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Review Paper
Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis
Lee, Sun Hee , Chae, Young Ran
J Korean Acad Nurs 2020;50(6):740-756.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20169
AbstractAbstract PDF
Purpose
The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis.
Methods
The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsycINFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (CI) of aerobic exercise on BP and HR.
Results
A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% CI, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% CI, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% CI, - 5.36 to –3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise.
Conclusion
Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP.

Citations

Citations to this article as recorded by  
  • Effect of exercise based on ACSM recommendations on blood pressure and heart rate in hypertensive patients: A systematic review and meta-analysis of randomized controlled trials
    Jiu Chen, Wenlai Cui, Jun Xie, Ratko Peric
    PLOS Global Public Health.2024; 4(12): e0003743.     CrossRef
  • Physical Activity Intensity and Risk of Dementia
    Angelique G. Brellenthin, Duck-chul Lee, Elizabeth C. Lefferts, Wesley K. Lefferts, Ryan J. Dougherty, Youngwon Kim
    American Journal of Preventive Medicine.2024; 66(6): 948.     CrossRef
  • Effects of aerobic exercise on blood pressure in patients with hypertension: a systematic review and dose-response meta-analysis of randomized trials
    Bahareh Jabbarzadeh Ganjeh, Sheida Zeraattalab-Motlagh, Ahmad Jayedi, Mojtaba Daneshvar, Zahra Gohari, Reyhane Norouziasl, Shadi Ghaemi, Maryam Selk-Ghaffari, Navid Moghadam, Ramin Kordi, Sakineh Shab-Bidar
    Hypertension Research.2024; 47(2): 385.     CrossRef
  • The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews
    Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook‐Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao‐Min Cheng, Ji‐Guang Wang, Kazuomi Kario
    The Journal of Clinical Hypertension.2024; 26(12): 1327.     CrossRef
  • Does regular exercise help significantly reduce blood pressure in adults diagnosed with hypertension within the general population?
    Jesse Schmidt, Nikhil Vatti, Nicole Tenegra
    Evidence-Based Practice.2023; 26(3): 25.     CrossRef
  • Physical Activity and Hypertension
    Peter Hayes, Alexandra Ferrara, Aoife Keating, Kathryn McKnight, Andrew O'Regan
    Reviews in Cardiovascular Medicine.2022;[Epub]     CrossRef
  • 696 View
  • 43 Download
  • 5 Web of Science
  • 6 Crossref
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Original Articles
Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
Kim, Jong Im , Kim, Sun Ae , Park, Keumok , Kim, Jiyoung , Lee, Lina , Choi, Si Wan , Ku, Bon Jeong
J Korean Acad Nurs 2020;50(4):571-582.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.19261
AbstractAbstract PDF
Purpose
This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR).
Methods
A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test.
Results
The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem.
Conclusion
The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

Citations

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  • Exploring the Impact of Smart Mobility and ICT Solutions on Older Adults’ Mobility: A Systematic Literature Review
    Chengyuan An
    IEEE Access.2024; 12: 159056.     CrossRef
  • 노인 대사증후군에 효과적인 중재: 체계적 문헌고찰과 메타분석
    서현 이, 슬 구, 유미 서, 선화 반
    Public Health Weekly Report.2023; 16(48): 1633.     CrossRef
  • Comparison of the Effects of Education Only and Exercise Training Combined with Education on Fall Prevention in Adults Aged 70 Years or Older Residing in Elderly Residential Facilities
    Chahwa Hong, Haejung Lee, Misoon Lee
    Journal of Korean Academy of Nursing.2021; 51(2): 173.     CrossRef
  • 455 View
  • 14 Download
  • 2 Web of Science
  • 3 Crossref
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Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers
Seul Ki Park, Hyeoun-Ae Park, Hee Hwang
J Korean Acad Nurs 2019;49(5):575-585.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.575
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital.

Methods

A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale.

Results

The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model.

Conclusion

Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.

Citations

Citations to this article as recorded by  
  • Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
    Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
    Korean Journal of Adult Nursing.2024; 36(3): 191.     CrossRef
  • Could we prove the nursing outcomes utilising clinical data warehouse? Effectiveness of pressure ulcer intervention in Korean tertiary hospital
    Moonsook Kim, Se Yeon Park, Meihua Piao, Earom Lim, Soon Hwa Yoo, Minju Ryu, Hyo Yeon Lee, Hyejin Won
    International Wound Journal.2023; 20(1): 201.     CrossRef
  • Data‐driven approach to predicting the risk of pressure injury: A retrospective analysis based on changes in patient conditions
    Yinji Jin, Ji‐Sun Back, Sun Ho Im, Jong Hyo Oh, Sun‐Mi Lee
    Journal of Clinical Nursing.2023; 32(19-20): 7273.     CrossRef
  • Factors Associated with Pressure Injury Among Critically Ill Patients in a Coronary Care Unit
    Eunji Ko, Seunghye Choi
    Advances in Skin & Wound Care.2022; 35(10): 1.     CrossRef
  • Data-Driven Learning Teaching Model of College English Based on Mega Data Analysis
    Jie Zhang, Tongguang Ni
    Scientific Programming.2022; 2022: 1.     CrossRef
  • 796 View
  • 29 Download
  • 5 Web of Science
  • 5 Crossref
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The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing Skills Training
Wei Wang, Huiying Xu, Bingmei Wang, Enzhi Zhu
J Korean Acad Nurs 2019;49(4):495-504.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.495
AbstractAbstract PDF
Abstract Purpose

Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training.

Methods

A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS).

Results

There was a significant negative correlation between students’ perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported.

Conclusion

Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students’ motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

Citations

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  • The effects of academic emotions on learning outcomes: A three-level meta-analysis of research conducted between 2000 and 2024
    Jianling Xie, Kit W. Cho, Tianlan Wei, Jianzhong Xu, Min Fan
    Learning and Motivation.2025; 90: 102109.     CrossRef
  • Relationship between sense of coherence and professional identity in nursing students: the chain mediating effect of academic emotion and self-esteem
    Huan Liu, Jin Li, Xiujuan Feng, Rui Liang, Yanan Qi, Jing Zhang
    BMC Nursing.2025;[Epub]     CrossRef
  • Correlation of academic emotion and hardiness personality of undergraduate nursing students
    Lili Guo, Danfeng Yan, Junping Yan, Rui Jiao
    BMC Nursing.2024;[Epub]     CrossRef
  • The mediating effect of coping on perceived stress and professional identity among nursing interns: a cross-sectional study conducted in a medical university in China
    Haixia Tu, Jing Liu, Fengzhen Li, Tingting Lin, Pinpin Jin, Ping Li, Jufang Li
    BMC Psychology.2024;[Epub]     CrossRef
  • The effect of laughter yoga on stress and anxiety of nursing students: A systematic review
    Amir Mohamad Nazari, Mohammad Javad Ghazanfari, Amir Emami Zeydi, Akbar Zare-Kaseb
    Teaching and Learning in Nursing.2024; 19(3): e477.     CrossRef
  • Emotional intelligence evaluation tools used in allied health students: A scoping review
    Debra Lee, Tracy Burrows, Daphne James, Ross Wilkinson, Yolanda Surjan
    Journal of Medical Radiation Sciences.2024;[Epub]     CrossRef
  • The mediating role of learning motivation in the relationship among perceived stress and emotional regulation among Saudi nursing students in clinical practice
    Bander Saad Albagawi, Yasir S. Alsalamah, Abdulqadir J. Nashwan, Rakan Mansuor AL Rawili, Lisa A. Babkair, Sara A. Alkharji, Thamer Alslamah, Mirna Fawaz
    BMC Nursing.2024;[Epub]     CrossRef
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    Ma Eugenia Visier-Alfonso, Carmen Sarabia-Cobo, Ana Isabel Cobo-Cuenca, Marta Nieto-López, Rigoberto López-Honrubia, Raquel Bartolomé-Gutiérrez, Ana Rosa Alconero-Camarero, José Rafael González-López
    Nurse Education Today.2024; 139: 106258.     CrossRef
  • Investigating The Level of State Anxiety Among Newly Enrolled Undergraduate Female Nursing Students in Karachi, Pakistan
    Farhan Ahmed, Yasir Ali, Anwar Ali Malik, Rubina, Ameer Ullah Khan
    Indus Journal of Bioscience Research.2024; 2(2): 1267.     CrossRef
  • Mindfulness for stress and anxiety management in nursing students in a clinical simulation: A quasi-experimental study
    Alba Torné-Ruiz, Mercedes Reguant, Judith Roca
    Nurse Education in Practice.2023; 66: 103533.     CrossRef
  • Using Micro-analyzing Tools to Investigate Therapist Skills in Emotionally Focused Couples Therapy With Couples in a High-Conflict Relationship
    Gunnur Karakurt, Pranaya Katta, Sarah Apte, Jason Choi, Chi Doan, Sarin Gole, Sara Jordan
    Journal of Systemic Therapies.2023; 42(1): 74.     CrossRef
  • Effects of a false-positive result in newborn congenital hypothyroidism screening on parents in Guangxi, China
    Si-Jing Tu, Yu-Jia Wei, Bu-Tong Chen, Xiao-Fei Zhang, Chao Luo, Bai-Qing Dong
    Frontiers in Pediatrics.2023;[Epub]     CrossRef
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    Mohammed Hamdan Alshammari, Mohammad Alboliteeh
    Nursing Ethics.2023; 30(7-8): 1068.     CrossRef
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    Daniel Joseph E. Berdida
    Nurse Education in Practice.2023; 69: 103639.     CrossRef
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    Martina Rahe, Petra Jansen
    Frontiers in Education.2022;[Epub]     CrossRef
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    BMC Medical Education.2022;[Epub]     CrossRef
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    Teaching and Learning in Nursing.2022; 17(3): 296.     CrossRef
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    Chenxin Xu, Qing Wang
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    Nursing Open.2021; 8(6): 3527.     CrossRef
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    María Dolores Onieva-Zafra, Juan José Fernández-Muñoz, Elia Fernández-Martínez, Francisco José García-Sánchez, Ana Abreu-Sánchez, María Laura Parra-Fernández
    BMC Medical Education.2020;[Epub]     CrossRef
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  • 23 Download
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Risk Factors of Medical Device-Related Pressure Ulcer in Intensive Care Units
MiJee Koo, YoungA Sim, InSoon Kang
J Korean Acad Nurs 2019;49(1):36-45.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.36
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify the characteristics of and risk factors for medical-device-related pressure ulcer (MDRPU) development in intensive care units.

