Journal of Korean Academy of Nursing

Research Papers

Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes: Kwak, Eunju , Park, Seungmi; J Korean Acad Nurs 2024;54(2):224-236. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23098

Purpose
This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.
Methods
Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.
Results
In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ² = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ² = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ² = 7.59, p = .006).
Conclusion
A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

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Breastfeeding and education in the puerperium
Elena Alfonso
Community and Interculturality in Dialogue.2025; 5: 129. CrossRef

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The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents: Kim, Jieun , Park, Wanju; J Korean Acad Nurs 2022;52(6):608-623. Published online December 31, 2022; DOI: https://doi.org/10.4040/jkan.22088

Abstract PDF

Purpose
This study aimed to evaluate the effects of a combined biofeedback and brief emotion regulation (C-BABER) program for sexually abused adolescents.
Methods
This study employed a non-equivalent control group pretest-posttest design. The participants included 26 sexually abused adolescents from eight Sunflower Centers of South Korea–with 13 in the experimental group and 13 in the control group. The experimental group received four sessions of the individual C-BABER program, each lasting 60 minutes.
Results
Compared with the control group, sexually abused adolescents in the experimental group exhibited significant score differences in traumatic symptoms, including depression (Z = - 2.24, p = .025), dissociation (Z = - 2.21, p = .027), anxiety (Z = - 2.02, p = .044), and posttraumatic stress (Z = - 2.01 p = .045); and impulsivity, including positive urgency (Z = - 3.35, p = .001) and negative urgency (Z = - 2.28, v = .023). Additionally, the experimental group exhibited significant score differences in meta-mood, including emotional attention (Z = - 2.45, p = .014), emotional clarity (Z = - 2.30, p = .021), and emotional repair (Z = - 2.28, p = .022); and emotional regulation modes, including emotional suppression (Z = - 2.65,p = .008) and cognitive reappraisal (Z = - 1.98, p = .047). Regarding bio-attention, significant changes were identified in the experimental group for the bio-attention rate and attention maintenance time in the posttest compared to the pretest (p = .001).
Conclusion
The C-BABER program for sexually abused adolescents is effective in decreasing traumatic symptoms and impulsivity, and in improving meta-mood, emotional regulation mode, and bio-attention. Therefore, we recommend providing sexually abused adolescents the C-BABER program to help them regulate their emotions and effectively adapt to their lives.

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The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
Jungmin Lee, Youngkyoung Kim, Wanju Park
Journal of Korean Public Health Nursing.2024; 38(2): 150. CrossRef

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Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic: Park, Wanju , Cho, Mina , Park, Shinjeong; J Korean Acad Nurs 2022;52(1):36-51. Published online February 28, 2022; DOI: https://doi.org/10.4040/jkan.21155

Abstract PDF

Purpose
The purpose of this study was to examine the effects of electroencephalogram (EEG) biofeedback training for emotion regulation and brain homeostasis on anxiety about COVID-19 infection, impulsivity, anger rumination, meta-mood, and self-regulation ability of late adolescents in the prolonged COVID-19 pandemic situation.
Methods
A non-equivalent control group pretest-posttest design was used. The participants included 55 late adolescents in the experimental and control groups. The variables were evaluated using quantitative EEG at pre-post time points in the experimental group. The experimental groups received 10 sessions using the three-band protocol for five weeks. The collected data were analyzed using the Shapiro-Wilk test, Wilcoxon rank sum test, Wilcoxon signed-rank test, t-test and paired t-test using the SAS 9.3 program. The collected EEG data used a frequency series power spectrum analysis method through fast Fourier transform.
Results
Significant differences in emotion regulation between the two groups were observed in the anxiety about COVID-19 infection (W = 585.50, p = .002), mood repair of meta-mood (W = 889.50, p = .024), self-regulation ability (t = - 5.02, p < .001), self-regulation mode (t = - 4.74, p < .001), and volitional inhibition mode (t = - 2.61, p = .012). Neurofeedback training for brain homeostasis was effected on enhanced sensory-motor rhythm (S = 177.00, p < .001) and inhibited theta (S = - 166.00, p < .001).
Conclusion
The results demonstrate the potential of EEG biofeedback training as an independent nursing intervention that can markedly improve anxiety, mood-repair, and self-regulation ability for emotional distress during the COVID-19 pandemic.

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From Neural Networks to Emotional Networks: A Systematic Review of EEG-Based Emotion Recognition in Cognitive Neuroscience and Real-World Applications
Evgenia Gkintoni, Anthimos Aroutzidis, Hera Antonopoulou, Constantinos Halkiopoulos
Brain Sciences.2025; 15(3): 220. CrossRef
Augmenting self-guided virtual-reality exposure therapy for social anxiety with biofeedback: a randomised controlled trial
Preethi Premkumar, Nadja Heym, James A. C. Myers, Phoebe Formby, Steven Battersby, Alexander Luke Sumich, David Joseph Brown
Frontiers in Psychiatry.2024;[Epub] CrossRef
Infection Anxiety and Coping Strategies Among Individuals With Schizophrenia During the COVID-19 Pandemic: Mediating Effects of Protection Motivation
Jeawon Joung, Dug Ja Choi
Journal of Psychosocial Nursing and Mental Health Services.2023; 61(11): 43. CrossRef
The Effects of Integrated Neurofeedback and Salutogenesis Nursing Intervention to Relieve Post-COVID-19 Symptoms in Late Adolescents
Youngkyung Cho, Wanju Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 402. CrossRef
Effects of Brain Attention Biofeedback Self-regulation Training Nursing Intervention on Attention, Multidimensional Impulsivity, Emotional Response Intensity, and Self-regulated Learning Ability of School-aged Children in the COVID-19 Pandemic Situation
Youngkyung Cho, Wanju Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 111. CrossRef
Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
Sensors.2022; 22(17): 6606. CrossRef

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Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration: Lee, Eunyoung , Cho, Insook , Cho, Seong Jin , Lee, Eunju; J Korean Acad Nurs 2021;51(2):232-244. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20280

Abstract PDF

Purpose
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
Methods
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young’s work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
Results
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Conclusion
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

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Survey on the Status of Breastfeeding in Korean Medical Institution Workers
Tae Hyeong Kim, Sung-Hoon Chung, Jun Hwan Kim, Youngmin Ahn, Son Moon Shin, Woo Ryoung Lee, Eui Kyung Choi, Juyoung Lee, Hye-Jung Shin, Euiseok Jung, Ju Sun Heo, Jin A Lee, Soon Min Lee, Seong Phil Bae, Jeonglyn Song, Chae-Young Kim, Dae Yong Yi
Journal of Korean Medical Science.2022;[Epub] CrossRef
A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea
Yong-Sung Choi, Sung-Hoon Chung, Eun Sun Kim, Eun Hee Lee, Euiseok Jung, So Yeon Lee, Wooryoung Lee, Hye Sun Yoon, Yong Joo Kim, Ji Kyoung Park, Son Moon Shin, Ellen Ai-Rhan Kim
Neonatal Medicine.2022; 29(1): 28. CrossRef
Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254. CrossRef
Breastfeeding experiences of women with gestational diabetes
Seungmi Park, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 274. CrossRef

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Effects of Program to Promote Obesity Prevention Behaviors on Pre-Schoolers: Focused on Kindergartener in Korea: Hwang, Inju , Bang, Kyung-Sook; J Korean Acad Nurs 2021;51(2):188-202. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20217

