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PURPOSE: This study was to determine the current trend of nursing research as exploring both quantitative and qualitative methodologies, and to provide the explicit direction to improve the quality of published papers. METHODS: Total of 366 articles published between 2004 and 2006 was reviewed using the criteria of analysis. RESULTS: There was more number of quantitative studies than qualitative studies. More studies were conducted with subjects who had health problems, and studies that targeted women and elderly population have been significantly increased. In quantitative methodology, utilization of experimental and quasi-experimental designs has been increased, however descriptive study was dominant as yet. In qualitative methodology, studies using grounded theory and phenomenology were frequently published. It was noted that theoretical framework and rational for sample size were rarely presented in quantitative study. Philosophical position and the process of preparation for study, which guided the research, were not clearly described in qualitative study. CONCLUSION: The findings of this review suggest that published studies have been improved and diversified, however, detailed and clear evaluation tool that assesses study process and method should be developed as a way to further improve the quality of published papers.

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PURPOSE: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. METHODS: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. RESULTS: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). CONCLUSION: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.

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PURPOSE: The purpose of this study was to identify the burden, health promotion behavior and health status and to describe the relationship of the burden, health promotion behavior and health status of the family caregivers of intensive care unit patients. METHOD: The subjects were 48 family caregivers of ICU patients in a University Hospital. Data were collected between June, 1 and July, 31, 2000 using structured questionnaires. Research tools used were Suh and Oh's Burden Scale, Revised Walker, Sechrist, and Pender's HPLP(1987) ; Revised Nam's Health State Scale(1965). RESULT: The mean score of burden of family caregiver was 3.01(full score was 5). The mean score of health promotion behavior of family caregiver was 2.52 (full score was 4). And the mean score of health status of family caregiver was 0.68(full score was 1.00). The score of psychological health state was a little higher than the physiological one. In correlational analysis, the burden and the health status of caregivers were reversely correlated . The correlation between the burden and the health promotion behavior, and the health behavior and health status were not significant. CONCLUSION: The more burden caregivers of ICU patients felt, the worse their health status. So nurses need to understand the family caregiver's burden and apply nursing care that can reduce burden, in order to improve the health status of family caregivers.

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• Factors Affecting Caregivers' Burnout Caring for a Family Member in an Intensive Care Unit
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• Nursing Needs of the Parents of Infants in Neonatal Intensive Care Unit
  Ji-Sun Park, Kyung-Sook Bang
  Journal of East-West Nursing Research.2014; 20(2): 136.     CrossRef

The purpose of this study is to understand home care needs for parturient women and neonates up to the postpartum period. MEHTODS: The design of this study is a cross-sectional survey study. The subjects of this study are 88 postpartum mothers who delivered a first baby during the period from December 1996 to July 1997. Data collection was done with a structured questionnaire by mailing. Data were collected at the point of six months after delivery. A structured questionnaire composed of items related to home care needs. Data analysis was done with descriptive statistics. The study results are as follows: 1) The highest need was personal hygiene(93.2%) for the parturient women, and the peak period was the two week period after delivery. 2) The most frequent maternal needs regarding neonates were cord care(72.4%) during the first week, elimination(67.9%) during the first two weeks, baby crying(88.3%) and sleeping pattern(71.5%) at one month after delivery, and baby temperament(30.4%) at sixth months after delivery. 3)The mothers requested home care methods such as written material for self health care(35%) and counseling(34%) and direct home visits(5%) for neonate care. CONCLUSION: The most important period for home health care needs was one week after delivery, and the health care needs for neonate temperament, behavior and sleeping pattern rose rapidly at the period of 6 months after delivery. Therefore it could be concluded that the postpartum home care should be done by those, written material should be enhanced for parturient women care, and counseling enhanced for neonate care.

Cutaneous stimulation and distraction are independent nursing interventions used in various painful conditions, which I explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation, distraction and combination of cutaneous stimulation and distraction on the reduction of intravenous injection pain levels of chemotherapy patients. Repeated measurement post test research design was used for one group. Fifty-three cancer patients who received intravenous chemotherapy regular in outpatient injection rooms of D medical center and Y medical center in Taegu were studied from June 23, 1997 to July 12, 1997. First the intravenous injection pain level of the control period was measured. Second, the intravenous injection pain level of the experimental period using cutaneous stimulation was measured. Third, the intravenous injection pain level of the experimental period using distraction was measured. Fourth, the intravenous injection pain level of the experimental period using a combination of cutaneous stimulation and distraction was measured. The instruments used for this study were a visual analogue pain scale as subjective pain measurement and an objective pain behavior checklist. Analysis of data was done by use of repeated measure ANOVA, bonferni, t-test, and F-test. The results of this study were summarized as follows : 1) The first hypothesis that the subjective pain score of intraveneous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period. 2) The second hypothesis that the objective pain behavior score of intravenous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<0.5). 3) The third hypothesis that the subjective pain score of intravenous injection pain in the experimental period with distraction will be lower than in the control period was rejected. 4) The fourth hypothesis that the objective pain score of intravenous injection pain in the experimental period with distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<.05). 5) The fifth hypothesis that the subjective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=3.04, p=0.031), Bonferni p<.05). 6) The sixth hypothesis that the objective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bonferni p<.05).

