Purpose The purpose of this study was to evaluate whether hand press pellet is effective for constipation in breast cancer patients receiving chemotherapy.
Methods: This was a quasi-experimental study that used non-equivalent control group pretest-posttest design. Participants were 52 breast cancer patients-26 each in the experimental and control groups. The intervention was conducted thrice a week for 6 weeks; for the experimental group, a hand press pellet was applied to the corresponding points (A1, A5, A8, A12, A16, N18, E22, K9, F6, D2, D6, H2, L4, B7, B19) of the left hand (palm and back) to alleviate constipation. Three and 6 weeks after the intervention, outcomes were measured by using the Constipation Assessment Scale, Bristol Stool Form Scale, and Patient Assessment of Constipation-Quality of Life questionnaire.
Results: A significant difference was observed between the two groups on the Constipation Assessment Scale (χ2=44.38, p<.001) and Bristol Stool Form Scale (χ2=33.24, p<.001). Patient assessment of constipation-quality of life of the experimental group were statistically significant compared with that of the control group (F=37.23, p<.001).
Conclusion: Hand press pellet can be used as an effective nursing intervention to alleviate constipation in breast cancer patients.
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Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial Hyojung Park, Hyejin Lee BMC Complementary Medicine and Therapies.2024;[Epub] CrossRef
Purpose The aim of this study was to evaluate the effects of hand acupressure on sleep quality and pruritus in patients on hemodialysis and to propose an effective, evidence-based nursing intervention.
Methods: This was a single-blind, placebo-controlled, group comparison study with 40 participants. The intervention was conducted thrice a week for six weeks, and the intervention group (n=20) received hand acupressure on sleep and pruritusrelated acupoints (A1, A3, A8, A12, A16, C5, C8, I2, E8, N5, G11, K9, B19, J2, J5, N9) by attaching Seoambong and pressing with Seoamchimbong. The placebo-controlled group (n=20) received hand acupressure on sites irrelevant to sleep or pruritus in the same way as the intervention group. Data were collected before and six weeks after the intervention.
Results: There were significant inter-group differences in Pittsburgh Sleep Quality Index score, total sleep time, sleep efficiency, number of awakenings, and subjective pruritus. However, there were no significant inter-group differences in time of awakenings.
Conclusion: Hand acupressure was found to be an effective nursing intervention to improve sleep quality and reduce pruritus in patients on hemodialysis.
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Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial Hyojung Park, Hyejin Lee BMC Complementary Medicine and Therapies.2024;[Epub] CrossRef
Purpose This study aimed to examine the effects of auricular acupressure on shoulder pain and shoulder joint Range of Motion (ROM) in older adults. Methods This is an experimental, single-blind, randomized study with a placebo-controlled approach. The participants were older adults with shoulder pain. Each group was assigned 27 participants. The experimental group received auricular acupressure on shoulder pain-related points and the placebo-control group received auricular acupressure on shoulder pain-unrelated points. The intervention was implemented for eight weeks. To validate the effects of the treatment, a Visual Analogue Scale (VAS), the Shoulder Pain and Disability Index (SPADI), Pressure Pain Thresholds (PPTs), and ROM were conducted. VAS was measured before and after every intervention. SPADI, PPTs, and ROM were measured at the beginning and end of every intervention. Results The VAS scores in the experimental group with auricular acupressure significantly decreased with time (p<.001) and SPADI scores also significantly decreased (p<.001) compared with the scores of the placebo-control group. The experimental group's PPTs for their upper trapezius, levator scapulae, and rhomboideus major increased significantly, compared to that of the placebo-control group. The experimental group's ROM of flexion, abduction, and external rotation increased significantly compared to the placebo-control group. but there were no significant differences in internal rotation. Conclusion Auricular acupressure, applied for eight weeks, was found to effectively reduce shoulder joint pain and shoulder ROM. Consequently, auricular acupressure can be used as a nursing intervention method to reduce joint pain and improve shoulder ROM in elders.
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PURPOSE The purpose of this study was to examine their levels of knowledge of the kidney, self-efficacy, and kidney function in pre-dialysis patients with chronic renal insufficiency. METHODS A total of 142 pre-dialysis patients with chronic renal insufficiency were recruited from a nephrology clinic of a hospital in Korea. Participants' knowledge of the kidney, self-efficacy, and kidney function were measured, and the correlations between these factors were computed. RESULTS The levels of knowledge of the kidney were moderate, with a mean score of 12.30+/-5.35. Knowledge level was significantly correlated with age, education level, occupation, income, physical symptoms, and information resources (p<.05). The mean score for self-efficacy was 6.06+/-2.00. Self-efficacy was significantly associated with patients` age, education level, occupation, income, cigarette use, and information resources (p<.05). The mean score for kidney function was 35.66+/-18.68 mL/min/1.73 m2. Kidney function was significantly correlated with use of medications and drinking behavior (p<.05). Knowledge of the kidney was significantly correlated with self-efficacy (r=.31, p<.001), but not with kidney function. There was a significant correlation between self-efficacy and kidney function (r=.30, p<.001). Multiple regression analysis revealed that self-efficacy and drinking behavior accounted for 11% of the variance in kidney function of pre-dialysis patients with chronic renal insufficiency. CONCLUSION Nursing interventions are necessary to increase self-efficacy among pre-dialysis patients with chronic renal insufficiency in order to maintain their kidney function.
