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Research Paper
Level of Complete Knowledge on Five Moments of Hand Hygiene among Nurses Working at Integrated Nursing Care Service Wards
Kim, Eunhee , Jeong, Ihn Sook
J Korean Acad Nurs 2021;51(4):454-464.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21030
AbstractAbstract PDF
Purpose
This study aimed to identify the level of complete knowledge about hand hygiene indications among nurses working at integrated nursing care service wards.
Methods
A total of 127 nurses in eight integrated nursing care service wards completed structured sheets while observing a video based on six scenarios developed by the research team. Complete knowledge level was calculated as the percentage (%) of participants who responded correctly to all questions among participants. Complete knowledge levels according to the scenarios were calculated and compared according to general characteristics using the chi-squared test or Wilcoxon rank-sum test.
Results
The complete knowledge level for each scenario ranged from 7.9% (scenario 6) to 42.5% (scenarios 4 and 5), and no one had complete knowledge of all scenarios. Only 3.1% of participants demonstrated complete knowledge in more than four scenarios, and 26.0% had complete knowledge of four or more hand hygiene moments. Complete knowledge level per scenario did not differ depending on work experience at hospitals and study wards, or prior hand hygiene training in the last year.
Conclusion
As the complete knowledge level regarding hand hygiene moment is very low, it is suggested that regular hand hygiene training should be provided to nurses using video media that reflect real nursing tasks. Thus, they can acquire complete knowledge of when hand hygiene is needed or not during complex nursing work situations.

Citations

Citations to this article as recorded by  
  • Indication‐based and patient‐based hand hygiene performance among nurses working at a university hospital
    Bora Shin, Ihn Sook Jeong
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Knowledge and Training Needs in Nosocomial Infection among Hospital Staff in the City of Kielce, Poland: A Cross-Sectional Study
    Kamila Fortunka, Agnieszka Strzelecka, Grzegorz Król, Paulina Paprocka, Angelika Mańkowska, Agata Lesiak, Urszula Karpeta, Slawomir Okła, Jakub Spałek, Szczepan Kaliniak, Ewelina Piktel, Maciej Karasiński, Bonita Durnaś, Robert Bucki, Hayfa Almutary
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • Competency Survey of Caregivers in Medical Tourism Special Zone and Other Regions
    Dong-Yeop Lee, Sang-Bong Lee, Yeong-Im Park, Jin-Geun Lee, Yoon Hee Park, So Young Lee, Dong-Yoon Kang
    Journal of Health Informatics and Statistics.2023; 48(2): 140.     CrossRef
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Original Articles
A Study on Self-esteem, Coping Type and the Quality of Life in Mothers of Handicapped Children
Mi Kyung Sim
Journal of Nurses Academic Society 1997;27(3):673-682.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.673
AbstractAbstract PDF

The purpose of this study was to examine the relationship between self-esteem and quality of life(QOL) and between coping type and quality of life (QOL) in mothers of handicapped children and further to identify the level of self-esteem and quality of life of the subjects. The subjects of this study were the 51 mothers of handicapped children who were registered in two special schools in Taejon. The data were collected using a questionnaire and the period of the data collection was from April 18th to May 26th, 1997. The instruments for this study were Resenberg's self-esteem scale, Folkman and Lazarus's Ways of Coping Checklist(WCC) and the quality of life scale designed by Ro, You Ja. The results were analyzed using SPSS/PC+. Data analysis included the descriptive correlational statistics of ANOVA, Pearson Correlational Coefficient, and t-test. The results are as follows : 1. The level of self-esteem showed a mean score 34.51 and the level of QOL, a mean score 137.55. An Active type of coping was used more often than a passive one. 2. The level of self-esteem differed according to monthly income and was significantly higher in mothers of children with acquired handicaps than those of children with congenital handicaps. The level of QOL differed according to monthly income. 3. There was positive correlation between health status and self-esteem(r=.355, p<.05), and between health status and QOL(r=.367, p<.01). 4. Test for hypothesis ; Hypothesis 1, "The higher the level of self-esteem in mothers of handicapped children, the higher their level of quality of life will be." was supported(r=.755, p<.001). Hypothesis 2, "The QOL level for the active coping group as compared to the passive coping group will be higher." was not supported.

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Use of Hand Massage with Presence to Increase Relaxation in Korean: American Elderly
Kyung Sook Cho, Mariah Snyder
Journal of Nurses Academic Society 1996;26(3):623-631.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.623
AbstractAbstract PDF

No abstract available.

