Effects of Self-Care Intervention on Self-Care and Health Outcomes in Patients with Heart Failure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

류세앙,김윤희 전남대학교 간호과학연구소 2022 Nursing and Health Issues(NHI) Vol.27 No.2

This review aimed to determine the effectiveness of self-care intervention in patients with heart failure. Methods: An electronic database search was conducted with PubMed, OVID-MEDLINE, EMBASE, CENTRAL, Google Scholar, and hand searches from February 1 to 4, 2021. Two reviewers independently selected the studies, assessed their methodological quality, and extracted relevant data. We conducted a meta-analysis of the effect of self-care versus usual care using R 4.1.0 and summarized the results of intervention from the included studies. Results: Of the 6,368 articles identified, 55 randomized control trials met the inclusion criteria for review. Self-care interventions significantly improved self-care (SMD=0.87 [95% CI: 0.70, 1.03]). In the subdomain of self-care, it was effective in improving self-care behavior (SMD=0.80 [95% CI: 0.59, 1.02]), self-care maintenance (SMD=0.99 [95% CI: 0.59, 1.38]), self-care management (SMD=1.03 [95% CI: 0.60, 1.46]), and self-care confidence (SMD=0.63 [95% CI: 0.33, 0.93]). There was a significant improvement in quality of life (SMD=0.53 [95% CI: 0.27, 0.79]) and mortality (OR=0.70 [95% CI: 0.50, 0.95]). However, the pooled effects of readmission rate (OR=0.80 [95% CI: 0.59, 1.09]) were not significant. Conclusion: This review provided evidence that self-care intervention in patients with heart failure effectively improves self-care, reduces mortality, and improves the quality of life.

라이프케어 증진을 위한 뇌졸중 환자의 자가간호 이행 영향요인

류세앙,김화영,나은하 한국엔터테인먼트산업학회 2018 한국엔터테인먼트산업학회논문지 Vol.12 No.4

본 연구는 라이프케어 증진을 위하여 뇌졸중 환자를 대상으로 이차 발병을 예방하기 위하여 자가간호이행의 정도를 확인하고 영향 요인을 알아보고자 시도되었다. 대상자는 뇌졸중으로 요양병원에 입원 중인 환자 188명을 대상으로 2017년 8월부터 10월까지자기보고식 구조화된 설문지를 이용하여 설문조사를실시하였다. 수집된 자료의 분석은 SPSS 21.0 프로그램을 이용하여 t-test, ANOVA, 상관관계 및 다중회귀분석을 실시하였다. 연구결과에 의하면 대상자의 평균연령은 58.9세이며 유병기간은 2.34년이었다. 대상자들의 자가간호 이행은 일반적인 특성 중 나이, 교육수준, 동거인, 직업, 월평균수입과 유병기간과 유의하였으며, 건강신념, 사회적 지지와는 양의 상관관계를 우울과는 음의 상관관계를 나타내었다. 다중회귀분석의 결과 뇌졸중 대상자의 라이프케어 증진을 위한 자가간호 이행에는 자기효능감이 가장 큰 영향을미쳤으며 다음으로 유병기간과 사회적 지지가 영향을 미쳤다 (F=87.46, p<.01, Adjusted R2=.58). 이상의 연구결과를 바탕으로 뇌졸중 환자의 간호실무에서 라이프케어 증진을 위한 자가간호 이행을높일 수 있는 간호 중재를 계획할 때 유병기간과 관련하여 사회적 지지와 자기효능감을 강화한 총제적인 접근이 필요할 것으로 생각되며 자기간호 이행을높이기 위해 입원 생활과 관련된 중재 프로그램의개발 및 적용이 필요할 것으로 생각된다.

정신간호사의 회복에 대한 인식, 자아존중감, 역할수행이 직무만족에 미치는 영향

류세앙,문소현,최정숙,김부희 한국간호과학회 간호행정학회 2012 간호행정학회지 Vol.18 No.4

Purpose: The purpose of this study was to identify perception of recovery, self-esteem, role performance, job satisfaction and factors influencing job satisfaction of psychiatric mental heath nurses. Methods: Data were collected from 161 psychiatric nurses from G city & J province who understood the purpose of the study and agreed to participate. Data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient, and multiple regression with SPSS 18.0. Results: There were significant differences in job satisfaction between upper 25% and lower 25% group for perception of recovery, self-esteem, and role performance. Results from the multiple regression analysis revealed difference in the related factors and in the magnitude of the relationship evaluated by standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, were role performance, self esteem, roles and responsibilities in recovery, expectations regarding recovery in perception of recovery. These variables accounted for 16% of job satisfaction. Conclusion: Results indicate that to improve psychiatric nurses' job satisfaction, there is a need to develop programs including personal qualities and perception of recovery. Further research is necessary in order to establish consensus on roles of the related factors of job satisfaction.