Methods

A prospective cohort study design was used, and the participants were 253 adult patients who had stayed in medical and surgical intensive care units. Data were collected regarding the application of medical devices and MDRPU-related characteristics over a period of six months from June to November, 2017. Data were analyzed using independent t-test, χ 2-test, Fisher's exact test, and binary logistic regression analysis with the SPSS 21.0 program.

Results

Among the 253 participants, MDRPUs occurred in 51 (19.8%) participants. The results of the logistic regression analysis showed that the risk factors for MDRPUs were the use of endotracheal tubes (OR=5.79, 95% CI: 1.66~20.20), having had surgery (OR=2.95, 95% CI: 1.11~7.77), being in a semi-coma/coma (OR=5.79, 95% CI: 1.04~32.05), and sedation (OR=5.54, 95% CI: 1.39~22.19).

Conclusion

On the basis of the study results, it is effectively facilitated by nurses when they care for patients with MDRPUs in intensive care units and the results are expected to be of help in preventive education for MDRPU development as well as preparing the base data for intervention studies.

Citations

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  • Recommendations and Best Practices for the Risk Assessment of Pressure Injuries in Adults Admitted to Intensive Care Units: A Scoping Review
    Ricardo Picoito, Tânia Manuel, Sofia Vieira, Rita Azevedo, Elisabete Nunes, Paulo Alves
    Nursing Reports.2025; 15(4): 128.     CrossRef
  • Yoğun Bakım Hastalarında Tıbbi Cihazla İlişkili Basınç Yaralanması Gelişimi ve Etkileyen Faktörler: Nokta Prevalans Çalışması
    Sevil Pamuk Cebeci, Asuman Çobanoğlu, Hatice Oğuzhan
    Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi.2024; 6(1): 57.     CrossRef
  • Tıbbi Cihaza Bağlı Basınç Yarası Gelişme Riski
    Handan Aydın Kahraman, Gülay İpekçoban
    Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi.2024; 13(1): 486.     CrossRef
  • Intensive care nurses' knowledge and practices regarding medical device‐related pressure injuries: A descriptive cross‐sectional study
    Aslı Kurtgöz, Selin Keskin Kızıltepe, Hülya Keskin, Münevver Sönmez, İsmail Aşatır
    International Wound Journal.2024;[Epub]     CrossRef
  • Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study
    Pei‐Ling Wu, Yi‐Jou Li, Hsiang‐Chu Pai, Chien‐Chi Liu
    Journal of Clinical Nursing.2024; 33(1): 149.     CrossRef
  • Determination of Incidence and Risk Factors of Medical Device-Related Pressure Injury in the ICU: A Descriptive Study
    Ezgi Dirgar, Neslihan Yağmur Gider, Betül Tosun
    Advances in Skin & Wound Care.2024; 37(3): 1.     CrossRef
  • Incidence, severity and characteristics of medical device-related pressure injuries in adult intensive care patients: A single-centre, cross-sectional study
    Zeynep Temiz, Aylin Aydın Sayılan, Samet Sayılan, Esra Azum
    Journal of Tissue Viability.2024; 33(2): 220.     CrossRef
  • NGHIÊN CỨU TÌNH HÌNH CHẤN THƯƠNG ÁP LỰC DO THIẾT BỊ Y TẾ TẠI KHOA HỒI SỨC NGOẠI THẦN KINH BỆNH VIỆN CHỢ RẪY
    Trang Nhung Nguyễn, Mai Anh Lợi Mai Anh Lợi, Nguyễn Thị Kim Bằng Nguyễn Thị Kim Bằng
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    Lingli Jia, Yuchun Deng, Yu Xu, Xiaoli Wu, Dan Liu, Muying Li, Shijun Huang, Yaodan Zhang, Aiping Du, Huan Liu, Yongming Tian
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    Shinhye Ahn, Minjeong An, Sung-Hee Yoo, Hyunyoung Park
    Australian Critical Care.2023; 36(3): 313.     CrossRef
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    Nara Reisdorfer, Eliane Regina Pereira do Nascimento, Daniele Delacanal Lazzari, Maria Elena Echevarría-Guanilo, Sabrina Guterres da Silva Galetto , Luciana Bihain Hagemann de Malfussi
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    Seung-yeon Lim, Young-min Jeong, So-young Jeong
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    Mi Hyeon Jo, Hye-Ran Choi
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    Öznur Erbay Dallı, İlkay Ceylan, Nermin Kelebek Girgin
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    Tomoko Shimura, Gojiro Nakagami, Rei Ogawa, Shimpei Ono, Toshiaki Takahashi, Misako Nagata, Kosuke Kashiwabara, Junko Sugama, Hiromi Sanada, Makoto Oe
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  • Relationships Between Oral-Mucosal Pressure Ulcers, Mechanical Conditions, and Individual Susceptibility in Intubated Patients Under Intensive Care: A PCR-Based Observational Study
    Soo Hyun Kim, Hee Sam Nah, Jin Bom Kim, Chul Hoon Kim, Myoung Soo Kim
    Biological Research For Nursing.2021; 23(4): 557.     CrossRef
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  • Differences in Associated Factors according to the Time of Occurrence of Pressure Ulcers in Intensive Care Unit Patients
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  • Development and Testing of an Algorithm to Prevent Medical Device–Related Pressure Injuries
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  • Incidence and risk factors for medical device‐related pressure ulcers: The first report in this regard in Iran
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  • 35 Download
  • 22 Web of Science
  • 32 Crossref
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Effects of Aromatherapy on Stress Responses, Autonomic Nervous System Activity and Blood Pressure in the Patients Undergoing Coronary Angiography: A Non-Randomized Controlled Trial
Eun Jeong Song, Mi Young Lee
J Korean Acad Nurs 2018;48(1):1-11.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.1
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of aromatherapy on stress responses, autonomic nervous system (ANS) activity, and blood pressure in patients hospitalized to receive coronary angiography (CAG).

Methods

A non-equivalent control group with a pretest-posttest design was used. The subjects were patients admitted to the day angiography room to receive CAG at E University Hospital (34 in the experimental group and 30 in the control group). The experimental group treatment was inhalation of the aroma oil blended with lavender, ylang-ylang, and neroli at a ratio of 4:2:1 twice before and after CAG. The measurements of stress index, ANS activity, and blood pressure were performed 5 times as follows: at admission, at pre-CAG after treatment I, at post-CAG, 2 hours after treatment II, and 4 hours after treatment II. The data were analyzed using the Mann-Whitney U Test and repeated-measures analysis of variance.

Results

Significant interactions in the high frequency of ANS (F=5.58, p=.005) were observed between group and time. Stress index (z=2.14, p=.016), systolic blood pressure (z=4.14, p<.005), and diastolic blood pressure (z=3.28, p=.001) were significantly different between the experimental and control groups after 4 hours of treatment II.

Conclusion

The findings showed that aromatherapy was not effective before CAG, but was effective after CAG. Therefore, aromatherapy can be used as a nursing intervention for patients receiving CAG.

