Purpose This study identified factors related to bowel cleanliness of colonoscopy examinees. Methods From December 2, 2020 to January 21, 2021, we surveyed 152 participants who underwent colonoscopy at a university hospital at B City. The questionnaires included participants characteristics, social cognitive determinants (knowledge on bowel preparation, severity and susceptibility for colon cancer as perceived threat, self-efficacy, and social support), and compliance with bowel preparation. For data analysis, SPSS/WIN 21.0 and AMOS 22.0 statistical programs were used. Descriptive statistics, an independent t-test, one way ANOVA, Pearson correlation coefficient, and path analysis were utilized. Results Participants’ knowledge level on bowel preparation was 8.49±1.57; severity, 18.49±4.43; susceptibility, 12.55±4.10; self-efficacy, 41.92±9.28; social support, 24.90±4.84; compliance with bowel preparation, 9.26±1.81; and degree of bowel cleanliness, 6.05±1.71. Factors influencing the compliance with bowel preparation included self-efficacy (β=.27, p=.007), knowledge on bowel preparation (β=.23, p=.005), marital status (β=.19, p=.048), social support (β=.17, p=.030), and age (β=-.16, p=.007). The factor directly affecting bowel cleanliness was compliance with bowel preparation (β=.17, p=.043). Indirectly affecting factors were self-efficacy (β=.05 p=.021), knowledge on bowel preparation (β=.04, p=.022), social support (β=.03, p=.026), marital status (β=.03, p=.034), and age (β=-.03, p=.018). Conclusion Bowel cleanliness of colonoscopy examinees can be improved by enhancing compliance with bowel preparation. Future studies should examine the effects of strategies that concern self-efficacy, knowledge on bowel preparation, social support, marital status and age on compliance with bowel preparation.
Purpose This descriptive phenomenological study explored the lived experiences of patients recovering from Coronavirus Disease-2019 (COVID-19). Methods Using a purposive sampling method, participants were recruited from the Korean Psychological Association’s Mental Health and Wellness Center in G city, South Korea, from May 5 to December 30, 2020. The interviews were analyzed using Colaizzi’s seven-step method. Data saturation was reached after interviewing 14 participants. Results The experiences of patients recovering from COVID-19 were clustered into 4 main themes and 10 subthemes:, namely, the patients’ 1) stigmatization, leading to anxiety, fatigue, and concern about neighbors; 2) negative emotions: anger and helplessness; 3) coping strategies under pressure: increased gratitude, self-reflection, and self-efficacy; and 4) ways of overcoming internalized stigma: personal growth and hope for the future. Discussion The results suggest that the positive and negative emotions of patients recovering from COVID-19 are interwoven and coexist against the background of the pandemic. Improvement of social networks, development of coping skills, and psychological growth play an important role in alleviating the psychological burden of recovering patients.
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Purpose This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU). Methods This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours. Results After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay. Conclusions This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice.
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Purpose This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients. Methods This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0. Results The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement. Conclusion Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.
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Purpose The study aimed to develop a Healthcare Empowerment Program for patients with Temporary Ileostomy (HCEP-TI) and evaluate its effectiveness. Methods The HCEP-TI was developed based on Johnson’s model of healthcare empowerment by reviewing relevant literature, identifying patients’ needs through in-depth interviews, and testing content validity. The study was conducted at K University D hospital from June 2019 to September 2020 using a randomized controlled trial with a pretest-posttest design. The subjects were randomly assigned to two groups: experimental (n=15), which participated in HCEP-TI once a week for seven weeks, and control (n=15), which participated in conventional ileostomy care. Data were analyzed using linear by linear association, MannWhitney U, and Wilcoxon signed-rank tests. Results There were significant differences between the experimental and control groups in healthcare empowerment, self-management knowledge and behavior, and degree of peristomal skin damage. However, there was no significant difference between the groups regarding dehydration. Conclusion The HCEP-TI including engaged, informed, collaborative, committed, and tolerant of uncertainty intervention is effective in improving healthcare empowerment, self-management knowledge and behavior, and the degree of peristomal skin damage. This program can help patients with temporary ileostomy improve their empowerment, self-management, and stoma conditions.
Purpose This study aimed to identify the mediating effect of risk perception in the relationship between media dependence and the Coronavirus Disease 2019 (COVID-19)-related infection prevention behavior of nursing students. Methods The survey data of 159 nursing students were analyzed. The independent variable was media dependence, the dependent variable was COVID-19-related infection prevention behavior, and the parameter was risk perception. The hypothesis was tested using the Maximum Likelihood (ML) method to analyze the covariate structure. Results COVID-19-related infection prevention behavior showed a positive correlation with media dependence and risk perception. With regard to the relationship between media dependence and COVID-19-related infection prevention behavior, risk perception showed a partial mediating effect. Conclusion To improve infection prevention behavior, it is necessary to use various media suitable for the age group to access information about COVID-19. Particularly, nursing students take care of various infected patients through clinical practice or medical service. Therefore, it is required to raise risk awareness and improve infection prevention behavior through clinical practice or medical volunteer activities.
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