Nursing Intervention Program Research Articles

A Study on Eating Behavior, Depression, Anger, Anger Expression and BAS/BIS in Adolescent Women

Purpose: The descriptive correlational study was designed to examine the relationship of eating behavior to depression, trait anger, anger expression, Behavior Activation System(BAS) and Behavior Inhibition System(BIS) in adolescent women. Method: 437 women aged 15 to 18 years were recruited from two high schools located in Seoul, Korea. The instruments used were SCL's depression scale, Spielberger's state trait anger expression inventory-Korean version for trait anger and anger expression, the Korean-BAS/BIS scale for behavior activation system and behavior inhibition system, and Eating Attitude Test(EAT-26) for eating behavior. Results: The score of EAT significantly correlated with depression, trait anger, anger expression, BAS and BIS. The EAT score also had a significant relationship with anger-in and anger-out. Depression only correlated with the dieting among factors of EAT, Trait anger, anger-in and anger-out showed a significant correlation with EAT factors such as dieting and oral control. BAS significantly correlated with dieting; whereas, BIS revealed a relationship with bulimia/food preoccupation. Conclusion: Based on this results, various variables need to be included for a nursing intervention program leading to healthy diet behaviors of adolescent women.

P-38 Effects of a Nursing Intervention Program Focused on Family Function from the Terminal Stage of Pregnancy Concerning Postpartum Depression(ISPOG2007)

P-38 Effects of a Nursing Intervention Program Focused on Family Function from the Terminal Stage of Pregnancy Concerning Postpartum Depression(ISPOG2007)

A Study on the Relationship between Social Support, Health Promoting Behaviors and Depression among Unmarried Pregnant Women

Purpose: The purposes of this study were to examine the level of social support, health promoting behaviors and depression among unmarried pregnant women and to identify the relationship between social support, health promoting behaviors and depression. Method: A descriptive correlational study was conducted. The participants were 102 unmarried pregnant women receiving shelter services from four facilities in two metropolitan cities. Data was collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. Results: The level of social support and health promoting behaviors were relatively lower and the level of depression was relatively higher than those of married pregnant women. The participants received especially low social support from their unmarried partner. There was a positive relationship between social support and health promoting behaviors. Moreover, there were negative relationships between social support and depression and between health promoting behaviors and depression. Conclusions: To promote physical and emotional health of unmarried pregnant women, more attention is necessary to increase their social support. A nursing intervention program to increase social support among unmarried pregnant women in needed.

Influencing Factors of Marital Satisfaction in. Couples: Non-dlstessed Cowpies vs Clinical Couples

Purpose: This study was conducted to investigate the factors that affect the marital satisfaction in non-distressed couples and clinical couples. Methods: Non-distressed couples(n=69) from three well-being centers in Seoul and Gyeong-gi area and clinical couples(n=57) visited “M” couple clinic were participated in the study. Data were collected from June to October 2005 using modified versions of the inventories developed by Gottman on marital satisfaction, positive affect, conflict regulation, and communication aggravator(“Four Horsemen”). Results: Non distressed couples showed significantly higher scores on marital satisfaction, positive affect, and conflict regulation, but lower score on communication-aggravator compared to the clinical couples. The factors that significantly contribute to the marital satisfaction were positive affect and communication aggravator. Conclusion: Both in non-distressed couples and clinical couples, mental health education and nursing intervention programs for couple should empathize enhancing the positive affect and decreasing the communication aggravator in couples.

An integrative review of Canadian childhood obesity prevention programmes

To examine successful Canadian nursing and health promotion intervention programmes for childhood obesity prevention during gestation and infancy, an integrative review was performed of the literature from 1980 to September 2005. The following databases were used: PubMed; Cochrane Database of Systematic Reviews; Cochrane Controlled Trials Register; Database of Abstracts of Reviews of Effects; ACP Journal Club; MEDLINE; EMBASE; CINAHL; Web of Science; Scopus; Sociological Abstracts; Sport Discus; PsycInfo; ERIC and HealthStar. MeSH headings included: infancy (0-24 months), gestation, gestational diabetes, nutrition, prenatal care, pregnancy, health education, pregnancy outcome, dietary services with limits of Canadian, term birth. Of 2028 articles found, six Canadian childhood obesity prevention programmes implemented during gestation and/or infancy were found; three addressed gestational diabetes with five targeting low-income Canadian urban and/or Aboriginal populations. No intervention programmes specifically aimed to prevent childhood obesity during gestation or infancy. This paucity suggests that such a programme would be innovative and much needed in an effort to stem the alarming increase in obesity in children and adults. Any attempts either to develop new approaches or to replicate interventions used with obese adults or even older children need careful evaluation and pilot testing prior to sustained use within the perinatal period.