Abstract PDF

Purpose
This study aimed to develop a program to promote obesity prevention behaviors for pre-schoolers and to confirm the effectiveness of the program in Korea.
Methods
The program comprised 8 sessions for 4 weeks including combined classroom lectures and physical activities. A non-equivalent control group pre-post test study design was used, and seventy two children, aged 5 to 6 years (experimental group: 33, control group: 39) and their parents participated in the study. To examine the effectiveness of the program, children’s knowledge, intake of sugar-added beverages and fruits & vegetables, time of outdoor play and screen time, and parental self-efficacy were measured. Data were analyzed with SPSS/WIN ver. 22.0 and R 4.0.2, using descriptive analysis, chi-square test, Fisher’s exact test, the independent t-test, and Analysis of covariance (ANCOVA).
Results
The results showed that the experimental group reported significantly increased knowledge (p < .001) and longer time of outdoor play on weekends (p = .033). However, there were no significant differences in the intake of sugar-added beverages and fruits & vegetables, screen time, and parental self-efficacy in the two groups.
Conclusion
This study confirms the applicability of an obesity prevention intervention at kindergartens in Korea. The results can be used as basic data for the study of childhood obesity prevention in Korea.

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Development of health literacy education program for early childhood to prevent smoking hazards
Sangah Lee, Jiye Kim, Jiyoung Lee, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2022; 39(4): 55. CrossRef
The Let’s Eat Healthy and Move at School program for adolescents in South Korea: Program design, implementation, and evaluation plan using intervention mapping
Jiyoung Park, Gill A. Ten Hoor, Seolhyang Baek, Sochung Chung, Yang-Hyun Kim, Gahui Hwang
Child Health Nursing Research.2021; 27(3): 225. CrossRef

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Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit: Kang, Ji Hyun , Son, Hyunmi , Byun, Shin Yun , Han, Gyumin; J Korean Acad Nurs 2021;51(1):119-132. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20240

Abstract PDF

Purpose
This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs).
Methods
This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ² -test and repeated measures ANOVA using an SPSS program.
Results
The experimental group showed a higher direct breastfeeding practice rate (χ² = 19.29, p < .001), breastfeeding continuation rate (χ² = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment.
Conclusion
The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

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Fresh Parent’s Own Milk for Preterm Infants: Barriers and Future Opportunities
Carrie-Ellen Briere, Jessica Gomez
Nutrients.2024; 16(3): 362. CrossRef
Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
Young Ah Park, YeoJin Im
Qualitative Health Research.2024;[Epub] CrossRef
Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
Journal of Korean Academy of Nursing.2024; 54(2): 224. CrossRef

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Original Articles

Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status: SinYoung Hwang, Smi Choi-Kwon; J Korean Acad Nurs 2019;49(3):340-348. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.340

Abstract PDF

Abstract Purpose

This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities.

Methods

This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data.

Results

The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and 23.16 kg/m², respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (β=.72, p<.001), a lower Model for End-stage Liver Disease (MELD) score (β=-.18, p<.001), and being male (β=-.10, p=.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p=.020).

Conclusion

LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients’ post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.

Citations

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Nutritional Intake after Liver Transplant: Systematic Review and Meta-Analysis
Lynsey N. Spillman, Angela M. Madden, Holly Richardson, Fumiaki Imamura, Danielle Jones, Marilyn Nash, Hong Kai Lim, Holly N. Hellawell, Kirsten L. Rennie, Linda M. Oude Griep, Michael Allison, Simon J. Griffin
Nutrients.2023; 15(11): 2487. CrossRef
Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
Hyun Jung Jung, Young-Ju Kim
The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132. CrossRef

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The Effects of Neurofeedback Training on Physical, Psychoemotional Stress Response and Self-Regulation for Late Adolescence: A Non-Randomized Trial: Moon-Ji Choi, Wan-Ju Park; J Korean Acad Nurs 2018;48(2):208-220. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.208

Abstract PDF

Abstract Purpose

The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention.

Methods

A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero.

Results

There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups.

Conclusion

The results indicated that the neurofeedback training is effective in stress-biomarkers, psy-choemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

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Effects of Stepwise Combined Biofeedback Training on Attention and Self-control of High School Students Based on the Reflection and Reflexion Model
Shin-Jeong Park, Wanju Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 442. CrossRef
The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
Jungmin Lee, Youngkyoung Kim, Wanju Park
Journal of Korean Public Health Nursing.2024; 38(2): 150. CrossRef
Vagally-mediated heart rate variability and depression in children and adolescents - A meta-analytic update
Luise Baumeister-Lingens, Roxana Rothe, Lena Wolff, Alexander L. Gerlach, Julian Koenig, Christine Sigrist
Journal of Affective Disorders.2023; 339: 237. CrossRef
Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
Sensors.2022; 22(17): 6606. CrossRef
Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic
Wanju Park, Mina Cho, Shinjeong Park
Journal of Korean Academy of Nursing.2022; 52(1): 36. CrossRef
The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents
Jieun Kim, Wanju Park
Journal of Korean Academy of Nursing.2022; 52(6): 608. CrossRef

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Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities: Hyun Hwa Hong, Mee Ock Gu; J Korean Acad Nurs 2018;48(2):167-181. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.167

Abstract PDF

Abstract Purpose

We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities.

Methods

A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0.

Results

Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index.

Conclusion

The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

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Factors Affecting Mealtime Difficulties in Older Adults with Dementia Living in Long-Term Care Facilities: A Multilevel Model Analysis
Dukyoo Jung, Jennie C. De Gagne, Hyesoon Lee, Leeho Yoo, Jisung Park, Eunju Choi, Yonggang Zhang
Journal of Nursing Management.2023; 2023: 1. CrossRef
Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities
Soon-Ok Kim
International Journal of Environmental Research and Public Health.2021; 18(21): 11458. CrossRef
Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review
Dukyoo Jung, Kyuri Lee, Eunju Choi
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 470. CrossRef
Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea

Dukyoo Jung, Jennie C De Gagne, Minkyung Lee, Hyesoon Lee, Kyuri Lee, Eunju Choi, Juyoun Chung
Clinical Interventions in Aging.2020; Volume 15: 2019. CrossRef
Informal dementia caregivers’ experiences and perceptions about mealtime care: A qualitative evidence synthesis
Yijing Li, Dan Sun, Xu Zhang, Huanhuan Li, Yingnan Zhao, Dongfei Ma, Zehui Li, Jiao Sun
Journal of Advanced Nursing.2020; 76(12): 3317. CrossRef

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Prediction of Breastfeeding Intentions and Behavior: An Application of the Theory of Planned Behavior: Hea Sook Kim, Eun Sook Nam; Journal of Nurses Academic Society 1997;27(4):796-806. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.4.796

