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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 7, Issue 3 - Dec 2000
Volume 7, Issue 2 - Aug 2000
Volume 7, Issue 1 - Apr 2000
Selecting the target year
The Effect of Chest Physiotherapy on the Amount of Tracheal Secretion and
Jun Seong-Sook ; Moon Mi-Jin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 355~365
The purpose of this research was to find out the effect of chest physiotherapy on the amount of tracheal secretion and
. After changing position of the neurosurgical patients who had tracheostomy cannula, experimental treatments were applied as bellows, manual chest percussion on groupI, chest percussion and manual chest vibration on groupII, chest percussion and mechanical chest vibration on groupIII were done. After these trials, we have analyzed the efficacy of each procedures comparing the group differences in the quantity of tracheal secretion and
. Target samples were sixty patients aged between 20 to 60 who have tracheostomy state and decreased consciousness status that were admitted in NICU of a university hospital from June 1 to August 31, 1999. They assigned randomly into three experimental groups. To compare the effect of each interventions, tracheal secretion quantify was measured and
was analyzed via arterial blood gas analyzer. The data were analyzed by ANCOVA of 5% significance level using SPSS P/C program. The results were as bellows. 1) The first hypothesis 'There is a difference In the quantify of the secretion among GroupI, GroupII and GroupIII' was accepted.(F=29.27, p=0.00) 2) The second hypothesis 'There is a difference in
among GroupI, GroupII and GroupIII' was rejected.(F=1.71, p=0.19) From this study results, positional change and manual chest vibration including chest percussion were the most effective treatment to get maximum amount of tracheal secretion and it was confirmed that mechanical chest vibration also made much better effect than sole chest percussion method. Therefore, we concluded that the mechanical or manual chest vibration with chest percussion is more effective respiratory care method than the sole chest percussion.
The Development of Exercise Therapy Protocol Applied to an Efficacy Expectation Promoting Program in Type 2 Diabetes Mellitus Patients
Hwang Ae-Ran ; Kim Chun-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 366~378
Type 2 Diabetes Mellitus patients have chronic metabolic disorder and they need self care for their lifetime. But most Diabetes Mellitus patients don't know how to do a self care due to the lack of adequate support from health care professionals. It has been reported that lack of exercise therapy compliance guide is very important one. This study was conducted to develop an exercise therapy protocol applied to an efficacy expectation promoting program based on Bandura's self efficacy model for type 2 Diabetes Mellitus patients. Firstly, a conceptual framework was developed through efficacy expectation promoting Program based on Bandura's self efficacy model. In order to identify the contents of program and to design a preliminary protocol, a with the consultation experts was made. A clinical validity was tested using twenty type 2 Diabetes Mellitus patients who received follow-up care regularly through the diabetic out-patient clinic from October, 1998 to May, 2000. After this process, the final protocol was developed. The results of this study are summarized as bellows : The final exercise therapy protocol applied to an efficacy expectation promoting program for type 2 Diabetes Mellitus Patients consists of individualized exercise test and prescription, a small booklet relating personal experience with Diabetes Mellitus and a telephone coaching program for 12 weeks on performance accomplishment, vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. It is concluded that the exercise therapy protocol applied to an efficacy expectation promoting program is applicable to type 2 diabetes mellitus. And this exercise therapy protocol could show a positive effect on the exercise compliance of Diabetes Mellitus patients.
The Study of Meaning in Euthanasia and Hospiece Nursing among Nurses
Kim Ae-Kyung ; Park Gye-Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 379~390
Euthanasia have received considerable attention recentely in medical literature, public discussion, and proposed state legislation. Almost all the discussion in this area has focused on the role of physicians. However, nurse may be in special position to understand the wishes of patients and to act on this understanding. Purpose of this study is to identity the meaning of euthanasia in terminal ill patients on the nurses' veiw. Forcused interveiw design was used to data collection The data were analyzed by semantic analysis, and analysis of the data resulted in identification of 14 categories representing the meaning of euthanasia. 1. The meaning of supported euthanasia is 'free of suffering', 'difficulty of economic status', 'right of patient and family', 'dignity of death', 'organ transplant', 'social legislation'. 2. The meaning of opposited euthanasia is 'artificial death', 'value of life', 'uncertainity', 'guilt feeling' 3. The meaning of care in terminalily ill patients is 'avoidance', 'powerlessness'. 'apathy'. 'passive attitude'. The policy debate about professional roles in action that end of lives of patients must be extended nurses. Nurses must take an active role in discussion and definition of acceptable practice at the end of life.
