Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of Korean Biological Nursing Science
Journal Basic Information
Journal DOI :
Korean Society of Biological Nursing Science
Editor in Chief :
Volume & Issues
Volume 16, Issue 4 - Nov 2014
Volume 16, Issue 3 - Aug 2014
Volume 16, Issue 2 - May 2014
Volume 16, Issue 1 - Feb 2014
Selecting the target year
Analysis of Risk Factors to Predict Intensive Care Unit Transfer in Medical in-Patients
Lee, Ju Ry ; Choi, Hye Ran ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 259~266
DOI : 10.7586/jkbns.2014.16.4.259
Purpose: The purpose of this study was to analyze risk factors in predicting medical patients transferred to Intensive Care Unit (ICU) on the general ward. Methods: We reviewed retrospectively clinical data of 120 medical patients on the general ward and a Modified Early Warning Score (MEWS) between ICU group and general ward group. Data were analyzed with multivariate logistic regression and the area under the receiver operating characteristic curves using SPSS/WIN 18.0 program. Results: Fifty-two ICU patients and 68 general ward patients were included. In multivariate logistic regression, the MEWSs (Odds Ratio [OR], 1.91; 95% confidence interval [CI], 1.32-2.76), sequential organ failure assessment score (OR, 1.28; 95% CI, 1.10-1.72),
ratio (OR, 0.98; 95% CI, 0.98-0.99), and saturation (OR, 0.93; 95% CI, 0.88-0.99) were predictive of ICU transfer. The sensitivity and the specificity of the MEWSs used with a cut-off value of six were 80.8% and 70.6% respectively for ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.
Clinical Usefulness of Gastric Residual Volume as An Indicator to Provide Approximately Enteral Nutrition for Patients in Intensive Care Units: A Systematic Literature Review
Kim, Hyunjung ; Chang, Sun Ju ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 267~275
DOI : 10.7586/jkbns.2014.16.4.267
Purpose: The practice of enteral nutrition with gastric residual volumes (GRVs) as a clinical indicator is poorly standardized in intensive care units. This study aims to summarize the results from studies that evaluated the clinical outcomes related to the GRVs. Methods: This systematic review study analyzed 11 studies consisting of four randomized controlled trials, one non-randomized controlled trial, and six observational studies. Results: No consistent relationship between GRV thresholds and clinical outcomes was observed. Higher GRVs were not consistently correlated with clinical outcomes such as higher gastrointestinal complications, aspiration pneumonia, or mortality. Higher GRVs significantly generate complications more often. Findings show that a single GRV more than 200 mL or two consecutive GRVs more than 150 mL should raise concern about negative consequences. Conclusion: Critical care nurses need to monitor GRVs closely during their practice of enteral nutrition. For critically ill patients receiving enteral nutrition, a GRV threshold of 200 ml would be a desirable limit to provide safe and adequate nutrition with a conservative approach.
The Knowledge, Need, and Usage of Medical Terminology in Clinical Nursing Practice
Shin, Gisoo ; Cho, Mi-Kyoung ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 276~283
DOI : 10.7586/jkbns.2014.16.4.276
Purpose: The purpose of this study was to identify levels of knowledge, need, and usage of medical terminology in clinical nurses. Methods: Participants for this study consisted of 127 clinical nurses who work at one general hospital located in Seoul in Korea. The data was collected from April 1st to the 22nd in 2014. Participants responded to self-administered questionnaires about their knowledge, need, and usage of English medical terminology, Chinese character medical terminology, and Korean medical terminology. The data was analyzed using an independent t-test, one-way ANOVA, Duncan's test as post hoc and Pearson's correlation. Results: The mean scores of knowledge and needs with English medical terminology were high. English medical terminology and Chinese character medical terminology were more useful tools for disease than Korean medical terminology. Knowledge of medical terminology was positively correlated between needs and correct use with the clinical nursing situation. Conclusion: Based on these results, it can be concluded that medical terminology education for bio-nursing curriculum is important for clinical nurses and standardization of essential medical terminology is needed.
Consistency in Measuring Physical Activities and Regular Exercises and Their Relationship with Exercise Capacity and Quality of Life in Patients with Heart Failure
Lee, Haejung ; Jin, Hyekyung ; Park, Jina ; Chun, Kook Jin ; Kim, Jong Hyun ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 284~291
DOI : 10.7586/jkbns.2014.16.4.284
Purpose: In order to examine whether daily physical activity (DPA) can be considered the same as a regular exercise (RE) in patients with Heart Failure (HF), we examined the relationship between RE and DPA, and we explored the relationship of RE and DPA with exercise capacity and quality of life (QOL) in patients with HF. Methods: This cross-sectional, correlational study utilized pretest data (N=136) of a long-term intervention study. Data of the parent study were collected from May 1st to September 26th, 2013. Measures included questions about regular exercise, International Physical Activity Questionnaire, a 6-Minute Walk Test (6MWT), and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The data were analyzed using descriptive analysis, Chi-square test, and ANOVA using the SPSS 21.0 program. Results: There were inconsistencies in measures between RE and DPA. About 42.0% of the participants engaging in health enhancing physical activity did not consider themselves to be regular exercisers. Depending on the levels of RE and DPA, significant differences in 6MWT and QOL were observed. Conclusion: RE is more likely to be related to the health status of patients with HF. Deliberate assessment and cautious interpretation of DPA in patients with HF is needed.
