2019, Vol.9, No.1

Global Health and Nursing 2023 KCI Impact Factor : 0.85

pISSN : 2233-5560 / eISSN : 2671-5554
https://journal.kci.go.kr/rins

Purpose: This study was conducted to compare the characteristics of participants, depressive symptoms, marital intimacy, and health-related quality of life variables, as factors that affect groups with mild, moderate, and severe menopausal symptoms. Methods: Participants were 124 menopausal women between 40 and 64 years from D city, who were divided into three groups according to the severity of symptoms: mild, moderate, and severe with 22, 31, and 71 participants, respectively. Depressive symptoms, marital intimacy, and health-related quality of life variables(physical and mental health) were measured by a survey. Data were collected from November 1 to December 30, 2016 and analyzed using x2 test, one-way ANOVA, and multinomial logistic regression with SPSS/WIN 23.0. Results: Multinomial logistic regression results showed that the possibility of being categorized into the moderate group compared with the baseline group decreased by 13.38 times(OR=13.38, p<.001) as physical health decreased, 5.65 times(OR=5.65, p<.001) as mental health decreased, and 5.34 times(OR=5.34, p=.007) as depressive symptoms increased. This probability also increased by 1.23 times(OR=1.23, p=.032) as age increased. On the other hand, the probability of being classified under the severe group compared with the base group increased by 6.34 times(OR=6.34, p=.017) as depressive symptoms increased, 4.34 times(OR= 4.34, p=.023) as marital intimacy decreased, 5.65 times(OR=5.65, p=.008) as physical health decreased, 4.42 times(OR=4.42, p=.027) as mental health decreased, 4.37 times(OR=4.37, p=.030) as the age increased, and 17.31 times(OR=17.31, p<.001) as the postmenopausal period increased. Conclusion: Depressive symptoms, marital intimacy, and health-related quality of life were found to be significantly associated with the severity of menopausal symptoms. Therefore, it is necessary to develop nursing intervention strategies that can help create healthy lifestyle for menopausal women by emphasizing the improvement of health-related quality of life variables intimacy of the couple, and reduction of depressive symptoms in this population of women.

Purpose: This study aimed to explore the nursing students’ experiences on a simulation based integrated practicum using a text network analysis. Methods: The data were collected from 103 questionnaires submitted by senior students who took the simulation based integrated nursing practicum course in a college of nursing during spring semester 2018. NetMiner 4.3. was used for the text network analysis. After data cleaning, frequency, degree/betweenness centrality, and subgroup analysis were used for the final analysis. Results: Situation, Patient, Skills, Coping, and Reality were the words with high frequency and centrality in practicum experience among nursing students. Comparing visualized sub-networks groups with course outcomes, ‘the collaboration with health professionals(CO4)’ were not explained by any sub-groups. Embarrassment and Mistake were the high frequency words in the analysis for negative experience. Conclusion: The results identified positive and negative experience, and the unachieved course outcomes from nursing students’ experience of simulation practicum. The results could be used for improving the quality of simulation based integrated nursing practicum.

Purpose: The purpose of this study was to identify nurses’ knowledge, attitudes, experiences, and confidence toward advance directives(ADs). Methods: The design of the study was a descriptive research study and data were collected from 398 nurses who worked at P hospital in a B-city. The collected data was analyzed with descriptive statistics, t-test, one-way ANOVA, Scheffé́ test, Pearson correlation coefficients. Result: The knowledge toward ADs had a significant positive correlation with attitudes(r=.21, p<.001), & confidence toward ADs (r=.16, p=.001). The Attitudes toward ADs had a significant positive correlation with experience toward ADs(r=.15, p=.002), & confidence(r=.29, p<.001). There was a significant positive correlation between experience toward ADs & confidence(r=.46, p<.001). Conclusion: It is necessary to develop education program in order to increase the confidence towards ADs.