The Effects of the Band Type Foot Drop Device
Kang Hyun-Sook ; Kim Won-Ock ; Lee Hya-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 391~400
A long-term bed rest results in an inevitable foot drop. Yet preventive device such as a foot board and high-neck tennis shoes, are not widely used. This study was conducted to compare the effects of a pillow-type foot board with that of the band-type device. The band-type device of a resonable price is designed for an effective prevention of foot drop, and the convenience for it use. Among the non-equivalent control group design, foot drop preventive effects, usefulness of the device, as well as its cost effectiveness were examined. The study was carried out for four months from December 1999, and its subject had been patients and nurses of two intensive care units at K medical center in Seoul. According to the study purpose, the data collected were analyzed by
and t-test. The results are as follow : 1. The ROM of ankle joint is promoted in the experimental group with a band-type device comparing the control group with a pillow type one. Dorsiflexion is particularly increased in the experimental group as compared with the control group, while planterflexion hardly shows any change. 2. The usefulness score of the experimental group nurses using the band-type device (23.97) is higher than that of the control group nurses (18.88). 3. In an aspect of the unit production cost, band-type devices are low-priced compare with pillow-type or other foot board (wooden) or high-neck tennis shoes. In summary, the newly developed band-type device is both useful and preventive for a foot drop. It is also desirable regarding to the production cost and the cost effectiveness. This fact proves that the new anti-foot drop device could be practical both for clinical care and home care. Yet the results were obtained by some subjects, it should be used after a further examination. More effective nursing intervention could be observed throughout general studies, including proper positioning and foot and ankle exercises which are the important variables of the foot drop prevention.
A Survey on Perceived Health Status and Health Promoting Lifestyle Patterns between Korean Elderly and Korean-American Elderly
Sohng Kyeong-Yae ; Lee So-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 401~414
This study was designed to explore and compare health-promoting behaviors and perceived health status between Korean elderly and Korean-American elderly. One hundred fifty Korean elderly and one ten Korean-American elderly recruited from senior centers respectively. Collected data were analyzed using SPSS program through which with a structured questionnaire. T-test, ANOVA, and Pearson correlation coefficients were tested. The results were followings : 1. In religion, 32.7% of Korean elderly were protestant. while 61.8% of Korean-American elderly were protestant. 61.3% of Korean elderly were living with their children, and only 17.3% of Korean-American elderly were living with their children. 2. Perceived health status of Korean elderly was 3.08 and Korean-American elderly was 3.01, there was no significant difference in those two groups. 3. The mean HPLP score of Korean elderly was 2.63, showed significant relationships with age, economic status and education, while Korean-American elderly was 2.54, showed significant relationships with education and economic status. 4. There was no significant difference in the mean HPLP score in two groups, but Korean elderly showed higher practices in health responsibility, exercise, and stress management than that of Korean-American elderly. Both two groups showed highest practices in nutrition(3.14, 3.01). and the lowest practices in exercise(2.14, 1.92). 5. The HPLP score of Korean and Korean-American elderly showed(r=.24, r=.20) positive correlations with perceived health status. To draw concrete resolution for health promotion of Korean-American elderly, this study suggests followings for future research: 1. Developing health promotion programs focused on exercise and stress management is also imperatively suggested not only for better health practices of Korean immigrant elderly population but also for enhancing their level of well-beings and life satisfaction. 2. Identifying the influences of culture on their practices of health-promoting lifestyle patterns among Korean, Korean-American and other racial elderly groups.