Citations

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  • Endocrinological Evaluations of Brief Hand Massages in Palliative Care
    Iwao Osaka, Yukie Kurihara, Keiko Tanaka, Hisayoshi Nishizaki, Shigeru Aoki, Isamu Adachi
    The Journal of Alternative and Complementary Medicine.2009; 15(9): 981.     CrossRef
  • Effects of hand massage on anxiety in cataract surgery using local anesthesia
    Man Soo Kim, Kyung Sook Cho, Heung-Myong Woo, Jae Ho Kim
    Journal of Cataract and Refractive Surgery.2001; 27(6): 884.     CrossRef
  • The effect of expressive physical touch on patients with dementia
    E.J Kim, M.T Buschmann
    International Journal of Nursing Studies.1999; 36(3): 235.     CrossRef
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  • 3 Crossref
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A Survey on the Performance of Surgical Hand Scrubs
Hae Sang Yoon
Journal of Nurses Academic Society 1996;26(3):591-604.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.3.591
AbstractAbstract PDF

The surgical hand scrub(SHS) is the single most important procedure in the prevention of postoperative wound infections and yet it remains the most violated of all infection control procedures. The purpose of this study was to gain an overview of SHS habits in operative theatre personnel and to determine knowledge and attitudes to identify whether there is a need for improvement. The subjects for this study included 79 doctors and 94 nurses working in the operative theatres of four hospitals in Incheon City and Kyungki Province. Related data were collected from July 25 to August 10, 1995 by the author. The data were analyzed using descriptive statistics and Chi-squre test. The results of the study are summarized as follows: 1. Nurses felt that they conducted SHS for a longer period of time than doctors did(X=20.1, P= .005). 2. Nurses and doctors had some knowledge of slipping rings off fingers and the length of nails, but they lacked knowledge on the duration of SHS, handwashing after an operation and on manicure. 3. There were many reasons given for insufficient SHS included: 1) because they were so busy (38%). 2) brushes were too harsh(19.7%). 3) operations were very simple(18.7%). 4) surgical latex gloves provide functional barrier(11.6%). 5) SHSs were troublesome(7.4%) 6) there were no clocks near the sinks(2.5%) and 7) the operative patients were administered antibiotics after operartion(2.1%). 4. Most of nurses and doctors considered SHS to be important in prevention against post operative infections. 5. Nurses were found to do a thorough SHS, but residents were found to neglect SHS. 6. Considering prevention against postoperative infections, most nurses and doctors considered aseptic techniques, environment-sanitary management and SHS more important than the use of antibiotics, the resistance of patients or the method of operation. 7. Half of the nurses and doctors(54.3%) considered surgical latex gloves to function well as a barrier. 8. Half of the nurses(56.4%) and doctors(51.9%) learned SHS as part of the curriculum in their school education and the rest (nurses: 95.7%, doctors: 74.7%) learned SHS as part of their In Service Education. In conclusion, these findings suggest a need to develop an educational program on surgical hand scrub and hospital infection control for surgical personnels, to install clocks near the hand scrub sinks, to consider a violation report for negligent surgical hand scrubs, and to develop a soft brush for hand scrubs in order to increase performance of the surgical hand scrub.

Citations

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  • Status of and Factors Influencing Vaccination against the Pandemic (H1N1) 2009 Virus among University Students from the Fields of Nursing and Allied Health
    Og Son Kim
    Journal of Korean Academy of Nursing.2011; 41(3): 403.     CrossRef
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Effects of Hand Reflexology on Physiological Emotional Responses and Immunity in the Patients with Chronic illness; Chronic renal failure patients and Cancer patients
Chung Hee Lee, Sei Young Oh, Ok Soon Park, In Gak Kwon, Mi A Jeong, Eun A Lee
Journal of Korean Academy of Nursing 2002;32(5):716-726.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.5.716
AbstractAbstract PDF

PURPOSE: The purpose of this study was to explore the effects of hand reflexology on the physiological?emotional responses and immunity of the patients with chronic illness. This study looked specifically at patients with chronic renal failure(CRF) and cancer patients. METHOD: This study was designed as a quasi-experimental nonequivalent control group pre and post test. Subjects were 54 patients who received dialysis and chemotherapy in one hospital. Thirty-one patients were assigned to the experimental group and 23 to the control group. The hand reflexology was applied to both hands of the experiment group for ten minutes each time, 5 times during three days. For data collection, physiological lab levels, immune cells of blood and questionnaires for emotional responses were measured before and after the program. RESULT: BT of the experiment group was decreased significantly on both of the 1st and the 5th application. PR and BP were decreased significantly on the 1st times, but not 5th times. Hb levels of the experimental group were significantly increased. And emotional responses, vigor and mood scores of the experiment group were significantly increased. B cell and CD19 were increased significantly on the experiment group. Suppressor T cell and NK cell showed significant decrease after the program, but no significant differences between the groups. CONCLUSION: We have found that the hand reflexology helps the chronic patients to improve physiological emotional responses and the immune reaction. Through this result, the hand reflexology is effective as a intervention of psychoneuroimmunologic function.

