Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Korean Journal of Rehabilitation Nursing
Journal Basic Information
Journal DOI :
Korean Academic Society of Rehabilitation Nursing
Editor in Chief :
Volume & Issues
Volume 5, Issue 2 - Dec 2002
Volume 5, Issue 1 - Jun 2002
Selecting the target year
Effect of Vitamin C Supplementation on Blood Sugar and Serum Lipid in NIDDM Patients
Lee, Yun-Mi ; Park, Hyoung-Sook ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 99~112
The purpose of this study is to determine the effect of oral vitamin C supplements on blood sugar and serum lipid level(total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein) in non-insulin independent diabetes mellitus. The study design was a non equivalent control group pre-test post-test design. Data for the study were collected from June 24 to August 31, 2001. The ninty-five research subject were assigned to experimental group(51) and control group(44). Vitamin C(3g/day) was given to 51 subjects for 4 weeks. Following a 12h overnight fasting, blood sample was obstaind at baseline and at the end of 4week - supplementation. Blood samples were taken for plasma vitamin C concentration, fasting blood sugar, HbA1c and serum lipid level. The pre-equivalent test was used by Chi-squre, t-test and two group's pre and post experimental differences were analyzed by t-tset to compare with each other. The results of this study were as follows ; 1. The difference between the two groups in plasma vitamin C concentration was significant(t=-12.950, p=.000). 2. The difference between the two groups in fasting blood sugar was significant(t=5.293, p=.000). 3. The difference between the two groups in HbA1c was not significant(t=1.758, p=.082). 4. The difference between the two groups in total cholesterol, HDL, LDL was significant(t=3.786, p=.000 ; t=-5.515, p=.000 ; t= 4.169, p = .000). These results suggest that megadose vitamin C supplementation be effective in lowering fasting blood sugar, serum lipids and increasing plasma vitamin C. Thus dietary measures to increase plasma vitamin C may be on important health strategy for reducing the compliance of diabetic patients.
The Survey for The Standards of Care in Rehabilitation Nurse Specialist
Kang, Hyun-Sook ; Lim, Nan-Young ; Suh, Moon-Ja ; Lee, Myung-Hwa ; Kim, Jeong-Hwa ; Suh, Yeon-Ok ; Cho, Bok-Hee ; Kim, In-Ja ; Lee, Jeong-Ja ; Song, Chung-Sook ; Park, In-Joo ; Lee, Sung-Sook ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 113~123
The purpose of this study is to develop the standards of care in rehabilitation nurse specialist. This study was a descriptive survey. The data were collected 143 nurses who were worked in rehabilitation unit at 4 university hospital and 3 rehabilitation center in Korea from Aug. to Nov. 2000. The questionnaire was consisted of 78 items developed by the standards of care in rehabilitation nurse specialist in A.R.N. and the practice contents of care at rehabilitation unit in Korea. Collected data were analyzed by frequency, percentage, mean, S.D. ANOVA The results are as follows 1. For the adequency of the practice contents of rehabilitation nursing, area of skin care is the highest score, and safety, elimination, emotion, respiration, was ordered. 2. The adequency of the practice contents of rehabilitation nursing according to age, educational level, position, clinical experience, clinical experience in rehabilitation unit were significant difference.
On the Test of the reliability and validity of the Disabled's Motivation Scale for Rehabilitation
Han, Hye-Sook ; Lim, Nan-Young ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 124~133
Purpose: to test of the reliability and validity of the Disabled's Motivation for Rehabilitation Scale, which was developed in 2002. Method: An experimental version of the scale was distributed to a sample of 441 disabled with ages above 18 and below 80 years. The subjects of the test-retest were 60 disabled. Results: revealed a satisfactory level of test-retest and internal consistency. The overall fit of the factor model to the data was good. Correlation among the subscales revealed a simple pattern that, in general, provides support for the self-determination continuum and the construct validity. In testing concurrent, criterion-validity, there was a positive correlation between the motivation scores for rehabilitation and the Health-Related Hardiness scores and a negative correlation between the motivation scores for rehabilitation and the Learned Helplessness scores. Conclusion: The Disabled's Motivation for Rehabilitation Scale revealed a useful instrument with a high degree of reliability and validity. In this sense, this instrument can be effectively utilized in rehabilitative nursing for the disabled.
