Journal of Korean Academy of Nursing

Effect of 2% Chlorhexidine Bathing on the Incidence of Hospital-Acquired Infection and Multidrug-Resistant Organisms in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis: Seo, Jisu , Song, Rhayun; J Korean Acad Nurs 2021;51(4):414-429. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21046

Purpose
This systematic review and meta-analysis analyzed the effects of 2% chlorhexidine bathing on the incidence of hospital-acquired infection (HAI) and multidrug-resistant organisms (MDRO) in adult intensive care units.
Methods
PubMed, CINAHL, Cochrane library, and RISS database were systematically searched, and 12 randomized studies were included in the analysis. Comprehensive Meta-Analysis version 3.0 was used to calculate the effect size using the odds ratio (OR) and a 95% confidence interval (CI). Subgroup analysis was performed according to the specific infection and intervention types.
Results
In general, 2% chlorhexidine bathing has a significant effect on the incidence of HAI (OR, 0.59; 95% CI, 0.40~0.86) and MDRO (OR, 0.52; 95% CI, 0.34~0.79). Subgroup analyses show 2% chlorhexidine bathing is effective in bloodstream infections (OR, 0.51; 95% CI, 0.39~0.66) but not for urinary tract infections, ventilator-associated pneumonia infections, and Clostridium difficile infections. Moreover, 2% chlorhexidine bathing alone or its combination with other interventions has a significant effect on the incidence of HAI and MDRO (OR, 0.59; 95% CI, 0.38~0.92).
Conclusion
This meta-analysis reveals that 2% chlorhexidine bathing significantly reduces the incidence of HAI and MDRO in intensive care units. The effect of 2% chlorhexidine bathing on pediatric patients or patients at general wards should be further assessed as a cost-effective intervention for infection control.

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Implementation of 2% Chlorhexidine Bathing to Reduce Healthcare-Associated Infections Among Patients in the Intensive Care Unit
Hsu-Liang Chang, Tzu-Ying Liu, Po-Shou Huang, Chin-Hwan Chen, Chia-Wen Yen, Hui-Zhu Chen, Shin-Huei Kuo, Tun-Chieh Chen, Shang-Yi Lin, Po-Liang Lu
Microorganisms.2025; 13(1): 65. CrossRef
Trends in central line-associated bloodstream infections in pediatric intensive care units: a single-center study
Yu Gyoung Bak, Won Kyoung Jhang
Archives of Pediatric Critical Care.2024; 2(2): 96. CrossRef
A Systematic Review of Antibiotic Resistance Trends and Treatment Options for Hospital-Acquired Multidrug-Resistant Infections
Walter Y Agyeman, Aakash Bisht, Ankit Gopinath, Ameer Haider Cheema, Keyur Chaludiya, Maham Khalid, Marcellina Nwosu, Srujana Konka, Safeera Khan
Cureus.2022;[Epub] CrossRef

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The Effects of Oral Cryotherapy on Oral Mucositis, Reactive Oxygen Series, Inflammatory Cytokines, and Oral Comfort in Gynecologic Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial: Nayeon Shin, Younhee Kang; J Korean Acad Nurs 2019;49(2):149-160. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.149

Abstract PDF

Purpose

The purpose of this study was to examine the effects of oral cryotherapy on oral mucositis, reactive oxygen series, inflammatory cytokines, and oral comfort in patients undergoing chemotherapy for gynecologic cancers.

Methods

Participants were randomly assigned to the experimental group (n=25, receiving oral cryotherapy during chemotherapy) and the control group (n=25, receiving the usual care consisting of 0.9% normal saline gargles three times before meals). Oral mucositis was assessed using the oral assessment guide, while oral comfort was assessed using the oral perception guide. Reactive oxygen series was measured as total oxidant stress, and the level of two inflammatory markers, interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), were examined. The data were analyzed using t-test, chi-square test, Fisher's exact test, Mann-Whitney U-test, and repeated measures analysis of variance.

