need for a helpful and empathetic support program. CONCLUSION These results suggest that CSDC helped older adults with dementia and their family caregivers. Therefore, the importance of the role of dementia centers has been emphasized. It is necessary to provide guidance on the content and direction of the network of community support systems. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to understand the nurses' experiences of end of life care of older adults with dementia living in long-term care hospitals and geriatric care facilities. METHODS The participants were nine nurses. Open in-depth interviews were used to collect data from June, 2016 to November, 2016. Colaizzi's phenomenological approach was used to analyze the data. RESULTS Three categories were identified. The nurses' reported experiences of end of life care of older adults with dementia were ‘warm care with living together’, ‘care for family’, and the ‘self-reflection and responsibility as a nurse’. There were ten clusters of themes and 24 themes. The participants stated that the end of life care of older adults with dementia were individualized holistic care with dignity, being in older adults with dementia and family, and responsibility as a professional. Nurses reported the need for dementia hospice care. CONCLUSION These results could be considered in planning nursing intervention for hospice care. The findings support the need for educational strategies and programs to improve end of life care among older adults with dementia. Citations Citations to this article as recorded by
PURPOSE
This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice. METHODS Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach's alpha coefficient and Kuder-Richardson 20 were used to confirm the reliability. RESULTS The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC. CONCLUSION NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice. Citations Citations to this article as recorded by
PURPOSE
The aim of this study was to understand the nurses' experiences of caring for demented older persons in geriatric in care facilities. METHODS The subjects were ten nurses employed in geriatric care facilities. Open in-depth interviews were used to collect data from January, 2010 to October, 2010. The Colaizzi phenomenological method was used for data analysis. RESULTS The experiences of nurses' caring for patients with dementia were divided into the following six categories: 'new encounter', 'understanding of intention and satisfying', 'dilemma of caring', 'contriving of comfort', 'comprehensive coordinator', and 'being present'. There were 15 clusters of themes. The subjects stated that the best caring for the demented older persons were 'encounter, knowing, and being with them'. CONCLUSION Nurses' caring could improve the quality of life for demented older patients in geriatric care facility. These results suggest that institutional, administrational strategies and schemes need to cluster around the relationship with patients who would include encounter knowing and being with them.
PURPOSE
The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify influencing factors on nurses' caring behaviors for elders with dementia. METHODS Data were collected through questionnaires from 156 nurses in several demented elderly setting and analyzed by applying descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0. RESULTS The average score for importance of nurses' caring behaviors was 3.55 and the 'attentive to other's experience' factor was the highest level. The mean score of nursing professional value was 8.46 and job satisfaction, 3.86. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction and nurse's age. Four significant variables influencing importance of nurses' caring behaviors were job satisfaction, nursing professional value, working area of nurses and cognition dysfunction of elderly. CONCLUSION With the results of this study, importance of nurses' caring behaviors can be improved by intervening the factors affecting this importance. Based on the findings of this study, further nursing practice and research for nurses' caring the elders with dementia should be focused on job satisfaction, nursing professional value, working area of nurses and cognitive dysfunction of elderly.
PURPOSE
The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify the factors influencing of nurses' caring behaviors. METHODS The participants were 404 nurses who were caring the chronically sick elderly in five H university hospitals. Data were collected through self-reported questionnaires on the importance of caring behaviors, nursing professional value and job satisfaction. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0. RESULTS The average score for importance of nurses' caring behaviors was 3.38 and the 'professional knowledge and skill' factor was the highest level. The mean score of nursing professional value was 7.53 and job satisfaction, 3.18. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction, nurse's age and work experience among demographic variables. Two significant variables influencing importance of nurses' caring behaviors were nursing professional value and job satisfaction. But characteristics of nurses did not influence. CONCLUSION The findings of this study indicate that importance of nurses' caring behaviors can be improved by intervening factors affecting this importance. Based on the findings of this study, further nursing practice and nursing research for nurses caring the sick elderly should be focused on their nursing professional value and job satisfaction.