Upper extremity exercise training effects on motor activity, ADL and health related QOL of hemiplegic patients
Kim, Keum-Soon ; Kang, Ji-Yeon ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 134~144
Purpose: The purpose of this study was to investigate the effects of upper extremity exercise training on the motor activity, the ADL and the health related quality of life. Method: A non-equivalent pretest-posttest design was used. Study subjects were conveniently selected 40 hemiplegic patients(20 experimental subjects, 20 control subjects) who had been enrolled in two community health centers. After biofeedback training the subjects of experimental group were given constraint-induced movement, involving restraint of unaffected U/E in a sling for about 6 hours over a period of two weeks, while at the same time intensively training the affected U/E. Outcomes were evaluated on the basis of motor activity(amount, quality) of plegic side, ADL(ADL, IADL) and health related QOL(SF-36). Results: 1. After 2 weeks of treatment, the amount of use and the quality of motor activity of affected U/E were significantly higher in subjects who participated in exercise training than in subjects in the control group. 2. There were no significant differences in ADL and IADL between experimental and control groups. 3. After 2 weeks of treatment, the health related QOL was significantly higher in subjects who participated in exercise training than in subjects in the control group. Conclusion: The above results state that the U/E exercise training could be an effective intervention for improving the motor activity and the health related QOL of chronic hemiplegic patients. Long-term studies are needed to determine the lasting effects of constraint-induced movement.
A Relationship between Depression and The metamemory and Memory Performance in Elderly Women
Min, Hye-Sook ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 145~155
Purpose: This study tries to analyze the differences of memory performance and the metamemory of the elderly women according to degree of depression. And also it attempts to find the correlations among the sub-concepts of metamemory which have close relationships to the memory performance followed by the depression. Methods: The subjects of this study are 60 the elderly women who are older than sixty years in Busan city, Korea. We use the MIA(Dixon, et al., 1988) to measure metamemory and measure the memory performances such as the immeadiate word recall, the delayed word recall, the word recognition task, and face recognition. Results: 1. The average point of deprssed elderly womens' metamemory was significantly lower than non-depressed womens' point(t=10.86 p<.0017). Looking into subconcept of metamemory, depressed elderly womens' strategy, capacity, change, achievement point were significantly lower than non-depressed women. 2. In terms of immediate word recall and delayed word recall performances, depressed elderly women are significantly lower than non-depressed elderly women. 3. The degree of depressed elderly womens' metamemory(strategy, achievement, change, capacity) has significant correlations with immediate word recall performances. Conclusion: Metamemory has close relationship with the memory performance of elderly women. And also depressed elderly's sub-concepts of metamemory which have influences on their memory performance are different from non-depressed elderly's sub-concepts. Therefore, when we try to develop some programs to prevent memory decrease of elderly women, we should take these point into consideration.
A Study on the Application of a Dementia Prevention Program and Its Effect Test
Hwang, Ok-Nam ; Yoon, Sook-Rye ; Hwang, Hye-Yeon ; Nam, Ki-Seok ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 156~165
The objective of this study was to apply a dementia prevention program to the subjects who were suspected of dementia and test its effect. This study was one group pretest-posttest design. The dementia prevention program was applied for 20 weeks to the 19 subjects who were suspected of dementia after a screen test among 638 subjects enrolled in 10 senior citizen's centers in G city. The scores of self-efficacy, cognition, quality of life were measured before and after the program. The data collected were analyzed using a SPSS (statistical analysis system) program, and frequencies, averages and standard deviations were obtained. The differences of the scores of the pretest and posttest were analyzed with Mann-Whitney test and sign test. The results were as follows: 1. After the program, the average score of self-efficacy was increased from 75.31 (standard deviation 11.99) to 84.26 (standard deviation 13.92). 2. There are no differences between the average scores of physical and psychological quality of life, however, the average score of social quality of life was slightly increased from 2.25 (standard deviation 0.40) to 2.53 (standard deviation 0.43), and the overall score of social quality of life was low. 3. The average score of cognition was significantly increased from 21.00 (standard deviation 2.60) to 24.58 (standard deviation 3.37), thus, it was found that the program was effective to improve the cognition level. 4. The score differences of self-efficacy, quality of life, cognition between the pretest and posttest were statistically significant. 5. The score differences of quality of life between the pretest and posttest were found to be dependent on marital status, exercise and regular checkup yes or no. In conclusion, the program was effective to prevent the subjects suspected of dementia from dementia.