Results

There was a significant difference in the oral mucositis score, reactive oxygen series score, TNF-α level, and oral comfort score between the two groups, and there were significant changes over time and in the group-by-time interactions. There was a significant difference in the IL-6 score between the two groups, but there were no significant changes over time or in the group-by-time interactions.

Conclusion

The study results revealed that oral cryotherapy was more effective than the usual care regime of normal saline gargles for reducing oral mucositis, reactive oxygen series, and inflammatory cytokines and for improving oral comfort in gynecologic cancer patients undergoing chemotherapy.

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Bo Ram Song, Hye-Ja Park
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Xin Chan, Lyn Tay, Shi Jed Yap, Vivien Xi Wu, Piyanee Klainin-Yobas
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So-Yeong Kim, Haeng-Mi Son
Asian Oncology Nursing.2020; 20(3): 132. CrossRef

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The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy: Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung; J Korean Acad Nurs 2019;49(4):472-485. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.472

Abstract PDF

Abstract Purpose

This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.

Methods

The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.

Results

Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.

Conclusion

The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

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Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
Asian Oncology Nursing.2024; 24(1): 42. CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef
Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
Journal of Renal Care.2024; 50(2): 92. CrossRef
Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef
Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
Asian Oncology Nursing.2022; 22(1): 46. CrossRef
Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
BMC Geriatrics.2022;[Epub] CrossRef
Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259. CrossRef

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A Study of Factors Influencing Drug Use in High School Students: So Young Lee; Journal of Nurses Academic Society 1997;27(4):777-786. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.4.777

Abstract PDF

The purpose of this study was to examine the conditions of drug use and the find the main factors that lead students to start and select drugs in their circumstances. The "other drugs" in this study means analgesics, hypnotics, stimulants, tranqualizers, and drinks including caffeine. The sample was 1,900 students and 1,412 responses were analyzed. Variables in the study included prescription provision by parents, drug use by friends, attitudes to drugs, drinking and smoking activities, and poly drug use. Analysis of the data was done using descriptive statistics, chi square, and to find the determinants on other drug use, multiple logistic regression was performed. Data were analysed by SAS/PC programs. Of the subjects 86.6% of the students have had experienced with alcohol and 49.8% of them continue to use it, and 37.9% of the students have had experienced with smoking and 22.1% of them continue to smoke. The rates of using other drugs were as followed; analgesic 33.3%, hypnotics 4.3%, sedatives 4.4%, stimulants 8.7%, and 242 students have had experienced with more than two different kinds of drugs of the same time including alcohol and smoking. With the exception of alcohol and smoking, 126 students were continuing to use more than two different kinds of drugs. And 2.3 kinds of drugs were the average that the being used at the same time by poly drug users, alcohol and smoking excepting. In conclusion, the determinants of other drug use can be summarized as ploy drug use, drug use by friends, obedience to drug prescription of parents, and time of first using drugs.

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Age group characteristics of children who visited the emergency department with acute poisoning by ingestion
Weon Seon Ryu, Jea Yeon Choi, Jin Seong Cho, Yong Su Lim, Sung Youl Hyun, Hyuk Jun Yang
Pediatric Emergency Medicine Journal.2018; 5(1): 5. CrossRef

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Biological Monitoring on the Absorption of Antineoplastic Drugs in Nursing Personnel: Bong Im Kim; Journal of Nurses Academic Society 1997;27(3):520-530. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.3.520

