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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Academy of Fundamentals of Nursing
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Journal DOI :
Korean Academy of Fundamentals of Nursing
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Volume & Issues
Volume 10, Issue 3 - Dec 2003
Volume 10, Issue 2 - Aug 2003
Volume 10, Issue 1 - Apr 2003
Selecting the target year
Survey on the Knowledge of Pain and the Pain Intervention of Clinical Nurses - focus on Daegu city and Kyoungbuk province -
Kwon Youn-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 6~13
Purpose: A survey was done on knowledge of pain and pain interventions by clinical nurses in Deagu city and Kyoungbuk province. Method: The participants in this study were 209 nurses who worked in Daegu city, and 190 nurses who worked in Kyoungbuk province. The data were collected from August 5, to September 15, 2002. The data were analyzed with SPSS WIN 10.0 program using numbers, percentages, averages and standard deviation with t-test and ANOVA. Result: Out of a total of 30 points on general knowledge of pain, the clinical nurses had a high score of 28, and a low of 10. The average was 18.6 (SD=3.14). Of the participants, 57.9% reported not having had any pain education and 67.9% agreed that education is a necessity. Of pharmacological interventions, Tylenol had the highest score at 3.44 out of a possible 4 points. The most frequent route for giving medication was intramuscular injection (42.6%) and for 62.7%, there was a decision by the physician for routine medication or prn. On reactions after medication, moderate relief had the highest frequency (41.9%), and for side effects after the medication, feeling of nausea was most frequent (70.4%). Of the nonpharmacological approaches to pain relief, ice bag had the highest score with 2.95 out of a possible 4. Judgement to give medication was made by the nurse for 50.1% of the participants and 647% reported a little relief from pain. Conclusion: Based upon the results, continuing education and developing a better education programs (including pain mechanism, pain assessment, pharmacological interventions and nonpharmacological interventions) are needed for systematic pain management. Nurses need a high level of knowledge of pain, to be active in pharmacological interventions and nonpharmacological interventions.
The Effects of Abdominal Relaxed Breathing Exercises using Biofeedback on Stress Response and Blood Pressure in Elderly People with Hypertension
Yu Su-Jeong ; Kim Keum-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 14~22
Purpose: To improve self-management in elderly people with hypertension, the researcher examined the effects of an abdominal relaxed breathing exercises using biofeedback on blood pressure. These exercises regulate physical response to stress and lessen the activity of sympathetic nerves. Method: A single-experimental pre-and post-test design was used. Eight elderly people with hypertension participated in the study from April, 6 to June, 14, 2000. Biofeedback was done with soft ware by developed by J & J Company (1-410 form for abdominal respiration training). The abdominal relaxed breathing exercises are based on Mason's suggestion (1985) and were modified by Yu & Song(2001). This program consisted of 4 sessions once a week for four weeks. Data were analysed using SPSSPC+(10.0). Result: There was a significant decrease in systolic and diastolic blood pressure over three different times. There was a significant difference in the level of total stress response, overall health and quality of life but no significant difference in the level of emotional condition over three different times. Conclusion: The results of this study will contribute to the development of nursing strategies for the regulation of blood pressure in older people as the exercises are easy to learn and are a nonpharmacologic approach.
Stress and Constipation in female High School Students
Byeon Young-Soon ; Lee Jung-In ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 23~29
Purpose: The purpose of this study was to investigate the relationship between stress and constipation in female high school students. Method: Data were collected using a structural questionnaire which included general characteristics, stress and the status of stool elimination. Data collection was done between May 27th and 29th with 331 female high school students. Result: The degree of stress for the participants was 3.52 and 51.7% reported constipation. This result shows that stress was significantly related to constipation. Conclusion: Nursing education program should be developed to prevent serious health problem in female high school students.
Relationship of Strength of Hand Grip, Low Back Muscles and Knee Joint Muscles, to Bone Mineral Densities of these Sites in Young Women
Kim Ju-Sung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 30~36
Purpose: The strength of hand grip, low back muscles and knee joint muscles were measured and then compared to the bone mineral density (BMD) of each forearm bones (including ulna and radius), lumbar spine, and femur in young women in order to identify the relationship between muscle strength and bone mineral density. Method: The BMD was measured with a Dual Energy X-ray Absorptiometry and muscle strength was measured with a handgrip dynamometer and a Cybex Norm. Data were analyzed with frequencies, percentages, means, and Pearson correlation coefficients. Result: 1) Higher grip strength correlated positively with higher BMD in the forearm (r=.246, p=.007), higher low back extensor strength with higher BMD in the femur (neck, trochanter and Ward's triangle)(
) and higher strength in the knee joint extensor with higher BMD in the lumbar spine (r=.227, p=.041), femur neck, and femur trochanter significantly (
). There was no significant correlation between the strength of low back extensors and BMD in the lumbar spine, now with strength of knee joint flexor and the BMD in the femur. 2) The muscle strength of each part of the body had significant positive correlations to each other part (
) Conclusion: The results of this study showed that with the development of a muscle there was an increased BMD of the corresponding part, and the BMD of each part was influenced by adjacent muscles. To promote the health of bones, it is important to strengthen the muscles of related bones, based on balanced development of all muscles.
