Nursing Intervention Program Research Articles

Effects of a Maternal Role Adjustment Program on First-time Mothers.

To investigate the effect of a maternal role adjustment program on first-time mothers. The research was quasi-experimental with a non-equivalent control group non-synchronized design. Participants were first-time mothers admitted to two postpartum clinics at women's hospitals. The experimental group had 38 mothers and the control group had 35 mothers. A maternal role adjustment program was applied individually to the experimental group between the 1st and 2nd weeks after childbirth. Assessing Adaptation to Motherhood, Semantic Differential Scale-Myself as Mother, and Edinburgh Postnatal Depression Scale were used to measure effects of the program. A pre-test was conducted in the 1st week after childbirth while post-tests were conducted in the 4th and 6th weeks. Data were analyzed with χ2 test, Fisher's exact test, t-test, and repeated measures ANOVA using SPSS 24.0. Maternal role adjustment (F=6.17, p=.015) and maternal identity (F=6.63, p=.012) were significantly increased in the experimental group compared to those in the control group. However, the difference in postpartum depression (F=1.11, p=.335) was not statistically significant between the two groups. The maternal role adjustment program can be utilized as an effective nursing intervention program to enhance maternal role adjustment and maternal identity for first-time mothers.

Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems

Purpose: The purpose of this study was to test the mediating effect of depression on the relationship between gambling severity and cognitive distortion in Koreans with a gambling disorder. Methods: Secondary data from a comprehensive assessment of problematic gambling between 2015 and 2017 on Korea Center on Gambling Problems were used. The subjects in this study were 254 Koreans with that gambling disorder. Data were collected with self-report structured questionnaires which included individual characteristics, the Korean version of Problem Gambling Severity Index, the Center for the Epidemiologic Studies Depression, and the Gambling Related Cognitions Scale. Data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA with the Scheffe test, Pearson’s correlation coefficients, and a mediation analysis of the Baron and Kenny method with the SPSS 22.0 program. Results: Significant correlations emerged among the three variables, gambling severity, depression, and cognitive distortion. Depression exerted a partial mediating effect (β=.20, p<.001) on the relationship between gambling severity and cognitive distortion (Sobel test: z=2.33, p=.012). Conclusion: Based on this study’s findings, nursing intervention programs focused on managing gambling severity and decreasing depression are highly recommended to alleviate cognitive distortion in people with a gambling disorder.

Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients

Purpose: The purpose of this study is to identify factors influencing burnout in primary family caregivers of Home Health Care Patients. Methods: Data were collected from 121 primary family caregivers of home health care patients in three different hospitals in ‘D’ metropolitan city and the study was conducted from August 10, 2016 to January 17, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s Correlation Coefficient, Stepwise Multiple Linear Regression. Results: Mean scores for the nursing needs of the participants were 3.54±0.79, the family functions were 1.24±0.58, the burnouts were 2.74±0.49. The burnouts were positively correlated with the nursing needs but inversely correlated with the family function. The factor that had the greatest influence on the burnouts of primary family caregivers of Home Health Care was family function (β=-.245, p=.001), followed by patients'' daily activity (β=-.213, p=.014), age (β=.208, p=.032), monthly nursing services cost (β=-.196, p=.044) and nursing needs (β=.129, p=.014). The Explanatory Power of Models was 23%. Conclusion: Individually customized home care nursing intervention programs are required to be provided in accordance with patient''s family function and daily activity, monthly home care nursing service cost, nursing needs and general characteristics of primary caregivers of Home Health Care Patients such as their age, the number of family members living together, sex and the name of disease.

Stigma and Distress among Cancer Patients: The Mediating Effect of Self-blame

Purpose: The purpose of this study was to identify the mediating effect of reported self-blame in the relationship between stigma and distress among cancer patients. Methods: A convenience sample of 247 inpatients and outpatients diagnosed with one of the five major cancers was recruited. A cross-sectional survey design was used. Data were collected from June 2013 to November 2013. The instruments used for data collection were the Korean Cancer Stigma Scale, the Psychological Symptom Inventory, and the Social Shame and Guilt Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score reported for cancer stigma was 35.34, the mean score for distress was 13.77, and the mean for self-blame was 19.25. There was a significant correlation among stigma, distress, and self-blame. Self-blame was directly affected by stigma (R2=34.3%). Distress was directly affected by stigma (R2=13.0%). Stigma and self-blame impacted reported distress (R2=20.9%). Self-blame had a partial mediating effect (β=.35, p<.001) in the relationship between stigma and distress (Sobel test: Z=3.64, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on reducing stigma and decreasing self-blame may relieve the distress reported by patients with cancer.