Abstract PDF: Antineoplastic agents may exhibit effects not only in patients therapeutically exposed, but also in health workers who prepare and administer these drugs. This study was done to clarify whether nurses who handle anticancer drugs show signs of drug absorption. The experimental group was 14 nurses handling anticancer drugs at three medical wards of a hospital in J city ; the control group was 12 psychiatric nurses at the same hospital. The test materials were the nurses' 24hr urine specimens, which were concentrated by XAD-2column chromatograpy. Tester strains were TA98(+/-S9mix), TA100(+/-S9mix), TA135(+/-S9mix)and TA1537(+/-S9mix) ; the salmonella mammalian microsomal test(Ames test) was used for the urinary mutagenicity assay. The results are summarized as follow : 1. In qualitative analysis of the results, both experimental group and control group showed 15.4% urine toxicity. 2. The experimental group revealed significantly higher urinary mutagenicity both in the activation method test and non-activation method test of the tester strains TA98, TA100 and TA1535. In the case of TA1537, the two groups showed no difference in the non-activation method test, but the activation method revealed a difference. 3. In urinary mutagenicity of the experimental group by ward career, there was a significant difference between the group with more than 20 months experience and the group with less than 20 months on the tester strains TA98, TA100, and two groups by the tester strain TA1537. No Significant difference was found between two groups by the tester strain TA1535.

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The Development and Effects of WEB Instruction Programs for Drug Abuse Prevention in Korean Adolescents: Young Sook Min; Journal of Korean Academy of Nursing 2000;30(4):1055-1065. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.1055

Abstract PDF

The purpose of this study was to develop, through the integration of instructional theory, a Courseware and to investigate the effectiveness of a web-based computer assisted instruction(WBI) program for preventing drug abuse, a serious problem for youth problem. During the first stage of this study done "Drug Abuse Prevention" Courseware was developed based on, Gagn & Brigg's instructional design theory, Keller's ARCS theory and the CAI model of Hannafin & Peck. For the second stage, the courseware was used to provide education for students adolescents in drug abuse prevention. This study used an quasi-experimental, one-group pretest-posttest design with a convenience sample of 36 male high school students who were at one high school located in Seoul. Data were collected using self-reported questionnaires which included a learning achievement tool, the Keller's IMMS (Instructional Material Motivation Survey), on attitudes to drug use, and on responses to the WBI instruction. Prior to the experiment, the "drug abuse prevention" learning method and the procedures of the study were explained to the students, and then the learning achievement of the subjects was measured as a pretest. The students were then given 2 weeks WBI utilizing the courseware. A post-test which included the pre-test learning achievement questionnaire and a survey of learning motivation and attitudes toward drug were given two weeks after the education was completed. The data analysis was done using SPSS/PC. Paired t-test was used to analyze the differences between the pre-test and post-test scores for learning achievement. The results of the analysis are as follows: There were significant differences in learning achievement between the pre-test and post-test(t=-18.62, p=0.000). The hypothesis, that learning achievement will be higher, after the class has used the courseware, than before was supported. The scores for learning motivation and attitudes toward drugs were also higher than the results of existing studies. In conclusion, this study suggests that WBI is an effective learning method in the prevention of drug abuse for adolescents as it can be used for self-learning and repeated learning as assisted instruction. Recommendation would be given that further research needs to be develped in the courseware by cognitive learning style and by multimedia courseware and virtual reality system.

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Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection
Ju Gong, Ji-Yeon Kang
Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 122. CrossRef

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A Study On Subjective Experience Of Drug Abuse Adolescent: Mi Hee Kim; Journal of Korean Academy of Nursing 2000;30(1):7-17. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.7

