2020, Vol.38, No.3

군진간호연구 2023 KCI Impact Factor : 0.4

pISSN : 1975-664X
https://journal.kci.go.kr/kafna

Purpose: The purpose of the study is to identify issues and status related to Mobile Army Surgical Hospital (MASH) in Korea, and to propose the concept of operation of the Forward Resuscitation Surgical Team (FRST) customized to Korea Army as a unit to replace MASH. Methods: We collected and analyzed the policy reports and studies published within the domestic and international military manuals. We analyzed the problems and improvement needs of the MASH and reviewed the cases of foreign operation in connection with the medical support with mobility. Results: We identified that it was impossible for the Republic of Korea MASH to provide close support to mass casualties occurred in the early stages of the war. Korean Forward Resuscitation Surgical Team (K-FRST), the replacement to MASH, consists of 20 personnel and focuses on Damage Control Resuscitation. K-FRST, originally affiliated to Army Corps, is placed under trauma-center during peacetime to maintain proficiency. In wartime, however, it directly supports combat divisions. Other considerations for personnel, facilities and equipment were presented. Conclusion: This study has policy implications in presenting various factors that should be considered in realizing K-FRST.

Purpose: The aim of this study is to identify grit, social support, academic achievement and the influencing factors on the academic achievement among Korea Armed Forces Nursing Academy (KAFNA) cadets. Methods: This study was a cross-sectional descriptive study. Data were collected from October 1 to November 29, 2019, using a self-reported questionnaire on grit and social support among 324 KAFNA cadets. Academic achievement was collected from cadets' grades archive. Results: Grit of KAFNA cadets is 4.22±0.43, social support is 4.29±0.52 and academic achievement is 90.42±2.23. There were statistically significant differences among grit, social support and academic achievement depending on major satisfaction, experience on duties of command of cadets. grit, social support and academic achievement showed a positive correlation. Grit was a significant predictor of cadets academic achievement of KAFNA with accounting for 4.0% of the figure. Conclusion: It is necessary to enhance grit to improve the academic achievement. This conclusion will be used as basic data for developing strategies to improve academic achievement of KAFNA cadets. However grit's explanatory power was low at 4.0% hence, the repeated verification is suggested through follow-up research by exploring relevant factors and redefining academic performance.

Purpose: The purpose of this study was to systematically review the mindfulness-based psychosocial intervention for military personnel with PTSD to identify strategies, contents, and formats essential for effective intervention. Methods: A systematic search using keywords in English and Korean was conducted using ten databases, including MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL). Of 564 publications identified, 17 studies were finally included in this systematic review. Quality of evidence was assessed using the Scottish intercollegiate guidelines network (SIGN). Results: Body scan, meditation, mantra repetition, and yoga were identified as mindfulness-based interventions showing significant improvement in PTSD, depression symptoms and mindfulness, and quality of life. A lack of strict methodological analysis as well as no published domestic studies considering the situation on the Korean Peninsula were the limitation of the reviewed studies. Conclusion: Mindfulness-based intervention can be an effective way to improve PTSD symptoms and mental health of military personnels suffered from PTSD. Those findings will serve as a foundation for the development of mindfulness-based programs in the Korean military.