Factors Influencing Resilience in Hospitalized Patients with Stroke

Purpose: The purpose of this study was to identify the factors influencing resilience of patients with stroke. Methods: A cross-sectional descriptive research design was used. The subjects of this study were 136 hospitalized patients with stroke in Dankook university hospital in Cheonan, Korea. Data were collected from August 2016 to March 2017 using a structured questionnaire including patient’s characteristics, depression, uncertainty, social support, self-efficacy, and resilience. Data were analyzed using the SPSS/WIN 21.0 program for descriptive statistics, using independent t-test, one way analysis of variance, Pearson"s correlation coefficient, and multiple regression. Results: Resilience had a statistically significant relationship with education (t=-2.17, p=.032), duration of diagnosis (F=4.09, p=.019), and mobility (F=4.44, p=.014). Further, depression (r=-.30, p<.001), self-efficacy (r=.44, p<.001), and social support (r=.37, p<.001) were significantly correlated with resilience. In the multiple regression analysis, self-efficacy and social support were statistically significant factors that explained 30.3% of variance of resilience in hospitalized patients with stroke. Depression and uncertainty were not found to be significant. Conclusion: The results of the study indicate that factors influencing resilience are self-efficacy and social support. Therefore, nursing intervention programs for increasing the resilience should include strategies for improving self-efficacy and social support for hospitalized patients with stroke.

Effect of Nursing Intervention Program on Minimizing Dysphagia for Post Stroke Patients

Dysphagia is a very common and most frequently complaint among patients with stroke.Aim of the study: Assess effect of nursing intervention program on minimizing dysphagia for post stroke patients through: Designing nursing intervention program, implementing nursing intervention program and investigating the effect of nursing intervention program on minimizing dysphagia for post stroke patients. Subject and Methods: A quiz experimental research design was utilized in this study. The Sample was of 60 adult patients divided into (30) study and (30) control group. Setting The study was conducted in the neurology department, neurology out patients clinic and physiotherapy department at Assiut University Hospital. Tools of data collection: An interviewing questionnaire and the Gugging Swallowing Screen test. Result: the present study revealed that the highest percentage of studied sample was between the age 41 –60 years and was male. Study group was showed a good improvement in swallowing ability afterImplementing nursing intervention program. there were significance relation between swallowing ability and sex for both study and control group. Conclusion: it could be concluded that the implementing nursing intervention program improving swallowing ability for study groupcompared with the control group. Recommendations: Further research on a larger probability sample acquired from different geographical areas in Egypt for generalization.

Factors Related to Parenting Satisfaction among Mothers of Preschoolers

Purpose The purpose of this study was to identify factors related to level of satisfaction among mothers of preschoolers. Methods Participants were 359 mothers of firstborn healthy preschoolers. The questionnaires were collected from August 1 to November 21, 2012. Data were analyzed using SPSS 20.0. Results The mean score for degree of mothers’ parenting satisfaction was 5.94 out of 7. There were significant differences in the level of parenting satisfaction according to mother’s job (t=2.48, p=.014), planned pregnancy (t=3.07, p=.002), number of children (t=2.22, p=.027), and parenting education (F=4.33, p=.005). The environmental variables of age of spouse (F=3.06, p=.048) and monthly income of the household (F=2.87, p=.036) also seemed to have an influence. Analysis of predictors such as the mother’s job, planned pregnancy, parenting education, overall health problems, parenting stress, perception of emotional status and behaviors in children, age of spouse, and spouse’s support explained 31.5% of the variance in mother’s parenting satisfaction. Conclusion The results suggest a need to develop nursing intervention programs for parenting stress reduction, and health programs for fathers to support mothers’ child rearing. Key words: ë¶€ëª¨ì—­í• ; 만족도; 양육 ìŠ¤íŠ¸ë ˆìŠ¤; ì–‘ìœ¡ì‹ ë ; 양육환경 Key words: Parenting; Satisfaction; Stress; Trust; Environment

Effect of Specific Nursing Intervention Programme on Relapse Prevention of Clients with Alcohol Dependence Syndrome

Effect of Specific Nursing Intervention Programme on Relapse Prevention of Clients with Alcohol Dependence Syndrome

EFFECTIVENESS OF NON-PHARMACOLOGICAL NURSING INTERVENTION PROGRAM ON FEMALE PATIENTS WITH RHEUMATOID ARTHRITIS

Aim: The aim of study was to evaluate the effectiveness of non-pharmacological nursing intervention programs on female patients with rheumatoid arthritis. Design: A quasi-experimental design was used in this study. Methods: Pre-post follow-up assessment of outcome was used in this study. The study was conducted in the inpatient and outpatient clinics of rheumatology and rehabilitation at Zagazig University Hospitals, Egypt. Results: There was a significant improvement in knowledge and practice of patients with RA in the post and follow-up phase of the program in the intervention group. In addition, the patients showed a high level of independence regarding ability to perform ADL. There was a statistically significant decrease in disability for patients in the intervention group. Conclusion: It is recommended that non-pharmacological intervention programs be implemented for patients with RA in different settings to help reduce the number of patients complaining of pain and disability.