Abstract PDF

The majority of studies on breastfeeding consists of descriptive correlational studies identifying the incidence and correlates of breastfeeding. The theory of planned behavior has been shown to yield great predictive power for behavioral goals over which individuals have only limited control such as improving school grades and weight loss. The purpose of this study was to test the "theory of planned behavior" in the prediction of breastfeeding of mothers who delivered vaginally. One hundred mothers who delivered vaginally in one general hospital in Seoul and one general hospital and three private hospitals in Taejeon participated in this study. The instruments used for data collection in this study were developed by the researchers following the guidelines suggested by Ajzen and Fishbein(1980) and Ajzen and Madden(1986). The instruments included measurement of attitude, subjective norm, perceived behavioral control and intention. The collected data were analyzed using descriptive statistics, Pearson product moment correlation, hierachical multiple regression and logistic regression. The results are as follows : 1. Intention to breastfeed correlated significantly with attitude, subjective norm and perceived behavioral control. Both attitude and subjective norm did not make a significant contribution to the prediction of intention, but the addition of perceived behavioral control to the regression equation greatly improved the model's predictive power, increasing the R(2) from .05 to .52. 2. Intention to breastfeed alone had a significant predictive effect on actual breastfeeding, resulting in a regression coefficient of .16(x2=8.60, p<.01), but when perceived behavioral control was added to the equation, intention was not a significant predictive variable and only perceived behavioral control showed significant predictive power on actual breastfeeding, resulting in a regression coefficient of .12(x2=4.68, p<.05). In sum, breastfeeding behavior lent only partial support to the second version of the theory of planned to the second version of the theory of planned behavior, and because perceived behavioral control had a strong effect on intention to breastfeed and actual breastfeeding, it would be desirable to develop nursing intervention programs which focus on strengthening the perceived behavioral control for the promotion of breastfeeding.

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Examination of Predicting Factors for COVID-19 Vaccination Behaviors of University Students Utilizing the Theory of Planned Behavior
Yeon Jeong Heo, Hye-Jin Hyun
Journal of Korean Academy of Nursing.2024; 54(2): 178. CrossRef
The Factors related to Mothers' Intention to Vaccinate against Hepatitis A: Applying the Theory of Planned Behavior
Kyeong-Sook Cha, Kyung Mi Kim
Child Health Nursing Research.2019; 25(1): 1. CrossRef
Factors associated with Maternal Attachment of Breastfeeding Mothers
Sun-Hee Kim
Child Health Nursing Research.2019; 25(1): 65. CrossRef
A Structural Model for Primiparas' Breastfeeding Behavior
Hyun-Joo Yang, Ji-Min Seo
Journal of Korean Academy of Nursing.2013; 43(3): 399. CrossRef

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A Study of Primiparous Womens' Breastfeeding Experience: Shin Jeong Kim, Sook Ja Yang; Journal of Nurses Academic Society 1997;27(3):477-488. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.3.477

Abstract PDF

The purpose of this study was to understand the subjective breastfeeding experience of primiparous women to identify how breastfeeding was started and to explore the process of breastfeeding. The Grounded theory methodology was used. Data was collected from 6 primiparous women who had breastfeed their infants for at least over 8 weeks, recently breastfeeding or having breatfeed their infants within the last 6 months. With the permission of the subjects, the interviews were recorded and transcribed. The data were analysed in the framework of grounded theory method as mapped out by Strauss and Corbin(1990). 105 concepts and 21 subcategories were of data analysis. In the process of data analysis, "Identity as a mother" was found to be the core phenomenon. The 21 sub-categories were as follows : natural food, neighbour inducement, self purpose, good feeling, tenderness, breast pain, change of breast shape, physical discomfort, loss of physical energy, confirmation of adhesion, one body through coupling, tie, capacity, role performance, mental comfort, healthy mother, healthy infant, confidence of breast milk, feeling of satisfaction. The sub-categories were again grouped into 14 categories including infant nutritious food, formation of breastfeeding opportunity, feeling of satisfaction, injury of the breast, physical suffering, awareness of mothering, formation of maternal affection, connecting, coupling, acceptance, effort, emotional stability, mother and child health and feeling of achievement.

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Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254. CrossRef

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Information and Social Support Regarding Breastfeeding: A Survey of Mothers in Seoul, South Korea: Heasook Kim, Andrea Crivelli Kovach; Journal of Korean Academy of Nursing 2001;31(7):1151-1159. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.7.1151

Abstract PDF

BACKGROUND: Pediatric societies throughout the world recommend breastfeeding as the optimal form of infant nutrition. This recommendation is based on extensive epidemiologic research that documents the health, developmental, psychological, social, economic, and environmental benefits to infants, mothers, families, and society. The purpose of this study was to examine breastfeeding information and emotional support received by mothers prenatally, hospital breastfeeding practices, and the relationship between information and support received and breastfeeding initiation and planned feeding method post discharge from the hospital.
METHODS
A 36-item questionnaire was distributed during the Spring 2000 to mothers who delivered babies at maternity centers in Seoul, South Korea. A sample of 52 mothers was surveyed at the time of hospital discharge. The questionnaire was developed based on the literature and reviewed by experts including internationally board certified lactation consultants, a nutritionist, and perinatal nurses. The survey instrument consists of five components: sociodemographic information, breastfeeding information received by mothers prenatally, emotional support regarding the mothers' infant feeding choice, breastfeeding initiation and supplementation, and hospital breastfeeding practices.
RESULTS
Fifty-two breastfeeding mothers at three hospitals completed the survey. The majority of the mothers were 26 to 35 years of age, college graduates, married, had uncomplicated vaginal or planned cesarean deliveries, and primiparas. Forty-nine mothers responded that they decided to breastfeed during their pregnancy. Mothers reported that the information they received during pregnancy was provided primarily by their mothers, or friends and other relatives. The majority of mothers reported that others influenced their infant-feeding decision. Forty mothers reported receiving emotional support for their infant feeding choice during their pregnancy with mothers or mothers-in-law and friends providing the greatest support.
DISCUSSION
Women obtain information prenatally about breastfeeding from many sources-family, friends, written materials, prenatal classes, and health care professionals. There are benefits and drawbacks to information received from multiple sources. Additionally, research has shown that a woman's infant-feeding decision is affected by the type of professional and social support the mother receives. Postpartum professional support for new breastfeeding mothers encompasses multiple dimensions ranging from a follow-up telephone call from the hospital nursing staff to referral to a community resource. Prenatal breastfeeding education on a community-wide basis can provide essential information for future mothers, families, and community support networks. Additional research needs to be done exploring the impact of prenatal, postpartum, and post-discharge support for women on breastfeeding initiation and duration rates.

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Postnatal women’s breastfeeding beliefs, practices, and support during the COVID-19 pandemic: a cross-sectional comparative study across five countries
K. P. Coca, E. Y. Lee, L. Y. Chien, A. C. P. Souza, P. Kittikul, S. A. Hong, Y. S. Chang
International Breastfeeding Journal.2022;[Epub] CrossRef
Effect of Postpartum Breast-feeding Support by Nurse on the Breast-feeding Prevalence
Gun Ja Jang, Sun Hee Kim, Kyung Soon Jeong
Journal of Korean Academy of Nursing.2008; 38(1): 172. CrossRef

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Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke: Keum Soon Kim, So Woo Lee, Myung Ae Choe, Myung Sun Yi, Eun Jung Kim; Journal of Korean Academy of Nursing 2001;31(3):432-442. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.3.432

