| Hye Sook Min | 10 Articles |
PURPOSE
The purpose of this study was to identify the characteristics of nutritional status and its risk factors in patients with Chronic Obstructive Pulmonary Disease (COPD). METHODS Participants included 136 patients with COPD in Donga University hospital and Haeundae paik hospital in Busan city. The data, collected by a trained research assistant from January 10 to July 18, 2017, were analyzed using Fisher's exact test, the Mann-Whitney U test, and logistic regression analysis with SPSS/WIN 21.0. RESULTS Among the 136 patients with COPD, 31 (22.8%) had abnormal nutritional status. According to the results of the logistic regression analysis, gender (Odds Ratio [OR]=5.27, 95% Confidence Interval [CI]=1.18~23.49, p=.029), percent predicted forced expiratory volume in one second [FEV1%] (OR=1.04, 95% CI=0.92~0.99, p=.012), symptom experience (OR=16.19, 95% CI=3.08~85.00, p=.001), carbohydrate intake (OR=1.01, 95% CI=1.00~1.02, p=.037), protein intake (OR=1.06, 95% CI=0.90~0.99, p=.012), and fat intake (OR=1.04, 95% CI=1.01-1.08, p=.015) were associated with nutritional status in patients with COPD. CONCLUSION In order to improve the nutrutional status of COPD patients, nursing education is needed with intensive screen on female patients and patients with low lung function, managing symptoms and increasing protein intake.
PURPOSE
This study was conducted to construct and test a hypothetical model for alcohol abstinence behavior of patients with chronic liver diseases (CLD). The model was based on the theory of planned behavior. METHODS Participants consisted of 240 adult patients with CLD who had regular visits to Busan medical center and Kyungsang universisty hospital from February 12 to March 14, 2014. Data were collected using self-report questionnaires. Collected data were analyzed using SPSS 18.0, AMOS 21.0 programs. RESULTS The modified model was a good fit for the data. The model fit indices were χ²/df=1.78, GFI=.86, AGFI=.90, RMR=.08, RMSEA=.05, NFI=.88, TLI=.92, CFI=.87, PNFI=.70. Alcohol abstinence intention (β=.56) had significant direct effects on alcohol abstinence behavior in patients with CLD. This variable explained 32% of the variance in alcohol abstinence behavior. Attitude (β=.47), perceived behavioral control (β=.41) and subjective norms (β=.25) had direct effects on alcohol abstinence intention. These variables explained 46% of the variance in alcohol abstinence intention. CONCLUSION Findings suggest that the intention of alcohol abstinence is important for patients with CLD to engage in alcohol abstinence behavior. It provides the basis for developing an intervention program to induce alcohol abstinence in patients with CLD. Citations Citations to this article as recorded by
PURPOSE
This study utilized a randomized block-design for the purpose of studying the effect of dialysate temperature on blood pressure (BP), core temperature, and physical symptoms in hemodialysis patients. The sample was thirty-one patients undergoing hemodialysis assigned to one of three groups. were divided into 3 groups. METHODS Repeated analysis of variance to number of hypotension occurrences, core temperature changes, and physical symptoms at cool dialysis with dialysate of 35.5℃, standard dialysis with dialysate of 36.5℃ and isothermic dialysis based on blood temperature feedback monitor (BTM). Each of the three groups underwent hemodialysis six times at a specific dialysate temperature. RESULTS The number of hypotension events were 21 at cool dialysis, 47 at standard dialysis, and 27 at isothermic dialysis, occurrences under cool dialysis were less frequent than under standard dialysis (F=8.08, p=.002). The patients' core temperature increased by 0.07℃ at cool dialysis, 0.21℃ at standard dialysis, and 0.18℃ at isothermic dialysis, cool dialysis showed a significantly smaller increase in core temperature (F=17.76, p < .001). There was no difference in the incidence of physical symptoms related to dialysate temperatures (F=2.04, p=.146). CONCLUSION Cool dialysis resulted in a significant prevention of the increase in core temperature and was more effective than standard dialysis in preventing hypotension. Isothermic dialysis had no positive effects in preventing the increase in core temperature or occurrences of hypotension.
PURPOSE
This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. METHODS The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. RESULTS There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. CONCLUSION The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy. Citations Citations to this article as recorded by
PURPOSE
This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). METHODS The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. RESULTS There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. CONCLUSION The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to examine the degree of self-care, symptom experience and disease state among the patients with liver cirrhosis and to identify its correlation. METHODS The subjects were 220 patients with liver cirrhosis who were treated in D-university hospital in Busan. The instruments used for study were the self-care inventory, the symptom experience inventory and modified childpugh classification scale. RESULTS The average points of the patient's self-care performance, symptom experience, and disease status were 3.67, 29.10 and 6.12 respectively. Their self care was negatively correlated to symptom experience, and symptom experience was positively correlated to disease state. CONCLUSION This research findings suggested that active self-care by patients with liver cirrhosis might contribute to reduce various symptoms they can undergo and to prevent aggravation of disease state. Therefore, patients with liver cirrhosis have to carry out self care actively in daily life and discreet nursing intervention should be offered to facilitate their self-care.