Factors Influencing Health-related Quality of Life among Knee or Hip Arthroplasty Patients

Purpose The purpose of this research was to identify factors that influence health-related quality of life of patients who have had knee or hip arthroplasty. Factors included sleep disorders, pain, activities of daily living, and depression. Methods The participants in this research were 97 patients within one year after receiving knee or hip arthroplasty surgery and who regularly visited a hospital outpatient department. Data were analyzed using descriptive statistics, t-test, ANOVA, and stepwise regression analysis with the SPSS program. Results Sleep disorders, pain, activities of daily living, and depression had significant correlations with health related quality of life. Factors influencing health-related quality of life among arthroplasty patients were the length of time since surgery, sleep disorders, activities of daily living, and depression. These factors explained 58% of the participants' health-related quality of life. Conclusion The results show that various factors can affect patients' health-related quality of life following joint replacement surgery. The findings indicate that sleep disorders and depression should receive continued attention after the arthroplasty. It is also necessary to develop appropriate nursing intervention programs to lower depression and increase patient participation in daily living activities. 주요어: ê´€ì ˆì¹˜í™˜ìˆ , 건강 ê´€ë ¨ 삶의 질, 수면 ìž¥ì• , 통증, 우울 Key words: Arthroplasty, Health-related quality of life, Sleep disorders, Pain, Depression

A Structural Equation Model on Quality of Life of Mothers of Children with Attention Deficit Hyperactivity Disorder

Purpose The aim of this study was to explore how characteristics of ADHD children affect social support for mothers, parenting stress, parenting sense of competence, coping, and quality of life. The conceptual model was based on the Lazarus and Folkman’s stress-evaluation-coping theory. Methods Data were collected 208 mothers of children with ADHD. Data were analysed using SPSS 18.0 and AMOS 18.0 programs. Results The proposed model was good fit for the data based on the model fit indices. Parenting stress, parenting sense of competence and coping directly affected quality of life but characteristics of the children and social support had only an indirect effect. The explanatory power of these variables was 52.1%. Conclusion The results of this study indicate that nursing strategies to increase social support for mothers with ADHD children, lowers parenting stress, improves parenting sense of competence, and guides the parents to choose appropriate coping. In particular, as social support has the strongest influence on the quality of life, it is necessary to develop nursing intervention programs that utilize social support for parents with ADHD children. Key words: ì£¼ì˜ë ¥ê²°í•ê³¼ìž‰í–‰ë™ìž¥ì• ; 양육; 어머니; 삶의 질 Key words: ADHD (Attention deficit hyperactivity disorder); Parenting; Mother; Quality of life

지역사회 노인 고혈압 환자의 건강정보이해능력이 고혈압 자가관리행위에 미치는 영향

Objectives: This study thus set out to examine the health literacy and self-care behaviors of community-dwelling elderly patients with hypertension and investigate their relations and influential factors, thus providing basic data to develop a nursing intervention program to promote self-care behaviors among hypertension patients. Methods: The subjects include 180 hypertension patients using community health centers, public senior centers, and welfare centers in Jeju. Results: The subjects scored a mean of 49.8 (<TEX>${\pm}12.4$</TEX>) points on health literacy and 55.8 (<TEX>${\pm}6.7$</TEX>) points on self-care behaviors. In the results of hierarchical regression analysis, health literacy independently predicted self-care behaviors (<TEX>${\beta}=.12$</TEX>, p=.050) after controlling for general characteristics, hypertension-related knowledge and self-efficacy. Conclusions: These results suggest that interventions for improving health literacy are important to enhance elder's ability of self-care behaviors. It is necessary to understand the health literacy of elderly patients with hypertension before providing them with educational intervention and information and to develop appropriate educational materials and intervention programs.