Abstract PDF

PURPOSE: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. RESULT: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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The effects of training using EMG biofeedback on stroke patients upper extremity functions
Ju-Hong Kim
Journal of Physical Therapy Science.2017; 29(6): 1085. CrossRef
IT based EMG biofeedback training on the effects of upper extremity function in chronic stroke patients
Ju-Hong Kim, Myung-Hwa Oh
The Journal of the Korea institute of electronic communication sciences.2014; 9(1): 41. CrossRef
Effects of family caregivers on the use of formal long‐term care in South Korea
E.‐Y. Kim, E. Cho, N.‐J. Lee
International Nursing Review.2013; 60(4): 520. CrossRef
Effects of wheelchair-based rehabilitation on the physical functions and health perception of stroke patients
Hye Jung Choi, Yeon Soo Kim, Doo Soon Park, Hyun Joo Kang
Personal and Ubiquitous Computing.2013; 17(7): 1365. CrossRef
Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services
Eun-Young Kim, Jung Hee Yeo
Journal of Korean Academy of Community Health Nursing.2012; 23(2): 117. CrossRef

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The Relationship of Bone Mineral Densities and Period of Breast feeding in Premenopausal Women: Eun Nam Lee, Eun Ok Lee, Gwang Hae Lee; Journal of Korean Academy of Nursing 2000;30(1):29-38. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.29

Abstract PDF

To determine whether personal history of lactation in premenopausal women influence bone mineral density, a cross-sectional study was conducted. One hundred eighty-four premenopausal women were selected from women who had been checked for bone mineral density by dual energy x-ray absortiometry in lumbar spine, femoral neck, Ward's triangle, and trochanteric site at general hospitals in Seoul and Pusan. They completed a questionnaire including life style factors and reproductive history. In the data analysis, Pearson correlation coefficients were used to test any association between individual variables and bone mineral density and a statistical comparisons between long term lactation(>24 months) and short term lactation(<24 months) were made by one way analysis of covariance. The results were summarized as follows: 1) There was no significant difference in the bone mineral density of the lumbar vertebrae in premenopausal women between the long term lactation group(>24months) and the short term lactation group(<24months). 2) There was no significant difference in the bone mineral density of the femur neck, Ward's triangle, and trochanteric site in premenopausal women between the long term lactation group (>24months) and the short term lactation group (<24months). Considering these results, we suggest prospective studies that measure bone mineral density before and after, in addition to those during lactation. We also suggest the further study with premenopausal women less than 35 who have achieved peak adult bone mass.

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Uncomfortable Breast Experiences of Breast feeding Mothers
노승옥, Insook Park, 조광남
Qualitative Research.2012; 13(2): 131. CrossRef
The Role of Salicornia herbacea in Ovariectomy-Induced Oxidative Stress
Bae Jin Ha, Sang Hun Lee, Hee Jin Kim, Jin Young Lee
Biological & Pharmaceutical Bulletin.2006; 29(7): 1305. CrossRef

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The Meaning of Breastfeeding in Korean Mothers: Shin Jeong Kim, Geum Hee Jeong; Journal of Korean Academy of Nursing 1999;29(5):1042-1048. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.5.1042

Abstract PDF: The Purpose of this study was to explore the meaning of breastfeeding using a phenomenological research methodology. The sample consisted of 9 primiparous mothers who had breastfed their babies at least for 3 consecutive months. Data were collected from January 10 to February 28, 1998 through interviewing. The research question was "What was the meaning of breastfeeding to breastfeeding mothers?" Responses to non-structured open-ended question was audio-recorded during the interview. Data were analyzed using the phenomenological method of Colazzi. From the protocols, significant statements about meaning of breastfeeding were clustered into 8 themes. Mothers perceived meaning of breastfeeding as feeling of unification through tie, expression of love, gift, nutritional supplement, duty as a mother, nurturing, mystery, and identity. From the results of this study, breastfeeding mothers perceived breastfeeding positively, so nurses need to encourage mothers to breastfeed her baby and develop program which can promote successful breastfeeding.

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A Study on the Effect of Self-Management and Relaxation Training through Biofeedback on Influencing the Stress Response and Immune Functions: Soowoo Lee, Keum Soon Kim, Sung Hoi Park; Journal of Korean Academy of Nursing 1999;29(4):855-869. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.4.855

Abstract PDF: The purpose of this study was to test the effectiveness of self-management relaxation training through biofeedback and progressive muscle relaxation methods. The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress(SOS), the McNair's profile of Mood STates(POMS), the levels of ephinephrine, norepinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were sixty six nursing students divided into four groups two groups were the biofeedback and progressive muscle relaxation groups, the other two groups served as control groups. One was a group of sophomores with no experience at all, the other a junior group without self-management or relaxation training. This study was condicted for eight weeks of clinical practice from April, 26th 1998 to June, 20th 1998. Biofeedback training was done with software developed by J&J company(1-410 form for abdominal respiration training). Progressive muscle relaxation training was done with an audiotape recorded according to Jacobson's Theory. The data were analyzed with frequencies, means, and analysis of cobariance using the SPSS program and the significance level of statistics was 5%. The results of the study are : 1) The importance of clinical practice stress reduction is shown in that the level of symptoms of stress in the experimental groups in clinical practice was higher than in the group receiving only a lecture. 2) The relaxation training methods of biofeeback and progressive muscle relaxation were effective in reducing the symptoms of stress under the clinical practice stress conditions. 3) The effectiveness of the biofeedback training relaxation method to reduce symptoms of stress was higher than that of progressive muscle relaxation. 4) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in reducing stressful mood states. 5) The relaxation training methods of bioffedback and progressive muscle relaxation were not effective in reducing epinephrine and norepinephrine levels. 6) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in increasing the number of natural killer cells. 7) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in decreasing high systolic and diastolic values of blood pressure and high pulse rates. In summary, the relaxation methods of biofeedback and progressive muscle relaxation in reducing clinical practice stress were effective in lowering the level of symptoms of stress and the profile of stressful mood states. They were also effective in lowering high blood pressure and pulse rates. The relaxation methods were effective in increasing the number of natural killer cells as part of the immune function. However, relaxation methods were not effective symptoms of stress was more effective than the progressive muscle relaxation method.

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The Comparison of the Effectiveness of Pelvic Floor Muscle Exercise and Biofeedback Treatment for Stress Incontinence in Korean Women: Young Hee Choi, Myung Sook Sung, Jae Yup Hong; Journal of Korean Academy of Nursing 1999;29(1):34-47. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.34

Abstract PDF

This study evaluated the Comparison of the Effectiveness of Pelvic Floor Muscle exercise and Biofeedback treatment for Genuine Stress Incontinence I assigned 60 participants to 2 groups : 30 to the pelvic floor muscle exercise group and 30 to the biofeedback group. Treatment protocol lasted for 6 weeks. Peak pressure, and duration time of pelvic muscle contraction were evaluated by a perineometer. Lower urinary symptoms, sexual matter and life style scores were achieved by using Jackson's scale. The treatment efficacy of the pelvic floor muscle exercise is compared with the biofeedback group and the main results of the comparison are as follows: 1. Pelvic muscle contraction 1) The peak pressure in the biofeedback group was significantly increased(P=0.000). 2. The frequency and quantity of incontinence 1) The frequency of incontinence in the biofeedback group was significantly decreased(P=0.000). 2) The quantity of incontinence in the biofeedback group was significantly decreased(P=0.000). 3. The lower urinary symptoms Daily frequency(P=0.000), nocturia(P=0.000), urgency(P=0.000), bladder pain(P=0.000), unexplained incontinence(P=0.048), wearing protection(P=0.022), changing outer clothing(P=0.005), hesitancy(P=0.008), intermittent stream(P=0.000), abnormal strength of stream(P=0.004), retention(P=0.000), incomplete emptying(P=0.000), and inability to stop mid steam(P=0.006) of the lower urinary symptoms in the biofeedback group were significantly decreased. 4. The sexual matters The dry vagina(P=0.004) and pain during sexual intercourse(P=0.002) in the biofeedback group was significantly decreased. 5. The life style. The fluid intake restriction(P=0.007), affected daily task(P=0.003), avoidance of places & situation(P=0.003), interference in Physical activity(P=0.002), interference in relationship with other people(P=0.01), and feeling about the rest of life with urinary symptom(P=0.000) in the biofeedback group were significantly decreased. In conclusion, the biofeedback treatment was more effective than the pelvic floor muscle exercise in genuine stress incontinence.

