Journal of Korean Academy of Nursing

Factors Predicting Development of Decubitus Ulcers among Patients Admitted for Neurological Problems: Misoon Song, Kyung Sook Choi; Journal of Nurses Academic Society 1991;21(1):16-26. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1991.21.1.16

Abstract PDF: In this prospective study, factors contributing to the development of decubitus ulcers were examined. Factors were identified by a literature review and a conceptual framework was developed. Regular observations were made during the subjects' hospitalization to determine the incidence of decubitus ulcers, and to assess other decubitus ulcer risk factors. Seventeen out of 146 admitted for neurological problems patients developed decubitus ulcers during the three month study period. There were no significant differences in the level of serum albumin, hemoglobin, hemoglobin or age between those who developed decubitus ulcers and those who did not. There also was no difference in incidence between patient who were paralyzed and those not paralyzed. Mean hospitalization days until decubitus ulcer development was 6.5 days. According to the results of discriminant analysis, four factors - 1) friction and shear, 2) sensory perceptual impairment, 3) low diastolic pressure, and 4) multiple use of sedative medications -predicted 84.93% of decubitus ulcer incidence.

11 View
0 Download

Efficaey of Progressive Muscle Relaxation Training in Reducing Nausea and Vomiting, Anxiety and Symptom Distress of Cancer Chemotherapy: Misoon Song, Gye Young Shin; Journal of Nurses Academic Society 1987;17(3):195-203. Published online March 31, 2017; DOI: https://doi.org/10.4040/jnas.1987.17.3.195

Abstract PDF: Twenty five cancer patients were assigned to two groups: The experimental group which received Progressive Muscle Relaxation (PMR) training and the control group without the training. Base line data for dependent variables -nausea and vomiting, state anxiety and symptom distress- were-collected when the subjects of both groups received the first cycle chemotherapy. Then the experimental group was trained for PMR between the first and the second cycle chemotherapy. The same dependent variables were measured during the second cycle chemotherapy from the subjects. Results indicated that the PMR group showed no-significant difference in severity of nausea and vomiting compared to the control gorup.Although the significance was not supported, the severity of nausea and vomiting in experimental group decreased while control group increased between the first and fifth day of the second cycle chemotherapy. The experimental group showed significantly less. state anxiety during the second cycle than the control group (p<0.01). Significantly low symptom distress was also reported in the experimental group compared to the control group (p<0.01). The result suggests that PMR training may be an effective procedure for helping cancer patients cope with the adverse effects of their chemotherapy.

9 View
0 Download

Model Development of Change of Family Functioning with Chronic Illness: Eun Ok Lee, He Sook Kim, Young Sook Park, Misoon Song, Insook Lee, Yeon Hwan Park; Journal of Korean Academy of Nursing 1999;29(3):467-484. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.467

Abstract PDF: The main objectives of this study were to investigate the concept of family function from the perspective of the contemporary Korean family, and to construct model of change of family function whit chronic illness. The hybrid model approach was applied in which three phases(theoretical phase, empirical phase, and analytic phase) of concept development were explored for family functioning. The study was conducted from 1997 to 1998. In empirical phase, two groups of purposive samples were drawn : normal family group composed of six families without ill family member, and ill family group composed of seven families of which wives have rheumatoid arthritis. Only families with child(or children)in primary or secondary schools were included in the study. The results were as follows: In theoretical phase, six dimensions of family concept were emerged : affective, structural, control, cognitive, financial, and reproductive dimension. In order to analyze the Korean normal family function in middle class with middle-age women, financial and reproductive dimension were not included. In empirical phase, five dimensions(affective, structural, control, cognitive, and external relationship) were fond from the normal family data. External relationship dimension is very important factor as a resource of the support, especially when their parents or siblings had no help or support to them. In the affective dimension, Korean family emphasized harmony and balance rather than affective expression harmony and balance rather than affective expression between couples and between parents and children. They also showed common goals of the families to solve their problems to control the family members. The priority of the goals was getting into the higher education of their children or helping their unhealthy parents or family members. Six dimension(affective, structural, control, cognitive, external relationship, and financial) of family functions were emerged from the ill family data. From the analysis of ill family data, types of restructuring house chore after wives illness were developed : (a) negociated, (b) accomodated, and (c) isolated, enduring types. Although the dimensions of family functioning identified in this study are similar to the conceptualizations that exist in the western literature, there where distinct differences in the nature of major themes and subconcepts under these family function dimensions.

12 View
0 Download

Comparison of Nursing Activities Reflected in Nursing Notes and In-depth Interviews of Nurses in an Acute Hospital: Misoon Song, Mae Ja Kim, Young Sook Park, Eun Ok Lee, Yang Sook Hah, Kyung Ja Han, Se Ang Ryu, Hae Young Kang, Kyung Nam Kim, Moon Sook Cho; Journal of Korean Academy of Nursing 2003;33(6):802-811. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.802

Abstract PDF: Purpose
The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes.
Method
The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared.
Result
Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record.
Conclusion
Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.

10 View
0 Download

Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension: Myoungsuk Kim, Misoon Song; J Korean Acad Nurs 2015;45(4):576-586. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.576

Abstract PDF: Purpose
The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.
Methods
The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.
Results
Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups.
Conclusion
The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

26 View
0 Download

Successful Aging of Korean Older Adults based on Rowe and Kahn's Model: A Comparative Study According to the Use of Community Senior Facilities: Soo Jin Lee, Misoon Song; J Korean Acad Nurs 2015;45(2):231-239. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.231

Abstract PDF: Purpose
This study was conducted to examine the prevalence of successful aging and factors influencing successful aging.
Methods
This was a secondary analysis study. Data were analyzed from 10,462 elderly people who participated in the 2011 National Elderly Survey. According to the use of community senior facilities, participants were divided into 4 groups: those who used senior centers (group A, n=580), village senior clubs (group B, n=3,240), both of the 2 facilities (group C, n=339), and neither of the 2 facilities (group D, n=6,303). Cross-tabulation and logistic regression were performed.
Results
The prevalence of successful aging was highest in group C (20.94%) and lowest in group D (10.41%). The physical & mental function and active engagement domains were highest in group C, while they were lowest in group D. The disease & risk factors domain were highest in group A, while lowest in group B. An educational level of middleschool or higher and income level in the third or higher quintile were significant factors for predicting successful aging in all groups.
Conclusion
These results provide a basis for designing prevention and management programs as interventions to increase the prevalence of successful aging in Korean older adults.

18 View
0 Download

Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness: Chorong Park, Misoon Song, Belong Cho, Jaeyoung Lim, Wook Song, HeeKyung Chang, Yeon-Hwan Park; J Korean Acad Nurs 2015;45(2):192-201. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.192

Abstract PDF: Purpose
The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness.
Methods
A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function.
Results
Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups.
Conclusion
The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

17 View
0 Download

Search