Citations

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  • Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
    So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
    Journal of Korean Biological Nursing Science.2024; 26(4): 337.     CrossRef
  • Effect of neroli-flavored chewing gum on anxiety
    Mozhgan Esmaeelian, Elahe Esmaeelian
    EXPLORE.2024; 20(6): 103028.     CrossRef
  • The Effects of Aroma Essential Oil Inhalation on Stress, Pain, and Sleep Quality in Laparoscopic Cholecystectomy Patients: A Randomized Controlled Trial
    JiA Lee, Myung-Haeng Hur
    Asian Nursing Research.2022; 16(1): 1.     CrossRef
  • Role of Aromatherapy as a Natural Complementary and Alternative Therapy in Cardiovascular Disease: A Comprehensive Systematic Review
    Hamdan I AlMohammed, Nada A Alanazi, Esraa Fahad Maghrabi, Manar A Alotaibi, Muhammad Zia-Ul-Haq
    Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1.     CrossRef
  • Natural essential oils: A promising strategy for treating cardio-cerebrovascular diseases
    Yu Long, Dan Li, Shuang Yu, Yu-lu Zhang, Song-yu Liu, Jin-yan Wan, Ai Shi, Jie Deng, Jing Wen, Xiao-qiu Li, Ying Ma, Nan Li, Ming Yang
    Journal of Ethnopharmacology.2022; 297: 115421.     CrossRef
  • In Vitro Antibacterial Activity of Some Plant Essential Oils against Four Different Microbial Strains
    Daniela Gheorghita, Alina Robu, Aurora Antoniac, Iulian Antoniac, Lia Mara Ditu, Anca-Daniela Raiciu, Justinian Tomescu, Elena Grosu, Adriana Saceleanu
    Applied Sciences.2022; 12(19): 9482.     CrossRef
  • The Comparative Effects of Aroma Essential Oil Inhalation and Music Listening on Stress Response, Vital Signs, and Bispectral Index of Healthy Adults
    Jae-Kyeum Lee, Myung-Haeng Hur
    Korean Journal of Adult Nursing.2022; 34(1): 62.     CrossRef
  • Therapeutic Effect and Mechanisms of Essential Oils in Mood Disorders: Interaction between the Nervous and Respiratory Systems
    Timothy K. H. Fung, Benson W. M. Lau, Shirley P. C. Ngai, Hector W. H. Tsang
    International Journal of Molecular Sciences.2021; 22(9): 4844.     CrossRef
  • Effects of Gymnastics-based Nursing Intervention on Stress, Obesity, and Mental Health Confidence in Patients with Chronic Mental Illness
    Hee Jeong Kim, Sookbin Im
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(1): 53.     CrossRef
  • Changes in Psychological Anxiety and Physiological Stress Hormones in Korea National Shooters
    Sang-Hyuk Park, In-Hye Park, Seung-Taek Lim, Eunjae Lee
    Brain Sciences.2020; 10(12): 926.     CrossRef
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The effect on the Intracranial Pressure of the Patients Receiving Endotracheal Suction
Mae Ja Kim, Kyung Oak Lee
Journal of Nurses Academic Society 1993;23(2):245-254.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1993.23.2.245
AbstractAbstract PDF

The purpose of this study was to identify effective methods to minimize increases in intracranial pressure(IICP) during endotracheal suction by means of comparing two methods of hyperventi-lation and oxygen supply before and after endotracheal suction. In order to evaluate the effects of these two methods, the ICP during suctioning and the sustained time of I ICP were measured. For hyperventilation, ambu-bagging was done 10 times for 30 seconds with a tidal volume of 800-900ml. For oxygen supply, 100 percent oxygen was supplied for 2 minutes before and after suction. The subjects for this study were 12 neurosurgical patients who had had a subarachnoid bolt inserted for ICP monitoring and they were all on mechanical ventilatory support in a surgical intensive care unit of Seoul National University Hospital from July 1, 1991 to March 31, 1992. In each patient hyperventilation was performed five times and oxygen supply was given five times and intracranial pressures were measured immediately before and every 30 seconds for 15 minutes after suction. For case assignments counterbalancing and repeated measure designs were combined. And so the total number of experiments were sixty for each group. The effects of hyperventilation and oxygen supply on the IICP and the sustained time of IICP after suction were analyzed by t-test. The results of study were as follows 1. There was a significant difference between the two groups in the increased ICP during suction (t=2.49, p=.014). 2. The sustained time of IICP after suctioning in the oxygen supply group was shorter than that in the hyperventilation group(t=2.35, p=.020) In summary, the Increase in the ICP during suction was lower and the time for the ICP to return to the presuction level was shorter in the oxygen supply group as compared to the hyperventilation group. Therefore, oxygen supply can be recommended before and after endotracheal suction.

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Effect of Head Elevation and Position on Intracranial Pressure(ICP) in the neurosurgical Patient with a Cerebral Aneurysm
Hye Ja Park, Kyung Ok Choi, Byung Ok Lee, Eun Ju Jung, Yang Sook Yoo
Journal of Nurses Academic Society 1997;27(3):503-509.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.503
AbstractAbstract PDF

This study was undertaken to identify optimal head elevation and position in the care of the neurosurgical patient with a cerebral aneurysm. The effects of 0degree, 15degrees and 30degrees head elevation and three positions(supine, side lying position opposite to the operation site, and side lying position on the same side as the operation site) on ICP was studied in fourteen neurosurgical patients with cerebral aneurysms. The results are as follows : 1. The mean intracranial pressure was significantly lower when the patient's head was elevated at 30degrees as compared to 0degree and 15degrees. 2. The mean intracranial pressure was significantly lower when the patient was positioned in the supine as compared to side lying positioned in the supine as compared to side lying position opposite to the operation site and side lying position on the same side as the operation site. The data indicate the head elevation to 30degrees and the supine position reduce ICP in neurosurgical patients with cerebral aneurysm.

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Blood Pressure Variation on Each Measuring Site in the Right Lateral Position
Hyoung Sook Park, Kyung Yeon Park
Journal of Korean Academy of Nursing 2002;32(7):986-991.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.7.986
AbstractAbstract PDF

BACKGROUND: Blood pressure measurement are used by medical purposes. Most clinical staffs assume that its values are accurate and reliable irrespective of the measured position. In order to measure blood pressure exactly the cuffed upper arm and the heart should be kept at the same level. However, sometimes the blood pressure must be taken with the patient lying on his/her side. In this lateral position it is difficult to set the cuff at the heart's level. PURPOSE: This study aims at applying exact measurements of blood pressure to practical use. Blood pressure measurements taken from the four extremities (right arm, left arm, right leg and left leg) in the lateral position are compared to those taken in the right arm in the supine position.
METHODS
Thirty-one female and Thirty-two male subjects were sampled among fit students and the data were collected from May 7th, 2001 through June 7th, 2001. To begin with, the blood pressure of right arm in the supine position was measured. Then the blood pressure was measured again after 3 minutes in the subject's right lateral position.
RESULTS
The blood pressure in the left arm in the right lateral position was lower than the right arm's blood pressure in the supine position (systolic difference=15.57 mmHg, diastolic difference=10.86 mmHg).
DISCUSSION
Hydrostatic effects are the most likely cause of the drop in blood pressure of left arm in right lateral position. When blood pressure is measured in the left arm in the right lateral position, the position and site should be noted as well as the pressure may be 10mmHg or more lower than the precise blood pressure.

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  • The Effect Of Dıfferent Body Posıtıons On Calf Blood Pressure: A Cross-Sectional Study
    Emel TUĞRUL, Yıldız DENAT
    Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2023; 11(2): 229.     CrossRef
  • Accuracy of oscillometric blood pressure measurement at both arms in the lateral position
    Maha Mostafa, Ahmed M. Hasanin, Omnia S. Elsayed, Mamdouh M. Mostafa, Khaled Sarhan
    Blood Pressure Monitoring.2021; 26(5): 364.     CrossRef
  • Predictors of adherence to medication in older Korean patients with hypertension
    Yeon-Hwan Park, Heejin Kim, Soong-Nang Jang, Chin Kang Koh
    European Journal of Cardiovascular Nursing.2013; 12(1): 17.     CrossRef
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The Effect of Auricular Acupressure Therapy on Anxiety of Cancer Pateint
Kwuy Bun Kim
Journal of Korean Academy of Nursing 2002;32(6):888-896.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.888
AbstractAbstract PDF

PURPOSE: The purpose of this study wsa to necessitate auricular acupressure therapy as an independent nursing intervention on cancer paitents by confirming its effectiveness. METHOD: The experimental study was unequivalently controlled pre-post measure study. The subjects were 40 cancer patients who were hospitalized in K medical center in Seoul. The experimental group (20) and the control group (20) were randomly assigned. As measured tools, Spielberger's State-trait Anxiety (1976) measured tool by Kim's transplation (1978). The auricular acupressure therapy was applied to experimental group, and the pre-post measure was performed to both group. The data was analyzed by using SPSS computer program that included descriptive statistics, x2-test, and t-test. RESULT: 1) The experimental group with the auricular acupressure therapy showed lower trait anxiety scores in comparison with the control group (t= 8.036, p=.000). 2) The experimental group which applied the auricular acupressure therapy showed lower state anxiety scores in comparison with the control group (t= 19.616, p=.000). This result showed that cancer patients with the auricular acupressure therapy applied cancer patients decreased state anxiety and trait anxiety. Therefore , effectiveness of the auricular acupressure therapy was confirmed through this study. CONCLUSION: According to the result, anxiety of cancer pateint should be decreased and controlled by the auricular acupressure therapy as independent nursung intervension. In addition, the auricular acupressure therapy will provide effective independent nursing intervention that will decrease anxiety on patient with other disease and will improve quality of their lives.