Construction of Model for Health-related Quality of Life of Liver Cirrhosis Patients
Kim, Ji Suk ; Hong, Hae Sook ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 292~299
DOI : 10.7586/jkbns.2014.16.4.292
Purpose: This is a study on the structural model that aims to build a path model of multivariates affecting the quality of health-related living for liver cirrhosis patients and specify causal relations affecting the quality of health-related living for liver cirrhosis patients. Methods: The research was conducted on 244 patients diagnosed with liver cirrhosis and the data were collected from July 2013 to January 2014. The collected data were analyzed using IBM SPSS 19.0 and AMOS 21.0 statistical programs. Results: All the fit indexes of the path model properly met the assessment criteria. Anxiety, depression, functional status, and perceived health directly affected the quality of health-related living for liver cirrhosis patients and anxiety, depression, and functional status directly affected perceived health. Social support, anxiety, and depression directly affected the functional status. Conclusion: It is necessary to segment the severity of liver cirrhosis in testing its direct and indirect effects on the quality of health-related living for patients with the condition.
Effects of Eucalyptus Aroma Therapy on the Allergic Rhinitis of University Students
Song, Mi Ryeong ; Kim, Eun Kyung ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 300~308
DOI : 10.7586/jkbns.2014.16.4.300
Purpose: The purpose of this study was to analyze the effects of eucalyptus aroma therapy on relieving allergic rhinitis symptoms, improving learning ability and quality of life among university students. Methods: In this study, a non-equivalent control group repeated measured design was applied. Participants included 48 students (24 participants in the experiment and 24 participants in the control group) who were diagnosed with allergic rhinitis. Data were collected on 3 occasions, before eucalyptus aroma application, 4 weeks after the application, and 8 weeks after the application. Collected data were analyzed using
-test, Fishers exact test, independent t-test, repeated measured ANCOVA and paired t-test with SPSS 21.0. Results: There were significant differences in allergic symptoms (F=6.926, p=.002) and quality of life (F=3.793, p=.026) according to the time periods after aroma application. Conclusion: Eucalyptus aroma therapy is effective in reducing the symptoms of allergic rhinitis and enhancing the quality of life of university students. It is recommended that eucalyptus aroma therapy be used for university students with allergic rhinitis to reduce their symptoms, and it is recommended that the application of the therapy be extended over 4 weeks.
Difference in Sleep Circadian Rhythm and Sleep Quality between Normal-weight and Obese Group
Suk, Hyun Jin ; Na, Yeon Kyung ; Hong, Hae Sook ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 309~317
DOI : 10.7586/jkbns.2014.16.4.309
Purpose: The purpose of this study was to understand sleep circadian rhythm and sleep quality between normal-weight and obese group according to Body Mass Index to develop education and nursing intervention programs for the obese. Methods: This study involved 186 subjects who visited at S hospital obesity clinic, K province. They were divided into 2 groups: normal-weight group 91 and obese group 95. Data were collected from October 18th to November 12th in 2013. Data were analyzed with frequency, percentage,
-test, Mann-Whitney U test, ANCOVA, t-test and ANOVA with using SPSS version 20.0. Results: The results showed that morning type 1.1%, middle type 91.2% and evening type 7.7% of sleep circadian rhythm in normal-weight group and middle type 92.6% and evening type 7.4% of sleep circadian rhythm in obese group. There were statistically significant results on sleep quality with covariance sex and stress, sleep duration, habitual sleep efficiency and sleep disturbance between normal-weight and obese group. There were statistically significant results on sleep quality, sleep duration, habitual sleep efficiency and sleep disturbance in middle type of sleep circadian rhythm between normal-weight and obese group. Conclusion: Therefore, it is necessary to consider subject's sleep pattern to develop education and nursing intervention programs for the obese.