Improving Knowledge and Skills for Use of Medication by Patients After Stroke: Evaluation of a Nursing Intervention

The objective of this study was to determine if a tailored nursing intervention, as opposed to usual rehabilitation care, can improve knowledge and behavioral skills for correct use of medication use in aged stroke patients. Stratified random sampling created two homogenous groups: 73 intervention patients, who were provided with the nursing intervention program along with usual rehabilitation care, and 82 controls, who underwent usual rehabilitation care alone. Participants were assessed within the first week of admission to the rehabilitation ward, 3 mos after stroke (at the end of the intervention), and 6 mos after stroke. An assessment instrument measuring correct knowledge and skills concerning medications was used. After 3 and 6 mos, intervention subjects were significantly better than controls in knowledge of shape and dosage of their medications, in knowledge of side effects and correct response to side effects, and in adherence to their dietary regimen. However, for knowledge of color and daily schedule of medications, there were differences at 3 mos, but differences were diminished after 6 mos. This nursing intervention, tailored to the specific needs of the aged stroke patient, increased the patients' knowledge and skills concerning medication therapy, but to a limited extent and for a limited time.

Relationship between depression and resilience in adolescents with congenital heart disease

Purpose : The purpose of this study was to investigate the relationship between depression and resilience in adolescents with congenital heart disease(CHD) and to identify the variables associated with depression. Methods : The Resilience Scale(cronbach’s α=0.92), Children's Depression Inventory(cronbach’s α= 0.72) and Maternal Behavior Research Instrument(cronbach’s α=0.88) were applied and analyzed to assess depression and resilience among 231 adolescents after surgery for CHD from three major cardiac centers in Korea. This group consist of 114 males and 117 females. The mean age was 15.8 years(range : 13-18 years). The clinical severity of illness was rated by CHD functional index and NYHA functional class. Results : The mean score for depression and resilience was 16.74(range : 0-49) and 115.84(range : 70132) respectively. Depression was significantly related to age(r=0.25, P<0.001) and NYHA functional class(r=0.35, P<0.001), as well as being negatively correlated with oxygen saturation(r=-0.39, P< 0.001), academic achievement(r=-0.41, P<0.001), parental attitude(r=-0.49, P<0.001) and resilience (r= -0.59, P<0.001). The results of multiple regression analysis showed that parental attitude(β=-0.48, P<0.01) and resilience(β=-0.62, P<0.01) were related to depression. Conclusion : This study demonstrated that adolescents with CHD had a higher resilience and were less depressed with an affectionate parent. With respect to medical and nursing intervention programs, it is essential to identify strengths of adolescents with CHD in order to increase their resilience. Additionally, it is also important that parenting and counseling programs be implemented for the parents of adolescents with CHD. (Korean J Pediatr 2006;49:523-528)

Day surgery and recovery in women with a suspicious breast lesion: Evaluation of a psychoeducational nursing intervention

The study assessed whether a nursing intervention based on self-regulation theory, the Attentional Focus and Symptom Management Intervention (AFSMI), could help women who underwent day surgery for breast cancer to achieve better pain management and decreased emotional distress. The sample consisted of 117 patients with breast cancer who were outpatients and undergoing surgery as part of the initial treatment for their cancer. All subjects were interviewed at three different occasions. The subjects were randomized into the experimental group (n = 61) or the usual care group (control, n = 56). The subjects in the experimental group received the intervention in two sessions, 3-4 days and 10-11 days after surgery. The outcomes were the subjects' pain and emotional distress. Results showed significant differences between the experimental and control group at post-test on home management, total mood disturbance, confusion and tension scores implying that the intervention was effective in achieving these outcomes. Clinical significance has illustrated that a nursing intervention applied during immediate recovery of breast cancer surgery is quite clinically relevant to reduce emotional distress. Self-regulation theory could effectively be used as a guide in developing nursing intervention programs in practice for patients with cancer undergoing day surgery as a primary treatment.

