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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 12, Issue 3 - Dec 2005
Volume 12, Issue 2 - Aug 2005
Volume 12, Issue 1 - Apr 2005
Selecting the target year
A Comparison of Lifestyle, Health Status and Quality of Life of Adult Women living in Urban and Rural Areas
Yang Jin-Hyang ; Kwon Young-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 6~14
Purpose: This study was done to investigate the need to develop health promotion programs for adult women and to compare lifestyle, health status and quality of life in adult women in urban and rural areas. Method: The participants were women over 20 years old, 451 living in 3 cities and 436 living in 1 rural areas. Data collection was conducted from April 6 to August 30, 2004. Results: For lifestyle, the percentage of women having regular medical examinations, cholesterol tests, regular exercise, and high alcohol intake were significantly higher for urban women compared to the rural women. For health status, the percentage of women with health problems such as arthritic pain, urinary incontinence, pregnancy and postpartum complications, and the experience of violence were significantly higher for rural women compared to urban women. Rural women had significantly lower scores for health perception compared to urban women. For quality of life, rural women had significantly higher scores for quality of life, especially for the psychological wellbeing and stability subscales. Conclusion: The above findings indicate that it is necessary to develope a health promotion program which reinforces healthy lifestyle and health status for rural women, and quality of life, for urban women.
The Effect of Regular Exercise Program on Body Composition and Body Image in Adults Using One Fitness Center
Oh Jin-Hwan ; Lim Nan-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 15~20
Purpose: This study was done to compare of adult body composition and body image before and after regular exercise program at a sports center. Method: The participants were 32 adults who were beginning regular exercise at a sports center in D city. The body composition was measured by body weight, soft lean mass, fat mass, percent body fat, fat distribution, degree of obesity and BMI, using the Inbody 3.0. Body image. Data were collected using structured questionnaires and analyzed using paired t-test. Results: 1. Significant improvement was shown in body composition. 2. The score for body image increased after the program, but the change was not statistically significant. Conclusion: The short-term exercise program was very effective in improving body composition, but changes in the evaluation of body image need long-term exercise. Also, we were concluded that it is very important to consider preference level when evaluating body composition and body image.
Analysis of Nursing Interventions Performed by Orthopedic Surgery Nursing Unit Nurses Using NIC
Kim Hye-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 21~29
Purpose: The purpose of this study was to identify the frequency with which nursing interventions according to domains and classes, and core nursing interventions of the Nursing Intervention Classification (NIC) were performed by nurses on orthopedic surgery nursing units. Method: For this purpose, the third edition of NIC was used. Of the 486 nursing interventions, 424 were selected at 75% consent by experts. Data were collected from June, 2003 to July, 2003 5 hospitals and 69 nurses(return rate : 95.8%) in Gwang-ju and Chonnam region. 5 point Likert scale describing frequency was used. Results: The most frequently performed domain was 'physiological : basic'(
), followed by 'health system'(
) and 'physiological : complex'(
). The most frequently performed class was 'activity and exercise management'(
), followed by 'immobility management'(
), 'skin/wound management'(
), 'physical comfort promotion'(
) and 'thermoregulation'(
). The most frequently performed nursing intervention was 'medication administration' (
), followed by 'medication administration : intravenous'(
), 'analgesic administration'(
), 'pain management'(
) and 'medication administration : intramuscular'(
). Conclusion: In conclusion, the third edition of NIC was found to be a general and comprehensive classification system for application on orthopedic surgery nursing units. These findings will help in building of a standardized language for orthopedic surgery nursing units and enhance the quality of nursing care.
Health Behavior, Health Status and Self-Efficacy according to Sasangin in Clinical Nurse
Sung Mi-Hae ; Jang Hae-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 30~37
Purpose: This study was a descriptive research to investigate the health behavior, health status and self-efficacy according to the concepts of Sasangin. Method: Participants in this study were 214 nurses in hospitals in Seoul, Kyunggi and B city. Data were collected using interview with questionnaires from Oct.2 to Nov.30, 2003. The measurement tools were the QSCC II by Kim et al., Health Behavior by Kim, CMI by Nam and self-efficacy by Sherer, all of which have resported reliability. For the purpose of the study, the collected data were analyzed by Frequency, ANOVA, and Pearson correlation coefficients. Results: 1) There was a significant difference in health behavior according to constitution (F=1 273, p=.020). 2) There was a negative correlation between health behavior and health status for Taeumin (r=-.376, p=.002). There was also a negative correlation between health status and self-efficacy for Taeumin (r=-.271, p=.029). Conclusion: The results of this study showed that there were significant differences in health behavior, health status and self-efficacy for the participants according to the constitution of each nurse. So, based on these results, determining and fully understanding the client's constitution are important as these are the foundations of Eum-Yang and personal characteristics. Therefore, we have to consider the constitution when we provide nursing care. However, this study did not show a correlation between health behavior, health status and self efficacy for Soyangin and Soeumin. Further research is needed to determine if there is a relation between these variables according to various constitutions.