Abstract PDF: The purpose of this study is to affect health improvement of adolescent, to understand behavioral causes follow adolescent's drug abuse, to understand recovery and rehabilitaton process of adolescent drug abuser. The data are collected through open questionnaire and interview of 25 adolescents from the experienced drug abuse 16 students(male 8, female 8) in two vocational high schools and admissing adolescents 9 person in Alcohol-Drug Addiction Care Centre in Seoul from June 28th to August 31st, 1994. The collected data are arranged and explained through categorizing method stated contents about motives, causes, experiences and effected behaviors for using the drugs of drug abuser adolescents. DRUG USING MOTIVATION They are almost first son and daughter in their family. In their conversation person, male converses to their mother well, but female does not converse to their parents include family. Both groups respond positively to companionship and attitude to other, but negatively to self-confidence and actualizing attitude. They hope always peace of family and want to do their best for their life. In school group, hard and difficult things are school life and family problems, also using the drugs for resolving the them. About drug using behaviors, male responds to bad habbit and shamfull, but female is unconcerned with drug using attitude. The first background of drug using, male gets to use because of curiosity and to be induced from friends or seniors, but female gets to use for feminine beauty(thin body) and escape from reality. Used the drugs, male uses frequently Bond, Butane-Gas among inhalation materials and also marijuana, but female uses various diuretics. The times of drug using, both groups repond to use during the chaging of emotion or filling with stress. The place of drug using, both groups take drugs in vacant houses or in the mountain. The frequency of drug using, they use almost once in a day and they use mostly alone or drug user in friends. Experienced mental changing after drug using, which is fantasy, ecstasy, anxiety and suicidal feeling, and experienced physical changing after drug using, which is elevating sense, headach, abdominal pain, dyspnea and chaging of skin colour and reddish. They coincide with inconvenience feeling due to drug using. RECOVERY AND REHABILITATION PROCESS OF DRUG USING ADOLESCENTS The reason for reforming drug using behavior and attitude, both groups respond to reforming for oneself and social life. The difficult things during the stop to using drugs, all of them responed to family problems, friends problems and temptation and impulse. As for stop to using drug, they need good advise, understandable attitude and family love. But they do not need to be stigmatized, scolding, over protect and ridicule of friends. Also they entreat continuous understanding, advise, concern and the method for resolving stress. For the friends to want to use the drug, they will talk about the stories of their personal experiences and for the friends to stop to using the drug, they will consider for them how to stop. From the theses results, drug users understand personal problems due to drug using, and consider about why to stop and how to stop. Also drug users need to resolve the family problems, personal problems, stress and temptations or impulses. Accordingly this paper suggests that drug users in adolescents need understandable and acceptable atitudes, loving and tenderness, continuous advice and concern, and hopes for life.

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The Effects of Prevention Programs on Drug Use in Korean Adolescents: Sayaja Kim, Sunah Kim, Sung Suk Kong, Myung Ah Kim, Mia Seo; Journal of Korean Academy of Nursing 1999;29(1):150-160. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.150

Abstract PDF: BACKGROUND AND PURPOSE: Drug abuse is one of the most serious problems among the Korean adolescents today and has been associated with delinquent behavior in adolescents. The number of adolescents who abuse drugs is increasing yearly. Solutions to the problem, however, have not been well developed. The purpose of this study was to determine the effectiveness of a drug use prevention program which was developed by researchers. The program was a modified DARE(Drug Abuse Resistance Education) program for Korean adolescents. MEHTODS: This study used an experimental, one-group pretest-posttest design with a convenience sample of 122 middle school students who were at one middle school located in Seoul. Data were collected using a self-administered questionnaire where 'knowledge and attitude about drug use', 'social skill', and 'self-esteem' were measured. The program had 12 sessions to improve knowledge and attitudes towards drugs, decision making skills, social resistance skills, management of stress and self-esteem of students. Teaching strategies for each session were varied : lectures, group discussion, role-playing, question-and-answer sessions and audiovisual materials. Paired t-test was used to analyze the differences between the pre- and post-test scores on knowledge of and attitudes towards drug use, social skills, and self-esteem. RESULTS: There were significant differences in knowledge and attitudes about drug use between pretest and post-test(p<.05), but no significant differences in social skill and self-esteem(p>.05). CONCLUSION: Our results showed that the drug use prevention program was not effective in promoting social-skill and self-esteem of Korean adolescents. These findings might be due to the respondents being in the period of early adolescence(puberty) and not being good at group discussion. So, further study is needed to develop a drug use prevention program appropriate to students 9 and 10 years old, and to encourage small group discussion.