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  Rebecca R Pillai Riddell, Oana Bucsea, Ilana Shiff, Cheryl Chow, Hannah G Gennis, Shaylea Badovinac, Miranda DiLorenzo-Klas, Nicole M Racine, Sara Ahola Kohut, Diana Lisi, Kara Turcotte, Bonnie Stevens, Lindsay S Uman
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  Korean Journal of Women Health Nursing.2016; 22(2): 78.     CrossRef

This study was a survey done for the purpose of constructing a nursing theory according to Korean culture and to identify the traditional Korean view of humans and the expectations of the sick role, and to confirm changes from the traditional view of humans and expectations of the sick role according to general characteristics of the population. The subjects were all adults over 18 years old. 517 who lived in six large cities and 191 who lived in five rural communities. Data collection was done from November 19th, 1994 to January 19th, 1995 using a tool to measure the traditional view of humans and expectations of the sick role which was developed by the investigator through a literature review. Collected data were analyzed using frequency, percent, Cronbach alpha, t -test, F- test and Scheffe post hoc contrasts, with the SAS program. Thr results of this study are summerized as follows; 1. The Traditional view of human score for all subject was 49.92, which shows that Korean traditional view of human is moderate. High scored items were "human need to live by making harmony with nature, not by overcoming the nature" (3.44), "Filial duty to parents and elders is important"(3.31), "Think of family more than a individual"(2.96). 2. The differences in the traditional view of humans between residential districts showed that the residents of Chungbuk(56.00), Kyungbuk(55.26), Chonbuk(51.32), Taegu(50.59) had a more traditional view of humans than those in Pusan(45. 42)and Seoul(47.27). 3. The differences in the traditional view of humans according to general characteristics showed that rural community residents, males, older people, people with lower levels of education, married and house-resident groups had a significantly higher traditional view of humans than urban residents, females, younger people, people with a higher levels of education, single and apartment-resident groups. There were differences according to religion and job. Buddhism had a higher traditional view of humans than those of atheism, Christianity and Catholicism and physical workers, a significantly highers score, than technicians and professional workers. 4. Daily expected task performance during illnesses was lowest for patients with stroke(2.16) and psy-chosis (2.40), in which case almost no daily general tasks were expected, followed by arthritis 4. 06, peptic ulcer 4.79, headache 4.99 and cough 5. 58. The amount of expected role exemption during illnesses was also highest for stroke(2.25), followed by psychosis(2.08), arthritis(1.64). peptic ulcer(1.29), headache(1.16) and cough(1.09). The amount of daily task performance in the acute stage(3.05) was significantly lower than that of convalescent stage(4.95). 5. Total expectation of role exemption according to general characteristics showed that there was no significant differences in urban/rural community, marriage, level of education and religion. By sex, women showed higher expectation of role exemption during illnesses than men. By age, the 31-40 year old group showed lower expectation of role exemption than the 41-50 year old group or over the 61 year old group.

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• Trends of Concept Development in Nursing Published in Korean Journals
  Sumi Lee, Jinhae Lee, Yugyeong Hwang, Il Sun Ko
  Journal of Korean Academy of Nursing.2020; 50(2): 178.     CrossRef

