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지역사회 독거노인의 건강관리 및 일상생활지원 서비스 경험: 포커스 그룹을 활용한 주제 분석 연구
박연환(Park, Yeon-Hwan),임경춘(Lim, Kyung-Choon),조비룡(Cho, Be Long),고하나(Ko, Hana),이유미(Yi, Yu Mi),노은영(Noh, Eun-Young),류소임(Ryu, So-Im),장선주(Chang, Sun Ju) 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3
Purpose: The purpose of this study was to describe the experiences and needs for healthcare and daily life support services in community-dwelling elders living alone. Methods: A focus group interviewing approach was adopted for this study. From November 13 to 14, 2018, three focus groups with a total of 22 elders living alone were interviewed using semi-structured research questions. The collected data were analyzed using thematic analysis. Results: From the analysis, three main themes and six sub-themes emerged. One main theme was “complaints about lack of information”. Another theme was “pros and cons of service experiences”. The other theme was “needs for recipient-centered services”. Conclusion: The findings of the study provide deep understanding on the experiences of healthcare and daily life support services for elders living alone. Healthcare providers should be aware of these experiences and the needs of elders living alone when they develop elder-tailored integrative programs.
코로나19 확진 간호사의 롱코비드(long COVID) 증상과 관련 요인
박가은(Park, Ga Eun),박연환(Park, Yeon-Hwan) 한국간호교육학회 2024 한국간호교육학회지 Vol.30 No.1
Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had significant physical and psychological impacts on registered nurses (RNs). This study aimed to identify long COVID symptoms and their associated factors specifically among RNs. Methods: This descriptive correlational study’s sample comprised 189 nurses (31.57±5.98 years, 93.7% female) in Korea. Self-reported long COVID symptoms were assessed using the COVID-19 Yorkshire Rehabilitation Scale. Data were collected from December 31, 2022, to January 13, 2023, using the online survey method and were analyzed using independent t-test, Wilcoxon signed-rank test, one-way ANOVA, Pearson’s correlation, and a multiple linear regression analysis with the IBM SPSS Statistics 26.0 program. Results: A total of 179 participants (94.7%) experienced one or more long COVID symptoms. The most prevalent symptoms were weakness (77.8%), fatigue (68.3%), breathlessness (67.7%), cough/throat sensitivity/voice change (50.3%), and sleep problems (50.3%). The factors related to long COVID symptoms were marital status, type of institution, working time, acute COVID-19 symptoms, and vaccination status. The quarantine period (β=.26, p<.001) and the nursing workforce after COVID-19 (β=-.17, p=.018) were significantly associated with long COVID symptoms (Adjusted R²=.33). Conclusion: Providing comprehensive recognition is necessary for the understanding of long COVID symptoms and their associated factors among nurses and could promote a long COVID symptom management education program targeted at nurses. Moreover, it could facilitate effective nursing care and education plans for long COVID patients.
만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과
박초롱(Park, Chorong),송미순(Song, Misoon),조비룡(Cho, Belong),임재영(Lim, Jaeyoung),송욱(Song, Wook),장희경(Chang, HeeKyung),박연환(Park, Yeon-Hwan) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.2
Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.
박정윤(Park Jeong Yun),박연환(Park Yeon-Hwan) 대한종양간호학회 2011 Asian Oncology Nursing Vol.11 No.1
Purpose: The purpose of this study was to identify the types of venous access devices (VAD) for cancer patients and investigate the factors related to the insertions of central venous catheter (CVC) in cancer patients. Methods: The subjects were 379 cancer patients. A retrospective review of all patients who were discharged from a cancer unit from November 1st to 21st in 2008 was done using a structured questionnaire. Results: A total of 82 CVC (21.6%) was inserted among 379 patients for administering anticancer therapy. There were statistically significant differences in age, length of stay (LOS), cumulative LOS, medical department, history of CVC insertion, cancer category, and albumin level between patients using peripheral intravenous (IV) catheters and CVC. In addition, factors influencing the use of CVC were LOS (odds ratio [OR]=0.286, confidence interval [CI]=1.043-1.124), history of CVC insertion (OR=3.920, CI=0.128-0.637), albumin level (OR=1.010, CI=1.879-8.179), cumulative LOS (OR=1.010, CI=1.001-1.018), and hematological diseases (OR=4.863, CI=2.162-10.925). Conclusion: We found that central venous catheterization for anticancer therapy was minimal even though CVC was safe and effective device for Ⅳ access. It is necessary to develop a strategy to use VADs efficiently and timely for cancer patients.