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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of muscle and joint health
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Journal DOI :
Korean Society of Muscle and Joint Health
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Volume & Issues
Volume 19, Issue 3 - Dec 2012
Volume 19, Issue 2 - Aug 2012
Volume 19, Issue 1 - Apr 2012
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ICF Core Sets for Measuring Functional Status of Acute Stroke Patients
Park, Mi-Jin ; Kang, Ji-Yeon ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 107~119
DOI : 10.5953/JMJH.2012.19.2.107
Purpose: This study was conducted to extract international classification of functioning, disability, and health (ICF) core sets for measuring functional status in acute stroke patients, and to evaluate clinical applicability of the core sets. Methods: A set of 22 ICF items on functional status in acute stroke patients were extracted from the Korean general ICF core sets and ICF core sets for stroke patients. The extracted ICF functional items were assessed at the time of admission and discharge among 100 stroke patients who were admitted in a university hospital. Results: Comparing to functional status at admission of acute stroke patients, the overall functional status at discharge was improved. However, functions on defecation, skin protection, and relationship with immediate family at the time of discharge were not significantly changed. Conclusion: The set of ICF functional items identified in this study may be reliable and valid to assess acute stoke patients' body functions, activities and participation and environmental factors in the holistic and comprehensive nursing context. Nursing interventions on bowel elimination and skin protection for acute stroke patients need to be developed.
Nurses' Needs and Priority for Developing Advanced Nursing Education Program in Musculoskeletal Care
Kim, Jong-Im ; Lim, Nan-Young ; Cho, Kyung-Sook ; Lee, Eun-Nam ; Song, Rha-Yun ; Eun, Young ; Bak, Won-Sook ; Lee, Dong-Suk ; Kwon, Young-Sook ; Sim, Hee-Sook ; Jang, Boo-Young ; Choi, Mi-Kyung ; Lee, Ji-Hyun ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 120~130
DOI : 10.5953/JMJH.2012.19.2.120
Purpose: The purpose of this study was to assess nurses' educational needs for developing advanced nursing education program for musculoskeletal care. Methods: The participants consisted of 272 clinical nurses who had experience of taking care of patients with musculoskeletal problems. A structured questionnaire with 28 items was used to assess educational needs and priority perceived by clinical nurses. Collected data were analyzed using SPSSWIN V.18.0 program for descriptive statistics. This survey was conducted in accordance with standard ethical guidelines for all research involving human participants. Results: While the majority (93.4%) perceived needs for advanced education program, about half of the participants (48.5%) reported no educational experience about musculoskeletal care. The clinical nurses perceived important for 23 out of 28 areas to be included in advanced nursing education. Especially, the areas of pain management, surgical care, and medication were perceived high priority for education program in caring musculoskeletal patients. Conclusion: The study findings showed that most nurses perceived the need for advanced nursing education program in musculoskeletal care, and the areas with higher priority as perceived by nurses should be reflected in the program.
Effects of Fall Prevention Education on the Variables Related to Using Orthosis and Fear of Falling in Fracture Patients Wearing the Leg Orthosis
Cha, Kyeong-Sook ; Beak, Seung-Mi ; Cho, Ok-Hee ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 131~141
DOI : 10.5953/JMJH.2012.19.2.131
Purpose: The purpose of this study was to test the change of study variables (knowledge, efficacy, and fatigue) related to using orthosis and fear of falling in fracture patients wearing the leg orthosis after fall prevention education in terms of educational method and frequency. Methods: Participants were 87 fracture patients wearing the leg orthosis. Experimental I group (n=30) and experimental II group (n=27) received the fall prevention education once and three times respectively with leaflets. Experimental III group (n=30) received video training once. Results: The level of the subjects' knowledge was significantly increased in experimental I and II groups rather than in experimental III group. In case of experimental I and experimental II group, fear of falling was decreased when compared to experimental III group. However, there were no significant changes in efficacy and fatigue related to using orthosis among three groups. Conclusion: The fall prevention education using leaflets was more effective than video training method. Only one education with leaflets was effective enough. Therefore, it is recommended that the education with leaflets or pamphlets should be developed systematically according to the characteristics of fracture patients wearing the leg orthosis.