Relationship between Powerlessness, Self-Efficacy and Quality of Life in Hemodialysis Patients
Lee, Myung-Hwa ; Song, Myung-Sook ; Woo, Gyung-Mi ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 166~179
The purpose of this study was to the relationship between powerlessness, self-efficacy and quality of life in hemodialysis patients. The subjects were compromised of 198 hemodialysis patients from Pusan, Kyung-Sang Namdo and Kyung-Sang Bukdo 6 hemodialysis clinics. Data were collected by questionnaires from Sep. 19 to Oct. 27, 2001. The instrument used for study were the Powerlessness Behavioral Assessment Tool(Miller, 1983) and self-efficacy developed by Kim, Ju-Hyun(1995) and quality of life developed by Kim, Ok-Soo(1993). Collected data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, pearson correlation. The results were as follows. 1. The mean score of powerlessness was
, mean mark
, and the mea score of self-efficacy was
, mean mark
, and the mea score of quality of life was
, mean mark
. 2. There were significant differences in the level of powerlessness according to sex(t=2.148, p=.033), occupation(t=3.682, p=.000), economic status(F=3.094, p=.048), experience of hospitalization (t=-2.002, p=.047). 3. There were significant differences in the level of self-efficacy according to age(F=3.271, p=.013), economic status (F=5.759, p=.004), religion(F=2.667, p=.048), hemodialysis period(F=2.991, p=.032), hemodialysis frequency(t=9.045, p=.003), experience of hospitalization (t=4.40, p=.037). 4. There were significant differences in the level of quality of life according to occupation(t=3.796, p=.053), economic status(F=11.478, p=.000), hemodialysis frequency(t=7.573, p=.006). 5. There were significant negative correlation between powerlessness and self-efficacy (r=- .401, p<.001) powerlessness and quality of life(r=- .562, p<.001). There were significant positive correlation between self-efficacy and quality of life(r= .512, p<.001).
A Basic Survey for Management of Elderly Day Care Centers
Nam, Ki-Seok ; Hwang, Ok-Nam ; Hwang, Hye-Yeon ; Yoon, Sook-Rye ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 180~192
The purpose of this study was to survey basic data for management of elderly day care centers. In this study, occupation, leisure life, and food, clothing and habituation, as well as social relationship, health state and behavior, and general characteristics of subjects were examined to identify the factors affecting their cognition, need and preference of the day care centers. The subjects of this study were 392 elderly, aged 60 years or over, living in Gangnung and neighboring districts. Data were collected by educated interviewers from November 4 through November 22, 2002. The subjects were interviewed face to face, one for one after the interviewee's agreements on the survey. The collected data were analysed with logistic regression analysis by SAS (statistical analysis system). Logistic regression analysis was done to identify affecting factors for cognition, need and preference of the elderly day care centers. The major findings are as follows: 1. The factors affecting cognition for the day care centers were analysed. The subjects with an occupation and a lower satisfaction level of living environment and friendship, who were economically secure enough to manage a sudden accident, showed a higher level of cognition of the day care centers. The subjects with a higher level of mental health state and a lower level of IADL also showed a higher level of cognition. On the general characteristics younger female subjects showed a higher level of cognition. 2. The subjects with a lower level of perceived economic condition who did not own their housing and were not economically safe enough to manage a sudden accident, had showed a higher level of need for the day care centers. It showed that the subjects with a high level of mental health state, a bad eye sight and dental condition, a good perceived health condition, and a lower level of IADL, needed the centers. 3. The subjects who had an occupation, however, not capable of making their own daily expenses, and a low occupation satisfaction level, and who did not own their housing, and were economically poor not enough to manage a sudden accident, showed a higher preference for the day care centers. The subjects with higher levels of friendship satisfaction and perceived health condition, not living with their spouse, and a higher education level, showed a higher preference for the centers. In conclusion, the common factors affecting their cognition, need and preference of the day care centers were occupation, economic security enough to manage accidents, and friendship satisfaction level. Especially, the subjects who had an occupation, however, not economically secure enough to manage accidents, and who did not live in their own housing with a good perceived health condition, showed high levels of need and preference for the day care centers. These results can be used as basic data to develop the efficient elderly day care centers, thus contribute to the elderly welfare in a local community.
The Effect of Home stayed Stroke Patients' gait, Valance, Activities of Daily Living, Depression in the Aerobic Walking Exercise Program.
