Effects of Psychosocial Interventions on Physical Function and Depression in Stroke Patients: Systematic Review and Meta-analysis

Jinhyang YANG(양진향),Changwan KANG(강창완),Hye-Won PARK(박혜원),Euna PARK(박은아) 한국수산해양교육학회 2021 水産海洋敎育硏究 Vol.33 No.2

말기신부전을 가진 혈액투석 환자의 건강생활에 관한 문화기술지

양진향(Yang, Jinhyang),조명옥(Cho, Myung-Ok) 한국성인간호학회 2021 성인간호학회지 Vol.33 No.2

만성 B형간염환자의 평생건강관리를 위한 모바일 앱 건강관리자용 상담매뉴얼 개발 및 평가

양진향(Yang, Jinhyang),이혜옥(Lee, Haeok),유경희(Yoo, Kyung Hee) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.1

Purpose: The purpose of this study was to develop and validate health care providers counseling manual in mobile application for lifelong health care among patients with chronic hepatitis B. Methods: The mobile application was developed using a prototyping approach and system developing life cycle method, evaluated by users for their satisfaction with the counseling manual and experts for the quality of the manual. To evaluate application of the counseling manual, knowledge and counselor self-efficacy of the subjects were measured and compared before and after application of the counseling manual. Results: There were statistically significant increases in knowledge and counselor self-efficacy in the user group. A mobile application with high accessibility and applicability including information and counseling factors can promote counseling competence of the nurse as health care provider caring chronic hepatitis B patients. Conclusion: The results of this study indicate that the counseling manual in mobile application is effective in increasing knowledge and counselor self-efficacy among nurses to promote lifelong health care among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic hepatitis B as a nursing intervention.

혈액투석 환자를 위한 온라인 자가관리 프로그램의 개발 및 평가

양진향(Yang, Jinhyang) 기본간호학회 2022 기본간호학회지 Vol.29 No.4

Purpose: This study was performed to develop and evaluate an online self-management program for enhancing hemodialysis-related knowledge, self-efficacy, ways of coping, self-management behavior, physical and mental health-related quality of life in patients with chronic kidney failure undergoing hemodialysis. Methods: The research used a quasi-experimental design with a non-equivalent control group pre-post test design with convenience sampling. The participants were 53 patients (27 in the experimental group and 26 in the control group). A pretest and posttest were conducted to measure the main variables. For the experimental group, the online self-management program, consisting of counseling-centered activities in small groups, was administered for 8 weeks. Data were analyzed using the x² test, t-test and independent/paired t-test with the SPSS 27 statistics program. Results: Statistically significant increases were found in hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life but not in passive ways of coping in the experimental group compared to the control group. Conclusion: The results of this study indicate that the online self-management program was effective in increasing hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life among patients with hemodialysis. Therefore, it can be safely utilized as a nursing intervention for patients with chronic kidney failure undergoing hemodialysis in pandemic situations with high risk of infection.

혈액투석 환자 대상 모바일 앱 기반 자가관리 프로그램의 효과

양진향(Jinhyang Yang),박정준(Jeong-Joon Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

본 연구는 혈액투석 환자를 위한 모바일 앱 기반 자가관리 프로그램을 개발하여 혈액투석 관련 지식, 자기효능감 및 자가관리행위에 미치는 효과를 평가하고자 한다. 모바일 앱은 소프트웨어 원형개발 접근법과 수명주기법을 결합하여 4단계(요구사항 사정 및 분석, 개발, 평가, 적용)를 통해 개발되었다. 본 연구대상자는 2022년 7월부터 11월까지 B시 소재 종합병원 2곳의 혈액투석실을 주 2∼3회 정기적으로 외래 방문하는 환자 51명이다. 수집된 자료는 SPSS 27.0 통계 패키지를 이용하여 기술통계, χ²-test, 독립 t-test와 paired t-test로 분석하였다. 개발된 모바일 앱에 대한 평가가 이루어졌으며, 혈액투석 환자 28명의 사용자 만족도 평가는 4.23점(5점 만점), 의료인 26명의 전문가 평가는 4.22점(5점 만점)이었다. 본 연구의 모바일 앱 기반 자가관리 프로그램을 실험군에게 4주간 적용한 후 대조군과 차이를 비교해 본 결과, 실험군이 대조군보다 혈액투석 관련 지식(t=5.13, p= .000)과 자기효능감(t=2.68, p=.010), 자가관리행위 점수(t=2.82, p=.007)가 유의하게 향상되었다. 따라서 혈액투석 환자들이 접근성과 활용성이 높은 모바일 앱 기반 자가관리 프로그램을 사용한다면 적재적소에서 필요한 정보나 기술을 습득하여 건강관리를 효과적으로 도모할 수 있을 것이다. This study was undertaken to develop a mobile app-based self-management program for hemodialysis patients and evaluate its effectiveness. The mobile app was developed through four phases (needs assessment and analysis, development, evaluation, and application) by combining the software prototyping approach with the life cycle method. The participants were 51 patients who regularly visited the hemodialysis units of two general hospitals in B City, two to three times a week, from July to November 2022. Data were analyzed using descriptive statistics, χ²-test, and independent/paired t-test with the SPSS 27 program. The developed mobile app was evaluated by 28 hemodialysis patients with a user satisfaction rating of 4.23 (out of 5) and 26 healthcare professionals with a rating of 4.22 (out of 5). After applying the mobile app-based self-management program to the experimental group for 4 weeks and comparing the difference with the control group, the experimental group showed significantly improved hemodialysis-related knowledge (t=5.13, p= .000), self-efficacy (t=2.68, p=.010), and self-management behavior (t=2.82, p=.007). Our results indicate that if hemodialysis patients use a mobile app-based self-management program with high accessibility and utilization, they will be able to effectively promote health care by acquiring the necessary information or skills in the right place and right time.