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  • The Effect of Reflexology Applied to Patients with Chronic Obstructive Pulmonary Disease on Dyspnea and Fatigue
    Hatice Polat, Seher Ergüney
    Rehabilitation Nursing.2017; 42(1): 14.     CrossRef
  • The effect of reflexology applied on haemodialysis patients with fatigue, pain and cramps
    Gülistan Özdemir, Nimet Ovayolu, Özlem Ovayolu
    International Journal of Nursing Practice.2013; 19(3): 265.     CrossRef
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The Effect of Hand-Massage on the Relaxation of Dementia Patients
Jin Joo Oh
Journal of Korean Academy of Nursing 2000;30(4):825-835.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.825
AbstractAbstract PDF

The agitation of dementia patient is a factor which aggravates the care-givers' burdon, and it is needed to develop intervention methods. Hall and Buckwalter hypothesized that an increase in agitation behavior occur when persons experience high levels of stress. This study was conducted to explore the efficacy of hand massage in producing relaxation and decreasing agitation behaviors in persons with dementia. Hand massage was administered once a day in afternoon for 8days to 24 patients and 4days to 23 patients. There was no difference in result between the two groups. Significant differences were found in systolic blood pressure, pulse rate, emotional state from pre to post -intervention with the use of hand massage. The change of systolic blood pressure was 26% explained by ADL, MMSE-K and institutionalized period. The most significant variable was institutionalized period. The change of diastolic blood pressure was 11% explained by ADL, and it was significant. But no decrease in agitation behavior was observed and no increase in functional capacity.

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  • Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer
    Yunmi Lee, Hosoon Yoon, Sungwoon Lee, Young Mi Kim
    The Korean Journal of Hospice and Palliative Care.2016; 19(4): 296.     CrossRef
  • Effects of Hand Massage with Nail Art on Depression, Self-esteem, and Vital signs of Elderly Women living in a Nursing Home
    Joo Hyun Kim, Hye Jin Hyun, So Yean Kang, Hye Ri Nam, Mi Jin Shin, Hyun Jung Lee, Young Ran Chae
    Journal of Korean Biological Nursing Science.2016; 18(3): 169.     CrossRef
  • Effects of Upper Meridian Massage on Cerebral Blood flow, Emotions, and Sleep of the Institutionalized Elderly
    Dong Choon Uhm, Mi Jung Nam
    Korean Journal of Adult Nursing.2014; 26(2): 171.     CrossRef
  • Effects of Head and Neck Massage on Anxiety, Pain, and Discomfort in Hysterectomy Patients
    Eun-Young Kim, Euy-Soon Choi
    Korean Journal of Women Health Nursing.2010; 16(1): 60.     CrossRef
  • Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns
    Myungsun Yi
    Journal of Korean Academy of Nursing.2009; 39(4): 166.     CrossRef
  • Effects of Aroma Hand Massage On Sleep, Depression and Quality of Life in the Institutionalized Elderly Women
    Soon Yi Seo, So Young Chang
    Korean Journal of Women Health Nursing.2009; 15(4): 372.     CrossRef
  • Effects of Aroma Hand Massage on Pain, State Anxiety and Depression in Hospice Patients with Terminal Cancer
    So Young Chang
    Journal of Korean Academy of Nursing.2008; 38(4): 493.     CrossRef
  • Touch-Stress Model and Alzheimer's Disease
    Eun Joo Kim, Marybeth Tank Buschmann
    Journal of Gerontological Nursing.2004; 30(12): 33.     CrossRef
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The Effect of Hand Massage on the Anxiety of the Hysterectomy Patients in Immediately prior to Surgery
Jeong Mee Kim
Journal of Korean Academy of Nursing 2000;30(2):476-487.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.476
AbstractAbstract PDF

The purpose of this study was to examine the effects of hand massage as a nursing intervention on the anxiety of the hysterectomy patients in immediately prior to surgery. The method of this study was Nonequivalent Control Group Non-Synchronized Design. The data were selected from at K university hospital in Pusan, and they consisted of Experimental group-25 patients, Control group -24 patients. The data were collected from Jan. 4 to Jan. 30 in 1999. The subjects' self-reports of anxiety (measured by the Spielberger Trait-State anxiety Inventory and Visual Analogue Scale developed by Cline et al.) were recorded before and immediately after the intervention. The objective physiologic measures of blood pressure and pulse rate. The collected data were analysed by means of frequency, percentage, standard deviation, chi- square test, t-test, ANCOVA with SPSS program. The results of this study were as following; 1. Hypothesis 1: The 1st hypothesis that "There will be significant difference of the state anxiety level just before surgery in the experimental group and control group" was supported(P= .000). 2. Hypothesis 2: The 2nd hypothesis that "There will be significant difference of the visual analogue scale score just before surgery in the experimental group and control group"was supported(P= .000). 3. Hypothesis 3: The 3rd hypothesis that "There will be significant difference of the systolic and diastolic blood pressure level just before surgery in the experimental group and control group"was supported (P= .003, P= .041). 4. Hypothesis 4: The 4th hypothesis that "There will be significant difference of the pulse rate just before surgery in the experimental group and control group"was supported(P= .004). In conclusion, hand massage is a benefical nursing intervention that alleviates the psychological, physiological anxiety of the hysterectomy patients in immediately prior to surgery. therefore it is recomended to use the hand massage as a nursing intervention for patients undergoing anxiety. The results of this study appear promising, additional research is recomended to further the appropriate uses of hand massage in nursing practice for this and other patient population.

