This study was carried out for the purpose of investigating the degree of importance in nursing activities for the quality of nursing, and was conducted with 72 nurses and 69 patients in Chungnam National University Hospital from January to April, 1984. The results are as follows; 1. The mean important score in physical care activities of the patients (2.58) is higher than that of the nurses (2.48). There is not significant difference for the mean important score in physical care activities between the patients and nurses(t=0.637, df=139, p>0.05). 2. The mean important score in psychological aspects of activities of the patients (2.94) is higher than that of the nurses (2.44). There is a significant difference for the mean important score in psychological aspects of activities between the patients and nurses(t=2.338, df=139, p<0.05). 3. The mean important score in observation, recording and implementing medical care activities of the nurse (2.98) is higher than that of the patients (2.79). There is not significant difference for the mean important score in observation, recording and implementing medical care activities between the patients and nurse (t=1.329, df=139, p>0.05). 4. The mean important score in nursing management activities of the nurses (2.63) is higher than that of the patients (2.57). There is not significant difference for the mean important score in nursing management activities between the patients and nurses (t=1.329, df=139, p>0.05). 5. A number of items in nursing activities considered most important by nurses (Mean important score of 3.0 or above) were 12 items. The most importants item was "shift and exchange of information concerning patient". 6. A number of items in nursing activities considered most important by patients (mean important score of 3.0 or above) were 14 items. The most important item was "Explain about diagnostic test ahead of time". 7. A number of items in nursing activities considered least important by nurses and patients(Mean important score less than 1.9) were 5 items and 2 items, respectively. The least important item by nurses was "plan some diversion or recreation for patient", and the least important item by patients was "Give a bed shampoo".

This study investigated the effect of changing position from supine to standing upright on the circulation of young men and women. Healthy men and women ranging from age of 18 to 24 were examined. Two minutes before standing, the baseline heart rate and blood pressure were measured. Heart rate and blood pressure were recorded immediately and at every minute for 10 minutes after standing upright. Differences in heart rate and blood pressure between supine and standing upright position were evaluated. The results were summarized as follows: 1. Heart rate increased significantly immediately and at every minute for 10 minutes after standing upright. 2. Systolic blood pressure increased significntly immediately and at every minute for 4 minutes after standing upright. 3. Diastolic and mean blood pressure increased significantly immediately and at every minute for 10 minutes after standing upright. 4. Pulse pressure immediately and at every minute for 10 minutes after standing upright was significantly narrower than that of supine position. 5. There was no significant difference of heart rate between men and women after standing upright. 6. Systolic and diastolic blood pressure of men after standing upright was significantly greater than those of women. From these results, it may be concluded that heart rate, systolic, diastolic and mean blood pressure and pulse pressure increase after standing upright, and systolic and diastohc blood pressure in men is greater than those of women after standing upright.

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This study was undertaken to elucidate effects of ingesting small or large amount of tap or iced water on circulation of normal healthy men with the purpose of furnishing basic data for nursing interven-tion of myocardial infarction patients. The subjects for this study were normal healthy men consisting of 30men and 30women in age from 22 to 30 years. One group consisting of 30men drank 240ml tap water on dayl and 240ml iced water 24hours later. The other group drank 960ml tap water on day 1 and 660ml iced water 24hours later. Blood pressure and heart rate were taken in a sitting position before ingesting water, and immediately after ingesting it and at 2,5,10,15,30 minute intervals thereafter. Changes of heart rate, systolic and diastolic blood pressure after ingesting water were compared with those of preingestive period. The results obtained were as follows: 1. There were no significant changes in blood pressure and heart rater after ingesting small amount of water regardless of its temperature. 2. No significant decrease in blood pressure after ingesting large amount of tap water at all time peroids was noted. 3. A strongly significant interaction effect between temperature and volume was demonstrated, that is, there was a highly significant decrease in blood pressure and heart rate at all time periods after ingesting large amount of iced water.

As patients on bed rest perform repeated Valsalva. maneuver, it is necessary for them to prevent thedanger inherent in repeated Valsalva maneuver through intelligent rehabilitative nursing care. In this regard, it seems to be important to furnish a scientific rationale underlying rehabilitative nursing care. This study was undertaken to find the effects of repeated Valsalva maneuver upon circulation of normal men. The subjects for this study were twenty normal and healthy college students of age from 19 to 26. For the first time, the ECG of standard 12 leads was recorded and the blood pressure was measured under the resting state. And the subjects performed Valsalva maneuver for 10 seconds, then expired air for 2 seconds. After the subjects carried out in this manner for 1 minute, the ECG and the blood pressure were recorded and measured again. The Changes of heartbeats, systolic and diastolic pressures after the practice of repeated Valsalva maneuver were compared with those of the resting state. The results obtained were as follows: 1. The heartbeats after the practice of repeated Valsalva maneuver generally increased but did not show statistical significance. 2. The systolic pressure measured after the practice of repeated Valsalva maneuver was higher than that of the resting state. 3. The diastolic pressure measured after the practice of repeated Valsalva maneuver was higher than that of the resting state.

PURPOSE: The exercise status in patients with rheumatoid arthritis, associations between exercise behavior and personal factors, and associations between exercise behavior and exercise-specific cognitions and their effects were assessed. METHOD: Four hundred thirty nine outpatients with rheumatoid arthritis were studied. The exercise status was measured by a single item. The intensity was multiplied by the frequency and duration of each exercise. The product of these intensity values for all exercises was defined as exercise behavior. Based on the Pender's revised health promotion model, exercise benefit, barrier, self-efficacy, enjoyment and social support were chosen as exercise specific cognitions and affect variables. Path analysis was used to identify the predictors of exercise behavior. Results: Compared to the duration before being diagnosed, the number of subjects who exercised regularly increased after being diagnosed. However over half of the subjects refrain from any sort of exercise and the type of exercise is very limited. Among the variables, exercise barrier, self-efficacy, and social support were found to be significant predictors of exercise behavior, and only previous exercise experience was found to be significant predictors of all behavior specific cognitions and affect variables. CONCLUSION: These findings suggest that studies should explore exercise behaviors and strategies to emphasize the cognitive-motivational messages to promote exercise behaviors.

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