보훈대상 뇌졸중 환자의 재활동기와 영향요인

서민영(Seo, Min-Young),양진향(Yang, Jinhyang) 기본간호학회 2020 기본간호학회지 Vol.27 No.3

Purpose: Rehabilitation motivation is very important for veterans who have had a stroke because they already have primary disabilities they suffered during their official duties. The purpose of this study was to identify factors associated with the rehabilitation motivation of hospitalized veterans after a stroke. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 128 veterans hospitalized following a stroke in five veterans’ hospitals in five major cities in South Korea. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 25.0 program. Results: There were statistically significant differences in rehabilitation motivation according to monthly income and time since duagnosis. The rehabilitation motivation of these veterans showed significant positive correlations with self efficacy and social support, and a significant negative correlation with depression. Multiple regression analysis for rehabilitation motivation revealed that the significant predictors were self efficacy, family support, time since diagnosis and monthly income. These factors explained 35.6% of the variance. Conclusion: The results indicate a need to enhance self efficacy and social support to improve the rehabilitation motivation of veterans. The findings also suggest that individual characteristics through time since diagnosis and monthly income should be considered for tailored interventions related to rehabilitation motivation. Furthermore, it is necessary to develop programs enhancing self efficacy and social support to improve the rehabilitation motivation for veterans who have had a stroke.

노인환자의 수술 후 섬망에 대한 회복실 간호사의 간호수행과 영향요인

구현주(Koo, Hyunjoo),양진향(Yang, Jinhyang) 한국간호교육학회 2016 한국간호교육학회지 Vol.22 No.3

Purpose: The purpose of this study was to identify factors associated with performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 99 nurses from five urban recovery rooms. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. Results: The performance level of delirium nursing care was low because its mean score was 3.80 out of 5. Performance of nursing care was significantly positively correlated with the importance of nursing care and self-efficacy. Stepwise multiple regression analysis for performance of nursing care revealed that the most powerful predictor was the importance of nursing care. The importance of nursing care and self-efficacy explained 32.3% of the variance. Conclusion: The results indicate a need to enhance the performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. The findings also suggest that consideration be given to strategies for improving the importance of nursing care and self-efficacy in developing programs to enhance the performance level of nursing care for elderly patients with postoperative delirium.

경로당 이용 여성노인의 건강생활에 관한 문화기술지

김은하(Kim, Eunha),양진향(Yang, Jinhyang) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.3

혈액투석 환자의 스트레스와 영향 요인

김서윤(Kim, Seoyun),양진향(Yang, Jinhyang) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.3

Purpose: Patients on hemodialysis need to manage the stress of having a life-threatening condition. The purpose of this study was to identify factors associated with stress among patients on hemodialysis. Methods: The research had a cross-sectional, descriptive design using a questionnaire. The participants were 91 adult patients on hemodialysis from four dialysis centers in a large Korean city. Data were analyzed with the SAS 9.2 program using descriptive statistics, t-tests, ANOVA, and multiple regression. Results: There were statistically significant differences in stress by age, dialysis period, and change in employment status. In hemodialysis patients, stress was significantly positive correlated with fatigue and depression, but negatively correlated with self-esteem. Stepwise multiple regression analysis for stress revealed that the most powerful predictor was depression. Depression and fatigue explained 32.5% of the variance. Conclusion: The results indicate a need to manage the stress of these patients. The findings also suggest that consideration be given to characteristics of age, dialysis period, and employment status in developing strategies to reduce depression and fatigue and developing programs to manage the stress of patients on hemodialysis.

생체 신장 공여자의 공여 후 적응 경험

강다해솜(Kang, Da-Hai-Som),양진향(Yang, Jinhyang) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.2