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  • The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
    Eun Sil Shin, Myung-Hee Kim
    Journal of Korean Academy of Nursing.2018; 48(4): 465.     CrossRef
  • Effects of Hand Massage on Depression, Self-esteem and Vitality of the Elderly Patients in Convalescent Hospital
    Hye-Jeong Kim, Kang-Yi Lee
    The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 202.     CrossRef
  • The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
    Sun Hee Park, Hee Jung Jang
    The Journal of the Korea Contents Association.2014; 14(11): 378.     CrossRef
  • Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
    In-Ja Kim, Yu-Na Cho
    The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47.     CrossRef
  • Effects of Head and Neck Massage on Anxiety, Pain, and Discomfort in Hysterectomy Patients
    Eun-Young Kim, Euy-Soon Choi
    Korean Journal of Women Health Nursing.2010; 16(1): 60.     CrossRef
  • Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
    Myung-Sook Yoo, Haejung Lee, Jung-A Yoon
    Journal of Korean Academy of Nursing.2009; 39(2): 157.     CrossRef
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The Lived Experience of Mothers Mentally Handicapped Daughters Having Menarche at Puberty
Myung Sook Lee
Journal of Korean Academy of Nursing 1999;29(3):494-506.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.494
AbstractAbstract PDF

The purpose of this study is to understand the structure of mothers of mentally handicapped daughters' lived experience, to apprehend the connectedness of the structure of the experience with concept of Parse's human becoming theory, and to provide a foundation for nursing research and education. Data collection was conducted from October 1995 to April 1996. Research participants were eight mothers of mentally handicapped daughters whose ages ranged from 12 to 18 attending special schools located in either Inchon or Seoul. The researcher had interviews with them over their lived experience conducted tape recorded, and made an analysis according to Parse's "human becoming research methodology." The data were collected using the dialogical engagement process "I and You," the participant researcher and the participant subject. The data were analyzed using the extraction-synthesis and heuristic interpretation. The structural integration is illustrated in the following: 1) Realizing the mother's role of mentally handicapped daughters and admitting situation. 2) Concealing a part of their relationship with others is interpreted as revealing-concealing. 3) Their fight back voluntarily to improve the situation is interpreted as powering. The conceptual integration which emerged was the lived experience of mothers is powering through the revealing-concealing and connection-separating of valuing.

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The Effect of a Hand Massage Program on Anxiety and Immune Function in Clients with Cataract Surgery under Local Anesthesia
Kyung Sook Cho
Journal of Korean Academy of Nursing 1999;29(1):97-106.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.97
AbstractAbstract PDF

This study was designed to investigate the effect of a hand massage program on anxiety and immune function in patients during cataract surgery. The hand massage program, in this study, consisted of hand massage and hand-holding. The subjects were sixty-three patients, thirty for the experimental and thirty-three for the control group, who were admitted at Kang Nam St. Mary's Hospital for cataract surgery. This study was carried out from December 10, 1997 to February 26, 1998. The level of anxiety as measured by the Visual Analogue Scale, systolic blood pressure, diastolic blood pressure, and pulse rate were measured before, after hand massage, and after hand-holding. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, lymphocyte, and natural killer cell percentages also were measured before hand massage and five minutes before the end of the operation. Data were analyzed by t-test, ANCOVA, repeated measure ANOVA, and Bonferroni multiple comparisons. The results were as follows : 1) After hand massage, psychological anxiety levels decreased significantly compare with before hand massage in the experimental group, not in the control group. After hand holding, there were significant decrease in both groups. 2) There were no significant differences on systolic blood pressure, diastorlc blood pressure, and pulse rates in both groups. 3) The hand massage program decreased epinephrine, norepinephrine, and cortisol significantly in the experimental group and increased epinephrine, norepinephrine, and cortisol in the control group. 4) There were no differences in blood sugar levels, neutrophil and lymphocyte percentages in white blood cells after the hand massage program. However, natural killer cells in lymphocytes were significantly increased in the experimental group. These findings indicate that a hand massage program could be a effective nursing intervention in decreasing the psychological and physiological anxiety levels and improving immune function in clients having cataract surgery under local anesthesia.