The Relationship between Health Promoting Behaviors and Anger in Middle-Aged Men
Kim Jong-Im ; Park Mi-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 38~45
Purpose: The purpose of this study was to identify health promoting behaviors and the relationship between health promoting behaviors and state and trait anger in middle-aged men. Method: In this descriptive correlational study, the participants were 143 middle-aged men who lived in D city. Data were collected from November, 2004 to January. 2005. Personal interviews with a structured questionnaire were used. The data were analyzed using descriptive statistics, and Pearson correlation coefficients with SPSS Win 11.0 program. Results: The score for health promoting behavior in the middle-aged men was above the mean score. The highest dimension was self-actualization and the lowest dimension of health promoting behaviors was exercise. A significant negative correlation was found between health promoting behaviors and state anger in middle-aged men. But there was no significant correlation between health promoting behaviors and trait anger. Conclusion: These results suggest that state anger should be considered as an important factor when nurses develop educational programs to enhance health promoting behavior in middle-aged men.
Contents Related to End-of Life Care in Nursing Curriculum: Q Methodological Approach
Kim Myung-Ja ; Kim Yeong-Kyeong ; Jo Kae-Hwa ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 46~57
Purpose: The purpose of this study was to analyze the subjectivity of contents related to death as a nursing curriculum subject for nurses and students. Method: The Q-methodology which provides a method for analyzing the subjectivity of each items was used. The 34 selected Q-statements sorted by each of the 36 participants were classified into a normal distribution by using a 9 point scale. The collected data were analyzed using the QUANL PC program. Results: Four types of content related to death nursing curriculum were identified. Type I is the psychologically sympathetic type, Type II is the clinical based experience type, Type III is the physically comfort seeking type, and Type IV is the human-understanding oriented type. Conclusion: The results of this study show that different approaches to education are needed to address the four types of content related to death as a nursing curriculum subject. Both contents and characteristics need to be considered.
Depression and Self Care Behavior in Patients with Diabetes Mellitus
Jung Sun-Ha ; Moon Jung-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 58~65
Purpose: To investigate the level of depression and self management behavior in patients with diabetes. Method: From May to August 2004, 124 diabetic patients 18 years or older were surveyed using the Korean version of the BDI, the self-management scale by Toobert(2000) and hospital lab data for HbAl, FBS and Blood Sugar-2hr. Results: 1. Mean score on the BDI for the patients was 10.85 points. The score on the BDI was significantly higher in hyperglycemic patients than in normoglycemic patients. 2. The level of self management for the past week showed care on an average of 4.2 days. According to level of depression, patients in the normal group and patients in the mild group had significantly higher levels of self management than those in the moderate group. 3. According to level of depression, patients in the normal group had significantly lower levels of blood glucose than those in the moderate group, and for HbAlc and FBS those in the mild group had lower levels compared to those in the moderate group. 4. The factors significantly associated with level of self management were depression (25.66%) and duration of illness. Conclusion: Programs should be developed to combat depression in patients with diabetes in order to increase compliance through self care management and thus increase of blood glucose levels.
Education on Nosocomial Infection Control within the Content of Courses in Fundamentals of Nursing
Lim Nan-Young ; Sohng Kyeong-Yae ; Shon Young-Hee ; Kim Jong-Im ; Gu Mee-Ock ; Kim Kyung-Hee ; Paik Hoon-Jung ; Byeon Young-Soon ; Lee Yoon-Kyoung ; Kim Hwa-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 66~72
Purpose: The purpose of this study was to explore the content related to nosocomial infection control in the course on Fundamentals of Nursing. Method: Participants were 49 faculty who were teaching courses in Fundamentals of Nursing in universities and colleges in Korea. The questionnaire was composed of 55 items related to nosocomial infection control. Results: Eighteen items out of 55 items were taught in more than 80% of the universities and colleges. These included principles of infection control, principles and effect of hand washing, method of hand washing, hand scrubs, and donning sterile gown and gloves. Conclusion: The most effective interventions for infection control: including asepsis, hand washing, infection control for urinary catheterization, and infection control for IV sites were taught in most universities and colleges. However, the time assigned for teaching these items and the importance placed on practice were not considered sufficient.