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Effect of Pila-dance to Ease Urinary Incontinence of Middle-aged Women
Hye-Jeon Hong
The Korean Journal of Physical Education.2018; 57(2): 431. CrossRef
The Convergence Study on the Effects of Three Pelvic Floor Muscle Excercise on Thickness of Pelvic Floor Muscle and Abdominal Muscles
Si-Eun Kang, Jae-Hoon Shim, Sung-Dae Choung
Journal of the Korea Convergence Society.2016; 7(1): 105. CrossRef
Effect of Moxibustion at Junggeuk(CV3), Singwol(CV8) on Women's Urinary Incontinence and Quality of Life
Eun-Sook Lee, Yi-Soon Kim, Jeong-Won Lee, Mi-Jung Oh, Gyeong-Cheol Kim
Korean Journal of Acupuncture.2013; 30(3): 193. CrossRef
Effects of an Incontinence Prevention Program on Postpartum Women
Nam Ok Jeong
Korean Journal of Women Health Nursing.2009; 15(3): 177. CrossRef

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Attitudes of Pregnant women's husbands to Breast Feeding: Hae Kyung Chung, Kyung Hee Kim; Journal of Korean Academy of Nursing 1998;28(2):392-402. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.392

Abstract PDF: By using Q-methodology, this study examines the attitudes of pregnant womens' husbands toward breastfeeding. Also, the research provides basic data necessary to develop a strategy for recommending breastfeeding. A total of 112 items for the Q-population were collected from related literature and interviews with the general public, specialists, pregnant women and the general public, specialists, pregnant women and their husbands. Finally, 38 statements were selected. Twenty one husbands of pregnant women classified these statements on each card on a 1 to 9 point scale(forced normal distribution) and wrote the reasons for both the most supported and the mos resisted statements. The materials collected were analyzed by using pc QUANL program. The analysis drew down following fact that even though the attitudes of the husbands of pregnant were very similar, they could be classified to three types according to the motivation and recognition the degree of choosing breastfeeding. Type 1 is the mother's duty supporter, who insists that breastfeeding is completely natural and the proper duty of the mother. Type 2 is the emotional value supporter, who thinks that breastfeeding emotionally affects both the baby and the mother in a positive way. Type 3 is the conditional choice supporter, who chooses the most proper suckling way of feeding according to given conditions.

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The Effects of Swallowing with Oropharyngeal Sensory Stimulation in Nasogastric Tube Insertion in Stroke Patients: Myung Hee Kim, Mi Young Kim; Journal of Korean Academy of Nursing 2007;37(4):558-567. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.558

Abstract PDF

Purpose

This study was to identify the effects of oropharyngeal sensory stimulation on a functional oral intake scale, oro-pharyngeal swallowing functions, and aspiration pneumonia symptoms with nasogastric tube insertion in stroke patients.

Method

This study was a nonequivalent control group non-synchronized design. The subjects of the study were 32 patients who were hospitalized in Kosin Gaspel hospital. The experimental subjects were stimulated for 10~20 minutes, 1 time per day. The intervention was implemented for 2 weeks.

Result

Participants in the experimental group significantly received a higher score in oro-pharyngeal swallowing function than those in the control group. However the participants in the experimental group only got a high score in the function oralintake scale which doesn't imply a statistical significance. In addition, they didn't geta remarkably higher score in aspiration pneumonia symptoms than those in the control group.

Conclusion

This study demonstrates that oropharyngeal sensory stimulation is effective in promoting recovery oro-pharyngeal swallowing function of nasogastric tube insertions in stroke patients.

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Changes in the dysphagia and nutritional status of patients with brain injury
Hyeyeoung Kim, Yeonok Suh
Journal of Clinical Nursing.2018; 27(7-8): 1581. CrossRef
The Effect of Singing Intervention for Women Elderly with Dysphagia Risk
Ok-Jong Yun, Young-Hee Lee
Korean Journal of Adult Nursing.2012; 24(4): 380. CrossRef

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Pelvic Floor Muscle Exercise by Biofeedback and Electrical Stimulation to Reinforce the Pelvic Floor Muscle after Normal Delivery: In Sook Lee, Euy Soon Choi; Journal of Korean Academy of Nursing 2006;36(8):1374-1380. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.8.1374

Abstract PDF

Purpose

This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery.

Methods

The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment.

Results

The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group.

Conclusions

This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.

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Nicole F Beamish, Margie H Davenport, Muhammad Usman Ali, Matthew J Gervais, Talia Noel Sjwed, Gyanjot Bains, Allison Sivak, Rita E Deering, Stephanie-May Ruchat
British Journal of Sports Medicine.2025; 59(8): 562. CrossRef
Childbirth as Fault Lines: Justifications in Physician–Patient Interactions About Postnatal Rehabilitation
Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su
Health Care Analysis.2024; 32(4): 312. CrossRef
Pelvic floor muscle exercises plus biofeedback versus pelvic floor muscle exercises for patients with stress urinary incontinence: A systematic review and meta-analysis of randomized controlled trials
Amina Pulatova, Nagima Mamedaliyeva, Gulzhakhan Omarova, Gulfairuz Urazbayeva, Ainura Veliyeva
Electronic Journal of General Medicine.2023; 20(5): em520. CrossRef
Effectiveness of physiotherapy for lower urinary tract symptoms in postpartum women: systematic review and meta-analysis
Dai Zhu, Zhijun Xia, Zhiqi Yang
International Urogynecology Journal.2022; 33(3): 507. CrossRef
A network meta-analysis protocol of conservative interventions for urinary incontinence in postpartum women
Yang Wang, Hui Li, Jun Wang, Qinghong Hao, Yang Tu, Yalin Chen, Mimi Qiu, Wei Peng, Yunlu Liu, Tianmin Zhu
Medicine.2020; 99(33): e21772. CrossRef
The molecular effects of electrical stimulation on the muscle components of the urethra of female rats after trauma by vaginal distention
Gisela R. F. Salerno, Maria A. T. Bortolini, Regina C. T. Gomes, Suellen M. Feitosa, Manuel J. Simões, Edmar Zanoteli, Fernanda L. Castanho, Rodrigo A. Castro
Neurourology and Urodynamics.2020; 39(2): 576. CrossRef
Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials
Zahra Hadizadeh-Talasaz, Ramin Sadeghi, Talaat Khadivzadeh
Taiwanese Journal of Obstetrics and Gynecology.2019; 58(6): 737. CrossRef

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The Effects of Inhalation of Essential Oils on the Body Weight, Food Efficiency Rate and Serum Leptin of Growing SD Rats: Myung Haeng Hur, Chan Kim, Chul Hyun Kim, Hae Chul Ahn, Hye Young Ahn; Journal of Korean Academy of Nursing 2006;36(2):236-243. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.236

Abstract PDF

Purposes

This experimental study was designed to verify the effect of inhalation of essential oils on body weight, feed intake, food efficiency rate and serum leptin.