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A Study on the Consciousness and Preventive Strategies of Adolescent Drug Abuse: The Center of Chun Nam Area: Chung Sun Park, Chong Young Eun, Mi Young Jeong; Journal of Korean Academy of Nursing 1999;29(1):127-138. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.127

Abstract PDF: This study was done to examine consciousness and preventive strategies of adolescent drug abuse. This study design was descriptive survey. The data were collected from 1,830 students from 32 middle and high schools from November 11 to December 20, 1997, using questionnaires. The data were analyzed using SAS computer programs. The study results are as follows : Most of adolescent get the information on narcotics and drug abuse from TV, newspaper, magazine and advertisement. Some of them(48.8%) have received education on drug prevention. However, respondents(49.3%) answered unsatisfactory on preventive education. 69.2% of respondents do not know the legal regulation on alcohol and cigarette. The survey on the degree of cognition on drug abuse shows the serious results : cigarette(79.1%), alcohol(74.1%), bonds(55.1%), gas(49.8%), excitants(48.5%), narcotics(29%), marihwana(27.8%) and, diuretics(21.9%). The situation of adolescent drug abuse is also serious in the order of alcohol 38.2%, cigarette 14.3%, marihwana 9.4%.

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Comparing the Effects of Drug Therapy, Physical Therapy, and Exercise on Pain, Disability, and Depression in Patients with Chronic Low Back Pain: Ja Kyung Ko; Journal of Korean Academy of Nursing 2007;37(5):645-654. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.645

Abstract PDF

Purpose

This research was conducted to compare the effects of drug therapy, physical therapy, and exercise on pain, disability, and depression in patients with chronic low back pain.

Methods

The research design of this study was a nonequivalent control group pretest-posttest design. The subjects of this study were 28 patients for the drug therapy & physical therapy, 24 patients for the drug therapy & exercise, and 22 patients for the physical therapy & exercise. Data was collected by MVAS, Oswestry disability questionnaires, and questionnaires of depression. It was analyzed by paired t-test for effectiveness, ANOVA, and Scheffe for comparison of the effects of the 3 experimental treatments, using SPSS/WIN 12.0.

Results

There were no effects of drug therapy & physical therapy on pain, disability, and depression. However, there were effects of drug therapy & exercise and the physical therapy & exercise on pain, disability, and depression. The effects of physical therapy & exercise on pain, disability, and depression were the greatest, but there was no statistically significant differences between the drug therapy & exercise and the physical therapy & exercise.

Conclusions

Exercise is regarded as a more effective and easily accessible nursing intervention to apply alone than drug therapy or physical therapy simultaneously in reducing pain, disability and depression.

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Korean Journal of Adult Nursing.2013; 25(6): 597. CrossRef
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The Effect of Drug Abuse Prevention Program for Elementary School Students: Jeong Hea Sung, Jeong Sook Park; Journal of Korean Academy of Nursing 2004;34(3):421-429. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.3.421

Abstract PDF: Purpose
This study is to evaluate the effects of drug abuse prevention program for elementary school students.
Method
The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group were 27 students and the subjects of control group were 25 students in fifth grade of elementary school in C City, Gyeongsangbuk-do. The experimental group had Drug Abuse Prevention Program, which was two days per week program, for 5 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, Paired Samples t-test using with SPSS WIN 11.0.
Result
the experimental group, to which drug abuse prevention program was given, was improved in knowledge of drug and unacceptable attitude of drug compared to the control group, but there were no significant differences of self-esteem and assertiveness between two groups.
Conclusion
The drug abuse prevention program was effective to increase knowledge and attitude of drug in elementary school students.

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A Prediction Model of Drug Misuse Behaviors in Community-Dwelling Older Adults: Se Hwa Hong, Kwang Soo Yoo; J Korean Acad Nurs 2016;46(5):630-641. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.630

Abstract PDF

Purpose

This study was designed to construct a model which explains drug misuse behaviors in community-dwelling older adults.