Analysis of Smoking and Smoking Cessation Related Nursing Research in Korea and its Future Direction

The purpose of this study was to analyze the contents and trend of smoking and smoking cessation related nursing research in Korea and to suggest the directions for future research. Eight nursing professional Journals published by the Korean Academic Nursing Society and by 7--adult, community, psychiatric, fundamental, obstetrics, pediatrics, administrative--nursing societies from beginning edition to October 2005 were selected. They were examined for the proportion of published research, participants, research designs, key words, measurement tools, and the intervention outcomes in the case of the experimental research. Of the research analyzed, 87 studies were smoking and smoking cessation related research. The Journals, which had published the most number of smoking and smoking cessation research were J of Korean Academic Society, J of Korean Adult Nursing Society, J of Korean Community Nursing Society. The most popular research design was an descriptive design. The major concepts studied were related psychosocial variables. Among 87 studies, only 11 were experimental research. Research on smoking and smoking cessation in the nursing discipline are increasing. However more research to test the effectiveness of nursing intervention programs are needed.

An Intervention Program for Families With Irritable Infants

To describe and evaluate a home-based nursing intervention program, the REST routine, which incorporates the use of infant behavior assessment, pattern recognition, individualized infant schedules, specific management strategies, and parent education and support. A two-site clinical trial was conducted on 164 healthy full-term infants with excessive unexplained irritability or colic. Infants between the ages of 2 to 6 weeks were randomized to routine care or a home-based intervention program (n = 121). A third group (n = 43) of infants too old at entry for randomization (mean age = 10.4 weeks) were entered into a posttest-only group. Infants in the REST routine treatment group cried 1.3 hours per day on average following the intervention program as compared to the control group crying 3 hours per day (p = .02). Infant irritability was resolved (< 1 hour) in 62% of the treatment group while only in 29% of the control group at the time of the 8-week follow-up visit (p = .04). Families in both the treatment and control groups reported benefiting from a nurse visiting in their home to inquire about their infant and their well-being. Options for individualizing the program for those most in need of intensive home visiting and other delivery modes for the intervention are areas for further investigation.

A Qualitative Study of the Information Needs of Acute Myocardial Infarction Patients, and Their Preferences for Follow-up Contact After Discharge

Several studies have claimed that patients have unmet information needs after discharge following acute myocardial infarction (AMI). Our overall goal is to develop a post-discharge nursing intervention program to provide patients with appropriate information and support in contexts where existing follow-up services are poorly developed. To explore the information needs of inpatients with AMI and their preferences for follow-up contact after discharge from hospital. Fourteen AMI patients aged 42-69 years participated in one of three focus groups, held between 3 and 5 months after their discharge. The findings are grouped into three themes corresponding to the major topics in the interview guide: the hospital stay, coming home, and patients' follow-up preferences. The data support the findings of previous studies that there is a systemic failure to meet patients' in-hospital and post-discharge information needs. Most importantly, our participants' follow-up preferences favoured open telephone lines and telephone follow-up. The results of this study provide some of the knowledge that is necessary to improve patient information and support following AMI.

The Effects of Foot Reflexology on Fatigue and Insomnia in Patients suffering from Coal Workers' Pneumoconiosis

The purpose of this study was to determine the effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis. This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The subjects of this study consisted of both the experimental group of twenty-nine and the control group of thirty coal workers' pneumoconiosis patients. Data was collected from December 10, 2002 to February 15, 2003. Foot reflexology was performed for 60 minutes twice a week through five weeks in the experimental group, but none in the control group. To evaluate the effects of foot reflexology, the scores of fatigue and insomnia were measured before and after the experiment in both groups. Fatigue was evaluated by Fatigue Symptoms Inventory. Insomnia was measured with the visual analogue scale (VAS). Data of this experiment was analyzed by Chi-square test, t-test, unpaired t-test and Repeated Measures ANOVA with the SAS Program. The scores of fatigue and insomnia decreased in the experimental group but not in the control group. There was a significant difference of fatigue and insomnia between the two groups. It is suggested that foot reflexology might have beneficial effects on reducing fatigue and insomnia in patients suffering from coal workers' pneumoconiosis, and can be recommended as a nursing intervention program for patients with coal workers' pneumoconiosis.