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PURPOSE The purpose of this study was to investigate health literacy, diabetic knowledge, and diabetic self-care among foreign diabetic patients at a hospital in South Korea. METHODS Participants was 134 foreign patients diagnosed with diabetes and who understand English. Data were analyzed by SPSS version 20.0. RESULTS Health literacy significantly differed with HbA1c levels, whereas diabetic knowledge significantly differed with education levels, and time since diagnosed. Diabetic self-care significantly differed with time since the diagnosis. Health literacy significantly differed with diabetic knowledge and diabetic self-care. There was a correlation between health literacy and diabetic knowledge and between diabetic knowledge and diabetic self-care but not between health literacy and diabetic self-care. CONCLUSION There are significant results on health literacy, diabetic knowledge and diabetic self-care. Subject with adequate health literacy had high scores on diabetic knowledge and self-care.
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PURPOSE The purpose of this study was to examine fatigue, sleep disturbances, and quality of life (QOL) among patients with breast cancer receiving radiotherapy. METHODS A cross-sectional, descriptive design was used. Data were collected through questionnaires distributed to 201 breast cancer patients in a hospital. The data were analyzed using SPSS 21.0. RESULTS The fatigue scores showed significant differences depending on exercise and duration since diagnosis. The sleep disturbance scores showed significant differences depending on duration since diagnosis. QOL scores showed significant differences depending on exercise, duration since diagnosis, and treatment site. Fatigue and sleep disturbances (r=.40, p<.001) showed statistically significant positive correlations, while fatigue and QOL (r=-.55, p<.001), and sleep disturbances and QOL (r=-.45, p<.001) showed statistically significant negative correlations. The multiple regression analysis, which was used to determine the variables influencing on QOL after radiotherapy, resulted in a significant regression model (F=23.88, p<.001), which accounted for approximately 45% of the explanatory power. Fatigue (beta=-.39, p<.001) and sleep disturbances (beta=-.27, p<.001) were revealed to adversely affect quality of life. CONCLUSION The nursing intervention is necessary to reduce fatigue and sleep disturbance and to promote exercise in order to enhance QOL of patients with breast neoplasm while receiving radiotherapy.
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PURPOSE The purpose was to examine the self-efficacy, coping, and compliance in patients with kidney transplantation. METHODS Participants consisted of 300 outpatients who underwent kidney transplantation and regularly visited hospital for health check-up. A tool developed by Ahn (2000) was used for measuring self-efficacy. A modified version of the Jalowiec Coping Scale (Jalowiec, 1987) by Hwang (2004) was used for measuring coping, and a tool developed by Ryu, Kim, and Kang (2003) was used for compliance. Data were analyzed using SPSS program version 21.0 ANOVA, Pearson's correlation coefficient, and Scheffe's test for post-hoc test. RESULTS Coping shows significant differences according to marital status and education. Coping was used more often among patients with ABO incompatible transplantation than those with ABO compatible. Differences in compliance were significant according to donor type, ABO incompatible, period after transplantation, and admission after the transplantation. The management of life style, stress, nutrition, and exercise in self-efficacy and compliance had lower scores than the others. CONCLUSION There are significant correlations between self-efficacy, coping, and compliance in patients with kidney transplant which might be helpful for health care professionals in taking care of these population.
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PURPOSE The purpose of this study was to investigate the effects of sex education for the elderly on sexual knowledge and life satisfaction. METHODS A quasi-experimental study used a non-equivalent control group pre-post test design. A seven week sex education program for the elderly was developed and offered to the treatment group. Subjects were drawn from three welfare centers in Seoul. Twenty six were selected for the treatment l group while 27 were assigned to a comparison group. Sexual knowledge and life satisfaction were measured. RESULTS The level of life satisfaction reported by the treatment group was greatly increased (t=2.14, p=.037). There were no statistically significant differences in sexual knowledge between both the two groups. CONCLUSION A positive influence of sex education was found to increase the level of life satisfaction. Further study on customized sex education for the elderly by individual characteristics is required.
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