PURPOSE
The purpose of this study was to investigate the influences of depression, stress, and self-efficacy on the addiction to cell phone use among university students. METHODS Data were collected through questionnaires from 563 students and analyzed by applying descriptive statistics, t-test, chi-square test, and stepwise multiple regression with SPSS/WIN 16.0. RESULTS The proportion of depressed subjects was 52.6%. The addictive group scored higher than the non-addictive group in depression rate and stress, but scored lower in self-efficacy. Out of the subjects, 32.9% were found to be addictive users, 31.3% at potential risk, and 1.6% at high risk. Significant variables influencing addictive users were stress, self-efficacy, and the user's general characteristics including monthly spending money, sex, the hours of daily use, and the main method of use. CONCLUSION It is concluded that such variables should be carefully considered in interventions for university students addicted to cell phone use.
PURPOSE
This study was to examine the effects of Seogeum therapy for middle-aged abdominal obese women. METHODS: Seogeum therapy combined cupping, stepping on ion aluminum board, adhering to Seoam moxibustion and Seoam pellet. The subjects consisted of 30 middle-aged abdominal obese women between 40 and 59 years of age: fifteen were assigned to experimental group, fifteen to control group. The data collection and treatments were performed from June to October, 2007. The subjects of experimental group participated in Seogeum therapy for 5 times per week during 8 weeks. The data were analyzed with Chi-square test, Wilcoxon signed rank test and Wilcoxon rank-sum test with SPSS/Window 12.0 program. RESULTS: Seogeum therapy experimental group showed significant difference in change of general obesity indexes(body weight, body fat amount, body fat ratio, BMI) than control group supporting hypothesis 1. Experimental group showed significant difference in change of abdominal obesity indexes(abdominal fat ratio, waist circumference, hip circumference) than control group supporting hypothesis 2. CONCLUSION: Obesity management of Seogeum therapy had a positive effect for middle-aged obese women. Therefore, it is concluded that the obesity management of Seogeum therapy can be applied as a nursing intervention to decrease the obesity for middle-aged women.
PURPOSE
This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people. METHODS The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. RESULTS The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS. CONCLUSION Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.
PURPOSE
This study was conducted to examine the knowledge level and assessment experience of nurses in regards to delirium, and to utilize the study results as baseline data for planning delirium education programs for nurses. METHODS Subjects were 465 nurses who were working in a general hospital. A 'delirium related knowledge and assessment experience' questionnaire was used to collect data. RESULTS Knowledge levels regarding delirium averaged 70 out of 100, and at each domain, they scored 87 for etiology of delirium, 62 for symptoms, and 69 for nursing management. The knowledge level of delirium was significantly different according to educational level (F=3.851, p=.022), past education related to geriatrics(t=2.471, p=.014), and awareness of need for in-service education on geriatric nursing(F=2.663, p=.032). About 85% of nurses had past experience of dealing with delirious patients and only 7.7% of nurses used delirious state assessment tools. CONCLUSION According to the above results, it is necessary, not only to provide delirium related educational programs for nurses, but also to emphasize the usefulness of applying the assessment tool.
PURPOSE
The purpose of this study was to identify the current attitudes and knowledge toward Koryo Hand Therapy(KHT) by the experienced people. METHOD The Subjects for this study included 3,351 people living in Korea who experienced KHT. The data were collected from April 6 to November 25, 2004 using a structured questionnaire. The data were analyzed through the SAS 8.1 Windows Program using frequency, percentage, t-test, ANOVA and Pearson's correlation coefficient. RESULTS The results of the study are as follows: 1) Families and relatives were a main source of information about Koryo Hand Therapy. The subjects were very satisfied with therapeutic and preventive effects of the therapy. Sujichim was the most preferable choice in the KHT. Most of the subjects thought that KHT could be applied to modern medicine. 2) Those who experienced KHT had a high level of knowledge and very positive attitudes toward KHT. 3) There were statistically significant differences in the attitude toward KHT according to age, gender, educational level, religion, income, place of residence, marital status and experience which studied KHT. 4) There were significant differences in the knowledge of KHT according to age, educational level, income, marital status and experience which studied KHT. 5) The data showed positive correlation between attitude and knowledge. CONCLUSION According to the above findings, it can be concluded that KHT needs to be actively informed and more easily approached by general peoples. Nursing protocols of KHT needed to be developed.