간호계와 비간호계 대학생의 장기 및 인체조직 기증에 대한 지식, 태도 및 기증 의향 비교

류세앙 전남대학교 간호과학연구소 2018 Nursing and Health Issues(NHI) Vol.23 No.1

Abstract Purpose: This study investigated knowledge, attitude, and Intention for organ and human tissue donation of college students. Methods: The study subjects were 499 students who majored in the nursing and non-nursing in three universities at one city. The data were collected from self-administerd questionnaire scales of knowledge, attitude, and intention toward organ and human tissue donation. The data was analyzed with descriptive analysis, x2 test and t-test. Results: The percentage of knowledge about organ and tissue donation was 51% and 41%, attitude 76% and 73%, and intention 60% and 58%, respectively. There was a significant difference between the nursing and nursing college students in the knowledge of organ donation (t=3.41, p<.010) and human tissue donation knowledge(t=3.41, p<.010). On the other hand, attitudes toward organ donation (t=1.35, p=.180) and intention(t=-1.16, p=.250), (t=-1.72, p=.090), there was no difference between nursing and non-nursing college students. Conclusion: In order to change the knowledge, attitudes and donation intentions of organs and tissue donation, various experiences and programs related to organ and tissue donation should be provided to university students, especially education for nursing students, which should be integrated into the regular curriculum efforts are required.

기본간호학 교과서의 근거기반 도뇨관련 요로감염예방 가이드라인에 대한 반영 현황

류세앙,김윤희,장금성,최자윤,정경희,양진주,박순주,박현영 한국성인간호학회 2016 성인간호학회 학술대회 Vol.2016 No.11

중환자의 정맥혈전색전증을 예방하기 위한 간헐적공기압박장치 중재의 특성과 효과: 무작위대조임상시험의 체계적고찰

류세앙,김남영,김윤희 한국성인간호학회 2023 성인간호학회 학술대회 Vol.2023 No.7

인지장애노인의 요실금에 대한 고찰

류세앙 동신대학교 2006 論文集 Vol.16 No.-

This research was performed to review on urinary incontinence of the cognitively impaired older adults. There was use of diaper or habits practice for a management of urinary incontinence that is one of major problem in nursing at the long term care facilities, which could lead to a physical and emotional problem of the patients and caregivers. Self-management strategies like pelvic muscle exercise and biofeedback were proved the effectiveness on urinary incontinence who were the cognitively intact and ambulatory adult. However it is difficult to apply those for the cognitively or physically impaired elderly as the strategies need cognitive ability for learning and performing, Because of this limitation, caregiver-dependent strategies like scheduled toileting, habit training and prompted voiding are usually recommended for management of urinary incontinence of the cognitively impaired older adults. Prompted voiding involves asking residents at regular intervals if they need to void and if so, they are helped in toileting, which is to assist them to void using appropriate toileting receptacles before the resident urinate involuntarily on the clothing, bed or diaper. So it has advantage of involving the elderly in decision making of their care, and has merit of keeping dignity of individual as they maintain almost normal voiding. Conclusively, this implies that the individual could maintain a certain level of continence if appropriate toileting opportunity given, although the elderly has impaired cognition and mobility. But, Important factors of successful implementation of prompted voiding were as followed. First, there must be a subject selection process for appropriate for prompted voiding. Second, identify subject's voiding pattern and schedule individually. Lastly, give a positive feedback, when the resident request toileting assistance, or maintain continence status, or use toileting receptacles properly. I hope to develope a practical prompted voiding protocol based on this results and to perform it for cognitively and physically dependent older adults.

국내 근거기반간호연구의 동향

류세앙(Ryu, Seang),윤순원(Yun, Sun Weon),김윤숙(Kim, Yun Sook) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.4

Purpose: The purpose of this study was to analyze the current status of research related to evidence-based nursing and to suggest directions for the future of evidence-based nursing practice, education and research. Methods: A search was done of 20 research publications, including domestic nursing journals, nursing master"s theses and doctoral dissertations before November 2016. Finally, 183 studies were selected. The selected papers were analyzed using descriptive statistics and x<SUP>2</SUP> test with the SPSS/WIN 18.0 program. Results: Most of papers examined in this study were journal articles (80.9%). Meta-analysis (35.0%) was the most common study design. Methodological characteristics were as follows: before 2010 about 5% were documents that suggested Priori’ design, generation of PICO, search strategy, quality assessment and description of quality assessment outcome, but after 2011, these designs increased to 30.8%, 73.1%, 41.0%, 91.0% and 65.4%, respectively. The most frequent topics for evidence- based nursing implementation were evidence-based nursing readiness (16 papers). Highest frequency topics in systematic reviews and meta-analysis were studies that confirmed the intervention effect of exercise programs. The highest frequency topics in guideline were temperature control. Conclusion: Researchers" perceptions to improve research methodological quality and education to strengthen the research capability are necessary.