This study has been done for the purpose of testing the effect of health education on the performance of health promoting behavior in college students, and identifying the factors affecting health promoting behaviors. A Nonequivalent control group posttest research design was used. Two hundred thirty college students at K College in T city were studied, Of them, 114 who attended a systematic health education session for three hours a week during one semester were the experimental group. And 116 college students who were chosen of matched sampling of grade, class and sex were the control group. This study was conducted from March 1 to July 2, 1995. The instruments used for this study included a survey of general characteristics, perceived health status, self-esteem, health promoting behavior and health locus of control. Analysis of data was done by use of mean, t-test, Pearson correlation coefficient and multiple regression. The results of this study are summerized as follows; 1) The average item score for the health promoting behavior was low at 2.52. In the sub-categories, the highest degree of performance was 'harmonious relationships', following 'sanitary life', 'self-esteem', 'rest and sleep', and 'emotional support' and the lowest degree was 'professional health management'. 2) Hypothesis 1 that the college students who get health education will have a higher degree of health promoting behavior than the college students who do not get health education was accepted. There was a statistically significant difference between the average of the experimental group, 2.60, and the average of the control group, 2.45.(t=11.30, p=0.0009). 3) Hypothesis 2 that the college students who get health education will have a higher score of perceived health status than college students who do not get the health education was rejected. (t=1.13, p=0.289) 4) Performance of health promoting behavior was positively correlated with self-esteem and grade and negatively correlated with perceived health status. 5) The most important factor affecting performance of health promoting behavior was self-esteem. The following suggestions are made based on the above results; 1) Replication of the research is needed to confirm effects of health education. 2) More effective health education programs need to be deveolped through by modification of teaching methods and content analysis of health education. 3) Other factors affecting health promoting behavior should be identified. 4) Nursing colleges or departments of nursing should make an effort to develop and carry out various health education programs for the health promotion of all college students.

This study aimed at analyzing the trend of research on pain in Korea, suggesting direction future pain research, and contributing to the use of pain interventions in nursing practice. Research studies on pain were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, and from theses and dissertations, which were conducted between 1970 and 1994. The total number of the studies was 93. These studies were analyzed for 1) time of publication or presentation, 2) thesis for a degree or nondegree, 3) research design, 4) characteristics of subjects used in each study, 5) measurement tool, 6) types of correlated variables, 7) Korean terms for pain, 8) types of nursing interventions, and 9) results of studies. The findings of the analysis can be summerized as follows: 1) The number of studies related to pain has increased rapidly since the early 1980's. The number of experimental research studies related to pain has increased chronologically, but the number of survey research studies related to pain was highest from 1981 to 1985, after that it decreased slowly. 2) The subjects in 19 studies were healthy people and, in 73 studies, patients with various illnesses. Thirty two studies were conducted with surgical patients. 3) Sixty one pain research studies were done for a thesis for a degree and 32 were nondegree research studies. 4) As measurement tools for pain, self-report pain scales were used in 54 studies and more than two tools were used in 28 studies. In the experimental studies, the trend was to use more than two tools. And in the nonexperimental studies, the trend was to use self-report pain scales only. 5) There were 11 correlational studies. In these studies, the trend was to study anxiety, depression and variables such as intravenous infusion as related to pain. 6) In the thirty six experimental studies, the effects of 16 types of nursing interventions were tested. Teaching and information, and relaxation technique were the most popular interventions for pain. 7) In eighteen methodological studies, the majority were studies testing the validity and reliability of Dr. Lee's Korean Pain Rating Questionnaire. The following suggestions are made based on the above findings: 1) The patterns of these studies related to pain in Korea need to be compared with trends in other countries. 2) Meta-analysis should be done to analyze and integrate the results of various studies. 3) This analysis of pain research is needed to identify the present trend of pain research and to suggest the direction of future pain research, so these patterns of studies should be done in 5 to 10 year intervals. 4) More replicated pain research is needed to prove the effect of nursing interventions and more qualitative reserch on pain is needed to identify indepth the meaning of pain. 5) Pain researchers should make an effort to apply research result in various clinical settings and try to carry out team research with clinical nurses or with other multidiscipinary researchers.

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• Identification of Knowledge Structure of Pain Management Nursing Research Applying Text Network Analysis
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  Journal of Korean Academy of Nursing.2019; 49(5): 538.     CrossRef