A Path Analysis of Variables Influencing Turnover Intention Among Healthcare Providers
Song, Jung-Hee ; An, Ji-Yeon ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 142~151
DOI : 10.5953/JMJH.2012.19.2.142
Purpose: This study was to explore the relationships among emotional labor, social support, job satisfaction, organizational commitment, and turnover intention in healthcare providers. Methods: Participants were healthcare providers (54 male and 328 female) with a mean age of 30.28 years old. Data analysis were done with PASW 18.0 for descriptive statistics and AMOS 5.0 for path analysis. Results: The hypothetical path model showed a good fit to the empirical data (
=4.178, df=2, p= .124, GFI= .997, NFI= .995, NNFI= .987, RMSEA= .053). Emotional labor, job satisfaction, and organizational commitment had significant direct effects on turnover intention. Social support had a significant direct effect on emotional labor, job satisfaction and organizational commitment, and indirect and total effect on turnover intention. Conclusion: These findings suggest that turnover prevention or education programs for healthcare providers should include maintaining good mood when interact with patients or visitors with various negative moods in healthcare setting. Further strategies may need to resolve emotional labor, enhance job satisfaction and organizational commitment, and provide social support.
The Effects of the Tai Chi Exercise on Metabolic Syndrome and Health-related Quality of Life in Middle-aged Women
Eom, Ae-Yong ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 152~160
DOI : 10.5953/JMJH.2012.19.2.152
Purpose: The purpose of this study was to test the effects of the Tai Chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Methods: A quasi-experimental design was used. Subjects were sixty middle-aged women with metabolic syndrome. All of the subjects were met the criteria of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III). The subjects were divided into the experiment group (n=33) trained the Tai Chi for 12 weeks and the control group (n=27). Metabolic syndrome risk factors including blood pressure, waist circumference, glucose, triglyceride (TG), and high density lipoprotein cholesterol (HDL-C) were measured before and after the 12-week period. Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D) was used to evaluate the health-related quality of life. Results: The experiment group showed significant decreases in diastolic blood pressure, waist circumference, glucose, and TG; and increase in HDL-C compared to the control group. For the health-related quality of life evaluation, the experiment group showed significant improvement more than the control group. Conclusion: The Tai Chi exercise may be effective intervention in preventing cardiovascular disease caused by metabolic syndrome in middle-aged women.
Factors Influencing Depression Among Patients with Chronic Degenerative Arthritis after Total Knee Arthroplasty
Ju, Yeong-Ju ; Kim, Hee-Kyung ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 161~172
DOI : 10.5953/JMJH.2012.19.2.161
Purpose: This study was to identify the factors influencing depression among patients with degenerative arthritis after total knee arthroplasty. Methods: The subjects were 108 patients who admitted or visited K hospital in K city after total knee arthroplasty. Data were analyzed using SPSS WIN 18.0 program. Results: The level of depression was 2.72 with a possible range of 1 to 5. Social support was 3.71 out of a total score 5. Self-efficacy was 64.47 ranged from 10 to 100. Self-esteem was 2.59 ranged from 1 to 5. The associated factors with depression were marital status, length of illness, perceived health status, pain, social support, self-efficacy, and self-esteem. Marital status, length of illness, and perceived health status accounted for 5.8% of depression. Next, all variables including pain, social support, self-efficacy and self-esteem accounted for 66.4% of depression. Conclusion: The level of depression among the subjects significantly be related to marital status, length of illness, perceived health status, pain, social support, self-efficacy and self-esteem. It indicates a need to develop nursing interventions for them to decrease depression and develop quality of life during recovery.
Analysis of Nursing Records for Pain Management in Intensive Care Unit Patients
Im, Young-Sk ; Yi, Yeo-Jin ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 173~183
DOI : 10.5953/JMJH.2012.19.2.173
Purpose: The purpose of this study was to analyze nursing records for pain management in intensive care unit (ICU) patients. Methods: Nursing process for pain management were analyzed retrospectively by 180 ICU patients' nursing records. Instruments consisted of 3 questionnaires (pain assessment, intervention, and evaluation). Results: For assessment, there was different pain intensity between cancer patients (7.95) and non-cancer patients (7.20). Also pain intensity was lower in PCA group (5.08) than in PCA with PRN group (8.27). Common pain site was surgical areas, along with 17 kinds of words expressed for pain, and mean of pain intensity was 7.47 by numeric rating scales (NRS). For intervention, the patients received pharmacologic interventions (99.4%) such as narcotic analgesics (38.3%) intermittently (70.5%) without side effects (94.4%). For evaluation, mean of pain intensity was decreased to 3.14, but a few patients (12.8%) experienced pain over 5 points despite the intervention. Nurses evaluated the degree of pain relief after the intervention in 87.2% of patients. Conclusion: Nurses do assess patients' pain by using objective tool, intervene, and evaluate for effective pain management. Nurses should make an individual approach and record all nursing activities for pain management.
