2021, Vol.39, No.4

군진간호연구 2023 KCI Impact Factor : 0.4

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

Purpose: The purpose of this study was to explore the factors affecting the metabolic syndrome depending on the obesity. Methods: This study was a secondary analysis and 144,399 military workers' health check-up data for 2017 was retrieved from the National Health Insurance Service. Results: 53.4% of military workers was metabolically healthy non-obese (MHNO); Metabolically healthy obese (MHO) 35.0%, Metabolically unhealthy obese (MUO) 10.1%, and 1.5% were Metabolically unhealthy non-obese (MUNO). High risk drinking and smoking rates were the highest in the MUO, and the MUNO had the lowest level of physical activity. In the obese group, sex, age, drinking, smoking, and high and moderate intensity exercise were significantly associated with increased odds of being metabolic syndrome. On the other hand, in the normal weight group, sex, age, drinking, smoking, and high and low intensity exercise were significantly associated. Conclusion: The affecting factors of the metabolic syndrome were different depending on the obesity. It is needed for nurses to consider tailored interventions based on the group classification. This study is expected to contribute to develop the health promotion program to prevent metabolic syndrome in the military.

Purpose: The purpose of this study was to identify the effects of Nunchi, clinical practicum stress, and communication skills on clinical practicum adaption among Korea Armed Forces Nursing Academy (KAFNA) cadets. Methods: This study was a descriptive study and 158 cadets in 3rd and 4th year were recruited to respond to a self-reporting questionnaire in July, 2021. Statistical methods for data analysis included independent t-test, one-way ANOVA with Bonferroni post-hoc, and multiple regression. Results: The mean scores of the cadets’ Nunchi, clinical practicum stress, communication skills, and clinical practicum adaption were 4.11±0.47, 2.76±0.59, 3.95±0.44, and 3.48±0.53, respectively. The clinical practicum adaption had positive correlations with Nunchi (r=.26, p=.001) and, communication skills (r=.48, p<.001), and a negative relation with clinical practicum stress (r=-.34, p<.001). A statistically significant correlation was also found between Nunchi and communication skills (r=.56, p<.001). The multiple regression analysis presented that the communication skills (ß=.31, p=.001) had the greatest influence on the clinical practicum adaption and a major satisfaction (ß=.31, p=.039). The model explained 44.0% of the cadets’ clinical practicum adaption(F=11.28, p<.001). Conclusion: In order to promote cadets' clinical practicum adaption, education and training to further enhance their communication skills are continuously needed.

Purpose: This study was aimed at preparing basic data needed to improving healthcare services in subordinate medical unit in Republic of Korea Army division. For that purpose, this study investigated nursing officers' vocational guidance experiences for subordinate medical unit. Methods: This study was based on a Colaizzi's phenomenological qualitative study using individual in-depth interviews, and data were collected from 6 army nurses with experiences as nursing officers in army division medical facilities. Results: The 5 categories of 'planning a visit tailored to the subordinate unit', 'starting with visit but ending with censorship', 'facing the indifference and lack of expertise', 'ending the visit with correction', and 'accepting the guidance visit as nurses calling' were obtained. Conclusion: This study analyzed the phenomenon of vocational guidance visit for the healthcare personnel in subordinate medical units without nurses. Therefore, it has value as a scientific basis to develop educational materials for military division nursing officers in the future. Furthermore, the result illuminates the need of estimating military division nursing officers' work on vocational guidance visit.