| Hyoung Sook Park | 6 Articles |
PURPOSE
The purpose of this study was to understand and describe the adjustment experiences of nurses to an oriental medical unit. METHODS Fourteen nurses who worked or were working in oriental medical units participated. Data were collected through in-depth interviews from April to December, 2013. Analyses of the transcribed interviews were done using Corbin and Strauss's grounded theory. RESULTS Through the constant comparative analysis method, the central phenomenon was identified as ‘constant mental fluctuation’. Nurses reported their adjustment to an oriental medical unit through four stages. The stages were described as ‘the discouraged’ stage, ‘the conflicted’ stage, ‘the restructuring’ stage and lastly ‘the coexistence’ stage. CONCLUSION As the participants reported the process of adjusting, they reported continuous constant conflicts and struggles with the oriental medical doctors, the nursing department, patients and their guardians and lastly with themselves. The process of becoming integrated into an oriental medical unit is a complex study and should be studied further in terms of whether this process is the same or different adjusting to other units. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women. METHODS Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis. RESULTS The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse(chi-square = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls. CONCLUSION Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.
PURPOSE
The purpose of this study was to examine the effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with type 2 diabetic patients. METHODS Thirty three diabetic patients who were older than 40 were recruited from a public health center and conveniently assigned into both experimental(n=16) and control groups(n=17). Participants in the experimental group had attended the weekly cognitive behavioral program for 8 weeks. Data were collected from June 2005 to August 2006 and analyzed by independent t-test using the SPSS WIN program. RESULTS After an 8 week intervention, participants in the experimental group reported on increasement of diabetic self-care behaviors and an increasement of blood glucose levels, which were significantly different from those in the control group. CONCLUSION On the basis of those findings, we concluded that the cognitive behavioral stress management program has positive effects on diabetic self-care and glycemic control for the patients with DM. Further research is needed to identify the long-term effects of the cognitive behavioral program.
PURPOSE
The purpose of this study was to provide nursing intervention with basic data extracted through investigating self-care and nursing of lymphedema in patient who have had a mastectomy. METHOD The subjects for this study consisted of 214 mastectomy patients in 2 hospitals. The data were collected from December 1, 2004 to February 28, 2005. The instruments used for this study were both the Self-care Practice Scale by Cho, Myoung-Ok et al.(2003) which we modified and the Nursing Evaluation Scale developed by the researchers. RESULTS The mean score of self-care on lymphedema was 59.96+/-12.46. The mean score of nursing was 25.64+/-9.25. Factors influencing the self-care were the postoperative period (F= 17.505, p<.001), the location of the tumor (F= 3.826, p=.023), menstruation (t=7.333, p=.007), and complications (F=5.427, p<.001). CONCLUSION Self-care and nursing care on the lymphedema management were shown to be lower than expected. Especially, the score of self-care was the lowest in the more than 3 year postoperative period. Therefore, the longer the postoperative period is, the more active management on lymphedema needs to be. Also, education should be given to both nurses and patients on the importance of self-care on lymphedema with mastectomies.
The purpose of this study was to develop a critical pathway for case management of patients who have received Lumbar Laminectomy because of low back pain, arm and leg numbness, and radiating pain in the leg. For this study, a preliminary critical pathway was developed through a review of the literature including five critical pathways which are currently being used in the USA. In order to identify the overall service contents required by these patients, 30 cases were analyzed. These cases were taken from medical records of those with Lumbar Laminectomy between January, 1998 and December, 1998 in the department of neurosurgery at the Pusan National University Hospital in Pusan. An expert validity test was done for the preliminary critical pathway, a clinical validity test was also done using 12 patients with Lumbar Laminectomy between October 1, 1999 and January 31, 2000. After these processes, the final critical pathway was developed. The results are summarized as follows. 1. The vertical axis of the critical pathway includes the following eight items: assessment, consultation, diet, test, medication, treatment, activity, education/ discharge planning. The horizontal axis includes the time from the start of hospitalization to discharge. Analysis of the 30 medical records was done. analysis of the service contents showed the horizontal axis of the preliminary critical pathway was set from hospitalization to the 12th post operation day and the vertical axis was set to include eight items, the contents which should have occurred, according to the time frames of the horizontal axis. 2. As a result of the expert validity test, it was found that among the 233 items, 203 showed over 88% agreement and 30 of them showed less than 88% agreement, which were then revised or deleted from the critical pathway. At the preliminary meeting for the clinical validity test, the time of hospitalization on the horizontal axis was shortened to the 10th post operation day. A clinical validity test was done with 12 patients with Lumbar Laminectomy. All the cases progressed according to the critical pathway although some variances were noted in assessment, consultation, test, medication, and treatment. 3. Based on these results, a final critical pathway was determined. In conclusion, this critical pathway is partially applicable to the care of patients with Lumbar Laminectomy and needs further investigation.
The purpose of this study is to analyse and evaluate the characteristics of stroke patients and the causes of their spending time in arriving emergency room and the actual conditions of using alternative medicines before entering emergency room. The subject of this study four hundred seventy six patients who was hospitalized in Western Medical and Chinese Herb Medicine of D Hospital in Pusan within two weeks after attack. The collected data are analysed by the analysis method of narration statistics through SAS program and one-way analysis through ANOVA. The important results of this study are as followings: The spending time in arriving emergency room shows that under 3 hours is 19.5%, under 6 hours is 29.0%, under 24 hours is 55.1%. In the aspects of using alternative medicines before entering emergency room, the patients of 60.1% had used alternative medicines. Through the examination and analysis it can be seen that the geographical-environmental features and the clinical features for the acute stroke patients have more effect than the populational-sociological features on the spending time in arriving emergency room. For the aspects of using alternative medicines before entering emergency room, however, the charactericstics of clinical features have more effect than the populational-sociological features and the geographical-environmental features.
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