| Jeong Sun Kim | 6 Articles |
PURPOSE
This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). METHODS The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. RESULTS Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. CONCLUSION To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to examine the effects of the cardiac rehabilitation program (Phase III) on cardiovascular and cardiorespiratory function in the elderly (age, > or = 60) who experienced acute myocardial infarction. METHODS The design of research was nonequivalent control group pretest-posttest design. Subjects were 10 people in the experimental group and 10 in the control group. The intervention program was the cardiac rehabilitation program (Phase III), and was performed for 50 ~ 60 minutes, twice a week for 8 weeks. The dependent variables were the cardiovascular and cardiorespiratory function. RESULTS Significant differences were shown in RHR, RSBP, SRPP, SBS, BMI, PT of the experimental group after the intervention. As for the differences in the amount of changes, there were differences among groups in RHR, RSBP, SRPP, SBS, PMET, and PT of the experimental group. CONCLUSION The cardiac rehabilitation program (Phase III) may be effective in improving cardiovascular function and enhancing cardiorespiratory function in elderly patients with acute myocardial infarction.
PURPOSE
This study was conducted to identify factors influencing health promotion behavior of the low-income elderly women in urban area. METHODS The subjects of this study consisted of 389 the low-income Korean elderly women over 65 years. The data was analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson Correlation Coefficients, Stepwise Multiple Regression with SPSS/Win 12.0. RESULTS 1) Activity limitation was found to have a statistically significant negative correlation. But self-rated health, self-esteem, and social support were found to have a statistically significant positive correlation with health promotion behavior 2) The factors influencing health promotion behavior were self-esteem, social support, activity limitation, self-rated health, pocket money, and religion. They accounted for 36.8% of the variance for health promotion behavior in the low-income elderly women living in urban area. The most powerful predictor was self-esteem(28.1%). CONCLUSION This study showed that making a thorough assessment of the predictors influencing health promotion behavior in the low-income elderly women who remain vulnerable in diverse aspects is very important to minimize their health issues and to contribute their positive health promotion.
PUEPOSE: This study was conducted to compare self-rated health, health status, and health promotion behaviors between non-low income and low income elderly women in the urban setting. METHOD: The subjects of this study consisted of 668 Korean elderly women over 65years. The data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, chi-square-test, analysis of covariance, pearson correlation coefficient and multivariate logistic regression. RESULTS: 1) The non-low income elderly women had significantly higher scores(self-rated health, health status, and health promotion behavior) than the low income elderly women. 2) In low income elderly women, age, number of children were the main effect factors of health status, and level of education, burden of medical expense were the main effect factors of health promotion behaviors. In non-low income elderly women, number of children was the main effect factors of health status, and level of education, level of pocket money were the main effect factors of health promotion behaviors. CONCLUSION: This study showed that the establishment of a health care system for elderly according to their social-economic level is very important for providing productive care apposite to the situation of elderly.
PURPOSE
This study is to study sleep disorder, sleep pattern, and depression in adult women, and to offer basic data for a program of the improvement of women's health and nursing intervention. METHOD A structured questionnaire was carried out from September 1, 2001 to October 30, 2001 on the subject of 441 females, who are above 18 years old and lived in Seoul. This research tool measured insomnia with APA's insomnia scale(1994), sleep pattern and sleep disorder factors scale(Shin et al(1999)'s), and depression with Radloff's CES-D scale (1977). The data were analyzed with a SPSS program for descriptive statistics, x2-test, and t-test. RESULT The result were as follows; 1) 35.1% of all participants have insomnia. 2) Sleep disorder group appeared shorter(50.98+/-29.41min.) than normal group(73.03+/-38.7min.) in daytime sleepiness(p=0.001). 3) Factors of sleep disorder were stress(76.6%), worry(55.6%), without reason(39.6%), and noise outside(37.4%). 4) In relation between sleep disorder and depression, group with sleep disorder(20.20+/-11.06) marked higher depression score than normal group(14.25+/-8.81)(p<0.0001). CONCLUSION Based upon these finding, sleep disorder in adult women was influenced by psychological factors, group with sleep disorder showed a higher depression score than normal group, and which indicated correlation with sleep disorder and depression. This study shows that nursing intervention on women's sleep disorder and depression is needed and further research be done to verify the results.
The reference study was performed to investigate the nursing importance which was based a theoretical background related to horticultural therapy and to examine the possibility which horticultural therapy was applicable as a nursing intervention through analysis on a preceding study. The research subjects related to the areas of horticultural therapy which related as a nursing intervention, were psychological, physical, environmental, and psycho-social aspects. It is judged that the horticultural therapy is effective in treating depression, emotional disruption or anxiety. It seems to be also effective in increasing the muscular tension and, thereby, expanding the scope of joint movements. Such theories show that horticultural therapy may be a good alternative nursing means. Plants act to create a pleasant interior atmosphere by generating anion, controlling the temperature and humidity and purifying the air, and therefore, the horticultural therapy may be applied to clinic or environmental therapy. When horticultural therapy is used as a nursing intervention, patients' socio-psychological needs may be fulfilled. It has been found that horticultural therapy is instrumental in treating perceptive or emotional disruption, depression, loss of self-respect, disrupted everyday activities and social behaviors. In particular, horticultural therapy seems to be effective in managing chronic patients' crisis or improving life quality. Intervention method applied on a preceding study was activity therapy and scene therapy in the horticultural therapy The above findings suggest that the pro-environmental horticultural therapy is useful as a new paradigm of nursing or holistic nursing conducive to improvement of health. So, it is desirable to prove its effects by applying it in the clinic. In order to apply horticultural therapy as a nursing intervention, it will be necessary to educate nurses on principles and methods of horticultural therapy and encourage them to apply it in nursing and clinics. Moreover, it may well be necessary to develop landscape therapy as nursing intervention as well as a variety of horticultural therapy programs befitting the clinic conditions. On the other hand, we need to provide for some scientific ground for horticultural therapy through continued studies. In this regard, this study which focuses on patients' health improvement through change of environment. may well provide for a framework for such studies.
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