Prevalence Rate and Factors of Myopia in Preschool Children

This study was aimed at providing basic data for developing a nursing intervention program which enables systematic and correct visual acuity care by discovering out visual acuity conditions, prevalence rate of myopia, and the factors related to myopia with Preschool children. The subjects of this study consisted of 519 children between 3 and 6 years of age from 12 kindergartens in Seoul which were selected through multiple cluster sampling. Myopia was defined as the spherical equivalent (SE) of more than -0.5 diopters (D) in the right eye. The data was analyzed by t-test, chi(2)-test, ANOVA, and logistic regression by using the SAS program. The prevalence rate of myopia was 8.7%. the odds ratio of child myopia when one parent had myopia was 2.2 times higher than when neither parent had myopia. The odds ratio of child myopia when reading more than three books per week was 0.27 times higher than reading less than three books. Myopia should be continuously and intensively managed from the age of 3.

Development and Evaluation of Psychoeducational Nursing Intervention Program for Improving the Quality of Life of Breast Cancer Patients in the Diagnostic and Therapeutic Stages

Development and Evaluation of Psychoeducational Nursing Intervention Program for Improving the Quality of Life of Breast Cancer Patients in the Diagnostic and Therapeutic Stages

The Effects of a Health Promotion Program for Elderly

The purpose of this study was to develop and to evaluate a health promotion program for elderly. Subjects were 63 elderly women (experimental group: 33, control group: 30). The study was a nonequivalent control group pretest-posttest design. The data was analyzed with an SPSS Window program, then the data was computed for the purpose of each study. 1. In designing the program, the experimental group was given health education--2 times per week, for 8 weeks--and they participated in recreation programs and stretching exercises five times a week. 2. Stretching exercises including health education, significantly affected the total Cholesterol, HDL-cholesterol, triglycerides, health behavior and self-efficacy. 3. The body fat weight was not significantly affected by the stretching exercises. This program was tested to promote the health of elderly and verified as an effective nursing intervention program, because the outcome of this program ascertains that this program enhances self efficacy of exercise, reduces Cholesterol and triglyceride levels' increases HDL-cholesterol, and helps promote the understanding of heath behavior.

The Effects of Coping Program of Need Profile Difference on the Nursing Students&amp;apos; Perceptive Counseling Effectiveness

Purpose: This study was to identify the effectiveness of coping program of need profile difference, which was implemented by nursing students for 10 days at G University hospital in J City. Methods: A Quasi-experimental research one group pretest-post test design was used in this study. The Subjects were 46 nursing students students(each 23 experimental and control group) who had been practiced in Psychiatric ward of G University Hospital. The instrument of this study was the Stiles &amp; Snow’s the Session Evaluation Questionare(SEQ, 1984, 1989). The data were collected from May 6th. 2003 to June 8th. 2003 in Experimental group, from June 3th. 2004 to June 26th. 2004 in control group. And the data analyzed with descriptive statistics, x -test and paired t-test and t-test. Results: The changed score of smoothness in experimental group participated in the coping program of need profile difference was higher than that of control group* was supported(t=2.49, p=.017). The changed score of depth in experimental group participated in the coping program of need profile difference was higher than that of control group' was not supported(t=1.75, p=.087). The changed score of positivity in experimental group participated in the coping program of need profile difference was higher than that of control group* was supported(t=2.79, p=.008). The score changed of arousal in experimental group participated in the coping program of need profile difference was higher than that of control group' was not supported(t= .94, p=.348). The total changed score of counseling effectiveness in experimental group participated in the coping program of need profile difference was higher than that of control group' was supported(t=2.88, p=.006).Conclusion: As a result of this study, coping program of need profile difference has a positive effect on perceptive counseling effectiveness of nursing students. Thus coping program of need profile difference could be considered an useful nursing intervention program for the nursing students &amp; psychiatric patients. And we recommend that nursing students should be trained with coping program of need profile difference during psychiatric ward practice.