PURPOSE
The purpose of this study was to evaluate the effectiveness of 8 weeks smoking cessation program(SCP) developed by researchers. METHOD: One group pretest-posttest design was used in this study. The subjects were 88 male university students who consented to participate in the 8 weeks SCP. The SCP in this study consisted of a stop-smoking class, e-mail, SMS(short message service), cellular phone, internet cafe, displayed panel, and patch or acupuncture for quitting smoking. Korean version of questionnaire for nicotine dependency by Ahn et al.(2002), the smoking self-efficacy scale translated by Choi(1999) and subjects' opinion about the SCP were measured. The data were analyzed by using frequency, Chi-Square test, paired t-test and repeated measures ANOVA with SPSS WIN 10.1 Program. RESULTS: 1) The rate of quitting smoking was 31.8% after 8 weeks SCP. 2) There was no significant decrease in the nicotine dependency score among smoking subjects after SCP. 3) There was a significant increase in self-efficacy after SCP. The mean score of self -efficacy in the quitting smoking group increased significantly, but did not significantly change in the smoking group. 4) The stop-smoking class was the most helpful among contents of the SCP. Contents of the SCP except for internet cafe were useful for quitting smoking in this study. CONCLUSION: The above results indicated that the 8 weeks SCP would be a helpful intervention to quit smoking for male university students.
PURPOSE
This study was intended to examine the effects of a telephone consulting program on self-efficacy and self-care in NIDDM patients. METHOD Sixty-eight NIDDM patients participated. Thirty-six were assigned to the experimental group and received the telephone consulting program from one to two times per week for 4 weeks. This program was undertaken by base on small booklet relating to diabetic disease summary, diet, drug, exercise, foot management, prevention and treatment of complications, and insulin injection methods. RESULT 1. Hypothesis 1 that "the experimental group who receives the telephone consulting program will have higher self-efficacy score than the control group who does not have the telephone consulting" was supported (t=5.12, p= .000). 2. Hypothesis 2 that "the experimental group who receives the telephone consulting program will have higher self-care score than the control group who does not have the telephone consulting" was supported(t=5.29, p= .000). CONCLUSION The telephone consulting program improved self-efficacy and self-care in NIDDM patients. Accordingly, this program can be adopted as an effective nursing intervention in the care of the diabetic patients.
The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.