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  • An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
    Yun Kyeong Lee, Mihae Im, Haeryun Cho
    Nursing Open.2023; 10(3): 1404.     CrossRef
  • Effects of Extremity Massage on Preoperative Anxiety: A Three-Arm Randomized Controlled Clinical Trial on Phacoemulsification Candidates
    Moloud Farmahini Farahani, Masoomeh Noruzi Zamenjani, Morteza Nasiri, Soheila Shamsikhani, Zahra Purfarzad, Mehdi Harorani
    Journal of PeriAnesthesia Nursing.2020; 35(3): 277.     CrossRef
  • The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
    Eun Sil Shin, Myung-Hee Kim
    Journal of Korean Academy of Nursing.2018; 48(4): 465.     CrossRef
  • Effects of the Provision of Information on Anxiety in Patients during Outpatient Surgery: A Systematic Review
    Ae-Ri Jung, In-Sook Lee
    Perspectives in Nursing Science.2016; 13(1): 48.     CrossRef
  • Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer
    Yunmi Lee, Hosoon Yoon, Sungwoon Lee, Young Mi Kim
    The Korean Journal of Hospice and Palliative Care.2016; 19(4): 296.     CrossRef
  • Effect of Music Therapy on Vital Signs, Anxiety, Cortisol and Pain of Cataract Surgery Patients in Elderly
    Jung-Hae Park, Kwang-Hi Park
    Journal of Digital Convergence.2015; 13(8): 549.     CrossRef
  • The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
    Sun Hee Park, Hee Jung Jang
    The Journal of the Korea Contents Association.2014; 14(11): 378.     CrossRef
  • Effect of Aroma Hand Massage on Anxiety and Immune Function in Patients with Gynecology Surgery under Local Anesthesia
    Yun Ah Kim, Mi Hae Sung
    Korean Journal of Women Health Nursing.2014; 20(2): 126.     CrossRef
  • Relational and Health Correlates of Affection Deprivation
    Kory Floyd
    Western Journal of Communication.2014; 78(4): 383.     CrossRef
  • Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
    In-Ja Kim, Yu-Na Cho
    The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47.     CrossRef
  • Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis
    Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, Jungsook Choi
    Journal of Korean Academy of Nursing.2011; 41(6): 821.     CrossRef
  • Effects of Hand Holding on Self-esteem and Assertiveness in Women Patients with Depression
    Mi-Hae Sung, Mi Young Choi, Ok Bong Eum
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 154.     CrossRef
  • Effects of Self-Foot Reflexology on Stress, Fatigue and Blood Circulation in Premenopausal Middle-Aged Women
    Soo Hyun Jang, Kye Ha Kim
    Journal of Korean Academy of Nursing.2009; 39(5): 662.     CrossRef
  • The effects of handholding on anxiety in cataract surgery patients under local anaesthesia
    Jung‐Soon Moon, Kyung‐Sook Cho
    Journal of Advanced Nursing.2001; 35(3): 407.     CrossRef
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Experience of Mothers of Mentally Handicapped Children Having Menarche
Myung Sook Lee
Journal of Korean Academy of Nursing 1998;28(1):7-16.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.1.7
AbstractAbstract PDF

Various difficulties and inconvenience arise from having a mentally handicapped child in a family and these place many demands on mothers. There are few studies in Korea on these demands nor on what mothers go through with their mentally handicapped daughters' menarche and puberty. The purpose of the study was to examine the experiences of mothers of mentally handicapped daughters, as it relates to their daughters' menarche and the beginning of puberty. With in depth interviews, both in person and by telephone and participant observation the study used a qualitative research methodology to attempt to understand the experiences of these mothers. The data were gathered from October 1995 to April 1996. The subjects for the research included nine mothers of mentally handicapped daughters whose ages ranged from 12 to 18 and who attended one of three special schools located in either Inchon or Seoul. The data were recorded and analyzed ; meaningful statements were grouped according to subjects raised by the mothers. Content Analysis was also applied to identify similar content and confirm common experiences, and to highlight concepts and categorized them. The results of this study are as follows. Five categories were identified ; mothers' emotional responses to their mentally handicapped daughters' menarche and menstruation were of severe despair accompanied by anxiety, guilt, fear, anguish, shame and pity because the mothers were afraid their daughters would not be able to use appropriate hygienic measures during menstruation and the mothers felt heavily burdened in having to look them. The mothers also had negative feelings about their daughters' physical development. The experience of mothers related to their daughters' possibilities for marriage and pregnancy were of powerlessness, distress, withdrawal, fear, pity and desperation and they were afraid that their daughters might be violated sexually. The mothers rejected the possibility of marriage and pregnancy for their daughters and instead planned very restricting futures for them. The mothers used various coping methods to bring meaning to their lives. Because the negative emotional responses of the mothers, nurses need to work to empower mothers to overcome these negative responses. Sex education can also play an important role especially for the daughters especially through the use of visual aids. Further, nurses should understand the learning difficulties of mentally handicapped daughters, what mothers need and also what they experience with their mentally handicapped daughters. In conclusion, nurses should understand the negative experiences of the mothers in relation to their mentally handicapped daughters' menarche help the mothers cope with the negative. emotions through real life education and counselling. In addition, there is a need for nursing interventions and an administrative system which will minimize the prejudices of society towards handicapped people.

