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PURPOSE: This study aimed to develop and evaluate the effectiveness of a healthy lifestyle program based on a mobile serious game (HLP-MSG) to enhance the lifestyles of childhood cancer survivors (CCSs). METHODS: This program proceeded in two stages: development and evaluation, using a non-synchronized design with a quasi-randomized trial. The participants were CCSs aged 6-13 years whose treatment was terminated at least 12 months prior. Data were collected at baseline, and post-intervention, with a follow-up after four weeks using the Child Healthy Lifestyle Profile (CHLP). The experimental (n = 26) and control groups (n = 25) were compared. Data were analyzed using descriptive statistics, chi-squared tests, t-tests, and repeated-measures ANOVA. RESULTS: The HLP-MSG promoted a healthy lifestyle by solving 26 quests, including seven sub-elements (nutrition, exercise, hygiene, interpersonal relationships, stress management, meaning of life, and health responsibility). This study revealed significant differences in the interaction between measurement time and group assignment in the CHLP (p = .006) and physical activity (p = .013), one of the seven sub-dimensions. CONCLUSIONS: A healthy lifestyle program based on a mobile serious game is a feasible health education modality to enhance the physical, psychological, social, and spiritual health of CCSs. IMPLICATIONS TO PRACTICE: The findings add to scientific evidence on a mobile serious game for health education among CCSs. The HLP-MSG provides an evolutionary educational modality that can be delivered non-face-to-face to promote CCSs' continuous healthy behavior maintenance. Moreover, the HLP-MSG is adolescent-friendly and can be utilized as a healthcare tool for parents and children to cooperate.
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Sobreviventes de Câncer , Estilo de Vida Saudável , Humanos , Masculino , Feminino , Criança , Sobreviventes de Câncer/psicologia , Adolescente , Promoção da Saúde/métodos , Jogos de Vídeo , Avaliação de Programas e Projetos de Saúde , Neoplasias/terapia , Exercício Físico , Aplicativos Móveis , Qualidade de VidaRESUMO
This study investigated the effects of school violence prevention education using a chatbot (SVPE-C) on sixth-grade students. By applying a pre and posttest design, the students' (a) degree of knowledge and (b) attitude toward school violence were examined. In addition, (c) satisfaction with the educational method and (d) awareness about SVPE-C were surveyed only in the experimental group. Of the 135 students, the experimental group (n = 67) received six sessions of SVPE-C with class lectures, whereas the control group (n = 68) received education only through class lectures. Between the two groups, there were significant differences in the degree of knowledge (t = 2.837, p = .005) and attitudes toward school violence (t = 2.98, p = .003). Furthermore, satisfaction with the educational method was significantly higher in the experimental group than in the control group (t = 2.810, p = .006). Therefore, SVPE-C may be effective for elementary school students.
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In spite of more awareness about the increased concern of women about their body image and shape, a scale measuring the level of concern about body shape has not been developed in Korea yet. The currently available Body Shape Questionnaire (BSQ) was developed and validated within a Western context. Therefore, this study created the Korean version of the BSQ (K-BSQ) to target young women with concern about body shape. This study aimed to translate the 16-item version of the BSQ and examine the reliability and validity of the resulting scale. Participants included 243 young women aged 19-39 years from South Korea. The reliability and validity were examined using Cronbach's alpha, item analysis, factor analysis, and correlation with the Eating Attitudes Test (EAT). Results showed that the reliability was high, as indicated by a Cronbach's alpha of 0.95. The factor analysis of 16 items revealed two factors. They explained 65.74 percent of the variance in the Korean version of the BSQ. In addition, K-BSQ scores were related to those of the EAT significantly (r = 0.61, p < .001). It was concluded that the K-BSQ may serve as an appropriate instrument to measure the body shape concerns of young Korean women.
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Somatotipos , Feminino , Humanos , Psicometria , Reprodutibilidade dos Testes , República da Coreia , Inquéritos e QuestionáriosRESUMO
This study aimed to investigate the effects of a violence-prevention education program using empathy (VPEP-E) on elementary school students. This quasi-experimental design examined fifth-grade students' (a) empathy level, (b) perception of violence, and (c) permissive and negligent attitudes toward violence, using a pre- and post-test design. A total of 101 students participated: the experimental group (n = 48) received eight sessions of VPEP-E, whereas the control group (n = 53) received violence prevention education through classroom lectures. Significant differences were observed between the groups' empathy level (t = 6.81, p < .001), perception of violence (t = 2.79, p = .006), and permissive and negligent attitudes toward violence (t = -2.21, p = .030; t = -2.02, p = .046). Thus, a school-based VPEP-E may help elementary school students. Long-term studies evaluating behavioral changes from VPEP-E implementation are needed for establishing the effects on violent behavior.