1年間の生活習慣改善プログラムが学童の肥満度、自己効力感、ソーシャルサポート、生活習慣の認識・行動に及ぼす変化

1年間の生活習慣改善プログラムが学童の肥満度、自己効力感、ソーシャルサポート、生活習慣の認識・行動に及ぼす変化

思春期1型糖尿病患児へのメンタリングを用いた看護介入プログラムの効果(第2報) : 青年期患者のメンタリングの実際とメンターとしての経験

思春期1型糖尿病患児へのメンタリングを用いた看護介入プログラムの効果(第2報) : 青年期患者のメンタリングの実際とメンターとしての経験

思春期1型糖尿病患児へのメンタリングを用いた看護介入プログラムの効果(第1報) : 看護介入プログラムの開発と思春期患児への介入効果

思春期1型糖尿病患児へのメンタリングを用いた看護介入プログラムの効果(第1報) : 看護介入プログラムの開発と思春期患児への介入効果

Effect of Nursing Intervention Program on Interferone side Effects among Hepatitis C Patients

Interferone treatment for chronic hepatitis C produces a number of well-described side effects that are dominated by fatigue, ini¬‚uenza-like symptoms, hematologic abnormalities, and neuropsychiatric symptoms. The study aims to assess effect of nursing intervention program on interferone side effects among hepatitis C patients.  Material and method: A convenience sample of 100 hepatitis C patients of both sexes in liver institute – Menoufia University was selected for data collection. Tools for data collection included Tool 1: Structured interview questionnaire. It includes 3 parts to assess medical data, lab investigation, and side effect. Tool 2 : patient  knowledge questionnaire . Tool 3: Health Related Quality of Life (HRQOL). Results: All studied sample had several complains related to Interferon before giving the nursing management. Also there were statistical significance differences in all laboratory findings. There were statistical significant improvement of the knowledge and quality of life after 3 and 12 months from beginning of the study. Also, there was significant reduction in side effect of interferone therapy after 12 months from beginning of the study. Conclusion: nursing intervention and knowledge about chronic hepatitis C, its treatment and management of Interferon related side effects seemed to have positive effects on improving patient's knowledge about diseases and managing side effects of treatment and self-care modalities that reflected by improvement in laboratory findings, patients complain quality of life. Recommendation: Promotion & enhancement of the self-care modalities to the patient; a strict written instruction with pictures about disease process, prohibited and allowed foods, rest and physical activities and follow up should be continued after termination of the treatment through a rehabilitation program.

Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt

Ethical standards offer a context for behavior assessment, and nursing principles which influence nurses’ goals, and approaches with patient care. The aim of this study to evaluate the Impact of Integrated ethics program on nurses practices in health centers at rural areas in Fayoum region, Egypt. A quasi-experimental design with pre and post-test was utilized. Convenience sample were used to collect 70 nurses from three maternal and child health centers in Fayoum region. Two tools were used to collect the data, First: Self-administered interview questionnaire. Second: A structured practice observational check list to assess nurses' practices. The main results, there was an improvement after the nursing intervention program in all aspects. Concerning nurses' knowledge there was 88.6% of them satisfactory pre- intervention while, post program they became 100.0% have satisfactory knowledge. The present study concluded that, implementation of the integrated ethics program had an efficient improving nurses' knowledge, and practice regarding integrated ethics in the rural areas, with highly statically significant differences in all the tested items between pre/post program implementation (P < 0.001). The study recommended to establishment of in- service training programs, and continuous supervision in rural areas to raise nurses awareness regarding Integrated Ethics and motivate them.

Smartphone Addiction and Depression: The Mediating Effects of Self-esteem and Resilience among Middle School Students

Purpose: The aim of this research is to examine the moderating effects of self-esteem and resilience in the relationship between smartphone addiction and depression among middle school students. Methods: Data were collected from 324 middle school students in D City during the period of July 1st-17th, 2015. Multiple regression analysis, the Baron & Kenny’s mediation verification, and Sobel test were conducted to measure the mediating effects of self-esteem and resilience on depression. Results: There were significant correlations among the variables; smartphone addiction, self-esteem, resilience, and depression. Self-esteem had a complete mediating effect (β=-.40, p<.001) in the relationship between smartphone addiction and depression (Sobel test: Z=4.68, p<.001). Resilience had a partial mediating effect (β=-.15, p<.001) in the relationship between smartphone addiction and depression (Sobel test: Z=2.40, p<.001). Conclusion: This study suggests to apply self-esteem and resilience in developing nursing intervention programs for adolescent depression caused by smartphone addiction.

Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior

Purpose: The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior. Methods: Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination. Results: The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom (R2=8%). Cognitive decline was directly affected by menopausal symptom (R2=11%). Menopausal symptom (β=.33, p<.001) and health promotion behavior (β=-.21, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.

Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy

This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. The goodness of fit measures of the final hypothetical model were as follows: χ²/df=2.51, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.