This study was done to analyze research trends and to suggest future directions for nursing research on the quality of life (QL) in Korea. The purposes of this study were to describe systematically 10 years of QL nursing, and to identify patterns of tools and significant variables on studies of QL. This article reviewed 71 nursing researches on QL between 1987 and 1996, by examining them according to the period of publication, research for a degree or not, research design, type of subjects, data collection methods, measurement instruments and range of reliabilities, type of nursing intervention, and association of QL and related variables. The findings of the analysis can be summarized as follows: 1. The number of studies related to QL increased from 1987 to 1994. But they have decreased since 1995. 48 of them(67.6%) identified surveys and correlational studies. 2. In all the titles of the studies, there were 7 types of concepts, including QL, quality satisfaction, life satisfaction, and well-being. Among them, QL was the most often used. 3. The subjects of 21 studies were healthy people. In 49 studies, patients had various illnesses. The majority of the patients were hemodialysis patients and cancer patients. Questionnaires were used for data collection in 58 studies. 56 studies were done for the thesis of a degree, while those in the remaining studies were not for degrees. 4. The research designs were various, except in the thesis for a doctorate. There were many more experimental studies(57.1%) done in the thesis for a doctorate. 5. The types of intervention were categorized as exercise(6), supportive care(3), reminiscence (2), relaxation(1), music(1), and hospice care(1). 6. As measurement tools, 14 types of tools relating to QL were used. 11 of them were composed of multiple dimensions. Among them, the QL Scale by You-Ja Ro(1988) was the most widely used in the studies. In the following, the Life Satisfaction Index by Jin Yun(1982), the Quality of life Scale of National Conference of Cancer nursing (1983), and the Life Satisfaction Index by Wood, Wylie and Sheafor(1969) were used. The reliabilities of the QL Scale were reported in 63 studies, and the Cronbach's alpha coefficients were over 0.7 in 60 cases. The quality of life scales included five dimensions; such as physical, psychological, social, economical, and spiritual dimensions. 7. There were two categories of factors influencing the quality of life: First, factors that cannot be changed by nursing intervention were; age, educational level, gender, marital status, income, employment status, occupation, number of family members, religion, and illness history. Second, factors that can be changed by nursing intervention were; physical activity, health status, the presence of complications, support, self-esteem, stress, self-efficacy, activities of daily life, physical strength, satifaction with life, and anxiety. Types of nursing intervention used to improve quality of life were; therapies in relaxation, exericse, reminiscence, and family support, social support, and hospice care. On the basis of the above findings, the following recommendations were made: 1. Further studies on the quality of life instruments of analysis are needed to provide an understanding of dimensions of life in detail. 2. A Meta-analysis needs to be conducted to identify intervention effects on the quality of life. 3. A tool development study is needed to measure the quality of life appropriately in different illnesses 4. More replicated analysis studies of QL are needed to prove the effect of variables on the QL.
This study was intended to examine the effects of providing nursing information about surgery in a surgical ward over a 50 day period from September, 1st to October 20th, 1998 in K University Hospital in Seoul. This quasiexperimental study used only a nonequivalent control group and an adopted post-test. A total of 54 patients were assigned to the control and experimental groups according to their admission dates to the hospital. Those who entered from September, 1st to 20th were selected as the control group, while those patients admitted from September 21th to October 20th were chosen as the experimental group. The experimental group consisted of 27 patients and received planned nursing information using a booklet. The twenty seven patients in the control group received the usual pre-operative (pre-op) care. The patient's satisfaction was measured on the 4th day after surgery with a post-operative (post-op) Satisfaction Scale. The scale was developed by Lee, Yoon Hee(1995) and modified by the present researchers. No significant general characteristic differences were found between the control and the experimental groups. The booklet included information on tests and treatment about the operation and preventive methods for post-op complications, such as deep breathing and coughing, position change, lower extremity exercise, early ambulation, aseptic technique, observation of bleeding, use of equipment, and proper food management. Data was analyzed using the x2-test, t-test, ANOVA, and Pearson correlation coefficient through an SPSS computer program. The results were as follows: 1. The hypothesis that the patients who were provided with planned nursing information would have a higher satisfaction level than those who received usual nursing care was supported(t=8.48, P=0.0004). 2. The mean score of the Satisfaction Scale was higher in experimental group than that of the control group. In particular, the experimental group was highly satisfied with the items such as 'nurse has patience' and 'skillful injection giving'. The control group showed the highest score with the item of 'nurse co-works treatment with medical team'. Both groups revealed the lowest score with the item of 'explanation about test results'. 3. No significant correlation was observed between the patients' satisfaction and their general characteristics. Those satisfaction scores measured before and after the operation did not correlate significantly (r=0.097, P=0.790). The above findings indicate that the provision of planned nursing information before surgery improved patient's satisfaction after abdominal surgery. Accordingly, nurses should provide information about the operation before surgery to increase patient's satisfaction, which in turn promotes the quality of their nursing care.