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  • Effects of Auricular Acupressure Therapy on Primary Dysmenorrhea for Female High School Students in South Korea
    Nam Hyun Cha, Sohyune R. Sok
    Journal of Nursing Scholarship.2016; 48(5): 508.     CrossRef
  • Effects of Auricular Acupressure Therapy on Nocturia and Insomnia in the Elderly
    Ji Yeon Kim, Hye Sook Ryu, Seok Hoon Nam, Kyung Sook Park
    The Korean Journal of Rehabilitation Nursing.2014; 17(1): 1.     CrossRef
  • Effects of Auricular Acupressure on Menstrual Pain, Dysmenorrhea, and Academic Stress in Women College Students
    Seung-Ok Ro, Hea-Young Lee, Jaeon Lee, Miyoung Kim
    Korean Journal of Adult Nursing.2013; 25(3): 356.     CrossRef
  • The Effect of Ear Reflexotherapy on Back Pain of Working Women in Middle Age
    Kyung-Sook Park, Eun-Ho Ha, Yu-Na Kim, Soo-Jin Kwon, Lee-Jung Ru, Ju-Hyun Song, Yong-Wha Woo, Jae-Yeon Lee, In-Hee Chun, Hyun-Kyung Kang, Hee-Jung Park, Eun-Joo Lee, Jae-On Lee
    Journal of muscle and joint health.2010; 17(1): 14.     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 Effects of Abdominal Relaxed Breathing Training on Stress response and Blood Pressure for Elderly Hypertensionve Patient
Su Jeong Yu, Mi Soon Song
Journal of Korean Academy of Nursing 2001;31(6):998-1011.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.6.998
AbstractAbstract PDF

PURPOSE: In order to improve self-management of elderly hypertensives in this study, the researcher examined the effect of blood pressure regulation by an abdominal relaxed breathing training which regulates physical response to stress and lessens the activity of the sympathetic nerve.
METHOD
A quasi-experimental pre-test and post-test design was used. Thirty elderly hypertensive patient ; Sixteen in the abdominal breathing group and fourteen in the control group participated in this study. The abdominal relaxed breathing training consisted of eight sessions twice a week for four weeks. There was no intervention for the control group.
RESULT
1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of total stress response, physical stress response, behavioral-cognitive stress response between the experimental group and control group over three different times, and interaction by groups and over time.
CONCLUSION
Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

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  • The Effects of Stabilization Exercise with Abdominal Breath on Balance and Oswestry Disability Index for Low Back Pain Patients
    Ho-Hee Son
    Journal of the Korean Society of Physical Medicine.2015; 10(1): 107.     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
  • The Effects of Hypertension Self-help Program on Hypertension-related Knowledge, Self-efficacy, Self-management Compliance and Physiological Parameters in Workers
    Mi-Young Gi, Young-Hae Park
    Korean Journal of Occupational Health Nursing.2012; 21(1): 1.     CrossRef
  • Effects of Abdominal Breathing on Anxiety, Blood Pressure, Peripheral Skin Temperature and Saturation Oxygen of Pregnant Women in Preterm Labor
    Soon-Bok Chang, Hee-Sook Kim, Yun-Hee Ko, Choon-Hee Bae, Sung-Eun An
    Korean Journal of Women Health Nursing.2009; 15(1): 32.     CrossRef
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Past and Present Obesity, Parameters of Body Fat and Blood Pressure in Korean Patients with Non-Insulin Dependent Diabetes Mellitus (NIDDM)
Hye Ja Park, In Ok Lee, Sye Hyun Kim
Journal of Korean Academy of Nursing 2001;31(6):1034-1043.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.6.1034
AbstractAbstract PDF

PURPOSE: To determine the frequency of past and present obesity among patients with NIDDM and to identify the differences of body fat, blood pressure and C-peptide/glucose ratio according to obese diabetic patients (BMI> or =25 kg/m2) and nonobese (BMI<25 kg/m2). Also the final factor is to observe the anthrometric change patterns in the study. METHOD: The weight at 20 years-old, previous maximal body weight, and acute weight loss were queried. Current height, body weight, BMI, waist & hip circumferences, waist-hip ratio, skinfold thicknesses, blood pressure, fasting blood glucose, and fasting C-peptide were measured in one hundred sixty-seven NIDDM patients. The differences of the parameters ccording to obese and nonobese, and three anthropometric change patterns were analyzed. RESULT: Results were as follows: 1. 66.5 % of the NIDDM patients had a history of past obesity as assessed by their maximum weight, while only 33.2% of them were currently obese (p's < 0.001). 2. The waist & hip circumferences, skinfold thicknesses, systolic, diastolic & mean arterial blood pressure in obese patients were greater than those of nonobese patients (all p's < 0.001). 3. The waist and the hip circumferences, and skinfold thicknesses (subscapula & triceps) were highest among the obese-obese group. WHR and abdominal skinfold thickness in the obese-obese and obese-nonobese groups were higher than those in the nonobese-nonobese group. Systolic & diastolic and mean arterial blood pressures in the obese-obese group were higher than those of obese-nonobese and nonobese-nonobese groups (all p's < 0.005).4. The abdominal and subscapular skinfold thicknesses in female diabetic patients were greater than those of male patients (all p's <0.0001). CONCLUSION: Although most Korean NIDDM patients were previously obese, many of them were not obese during the course of the study. Greater central and upper body adiposicity and higher blood pressure was shown in obese diabetic patients. Also, greater central and upper body adiposicity was demonstrated in female diabetic patients.

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  • Oral administration of Grifola frondosa affect lipid metabolism and insulin signaling pathway on BKS. Cg-+Leprdb/+Leprdb/OlaHsd mouse
    Seong-Bo Yun, Dae-Young Kim
    Journal of Animal Reproduction and Biotechnology.2021; 36(4): 203.     CrossRef
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Difference of the Obesity Index, Blood Pressure and Serum Lipids in Abdominal and Non Abdominal in Men and Women
Hee Seung Kim, Nam Cho Kim
Journal of Korean Academy of Nursing 2000;30(4):948-955.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.948
AbstractAbstract PDF

This study was done to compare the difference of obesity index(waist-hip ratio, body fat, body mass index, relative body weight), blood pressure and serum lipids in abdominal obesity and non abdominal in both men and women. Abdominal and non abdominal obesity was divided into waist-hip ratio above 0.85 in women and 0.95 in men. The subjects were 412 adults (age range 40-59), who had regular health examinations between 1996 to 1997 at the S-Hospital in Seoul. The data were analyzed using ANCOVA (for adjusted for age) and Pearson correlation coefficient. The results were as follows: 1. 39.9% of men and 42.5% of women had abdominal obesity. The average age group of abdominal obesity was 50.8 which is older than the non abdominal obesity group(48.0). 2. After they were adjusted for age, the group of men who have abdominal obesity had higher levels in body fat, body mass index, relative body weight, blood pressure, total cholesterol, LDL- cholesterol and triglyceride than the group of non abdominal obesity group. The group of women with abdominal obesity had higer levels in body fat, body mass index, relative body weight , blood pressure and triglyceride than the group of non abdominal obesity. 3. In the group of non abdominal obesity, the waist-hip ratio was significantly correlated to body fat, body mass index, relative body weight, blood pressure and serum lipids the group of abdominal obesity in men and women.