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The purpose of this study was to test the effects of a child sexual abuse prevention education program using a hybrid application (CSAPE-H) by examining fifth-grade students' (a) knowledge for sexual abuse prevention and (b) self-protective behaviors against sexual abuse. A quasi-experimental, pretest /posttest design was used. Sixty-eight students from two schools participated. The intervention group (n = 48) received six sessions in CSA prevention education using the hybrid app, whereas the control group (n = 35) was taught using a lecture in a classroom environment. Between the two groups, there were significant differences in self-protective behaviors against CSA (t = 2.26, p = .027). In addition, educational satisfaction was significantly higher in the experimental group than the control group (t = 2.41, p = .019). A CSAPE-H may be effective for elementary school students, especially for self-protective behaviors.
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Abuso Sexual na Infância , Criança , Abuso Sexual na Infância/prevenção & controle , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , República da Coreia , Instituições Acadêmicas , EstudantesRESUMO
BACKGROUND: Spirituality is a fundamental, intrinsic aspect of human beings and should be a core component of quality palliative care. There is an urgent need to train hospice palliative care teams (HPCTs) to enhance their ability to provide spiritual care. This study aimed to develop and evaluate a meaning-centered, spiritual care training program (McSCTP) for HPCTs (McSCTP-HPCTs). METHODS: The modules' content was informed by Viktor Frankl's meaning-centered logotherapy with its emphasis on spiritual resources, as well as the spiritual care model of the Interprofessional Spiritual Care Education Curriculum (ISPEC). Following development, we conducted a pilot test with four nurses. We used the results to inform the final program, which we tested in an intervention involving 13 members of HPCTs. We took measurements using self-administered questionnaires at three points before and after the intervention. Using descriptive statistics, the Mann-Whitney U test, and the Kruskal-Wallis test, we analyzed the participants' demographic and career-related characteristics, as well as the degree of variance between three outcome variables: compassion fatigue (CF), spiritual care competencies (SCCs), and spiritual care therapeutics (SCT). RESULTS: We divided the McSCTP-HPCTs into five modules. Module I: The HPCTs' SCC evaluation, understanding the major concepts of spiritual care and logotherapy; Modules II-IV: Meaning-centered interventions (MCIs) related to spiritual needs (existential, relational, and transcendental/religious); Module V: The process of meaning-centered spiritual care. The preliminary evaluation revealed significant differences in all three outcome variables at the posttest point (CF, p = 0.037; SCCs, p = 0.005; SCT, p = 0.002). At the four-week follow-up test point, we only found statistical significance with the SCCs (p = 0.006). CONCLUSIONS: The McSCTP-HPCTs is suitable for use in clinical settings and provides evidence for assessing the SCCs of HPCTs.
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Cuidados Paliativos na Terminalidade da Vida , Hospitais para Doentes Terminais , Terapias Espirituais , Humanos , Cuidados Paliativos , República da Coreia , EspiritualidadeRESUMO
The aim of this study was to compare the learning effects of debriefing methods used in the simulation of prematurity care by measuring: (i) academic self-efficacy; (ii) confidence in performance; (iii) self-assessed communication skills; and (iv) satisfaction. We employed a quasi-experimental design with three experimental groups that experienced instructor-directed, self-directed, and video-assisted, self-directed debriefing, respectively. Participants were 146 senior nursing students from three nursing schools. To compare learning effects, the same developed scenario for prematurity care was applied to all three groups. Significant differences were observed in the mean scores for the study variables among the three groups. The post-hoc analysis showed that the video-assisted, self-directed debriefing group obtained the highest mean score difference for confidence in performance, self-assessed communication skills, and satisfaction with the debriefing method. Thus, video-assisted, self-directed debriefing could be the most effective debriefing method for students.
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Retroalimentação , Relações Interprofissionais , Aprendizagem , Adulto , Feminino , Humanos , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal/organização & administração , Unidades de Terapia Intensiva Neonatal/normas , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Masculino , República da Coreia , Autoavaliação (Psicologia)RESUMO
This study aimed to examine the effects of a sexual education program (SEP) focused on sexual media literacy (SML) for school nurses. A quasi-experimental, pre-/posttest design was used to examine SML knowledge, awareness, reinterpretation skill, and self-efficacy. A total of 66 school nurses participated. The experimental group (n = 35) participated in an 18-hr SEP that focused on SML, while the control group (n = 31) did not. The experimental group showed significant improvement in knowledge (t = 6.47, d = 1.62, p < .001), awareness (t = 5.08, d = 1.19, p < .001), reinterpretation skill (t = 4.81, d = 2.28, p < .001), and self-efficacy (t = 8.29, d = 1.38, p < .001) as compared to the control group. The SEP developed in this study may be an effective educational intervention for school nurses.