Roh, Kook-Hee ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 193~204
This study was a quasi-experimental study of nonequivalent control group pretest- posttest design to investigate the effect of aerobic walking exercise program on the physical & psychological functions of home stayed stroke patients. The data were collected during the period of May 20th to August 15th, 2001. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital, (b)suffering from stroke for 6 months to 5 years, (c)without recognition disorder with the MMSE-K score above 25, (d)below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease (f)able to walk beyond 15 minutes for themselves. The aerobic walking exercise program for the experimental group was aerobic exercise and education and supportive care. The aerobic exercise was 8 weeks' period, three times a week, 35 to 50 minutes a day. And the education and supportive care was consisted of one home visiting and 2 times telephoning a week. The data were analysed by
-test, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. There was significant difference in the gait speed between the two groups. 2. There was significant difference in the dynamic valance between the two groups. 3. There was significant difference in ADL score between the two groups. 4. There was no significant difference in the depression between the two groups. As shown above, the results of 8 weeks' the aerobic walking exercise program for home stayed stroke patients produced positive effects on gait speed, dynamic valance, ADL score. And this program was expected that it was more effective in different intervention period, verified program. Also it was needed follow study.
The Effects of Metamemory Enhancing Program on Memory Performances in Elderly Women
Min, Hye-Sook ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 205~216
This quasi-experimental study was done to test the effects of meta-memory enhancing program for elderly women. Data were collected 12 to 30, August 2002 from 34elderly women over 65 years living in Busan city. Subjects were 15 of experimental group and 19 of control group. The metamemory enhancing program was developed by five sessions composing of 1.5-2.0 hours one session. In experiment group, this program was performed for three weeks, twice per week. The degrees of four memory performance tasks were measured using instrument of Elderly Verbal Learning Test(Choi Kyung Mi, 1988) and Face Recognition Instrument(Min Hye Sook, 1999) and the metamemory were measured using MIA questionnaire(Dixon et al., 1988). Research results are as following. 1. After participating in five times memory training programs, experimental group has the significant increase of metamemory in comparison with control group.(t=59.58, p< 0.0001). In particular, the concepts of strategy(t=20.44, p< 0.0001), achievement (t=21.94, p< 0.0001), and locus degree (t=59.58, p< 0.0001) among sub-concepts of the metamemory are increasing significantly. 2. After participating in five time memory training programs, the degree of immediate word recall(t=17.25, p< 0.0001) and face recognition(t=16.69, p< 0.0001) among four memory tasks in experimental group are increasing significantly compared with those measures of control group. Considering this results, this metamemory enhancing program was found as an effective nursing program for metamemory improvement of elderly women's memory.
Adjustment Process of Hemodialysis Patients : A Grounded Theory Approach
Kim, Hyo-Bin ;
The Korean Journal of Rehabilitation Nursing, volume 5, issue 2, 2002, Pages 217~225
Purpose : This research is aimed at developing a substantive theory related to the experience of adjustmented hemodialysis patients by identifying and analyzing the nature, process, and types of adjustment experienced by them. For this purpose, this study takes a grounded theory approach. Method : Data were collected from April, 2002 through September, 2002 through in-depth interviews and close observations of eleven hemodialysis patients who have experienced adjustment. With their consent, the interviews were recorded by audio tapes and later transcribed. Observation memos were also prepared on the subjects' behavior during the interviews. Data collection continued until saturated. The data were analyzed into concepts, subcategories, and categories with the open coding process. The axial coding was done to identify the relationships of the concepts and categories. And the selective coding was done to develop a core category, which is the central phenomenon of the hemodialysis patients who experienced adjustment. Result : This process resulted in 88 concepts, which may be grouped into 24 subcategories and 6 core categories. The 6 categories, in fact, depict the process of changes the patients experience from the sense of crisis, self-control, new life meaning, support system, coping ability, and quality of life improvement. And its core is self-control, which encompasses the dynamic stages from recognition, change attempts, belief solidification, and empowerment. Conclusion : The results of the research offer the following implications. First, research on adjustment is a formative stage in nursing, it is imperative for nursing researchers to develop them, which may be more relevant to nursing. Second, it is important to develop nursing intervention techniques that may be most effective in adjustment of hemodialysis patients and at the same time for each stage of changes taking place in adjustmented hemodialysis patients.