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A Study on Taegyo Types of the Pregnant Women: Q-methodological Approach
Soon Yi Kim, Chill Sun Ryu
Journal of Nurses Academic Society 1997;27(4):740-752.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.740
AbstractAbstract PDF

The purpose of this study was to identify structural patterns in the subjectivity of Taegyo in pregnant woman and to provide a basis for nursing interventions. Thirty pregnant women were the subjects of this study. They were in the gestation period of pregnancy between 12 weeks to five days post partum and they lived in the city of Taejon. The research method employed Q-methodology which is based on self-psychology and abductive logics. The results revealed three different types of the Taegyo : 1) Peaceful mind type, listening to music and appreciation of art for quietness of mind and also the support concern of husband. 2) Self control type, recognizes herself as a pregnant woman and trys to do her works spontaneously and also adapt herself to changing of circumstances. 3) Dependent oriented type. needs absolute help from the surroundings under the specific condition of pregnancy. This results show that investigating the specific experience, characteristics and structure of the Taegyo of a pregnant women can be used as a part of the nursing assessment and also provides useful basic data of nursing interventions during pregnancy.

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Lived Experience with Aging in Middle-Aged Woman
K R Shin, E S Kong, G B Kim, N C Kim, C H Kim, C K Kim, H K Kim, Y J Ro, M S Song, S Y Ahn, K J Lee, Y W Lee, S O Chang, S J Chon, N O Cho, M O Cho, K S Choi
Journal of Korean Academy of Nursing 2002;32(6):878-887.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.878
AbstractAbstract PDF

PURPOSE: This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. METHOD: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. RESULT: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. CONCLUSION: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

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A Comparative Study on Complaints of Menopausal Symptom of Nuns and Married Women
Myung Sook Yoo
Journal of Korean Academy of Nursing 2000;30(1):18-28.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.18
AbstractAbstract PDF

The Purpose of this study is to extend the understanding and knowledge of menopause by comparing menopausal symptoms of married women and nuns in order to improve health and the quality of life for women. In this study a questionnaires were distributed to 116 nuns and 121 married women, from forty to fifty nine years old in Daegu metropolitan city. This study used the measurement of menopausal symptoms (Cronbach's Alpha=0.96) corrected and complemented by this student with consideration of various literature centered around menopausal symptoms, suggested by Janette M. Perz as 51 questions including 4 realms; [mental psychological factors], [physical physiological factors], [eyesight factors], and [urinary generative factors] in order to measure the degree of menopausal symptoms. The results are as follows : 1. There was a significant difference between educational background, religion, occupation, leisure time, satisfaction of marriage or ascetic life, existence of hormonal treatment, name of medical operation, and existence of counselling about menstruation as general and physiological characteristics of the nuns' group and the married women's group. 2. The menopausal symptoms of the nuns' group and the married women's group according to order in which they were presented were; 'feeling tired and lacking in energy(1.71 points)' 'vision not clear or clouded(1.69 points)', and 'be forgetful (1.57 points)' in nuns' group. 'be forgetful (1.87 points)', 'vision not clear or clouded(1.83 points)' and 'feeling tired and lacking in energy(1.76 points)' in the married women's group. The symptoms which showed the highest rank of menopausal symptoms had a maximum score of 4 points. 3. There was a statistical a significance (t=-3.9807, p<.0001) between the two groups which showed, on an average, 57.92 points in the married women's group and 43.03 points in the nuns' group from 0 to 196 of the possible points of menopausal symptoms. In difference of menopausal symptoms by menstrual aspect of the nuns' group and the married women's group, there was statistically significant difference between the two groups, showing 44.81+/- 26.07 score in the nuns' group and 72.33+/-35.29 score in the married women's group as the mean score of the groups with no menstruation(t=-4.1132, p=0.0001). 4. The differences in menopausal symptoms with respect to the general and physiological characteristics of the nuns' group and the married women's group were that the nuns' group showed less menopausal symptoms on all the items than that of the married women's group. Finally, in these results, the married women's group showed higher menopausal symptoms than that of the nuns' group. Especially as the score of menopausal symptoms since the climacteric was very high it is confirmed to be a new phenomenon. Accordingly, it is considered to be necessary to carry out an indepth study of the factors related to establishing a strategy for nursing service.

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The Predictive Model of Adolescent Women's Depression
Young Joo Park, Hee Kyung Kim, Jung Nam Sohn, Suk Hee Cheon, Hyun Jung Shin, Young Nam Chung
Journal of Korean Academy of Nursing 1999;29(4):829-840.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.829
AbstractAbstract PDF

This study was condicted to construct a hypothetical model of depression in Korean adolescent women and validate the fit of the model to the empiricla data. The data were collected from 345 high school girls in Seoul, from May 1 to June 30, 1998. The instruments were the Body Mass Index, Physical Satisfaction Scale, Family Adaptatibility and Cohesion Evaluation Scale III, Family Satisfaction Scale, CES-D and School Adaptation Scale. The data were analyzed using descriptive statistics with the pc-SAS program. The Linear Structural Relationship(LISREL) modeling process was used to find the best fit model which would predict the causal relationships among the variables. The overall fit of the hypothetical model to the data was moderate [X2=69.6(df=17, p=.000), GFI=0.95, AGFI=0.90, RMR=0.087, NNFI=0.86, NFI=0.90]. The predictable variables, especially menstrual symptoms, physical symptoms and family function, had a significant direct effect on depression, but school life adaptation did not have a significant direct effect. These variables explained 18.1% of the total variance.