Methods

The subjects of this study were 90 growing SD rats (46 males and 44 females). They were allocated into one of four groups, the Fennel group, Patchouli group, Bergamot group and control group. The experimental treatment was the inhalation of aromatherapy essential oils which was applied two times a day for 10 minutes each during 8 weeks. To evaluate the effects, body weight, feed intake, food efficiency rate and serum leptin were measured before and after the treatment. The collected data was analyzed by repeated measures of Kolmogorov-smirnov test and Normal Q-Q plot for nomality, Kruskal Wallis test and χ²-test for experimental effects with the SPSS program.

Results

The food efficiency rate was significantly lower in the Patchouli group and Fennel group than in the Bergamot group and control group (P=.000). No significant group effects were found for SD rat's body weight, feeding amount and serum leptin.

Conclusion

In conclusion, these findings indicate that the inhalation of essential oils could be effective in lowering the food efficiency rate rather than the feed intake.

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Kakuyou Ogawa, Yukie Maeda, Osamu Morinaga
Journal of Essential Oil Research.2025; 37(1): 75. CrossRef
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Olfactory Stimulation by Fennel (Foeniculum vulgare Mill.) Essential Oil Improves Lipid Metabolism and Metabolic Disorders in High Fat-Induced Obese Rats
Seong Jun Hong, Sojeong Yoon, Seong Min Jo, Hyangyeon Jeong, Moon Yeon Youn, Young Jun Kim, Jae Kyeom Kim, Eui-Cheol Shin
Nutrients.2022; 14(4): 741. CrossRef
Inhalation of Patchouli (Pogostemon Cablin Benth.) Essential Oil Improved Metabolic Parameters in Obesity-Induced Sprague Dawley Rats
Seong Jun Hong, Jinju Cho, Chang Guk Boo, Moon Yeon Youn, Jeong Hoon Pan, Jae Kyeom Kim, Eui-Cheol Shin
Nutrients.2020; 12(7): 2077. CrossRef
The Effect of Foeniculum Vulgare (Fennel) on Body Composition in Postmenopausal Women with Excess Weight: A Double-blind Randomized Placebo-controlled Trial
Nafiseh Saghafi, Masumeh Ghazanfarpour, Talat Khadivzadeh, Masoudeh Babakhanian, Maliheh Afiat
Journal of Menopausal Medicine.2017; 23(3): 166. CrossRef
Appetite-Enhancing Effects: The Influence of Concentrations of Benzylacetone and trans-Cinnamaldehyde and Their Inhalation Time, as Well as the Effect of Aroma, on Body Weight in Mice
Kakuyou Ogawa, Michiho Ito
Biological & Pharmaceutical Bulletin.2016; 39(5): 794. CrossRef
Effect of Geranium Essential Oil on Food Intake via Olfactory Stimulus
Seung-Jae Choi, Sang Baik Ye, Hyung Gyun Na, Gui Ok Kim, Chang Hoon Bae, Si-Youn Song, Yong Woon Kim, So Young Park, Yong-Dae Kim
Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2011; 54(11): 766. CrossRef

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Effects of Abdominal Breathing Training Using Biofeedback on Stress, Immune Response and Quality of Life in Patients with a Mastectomy for Breast Cancer: Keum Soon Kim, So Woo Lee, Myoung Ae Choe, Myung Sun Yi, Smi Choi, So Hi Kwon; Journal of Korean Academy of Nursing 2005;35(7):1295-1303. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.7.1295

Abstract PDF

Purpose

This study was to determine the effects of abdominal breathing training using biofeedback on stress, immune response, and quality of life.

Methods

The study design was a nonequivalent control group pretest-posttest, quasi-experimental design. Twenty-five breast cancer patients who had completed adjuvant chemotherapy were enrolled. The experimental group(n=12) was provided with abdominal breathing training using biofeedback once a week for 4 weeks. State anxiety, cancer physical symptoms, serum cortisol, T cell subsets(T3, T4, T8), NK cell and quality of life were measured both before and after the intervention.

Results

Though state anxiety, cancer physical symptoms, and serum cortisol were reduced after 4 weeks of abdominal breathing training using biofeedback, there was no statistical significance. It showed, however, improvement in quality of life (p=.02), and T3(p=.04).

Conclusion

Abdominal breathing training using biofeedback improves quality of life in breast cancer patients after a mastectomy. However, the mechanism of this beneficial effect and stress response requires further investigation with special consideration in subject selection and frequency of measurement. Nurses should consider this strategy as a standard nursing intervention for people living with cancer.

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Pedro Nogueira, Joana Urbano, Luís Paulo Reis, Henrique Lopes Cardoso, Daniel Castro Silva, Ana Paula Rocha, Joaquim Gonçalves, Brígida Mónica Faria
Journal of Medical Systems.2018;[Epub] CrossRef
The Effects of Rehabilitation Treatment on the Immune Cells and Cortisol Levels of Stroke Patients
Dong Sun Oh
Korean Journal of Clinical Laboratory Science.2015; 47(2): 90. CrossRef
Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
Sun Young Park, Jong Im Kim
Journal of muscle and joint health.2013; 20(3): 171. CrossRef
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Hae Jeong Han, Aris Park, Hyun Sun Kim, HanKyung Moon, Yeon-Hwan Park
Journal of Korean Oncology Nursing.2011; 11(2): 93. CrossRef
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Haejung Lee, Yeonjung Lim, Myung-Sook Yoo, Yongsuk Kim
Cancer Nursing.2011; 34(6): E22. CrossRef
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Eun A Cho, Hyun Ei Oh
Journal of Korean Academy of Nursing.2011; 41(3): 285. CrossRef
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
Effects of Abdominal Breathing on State Anxiety, Stress, and Tocolytic Dosage for Pregnant Women in Preterm Labor
Woo-Jeong Yu, Ju-Eun Song
Journal of Korean Academy of Nursing.2010; 40(3): 442. CrossRef
Complementary Therapy for Improvement of Quality of Life in Cancer Patients
Jun-Young Choi
Journal of the Korean Medical Association.2008; 51(5): 435. CrossRef

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Effects of a Workbook Program on the Perceived Stress Level, Maternal Role Confidence and Breast Feeding Practice of Mothers of Premature Infants: Yung Sook Jang; Journal of Korean Academy of Nursing 2005;35(2):419-427. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.419

Abstract PDF

Purpose

The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants.

Method

This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, χ²-test, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test.

Result

There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups (χ²= 4.910, p=.035).

Conclusion

It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.