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Educação em Enfermagem/métodos , Conhecimentos, Atitudes e Prática em Saúde , Alfabetização , Educação Sexual/organização & administração , Feminino , Humanos , Masculino , República da CoreiaRESUMO
PURPOSE: We examined the effects of a humor intervention on the physiological, physical, and psychological responses of school-aged children with atopic dermatitis. DESIGN AND METHODS: This quasi-experimental study used a nonequivalent control group and a pre- and post-test design. Forty-five schoolchildren participated. RESULTS: Children in the experimental group (n=26) received a humor intervention and reported significant differences in physiological response, which was evidenced by heightened salivary immunoglobulin A levels as compared to the control group (n=19). Additionally, the psychological response of the experimental group was significantly different from that of the control group as evidenced by decreased stress levels. CONCLUSION: Humor intervention may be an effective nursing intervention for children with atopic dermatitis.
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Comportamento Infantil/psicologia , Dermatite Atópica/enfermagem , Dermatite Atópica/psicologia , Terapia do Riso/enfermagem , Senso de Humor e Humor como Assunto/psicologia , Criança , Feminino , Humanos , Masculino , Relações Enfermeiro-Paciente , Projetos Piloto , República da CoreiaRESUMO
PURPOSE: This study aimed to identify the effects of smartphone-based nebulizer therapy education on the knowledge and confidence of parents while performing care for their children with respiratory disease. DESIGN AND METHODS: This quasi-experimental study employed a pretest-posttest design using a nonequivalent control group. Data were collected from children's parents who had not used nebulizer therapy for their children previously. Both the groups were given nebulizer therapy education using the same content but different learning methods. The experimental group (n=36) was taught using smartphones, while the control group (n=36) was taught using verbal and paper-based methods. The data were analyzed using the Chi Square test, repeated measures analysis of variance, and t-test. RESULTS: The mean scores on knowledge improvement (F=100.949, p<0.001) and confidence in performing care (t=-6.959, p<0.001) were significantly higher for the experimental group as compared to the control group. Further, the scores on satisfaction with the learning method were significantly higher for the experimental group as compared to the control group (t=-5.819, p<0.001). Our results suggest that smartphone-based education on nebulizer therapy might be effective in improving parents' knowledge and confidence in performing care for their children. CONCLUSION: This study suggests that smartphone-based education needs to be considered as an effective educational intervention in providing nursing support for parents of children with respiratory disease.
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Conhecimentos, Atitudes e Prática em Saúde , Pais/educação , Terapia Respiratória/métodos , Doenças Respiratórias/tratamento farmacológico , Smartphone/estatística & dados numéricos , Adulto , Estudos de Casos e Controles , Criança , Pré-Escolar , Empatia , Feminino , Humanos , Masculino , Nebulizadores e Vaporizadores , Avaliação de Resultados em Cuidados de Saúde , República da Coreia , Doenças Respiratórias/diagnóstico , Medição de Risco , Adulto JovemRESUMO
OBJECTIVES: This study aimed to identify factors influencing beliefs about intimate partner violence among Korean adults. DESIGN AND SAMPLE: This is a cross-sectional descriptive study that analyzed data from 466 adults. MEASURES: Beliefs about intimate partner violence were measured using a self-report questionnaire with a total of 28 items consisting of four subscales: perpetrator's justification for beating women, blaming women for violence against them, perpetrator's responsibility for violence, and giving help to victims. RESULTS: Men and women had significantly different beliefs about intimate partner violence (t = -7.19, p < .001). Some characteristics were identified that led to unhealthy beliefs about intimate partner violence. Four variables-gender, age, educational level, and witnessing parental violence-had an explanatory power of 20% with regard to beliefs about IPV (F = 10.50, p = .000). CONCLUSIONS: In South Korea, men, older individuals, and those with less formal education or who have witnessed parental violence need education to foster healthier beliefs about intimate partner violence. Nurses can play a vital role in efforts to decrease intimate partner violence.