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  • Association between Obesity and the Prevalence of Disc Herniation Diseases Based on Cohort Data
    Jieun Kim, Hoseok Kim, Kyungsik Jeong, Seungwon Paik, Sukyung Lee
    Journal of Korean Medicine Rehabilitation.2024; 34(4): 143.     CrossRef
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A Study on the Circadian Blood Pressure Rhythm of Diabetic Patients
Hwa Soon Kim, Wha Sook Suh
Journal of Korean Academy of Nursing 2000;30(3):741-749.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.741
AbstractAbstract PDF

This study was performed to investigate the relationship between reversed circadian blood pressure and risk factors of peripheral vascular disease in non-insulin-dependent diabetes mellitus (NIDDM) subjects. The subjects in this study were 18 NIDDM patients who were hospitalized in a medical unit of an university medical center located in Incheon, Korea, between November, 1998 and March, 1999. Blood pressure was measured with a mercury sphygmomanometer by 2 trained examiners every 2 hours during 24 hours. NIDDM subjects were divided into a dipper group and non-dipper group. Dippers are defined as those who show a mean nighttime blood pressure(BP) drop of more than 10% compared with daytime BP. Non-dippers are defined as those who show a mean nighttime BP drop of less than 10%, or an elevation in BP compared with daytime BP. Daytime BP included values obtained between 6 a.m. and 10 p.m. Night time BP included values obtained between 10 p.m. and 6 a.m. Data was analyzed by SPSS/PC package. Chi-square( 2) test was used for the comparison of sex between The dipper group and non-dipper group. Mann-Whitney test was used for comparisons of values of the risk factors of peripheral vascular disease and the frequency of complications of diabetes between the dipper group and non-dipper group. The results are as follows. There were no significant differences in daytime systolic, diastolic, and mean blood pressures between the dipper group and non-dipper group. However, night time systolic, diastolic, and mean blood pressures in the non-dipper group were significantly nigher than those in the dipper group (p=.021). There were no differences in sex, age, body, weight, duration of diabetes, serum lipid levels, BUN and HbA1c between the two groups. On the contrary, 87.5% of non-dipper group subjects showed having hypertension, 30% of dipper group subjects showed having hypertension and this difference was statistically significant (p=.018). All of the non-dipper group subjects (N=8) showed having at least one diabetic complication. However, 40% of the dipper group subjects (N=10) showed having no diabetic complication at all and this difference was also statistically significant (p=.049). There were no significant differences in frequency of nephropathy, neuropathy and retinopathy between the dipper group and non-dipper group.

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A Meta-Analysis of Effects of Relaxation Therapy on Anxiety and Blood Pressure
Hee Seung Kim, Hae Hiang Song, So Eun Choi
Journal of Korean Academy of Nursing 2000;30(2):282-292.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.282
AbstractAbstract PDF

A meta-analysis of 14 quasi-experimental studies was conducted to compare the effect of size on various relaxation therapies applied to patients and health volunteer students. These studies were selected from theses, dissertations and papers that have been done between 1982 to 1993. Also They have a randomized or nonequivalent control group in a pre test-post test design. The studies were evaluated in different ways; 1) types of relaxation therapy, 2) total amount of time of relaxation therapy, and 3) types of outcome variables. For a group of homogenious studies, the weighted mean effect size and standard error were estimated. Some findings are summarized as follows : 1. Jacobson relaxation therapy had a larger effect on systolic and diastolic blood pressures than on state anxiety. 2. For the total time of relaxation therapy, (longer than 60 minutes) had a much larger effect in decreasing systolic and diastolic blood pressures than in the case of a time period shorter than 60 minutes. 3. Relaxation therapy applied to surgery patients also had a larger effect in decreasing state anxiety than when applied to other patients.

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  • Effects of Abdominal Breathing on Anxiety, Blood Pressure, Peripheral Skin Temperature and Saturation Oxygen of Pregnant Women in Preterm Labor
    Soon-Bok Chang, Hee-Sook Kim, Yun-Hee Ko, Choon-Hee Bae, Sung-Eun An
    Korean Journal of Women Health Nursing.2009; 15(1): 32.     CrossRef
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The Discriminant Analysis of Blood Pressure: Including the Risk Factors
Hyun Soo Oh, Wha Sook Seo
Journal of Korean Academy of Nursing 1998;28(2):256-269.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.256
AbstractAbstract PDF

The purpose of this study was evaluate the usefulness of variables which were known to be related to blood pressure for discriminating between hypertensive and normotensive groups. Variables able such as smoking, alcohol, exercise, and stress, and demographic variables such as age, economical status, and education. The data were collected from 400 male clients who visited one university hospital located in Incheon, Republic of Korea, from May 1996 to December 1996 for a regular physical examination. Variables which showed significance for discriminating systolic blood pressure in this study were age, serum lipids, education, HDL, exercise, total smoking(in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-systolic pressure group was 2%, predicting a normal-systolic pressure group was 70.3%, and total Hit Ratio was 70%. Variables which showed significance for discriminating diastolic blood pressure were exercise, triglyceride, alcohol, smoking, economical status, age and BMI(in order of significance). By using the combination of these variables, the possibility of proper prediction for a high-diastolic pressure group was 71.2%, predicting a normal-diastolic pressure group was 71.3%, and total Hit Ratio was 71.3%. Multiple regression analysis was performed to examine the association of systolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the systolic blood pressure was statistically significant(p=.000) and adjusted R2 was 0.09. Adding the variable obesity on demographic variables resulted in raising adjusted R2 to 0.11(p=.000) ; therefore, the contribution rate of obesity on the systolic blood pressure was 2.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising adjusted R2 to 0.12(p=.000) : therefore, the contribution rate of serum lipid on the systolic pressure was 1.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted R2 to 0.18(p=.000) ; therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 6.0%. Multiple regression analysis was also performed to examine the association of diastolic blood pressure with life style-related variables after adjustment for obesity, serum lipids, and demographic variables. First, the effect of demographic variable alone on the diastolic blood pressure was statistically significant(p=.01) and adjusted R2 was 0.03. Adding the variable obesity on demographic variables resulted in raising adjusted R2 to 0.06(P=.000) ; therefore, the contribution rate of obesity on the diastolic blood pressure was 3.0%. On the next step, adding the variable serum lipids on the obesity and demographic variables resulted in raising the adjusted R2 to 0.09(p=.000) ; therefore, the contribution rate of serum lipid on the diastolic pressure was 3.0%. Finally, adding life style-related variables on all other variables resulted in raising the adjusted R2 to 0.12(p=.000) ; therefore, the contribution rate of life style-related variables on the systolic blood pressure after adjustment for obesity, serum lipids, and demographic variables was 3.0%.

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  • Comparing the ability of anthropometric indicators in determining the prevalence of hypertension among Indian tribes
    Gautam K. Kshatriya, Anjali Kumari, Subhendu K. Acharya
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2019; 13(1): 696.     CrossRef
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Relation of the Blood Pressure, Lipids and Body Mass Index by Smoking Status Among Adolescents
Young Soon Byeon, Hea Shoon Lee
Journal of Korean Academy of Nursing 2007;37(6):1020-1026.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.1020
AbstractAbstract PDF

PURPOSE: This study was to investigate the relationship between blood pressure, lipids and body mass index by smoking status among adolescents. METHODS: This study was designed as a descriptive correlational study. General and smoking characteristics were collected using a questionnaire. The smoking group consisted of 42 (33%) students and the non smoking group 85 (67%) students. Blood pressure, lipids, height and weight were measured, and body mass index was calculated to kg/m2. The collected data was analyzed by the n(%), chi-square-test, t-test and Pearson correlation coefficient (SPSS 12.0). RESULTS: 1. The smoking level was different between grade, smoking status among the family, the contentment of their relationship with their parents, school life and teachers. 2. The smoking group's systolic blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol and body mass index were higher than those of the non smoking group. 3. The smoking amount had a significant positive correlation between total cholesterol and low density lipoprotein cholesterol. CONCLUSION: The result of this study offered basic data to develop intervention programs to prevent hypertension and hyperlipidemia in smoking adolescents.

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    Oleg V. Gaisenok, Sergey Yu. Martsevich, Marina V. Leonova
    The Open Hypertension Journal.2018; 10(1): 8.     CrossRef
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    Jung Hee Kim, Yeon Hee Choi
    Journal of Korean Academy of Nursing.2017; 47(2): 164.     CrossRef
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    Sung Reul Kim, Hyun Kyung Kim, Ji Young Kim, Hye Young Kim, Sung Hee Ko, Minyoung Park
    The Journal of School Nursing.2016; 32(3): 155.     CrossRef
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    Youngjin Lee
    Journal of Digital Convergence.2016; 14(5): 377.     CrossRef
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    Kyeong-Ah Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 465.     CrossRef
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    김효주, 김소희, 최성우, Jong Park, SoYeon Ryu, 한미아, 박선미
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2014; 18(2): 175.     CrossRef
  • Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents
    Young Sun Ha, Yeon Hee Choi
    Journal of Korean Academy of Nursing.2012; 42(1): 19.     CrossRef
  • Dietary and Lifestyle Factors Associated with Hypertension in Korean Adolescents -Based on 2005 Korean National Health and Nutrition Examination Survey-
    Killye Kim, Sook Mee Son, Hye-Kyeong Kim
    Korean Journal of Community Nutrition.2011; 16(4): 439.     CrossRef
  • Smoking Behavior and Predictors of Smoking Initiation in Childhood and Early Adolescence
    Sunhee Park
    Journal of Korean Academy of Nursing.2009; 39(3): 376.     CrossRef
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Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients
Hyun Ju Kim, Kyeong Yae Sohng
Journal of Korean Academy of Nursing 2006;36(2):353-360.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.353
AbstractAbstract PDF
Purpose

This study was done to investigate the effects of backrest elevation of 0 degree and 30 degrees that minimize the risk of increasing ICP when CVP is measured.