PURPOSE
The purpose of this study was to find out the degree of cognitive function among the elderly and to confirm its correlated factors. METHODS The subjects consisted of 392 elderly people over the age 65 who were living in Busan. Data were collected by the interview method, using a structured questionnaire and the K-MMSE scale. RESULTS The average points of the elderly's cognitive functions measured by K-MMSE were 23.76(+/-4.02). With the cut-off point for cognitive impairment set as 24 points below using K-MMSE scale, 38.8% of the subjects have cognitive impairments. Among the variables related to cognitive functions, literacy showed the highest correlation with cognitive function(beta=.330, t=7.249, p<.001), followed in order by educational level, age, depression level, attendance of elderly's college, and religious activity. The total explanatory power of these variables is 36%. CONCLUSION In order to prevent cognitive impairment among the elderly, elderly people have to maintain social relationships continuously, and expand the social network by participating in the related programs. Some efforts to prevent the occurrence of depression and to stimulate patients' brain activity need to be recommended.
PURPOSE
The purpose of this study were to find out the degree of memory decline and to confirm its correlated factors in old adults. METHOD The subjects consisted of 68 old adults over the age 65 who living in Busan. Data were collected by the interview method, using a structured questionnaire and the testing method on the memory performance. RESULTS The old adults' memory performances declined in tasks of immediately word recall, delayed word recall, and face recognition and increased slightly in word recognition over 2 years. However, there was only significant difference in delayed word recall task. The significant variables to predict memory decline were age, literacy, depression, locus, and strategy. CONCLUSION The memory decline of old adults wasn't more serious problem than the perceived one. There needs to be some intervention programs to prevent memory decline for the elderly.
The purpose of this study is to find out the effects of depression on older adults' metamemory and memory performances. The subjects of the study consisted of 103 older adults over the age of 60 who are living in Kangwon Province. Some data were collected by means of the interview method, using questionnaires for metamemory (MIA questionnaire by Hultsch, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986). Other data were collected by a testing method on the memory performance, such as the immediate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998), and the face recognition task(Face Recognition Task tool developed by this study). The results of this study were as follows: 1) The average point of depressed older persons' metamemory is 3.2 on a 5 point scale and was significantly lower than nondepressed older persons' point of 3.6. Looking into each sub-concept of metamemory, depressed persons' points are higher in terms of task(4.1), but are lower in terms of change(2.3), locus(2.6), and strategy(2.9) in comparison with nondepressed persons' points. 2)Depressed older persons' memory performances are all significantly lower than nondepressed person's, especially in terms of face recognition task(t=7.26, p<.0082) and word recognition task(t=6.58, p<.01). 3) In both depressed and nondepressed persons, metamemory has a close correlation with all memory tasks. In particular, depressed older persons' correlation is higher across the board, especially in memory self-efficacy of metamemory(r=.36 - .49) in comparison with nondepressed persons. 4) According to the results of analysis on the relations between metamemory and memory performances of each memory task using canonical analysis, in the case of depressed older persons, strategy, locus, capability and task have high correlation with word recognition task and delayed word recall task. Also in the case of nondepressed persons, achievement, strategy, change and locus variable have high correlation with face recognition task and immediate word recall task. As mentioned above, depression variables have a negative effect on older persons' metamemory and memory performance. In conclusion, when we care for depressed older persons with less memory ability, we have to consider the outcomes of this study are relevant. In addition, it is necessary to develop nursing intervention in order to prevent memory loss and improve memory performance in depressed older persons.
The purpose of this study is to find out the effects of personal characteristics and metamemory on the older adults' memory performances and the effects of some factors on metamemory. The subjects of the study consisted of 102 old adults over the age of 60 who are living in Kangwon Province. Based on contextual perspectives of the memory-aging theory and the previous foreign researches on memory, some data were collected by means of the interview method, using questionnaires for metamemory(MIA questionnaire by Dixon, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986). The other data were collected by the testing method on the memory performance such as the immeadiate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998),and the face recognition task(Face Recognition Task tool developed by this study). The results of this study were as follows; 1. The level of metamemory is 3.4 points in the 5 point scale, the grades of the task and the achievement are relatively high and the grades of the change, the control, and the strategy are relatively low in the sub-concepts. 2. The significant variables to predict old adults' metamemory are depression level, age, sex, educational attainment and religious activity. 3. The strong variables to predict memory performances are memory knowledge, memory self-efficacy, age, religious activity. 4. The strategy, the achievement, the locus, and the change concept of the metamemory have high correlations with the immediate recall task, the delayed recall task, and the word recognition task. In conclusion, the enhancement strategies of metamemory and the support of social activities are independent fields for nursing intervention. Ultimately in this respect nurses' roles are very important in developing and performing some intervention programs for old adults' memory improvement, which have significant meanings in the field of nursing science.
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