A Study of the Burden of Preceptors
Park Soo-Youn ; Kim Ju-Sung ; Kim Myung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 37~46
Purpose: This study investigated the burden of preceptors in order to improve preceptorship in nursing practice. Method: The participants were 170 preceptors at three hospitals in Pusan. The data were collected using questionnaires completed between July and September 2002, which included items to measure burden and opinions to reflect the demands of preceptors. They were analyzed using mean score, frequencies, and content analysis. Result: 1) The preceptors had an average of 6.3 years of clinical experience, while the practical career of a preceptor averaged 1.9 years. The average period of new nurse education was 5.5 weeks. Each year, 1.9 new nurses were trained per preceptor. 2) Of the preceptors 54.7% had received compensation without formal rules. but 54.1% did not want to serve further as preceptors because of overwork, lack of educational preparation, and lack of compensation. They were looking for solutions for existing problems. 3) Preceptors indicated that the major burden was having to repeat explanations to each preceptee, they were too busy to serve as preceptors, and their colleagues' had excessive expectations. Conclusion: We recommend practical management, including supplementary manpower, an education program, and compensation provided by the hospital administration with cooperation from colleges.
Clinical Nursing Competency for New Graduate Nurses - A Grounded Theory Approach -
Byeon Young-Soon ; Lim Nan-Young ; Kang Kyu-Sook ; Sung Myung-Sook ; Won Jong-Soon ; Ko Il-Sun ; Chang Sung-Ok ; Jang Hee-Jung ; Yang Sun-Hee ; Kim Hwa-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 47~56
Purpose: This study was done to provide information about issues of clinical competency from the perspective of new graduate nurses and to make suggestions for improving undergraduate education programmes. It was also done to clarify learning experiences between fundamentals of nursing and the other major areas of nursing. Method: For this study, 7 new graduates and 8 experienced nurses participated. The data were collected through in-depth interviews and analysed in terms of Strauss and Corbin's grounded theory methodology. Result: Core category and main categories, were delineated. Clinical nursing competency was found to be a dynamic process with each participant actively engaged in acquiring problem solving ability in diverse clinical settings. These findings have value in understanding the embedded meaning of clinical nursing competency. Conclusion: Therefore, the educational programs reflecting the experience of new nursing staff should be developed.
Types of Smelling Among Adult Smellers
Chang Sung-Ok ; Shin Sung-Rae ; Kim Sang-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 57~67
Purpose: This study was done to analyze subjectivity of smoking among adult smokers. Method: Q-methodology which provides a scientific method on subjectivity, was used. Result: Five types of smoking among adult smoker were identified Type I, Concerning Significant Others; Type II, Pursuing Psychological Comfort; Type III, Habitual Craving; Type IV, Pursuing Social Relations and Type V, Maintaining Self Control. Stage of change and methods of stress relieving were revealed to be factors influencing the smoking modes among the adult smokers. Conclusion: The five types of smoking and factors influencing them as revealed in this study provide a better understanding of smokers. Smoking styles and subjective values about smoking provide insight for nursing interventions for smoking.
The Effect of Meridian Massage on Muscle Power, ROM, and ADL in Persons with Cerebral Palsy
Oh Mi-Jung ; Choi Kyong-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 68~77
Purpose: This study analyzed the effects of meridian massage on the muscle power, ROM, and ADL in persons with cerebral palsy. Method: A non-equivalent pre-test/post-test design was used. The data were collected from August to October, 2000 from 10 persons with cerebral palsy (a control group of 5 and an experimental group of 5). Muscle power was evaluated with the Brunnstrom-Dennen gravity test, ROM with a goniometer, and ADL with a self developed ADL scale. T-test, repeated measure ANOVA were used for statistical analysis. Result: The results are; 1. For muscle power, both time series group difference (F=10.66, p=0.000) and the total period group difference (F=72.67, p=0.000) were significant between the two groups. 2. ROM was not significantly different between the two groups. 3. For ADL, both time series group difference (F=7.09, p=0.001) and total period group difference (F=35.99, p=0.000) were significant between the two groups. Conclusion: Overall, this study shows that Meridian massage is effective for muscle power, ROM, and ADL in persons with cerebral palsy person. So it can be used to develope effective nursing programs to improve the function of motion of persons with cerebral palsy.