Relaxation technique is an independent nursing intervention used in various stressful situations. Relaxation techniques must be explored regarding relaxing imaginations used by the people in their traditional life experiences. So for Korean relaxation techniques to become culturally acceptable and effective imaginations of relaxation must be developed. The purpose of this study was to identify differences in relaxation levels of Koreans according to five relaxation imaginations and five groups and to analyze the factors influencing relaxation techniques for Korean people. The subjects were 38 hospitalized patients, 21 rural residents, 56 housewives, 16 researchers and 59 nursing students. Data were collected from September 4 to October 24, 1991 by interview or self-report questionnaires. The measurement tool was the graphic rating scale of relaxation levels. The data analysis was done by percent, ANOVA and Scheffe test using the SAS program. The results of study arc summerized as follows; 1. The relaxation level of Koreans was significantly different for the five relaxation imaginations (F=5.95, P=0.0001). Relaxation level of 'after bathing imagination' was 6.90, 'in bed imagination' was 6.55, 'in the mountain imagination' was 6.01. 'snow and fireplace imagination' was 5.84 and 'at the seashore imagination' was 5.80. As a result of the Scheffe test, 'after bathing imagination' was found to show a higher relaxation level than 'at the seashore imagination" 'in the mountain imagination' and 'snow and fireplace imagination(P<.05). 2. The relaxation levels of the Koreans were not different for the five groups(F=1.26, P=0.29). 3. There were no differences in the relaxation level of the koreans according to sex, age, place of residence, place of residence during childhood, mari-' tal status, religion or educational status. In conclusion, Korean people prefer the 'relaxation imagination of after bathing' to western style relaxation imagination of 'at the seashore imagination' and 'snow and fireplace imagination'.

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• The Effects of Relaxation Therapy on Anxiety and Stress of Pregnant Women with Preterm Labor
  Myung Sook Choi, Young Joo Park
  Korean Journal of Women Health Nursing.2010; 16(4): 336.     CrossRef

This Study is aimed at showing the effect of relaxation technique on reduction of anxiety of hursing students in the first clinical practice. The samples of this research were eighty fresh man students of Dong San Junior College of Nursing. Of them thirty- eight were experimental group and remaining forty-two were control group. This study has been conducted from October 14 to 22,1985. Subjects in all two groups had measured their trait anxiety, after then, the researcher carried out Byun's relaxation technique with experimental group every other day After the experimental period, subjects in all two groups had measured their state anxiety. The tools of this study were two kinds; Spielberg, Gorsnch & L.ushene's STAI, and Byun's relaxation technique. To test the statistical difference in the subjects' trait anxiety, score of lecture in pre-clinical practice and score of practice in pre-clinical practice, t-test was performed. To verify the hypotheses, ANCOVA was performed. Results of this study were as follows: The main hypothesis that the nursing students who use relaxation technique will have less degree of anxiety in the first clinical practice than the nursing students who don't use relaxation tech nique was accepted (P<.005). Conclusively, the researcher thinks that it is necessary that nursing students were prepared with relaxation technique to reduce anxiety in their first clinical practice.

Postoperative pain is one of the most frequently occurred pain in hospitals, but it has been underestimated because it is only a part of postoperative physiological process and may disappear in time. It is necessary that nurses use the relaxation technique, planning and implementing by themselves independently, to reduce this postoperative pain. This study is aimed at showing the effect of relaxation technique on reduction of postoperative pain, and exploring the factors influencing postoperative pain. Fifty-seven patients with abdominal surgery who admitted in attached D Medical Center to K University in Daegu have been studied. Of them twenty-nine were experimental group and the remaining twenty-eight were control group. This study has been conducted for collecting data through interviews and observation from August 23 to October 24, 1984. The tools of this study were two kinds; Postoperative Pain Scale is obtained from a review of references by the researcher, and relaxation technique, designed to use postoperative setting adequately, is also obtained from a review of references by the researcher. After confirming no significant differences between the two groups, the hypotheses were statistically verified by x2-test, t-test, and pearson Correlation Coefficient. The results of this study are summarized as follows; The main hypothesis that the experimental group who use relaxation technique will have less degree of postoperative pain than the control group who don't use relaxation technique is divided into three sub-hypotheses. 1. The first sub-hypothesis that the experimental group will have less score of postoperative pain than control group was accepted(t=7.810, p<0.01). Even with controlling pain threshold, showing difference in some degree between the two groups, the experimental group has less score of postoperative pain than the control group. Therefore this confirms the acceptance of the first sub-hypothesis more strongly. 2. The second sub-hypothesis that the experimental group will have less frequency of analgesics than the control group is accepted(x2=9.85, p<0.01). 3. The third sub-hypothesis that the experimental group will have less variation of pulse, respiration, and blood pressure between pre and post operative periods than the control group is rejected. So this hypothesis is reverified through comparing the variation of pulse, respiration, and blood pressure between pre and post changing-position to measure the pure effect of relaxation technique. Pulse and respiration is significantly lowered in the experimental group (t=7.209, p<0.01, t=3.473, p<0.01), but systolic and diastolic blood pressure is not different significantly between to two groups (t=1.309, p>0.05, t=1.727, p>0.05). Therefore the third sub-hypothesis is partially accepted. Conclusively, the researcher thinks that it is necessary that nurses should provide patients with relaxation technique to reduce postoperative pain, and to increase independence of nursing.