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Effects of Hand Massage and Hand Holding on the Anxiety in Patients with Local Infiltration Anesthesia
Hyun Jung Oh, Jeong Sook Park
Journal of Korean Academy of Nursing 2004;34(6):924-933.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.924
AbstractAbstract PDF
Purpose

This study was to examine the effects of hand massage and hand holding as nursing interventions on the anxiety in patients with local infiltration anesthesia.

Method

The design of this study was a nonequivalent, control group, non- synchronized design. The subjects of this study consisted of 15 patients for the hand group, 15 patients for the hand holding group and 17 patients for the control group awaiting surgery in the operation room of a general hospitalin Daegu. As an experimental treatment, hand massage was carried out by the Hand Massage Protocol developed by Snyder(1995) and interpreted by Cho(1998) and hand holding developed by Cho(1998). The data were analyzed by SPSS/WIN, T-test, ANOVA, Cronbach's α, and the Scheffe test.

Results

The hand massage group and hand holding group were more effective than the control group in reducing anxiety, VAS score, systolic blood pressure and pulse rate.

Conclusion

Hand massage and hand holding are effective nursing interventions that alleviates the psychological and physiological anxiety of patients with local infiltration anesthesia. In particular, the simple contact of hand holding is regarded as an effective and easily accessible nursing intervention in the operating room.

Citations

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  • Effects of a Video-based Education Program for Cerebral Angiography on Patients’ Outcomes: A Randomized Controlled Trial
    Sung-Hyun Tark, Jee-In Hwang
    Quality Improvement in Health Care.2024; 30(1): 76.     CrossRef
  • The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
    Eun Sil Shin, Myung-Hee Kim
    Journal of Korean Academy of Nursing.2018; 48(4): 465.     CrossRef
  • Effects of the Provision of Information on Anxiety in Patients during Outpatient Surgery: A Systematic Review
    Ae-Ri Jung, In-Sook Lee
    Perspectives in Nursing Science.2016; 13(1): 48.     CrossRef
  • Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer
    Yunmi Lee, Hosoon Yoon, Sungwoon Lee, Young Mi Kim
    The Korean Journal of Hospice and Palliative Care.2016; 19(4): 296.     CrossRef
  • Intraoperative Caring Behavior and Anxiety as Perceived by Patients Undergoing Spinal Surgery under Local Anesthesia
    Jung Suck Ha, Eun Nam Lee
    Journal of muscle and joint health.2015; 22(2): 96.     CrossRef
  • Effects of handholding and providing information on anxiety in patients undergoing percutaneous vertebroplasty
    Bong‐Hee Kim, Hee‐Young Kang, Eun‐Young Choi
    Journal of Clinical Nursing.2015; 24(23-24): 3459.     CrossRef
  • Effect of Aroma Hand Massage on Anxiety and Immune Function in Patients with Gynecology Surgery under Local Anesthesia
    Yun Ah Kim, Mi Hae Sung
    Korean Journal of Women Health Nursing.2014; 20(2): 126.     CrossRef
  • The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
    Sun Hee Park, Hee Jung Jang
    The Journal of the Korea Contents Association.2014; 14(11): 378.     CrossRef
  • Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
    In-Ja Kim, Yu-Na Cho
    The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47.     CrossRef
  • Effects of Hand Holding on Self-esteem and Assertiveness in Women Patients with Depression
    Mi-Hae Sung, Mi Young Choi, Ok Bong Eum
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 154.     CrossRef
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The Effect of Handwashing Improving Program and MRSA Carrier Screening Program on the MRSA Infection Rates in an Intensive Care Unit
Young Hae Kim, Seong Sook Jeon, Ihn Sook Jeong, Chul Hoon Chang, Jeung Hwa Kim, Jeong Ae Huh
Journal of Korean Academy of Nursing 2003;33(6):686-692.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.686
AbstractAbstract PDF
Purpose

To assess the effect of handwashing improving program and MRSA carrier detection program on MRSA(methicillin resistant Staphylococcus aureus) infection rate in a intensive care unit.

Method

The intervention was Nosocomial Infection(NI) control program consisted of hand washing improving program and identification and treatment of MRSA carrier. Data on the NI and MRSA infections were collected by an infection control nurse based on the definition of CDC. MRSA infection rates were calculated by the number of MRSA infection per 100 admissions or 1,000 patients-days. The difference of MRSA infection rates between pre and post intervention was tested by Chi-square at =.05.

Result

MRSA infection rates 3.0% or 3.2 per 1,000 patient-days at the pre, 4.6% or 3.7 per 1,000 patient-days at the post, and the differences were not statistically significant (p=.411, p=.769 respectively).

Conclusion

The handwashing improving program and MRSA carrier detection program was not effective in reducing the Nosocomial Infection(NI) or MRSA infection rates. It is recommended further studies with a longer intervention and follow-up period.