A Study of Correlation between Self Concept and Climacteric Symptoms in Middle-Aged Women
Kim Jung-Ae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 78~86
Purpose: The purpose of this study was to investigate the relationship between self concept and the climacteric symptoms in middle-aged women. Method: From a convenience sample of 123 women between 40 and 59 years of age living in P-city data were collected using a structured questioanaire. It included a self concept scale and climacteric symptom scale. With spss/pc(+), data were analyzed using descriptive statistics, t-test, ANOVA and Pearson's correlation coefficients. Result: 1 The mean score for self concept was
. 2. The variables that influenced the self concept of middle-aged women most were 'health state' and 'marriage satisfaction'. They were statistically significant at the .01 level. 3. The mean score for climacteric symptoms was 3.13. Of psychophysical, physical and psychological symptoms the scores for psychophysical symptoms were the highest. 4. There were significant negative correlations between self concept and climacteric symptoms (r=-.333, p=.000). Conclusion: This study suggests that positive self concept can reduce climacteric symptoms in middle-aged women.
A Survey of Nurses' Knowledge of Pain
Park Jeong-Sook ; Oh Yun-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 87~95
Purpose: The purpose of this study was to identify nurses' knowledge of pain and provide basic data for development of pain management education programs. Method: The participants in the study were 764 nurses working at seven medical centers in Youngnam area. The instrument used in this study consisted of 22 items on pain knowledge. The data were collected between March 1 and June 30, 2002 using a self-administered questionnaire. Analysis of data was done using descriptive statistics, t-test, ANOVA and Scheffe test with the SPSS program. Result: 1) The average score for pain knowledge was 13.63 (total possible score, 22). 2) The highest item with correct response rate for knowledge of fain was identifying 'Tylenol as opioid or non-opioid.' and the lowest was for 'When opioids are used for pain relief for 3-6 months, what percent of patients are likely to develop opioid addiction?' 3) Nurses' knowledge of pain was significantly different according to age (F=7.040, p=.000), education (F=3.385, p=.034) and work career (F=6.101, p=.000). Conclusion: The above findings indicate that it is necessary to develop a comprehensive pain management education program and continuously provide the medical team with new knowledge about pain.
Effects of Tracheal Suction and Method of Bronchodilator Inhalation on Vital Signs and Pulmonary functions in Patients with Open Heart Surgery(OHS)
Song Hyo-Sook ; Jun Tae-Gook ; Park Pyo-Won ; Kim Kyoung-Eun ; Chung Ji-Hye ;
Journal of Korean Academy of Fundamentals of Nursing, volume 10, issue 1, 2003, Pages 96~107
Objective: The purpose of this study was to identify the effects of tracheal suction and the effects of different methods of bronchodilator inhalation (Ultrasonic nebulizer: MDI puff, MDI puff with spacer) in VSD surgery patients. Material & Method: From June 2001 to March 2002, sixty consecutive patients were randomly assigned to a control group (n= 15), ultrasonic nebulizer group (n=15), metered dose inhalation (MDI) puff group (n=15) and MDI with spacer group (n=15). Vital signs (HR, BP, CVP), ABGA and pulmonary functions were measured before suction (baseline for suction), after suction, 15 minutes after suction (base of bronchodilator inhalation), 30 minutes after bronchodilator inhalation, and 2 hours after bronchodilator inhalation. Stastistical analysis was performed using SPSS software. Repeated measure ANOVA was used to examine the effects of tracheal suction. One way ANOVA with Bonferroni's correction and multiple range test (the least significant difference test) were used to examine the effects of albuterol inhalation. Result: 1. Heart .ate increased significantly immediately after suction (p<.01) and recovered 15 minutes after suction. 2.
and PH decreased significantly immediately after suction (p<.05) and
recovered 15 minutes after suction.
increased immediately after suction and significantly 15 minutes after suction (p<.01). But changes in vital signs and ABGA were within the normal range. 3. Tidal volume decreased significantly 15 minutes after suction (p<.05). 4. Changes of HR and tidal volume were greater in the nebuizer group compared to the other groups (p<.05) 30 minutes after bronchodilator inhalation and recovered 2 hours after bronchodilator inhalation. 5. Changes of airway deadspace was greater in the nebulizer group compared to the control group and MDI puff group 30 minutes after albuterol inhalation (p<.05) and at 2 hours (p<.01). Conclusion: Tracheal suction did not have significant effect on vital signs and pulmonary functions after OHS. Although the methods of bronchodilator inhalation did not showed any significant difference on pulmonary function, the nebulizer method increased
(20%) and tidal volume transiently. If the patient needs bronchodilator inhalation with bronchospasm after OHS, the nebulizer method is the best choice. More study on the effects of bronchodilator inhalation in bronchospasm group is needed.