Relationship of Activity of Daily Living and Self-Care Agency in Patients with Spinal Cord Injuries
Park Hyoung-Sook ; Kim Myung-Hee ; Jeong Hyeon Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 73~80
Purpose: This study examined the relationship between level of activity of daily living (ADL) and Self-Care Agency in patients who have had a spinal cord injury. Method: The participants in the study were 78 persons who had a spinal cord injury and were between 20 and 70 years of age. The data were collected from November 1, 2003 to January 30, 2004. The instruments used in this study were the ADL Check List and Self-Care Agency Scale. The data were analyzed using the SPSS program and included numbers, percentages, t-test and ANOVA, and Pearson correlation coefficients. Results: The total mean score for activity of daily living was
. The total mean score fur Self-Care Agency was
, There was a significant difference between scores for ADL and Self-Care Agency. Conclusion: In order to increase the level of ADL, rehabilitation nurses should ensure that these patients receive training in ADL. Also, it was identified that informational support is important, that is, nurses should help to provide these patients with Self-Care Agency training for ADL.
Comparison of ADL and Symptoms in Elders with Dementia according to Family Resiliency
Seomun Gyeong-Ae ; Chang Sung-Ok ; Lee Su-Jeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 81~90
Purpose: The purpose of this study was to identify family resiliency, ADL in elders with dementia, and symptom for families with an elder with dementia. Method: The participants were 102 people who were caregivers to elders with dementia and who visited the out-patient department at S. hospital for follow up care. Data were collected from August to October 2003 using a questionnaire. The collected data were analyzed using descriptive statistics and t-test aided by the SPSS/PC. Result: Family resiliency for the whole sample was within normal limits but when the sample was quarter-divided by good and poor family resiliency, based on established cut-off scores, there were differences for some characteristics according to good/poor family resiliency. These differences were for perceived health state of caregivers (t=-2.78, p=.008), economic state of family (t=-3.34, p=.002), and ADL (t=-2.56, p=.014). Conclusion: Future research should focus on the way in which family resiliency can be enhanced and on the effects of interventions for those caregivers who report poor family resiliency.
Evaluative Study of Hospice Education using Data Triangulation
Paik Hoon-Jung ; Kim Chun-Mi ; Choi Soon-Young ; Park Soon-Ok ; Moon Jin-Ha ; Kim Jung-Suk ; Kim Ae-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 91~100
Purpose: This research used quantitative research to identify differences in death consciousness between pre and post education. The study was also designed to further understanding of the effects of nursing education by using a qualitative analysis to examine hospice education experience. Method: This study a one group pre-post test design. Results: 1 The mean score for the students' death consciousness before the hospice education averaged
, a medium level for death Consciousness. The Score after education was
, that is, there was higher score for death consciousness after education. 2. The result of classification, giving their names and categorizing the experience of being in a coffin shown to be self-reflection, regret, recognition to death, death as discontinuation of life, the last closing from everything, death as a sad and cruel event, death as another world, specialist intuition of nursing. Conclusion: This research provided an opportunity for nursing students to consider death earnestly and realistically through hospice nursing education. We also discovered affirmative changes in the students' viewpoint of death, students who in future clinical practice may work with elders. We also found increases in motives to develop ability to present effective aid to dying patients.