Citations

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  • Knowledge and Beliefs about Hand Hygiene among Hospital Nurses
    Sun Young Jeong, Oksoo Kim
    Korean Journal of Occupational Health Nursing.2013; 22(3): 198.     CrossRef
  • Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline
    Jiyeon Kang, Jinwan Cho, Yujung Kim, Dong-Hee Kim, Jiyoung Lee, Hey-Kyung Park, Sung-Hee Jung, Eun-Nam Lee
    Journal of Korean Academy of Nursing.2009; 39(2): 186.     CrossRef
  • A Nationwide Survey on the Hand Washing Behavior and Awareness
    Jae Sim Jeong, Jun Kil Choi, Ihn Sook Jeong, Kyong Ran Paek, Hye-Kyung In, Ki Dong Park
    Journal of Preventive Medicine and Public Health.2007; 40(3): 197.     CrossRef
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The Effects of Koryo Hand-Acupuncture on the Patients with Chronic Low Back Pain
Nan Young Lim, Yeo Jin Yi
Journal of Korean Academy of Nursing 2003;33(1):79-86.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.1.79
AbstractAbstract
Purpose

The purpose of this study was to identify the effects of Koryo Hand-Acupuncture on health status(pain, trunk flexion, IADL, depression) of patients with chronic low back pain.

Method

This study used a quasi experimental pre-test and post-test design. Data were collected from December 1st, 2000 to December 20th, 2001. 63 chronic low back pain patients(35 experimental group, 28 control group) admitted to the Back-School and consented to this study. The experimental group participated in treatment : Koryo Hand-Acupuncture and AB-Bong. Two groups was homogeneity. After 4 weeks the effects of treatment on the health status was measured between experimental and control group. Data were analyzed using SPSSWIN 10.0 with crosstab, t-test, and paired t-test.

Result

In the experimental group, pain(t=4.85, p=.000) and IADL difficulty(t=2.05, p=.045) was significantly lower than those in the control group. It makes no difference trunk flexion(t=-1.60, p=.114) and depression(t=1.50, p=.138) between experimental and control group.

Conclusion

These findings indicate that Koryo-Hand Acupuncture is an effective method for reducing pain and IADL difficulty in patients with chronic low back pain, and is considered as a independent nursing intervention for chronic low back pain.

Citations

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  • Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
    Hyojung Park, Hyejin Lee
    BMC Complementary Medicine and Therapies.2024;[Epub]     CrossRef
  • The State of 21st Century Acupuncture in the United States
    Clasina Smith, Bill Reddy, Charis Wolf, Rosa Schnyer, Korina St John, Lisa Conboy, Jen Stone, Lixing Lao
    Journal of Pain Research.2024; Volume 17: 3329.     CrossRef
  • Effects of Hand Moxibustion and Hand Press Pellet on Low Back Pain, Range of Joint Movement, and Depression
    Yeoun Ok Kim, Soon Ock Choi, Jee Won Kim
    Journal of Korean Academy of Community Health Nursing.2019; 30(3): 336.     CrossRef
  • Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
    Na Young Ahn, Hye-Ja Park
    Complementary Therapies in Clinical Practice.2017; 28: 101.     CrossRef
  • Effects of the Hand Acupressure and Lumbar Strengthening Exercise on Women with Lower Back Pain
    Eun Young Jeon
    journal of east-west nursing research.2013; 19(2): 63.     CrossRef
  • The Effects of Hand Moxibustion and Hand Press Pellet on Blood Pressure, Blood Lipids and Blood Cell Components in Aged Women with Essential Hypertension
    Yoo-Sun Shin, Eun-Ha Kim
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 100.     CrossRef
  • Effects of Koryo Hand Therapy(KHT) on Woman Elders' Knee Pain
    Hyo-Jung Koh, Mi-Kyung Jung, Yun-Hee Kwon
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(9): 4022.     CrossRef
  • The Effects of Hand Acupuncture · Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders
    Young-Ock Lee, Chungnam Kim
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 229.     CrossRef
  • The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain
    Jin-Hyang Yang
    Journal of Korean Academy of Nursing.2009; 39(1): 10.     CrossRef
  • Effects of Koryo Hand Therapy on Menopausal Symptoms and FSH, LH, and Estradiol in Climacteric Women
    Young A Song, Hye Sook Shin
    Journal of Korean Academy of Nursing.2009; 39(6): 868.     CrossRef
  • The effectiveness of hand acupuncture and moxibustion in decreasing pain and “coldness” in Korea women who have had hysterectomy: a pilot study
    Kyung Rim Shin, Soon Ae Kwak, Jung Bock Lee, Hye Ryeon Yi
    Applied Nursing Research.2006; 19(1): 22.     CrossRef
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Comparison of Antimicrobial Effect of Alcohol Gel according to the Amount and Drying Time in Health Personnel Hand Hygiene
Yoon Jung Ji, Jae Sim Jeong
J Korean Acad Nurs 2013;43(3):305-311.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.305
AbstractAbstract PDF
Purpose

The purpose of this study was to compare the effect of alcohol gel according to the amount and drying time in health personnel hand hygiene and to promote in their practice adequate and effective hand hygiene.