Discomfort on Wearing Thigh-Length Compression Stockings in Orthopedic Surgical Patients
Jung, Yun-Hwa ; Min, Hye-Sook ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 184~196
DOI : 10.5953/JMJH.2012.19.2.184
Purpose: This study aimed to investigate the degree of discomfort and to identify factors related with discomfort in patients wearing thigh-length compression stockings after orthopedic surgery. Methods: The participants were 105 patients wearing thigh-length compression stockings after orthopedic surgery at two hospitals in B city. Data were collected by the scale of discomfort in wearing compression stockings from July 5 to October 20, 2011. Results: Mean score of discomfort on wearing compression stockings was significantly higher at post-op. day 3 than day 1 (t=-2.30, p=.004). Discomfort scores for 'itching skin' and 'tightened leg' items were higher than others. There was significant difference in discomfort at post-op. day 1 according to surgical regions. The total score of discomfort at post-op. day 3 was positively related with the body mass index (r=.20, p=.041). Conclusion: Wearing thigh-length compression stockings to prevent deep vein thrombosis may cause physical and psychological discomfort for orthopedic surgical patients. To reduce discomfort in wearing compression stockings, nurses need to intervene discomfort and problems related to the stockings post-operatively.
The Reliability and Validity of the Personal Competence of Health Care (PCHC) Scale
Lee, Kyung-Sook ; Choi, Jung-Sook ; So, Ae-Young ; Lee, Eun-Hee ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 197~209
DOI : 10.5953/JMJH.2012.19.2.197
Purpose: This study was aimed to revise Personal Power of Health Care (PPHC) scale which was developed to measure the personal power and competence for health care. Methods: Research phases designed for this study were literature review, scale development, and discussion with experts and pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 25 items with 7 dimensions and tested to 592 adults ranged from 20 to 59 aged living in S and W city. Results: From factor analysis, 7 dimensions were identified and named as follows: Health-perception, Health problem identifying and solving, Socio-economical involvement, Sociocultural relationship, Self-regulation, Spiritual wellbeing, and Health policy participation. The total explained variance was 54.69%. The reliability was .817 of Cronbach's alpha. The PCHC scale was significantly different from gender, religion, education level, monthly income, and presence of family disease, but not different from age and job. Also, there were significant correlations among Health Promotion Lifestyles Profile II, WHO QOL-BREF and self-efficacy. Conclusion: This PCHC scale is reliable and valid to measure personal competence of health care.
Effects of Taekwondo Exercise Program in Women with Osteoarthritis
Kim, Young-Jae ; Seo, Nam-Sook ; Lim, Young-Nan ; Kim, Hyun-Sook ; Kim, Yun-Sung ; Kim, Sea-Ja ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 210~222
DOI : 10.5953/JMJH.2012.19.2.210
Purpose: This study examined the effects of taekwondo exercise program on the physical function, fitness and quality of life in women with osteoarthritis. Methods: With nonequivalent control group quasi-experimental design, 17 outpatients with osteoarthritis were recruited from June to August, 2010. The subjects were divided into 14 in experimental group and 13 in control group. The taekwondo exercise program was consisted of public taekwondo gymnastics with stretching movement and carried out every 60 minutes, 2 times a week for 12 weeks. Physical fitness of sit up, sit and reach, and agility, KWOMAC, and quality of life were measured. Data were analyzed by t-test and Mann-Whitney test using SPSS program. Results: After the intervention, the physical fitness for muscle endurance (Z=-4.40, p<.001), flexibility (Z=-2.75, p=.006), and agility (Z=-1.95, p=.050) were significantly improved in the experimental group. The mean scores of KWOMAC in the experimental group were significantly decreased (Z=-2.94, p=.003) and the mean difference of quality of life in the experimental group was also significantly increased than that of the control group (Z=-3.50, p<.001). Conclusion: The taekwondo exercise program may have affirmative effects on physical fitness, physical function, and quality of life in women with osteoarthritis.
Factors Influencing Exercise Compliance among Older Adults
Ko, Young-Ji ; Lee, Ju-Hee ;
Journal of muscle and joint health, volume 19, issue 2, 2012, Pages 223~232
DOI : 10.5953/JMJH.2012.19.2.223
Purpose: The purpose of this study was to examine the relationships among perceived health status, exercise self-efficacy, social support, and exercise compliance and factors influencing exercise compliance in older adults in an area. Methods: The sample consisted of 154 older adults who attended a senior welfare center in D metropolitan city. Data were collected from the 25th to the 31th of January in 2012. Results: The mean score for perceived health status was 2.94, 911.69 for exercise self-efficacy, 46.99 for social support, and 6.83 for exercise compliance. The highest score on social support domains was emotional support, followed by self-esteem, material, and informational support. There were significant correlations between perceived health status and exercise self-efficacy, between perceived health status and exercise compliance, between exercise self-efficacy and social support, between exercise self-efficacy and exercise compliance, between emotional support and exercise compliance. Findings of multiple regression indicated that only exercise self-efficacy significantly explained exercise compliance. Conclusion: Health care providers may need to develop various intervention program to promote exercise self-efficacy in order to influence on exercise compliance and adherence among older adults.