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Determinants of Smoking-Cessation Behaviors in Female University Students
Hae Won Kim
Journal of Korean Academy of Nursing 1999;29(1):48-60.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.48
AbstractAbstract PDF

This study was done to determine the factors influencing smoking-cessation behavior in female university students. a total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997. The measurement tools used in this study were the self help change process scale(Cronbach's alpha=.9930 : developed by Oh&Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale(KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers(N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool(150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p= .000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score(t=5.24, p= .000), and more openness to sex role acceptance(t=-2.15, p= .032) compared to the group with smoking experience(N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior(total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation ration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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Comparison of the Metabolic Syndrome Risk Factor Prevalence Forty and Fifty Something Women
Hee Seung Kim, Jeong Ah Oh
Journal of Korean Academy of Nursing 2007;37(4):453-458.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.453
AbstractAbstract PDF
Purpose

The purpose of this study was to compare metabolic syndrome (MS) risk factor prevalence by obesity and age in middle-aged women.

Method

Two hundred and fifty-one subjects were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel III)(ATPIII), and obesity was determined by body mass index(BMI)≥ or = 25kg/m2.

Results

The mean blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group. The prevalence of MS, hypertension, and impaired fasting glucose were significantly higher in the obese group than in the non-obese group. In the forties, blood pressure was significantly higher in the obese group than in the non-obese group. In the fifties, body fat, systolic blood pressure, fasting glucose, total cholesterol, and triglyceride were significantly higher in the obese group than in the non-obese group.

Conclusions

These results show that the nurse should focus on the obese fifty year old female patients for improvement of the MS risk factors.

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A Study on the Menopausal Symptoms and Quality of Life in Middle Aged Women
Young Hye Kim, Eun Hwa Ha, Su Jin Shin
Journal of Korean Academy of Nursing 2003;33(5):601-608.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.601
AbstractAbstract PDF
Purpose

The purpose of this study is to investigate the differences Quality of Life(QOL) according to menopausal symptoms in middle aged women.

Method

The subjects consisted of 578 women(45-60 years old) residing in urban area by convenience sampling from March 15 to May 30, 2002. The data were collected by structured questionnaire that included general characteristics, menopausal symptoms and QOL scale. the collected data were analyzed by the SPSS 11.0 program that included descriptive statistics, t-test and ANOVA.

Result

The averaged age of menopause of subjects was 48.29±4.66 years and 74.8% in the subjects complained menopausal symptoms. As for the orders of complained menopausal symptom, it was fatigue, hot flashes, benumbed hands and feet, and irritability. The mean score of the QOL scale was showing above average level of quality of life. Religion was significantly different to the score for activity of QOL, monthly income was different to the score for activity and physical well-being of QOL. Menopausal status was significantly different to the QOL.

Conclusion

This study suggests that a replicate study is needed. The results are also useful in developing various programs for health promotion of middle aged women.

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Illness Experience of Married Korean Women with Epilepsy
Young-Min Shon, Woo Joung Joung
J Korean Acad Nurs 2017;47(3):289-304.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.289
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy.

Methods

Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants.

Results

The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a ‘disqualified being’; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization.

Conclusion

The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life.

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Estrogen Attenuates the Pressor Response Mediated by the Group III Mechanoreflex
Seung-Ae Park, Jong-Kyung Kim
J Korean Acad Nurs 2011;41(2):191-196.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.191
AbstractAbstract PDF
Purpose

We investigated the effects of group III mechanoreceptors to cardiovascular responses in both pre-menopausal woman and post-menopausal woman during passive ankle dorsiflexion (PAD).

Methods

Twenty healthy volunteers (10 post-menopausal women and 10 pre-menopausal women) were recruited for this study. Stroke volume (SV), heart rate (HR), cardiac output (CO), and total vascular conductances (TVC) were measured continuously throughout the experiment. To stimulate the group III mechanoreceptors, PAD was performed for one minute.

Results

The results showed that mean arterial pressure (MAP) mediated by the mechanoreflex activation was significantly increased in both groups. However, this pressor response was significantly higher in post-menopausal women. This reflex significantly increased both SV and CO in pre-menopausal women, while there were no differences in post-menopausal women. There was no difference in HR in either group. The mechanoreflex significantly decreased TVC in post-menopausal woman, while there was no difference in pre-menopausal woman.

Conclusion

The results indicate that the excessive pressor response mediated by the mechanoreflex occurs due to overactivity of group III mechanorecptors and the mechanism is produced mainly via peripheral vasoconstriction in post-menopausal women.

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The Life of Elderly Women Living Alone
Chunmi Kim, Moon Hee Ko, Moon Jeong Kim, Joohyun Kim, Hee Ja Kim, Jin Ha Moon, Kyoung Seon Baek, Haeng-Mi Son, SangEun Oh, YoungAe Lee, Jung-Sook Choi
J Korean Acad Nurs 2008;38(5):739-747.   Published online October 12, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.739
AbstractAbstract PDF
Abstract Purpose

This study aimed to uncover the fundamental nature of living alone in female elderly.

Methods

The phenomenological research approach developed by van Manen was adopted.

Results

The theme was ‘taking a firm stand alone on the edges of life’. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children’s filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died.

Conclusion

A nurse should understand the multifarious aspects of elderly women’s life, and then intervene to consolidate their strengths for self-supporting the final years of life.

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