종합병원 간호사의 근거기반실무 준비도와 근거기반실무 역량의 영향 요인

류세앙(Ryu, Seang),김윤숙(Kim, Yun-Sook),김윤희(Kim, Yun Hee) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.5

Purpose: The study was done to verify evidence-based practice (EBP) readiness and factors contributing to EBP competency in general hospital nurses. Methods: Participants were 219 nurses working in 7 general hospitals in G-city and J Province. Data were collected from May 12 to May 28, 2015 and analyzed using one-way ANOVA, Pearson’s correlation and stepwise multiple regression. Results: Mean score for EBP competency was 3.89±0.83, for critical thinking disposition, 3.35±0.36, for EBP attitude, 3.53±0.66, for beliefs about value of EBP, 3.42±0.56, for ability in research performance, 2.86±0.57, for time to devote to EBP, 2.57±0.69 and for organization support for EBP, 3.36±0.46. EBP competency was significantly correlated with critical thinking disposition (r=.37, p<.001), beliefs about value of EBP (r=.43, p<.001), ability in research performance (r=.44, p<.001), and time to devote to EBP(r=.33, p<.001). Factors influencing EBP competency in general hospital nurses were research performance (β=.29, p<.001), beliefs about value of EBP (β=.24, p<.001), critical thinking disposition (β=.15, p=.014), recognition of EBP (β=-.18, p=.002), which together explained 35% of total variance. Conclusion: Findings indicate that introduction and activation of EBP in general hospitals is essential and development of systematic training programs to strengthen critical thinking disposition and EBP competency are needed.

졸업학년 간호대학생의 임상실습만족도와 간호전문직관의 관계에서 자기효능감의 매개효과

류세앙(Seang Ryu),김남영(Nam Young Kim) 한국산학기술학회 2022 한국산학기술학회논문지 Vol.23 No.11

본 연구는 졸업학년 간호대학생의 임상실습만족도와 간호전문직관 관계에서 자기효능감이 어떤 효과가 있는지 확인하기 위해 시도되었다. 본 연구에는 온라인으로 연구 참여에 동의한 간호학과 4학년 128명이 참여하였으며, 자료수집은 2020년 5월 25일부터 2020년 6월 8일까지 시행하였다. 수집된 자료는 변수의 특성에 따라 빈도와 백분율, 평균과 표준편차, t-test, ANOVA로 분석하였고, 변수 간 상관관계는 Pearson’s correlation coefficient로 분석하였다. 임상실습만족도, 간호전문직관 및 자기효능감의 매개회귀 분석은 Baron과 Kenny(1986)의 분석 방법을 따랐다. 본연구결과, 대상자의 간호전문직관은 주관적 건강상태(F=9.08, p<.001), 대인관계(F=16.81, p<.001), 경제상태(F=5.13, p<.001)에서 유의한 차이를 보였다. 또한 임상실습만족도와 간호전문직관(r=.520, p<.001) 및 자기효능감과 간호전문직관(r=.535, p<.001) 간에 유의한 정적 상관관계가 있었다. 마지막으로 임상실습만족도와 간호전문직관의 관계에서 자기효능감의 부분매개효과가 본연구를 통해 확인되었다(Z=3.58, p=<.001). 이상의 결과를 토대로 간호대학생의 간호전문직관을 향상하는 방안을 마련할 때 임상실습만족도만을 높이는 것보다는 자기효능감도 함께 증진할 수 있는 임상실습 교육전략을 개발하는 것이 필요하며, 임상실습만족도 향상을 위해 임상실습 환경을 지속해서 개선하는 노력 역시 필요하다. This study attempts to confirm the effect of self-efficacy on the association between clinical practice satisfaction and nursing professionalism of graduated nursing students. The online study subjects included 128 fourth-year nursing students who agreed to participate in the survey, and data was collected from May 25 to June 8, 2020. Data were analyzed by frequency and percentage, mean and standard deviation, t-test, and ANOVA according to the characteristics of the variable. Pearsons correlation coefficient was applied to analyze the correlation between variables. Mediated regression analysis followed the analysis method of Baron and Kenny (1986). Results of this study revealed that the subjects nursing professionalism showed significant differences with respect to subjective health status, interpersonal relationship, and economic status. Clinical practice satisfaction and self-efficacy had a significantly positive correlation with nursing professionalism. Lastly, the partial mediating effect of self-efficacy was statistically significant in the relationship between clinical practice satisfaction and nursing professionalism. Our results indicate the necessity to develop clinical practice education strategies that sufficiently reflect opportunities to improve self-efficacy. Furthermore, continuous improvements are required in the clinical practice environment to enhance the nursing professionalism of graduated nursing students.