Current Status Related to Providing Health Education Courses in Elementary Schools
Moon Jung-Soon ; Sohng Kyeong-Yae ; Lee Jong-Eun ; Park Sun-Nam ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 101~112
Purpose: To investigate the status of health education courses in elementary schools. Method: From September to December in 2003, 607 school nurses were surveyed by questionnaires. Results: 1) Of the schools, 32.1% had health education programs as part of the school health service. A higher proportion was found in schools in suburban and rural areas. Mass media in health education was used by 75% of school nurses. Regular classes were more frequently utilized in schools in rural areas, while the classes in health-related subjects were utilized in urban areas. For 20.6% of school nurses, there was a substitute person to provide health care while the nurse was in health education classed, but 94.2% of school nurses found they had to give up health education due to pressure from other health services. 2) Of the nurses, 97.0% felt the need to provide health education courses, but 60.6% insisted that their work load needed to be modified and supplemental personnel were necessary if health education courses were to be provided. 3) More than 30% school nurses responded that educational materials and media, and concern by teachers and administrators were insufficient. 4) School nurses suggested that the content for health education courses should include healthy life and dental health care for students in lower grades, dental health care, sex education and safety for students in middle grades, and sex education and drug abuse prevention for students in higher grades. Conclusion: There is an urgent need to provide health education courses in elementary schools but conditions in the schools are not satisfactory. For successful school health services, personnel supplement, modified work loads and sufficient educational materials and media should be in place before health education courses are provided.
Factors Related to Surgical Site Infections in Patients Undergoing General Surgery
Ahn You-Jin ; Sohng Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 113~120
Purpose: To identify risk factors for surgical site infections in patients undergoing general surgery, to analyze the prolonged hospital stay and extra cost for antibiotics, and to provide basic data for control of surgical site infections. Method: Surgical site infection was defined using the definition of the CDC and the data were analyzed by
-test and unpaired t-test. Results: The prevalence of surgical site infections was 9.7%, and it was related to wound class, duration of operation, number of operations, whether the operation was an emergency, trauma, drains, preoperative stays, presence of remote infection during operative period, and previous history of recent surgery. The mean duration for post-operative stay when a surgical site infection occurred was 9.5 days and in 56.9 % of the patients the surgical site infection appeared 7 days after the operation. Post-operative stays for infected patients were 20.3 days longer than that of uninfected patients. The mean cost of antibiotics for infected patients was higher than that for uninfected patients by 561,067 won per person. Conclusion: Surgical site infection results in an increased length of stay and extra-cost, thus, hospitals need to create strategies to reduce nosocomial infections through effective infection surveillance and by considering factors related to surgical site infections.
A Study of Handwashing by Intensive Care Unit Nurses according to the Content of Nursing Faculty Practice
Kim Hyun-Ju ; Kim Nam-Cho ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 121~130
Purpose: This study was done to determine the rate for handwashing by intensive care unit nurses according to the content of nursing tasks, to investigate the relationship between hand washing practice evaluated by nurses themselves and their actual practice observed, and finality to provide basic materials for strategy for hand washing education. Method: Data were collected by observing 27 nurses working in intensive care units of a hospital in Uijeongbu, Gyeonggi-do and by using observation and a structured self-assessment tool. Collected data were analyzed with SPSS and SAS. Results: The handwashing rate for the nurses was 4.3%. The handwashing rate was high in proportion to the risk of cross infection. In addition, the handwashing rate was highest in nurses working in the neurosurgery intensive care unit. The average score for self-assessment of handwashing was
points and it was higher than their actual practice of handwashing. Conclusion: In order to improve handwashing by nurses, it is necessary to educate them on the importance of handwashing. In addition, there should be strategies for standardizing knowledge and attitudes to handwashing and inducing nurse:3 to practice hand washing in compliance with the policies and working conditions of the institution.
Effects of Intraoperative Music Therapy on Anxiety in Patients Undergoing Local Anesthesia
Shin Hyo-Youn ; Yi Myung-Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 12, issue 1, 2005, Pages 131~138
Purpose: This study was performed to identify the effects of intraoperative music therapy on the anxiety level of adult patients undergoing local anesthesia in the operating room. Method: The research design was a nonequivalent control group pretest-posttest. Data collection was done with 48 patients undergoing local anesthesia from June 2003 to September 2()03. The 24 patients in the experimental group were given music therapy through headphones from the beginning of the operation to the end of the operation with local anesthesia. The data were analyzed using SPSS/PC 10.0 for Windows. Results: Postoperative state anxiety scores were significantly different between the experimental group and the control group. Intraoperative pulse rates were significantly different between the two groups. But systolic and diastolic blood pressures and respiratory rates were not significantly different between the two groups. Conclusion: Considering these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety for adult patients undergoing local anesthesia. However, to determine the best use of this therapy, further study is required for different types of anesthesia and operations such as ambulatory surgery.