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Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 71. CrossRef
Effects of a newborn care education program using ubiquitous learning on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam: a quasi-experimental study
Tran Thi Nguyet, Nguyen Vu Quoc Huy, Yunmi Kim
Korean Journal of Women Health Nursing.2021; 27(4): 278. CrossRef
Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
Eun Hye Jang, Hyeon Ok Ju
Child Health Nursing Research.2020; 26(1): 11. CrossRef
Effects of a Maternal Role Adjustment Program on First-time Mothers
Su Jeong Kim, Ji Min Seo
Korean Journal of Women Health Nursing.2018; 24(3): 322. CrossRef
Development and Evaluation of a Video Discharge Education Program focusing on Mother-infant Interaction for Mothers of Premature Infants
Jin Suk Ra, Jiyoung Lim
Journal of Korean Academy of Nursing.2012; 42(7): 936. CrossRef
A Study on the Experience of Breastfeeding Education for Women with Children 24 Months of Age and Younger
Ji-Eun Kim, Dong-Yean Park
The Korean Journal of Community Living Science.2012; 23(4): 523. CrossRef
Effects of a Discharge Education Program Using On-line Community for Parents of Premature Infants
Jeong Soon Kim, Hee Sun Shin
Journal of Korean Academy of Child Health Nursing.2010; 16(4): 344. CrossRef
Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding
Yunmi Kim
Journal of Korean Academy of Nursing.2009; 39(2): 279. CrossRef

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Clinical Implications of the Glucose Test Strip Method for Early Detection of Pulmonary Aspiration in Nasogastric Tube- Fed Patients: Hwa Soon Kim; Journal of Korean Academy of Nursing 2004;34(7):1215-1223. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1215

Abstract PDF: Purpose
This study was performed to test the clinical usefulness of the glucose test strip method for early detection of pulmonary aspiration in tube fed patients.
Method
The subjects for the study were 36 patients who were receiving enteral feedings and 39 patients who were not given enteral feedings. For the analysis, the tube fed patients were divided into two groups (clinically significant aspiration and no aspiration) according to criteria.
Result
The mean glucose concentration of tracheal secretions from non enteral fed patients was 26.35mg/dl and were lower than those concentrations found in tube fed patients (32.75mg/dl). The mean glucose concentration of the aspiration group was 45.60mg/dl and the glucose concentration of the non aspiration group was 19.93mg/dl. The difference was statistically significant (t=2.163, p=. 038). More subjects in the no aspiration group (73%) than the aspiration group (56%) had glucose concentrations below 20mg/dl. After deleting the cases that had samples containing blood, glucose concentrations of tracheal aspirates were lower in both groups.
Conclusion
The glucose level of the aspiration group was significantly lower than the no aspiration group and more subjects in the aspiration group had a glucose level higher than 101mg/dl. Therefore, the glucose test of tracheal secretions in tube fed patients could be a desirable test for screening for tracheal aspiration. Especially the patient who is showing repeatedly high glucose levels should not be given feedings until reassessment is completed.

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Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant: Mi Ye Kim, Gun Ja Jang, Sun Hee Kim; Journal of Korean Academy of Nursing 2004;34(5):820-828. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.820

Abstract PDF

Purpose

The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy.

Method

Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting.

Result

Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group.

Conclusion

These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

Citations

Citations to this article as recorded by

Integrative Review of Nursing Intervention Studies on Mother-Infant Interactions.
Sun Jung Park, Shin Jeong Kim, Kyung Ah Kang
Child Health Nursing Research.2014; 20(2): 75. CrossRef
Postnatal parental education for optimizing infant general health and parent-infant relationships
Janet Bryanton, Cheryl T Beck, William Montelpare
Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef

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Effect of Progressive Muscle Relaxation using Biofeedback on Perceived Stress, Stress Response, Immune Response and Climacteric Symptoms of Middle-Aged Women: Ihn Sook Jeong; Journal of Korean Academy of Nursing 2004;34(2):213-224. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.213

Abstract PDF

Purpose

This study was aimed to evaluate the effect of progressive muscle relaxation training using biofeedback on perceived stress, stress response, immune response and climacteric symptoms.

Method

This was a crossover, pre-post test design. The study subjects are 36 middle-aged women who were selected at 2 public health centers. The independent variable was Biofeedback training for 4 weeks, twice a week and home training for 4 weeks. Dependent variables were perceived stress, stress response, immune response, and climacteric symptoms measured with Hildtch's scale (1996).

Result

Progressive muscle relaxation training using biofeedback was not effective in reducing perceived stress, but it was shown to be effective in reducing physiological stress responses such as pulse rate and EMG. Though blood pressure and skin conductance were repeatedly down, and skin temperature slowly increased, there were no statistically significant differences. Progressive muscle relaxation training using biofeedback was not effective in reducing serum cortisol, enhancing immune responses, or decreasing climacteric symptoms.

Conclusion

The findings point to a pressing need for further, well-controlled and designed research with consideration in selection of subjects and instruments, frequency of measurements, the sampling method, and intervention modalities.

Citations

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Effects of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: A pilot randomized controlled trial
Seoung-A. Yoo, Chang-Yong Kim, Hyeong-Dong Kim, Suhng-Wook Kim
Journal of Back and Musculoskeletal Rehabilitation.2022; 35(2): 289. CrossRef
The Effects of Perceived Stress, Marital Intimacy and Mental Health on the Climacteric Adaptation in Middle-aged Women in Urban Areas
Hyun-Joo Park
The Korean Journal of Rehabilitation Nursing.2019; 22(1): 38. CrossRef
Effects of Progressive Muscle Relaxation Therapy in Colorectal Cancer Patients
Kyeng Jin Kim, Yeon Kyung Na, Hae Sook Hong
Western Journal of Nursing Research.2016; 38(8): 959. CrossRef
Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
Seong-Hi Park, Kuem Sun Han, Chang-Bum Kang
Asian Nursing Research.2014; 8(3): 182. CrossRef
Women Religious and Married Women's Attitudes toward Menopause and Menopausal Symptoms
Myung-Sook Yoo
Korean Journal of Women Health Nursing.2010; 16(2): 186. CrossRef

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Effects of Upper Extremity Exercise Training Using Biefeedback and Constraint-induced Movement on the Upper Extremity Function of Hemiplegic Patients: Keum Soon Kim, Ji Yeon Kang; Journal of Korean Academy of Nursing 2003;33(5):591-600. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.5.591

Abstract PDF

Purpose

The purpose of this study was to investigate the effects of exercise training using biofeedback and constraint-induced movement on the upper extremity function of hemiplegic patients.

Method

A non-equivalent pretest-posttest design was used. Study subjects were a conveniently selected group of 40 hemiplegic patients(20 experimental subjects, 20 control subjects) who have 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 in a day over a period of two weeks, while at the same time intensively training the affected U/E. Outcomes were evaluated on the basis of the U/E motor ability(hand function, grip power, pinch power, U/E ROMs), and motor activity(amount, quality).

Result

1. After 2 weeks of treatment, the motor abilities of affected U/E(hand function, grip power, pinch power, ROMs of wrist flexion, elbow flexion and shoulder flexion/extension) were significantly higher in subjects who participated in exercise training than in subjects in the control group with no decrement at 4-week follow-up. However, there was no significant difference in wrist extension between experimental or control group. 2. 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 with no decrement at 4-week follow-up.

Conclusion

The above results state that exercise training using biofeedback and constraint-induced movement could be an effective intervention for improving U/E function of chronic hemiplegic patients. Long-term studies are needed to determine the lasting effects of constraint-induced movement.