Survey on the Side Effects of the Vesicant Chemotherapy
Choi Eun-Sook ; Kim Keum-Soon ; Joo Myung-Soon ; Kim Bok-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 415~428
The purpose of this study was to identify side effects of the vesicant chemotherapy. The study was designed to be a descriptive survey. The subjects of this study were 88 patients with various types of cancer, primary lung cancer(25.0%), advanced gastric cancer(25.0%), breast cancer(20.5%), etc. The mean age was 44.8 years old(range: 16-68). The questionnaire was completed by nurses of the outpatient unit and chemotherapy ward, and intravenous nurse specialist. The results of the study were as follows: 1) Chemotherapy was administered with a 23G scalp needle and 24G insyte. Injection site was dorsum of hands(64.7%), cephalic vein(19.3%). Successful rate for the first attempt was 88.6%. The first & second cycle chemotherapy was 29.5% each.. Mainly used drugs were Navelbine(34.1%), Adriamycin(20.5%). 2) Venous Problems after chemotherapy were pain(13.6%) incurred by venous, mainly due to the administration of Navelbine; redness at the inravenous site(12.5%) and itching sense 2.3% Non-venous problems were nausea (18.2%), dullness(14.8%), vomiting(8.0%), facial flushing(6.8%), anxiety(5.7%). Subjective discomforts after chemotherapy were generalized arm pain at the injection side(14.8%), dizziness(6.8%), weakness(5.7%) and general bodyache(5.7%). Systemic anaphylactic reaction and extravasation did not occur. 3) Non-venous problem after chemotherapy were nausea, vomiting & anorexia. Frequency of chemotherapy related to side effects were itching, facial flushing, and nausea(p< .05). Day of chemotherapy related to side effects were nausea & vomiting(p< .05). Site of chemotherapy related to side effects were redness(p< .05). Frequency of venipuncture related to side effects were redness(p< .05). Conclusively, cancer chemotherapy patients have had some venous problem. They need appropriate venous access devices for chemotherapy. And other non-venous problem will be managed appropriately. Further research was required to identify the rate of venous complication or side effects of vesicant chemotherapy.
Validation of Nursing-Sensitive Patient Outcomes: Focused on Self Care Outcomes
Yom Young-Hee ; Lee Kyu-Eun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 429~440
The purpose of this study was to validate self care outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 103 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1(indicator is not at all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follows : 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Self care: Toileting' attained an OCV score of 0.884 and was the highest OCV score among self care outcomes. 3. 'Self care: Oral Hygiene' attained an OCV score of 0.756 and was the lowest OCV score among self care outcomes. 4. 'Self-care: Activities of Daily Living (ADL)' attained an OCV score of 0.845 and the highest indicator was 'eating'. 5. 'Self-care: Bathing' attained an OCV score of 0.810 and the highest indicator was 'washes body'. 6. 'Self-care: Dressing' attained an OCV score of 0.831 and the highest indicator was 'buttons clothing'. 7. 'Self-care: Eating' attained an OCV score of 0.815 and the highest indicator was 'chews food'. 8. 'Self-care: Grooming' attained an OCV score of 0.833 and the highest indicator was 'combs or brushes hair'. 9. 'Self-care: Hygiene' attained an OCV score of 0.823 and the highest indicator was 'washes hands'. 10. 'Self-care: Insrumental Activities of Daily Living(IADL)' attained an OCV score of 0.776 and the highest indicator was 'uses telephones'. 11. 'Self-care: Non-Parenteral Medication' attained an OCV score of 0.796 and the highest indicator was 'identifies medication'. 12. 'Self-care: Parenteral Medication attained an OCV score of 0.810 and the highest indicator were 'identifies medication' and 'administers medication correctly'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.
A Study of Health Promotion Behavior and Health Status based on Adult's Constitution
Kim Sook-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 441~452
This study was a descriptive research to investigate the health promotion behavior and health status based on Korean adult's constitution. The subjects for the study were 96 adults who were the residents either in Seoul or Taegu city. The instruments used for this study included a survey of general characteristics, health promotion behavior and health status. The data were analyzed using t-test, ANOVA, Pearson correlation coefficient and Scheffe method as post hoc test. The results of this study were summarized as follows : 1) There was no significant difference on the health promotion behavior and health status by constitutions. But, in the relationship between five factors of the health promotion behavior and constitution, there was significant difference on health responsibility by constitutions(F=3.31. P=.041). According to the scheffe test, Taeumin group performed better behavior for the health promotion than soyangin group. 2) Health promotion behavior was significantly related to health status (r=-.24, P=.025), suggesting that the person with high health promotion behavior get higher health status scores. 3) In the relationship between general characteristics variables and health promotion behavior, there were significant differences in education(F=3.12, P=.031), economic status(F=4.09, P=.021), religion (F=3.12, P=.031). The level of health promotion behavior of high educated persons and high economic status persons was high. The persons who believe in Catholicism performed better behavior for the health promotion than the persons who don't get religion. Based on these results, to determining and fully understanding client's constitution are the foundations of Eum-Yang and personal character. Therefore, we have to consider the constitution when we provide nursing care. When we consider the differences of health promotion behavior according to constitution, we can provide the client with the kind of nursing care and health education to satisfy their demands.