Methods

Subjects were sixty-four patients who stayed in the neurosurgical intensive care unit after brain surgery at two university-based hospitals. CVP, blood pressure, heart rate and ICP were measured along with position changes in order of backrest position with primary 30 degrees backrest position, 0 degree backrest position and secondary 30 degrees backrest position. For data analysis, one-group, repeated-measures analysis of variance design was used in SAS program.

Results

Backrest elevations from 0 degree to 30 degrees did not alter the CVP without increasing the ICP. Therefore, 30 degrees backrest position is a preventive position without increasing ICP.

Conclusion

30 degrees backrest position might be appropriate for brain injury patients when CVP is measured.

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Factors Influencing the Development of Pressure Ulcers in Surgical Patients
Hyoung Sook Park, Kyung Yeon Park, Sung Mi Yu
Journal of Korean Academy of Nursing 2005;35(1):125-134.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.125
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the influencing factors on the development of pressure ulcers in patients undergoing surgery which lasted more than two hours.

Method

One hundred nineteen surgical adult patients were included in the study. Data was measured on each participant from December 2003 to February 2004. It was collected using a structured researcher-administered sheet and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis.

Result

The prevalence of a perioperative pressure ulcer was 26.1%. The level of moisture, friction and shear, length of surgery, and perioperative irrigation were significantly higher in the pressure ulcer group than those in the non-pressure ulcer group. The level of activity and level of consciousness were significantly lower in the pressure ulcer group than those in the non-pressure ulcer group. Significant influencing factors on the development of pressure ulcer were ‘ moisture’ and 'irrigation' and those variables explained 23.1% of varience in the development of a pressure ulcer during surgery.

Conclusion

It is necessary to develop a strategy to prevent pressure ulcer by taking ‘ moisture' and 'irrigation' into account during the preoperative, perioperative and postoperative period.

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  • Risk Factors Associated With Pressure Injuries in Surgical Patients
    Jung Yoon Kim, Hyun Hee Lee
    Journal of Wound, Ostomy & Continence Nursing.2022; 49(6): 511.     CrossRef
  • Pressure Ulcer Prevalence and Risk Factors at the Time of Intensive Care Unit Admission
    Hye Ran Kwak, Jiyeon Kang
    Korean Journal of Adult Nursing.2015; 27(3): 347.     CrossRef
  • Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses
    Seungmi Park, Nam Young Yang, Jeong Sil Choi
    Journal of muscle and joint health.2013; 20(1): 43.     CrossRef
  • Predictive Bayesian Network Model Using Electronic Patient Records for Prevention of Hospital-Acquired Pressure Ulcers
    In Sook Cho, Eunja Chung
    Journal of Korean Academy of Nursing.2011; 41(3): 423.     CrossRef
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Effects of SP-6 Acupressure on Dysmenorrhea, Skin Temperature of CV2 Acupoint and Temperature, in the College Students
Eun Mi Jun
Journal of Korean Academy of Nursing 2004;34(7):1343-1350.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1343
AbstractAbstract PDF
Purpose

The purpose of this study was to identify effects of the SP-6 acupressure on dysmenorrhea, the skin temperature of the CV2 acupoint and oral temperatures in the college students.

Method

Data was collected from May 1 to August 31, 2002. A total of 58 students from two universities ticipated in the study. Both groups were pretested before the intervention for three variables', the intensity of dysmenorrhea, skin temperature of the CV2 acupoint and oral temperature. Then, SP-6 acupressure was provided for 20 minutes for students in the experimental group. The instruments used in this study included the Visual Analogue Scale developed by Johnson & Rice(1974), Menstrual Attitudes Questionnaire Scale developed by Brooks-Gunn & Ruble(1980), and a Stress scale developed by Cheun and Kim(1991).

Result

There were statistically significant differences in the intensity of dysmenorrhea 30minutes after the intervention. The experimental group had a lower intensity than the control group. There were not statistically significant differences in skin temperature of the CV2 acupoint and oral temperature 30minutes after the intervention with the experimental group.

Conclusion

SP-6 acupressure reduced the subjective perception of dysmenorrhea.

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  • Acupuncture for dysmenorrhoea
    Caroline A Smith, Mike Armour, Xiaoshu Zhu, Xun Li, Zhi Yong Lu, Jing Song
    Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
  • Effects of Artemisia A. Smoke(Ssukjahun) on Menstrual Distress, Dysmenorrhea, and Prostaglandin F2α
    Kwang Ok Lee, Sue Kim, Soon Bok Chang, Ji Soo Yoo
    Korean Journal of Women Health Nursing.2009; 15(2): 150.     CrossRef
  • The Effects of Meridian Massage on Menopausal Symptoms and Shin-Hur in Middle-aged Menopausal Women
    Kyung-Hee Yang, Kum-Sook Park, Jeong-Ran Lee
    Journal of Korean Academy of Nursing.2008; 38(1): 131.     CrossRef
  • The Alteration of Pain Sensitivity at Disease-Specific Acupuncture Points in Premenstrual Syndrome
    Younbyoung Chae, Hee-Young Kim, Hwa-Jin Lee, Hi-Joon Park, Dae-Hyun Hahm, Kyungeh An, Hyejung Lee
    The Journal of Physiological Sciences.2007; 57(2): 115.     CrossRef
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Difference in Time of Bowel Sounds and Passing of Gas in Abdominal Hysterectomy Patients having San-Yin-Jia (SP-6) Acupressure
Soon Bok Chang, Young Ran Kim, Mi Hee Yoon, Joung Un Shim, Eun Hui Ko, Min Ok Kim
Journal of Korean Academy of Nursing 2004;34(7):1164-1171.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1164
AbstractAbstract PDF
Purpose

The purpose of this study was to compare differences in the time when bowel sounds were heard and gas was passed in women who had an abdominal hysterectomy and were treated for 5 minutes (experimental group A) or 10 minutes (experimental group B) with San-Yin-Jiao (SP-6) acupressure.

Method

The design of this study was a nonequivalent control group non-synchronized post test only design. The participants included 142 women, 39 in experimental group A, 30 in experimental group B, and 73 in the control group. Data was collected using a structured questionnaire which included items on general characteristics and a self report of time when gas was passed. Differences for the three groups as to time when bowel sounds were heard and gas was passed were analyzed using ANOVA.

Result

The time when bowel sounds were heard was statistically significantly shorter in both experimental groups compared to the control group(F=10.29, p=.000). The time when gas was passed was statistically significantly shorter in experimental group B(10 min) compared to the control group(F=4.68, p=.011).

Conclusion

It could be concluded that SP-6 acupressure of 10 minutes was effective in shortening the time until bowel sounds were heard and gas was passed for women who had had an abdominal hysterectomy. Replication of the study with a larger number of participants is necessary in order to be able to generalize the results.

Citations

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  • The Effects of Acupressure on Postoperative Gastrointestinal Function and Pain in Women with Hysterectomy: A Randomized Controlled Study
    Merve Yavaş, Yeliz Yıldırım Varışoğlu
    Clinical and Experimental Obstetrics & Gynecology.2024;[Epub]     CrossRef
  • Effects of Korean Hand Acupressure on Pain and Abdominal Bloating of Patients Receiving Laparoscopic Hysterectomy
    Kyoung Hee Yun, Sook Young Kim
    The Korean Journal of Rehabilitation Nursing.2015; 18(1): 20.     CrossRef
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The Effects of Tai Chi Exercise Program on Blood Pressure, Total Cholesterol and Cortisol Level in Patients with Essential Hypertension
Eun Nam Lee
Journal of Korean Academy of Nursing 2004;34(5):829-837.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.829
AbstractAbstract PDF
Purpose

The purpose of this study was to determine the effects of a 6-week Tai Chi exercise program on reducing blood pressure for hypertensive patients.

Method

A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Twenty-eight hypertensive patients participated in this study. Among them, fourteen were in the experimental group and the rest are in the control group. Members in the experimental group participated in a 6- week program of Tai Chi exercise. In order to evaluate the effects of the Tai Chi program, blood pressure, total cholesterol, and cortisol level were measured before and after week 6.

Result

After the 6-week Tai Chi program, there were significant differences in systolic pressure (t=-3.13, p= .004) and diastolic blood pressure (t=-4.75, p= .000) in the experimental group when compared to the control group. However there were no significant differences in the total cholesterol (t=1.07, p=.294) and cortisol level (F=1.35, p= .256).

Conclusion

These results suggest that a 6-week Tai Chi program can be utilized as an effective nursing program to reduce blood pressure for hypertensive patients.