The Effect of Pre-Operative Patient Controlled Analgesia Education on Elderly Patients with Total Knee Arthroplasty
Shim, Joohee ; Choi-Kwon, Smi ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 318~325
DOI : 10.7586/jkbns.2014.16.4.318
Purpose: The purpose of this study was to investigate the effects of preoperative patient controlled analgesia (PCA) education on total knee replacement arthroplasty (TKRA) patients' PCA usage, level of pain, the frequency of pro re nata (prn) administrations, number of ambulations/day and continuous passive motion (CPM) angle after TKRA. Methods: This research used the non-equivalent control group pre-test and post-test design. Forty-five TKRA patients at a hospital in Seoul, Korea were included for in the study. For the experimental group, a 20-minute education session was provided a day before surgery. Data were analyzed using Windows SPSS Statistics 21.0 program. Results: Knowledge was higher in the experimental group than in the control group (p<.001). Incidence of nausea was lower in the experimental group (p=.01). No significant differences were found in post-operative pain scores, the frequency of prn analgesics administrations, dizziness, number of ambulations/day and CPM angle. Conclusion: This study showed that pre-operative PCA education could be an effective nursing intervention for increasing patient knowledge on PCA and nausea reduction after TKRA.
Effects of Nurse Presence Program on Anxiety and Physiological Indicators in Patients with Gynecological Surgery
Kim, Yun Jeong ; Jo, Kae Hwa ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 326~333
DOI : 10.7586/jkbns.2014.16.4.326
Purpose: This study was to examine the effects of Nurse Presence (NP) program on anxiety and physiological indicators in patients with gynecological surgery. Methods: This study used a randomized control group pre-test, post-test design. The patients were 25-65 years old who had undergone gynecological surgery with general anesthesia. The subjects were divided into an experimental group (n=30) and the control group (n=30). SPSS 21.0 was used to analyze the data with Chi-square, Fisher's exact test, t-test, and one sample t-test. Results: The results show that there were significant differences in anxiety and heart rate and were no significant differences in systolic pressure or peripheral oxygen saturation of the experimental group which received the NP program. Conclusion: Nurse Presence program decreased pulse rate which is a physiological indicator by relieving the anxiety of the patients before gynecological surgery. Thus, this intervention is effective to relieve anxiety of the patients before gynecological surgery and should be utilized in clinics.
Effects of Aroma-Necklace Application on Perceived Stress, Symptoms of Stress and Changes in Autonomic Nervous System among Nursing Students in Clinical Training
Kim, Mi Hee ; Kim, Jin Il ; Ha, Eun ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 334~341
DOI : 10.7586/jkbns.2014.16.4.334
Purpose: The purpose of this study was to examine the effects of aroma-necklace application on perceived stress, symptoms of stress and changes in autonomic nervous system among nursing students in clinical training. Methods: A research design for this study was a non-equivalent control group, non-synchronized pre-post test. The experimental group (n=39) underwent aroma inhalation by necklace which contains an essential oil mixture of lavender and sweet orange mixture in ratio of 2:1 for 2 weeks while the control group (n=36) received placebo therapy. The data were collected using self-administered questionnaires and measurement of heart rate variability (HRV) and analyzed using the PASW 18.0 program. Results: The perceived stress scores and scores of peripheral manifestations in the experimental group were significantly lower than those of the control group. All indices of HRV were significantly different between the two groups. LF norm and LF/HF ratio in the experimental group were significantly lower than those of the control group, and HF norm in the experimental group was significantly higher than that in the control group. Conclusion: It can be suggested that aroma-necklace application was effective in decreasing perceived stress and peripheral manifestations of stress and in changing HRV indices among nursing students in clinical training.
Effects of Pressure Ulcer Classification System Education Program on Knowledge and Visual Discrimination Ability of Pressure Ulcer Classification and Incontinence-Associated Dermatitis for Hospital Nurses
Lee, Yun Jin ; Park, Seungmi ;
Journal of Korean Biological Nursing Science, volume 16, issue 4, 2014, Pages 342~348
DOI : 10.7586/jkbns.2014.16.4.342
Purpose: The purpose of this study was to examine the effects of pressure ulcer classification system education on hospital nurses' knowledge and visual discrimination ability of pressure ulcer classification system and incontinence-associated dermatitis. Methods: One group pre- and post-test was used. A convenience sample of 96 nurses participating in pressure ulcer classification system education, were enrolled in single institute. The education program was composed of a 50-minute lecture on pressure ulcer classification system and case-studies. The pressure ulcer classification system and incontinence-associated dermatitis knowledge test and visual discrimination tool, consisting of 21 photographs including clinical information were used. Paired t-test was performed using SPSS/WIN 18.0. Results: The overall mean difference of pressure ulcer classification system knowledge (t=4.67, p<.001) and visual discrimination ability (t=10.58, p<.001) were statistically and significantly increased after pressure ulcer classification system education. Conclusion: Overall understanding of pressure ulcer classification system and incontinence-associated dermatitis after pressure ulcer classification system education was increased, but tended to have lack of visual discrimination ability regarding stage III, suspected deep tissue injury. Differentiated continuing education based on clinical practice is needed to improve knowledge and visual discrimination ability for pressure ulcer classification system, and comparison experiment research is required to evaluate its effects.