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Cultura , Violência por Parceiro Íntimo/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , República da Coreia , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto JovemRESUMO
The purpose of this study was to identify the differences in suicide risk, meaning in life, and need for life respect among three age groups (young adults, the middle aged, and the elderly) of 540 public hospital outpatients in South Korea. This was a cross-sectional study. Among these 3 age groups, we observed significant differences in suicide risk, meaning in life, and need for life respect according to education level, marital status, living arrangements, type of disease, gender, and monthly income. These findings might contribute to the prevention of suicide in the future and the implementation of better community-based nursing care.
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Pacientes Ambulatoriais/estatística & dados numéricos , Pessoalidade , Suicídio/estatística & dados numéricos , Adulto , Fatores Etários , Idoso , Estudos Transversais , Escolaridade , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Renda , Masculino , Estado Civil , Pessoa de Meia-Idade , Pacientes Ambulatoriais/psicologia , República da Coreia/epidemiologia , Fatores de Risco , Fatores Sexuais , Suicídio/psicologia , Valor da Vida , Adulto Jovem , Prevenção do SuicídioRESUMO
The purpose of this study was to develop a smartphone-based injury-prevention application (S-IPA) for teachers working in child-care centers, and to test the satisfaction level of the users of the application (app). Through a literature review and needs assessment, an app compatible with the Apple iPhone operating system was developed. The app was verified and the mean total satisfaction with 7 features of the app was 7.76 (± 1.13) on a score of 1-10. The result of the S-IPA survey showed a positive response, indicating a high potential for use as a teacher's educational guide, which would provide an effective information delivery system for the prevention of possible injuries at child-care centers.
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Aplicativos Móveis , Smartphone , Ferimentos e Lesões/prevenção & controle , Adulto , Criança , Creches , Comportamento do Consumidor , Feminino , Humanos , República da Coreia , Professores Escolares , Capacitação de Professores/métodos , Adulto JovemRESUMO
In this study, we identified the factors influencing behavioral intention to undergo Papanicolaou testing among Japanese and Korean women in early adulthood. Their behavioral intentions were compared in this cross-sectional descriptive study. In total, 887 women (Japanese = 498, Korean = 389) aged 20-39 years participated in this study. Using a self-report questionnaire, knowledge, attitudes, subjective norm, perceived behavioral control, and behavioral intention were surveyed. There were significant differences between Japanese and Korean women's scores on all main variables. For Japanese women, all the variables moderately correlated with behavioral intention. In comparison, for Korean women, all independent variables, except for knowledge, moderately correlated with behavioral intention. Through a multiple regression analysis, age, undergoing Papanicolaou testing, attitudes, subjective norm, and perceived behavioral control were identified as significant predictors of behavioral intention among Japanese women. Among Korean women, job status, undergoing a Papanicolaou test, attitudes, subjective norm, and perceived behavioral control were demonstrated as significant predictors of behavioral intention. Health professionals should consider these factors to encourage Papanicolaou testing in women in early adulthood.
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Conhecimentos, Atitudes e Prática em Saúde , Intenção , Teste de Papanicolaou/estatística & dados numéricos , Mulheres/psicologia , Adulto , Feminino , Humanos , Japão/etnologia , Análise Multivariada , Análise de Regressão , República da Coreia/etnologia , Inquéritos e QuestionáriosRESUMO
Educational outcomes, such as knowledge, confidence in performance, ability in nursing practice, and satisfaction with learning methods in caring for children with croup, were compared between groups of students that received education through simulation combined with pre-education, simulation only, and pre-education only. In this quasi-experimental design, the educational intervention for the experimental group was the pre-education modality. Data from a convenience sample of 127 senior nursing students were drawn from three nursing schools in South Korea. There were significant differences in the mean scores of knowledge, confidence in performance, satisfaction with the learning method, and ability in nursing practice between the three groups. Pre-education with simulation significantly enhanced students' knowledge, confidence in performance, ability in nursing practice, and satisfaction with learning methods compared with pre-education or simulation alone. Simulation strategies should focus more on enhancing nursing students' learning outcomes.
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Competência Clínica/normas , Crupe/terapia , Simulação de Paciente , Enfermagem Pediátrica/educação , Estudantes de Enfermagem/psicologia , Adulto , Bacharelado em Enfermagem/métodos , Avaliação Educacional/métodos , Feminino , Humanos , Aprendizagem , Masculino , República da CoreiaRESUMO
This study examined the effect of an intervention on coping knowledge among fifth- and sixth-grade elementary schoolchildren who received smartphone-delivered emergency preparedness education. This was a quasi-experimental study using a pre-/posttest design. Eighty-six children were recruited to participate. The children in the experimental group ( n = 44) received smartphone-delivered emergency preparedness education while those in the control group ( n = 42) received traditional lecture-centered education. Data were analyzed using a repeated-measured analysis of variance. Subsequently, the experimental group scored significantly higher than the control group on coping knowledge ( F = 7.96, f = .31, p = .010). The use of technology such as smartphone-delivered emergency preparedness education may be effective to improve their coping knowledge of fifth- and sixth-grade elementary schoolchildren.