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  • Meta-analysis of the intervention effects of tai chi on fasting blood glucose, blood pressure and triglyceride in middle-aged and elderly people
    Wenzheng Zhao, Hanyu Ju, Kaituo Zhu
    The Aging Male.2024;[Epub]     CrossRef
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    Hui Liu, Jung-Hyun Kim, Ok-ja Kim
    The Journal of Korean Academy of Physical Therapy Science.2021; 28(3): 76.     CrossRef
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    Yu Ting Choo, Ying Jiang, Jingfang Hong, Wenru Wang
    International Journal of Nursing Studies.2020; 111: 103737.     CrossRef
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    Jie Wang, Bo Feng, Xiaochen Yang, Wei Liu, Fei Teng, Shengjie Li, Xingjiang Xiong
    Evidence-Based Complementary and Alternative Medicine.2013; 2013: 1.     CrossRef
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    Mi-Young Gi, Young-Hae Park
    Korean Journal of Occupational Health Nursing.2012; 21(1): 1.     CrossRef
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    Myeong Soo Lee, Eun‐Nam Lee, Jong‐In Kim, Edzard Ernst
    Journal of Evaluation in Clinical Practice.2010; 16(4): 818.     CrossRef
  • Managing cardiovascular risks with Tai Chi in people with coronary artery disease
    In Sook Park, Rhayun Song, Kyong Ok Oh, Hee Young So, Dal Sook Kim, Jong Im Kim, Tae Sook Kim, Hyun Li Kim, Suk Hee Ahn
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    Rhayun Song, Sukhee Ahn, Hee Young So, In Sook Park, Hyun Li Kim, Kyung Ok Joo, Jong Sung Kim
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Differences of Cesarean Section Rates according to San-Yin-Jiao(SP6) Acupressure for Women in Labor
Soon Bok Chang, Yong Won Park, Jae Sung Cho, Mi Kyeong Lee, Byung Chul Lee, Su Jeong Lee
Journal of Korean Academy of Nursing 2004;34(2):324-332.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.324
AbstractAbstract PDF
Purpose

The purpose of this study was to explain differences of cesarean section rates according to San-Yin-Jiao(SP6) acupressure for women in labor.

Method

A noneqivalent control group pre test - post test design was used to explain differences of cesarean section rates according to SP6 acupressure. The participants were 209 women who were assigned to one of three groups SP6 acupressure(n=86), SP6 touch(n=47), and control group(n=76). For 30 minutes, the SP6 acupressure group received SP6 acupressure,and the SP6 touch group received SP6 touch for the duration of each uterine contraction. The Control group was encouraged to deep breath and relax for the duration of each uterine contraction for 30 minutes.

Result

The rates of cesarean section were 12.8%, 29.8%, and 22.4% for the SP6 acupressure group, SP6 touch group, and control group respectively. There was a significant difference among groups (p=0.049). Cesarean section rateswere significantly different between the SP6 acupressure and non-SP6 acupressure group(p=0.035).

Conclusion

This finding shows that 30 minutes of SP6 acupressure was effective in decreasing the cesarean section rate. Therefore, SP6 acupressure during labor could be applied as an effective nursing intervention.

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  • Birth preparation acupuncture for normalising birth: An analysis of NHS service routine data and proof of concept
    A. U. Lokugamage, V. A. I. Eftime, D. Porter, T. Ahillan, S. X. Ke
    Journal of Obstetrics and Gynaecology.2020; 40(8): 1096.     CrossRef
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Effects of SP-6 Acupressure on Dysmenorrhea, Cortisol, Epinephrine and Norepinephrine in the College Students
Soon Bok Chang, Eun Mi Jun
Journal of Korean Academy of Nursing 2003;33(7):1038-1046.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.1038
AbstractAbstract PDF
Purpose

The purpose of this study was to identify effects of the SP-6 acupressure on dysmenorrhea, and level of cortisol, epinephrine and norepinephrine in the college students.

Method

Data were collected from May 1 to August 31, 2002. A total of 58 students from two universities participated in the study. Both groups were pretested before the intervention for three variables, the intensity of dysmenorrhea, level of cortisol, epinephrine and norepinephrine. Then, SP-6 acupressure was provided for 20 minutes for students in the experimental group. The instruments used in this study included the Visual Analogue Scale developed by Johnson(1974), Menstrual Attitudes Questionnaire Scale developed by Brooks-Gunn & Ruble(1980), and Stress scale developed by Cheun and Kim(1990).

Result

There were statistically significant differences in the intensity of dysmenorrhea at the time immediately after, 30minutes after, one hour after, and two hours after the intervention. The experimental group had a lower intensity than the control group. There was a statistically significant difference in level of norepinephrine at the time 30minutes after the intervention with the experimental group.

Conclusion

The SP-6 acupressure reduced the subjective perception of dysmenorrhea and the levels of norepinephrine. It was found out that the lasting period of 20 minutes of the SP-6 acupressure was two hours for college students.

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  • Perimenstrüel Distresin Hafifletilmesinde Refleksolojinin Etkinliğinin İncelenmesi
    Nursen BOLSOY, Ahsen ŞİRİN
    Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2020; 4(2): 124.     CrossRef
  • Effects of Auricular Acupressure on Menstrual Pain, Difficulties in Daily Life, Negative Feelings and Autonomic Nervous Responses in Female College Students
    Nan Young Kim, Min A Kim, So Eun Choi
    Journal of Korean Biological Nursing Science.2015; 17(2): 159.     CrossRef
  • Effect of Heated Red Bean Pillow Application for College Women with Dysmenorrhea
    Jeung-Im Kim
    Korean Journal of Women Health Nursing.2013; 19(2): 67.     CrossRef
  • Effects of Auricular Acupressure on Menstrual Pain, Dysmenorrhea, and Academic Stress in Women College Students
    Seung-Ok Ro, Hea-Young Lee, Jaeon Lee, Miyoung Kim
    Korean Journal of Adult Nursing.2013; 25(3): 356.     CrossRef
  • Effect of the Auricular Acupressure Therapy on Dysmenorrhea of Puberty Girls
    So Young Kim, Hyang Yeon Lee
    Korean Journal of Women Health Nursing.2010; 16(1): 20.     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
  • Effects of Artemisia A. Smoke(Ssukjahun) on Menstrual Distress, Dysmenorrhea, and Prostaglandin F2α
    Kwang Ok Lee, Sue Kim, Soon Bok Chang, Ji Soo Yoo
    Korean Journal of Women Health Nursing.2009; 15(2): 150.     CrossRef
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Effects of San-Yin-Jiao(SP6) Acupressure on Labor Pain, Delivery Time in Women during Labor
Mi Kyeong Lee
Journal of Korean Academy of Nursing 2003;33(6):753-761.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.753
AbstractAbstract PDF
Purpose

The study was done to examine the effects of San-Yin-Jiao(SP6) acupressure treatment on subjective labor pain, length of delivery time in women during labor.

Method

The study design was a randomized controlled clinical trial study using a double-blinded method. Data were collected using a structured questionnaire, a subjective labor pain scale and measurement of delivery time. The experimental group(n=29) was received SP6 acupressure and control group(n=29), SP6 touch for the duration of each uterine contraction, during 30 minutes after 3cm dilatation of cervical os.

Result

The subjective labor pain scores was significantly different between the two groups(p=0.042). The total length of delivery time in the group which had the SP6 acupressure was shorter than SP6 touch group (p=0.036).

Conclusion

These findings showed that SP6 acupressure was effective related to labor pain, length of time for delivery. SP6 acupressure during labor could be applied as an effective nursing treatment.

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  • Effects of Meridian Acupressure on Stress, Fatigue, Anxiety, and Self-Efficacy of Shiftwork Nurses in South Korea
    Youngmi Cho, Jung-Min Joo, Seyoon Kim, Sohyune Sok
    International Journal of Environmental Research and Public Health.2021; 18(8): 4199.     CrossRef
  • The effect of acupressure on labor pain and the duration of labor when applied to the SP6 point: Randomized clinical trial
    Hülya Türkmen, Esin Çeber Turfan
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
  • Acupuncture or acupressure for pain management during labour
    Caroline A Smith, Carmel T Collins, Kate M Levett, Mike Armour, Hannah G Dahlen, Aidan L Tan, Bita Mesgarpour
    Cochrane Database of Systematic Reviews.2020;[Epub]     CrossRef
  • Effects of an Experience-focused Prenatal Program on Stress, Anxiety, Childbirth Confidence, and Maternal-Fetal Attachment on Women in Their First Pregnancy
    Mira Park, Sunok Lee
    Korean Journal of Women Health Nursing.2018; 24(2): 126.     CrossRef
  • Participation in Prenatal Education, Knowledge and Attitude related to Delivery, Postpartum Care, Newborn Care in Nulliparous Women
    Mi-Young Kim, Gwang-Suk Kim, Sue Kim, Hye-Jung Lee
    Korean Journal of Women Health Nursing.2016; 22(3): 139.     CrossRef
  • Effects of a One Session Spouse-Support Enhancement Childbirth Education on Childbirth Self-Efficacy and Perception of Childbirth Experience in Women and their Husbands
    So Ye Eom, Eun Sil Kim, Hyun Jung Kim, Yang Ok Bang, Nami Chun
    Journal of Korean Academy of Nursing.2012; 42(4): 599.     CrossRef
  • Effects of a Yoga-focused Prenatal Program on Stress, Anxiety, Self Confidence and Labor Pain in Pregnant Women with In Vitro Fertilization Treatment
    Chung Sin Shim, Young-Sook Lee
    Journal of Korean Academy of Nursing.2012; 42(3): 369.     CrossRef
  • Acupuncture or acupressure for pain management in labour
    Caroline A Smith, Carmel T Collins, Caroline A Crowther, Kate M Levett
    Cochrane Database of Systematic Reviews.2011;[Epub]     CrossRef
  • The Effects of Meridian Massage on Menopausal Symptoms and Shin-Hur in Middle-aged Menopausal Women
    Kyung-Hee Yang, Kum-Sook Park, Jeong-Ran Lee
    Journal of Korean Academy of Nursing.2008; 38(1): 131.     CrossRef
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A Comparative Study on the Predictive Validity among Pressure Ulcer Risk Assessment Scales
Young Hee Lee, Ihn Sook Jeong, Seong Sook Jeon
Journal of Korean Academy of Nursing 2003;33(2):162-169.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.2.162
AbstractAbstract PDF
Purpose