Methods

The cross-over experimental study was performed with 14 volunteers. Hands were artificially contaminated with 5 mL of 108 CFU/mL of Serratia marcescens (ATCC 14756) and four different alcohol gel hand hygiene methods varying by the amount of alcohol gel (2 mL vs. 1 mL) and drying time (complete vs. incomplete) were compared. Samples were collected by glove juice sampling procedures.

Results

Mean log reduction values of the four different hand hygiene methods were 2.22±0.36, 1.26±0.53, 1.49±0.60, 0.89±0.47 respectively for the 4 groups: adequate amount (2mL) and complete dry (30 seconds rubbing followed by 2 min air-dry), inadequate amount (1 mL) and complete dry, adequate amount and incomplete dry (15 seconds rubbing and no air-dry), and inadequate amount and incomplete dry. The difference was statistically significant in the adequate amount and complete dry group compared to other three groups (p<.001).

Conclusion

Only alcohol gel hand hygiene with adequate amount and complete drying was satisfactory by U.S. FDA-TFM efficacy requirements for antiseptic hand hygiene products.

Citations

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  • Comparison of in vitro, ex vivo, and in vivo Antibacterial Activity Test Methods for Hand Hygiene Products
    Daeun Lee, Hyeonju Yeo, Haeyoon Jeong
    Journal of Food Hygiene and Safety.2024; 39(1): 35.     CrossRef
  • Comparison of the Degree of Bacterial Removal by Hand Hygiene Products
    Young Sun Hwang
    Journal of Dental Hygiene Science.2022; 22(1): 51.     CrossRef
  • Effect of Skin Disinfection according to the Disinfection Frequency in Peripheral Intravenous Therapy
    Jinhee Park, Soo Jung Chang
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 366.     CrossRef
  • The Meanings of Hands among Clinical Nurses in a Tertiary Hospital
    Hye Jin Yoo, Eunyoung E. Suh, Yeon Hee Shin, Jung Sun Choi, Kwang Hee Park, Jung Yoon Kim, Hyunsun Kim, Jiyoung Kang
    Journal of Korean Critical Care Nursing.2019; 12(3): 50.     CrossRef
  • An Integrative Model of Workplace Self-protective Behavior for Korean Nurses
    Seol Ah Kim, Hyun Soo Oh, Yeon Ok Suh, Wha Sook Seo
    Asian Nursing Research.2014; 8(2): 91.     CrossRef
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pH, Temperature, Hydration of the Stratum Corneum of the Dorsal Hand and the Cord Area, and Acid Mantle Formation during Early Days of life in High-risk Newborns
Youngmee Ahn, Min Sohn, Sangmi Lee, Mijin Lee
J Korean Acad Nurs 2013;43(1):30-38.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.30
AbstractAbstract PDF
Purpose

The study was done to explore variations in physiologic parameters of the stratum corneum (SC) of the dorsal hand and cord area during early days of life in high-risk newborns.

Methods

In this longitudinal study, a total of 77 high-risk newborns were assessed for pH, temperature and hydration of the SC of the dorsal hand and the cord area on the 1st, 2nd, 3rd, 5th and 7th days of life.

Results

Results showed that an acid mantle (AM) was formed in 57.1% for dorsal hand and 35.1% for cord area, implying significant delay regardless of decrease in pH (F=103.60, p<.001), and hydration (F=4.00, p=.003) across days in both areas. Peripheral hypothermia with low hydration level was also observed in both areas. There was a positive relation between hydration and temperature (.14<r<.27, p<.010), and negative relation between hydration and pH in both areas (-.23<r<-.15, p<.010). Antibiotics may play a positive role in AM formation.

Conclusion

High-risk newborns may experience delay in acid mantle formation on SC, hypothermia and decreases in hydration on peripheral sites during the first 7 days of life.

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  • Development of a Nursing Guideline for Improving Skin Integrity in High-Risk Infants
    Young Mee Ahn, Sang Mi Lee, Jung Ae Cho
    The Journal of Continuing Education in Nursing.2020; 51(5): 238.     CrossRef
  • Hydration and pH of the Stratum Corneum in High-risk Newborns in the First 2 Weeks of Life
    Young Mee Ahn, Min Sohn, Sangmi Lee
    Child Health Nursing Research.2018; 24(3): 345.     CrossRef
  • Hypothermia and Related Factors in High-Risk Infants
    Youngmee Ahn, Min Sohn, Namhee Kim, Narae Kang, Seungyeon Kang, Eunmi Jung
    Child Health Nursing Research.2017; 23(4): 505.     CrossRef
  • Glucose and pH of Oral Secretions in Newborns
    Namhee Kim, Youngmee Ahn
    Child Health Nursing Research.2017; 23(3): 353.     CrossRef
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    Youngmee Ahn, Min Sohn, Yonghoon Jun, Eunyoung Lee, Sangmi Lee
    Journal of Child Health Care.2015; 19(1): 118.     CrossRef
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