A Study on the Relationship of Self Care Behavioral Compliance and Perceived Self-Efficacy in Type II Diabetic Patient
Yoo Jae-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 453~465
This study was designed to identify the relationship between perceived self-efficacy and self care behavioral compliance in type II diabetic patient. The subjects for this study were the 113 adults with type II diabetes that received hospital treatment or attended as outpatients in 2 general hospitals at Inchon City. The data were collected during the period from August 15 to semtember 15, 2000 by means of an interview. Collected data were analyzed by means of descriptive statistics, t-test, ANOVA, Pearson's correlation using the SPSS/PC+ program. The results of this study were as follows : 1. The mean score of self care behavioral compliance was 3.06. 2. There were statistically significant difference in self care behavioral compliance according to sex(p<0.05), age (p<0.001), BMI(p<0.05), education(p<0.001), occupation(p<0.001), experience of diabetic education(p<0.05) and complication(p<0.05). 3. The mean score of perceived self-efficacy was 3.45. Self care behavioral compliance and perceived self-efficacy had a positive correlation which was statistically significant (r=0.3879 p<0.001). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for self care behavioral compliance. Education, experience of diabetic education and self-efficacy accounted for 41% of the variance in self care behavioral compliance. The results suggest that education, experience of diabetic education and self-efficacy are important variables in the compliance of self-care behavior with typeII diabetes.
The Effect of Music Therapy on Anxiety of Cesarean Section Wemen
Kwun Young-Sook ; Kim Tae-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 466~478
The purpose of this study was to identify the effects of music therapy on anxiety of cesarean section wemen. The research design was a nonequivalent control group non-synchronized design. The subjects of this study were 65 cesarean section wemen scheduled for surgery. The study was conducted from October 15, 1999 to January 5, 2000. Two groups consisted of subjects assigned : one the experimental group(33 wemen), and the other the control group(32 wemen). The music therapy was performed 3 times to experimental group just before surgery day, on surgery day. The level of anxiety was measured by State Anxiety Inventory, blood pressure, pulse rate, respiratory rate. The data were analyzed using descriptive statistics,
, t-test, Repeated measures of ANCOVA. The results of study were as fellows : 1) State anxiety scores were significantly different between the experimental group and the control group after music therapy. 2) Systolic blood pressures and diastolic blood pressures were significantly different between the experimental group and the control group after music therapy. 3) Pulse rates were significantly different between the experimental group and the control group after music therapy. 4) Respiratory rates were significantly different between the experimental group and the control group after music therapy. According to these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety of cesarean section wemen.
Study on the Personality and Eating Behavior
Byun Young-Soon ; Chung Eun-Joo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 7, issue 3, 2000, Pages 479~488
The purpose of this study was to explore the personality and eating behavior among adult women. The subjects for the study were 237 adult women, who live in Seoul. The survey instruments were to develop for personality and eating behavior. Data were collected between November 6 and November 27 in 2000 and analyzed using the SPSS program. The result of this study are as fellows: 1. Six factors (perfection, emotion, autonomy, consideration for other, evaluate from other, dependency) emerged from personality, and these contributed 55.29% of the variance in the total score. 2. Three factors(craving, food intake according to emotion, eating habit) emerged from eating behavior, and these contributed 49.23% of the variance in the total score. 3 There were significant correlation between personality and eating behavior(r=.32, p=.00). 4. In the relationships between craving and personality, perfection, emotion, autonomy, consideration for other, evaluate from other, dependency showed a statistically significant correlation. 5. In the relationships between food intake according to emotion and personality, perfection, evaluate from other, dependency showed a statistically significant correlation. 6. In the relationships between eating habit and personality, perfection, autonomy, consideration for other, evaluate from other, dependency showed a statistically significant correlation. This study suggest that perfection, evaluation from other, dependency dimension of personality may be important factor for regulation of eating behavior.