Methods

The design of this research is a cross-sectional study using structure equation modeling. The hypothetical model consisted of two types of variables: the exogenous variables of health status, cognitive ability, and negative emotion, and the endogenous variables of number of drugs, and drug misuse behaviors. The data collection was conducted from September 2 to September 21, 2013 through self-report questionnaires. Participants were 320 community-dwelling adults over the age of 65 living in J city. Data were analyzed with SPSS 21.0 program and Amos 18.0 program.

Results

The results of the model fitness analysis were satisfied. The predictor variables for the hypothetical model explained 62.3% of variance regarding drug misuse behaviors. Drug misuse behaviors were directly affected by health status, cognitive ability, negative emotion and number of drugs and indirectly affected by health status, and negative emotion through number of drugs.

Conclusion

These findings indicate factors that should be used in developing effective nursing interventions for safe and proper drug use and the prevention of drug misuse behaviors in community-dwelling older adults.

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The effects of social and psychological factors on suicidal ideation in elderly people living alone: A cross-sectional correlational study
Yeo Ju Lee, Jun-Ah Song
Journal of Korean Gerontological Nursing.2025; 27(1): 45. CrossRef

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Implementation of Ontology-based Clinical Decision Support System for Management of Interactions Between Antihypertensive Drugs and Diet: Jeong-Eun Park, Hwa-Sun Kim, Min-Jung Chang, Hae-Sook Hong; J Korean Acad Nurs 2014;44(3):294-304. Published online June 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.3.294

Abstract PDF: Purpose
The influence of dietary composition on blood pressure is an important subject in healthcare. Interactions between antihypertensive drugs and diet (IBADD) is the most important factor in the management of hypertension. It is therefore essential to support healthcare providers' decision making role in active and continuous interaction control in hypertension management. The aim of this study was to implement an ontology-based clinical decision support system (CDSS) for IBADD management (IBADDM). We considered the concepts of antihypertensive drugs and foods, and focused on the interchangeability between the database and the CDSS when providing tailored information.
Methods
An ontology-based CDSS for IBADDM was implemented in eight phases: (1) determining the domain and scope of ontology, (2) reviewing existing ontology, (3) extracting and defining the concepts, (4) assigning relationships between concepts, (5) creating a conceptual map with CmapTools, (6) selecting upper ontology, (7) formally representing the ontology with Protégé (ver.4.3), (8) implementing an ontology-based CDSS as a JAVA prototype application.
Results
We extracted 5,926 concepts, 15 properties, and formally represented them using Protégé. An ontology-based CDSS for IBADDM was implemented and the evaluation score was 4.60 out of 5.
Conclusion
We endeavored to map functions of a CDSS and implement an ontology-based CDSS for IBADDM.

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The Lived Experience of the Women with Schizophrenia Taking Antipsychotic Medication: Eun-Ju Song; J Korean Acad Nurs 2011;41(3):382-392. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.382

Abstract PDF

Purpose

This study was done to identify some natural meaning through the dosage experience of psychoactive drugs in women patients with schizophrenia.

Methods

The Hermeneutic phenomenology written by van Manen was used. The period for data collection was from November 2009 to January 2010. This study took place in mental health hospitals and mental health centers in two cities in North Jeolla Province. Nine patients with schizophrenia participated. Data collection was done through individual in-depth interview.

Results

The seven natural subjects demonstrated by participants from this study were 'Pills forcibly taken like veiled threats', 'A terrible side effect, a side effect rooted slowly', 'Shame which cannot be hidden as a woman', 'A bad medicine took away from motherhood', 'The fate of a wife who can't be equal', 'A struggle for the complete recovery without promise', and 'Participants want the future without medicine'.

Conclusion

The results of this study indicate that the urgent need to develop a safe and believable psychoactive drug for woman patients considering the time of menstruation, pregnancy, childbirth, and child raising.