Effects of Cognitive-Behavioral Program on the Anxiety and Quality of Life in Schizophrenic Patients

Purpose: This study was designed to examine the effects of cognitive-behavioral program on the problem solving ability, depression and self-esteem in the schizophrenic patients. Methods: The subjects consisted of forty-six schizophrenic patients who had been treated in Inha University Hospital and one mental hospital in Kyung-Ki Do. Twenty-two of them were assigned to the experimental group and twenty-eight to the control group.Data were collected from Nov., 2002 to Jan., 2003. The cognitive-behavioral program was conducted for the experimental group once a week for 60 minutes for weeks, and not for the control group. For both group the scores of problem-solving ability, depression and self-esteem were measured before and after experiment. The data were analysed by x2 -test, t-test, Fisher exact test, paired t-test, unpaired t-test and Pearson correlation with the SAS program. Results: 1. The scores of state anxiety significantly decreased in the experimental group(P=0.0443).The scores of trait anxiety was no significant difference within and between the two groups. 2. There was no significant difference within and between the two groups in scores of QoL. As a result of this study, cognitive-behavioral program has a positive effect on state anxiety in schizophrenic patients. Thus cognitivebehavioral program could be considered an useful nursing intervention program for the schizophrenic patients.

The Effect of the Middle-School Drinking- Prevention Program for Childrens of Alcoholics

Purpose: This study was to examine the effect of the middle-school drinking-prevention program for children of alcoholics and suggest a nursing intervention program designed to help self-esteem, coping strategies, and to emotional/behavior problem for children of alcoholism. Methods: This study was an equivalent control group pre-test and post-test design in quasi-experimental research. The total subjects of this study were 36 children of alcoholics(Exp.l), 41 children of social-drinker(Exp.2) &amp; 40 children of social-drinker(Con.) residing at M-middle School in Gwangju, 117 assigned for the experimental and control group. The experimental group 1 &amp; 2 received the middle-school drinking-prevention program, but the control group did not receive treatment. The data were collected from September, 1, 2003 to December 31, and analysed by x 2 -test, ANCOVA, ANOVA, Using the SPSS 11.0 Program. Results: In the distribution of middle school students by Parents* drinking problem, social drinker group was 243(87.1%), Alcohol abuse was 29(10.4%) and alcohol dependent was 7(2.5%) among 279 students.-There wasn't significant difference in self-esteem (F=1.275, p= 0.283) by the group. But children of alcoholics was improved in self-esteem. There was a significant difference in coping strategies (F=3.499, p=0.034) by the group(F=6.165, p= 0.003)- There was a significant difference in emotional/behavior problem (F=3.499, p=0.034) by the group. Conclusion: This middle-school drinking-prevention program will be a more effective improvement of self-esteem &amp; coping strategies and prevention of emotional/behavior problem for children of alcoholics.

Description of a nursing intervention program after an implantable cardioverter defibrillator

Background Although implantable cardioverter defibrillator (ICD) therapy has been found to be effective in preventing and treating life-threatening arrhythmias, adjusting to the ICD and resuming a normal lifestyle are often difficult. There are few intervention trials reported in the literature to aid in adjustment after receiving a primary ICD. Objective This article describes the content and structure of a nursing intervention program designed to improve physical functioning and psychologic adjustment after ICD implantation. The nursing intervention program was based on social cognitive theory and the data from a previous investigation covering 7 areas of concern after ICD implantation. Conclusion Hospital-based education programs begin the process of recovery after ICD implantation, but they must be supplemented with further interventions to return the patient to baseline physical and psychologic functioning. This is a beginning effort in deriving and testing evidence-based intervention programs for patients with an ICD.

The Change of the Mother's Stress Pattern with Time Elapse after Giving Birth to Premature Babies

This study tries to explore mothers' stress patterns and the related factors influencing mothers' stress over time after giving birth to premature babies. Eighty four mothers who had given birth to premature babies were selected from Hospitals in B city. Data was collected using a self-reporting questionnaire that the mothers' stress level. The mothers' stress after giving birth to premature babies gradually diminished and the stress pattern of mothers changed over time. Mother's age, occupation, income level, gestational period of the measures baby, weight at birth, nutrition type, lactation mode, number of complications, and existence or non-existence of an operation were analyzed as the factors that affected the mother's stress. The stress pattern of mothers giving birth to premature babies changed overtime. Based on the study results, it is considered that the nursing intervention programs should be developed in order to reduce the stress of premature baby's mothers with time elapse.