The purpose of this study was to investigate the nursing needs among family members of cancer patients. A total of 101 family members participated in this study by rating the importance of 30 need statements using a four-point Likert-type scale. And the subjects recorded their needs in open question. The ages of the subjects were 17-73 years, at five university hospitals in Seoul, ChunChon, and Kyung Ge Province. The data were collected from October, 1996 to July, 1997. The instrument used for this study was the Family Needs Scale (FNS), which were composed of six factors, developed by this researcher. Content validity of the instrument was established through a review of the statements by a professor majoring in nursing and reliability by calculation of Cronbach's alpha with data of the respondents. The values of Cronbach's alpha was 0.91. Analysis of data was done by means of the SAS program using t-test, ANOVA, Scheffe test, and Stepwise multiple regression. The results were as follows : 1. The scores on FNS ranged from 75 to 120 with a mean of 99.04. Needs to be informed on the patient's condition, treatment and nursing intervention among six factors showed the highest score, but Needs to be supported emotionally were the lowest score in the families of cancer patients. It was shown from open questions in the questionnaire that Need for the use of understandable terms and Need for the explanation about the patients condition, treatment and prognosis were also viewed as important to family members. The most frequent needs of the cancer patients' families was 'proper implimentation of treatment and nursing intervention for patients'. Besides, a number of family members responded that "kindness" was one of the essential attitudes to nurses. 2. In the subjects' relationship to their patient, 47.5% were the sons and daughters, while 37.5% were the wives and the 40-49 year category than in any other category. There was a significant relationship between the needs of the family and educational level (F=3.26, P=0.025). Educational level accounted for 9% of the needs of the family, and the patient's diagnosis accounted for an additional 8% of the needs of the family. The findings in this investigation suggested that the greatest number of needs of cancer patients' families were needs to be informed about the patient's condition, treatment and prognosis. This study provides information which supports the concept of the family as the client. Because nurses must meet the challenge of family-oriented practice in cancer nursing.
The purpose of this study was to provide more qualitative care in family nursing practice. The study was designed to investigate the degree of quality of life(QL) among the families. Data were collected from 99 families of cancer patients and 76 families of hospice patients. The ages of the subjects were 17 years and over at six hospitals affiliated to universities in Seoul, Chunchon, and Kyung Gi Province. The data were collected from August, 1996 to August, 1997. The instrument used for this study was the Quality of Life Scale, which were composed of six factors, developed by Ro, You, Ja. Data were analyzed using t-test, ANOVA, Scheffe test, and Stepwise multiple regression. The results were as follow ; 1. The score of QL was higher in the families of cancer patients than the families of hospice patients but it was not significant. The score on QL Scale ranged from 73 to 218 with mean of 148. 16 in the families of cancer patients. In the families of hospice patients, the score ranged from 75 to 224, showing a mean of 140.58. Family relationships among six factors showed the highest score in both group. And it was significantly higher in the families of cancer patients than the families of hospice patients(t=2.07, P=0.039). 2. In the families of cancer patients, there were significant association between QL and marital status(F=5.11, P=0.003), economic state(F=4.09, P=0.020), occupation(F=2.92, P=0.012). In the families of hospice patients, there were significant association between QL and family member's age(F=2.52, p=0.029), marital status(F=3.57, P=0.018), economic state(F=6.07, P=0.004), education level(F=3.77, P=0.014). 3.Economic status accounted for 7% of QL, and admission frequency accounted for an additional 4% of QL in the families of cancer patients by means of stepwise multiple regression analysis. In the families of hospice patients, economic status accounted for 17% of QL, and diagnosis accounted for an additional 7% of QL. In conclusion, it was found that QL was higher in the families of cancer patients than the families of hospice patients, and family relationships showed the highest value in QL. These findings showed be considered in nursing practice.
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