Citations

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Educational Needs of Mental Health Professionals’ Physical Health Care Competencies for Clients with Severe Mental Illnesses
jeon kyeong mi, 김석선
Health and Social Welfare Review.2019; 39(4): 456. CrossRef
Effects of Tailored Drug-related Side Effects Management Program using Video on Self-control Ability of Drug-related Side Effects, the Attitude and Adherence of Medication in Patients with Schizophrenia
Su-Jin Park, Hwang-Ran Ahn
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(3): 176. CrossRef

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Construction of the Structural Equation Model on Substance Use in Adolescents: Jeongyee Bae, Panuncio Rosel; J Korean Acad Nurs 2009;39(3):446-457. Published online June 29, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.3.446

Abstract PDF

Purpose

The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents.

Methods

Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis.

Results

Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987 (p<.001), df=121, χ²/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices.

Conclusion

This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.

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The Effects of an Education Program for Safe Drug Use in the Rural Elderly: Jun Hwa Lee, Myonghwa Park; Journal of Korean Academy of Nursing 2007;37(3):295-304. Published online April 30, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.3.295

Abstract PDF

Purpose

This study was conducted to develop an education program for safe drug use in the rural elderly and to measure the effect of the program.

Method

This study utilized a nonequivalent control group pretest-posttest design. The subjects of this study consisted of 40 older persons who were more than 65 years old and lived in G and C meon, Y gun, Gyeongsang-bukdo and visited the public health subcenter. Twenty were assigned to the experimental group and 20 to the control group. The education was provided for one and a half hours, once a week for 3 weeks. Data was collected before, right after, and one month after the program.

Result

The first hypothesis was supported(F=79.24, p=0.000) showing that the knowledge scores of the drug use of the experimental group were significantly higher than those of the control group at post education and one month after education. The second hypothesis was supported(F=23.84, p=0.000) showing that the drug misuse and abuse prevention behavior scores in the experimental group were significantly higher than those of the control group at post education and one month after the education.

Conclusion

This study suggests that the education for safe drug use is effective in promoting knowledge and behavior for safe drug use of the rural elderly.

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Chunhee Sung, Meera Park, YoungJin Kim
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Jong Kyung Lee
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Youngsil Kang, Sun Jae Jung
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Journal of Korean Academy of Child Health Nursing.2011; 17(2): 100. CrossRef

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Experiences of Being Tied with Drugs in the Elderly Women in Community: Jeong Sun Kim; Journal of Korean Academy of Nursing 2006;36(7):1215-1223. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1215

Abstract PDF

Purpose

This study was done to understand elderly women within a community who have used lots of drugs.

Method

Data was collected through in-depth interviews with four elderly women from April 2001 to February 2002. Data was analyzed by Giorgi's phenomenological method(2000).

Results

The components in common with drug usage of elderly women were as follows: ‘Awareness of the limitation of physical strength and uncertainty of life’, ‘Dread of a crisis situation occurring’, ‘Attachment and dependency on drugs’, ‘Expectation of a comfortable life and death’, ‘Prevention of family burden’, and ‘Pursuit of psychological comfort’. The general structure of experiences was as follows: causal factors were ‘Awareness of uncertainty and limitation’, ‘dread of a crisis situation occurring’ the results factor was ‘Attachment and dependency on drugs’ and the facilitating factors were ‘Expectation of a comfortable life and death’, ‘Prevention of family burden’, and ‘Pursuit of psychological comfort’. The causal relation was cyclic. This structure showed a realistic adaptation pattern.

Conclusion

This study contributed to provide fundamental data for nursing interventions for health promotion and promoting quality of life in elderly women by increasing understanding of the experiences of drugs use.

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Ji Mi Mun, So Young Shin
Journal of Korean Gerontological Nursing.2019; 21(3): 155. CrossRef
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Kyung-Hee Ryu, Youn-Jung Son
Journal of Korean Biological Nursing Science.2013; 15(3): 107. CrossRef

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