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Adaptação Psicológica , Defesa Civil/educação , Smartphone , Criança , Defesa Civil/métodos , Feminino , Humanos , Masculino , República da Coreia , Inquéritos e Questionários , Recursos HumanosRESUMO
Child sexual abuse (CSA) threatens children's safety and even their lives. CSA is increasing steadily, despite the government's efforts to decrease and prevent its incidence. The purpose of this study was to evaluate the effects of the Child Sexual Abuse Prevention Education (C-SAPE) program on fifth-grade elementary school students' competence in terms of their knowledge and self-protective behaviors. Participants included 39 children who completed the C-SAPE program and a control group of 50 children. A nonequivalent control group pre-/posttest design was used to examine the effectiveness of C-SAPE. Significant differences were found between the experimental and control groups' mean difference (post-pre) in competence scores ( t = 3.354, p = .001), especially in the category of self-protective behaviors ( t = 2.641, p = .010). The C-SAPE program may be effective in increasing elementary school students' self-protective behaviors related to sexual abuse.
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Abuso Sexual na Infância/prevenção & controle , Vítimas de Crime/psicologia , Serviços de Saúde Escolar/organização & administração , Serviços de Enfermagem Escolar/organização & administração , Autoeficácia , Adolescente , Mecanismos de Defesa , Feminino , Promoção da Saúde/organização & administração , Humanos , Masculino , República da CoreiaRESUMO
UNLABELLED: This study was conducted to identify the effects of kangaroo care on the physiological functions of preterm infants, maternal-infant attachment, and maternal stress. DESIGN AND METHODS: For this study, a quasi-experiment design was used with a nonequivalent control group, and a pre- and post-test. Data were collected from preterm infants with corrected gestational ages of ≥33weeks who were hospitalized between May and October 2011. Twenty infants were assigned to the experimental group and 20 to the control group. As an intervention, kangaroo care was provided in 30-min sessions conducted thrice a week for a total of 10 times. The collected data were analyzed by using the t test, repeated-measures ANOVA, and the ANCOVA test. RESULTS: After kangaroo care, the respiration rate significantly differed between the two groups (F=5.701, p=.020). The experimental group had higher maternal-infant attachment scores (F=25.881, p<.001) and lower maternal stress scores (F=47.320, p<.001) than the control group after the test. In other words, kangaroo care showed significantly positive effects on stabilizing infant physiological functions such as respiration rate, increasing maternal-infant attachment, and reducing maternal stress. CONCLUSION: This study suggests that kangaroo care can be used to promote emotional bonding and support between mothers and their babies, and to stabilize the physiological functions of premature babies. PRACTICE IMPLICATIONS: Kangaroo care may be one of the most effective nursing interventions in the neonatal intensive care unit for the care of preterm infants and their mothers.
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Cuidado do Lactente/métodos , Recém-Nascido Prematuro/fisiologia , Unidades de Terapia Intensiva Neonatal/organização & administração , Comportamento Materno/psicologia , Relações Mãe-Filho/psicologia , Adaptação Psicológica , Adulto , Análise de Variância , Estudos de Avaliação como Assunto , Feminino , Seguimentos , Humanos , Cuidado do Lactente/psicologia , Recém-Nascido , Masculino , Idade Materna , Mães/educação , Enfermagem Neonatal , Apego ao Objeto , Medição de Risco , Estudos de Amostragem , Estresse Psicológico/epidemiologia , Estresse Psicológico/fisiopatologiaRESUMO
This study identified the effects of a community-based cardiovascular disease prevention program (CVD-PP) on health behavior and modifiable cardiovascular risk factors in low-income Korean elderly with hypertension. Eighty-eight individuals completed the 3-month self-efficacy-enhancing interventions in which the control group received standard care. In the intervention group, there were statistically significant improvements in self-efficacy (t = 2.519, p = 0.016) and health behavior (t = 3.453, p = 0.001), and significant differences in diastolic blood pressure (t = -2.518, p = 0.018) between the two groups. This CVD-PP administered by visiting nurses may be effective in improving self-efficacy and health behavior and in reducing modifiable cardiovascular risk factors.