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Can Short-Term Constraint-Induced Movement Therapy Combined With Visual Biofeedback Training Improve Hemiplegic Upper Limb Function of Subacute Stroke Patients?
Hyun Seok, Seung Yeol Lee, Jihoon Kim, Jungho Yeo, Hyungdong Kang
Annals of Rehabilitation Medicine.2016; 40(6): 998. CrossRef
The Effects of Weight-Bearing Exercise on Upper Extremity Activities Performance in the Female Stroke Patients
SungEun Lee, SungHyoun Cho, Kyoung Kim
International Journal of Contents.2013; 9(1): 65. CrossRef
The Effects of Rehabilitation Training Using Video Game on Improvement Range of Motion for Upper-Extremity, Shoulder Pain and Stress in Stroke Patients with Hemiplegia
Pil-Suck Buyn, Mi-Young Chon
Journal of muscle and joint health.2012; 19(1): 46. CrossRef

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Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants: Sun Kyung Hwang, Hyun Ok Ju, Young Soon Kim, Hwa Za Lee, Young Hae Kim; Journal of Korean Academy of Nursing 2003;33(4):488-494. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.488

Abstract PDF

Purpose

To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW).

Methods

A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding.

Results

In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F = 5.038, p = 0.001; F = 429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (P < 0.05) and the differences across time periods were significant (p < 0.001).

Conclusion

The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.

Citations

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The Effects of Different Nursing Positions During Preterm Infants Feeding on Gastric Residual Volume and Emptying Rate: A Systematic Review and Network Meta‐Analysis
Amal Mohamed Elhusein, Hammad Ali Fadlalmola
International Journal of Nursing Practice.2024;[Epub] CrossRef
Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis
Kurvatteppa Halemani, Alwin Issac, Sanjay Dhiraaj, Prabhaker Mishra
Clinical and Experimental Pediatrics.2023; 66(6): 262. CrossRef
Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding
Duygu Gözen, Zeynep Erkut, Rabia Uslubaş, Leyla Bilgin
Nutrition in Clinical Practice.2022; 37(4): 945. CrossRef
The Effect of Body Position on Gavage Residual Volume of Gastric in Intensive Care Units Patients
J Rezae, H Kadivarian, A Abdi, M Rezae, K Karimpour, S Rezae
Iran Journal of Nursing.2018; 30(110): 58. CrossRef
Preventing Respiratory Complications of Tube Feedings: Evidence-Based Practice
Norma A. Metheny
American Journal of Critical Care.2006; 15(4): 360. CrossRef

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Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial: Kyung In Jeong, Ja Yun Choi; J Korean Acad Nurs 2017;47(6):842-853. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.842

Abstract PDF

Abstract Purpose

This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.

Methods

Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students’ skill training, and evaluators’ training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.

Results

ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups.

Conclusion

This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

Citations

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Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
Research in Nursing & Health.2025; 48(2): 234. CrossRef
Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
Haena Lim, Yeojin Yi
Nurse Education in Practice.2025; 83: 104283. CrossRef
Effectiveness of a simulation programme with lectures about end-of-life care using a standardised patient: a quasi-experimental study
Sunyoung Son, Deulle Min, Suhee Kim
BMC Nursing.2025;[Epub] CrossRef
Effectiveness of End-of-Life Care Debriefing for Intensive Care Unit Nurses
Sook Hyun Park, Jung Eun Lee, Yu-Jin Jung, Ha Neul Yoo, Yeon Su Kim, Young Hee Yi
Journal of Korean Critical Care Nursing.2024; 17(3): 87. CrossRef
Effect of Simulation Case Complexity on Engagement During Distance Debriefing - A Randomized Controlled Trial
Cynthia J. Mosher, Perman Gochyyev, Adam Cheng, Alex Morton, Jabeen Fayyaz, Susan E. Farrell, Janice C. Palaganas
Clinical Simulation in Nursing.2024; 91: 101538. CrossRef
Using Simulation to Develop Clinical Judgment in Undergraduate Nursing Students
Deborah Byrne, Stephanie Blumenfeld, Maureen Szulewski, Rita Ann Laske
Home Healthcare Now.2023; 41(2): 84. CrossRef
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Hyun Young Koo, Bo Ryeong Lee, Hyeran An
BMC Nursing.2023;[Epub] CrossRef
A Literature Review of Simulation-Based Nursing Education in Korea
Sumee Oh, Jungmin Park
Nursing Reports.2023; 13(1): 506. CrossRef
Effectiveness of Debriefing in Simulation-Based Education for Nursing Students: A Systematic Review and Meta-analysis
Yeoungsuk Song, Seurk Park
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399. CrossRef
The impact of clinical simulation with debriefing and self-regulation on academic performance in four clinical competencies of medical students
Gabriela Torres-Delgado, Ricardo Veloz Cárdenas
International Journal on Interactive Design and Manufacturing (IJIDeM).2022; 16(2): 613. CrossRef
The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
Sun-Yi Yang, Yun-Hee Oh
Nurse Education Today.2022; 117: 105464. CrossRef
Effectiveness of neonatal emergency nursing education through simulation training: Flipped learning based on Tanner’s Clinical Judgement Model
Sun‐Yi Yang
Nursing Open.2021; 8(3): 1314. CrossRef
Effectiveness of self-re-learning using video recordings of advanced life support on nursing students’ knowledge, self-efficacy, and skills performance
Kyeongmin Jang, Sung Hwan Kim, Ja Young Oh, Ji Yeon Mun
BMC Nursing.2021;[Epub] CrossRef
Effectiveness of Debriefing for Meaningful Learning-based simulation training on high-risk neonatal care: A randomized controlled simulation study
Sun-Yi Yang, Yun-Hee Oh
Clinical Simulation in Nursing.2021; 61: 42. CrossRef
Development of a Clinical Judgment Measurement Model-Based Simulation Module for Ileus: A Mixed-Methods Study
Aeri Jang, Suhyun Kim, Mi Ok Song
Journal of Nursing Education.2020; 59(7): 382. CrossRef

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Review Article

Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis: Seol Hui Park, Seang Ryu; J Korean Acad Nurs 2017;47(6):713-730. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.713

Abstract PDF

Abstract Purpose

This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates.

Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software.

Results

A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40).

Conclusion

Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

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Postpartum Breastfeeding Practices and Attitudes in Parents: A Randomized Study to Evaluate the Effects of Individual and Group Breastfeeding Education of Mothers and Fathers
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Social policies and breastfeeding duration in South Korea: A survival analysis of the national data
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Midwifery.2022; 107: 103282. CrossRef
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Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
Journal of Korean Academy of Nursing.2021; 51(2): 232. CrossRef
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Seol Hui Park, Seang Ryu
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The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates: A Follow-Up Study
Jun-Yan Li, Yi Huang, Hao-Qi Liu, Jing Xu, Lu Li, Sharon R. Redding, Yan-Qiong Ouyang
Breastfeeding Medicine.2020; 15(12): 789. CrossRef
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Jiyoung Choi, Yunjung Lee, Sunuk Choi, Eunju Park
Journal of Nutrition and Health.2020; 53(5): 445. CrossRef
A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
Angelos P. Kassianos, Emma Ward, Antonio Rojas-Garcia, Allison Kurti, Fiona C. Mitchell, Dian Nostikasari, Jamie Payton, Julian Pascal-Saadi, Claire Adams Spears, Caitlin Notley
Health Psychology Review.2019; 13(3): 344. CrossRef

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