This study was to compare the predictive validity of Norton Scale(1962), Cubbin & Jackson Scale(1991), and Song & Choi Scale(1991).

Method

Data were collected three times per week from 48-72hours after admission based on the four pressure sore risk assessment scales and a skin assessment tool for pressure sore on 112 intensive care unit(ICU) patients in a educational hospital Ulsan during Dec, 11, 2000 to Feb, 10, 2001. Four indices of validity and area under the curve(AUC) of receiver operating characteristic(ROC) were calculated.

Result

Based on the cut off point presented by the developer, sensitivity, specificity, positive predictive value, negative predictive value were as follows : Norton Scale : 97%, 18%, 35%, 93% respectively; Cubbin & Jackson Scale : 89%, 61%, 51%, 92%, respectively; and Song & Choi Scale : 100%, 18%, 36%, 100% respectively. Area under the curves(AUC) of receiver operating characteristic(ROC) were Norton Scale .737, Cubbin & Jackson Scale .826, Song & Choi Scale .683.

Conclusion

The Cubbin & Jackson Scale was found to be the most valid pressure sore risk assessment tool. Further studies on patients with chronic conditions may be helpful to validate this finding.

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    Hyesil Jung, Sooyoung Yoo, Seok Kim, Eunjeong Heo, Borham Kim, Ho-Young Lee, Hee Hwang
    JMIR Medical Informatics.2022; 10(3): e35104.     CrossRef
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    Min Wei, Ling Wu, Yan Chen, Qiaomei Fu, Wenyue Chen, Dongliang Yang
    Nursing in Critical Care.2020; 25(3): 165.     CrossRef
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    Ja Eun Choi, Sun-Kyung Hwang
    Journal of Korean Critical Care Nursing.2019; 12(2): 26.     CrossRef
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    Hyesil Jung, Hyeoun-Ae Park
    Western Journal of Nursing Research.2018; 40(12): 1785.     CrossRef
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    Yinji Jin, Taixian Jin, Sun-Mi Lee
    Nursing Research.2017; 66(6): 462.     CrossRef
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    Eun Young Hur, Yinji Jin, Taixian Jin, Sun-Mi Lee
    Journal of Nursing Care Quality.2017; 32(3): 242.     CrossRef
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    Seong-Hi Park, Young-Shin Lee, Young-Mi Kwon
    Western Journal of Nursing Research.2016; 38(4): 459.     CrossRef
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    Seong-Hi Park, On-Seok Lee
    Quality Improvement in Health Care.2016; 22(2): 27.     CrossRef
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    Seong-Hi Park, Yun-Kyoung Choi, Chang-Bum Kang
    Journal of Tissue Viability.2015; 24(3): 102.     CrossRef
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    Young Ok Kang, Rhayun Song
    Korean Journal of Adult Nursing.2015; 27(1): 29.     CrossRef
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    Seonhyeon Baek, Jinshi Piao, Yinji Jin, Sun‐Mi Lee
    Journal of Clinical Nursing.2014; 23(17-18): 2434.     CrossRef
  • Incidence and Associated Factors of Pressure Ulcers in Newborns
    Won-Young Choi, Hyeon-Ok Ju
    Journal of Korean Academy of Child Health Nursing.2012; 18(4): 177.     CrossRef
  • Predictive Bayesian Network Model Using Electronic Patient Records for Prevention of Hospital-Acquired Pressure Ulcers
    In Sook Cho, Eunja Chung
    Journal of Korean Academy of Nursing.2011; 41(3): 423.     CrossRef
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    InSook Cho, Maengseok Noh
    Journal of Advanced Nursing.2010; 66(2): 293.     CrossRef
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  • 14 Crossref
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Factors Predicting the Interface Pressure Related to Pressure Injury in Intensive Care Unit Patients
Ji Seon Shine, Soo Jin Kim, Ji Hyun Lee, Mi Yu
J Korean Acad Nurs 2017;47(6):794-805.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.794
AbstractAbstract PDF
Abstract Purpose

Interface pressure is a factor that contributes to the occurrence of pressure injuries. This study aimed to investigate interface pressure at common sites of pressure injury (occipital, gluteal and peritrochanteric areas), to explore the relationships among risk factors, skin condition and interface pressure, and to identify risk factors influencing interface pressure.

Methods

A total of 100 patients admitted to the intensive care unit were enrolled at a tertiary teaching hospital in Korea. Interface pressure was recorded by a scanning aid device (PalmQ). Patient data regarding age, pulmonary disease, Braden Scale score, body mass index, serum albumin, hemoglobin, mean blood pressure, body temperature, and oxygen saturation were included as risk factors. Data collected from July to September 2016 were analyzed using binary logistic regression.

Results

The mean interface pressure of the occipital, gluteal, and right and left peritrochanteric areas were 37.96 (±14.90), 41.15 (±16.04), 53.44 (±24.67), and 54.33 (±22.80) mmHg, respectively. Predictive factors for pressure injuries in the occipital area were age ≥70 years (OR 3.45, 95% confidence interval [CI]: 1.19~9.98), serum albumin deficit (OR 2.88, 95% CI: 1.00~8.26) and body temperature ≥36.5oC (OR 3.12, 95% CI: 1.17~8.17); age ≥70 years (OR 2.81, 95% CI: 1.10~7.15) in the right peritrochanteric area; and body temperature ≥36.5oC (OR 2.86, 95% CI: 1.17~6.98) in the left peritrochanteric area.

Conclusion

Our findings suggest that old age, hypoalbuminemia, and high body temperature may be contributory factors to increasing interface pressure; therefore, careful assessment and nursing care of these patients are needed to prevent pressure injury. Further studies are needed to establish cutoff values of interface pressure for patients with pressure ulcers.

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A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses
Sook Ja Lee, Ok Kyoung Park, Mi Yeon Park
J Korean Acad Nurs 2016;46(4):572-582.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.572
AbstractAbstract PDF
Purpose

The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study.

Methods

A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses.

Results

The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action.

Conclusion

The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.

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Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
J Korean Acad Nurs 2016;46(4):562-571.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.562
AbstractAbstract PDF
Purpose

In this study the costs and benefits of a home health care program were examined to evaluate the economic feasibility of the program.

Methods

The study participants included 349 patients in the community who had been registered at a home health care center for 5 years. The costs and benefits of the program were analyzed using performance data and health data. The benefits were classified as the effects of pressure ulcer care, skin wound care and catheters management. The program effect was evaluated on the change of progress using transition probability. Benefits were divided into direct benefit such as the savings in medical costs and transportation costs, and indirect benefits which included saving in productivity loss and lost future income.

Results

Participants had an average of 1.82 health problems. The input cost was KRW 36.8~153.3 million, the benefit was KRW 95.4~279.7 million. Direct benefits accounted for 53.4%~81.2%, and was higher than indirect benefits. The net benefit was greater than 0 from 2006 to 2009, and then dropped below 0 in 2010.

Conclusion

The average net benefit during 5 years was over 0 and the benefit cost ratoi was over 1.00, indicating that the home health care program si economical.

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Adaptation and Evaluation of the Incontinence Care Protocol
Kyung Hee Park, Heejung Choi
J Korean Acad Nurs 2015;45(3):357-366.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.357
AbstractAbstract PDF
Purpose

This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol.

Methods

The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity.

Results

The experimental group had significantly less severe IAD (t=6.69, p<.001), lower occurrence of pressure ulcers (χ2=7.35, p=.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p=.009) than the control group.

Conclusion

Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.

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